Medicare Compliance & Reimbursement
PROGRAM MEMO ROUNDUP
Starting Oct. 1, if you don't include an ICD-9-CM diagnosis code on your Part B claims, you probably won't get paid. It's all part of complying with the Health Insurance Portability and Accountability Act transactions and code sets standards, the Centers for Medicare & Medicaid Services explains in a June 6 program memorandum (B-03-045; http://cms.hhs.gov/manuals/pm_trans/B03045.pdf). The only exceptions to the rule - which otherwise applies to all professional claims - are claims submitted by ambulance suppliers. CMS offers more information on the new policy in a provider education article included in a July 11 program memo (B-03-046; http://cms.hhs.gov/manuals/pm_trans/B03046.pdf). In other recent program memoranda, CMS:
Medicare Compliance & Reimbursement
- Medicare:
SENATE FINANCE APPROVES
After an all-day June 12 mark-up, the Senate Finance Committee approved a bill that would [...] - Hospitals:
HOSPITALS BRACE FOR NEW OUTLIER POLICIES
Only a small number of hospitals will have to go through the onerous process of [...] - Long-Term Care:
LONG-TERM CARE PROPOSAL COULD PROVIDE SHORT-TERM HELP
But a new CMS SNF payment policy cut both ways.
Skilled nursing facilities would get a [...] - Enforcement :
AN EVEN TOUGHER WHISTLEBLOWER LAW?
A move is afoot to up the stakes yet again in the ongoing campaign against [...] - Ambulance:
KNOW WHO TO BILL WHEN TRANSPORTING HOSPITALIZED PATIENTS
The HHS Office of Inspector General has its eye on ambulance providers who submit Medicaid [...] - Medicare+Choice:
WATERED-DOWN Rx PROPOSAL STILL STRONG ENOUGH TO HELP M+COs
Medicare+Choice plans that have been holding on in hopes of being saved by a prescription [...] - Fraud & Abuse:
LIE TO AN AUDITOR, LINGER IN JAIL
When it comes to dealing with Medicare and Medicaid auditors, a lack of straight talk [...] - People:
GAO LETS LOOSE PARTING BLOW AGAINST EX-OIG CHIEF
The General Accounting Office gave former HHS Office of Inspector General chief Janet Rehnquist a [...] - Quality of Care:
DOLLARS FOR QUALITY
Hospitals could soon collect bonuses from Medicare for delivering high-quality care. The Centers for Medicare [...] - Labs:
SUMMER SURVEYS MAY OFFER SLIMMER CITATIONS
What Will CLIA Inspecions Look Like This Season?
Who says there ain't no cure for the [...] - Pharmaceuticals:
BALDACCI INTRODUCES REVISED MAINE Rx
Maine Governor John Baldacci has proposed a revised version of the state's Maine Rx initiative, [...] - Pharmaceuticals:
WYDEN: NIH IGNORED PATIENT, TAXPAYER COSTS FOR TAXOL
The National Institutes of Health had the authority to get a better deal for taxpayers [...] - Fraud & Abuse:
LIE TO AN AUDITOR, LINGER IN JAIL
When it comes to dealing with Medicare and Medicaid auditors, a lack of straight talk [...] - DME:
PAY A BENEFICIARY, PAY THE PRICE
Mult-million-dollar fraud case keeps DME suppliers in the enforcement cross hairs. Paying patients for their [...] - Bill Watch
The following bills were introduced in the House: H.R. 2423. A bill to amend title [...] - PROGRAM MEMO ROUNDUP
Starting Oct. 1, if you don't include an ICD-9-CM diagnosis code on your Part B [...] - Register Watch
The Centers for Medicare & Medicaid Services asked for comments on extension of two information [...]
