Health Information Management

The week in Medicare updates

APCs Insider, January 17, 2014

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2014 annual update to the therapy code list
On January 2, CMS issued a transmittal to remove CPT® code 92506 from Section 10.6.G of the Medicare Claims Processing Manual, to add the four new speech language pathology evaluation codes to Section 10.3.B.1 of the manual, and to remove sensitive/controversial language.
Effective date: January 1, 2014
Implementation date: January 6, 2014
View Transmittal R2844CP.
 
OIG report: Local Coverage Determinations (LCDs) create inconsistency in Medicare coverage
On January 6, the OIG issued a report stating that in October 2011, over half of Part B procedure codes were subject to an LCD in one or more states. The presence of these LCDs was unrelated to the cost and use of items and services.
View the complete report
 
OIG report: CMS and its contractors have adopted few program integrity practices to address vulnerabilities in EHRs
On January 6, the OIG issued a report stating that CMS and its contractors had not changed their program integrity strategies in light of EHR adoption.
View the complete report
 
OIG report: Medicare Administrative Contractors' performance
On January 9, the OIG issued a report stating that Medicare Administrative Contractorsmet the majority of quality assurance standards reviewed by CMS, but did not meet one quarter of the standards reviewed, and had not resolved issues with 27% of these unmet standards as of June 2012.
View the OIG report
 
Final decision memo: Percutaneous image-guided lumbar decompression for lumbar spinal stenosis
On January 9, CMS issued a national coverage analysis (NCA) for percutaneous image-guided lumbar decompression for lumbar spinal stenosis.
View the NCA.
 
Publication of NPRM for emergency preparedness
On January 3, CMS issued a survey and certification letter that would establish national emergency preparedness requirements for Medicare- and Medicaid-participating providers and suppliers to ensure that they adequately plan for both natural and man-made disasters, and coordinate with federal, state, tribal, regional, and local emergency preparedness systems. It would also ensure that these providers and suppliers are adequately prepared to meet the needs of patients, residents, clients, and participants during disasters and emergency situations.
View the survey and certification letter.



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