Corporate Compliance

Quarterly updates: CMS updates deductibles, coinsurance, premium rates, and more

Medicare Update for Physician Services, January 5, 2012

Update to Medicare Deductible, Coinsurance and Premium Rates for 2012

On December 16, 2011 CMS issued a transmittal that updates the claims processing system with the new 2012 Medicare rates. 

Effective Date: January 1, 2012
Implementation Date: January 3, 2012 

View the transmittal

 
Annual update to the Clinical Laboratory Fee Schedule

On December 9, CMS issued its annual update to the 2012 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, 2012
Implementation Date: January 3, 2012
 
View the transmittal
 

CMS updates the claim status categories and claim status codes

On December 22, CMS released a transmittal detailing the claim status category and claim status code updates. Contractors are to use codes posted at http://www.wpc-edi.com/codes on or about November 1, 2011 which are listed as current codes on that site. 

Effective Date: April 1, 2012
Implementation Date: April 2, 2012 

View the transmittal

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