The week in Medicare updates
Medicare Insider, November 19, 2013
Want to receive articles like this one in your inbox? Subscribe to Medicare Insider!
Improve your patients’ health with the Initial Preventive Physical Examination (IPPE) and Annual Wellness Visit (AWV)
On November 14, CMS issued an article for healthcare providers on the IPPE and the AWV.
View Special Edition article SE1338.
Use of claim adjustment reason (CARC) code 23
On November 14, CMS issued a transmittal instructing the Shared System Maintainers on how to use CARC 23 to report prior payer adjudication in case of a secondary claim.
Effective date: April 1, 2014
Implementation date: April 7, 2014-Full implementation for FISS and MCS. Analysis & Design for VMS; July 7, 2014- Full implementation for VMS
Update to Medicare deductible, coinsurance and premium rates for calendar year (CY) 2014
On November 15, CMS issued a transmittal instructing Medicare Contractors on how to update the claims processing system with the new CY 2014 Medicare rates.
Effective date: January 1, 2014
Implementation date: January 6, 2014
View MLN Matters article MM8527.
Bariatric surgery for treatment of co-morbid conditions related to morbid obesity
On November 15, CMS issued a transmittal stating that, effective for dates of service on and after September 24, 2013, facility certification shall no longer be required for coverage of covered bariatric surgery procedures.
Effective date: September 24, 2013
Implementation date: December 17, 2013
Immediate suspension of postpayment patient status reviews of inpatient hospital admissions 10/1/13-12/31/13
On November 15, CMS issued a transmittal stating that Medicare Administrative Contractors , Recovery Auditors, and the Supplemental Medical Review Contractor shall not conduct postpayment patient status reviews for inpatient claims with dates of admission 10/1/13-12/31/13. However, claims with evidence of systematic gaming, abuse, or delays in the provision of care in an attempt to surpass the 2-midnight presumption could warrant medical review at any time.
Effective date: October 1, 2013
Implementation date: December 2, 2013
Updates to the Medicare Claims Processing Internet-Only Manual
On November 15, CMS issued a transmittal to make various updates to chapters of the Medicare Claims Processing Internet-Only Manual.
Effective date: March 18, 2014
Implementation date: March 18, 2014
View MLN Matters article MM8490.
Want to receive articles like this one in your inbox? Subscribe to Medicare Insider!
Related Products
-
Strategies for Health Care Compliance
News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...
-
Medicare Insider
Each issue of Medicare Weekly Update includes the latest CMS proposed and final rules, CMS manual revisions, and...
-
Strategies for Health Care Compliance-Electronic_1year
News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...
-
Strategies for Health Care Compliance
News and real-life examples to increase the effectiveness of your compliance program. Strategies for Health Care Compliance...
Most Popular
- Articles
-
- Don't forget the three checks in medication administration
- What does case-mix index mean to you?
- Q&A: Primary, principal, and secondary diagnoses
- Note similarities and differences between HCPCS, CPT® codes
- Practice the six rights of medication administration
- Complications from immobility by body system
- Nursing responsibilities for managing pain
- OB services: Coding inside and outside of the package
- Prevent dehydration with nursing interventions
- Know the medical gas cylinder storage requirements
- E-mailed
-
- Will the JCAHO consider my facility's use of side rails a restraint?
- Tip: Documentation key to ensuring inpatient medical necessity
- Strive to bill all payers the same
- Coding Clinic reiterates guidelines for provider documentation
- CMS final rule clarifies that medical staff can extend beyond physicians
- Searched
