Revenue Cycle

Important Medicare updates

Medicare Update for CAHs, December 28, 2011

CMS posts instructions for completing Hospital/CAH Database Worksheet

On December 2, CMS issued a memo that explains updates to Exhibit 286, the Hospital/CAH Database Worksheet. Instructions for completing the Worksheet have also been updated, and have been added to the State Operations Manual.

View the memo

CMS issues final rule that will make performance measurement data more public

On December 7, 2011, CMS published a final rule in the Federal Register that will make more information available to the public about the performance of providers and suppliers, while protecting patient privacy.  The final rule explains how organizations can become qualified by CMS to receive standardized extracts of Medicare claims data under Parts A, B, and D for the purpose of measuring provider and supplier performance.

View the Federal Register 

View the associated fact sheet

View the associated press release 

CMS updates Medicare Deductible, Coinsurance and Premium Rates for 2012 to correct an incorrect date

On December 16, CMS rescinded Transmittal 72, dated November 18, 2011, and replaced it with Transmittal 74. The new transmittal corrects the year from 1996 to 1966, in the table in section 20.2 - Part B Annual Deductible. All other information remains the same.

Effective Date: January 1, 2012

Implementation Date: January 3, 2012 

View the transmittal

CMS publishes January 2012 I/OCE specifications version 13.0

On December 16, CMS issued its recurring update to provide instructions and specifications for the Integrated Outpatient Code Editor (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. 

Effective Date: January 1, 2012

Implementation Date: January 3, 2012 

View the transmittal 

CMS awards MAC Jurisdiction F to Noridian and changes workload numbers

On December 9, CMS completed a review of the workload for A/B Medicare Administrative Contractor (MAC) jurisdiction formerly known as Jurisdiction 3 as well as for the Alaska, Idaho, Oregon and Washington. CMS announced that those workloads will collectively be referred to as Jurisdiction F and Noridian Administrative Services (NAS) will be the contractor for the jurisdiction. CMS will change the workload numbers for the Part A and Part B Alaska, Idaho, Oregon and Washington workloads. These changes are being made because CMS needs to identify each workload by state using a standardized numbering system.

Effective Date: February 1, 2012

Implementation Date: February 1, 2012 

View the transmittal 

CMS posts information about preventive services educational resources

On December 15, CMS posted a Special Edition MLN Matters article that lists the resources that are available to help providers educate patients about preventive services.

View the Special Edition MLN Matters article

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