Medicare Information Resource, Issue 2007-06AB

	Medicare Information Resource

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June 2007

MIR-2007-06AB

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	Article Revisions Due to NPI Contingency Plan (CRs 5089, 4023, 5081, 5229, 5378, 5568, 5289, 5508, 5243, 5334, 5391, 5060, 4239, SE0528, SE0659)
H	W	Astigmatism-Correcting Intraocular Lenses (CR#5527)
H	P	Clarification of Bariatric Surgery Billing (CR#5477)
A	A	Healthy Vision (PE200705-06)
H, S	A	Invalid SNF informational Unsolicited Responses from Medicare’s CWF System (CR#5587)
A	A	Medicare Fee-for-Service NPI Contingency Plan (CR#5595 Revised)
A	A	Modification to the Model Medicare Redetermination Notice (CR#5554)
A	A	NPI: The NPI Compliance Deadline Is Here! (PE200705-30)
A	A	Part B Paid Claims that Overlap Non-pay SNF Claims (PE200705-02)
A	A	Payment and Coding for Drugs and Biologicals (PE200705-23)
A	A	Provider Authentication Requirement for Telephone and Written Inquiries During NPI Contingency Plan (SE0721)
H, E	P	Requirements for Route of Administration Code for ESA (CR# 5480)

Key	Part A Only
Part A	Title
M	CMS Proposes Payment Changes for Home Health Services (PE200704-37)
P	Correction of Hospice Cap for FYs 2003 and 2004 (CR#5596)
H	Graduate Medical Education Payments to Teaching Hospitals (PE200705-03)
A	Implementation of the UB-04 Fact Sheet (Related to PE200704-31)
H	Inpatient Psychiatric Facility PPS Fact Sheet (PE200705-16, PE200705-24)
H	Payment for Extended Stay Services Under Frontier Extended Stay Clinic Demonstration (CR#5454)
H	Policy and Payment Changes for LTCHs for Rate Year 2008 (PE200705-04)
H	Policy and Payment Changes for LTCHs for Rate Year 2008 Correction (PE200705-21)
H	Present on Admission Indicator (CR#5499)
H , S	Proposed Increase in Payments to Nursing Homes for 2008 (PE200705-01)
H	Proposed Payment and Policy Changes for IRFs in FY 2008 (PE200705-08)
H	Proposed Payment Reform for Inpatient Hospital Services in 2008 (PE200705-22)
A	Uniform billing (UB-04) Implementation (CR#5072-Revised)
H	Update of HCPCS Codes for Hemophilia Clotting Factors (CR#5466)
H	Use of Benefits Exhaust Day as Discharge Date for IPF PPS (CR# 5474)

Key	Part B Only
Part B	Title
A	Competitive Acquisition Program Educational Materials Available during Additional Physician Election Period (PE200705-27)
A	Physician Quality Reporting Initiative Information Available
D	Pre Bidding Activities for DMEPOS Competitive Bidding Program (SE0714)
D	Web Cast Available for DMEPOS Competitive Bidding Program Suppliers (PE200704-37)

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.