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Aug
11

August 3-10 Transmittals and MLN Matters articles: CMS maintains noncoverage of CTC for colorectal cancer and more

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CMS continues noncoverage of CTC for colorectal cancer

On August 7, CMS issued transmittal R105NCD to implement its decision to maintain noncoverage of computed tomography colonography (CTC) for colorectal cancer.

Effective date: May 12, 2009
Implementation date: September 8, 2009

CMS updates travel allowance fees for collection of specimens for CY 2009

On August 7, CMS issued transmittal R1790CP to update the Medicare travel allowance fees for collection of specimens for CY 2009.

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

CMS issues annual update for HPSA bonus payments

On August 7, CMS issued transmittal R1789CP to provide new ZIP codes files for contractors to use when making Health Professional Shortage Area (HPSA) bonus payments.

Effective date: January 1, 2010
Implementation date: January 4, 2010

CMS revises selection criteria for RAC adjustment crossover claims and fully reimbursable Part B claims

On August 7, CMS issued transmittal R1793CP to modify one aspect of the logic that the Part A shared system uses in marking claims as RAC adjustment claims for crossover purposes. CMS also modified the Common Working File logic used in association with 100% reimbursable Part B claims that contain denied service lines.

Effective date: January 1, 2010
Implementation date: January 4, 2010

MLN Matters article

CMS released MLN Matters article MM6587, related to a transmittal previously outlined in Medicare Weekly Update.

  • Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 15.3, Effective October 1, 2009


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