Health Information Management

This week's Medicare updates

APCs Insider, August 23, 2013

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 Annual Clotting Factor Furnishing Fee update 2014

On August 9, CMS issued a transmittal announcing the update to the Clotting Factor Furnishing Fee.

Effective date: January 1, 2014
Implementation date: January 6, 2014

View transmittal R2760CP

View MLN Matters article MM8423.

 

Update to the claims processing IOM to add the National Uniform Billing Committee payer only codes

On August 9, CMS issued a transmittal to add the National Uniform Billing Committee payer only codes to the Internet-Only Manual.

Effective date: November 12, 2013
Implementation date: November 12, 2013

View transmittal R2759CP.

View MLN Matters article MM8413.

 

Further instruction to use non-alert Remittance Advice Remark Codes (RARCs)

On August 16, CMS issued a transmittal instructing the shared systems and contractors to continue to send non-alert remittance advice remark codes (RARCs) without associated group codes and/or claim adjustment reason codes (CARCs). CMS is exploring an alternative approach and will provide further instruction if necessary.

Effective date: October 1, 2013

Implementation date: October 7, 2013, for FISS and MCS; January 6, 2014, for VMS

View transmittal R1285OTN.

View MLN Matters article MM8391.

 

Handling bankrupt suppliers within VMS

On August 16, CMS issued a transmittal to allow for systems changes within VMS to create bankruptcy reporting and continued analysis and design for additional VMS changes.

Effective date: January 1, 2014
Implementation date: January 6, 2014

View transmittal R1286OTN.

 

Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) update - FY 2014

On August 16, CMS issued a transmittal to identify changes that are required as part of the annual IPF PPS update from the FY 2014 IPF PPS update notice. These changes are applicable to IPF discharges occurring during fiscal year October 1, 2013, through September 30, 2014.

Effective date: October 1, 2013
Implementation date: October 7, 2013

View transmittal R2768CP.

 

Medicare Claims Processing Pub. 100-04 Chapter 24 Update

On August 16, CMS issued a transmittal to publish an update to Internet-Only Manual Pub.100-04 Chapter 24 to reflect changes to Medicare Fee-For-Service’s Electronic Data Interchange (EDI) practices, and corresponding EDI requirements for Medicare contractors that are being implemented as part of the 5010 implementation project. In addition, CMS is making general changes across the chapter to standardize language around the use of contractors and general standard wording. Please note that some chapters were only modified to change how CMS refers to contractors. This update also included the addition of the Council for Affordable Quality Healthcare CORE® Operating Rules requirements.

Effective date: September 17, 2013
Implementation date: September 17, 2013

View transmittal R2771CP.

 

New resources available to help consumers navigate the Health Insurance Marketplace

On August 15, CMS issued a press release stating that the Department of Health and Human Services  awarded $67 million to Navigators grant applicants and recognized more than 100 organizations as Champions for Coverage. These Navigator grantees and their staff will serve as an in-person resource for Americans who want additional assistance in shopping for and enrolling in plans in the Health Insurance Marketplace beginning this fall.

View the press release.



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