The week in Medicare updates
HIM-HIPAA Insider, November 25, 2013
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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.
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.
Implementation date: January 6, 2014
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
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.
Implementation date: March 18, 2014
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