Corporate Compliance

Transmittals/MLN Matters articles:

Medicare Update for Physician Services, May 3, 2012

CMS revises "incident to" transmittal
On April 4, CMS rescinded Transmittal 2368 dated December 15, 2011, and replaced it with Transmittal 2437. The new transmittal corrects language in Chapter 17, section 20.1.3, paragraph three of the Medicare Claims Processing Manual, specifically it changes the effective date of the flu season from September 1 to August 1 and to changes “this file” to “payment allowance limits.” All other material remains the same.

Effective Date: January 1, 2013

Implementation Date: January 1, 2013 

View the transmittal

CMS continues updates to Program Integrity Manual

CMS issued two transmittals this past week that continue its process of updating chapter 15 of the Program Integrity Manual.

View the April 6 transmittal 

View the April 13 transmittal 

CMS adds new test to list of CLIA waived tests

On April 6, CMS issued two transmittals that update the CLIA waived test list. CMS issued a second transmittal on the same date to add a test that was not included in the original transmittal (86386QW Nuclear Matrix Protein 22 (NMP22), qualitative).  

Effective Date: January 1, 2012

Implementation Date: July 2, 2012

View the transmittal

View the transmittal 

CMS offers guidance for correct claims submission when secondary payers are involved

On April 11, CMS issued a special edition MLN Matters article that explains how providers should bill services for Medicare beneficiaries with secondary insurance.

View the special edition MLN Matters article 

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