Revenue Cycle

Important Medicare updates

Medicare Update for CAHs, January 25, 2012

CMS updates NCDs

CMS posted a new version of the lab NCD manual for the first quarter.

View the new lab NCD manual.

CMS publishes changes to the 2012 OPPS and MPFS final rule,

On January 4, 2012 CMS issued two transmittals containing the January 2012 OPPS updates. CAHs should review these transmittals for guidance on preventive services, drug administration and physician supervision of diagnostic and non-diagnostic outpatient services. In addition, CMS also published technical and typographical corrections to the Medicare physician fee schedule final rule.

View the MPFS corrections

Download Addendum A, B, C, and M

View the related Claims Processing transmittal

View the related Benefit Policy transmittal

CMS issues interim final rule requiring the adoption of a standard for electronic funds transfers

On January 10, CMS issued an interim final rule with comment period implements parts of the Affordable Care Act which requires the adoption of a standard for electronic funds transfers (EFT). It defines EFT and explains how the adopted standards support and facilitate health care EFT transmissions.

View the Federal Register

CMS reminds providers about HPSA bonus payments

CMS published a special edition MLN Matters Article that reminds physicians who furnish services to Medicare beneficiaries in areas designated as a primary care geographic Health Professional Shortage Area (HPSA) as of December 31, 2011, are eligible for a 10% bonus payment for services furnished from January 1, 2012, to December 31, 2012.

View the special edition MLN Matters article

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