Health Information Management

The week in Medicare updates

HIM-HIPAA Insider, October 27, 2014

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CMS issues changes regarding Defense of Marriage Act and ICD-10
On October 10, CMS released a transmittal changing the definition of spouse under the Medicare Secondary Payer working-aged provisions. Under the revised definition, a spouse may now include an individual of the same sex. Therefore, CMS has modified its user guide to reflect the change in implementation date for use of ICD-10 codes. 
Effective date: October 1, 2014
Implementation date: January 1, 2015 
View Transmittal R105MSP
View Transmittal R106MSP
View MLN Matters article MM8875.
CMS revises interpretive guidelines for critical access hospitals
On October 10, CMS released a change request providing clarification concerning requirements for equipment maintenance for critical access hospitals.
Effective date: October 10, 2014
Implementation date: October 10, 2014 
View Transmittal R124SOMA.
CMS updates information for hospitals concerning possible Ebola virus disease 
On October 10, CMS posted a document regarding the CDC’s Health Advisory Alert on evaluating patients for possible Ebola virus disease. The CDC has also issued additional guidance, including a checklist and algorithm for patients being evaluated for Ebola virus disease in the United States, as well as a hospital preparedness checklist. 
View the survey and certification letter.
CMS once again updates appeals settlement information
On October 14 and 16, CMS updated the information available regarding the hospital appeals settlement offer. CMS noted an error with the electronic mailbox intended to receive requests on this matter has been rectified. They advise anybody who emailed a request between October 11 and October 14, inclusive, and did not receive a confirmation of receipt should, resubmit their information.
View the updated Inpatient Hospital page
Spring meeting for the Advisory Panel on Hospital Outpatient Payment announced 
On October 17, CMS posted a notice in the Federal Register announcing the spring meeting of the Advisory Panel on Hospital Outpatient Payment for 2015. The purpose of the panel is to advise the secretary of the Department of Health and Human Services and the administrator of CMS on the clinical integrity of the APC groups and their associated weights, and on hospital outpatient therapeutic services supervision issues. The first semiannual meeting in 2015 is scheduled for Monday, March 9, and Tuesday, March 10, from 9 a.m. to 5 p.m. (Eastern). Consequently, the meetings may be shorter than or last longer than the times listed in this notice, but will not begin before the posted times. 
View the notice on the Federal Register.

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