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  Medicare Monthly Review

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February 2008  
MMR-2008-02AB

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

Part B

Title
A A Comprehensive Error Rate Testing
A A Interest Rate
A A Medical Policy Open Meeting
H E, P, N Medical Policy Update – Erythropoietin Stimulating Agents
A A National Government Services Post Office Box Consolidation
A A New and Revised Local Coverage Determinations
H, S, E E, P, N Revised Local Coverage Determinations and Drug Articles
H, S, O P, N Revision of Cardiac Rehabilitation Article

 

Information Issued by National Government Services for Part A Providers

Part A Title
A How to Logon to CDS FISS – Revised
H LTCH, IRF and IPF Reporting Revenue Codes 0240 and 0249 on 12X Bill Type
P Medical Policy Update – Hospice – Determining Terminal Status
A Part A IVR and Contact Center Telephone Numbers
H What’s New? Part A Update – Apheresis

 

Information Issued by National Government Services for Part B Providers

Part B Title
P, N 2008 Administration Fees for Influenza, Pneumococcal and Hepatitis Vaccines
N 2008 Clinical Psychologist and Clinical Social Worker Fee Schedule
A Ambulance Fee Schedule Rates for 2008
A Part B IVR and Contact Center Telephone Numbers
P Retired LCD – Ablation of Saphenous Vein

 

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

Part A

Part B

Title

H, S L, P, N 2008 Annual Update for Clinical Laboratory Fee Schedule (MM5813)
A A 2008 Annual Update for the HPSA Bonus Payment (MM5698) Revised
A A Additional Information for Reporting NPI for Ordering/Referring and Attending/Operating/Other/Service Facility for Medicare Claims (MM5890)
H P, N April 2008 Update to the Medicare Code Editor and Grouper (MM5876)
A A Handling Personally Identifiable Information (PII) in the MSN (MM5770)
A A Individuals Authorized Access to CMS Computer Services Provider Community (IACS-PC) –Second in a Series of Articles (SE0753)-Revised
A A Individuals Authorized Access to CMS Computer Services Provider Community (IACS-PC)–Third in a Series of Articles (SE0754)-Revised
H, S, E E, P, N January 2008 Quarterly ASP Part B Drug Pricing Files and Revisions (MM5852)
H, S R Mammography: Change Certification-Based Action for Return to Provider/ Return as Unprocessable to Denial (MM5577) Revised
A A Medicare Deductible, Coinsurance, and Premium Rates for 2008 (MM5830)
H P, N Medicare Payment for Preadministration Related Services for IVIG (MM5713)
A A Modification to Model Medicare Redetermination Notice (MM5836)
H P Nebulized Beta Adrenergic Agonist Therapy for Lung Disease (MM5820)
A A New 2008 Rates for Services Paid Under the MPFS (JSM-08096)
A A New HCPCS Modifier for Billing for Patient Care in Clinical Research Studies
H, S, O H Outpatient Therapy Caps with Exceptions Start January 1, 2008 (MM5871)
H, E E, P, N Reporting HCT or HGB Levels on Claims for Administration of ESAs, Implementation of New Modifiers for Non-ESRD Indications (MM5699)
H B Revision to Certification for Hospital Services Covered by SMI Program Pertaining to Ambulance Services (MM5833)
A A Update of HCPCS Code for Home Health Consolidated Billing (MM5829)
A A Use of Eight-Digit Registry Number on Clinical Trial Claims (MM5790)

 

Information Issued by CMS Pertaining to Part A Providers

Part A Title
H SSI/Beneficiary Data for FY 2006 for IPPS Hospitals, IRF and LTCH (MM5846)
P Reporting Additional Data on Hospice Claims (MM5567) Revised
A January 2008 Integrated OCE Specifications (MM5865) Revised
H Reprocessing of Certain IPPS Claims (MM5845)
H Clarification of Patient Discharge Status Code and Transfer Policies (SE0801)
H, E Line Item Billing Requirement for ESRD Claims (MM5039) Revised

 

Information Issued by CMS Pertaining to Part B Providers

Part B Title
E, P, N Quarterly CAP Drug and Drug Price Updates (MM5839)
A Revised Guidance for Completing Form CMS-1500 (MM5749) Revised
A Legislative Change Affecting 2008 MPFS and Open Enrollment Period (CR5944)

 

Provider Outreach and Education Training Seminars
Contract Title
A Don’t Miss Out on Upcoming Medicare Training… Save These Dates!!!
B Part B NJ Providers: Don’t Miss Out on Upcoming Medicare Training…Save These Dates!!!
 

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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