The week in Medicare updates
Medicare Insider, July 1, 2014
Want to receive articles like this one in your inbox? Subscribe to Medicare Insider!
Update to Chapter 3, Program Integrity Manual (PIM), Verifying Potential Errors and Taking Corrective Actions
On June 20, CMS released a change request to update a section of Chapter 3 of the PIM. The changes address reimbursing providers and health information handlers for additional documentation.
Effective date: July 22, 2014
Implementation date: July 22, 2014
View Transmittal R523PI.
Clarification of billing instructions related to the home health benefit
On June 20, CMS released a change that updates Pub. 100-04, Medicare Claims Processing Manual, to specify the physician specialty codes that are excluded from home health consolidated billing. It also will make conforming changes related to the retirement of the home health advance beneficiary notice, and make miscellaneous changes to conform term and code usage to national standards.
Effective date: September 23, 2014 (ICD-10: Upon Implementation of ICD-10)
Implementation date: September 23, 2014 (ICD-10: Upon Implementation of ICD-10)
View Transmittal R2977CP.
CMS receives application for CAH accreditation program
On June 27, CMS posted an acknowledgement in the Federal Register that it received an application from Det Norske Veritas Healthcare. This organization is applying for continued recognition as a national accrediting organization for CAH facilities that wish to participate in the Medicare or Medicaid programs.
View the notice in the Federal Register.
Leave a comment.
CMS accepting comments The Joint Commission’s (TJC) ambulatory surgical accreditation
On June 27, CMS posted a proposed notice in the Federal Register that acknowledges the receipt of an application from TJC for continued recognition as a national accrediting organization for ambulatory surgical centers that wish to participate in the Medicare or Medicaid programs. Comments are due by July 28.
View the notice in the Federal Register.
Leave a comment.
TJC hospital accreditation program approved
On June 27, CMS posted a final notice in the Federal Register announcing their decision to approve TJC for continued recognition as a national accrediting organization for hospitals that want to participate in the Medicare or Medicaid programs. A hospital that participates in Medicaid must also meet the Medicare conditions of participation. This approval is effective July 15, 2014, through July 15, 2020.
View the notice in the Federal Register.
Special fraud alert: Laboratory payments to referring physicians
On June 25, OIG posted a special fraud alert to its website that addresses compensation paid by laboratories to referring physicians and physician group practices for blood specimen collection, processing, and packaging, as well as for submitting patient data to a registry or database.
View the report.
“Medicare Program Integrity: Screening Out Errors, Fraud, and Abuse” hearing update
On June 25, OIG posted the testimony of Gary Cantrell, deputy inspector general for investigations at OIG, regarding OIG's efforts to improve Medicare oversight and reduce waste, fraud, and abuse. He stated fighting waste, fraud, and abuse in Medicare and other programs is a top priority.
View the testimony.
Want to receive articles like this one in your inbox? Subscribe to Medicare Insider!
Related Products
Most Popular
- Articles
-
- Math can be tricky: TJC corrects ABHR storage requirement
- Air control equals infection control
- Don't forget the three checks in medication administration
- Note similarities and differences between HCPCS, CPT® codes
- Five ways to safeguard your patients' valuables
- The consequences of an incomplete medical record
- Q&A: Primary, principal, and secondary diagnoses
- OB services: Coding inside and outside of the package
- Skills of effective case managers
- Practice the six rights of medication administration
- E-mailed
-
- Air control equals infection control
- OSHA HazCom updates include labeling, SDS requirements
- Plan of Care Supports Documentation of Homebound Status
- Note similarities and differences between HCPCS, CPT® codes
- Note from the instructor: CMS clarifies billing guidelines on proper billing for drugs in a single-dose or single-use vial, including billing for discarded drugs
- Neurological checks for head injuries
- Modifiers and medical necessity
- Follow these tips to properly report bladder catheter codes
- Five ways to safeguard your patients' valuables
- Differentiate between types of wound debridement
- Searched