National Government Services Criteria: ,  Region:  |  Change Criteria
  Medicare Monthly Review

Note: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material which is copyrighted by the American Medical Association (AMA). You are forbidden to download the files unless you read, agree to and abide by the provisions of the copyright statement. Read the copyright statement now (you will be linked back to here).

 

National Government Services, Inc.
Medicare Monthly Review Part A and B
A Combined Part A and Part B Newsletter

 

August 2008  
Issue 2008-8

CPT five-digit codes, descriptions, and other data only are copyright 2007 American 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 Documentation Submission Helpful Hints
A A All Interest Rates
A A All National Government Services Post Office Box Consolidation
A A All Provider Transaction Access Number (PTAN)
H, S E, P, N All What’s New? Medical Policy Update – Zoledronic Acid

 

Information Issued by National Government Services for Part A Providers

Part A
(Speciality)
Location (State) Title
H NY, CT, DE Attention NY, CT, DE Inpatient Prospective Payment System Hospitals
H, S All Diabetes Self-Management Training (DSMT) Claims
A All How to Avoid Reason Code 32105 …Check Your ZIP Code!
H, S, O All What’s New? Medical Policy Updates

 

Information Issued by National Government Services for Part B Providers

Part B
(Speciality)
Location (State) Title
P, N All Acupuncture Billing Clarification
A All Attention National Government Services Downstate Part B Electronic Submitters
A All How to Help Stop Requests for Additional Claim Information
A All Important Changes for Medicare Part B Connecticut Providers
A All Indiana CAC Meeting and Open LCD Meeting Changes
A All Kentucky CAC Meeting and Open LCD Meeting Changes
A All National Government Services J13 Transition PC Ace Pro32 Software for GHI and FCSO
A All Queens County NY Providers-When You Have Been Overpaid by Medicare
A All Welcome Queens County Medicare Part B Providers

 

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

Part A
(Speciality)

Part B
(Speciality)

Location (State)

Title

H C, O, P, R All Cardiac Computed Tomographic Angiography (CTA) (CR6098)
H, S L, P, N All Changes to Laboratory NCD Edit Software for July 2008 (CR6084-R)
A A All Claim Status Category Codes and Claim Status Code Update (CR6090)
H P, N All CPAP Therapy for Obstructive Sleep Apnea (CR6048)
H O, R, P, N All Intracranial Percutaneous Transluminal Angioplasty with Stenting (CR6137)
A A All Medicare Improvement for Patients and Providers Act of 2008 (SE0826)
H L, P All Moratorium Allowing Independent Labs to Bill Pathology (JSM-08395))
A A All Screening Pelvic Examination (CR6085)

 

Information Issued by CMS Pertaining to Part A Providers

Part A
(Speciality)
Title
M, P Hospice Discharge for Cause (CR6115)
H Inpatient PPS Rate Year 2009 (CR6077)
A July 2008 Integrated OCE Specification (CR6080-R)
H July 2008 Update of Hospital OPPS (CR6094)
H Long-Term Care Hospital PPS for Rate Year 2009 (CR6114)
H Medicare Acute Care Episode (ACE) Demonstration (CR6001)
A Medicare Bad Debt Policy for Accounts in Collection Agency (SE0824)

 

Information Issued by CMS Pertaining to Part B Providers

Part B
(Speciality)
Title
P, N 2008 PQRI Establishment of Alternative Reporting Periods (CR6104-R)
P, N Clarification to Audiology Update Transmittal 1470 (CR6061)
P, N Critical Care Visits and Neonatal Intensive Care (Codes 99291-99292) (CR5993-R)
H Exception to Therapy Caps Are Restricted as of July 1, 2008 (SE0815-Rescinded)
F, P, S July Update to ASC Payment System (CR6095)
A New Waived Tests (CR6060)
L, P Notification of Sunset for Payment of Physician Pathology Services (6088-Rescinded)
A October 2008 Update of HCPCS Codes for SNF Consolidated Billing (CR6111)
P, N Payment for Inpatient Hospital Visits (Codes 99221-9239) (CR5792-R)
P, N Private Contracting/Opting Out of Medicare (CR6081)
H Revisions to SNF Common Working File (CWF) Editing (CR6128)

 

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!!!
A CA, WI Part A CA and WI 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.

  Untitled Page News and Publications Links
What’s New
E-Commerce Connection
Listserv Sign Up
Medicare Monthly Review
Adobe Acrobat Download
  Untitled Page




What's New
View News by Specialty or Interest
Or View All    




mmr0711ab
 

 

  Untitled Page
Untitled Page Centers for Medicare & Medicaid Services
 

©2007 National Government Services, Inc. All rights reserved.        Privacy Policy | Site Map | Site Feedback | About Us | Contact Us