Corporate Compliance

Quarterly updates: CMS implements lab update, posts NCCI update, and more

Medicare Update for Physician Services, December 2, 2010

CMS updates lab fee schedule

On November 24, CMS issued a transmittal to provide instructions for the CY 2011 clinical laboratory fee schedule, mapping for new codes for clinical laboratory tests, and updates for laboratory costs subject to the reasonable charge payment.

Effective date: January 1, 2011
Implementation date: January 3, 2011

View the transmittal.

CMS posts reasonable charge update

On November 19, CMS issued a recurring update notification to provide instructions regarding the calculation of reasonable charges for payment of claims for splints, casts, and intraocular lenses.

Effective date: January 1, 2011
Implementation date: January 3, 2011

View the transmittal.

View a related MLN Matters article.

CMS publishes updated MPFS data file layout

On November 19, CMS issued a transmittal to provide the annual file layout for the Medicare physician fee schedule database.

Effective date: January 1, 2011
Implementation date: January 3, 2011

View the transmittal.

CMS implements NCCI update

On November 19, CMS issued a transmittal for the normal update of the NCCI edits.

Effective date: January 1, 2011
Implementation date: January 3, 2011

View the transmittal.

View a related MLN Matters article.

CMS updates telehealth services codes

On November 18, CMS posted two previously sensitive transmittals regarding Medicare telehealth services. CMS is adding codes to the list of covered telehealth services.

Effective date: January 1, 2011
Implementation date: January 3, 2011

View the Benefit Policy Manual transmittal.

View the Claims Processing Manual transmittal.

View a related MLN Matters article.

CMS posts waived tests update

On November 5, CMS issued its quarterly update to waived tests.

Effective date: January 1, 2011
Implementation date: January 3, 2011

View the transmittal.

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