Experts in healthcare reimbursement and regulation,
providing customized consulting
and education services.

Training Programs

We bring the experts to you with a range of on-site education options and bootcamp style programs that teach how a firm grasp of the rules leads to operational excellence.

More information »

Audits & Assessments

Our team of specialized regulatory specialists can assist your organization in revving up your revenue cycle by auditing and assessing key processes for coding and billing.

More information »

Regulatory Monitoring

Our team is available for ongoing regulatory watchdog services that answer your questions and offer you the latest Medicare news, analysis and operational guidance.

More information »

May
05

April 27-May 4 Transmittals and MLN Matters articles: CMS announces instructions for new discharge status code, and more

Email This Post Print This Post

CMS issues transmittal on billing for clinical trial services provided to managed care beneficiaries

On May 1, CMS issued a transmittal updating system editing to ensure accurate billing, and ultimately correct pricing of clinical trial services provided to managed care beneficiaries.

Effective Date: October 1, 2009
Implementation Date: October 5, 2009

View the transmittal.

CMS announces deductible application on clinical trial claims

On April 24, CMS issued a transmittal announcing that it is updating the claims processing system to correctly apply or not apply the deductible on clinical trial claims.

Effective date: Dates of service on or after September 19, 2000
Implementation date: October 5, 2009

View the transmittal

CMS announces implementation instructions for new discharge status code

On April 24, CMS issued a transmittal announcing implementation instructions for new patient discharge status code 21 (discharges or transfers to court/law enforcement).

Effective date: October 1, 2009
Implementation date: October 5, 2009

View the transmittal.

View a related MLN Matters article.

CMS releases special edition MLN Matters articles

CMS issued two special edition MLN Matters articles last week:

Leave a Reply