Corporate Compliance

Quarterly updates: CMS issues April update to the CY 2012 Medicare physician fee schedule database, makes OPPS update, and more

Medicare Update for Physician Services, April 5, 2012

CMS issues April update to the CY 2012 Medicare physician fee schedule database

On March 23, CMS issued a transmittal that updates the Medicare physician fee schedule database (MPFSDB). 
 
Effective Date: January 1, 2012 (unless otherwise indicated).
Implementation Date: April 2, 2012

View the transmittal

 
CMS makes quarterly OPPS update

On March 2, CMS issued a transmittal to make quarterly updates to the OPPS for April. The transmittal includes guidance on device edits as well as billing for drugs, biologicals, and radiopharmaceuticals.

Effective Date: April 1, 2012
Implementation Date: April 2, 2012
 
View the transmittal
 
 
CMS posts quarterly CCI update

On March 30, CMS issued its normal update to the correct coding initiative (CCI) procedure to procedure edits.  

Effective Date: July 1, 2012
Implementation Date: July 2, 2012
 
View the transmittal
 
 
CMS updates NCDs

CMS has posted a new version of the lab NCD manual for the second quarter.

View the new lab NCD manual

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