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  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

 

July 2008  
Issue 2008-7

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   About National Government Services Your Part A/Part B MAC
A A All Medical Policy Update – Self Administered Drugs
A A All National Government Services Post Office Box Consolidation
A A All New EDI Interactive Voice Response (IVR)

 

Information Issued by National Government Services for Part A Providers

Part A
(Speciality)
Location (State) Title
A All NPI Reminders
A NY, CT, DE Medical Policy Update –Retired Local Coverage Determinations
H, S IL, IN, KY, OH Medical Policy Update –Retired Policy Article – Drugs and Biologicals
H IL, IN, KY, OH Medical Policy Update–Retired Local Coverage Determinations
H IL, IN, KY, OH Part A Update – Transesophageal Echocardiography

 

Information Issued by National Government Services for Part B Providers

Part B
(Speciality)
Location (State) Title
P, H IN, KY Revised LCD – Physical Medicine and Rehabilitation (IN, KY)
A NJ Part B New Jersey – Enterprise Data Center (EDC) Transition
A NJ, NY Medical Policy Update-Retired Local Coverage Determinations (NJ, NY)
A IN, KY Medical Policy Update-Retired Local Coverage Determinations (IN, KY)

 

Information Issued by CMS Pertaining to Part A and Part B Providers

Part A
(Speciality)

Part B
(Speciality)

Location (State)

Title

A A All Average Sale Price (ASP) Updates (CR#5798)
H, S P, R All Billing Self-Referred Mammography Claims with NPI (CR#6023)
H, S L All Changes to Laboratory NCD Edit Software (CR#6084)
H, S, E P, NPP, L All Date of Service for Laboratory and Pathology Specimens (CR#6018)
H P, R All Denials of Percutaneous Transluminal Angioplasty Claims (CR#6046)
A A All DMEPOS CBP: Grandfathering, Repair and Replacement (SE0806(R))
A A All Exceptions and Special Circumstances for DMEPOS CBP (SE0807(R))
H, S, O H All Exceptions to Therapy Caps Are Restricted (SE0815)
A P, NPP All Independent Diagnostic Testing Facilities (IDTF) (CR#5815)
A A All July 2008 ASP Part B Drug Pricing Files and Revisions (CR#6049)
A A All July 2008 Update for DMEPOS Fee Schedule (CR#6022(R))
A A All July Update to 2008 Medicare Physician Fee Schedule (CR#6087(R))
A A All New Contractor Numbers for J12
A A All New Contractor Numbers for J13
A A All Overview of Competitive Bidding Program for DMEPOS (SE0805(R))
A A All Phase 1 Manual Revisions for DMEPOS CBP (CR#5978(R))
A A All Phase 2 Manual Revisions for DMEPOS CBP (CR#6119)
A A All Quarterly Updates to Ambulance Fee Schedule Public Use File (CR#6091)
H E, L, P, NPP All Reporting Hematocrit and Hemoglobin for ESA (CR#5699(R))

 

Information Issued by CMS Pertaining to Part A Providers

Part A
(Speciality)
Title
H Hospitals Exempt from “Present on Admission” Reporting (CR#6086)
H, S Medical and Other Health Services for SNF Patients (CR#5991)
H, S Charges to Hold a Bed During a Skilled Nursing Facility Absence (CR#6030)
H, E Billing for ESRD-Related EPO and Darbepoetin Administration (CR#6047)
H, S, O, M New “K” Code for Replacement Interface Material (CR#6075)
M Early Episodes versus Later Episodes under Home Health PPS
A CR5890 Rescinded: Additional Information on Reporting NPI
H Direct Data Entry of Part A Claims with Rates (JSM-08365)
M July 2008 Quarterly Update for DMEPOS CBP (CR#6101)
A July 2008 Integrated Outpatient Code Editor Specifications (CR#6080)

 

Information Issued by CMS Pertaining to Part B Providers

Part B
(Speciality)
Title
P, N 2008 PQRI Establishment of Alternative Reporting Periods (CR#6104)
L Clinical Laboratory Fee Schedule – New Waived Tests (CR#6021)
P, NPP Critical Care Visits and Neonatal Intensive Care (Codes 99291-99292) (CR#5993)
A Incident to Policy Update (CR#52887-Rescinded)
A Part B Drug Competitive Acquisition Program (CAP) Quarterly Update (CR#6053)
A Quarterly Update to CCI Edits, Version 14.2 (CR#6045)

 

Provider Outreach and Education Training Seminars
Contract Location
(State Abbreviations)
Title
All All National Government Services “Mission Possible” Medicare Convention Information
A   Northeastern States Seminars
B NY New York Seminars
A, RHHI CA, WI California and Wisconsin Seminars
 

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.

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