Sep

24

September 12-19 CMS Transmittals and MLN Matters articles

By Medicare Weekly Update

CMS issues quarterly update to National Correct Coding Initiative (NCCI) edits

On September 19, CMS released the fourth quarter update to the NCCI edits.

Effective date: October 1, 2008
Implementation date: October 6, 2008

View the transmittal.

CMS issues quarterly hospital Outpatient Prospective Payment System (OPPS) update

On September 19, 2008, CMS issued the fourth quarter OPPS update.

Effective date: October 1, 2008
Implementation date: October 6, 2008

View the transmittal.

CMS issues transmittal on reporting National Provider Identifiers (NPI) for secondary providers

On September 12, CMS released a transmittal clarifying instructions for reporting secondary providers’ NPIs on paper and electronic claims.

Effective date: May 23, 2008
Implementation date: September 26, 2008

View the transmittal.

View a related MLN Matters article.

CMS updates waived tests under the Clinical Laboratory Improvement Amendments of 1988 (CLIA)

On September 12, CMS issued a transmittal regarding new waived tests under CLIA.

Effective date: October 1, 2008
Implementation date: October 6, 2008

View the transmittal.

View a related MLN Matters article.

CMS releases MLN Matters articles

CMS released three MLN Matters articles last week related to transmittals previously announced in Medicare Weekly Update.

• Payment for Implanted Prosthetic Devices for Medicare Part B Inpatients
• Limitation on Recoupment (935) for Provider, Physicians and Suppliers Overpayments
• October 2008 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files