Medicare Monthly Review:Issue 2008-1 January 2008

	Medicare Monthly Review

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	National Government Services, Inc. Medicare Monthly Review Part A and B
A Combined Part A and Part B Newsletter

January 2008

Issue 2008-1

CPT five-digit codes, descriptions, and other data only are copyright 2007American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values or related listings are included in CPT. AMA does not directly or indirectly practice medicine or dispense medical services. AMA assumes no liability for data contained or not contained herein. Applicable FARS/DFARS clauses apply.

In This Issue:

Information Issued by National Government Services for Part A and Part B Providers
Part A (Speciality)	Part B (Speciality)	Location (State Appreviation)	Title
A	A	All	CERT News Updates for January 2008
A	A	All	Medical Nutrition Therapy (MNT) Services (A46071)
A	A	All	Medical Policy Update – Category III CPT Code Coverage
H, E	P, N	All	Medical Policy Update – Erythropoietin Stimulating Agents
H	P, N	All	Medical Policy Update – Infrared Coagulation of Hemorrhoids
H	P, N, H	All	Medical Policy Update – Neuromuscular Junction Testing
A	A	All	New National Government Services Web Site

Information Issued by National Government Services for Part A Providers
Part A (Speciality)	Location (State Appreviation)	Title
A	All	Introducing the New Medicare Part A IVR
H, O, S	All	Medical Policy Update – Outpatient Pulmonary Rehabilitation
H, S	All	Reprocessing of Diagnostic and Screening Mammography Services
A	All	What’s New? – Part A Local Coverage Determination Updates

Information Issued by National Government Services for Part B Providers
Part B (Speciality)	Location (State Appreviation)	Title
A	All	Introducing the New Medicare Part B IVR
P, N	All	Medical Policy Update – Retired Policy – Dermagraft
P, N, O	All	Medical Policy Update – Magnetic Resonance Imaging
P, N, L	All	Medical Policy Update – Botulinum Toxins
P, N, W	All	Medical Policy Update – Discission and YAG Laser Capsulotomy
A	All	Medical Policy Update – Multiple Revised LCDs
A	IN, KY	2008 DMEPOS Fee Schedule for Indiana and Kentucky

Information Issued by CMS Pertaining to Part A and Part B Providers
Part A (Speciality)	Part B (Speciality)	Location (State Appreviation)	Title
H	P, N, S	All	2008 Ambulatory Surgical Center Payment Changes (MM5680)
A	A	All	Addition to Medicare Telehealth Services (MM5628)
H	P, N, S	All	Adjustment to Payment Under Hospital OPPS and ASC for Partial Device Credit (SE0732)
A	A	All	Clarification on the NPI Enumerator’s Responsibilities (SE0751)
A	A	All	CMS Seeks Provider Input on Satisfaction with Medicare Fee-for-Service Contractor Services (SE0750)
A	A	All	Fee Schedule Update for 2008 DMEPOS (MM5803)
H, S	A	All	Handling NPI for Ordering/Referring and Attending/Operating/Other Service Facility for Medicare Claims (MM5674)
H, S	P, N, R	All	Mammography: Change Certification-Based Action from Return to the Provider/Return as Unprocessable to Denial (MM5577)
A	A	All	Medicare Coverage for Many Preventing Services and Screenings (SE0752)
H, S, E	P, N, E	All	Medicare Payments for Ambulance Transports (SE0724-Revised)
A	A	All	Overview of Covered Diabetes Supplies and Services (SE0738-Revised)
H, S, O	P, N, H	All	Pulmonary Rehabilitation Services (MM5834)
A	A	All	Remittance Advice Remark Code and Claim Adjustment Reason Code Update (MM5800)
A	A	All	SNF Consolidated Billing Preventive Services (SE0436-Revised)
A	A	All	Update to Requirement to Submit NPI Notification (MM5795)

Information Issued by CMS Pertaining to Part A Providers
Part A (Speciality)	Title
H, E	Changes in End-Stage Renal Disease Payment for CY 2008 (MM5827)
M	Clarification of Demand Bills Related to Home Health Services (JSM-08086)
H	FY2008 Inpatient PPS, Long-Term Care Hospital PPS and Inpatient Psychiatric Facility PPS Changes (MM5748)
A	Mandatory Reporting of the NPI on All Part A Claims (JSM-08007)
M	Phase II: Case Mix Refinement for Home Health PPS (MM5746-Revised)

Information Issued by CMS Pertaining to Part B Providers
Part B (Speciality)	Title
V	Addressing Misinformation Regarding Chiropractic Services and Medicare (SE0749)
A	Update to Place of Service Code Set: New Code for Temporary Lodging (MM5777)
A	Quarterly Update to Correct Coding Initiative Edits (MM5824)

Provider Outreach and Education Training Seminars
Contract	Location (State Abbreviations)	Title
A	NY, CT, DE, RI, NH, VT, ME, MA	Training Seminars and Information

This key is provided as a convenience to alert providers/suppliers to articles with topics that may pertain to their particular field. This key is not a guarantee that information in other articles will not also apply. It is each provider’s/supplier’s responsibility to become familiar with the contents of each newsletter.

Part A Key: A-All Providers, C-Community Mental Health Centers (CMHC), E-Renal Dialysis (ESRD) Providers, F-Federally Qualified Health Centers (FQHC), H-Hospitals, M-Home Health Providers,
O-Comprehensive Outpatient Rehabilitation Facilities (CORF) and Outpatient Physical Therapy Providers, P-Hospice Providers, R-Rural Health Center (RHC), S-Skilled Nursing Facilities (SNF), NA-Not Applicable

Part B Key: A-All Providers, B-Ambulance, C-Cardiovascular, D-DMEPOS, E-Drugs & Biologicals, F-ASC, G-Anesthesia, H-Physical & Occupational Therapy, I-Beneficiaries, J-Insurers, K-Home Health Care, L-Laboratory, M-Medicine, N-Non-Physician Practitioner, O-Nuclear Medicine, P-Physicians, Q-Mental Health R-Radiology, S-Surgery, T-Nephrology, U-Urology, V-Chiropractor, W-Ophthalmology & Optometry, X-Podiatry, Y-Radiation Z-Oncology, NA-Not Applicable

Contact Information can be found on each of the National Government Services legacy Web sites which can be accessed though: http://www.NGSMedicare.com.

Medicare policies can be found on our Web site in the Local Coverage Determination section. You can access these through the http://www.NGSMedicare.com homepage. Providers without access to the Internet can request hard copies from National Government Services.

This bulletin should be shared with all health care practitioners and managerial members of the provider staff. Bulletins are available at no cost from our Web site at www.NGSMedicare.com.