Health Information Management

The week in Medicare updates

APCs Insider, February 14, 2014

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Revised State Operations Manual Appendices A, I, L, and W
On January 31, CMS issued a rescind and replace transmittal to include Appendix I erroneously omitted from the State Operations Manual. All other information remains the same.
Effective date: January 31, 2014
Implementation date: January 31, 2014
View Transmittal R99SOMA.
 
Changes to the laboratory NCD software for ICD-10 codes
On January 31, CMS issued a rescind and replace transmittal to correct the year in Requirement 8494.2 from November 25, 2003, to November 25, 2002. All other information remains the same.
Effective date: October 1, 2014
Implementation date: January 6, 2014
View Transmittal R2865CP
View MLN Matters® MM8494.
 
HHS finalizes patients’ right to access report of clinical laboratory test results
On February 3, HHS finalized a rule that gives patients designees direct access to the patient’s completed test reports from laboratories, including those covered by HIPAA.
View the report
View a related press release
View a related fact sheet.
 
OIG releases 2014 Work Plan  
On February 6, the OIG released its 2014 Work Plan. It also released a video about emerging trends in combating fraud, waste, and abuse in federal healthcare programs; OIG's top priorities for 2014; and upcoming projects in the newly released OIG Work Plan.
View the video
View the OIG Work Plan
 
Medicare fee-for-service claims processing guidance for implementing ICD-10
On January 31, CMS issued an article stating that for dates of service on and after October 1, 2014, entities covered under HIPAA are required to use the ICD-10 code sets as explained in MLN Matters MMSE1408.
View article SE1408.
 
Revision to the comprehensive error rate testing program
On February 4, CMS issued a transmittal to update Chapter 12 of the Medicare Program Integrity Manual to make changes to the comprehensive error rate testing program.
Effective date: March 6, 2014
Implementation date: March 6, 2014
View Transmittal R504PI.
 
Bundled Payments for Care Improvement initiative fact sheet
On January 30, CMS released a fact sheet announcing the healthcare organizations selected to participate in the Bundled Payments for Care Improvement initiative, which includes four new payment models. Under the Bundled Payments for Care Improvement initiative, organizations will enter into payment arrangements that include financial and performance accountability for episodes of care. These models can lead to higher quality, more coordinated care at a lower cost to Medicare.
View the fact sheet.



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