Medicare Monthly Review:Issue 2008-5 May 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

May 2008

Issue 2008-5

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)	Title
A	A	All	CERT Alert: Outpatient Therapy Services
A	A	All	Comprehensive Error Rate Testing (CERT) Contacts
A	A	All	It’s Here! – The New National Government Services Web Site
H	D, P, N	All	Medical Policy Update – OASIS® Wound Matrix and OASIS® Burn Matrix
A	A	All	Medicare Participating Physician/Suppliers Directory (MEDPARD)
A	A	All	National Government Services Electronic Mailing Lists
A	A	All	New and Revised Local Coverage Determinations (LCD)
A	A	All	Post Office Box Consolidation at National Government Services

Information Issued by National Government Services for Part A Providers
Part A (Speciality)	Location (State)	Title
A	NY, CT, DE	Change in Process to Request a Bypass of Timely Filling Edits

Information Issued by National Government Services for Part B Providers
Part B (Speciality)	Location (State)	Title
P, N, Q	IN, KY	Medical Review Findings for Service Specific Prepayment Reviews
P, Y	NJ, NY	Retired LCD – Intensity Modulated Radiation Therapy
A	All	Submitting Duplicate Claims
P, N	KY	Vertebral Axial Decompression (VAX-D)

Information Issued by CMS Pertaining to Part A and Part B Providers
Part A (Speciality)	Part B (Speciality)	Location (State)	Title
H, S, E	E, P, N	All	April Quarterly ASP Part B Drug Pricing Files and Revisions (CR5982)
H, S, E, O	A	All	April Update to the 2008 Medicare Physician Fee Schedule Database (CR5980)
H, S	L, P, N,	All	Clinical Lab Fee Schedule-Implementation of Section 113 MMSCHIP (CR5987)
H, S, M, P	P, N, K	All	CR5550 Clarification – Signature Requirements (CR5971)
A	A	All	DMEPOS Competitive Bidding Program: Grandfathering, Repair and Replacement, Diabetes Supplies and ABNs (SE0806)
A	A	All	Important Exceptions and Special Circumstances Under DMSPOS (SE0807)
A	A	All	New HCPCS Codes for the April 2008 Update (CR5981)
A	A	All	Psychological and Neuropsychological Tests (CR5204–Revised)
H	E, P, N	All	Professional Society Practice Parameters in for Immunotherapy (SE0812)
A	A	All	Release of Revised CMS-855 Enrollment Application (CRSE0810)
A	A	All	Web Site for ZIP Codes Requiring a Plus-Four ZIP Code Extension (CR5970)

Information Issued by CMS Pertaining to Part A Providers
Part A (Speciality)	Title
H	Reasonable Cost Payment for Lab Tests in Rural Hospitals (CR5961)
A	New Contractor Numbers for California, Nevada, Hawaii, American Samoa, Guam, and Northern Mariana Island – Jurisdiction 1 MAC Workload (CR5901)
H	April 2008 Update of the Hospital OPPS (CR5999)
H	April 2008 Integrated OCE Specifications Version 9.1 (CR5969)

Information Issued by CMS Pertaining to Part B Providers
Part B (Speciality)	Title
F, P, S	April 2008 Update to ASC Payment System (CR5994)
P	Delay of Enrollment Requirement for Audiologists (JSM-08252)
P	Exception to 60-DayLimit on Substitute Billing Arrangements for Physicians Called to Active Duty in the Armed Forces Reserves (CR5985)
E, I, P, N	Medicare Shared Systems Modifications to Accept and Crossover to Medicaid National Drug Codes of CMS -1500 Paper Claims (CR5835)
A	New Contractor Number for the State of California Jurisdiction 1 Part B MAC Workload (CR5905)
A	New Contractor Numbers for Nevada, Hawaii, American Samoa, Guam, and Northern Marianna Islands – Jurisdiction 1 Part B MAC Workload (CR5904)
P, N	Nursing Facility Services (99304 – 99318) (CR5968)

Provider Outreach and Education Training Seminars
Contract	Location (State Abbreviations)	Title
A	NY, CT, DE, RI, NH, VT, ME, MA	Don’t Miss Out on Upcoming Medicare Training… Save These Dates!!!
B	NY	Part B New York Providers: Don’t Miss Out on Upcoming Medicare Training… Save These Dates!!!
B	NJ	Part B NJ Providers: Don’t Miss Out on Upcoming Medicare Training…Save These Dates!!!
A	CA, WI	Part A CA and WI Providers: Don’t Miss Out on Upcoming Medicare Training…Save These Dates!!!
A, B	All	National Government Services Medicare Convention 2008

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.