Medicare Information Resource, Issue 2007-04AB

	Medicare Information Resource

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April 2007

MIR-2007-04AB

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:

Key		Part A & B Contents
Part A	Part B	Title
A	A	2007 Quarterly ASP Medicare Part B Drug Pricing File, Effective April 1, 2007, and Revisions to the January 2007 Part B Drug Pricing Files (CR# 5517)
A	A	Ambulance Fee Schedule – Medical Conditions List (CR# 5442)
A	A	Announcing a New Section of the CMS Pub. 100- Public Web Site Regarding Medicare Advantage Plans and Part D Plans (PE200703-22)
A	A	April Quarterly Update for 2007 DMEPOS Fee Schedule (CR# 5537)
A	A	April Update to the 2007 Medicare Physician Fee Schedule Database (MPFSDB) (CR#5528)
A	A	Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2007 (CR#5514)
A	A	Colorectal Cancer Screening Data (PE200703-20)
A	A	Colorectal Cancer: Preventable, Treatable and Beatable (SE0710)
A	A	Differentiating Mass Adjustments from Other Types of Adjustments and Claims for Crossover Purposes and Revising the Detailed Error Report Special Provider Notification Letters (CR# 5472)
H	A	Extracorporeal Photopheresis (CR# 5464)
A	A	Flu Shot Reminder (PE200703-04)
A	A	Implementation of Revised Fee Schedule for HCPCS Codes for Power Mobility Devices (JSM-07308)
H, S	L	Laboratory Services Competitive Bidding Demonstration (PE200703-18)
A	A	Medically Unlikely Edits (MUE) (CR# 5495)
A	A	Medicare Guide to Rural Health Services Information (PE200703-09)
H	P	Medicare for Eligible Medicare Beneficiaries of a One-Time Ultrasound Screening for Abdominal Aortic Aneurysms (AAA) (SE0711)
A	A	National Nutrition Month® (PE200703-01)
A	A	NPI – Will You Be Ready (PE200703-19)
A	A	Participating Physician/Supplier Directory is Available (CR# 5307)
A	A	Reminder – Medicare Provides Coverage of Prostate Cancer Screening for Eligible Medicare Beneficiaries (SE0709)
A	A	Services Not Provided within the United States (CR# 5427)
A	A	Use of Nine-Digit Zip Codes to Determine the Correct Payment Locality (CR# 5208)

Key	Part A Only
Part A	Title
A	April 2007 Non-OPPS OCD Specifications Version 22.1 (CR# 5523)
H	April 207 OPPS OCE Specifications Version 8.1 (CR# 5522)
H	Billing for Islet Isolation Add-On in NIH Clinical Trial (CR# 5505)
H, E	ESRD Composite Payment Rates Update for 2007 (CR# 5535)
H, E	Hemophilia Clotting Factor for vonWillebrand Factor HCPCS Code (JSM-07291)

Key	Part B Only
Part B	Title
A	Common Errors to Avoid When Billing Medicare Carriers (SE0712)
A	Correction to CR5404, New Waived Tests (CR# 5482)
A	Extension for Acceptance of the CMS-1500 Claim Form (CR# 5568)
A	Incomplete or Invalid Claims Instructions for Implement the Revised HIC Form CMS-1500 (Version 8/05) (CR# 5391R)
A	New Waived Tests (CR# 5484)
A	PQRI Frequently Asked Questions (PE200703-13)
A	Program Overview: 2007 Physician Quality Reporting Initiative (CR# 5558)
A	Quarterly Update to CCI Edits, Version 13.1 (CR#5492)
A	Revised PQRI PowerPoint Presentation – Module One (PE200703-15)
A	Temporary Addition to ASCA Exception List for MSP (CR# 5488)

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 through: 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.