Health Information Management

The week in Medicare updates

APCs Insider, August 28, 2015

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CMS releases October 2015 I/OCE specifications
On August 14, CMS released a notification providing the I/OCE instructions and specifications for the I/OCE that will be used under the OPPS and non-OPPS for hospital outpatient departments, community mental health centers, all non-OPPS providers, and for limited services when provided in a home health agency not under the home health prospective payment system or to a hospice patient for the treatment of a non-terminal illness. The attached recurring update notification applies to the Medicare Claims Processing Manual, Chapter 4, section 40.1.
Effective date: October 1, 2015
Implementation date: October 5, 2015
View Transmittal R3328CP.
View MLN Matters article MM9290.
 
CMS issues notification of new waived tests
On August 14, CMS released a change request to inform contractors of new Clinical Laboratory Improvement Amendment waived tests approved by the FDA. Since these tests are marketed immediately after approval, CMS must notify its contractors of the new tests so that the contractors can accurately process claims. There are 36 newly added waived complexity tests. This recurring update notification applies to Chapter 16, section 70.8 of the Internet-Only Manual.
Effective date: October 1, 2015
Implementation date: October 5, 2015
View Transmittal R3327CP.
View MLN Matters article MM9261.



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