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Regulatory MonitoringTransmittals and MLN Matters articles: CMS responds to OIG audits, releases special edition article on never events, and more
CMS strengthens program safeguards
On October 9, CMS issued a transmittal referencing several OIG reports that highlighted Medicare’s vulnerability to questionable claims. CMS instructed contractors to review claims data, especially for those services audited by the OIG.
Effective date: November 9, 2009
Implementation date: November 9, 2009
CMS rescinds and replaces “Pickle Amendment” transmittal
On October 9, CMS rescinded and replaced a previous transmittal regarding the status verification of all hospitals receiving disproportionate share hospital, or DSH, payments under 42 CFR Section 412.106(c)(2), also known as the "Pickle Amendment."
Effective date: October 5, 2009
Implementation date: October 5, 2009
MLN Matters articles
CMS released a special edition MLN Matters article.
CMS also released an MLN Matters article related to a transmittal previously outlined in Medicare Weekly Update.
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