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CCH NetNews™ |
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(April 30, 2008)
Home Health Medicare and Medicaid Payment |
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Revised National Disaster Medical System (NDMS) Patient Treatment and Tracking Records System, Notice, 73 FR 16307, March 27, 2008, ¶300,559.
Approval of Continued Deeming Authority for the Community Health Accreditation Program for Home Health Agencies, Notice, 73 FR 16688, March 28, 2008, ¶300,560.
Approval of Continued Deeming Authority for the Joint Commission for Home Health Agencies, Notice, 73 FR 16690, March 28, 2008, ¶300,561.
Quarterly Listing of Program Issuances; October Through December 2007, Notice, 73 FR 17421, April 1, 2008, ¶300,562.
New OIG System of Records: Administrative Files, Notice, 73 FR 18532, April 4, 2008, ¶300,564.
Medicare Trustee Report, 2008 Annual Report of the Medicare Trustees, March 25, 2008, ¶400,446.
Hospice Beneficiaries’ Use of Respite Care, OIG Report, No. OEI-02-06-00222, March 31, 2008, ¶400,447.
Overview of New Medicare Competitive Bidding Program for Durable Medical Equipment POS, MedLearn Matters Article, No. SE0805, April 2, 2008, ¶400,448.
DMEPOS Competitive Bidding Program, MedLearn Matters Article, No. SE0806, April 3, 2008, ¶400,449.
Release of the Revised CMS-855 Medicare Enrollment Applications, MedLearn Matters Article, No. SE0810, April 1, 2008, ¶400,450.
Pre-bidding Activities for DMEPOS Bidding Program, MedLearn Matters Article, No. SE0811, April 4, 2008, ¶400,451.
The President’s Proposed Legislative Response to the Medicare Funding Warning, CRS Report to Congress, April 3, 2008, ¶400,452.
Clarification of Items in Chapter 10, “Healthcare Provider/Supplier Enrollment," Medicare Program Integrity Manual, Pub. No. No. 100-08, Trans. No. 246, March 14, 2008, ¶502,003.
New Contractor Numbers for the State of California Jurisdiction 1 Part B Medicare Administrative Contractor (MAC) Workload, One-Time Notification Manual, Pub. No. No. 100-20, Trans. No. 323, March 7, 2008, ¶502,004.
Update to Chapter 2, “The Certification Process,” Sections 2021 and 2022, State Operations Provider Certification Manual, Pub. No. 100-07, Trans. No. 33, March 21, 2008, ¶502,005.
Payments, Claims Filing and Cost Reports
Correction to Low Utilization Payment Adjustment Add-on Payments Under the Refined Home Health Prospective Payment System (HH PPS), Medicare Claims Processing Manual, Pub. No. 100-04, Trans. No. 1476, March 7, 2008, ¶501,998.
Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update, Medicare Claims Processing Manual, Pub. No. 100-04, Trans. No. 1475, March 7, 2008, ¶501,997.
Update to Chapter 3, Bad Debts, Charity, and Courtesy Allowances, Provider Reimbursement Manual, Pub. No. 15-1, Trans. No. 435, March 2008, ¶502,000.
New Waived Tests, Medicare Claims Processing Manual, Pub. No. 100-04, Trans. No. 1477, March 14, 2008, ¶502,001.
Additional Clarification to Chapter 17, Section 40, Regarding Processing of Drug Claims with the JW Modifier, Medicare Claims Processing Manual, Pub. No. 100-04, Trans. No. 1478, March 14, 2008, ¶502,002.
April 2008 Integrated Outpatient Code Editor (I/OCE) Specifications Version 9.1, Medicare Claims Processing Manual, Pub. No. 100-04, Trans. No. 1483, March 25, 2008, ¶502,007.
Appeals
Termination of Provider Agreement for Failure to Safeguard Patient Information, Community Home Health v. CMS, Departmental Appeals Board, No. CR2134, November 29, 2007, ¶200,383.
Medicare Fraud Edit Module, One-Time Notification Manual, Pub. No. 100-20, Trans. No. 326, March 7, 2008, ¶501,999.
Model Letters for Provider Enrollment, Medicare Program Integrity Manual, Pub. No. 100-08, Trans. No. 247, March 21, 2008, ¶502,006.
Signature Requirements Clarification, Medicare Program Integrity Manual, Pub. No. 100-08, Trans. No. 248, March 28, 2008, ¶502,008.
Carrier Assignment of Provider Identification Numbers (PINs), Medicare Program Integrity Manual, Pub. No. 100-08, Trans. No. 249, March 28, 2008, ¶502,009.
Instructions on the Processing of CMS-855 Enrollment Applications Submitted Via the Web, Medicare Program Integrity Manual, Pub. No. 100-08, Trans. No. 250, April 4, 2008, ¶502,010.
Vermont's Waiver Program, Husrefovich v. Department of Aging and Independent Living, No. 2004-509, Vt. S. Ct., February 26, 2008, ¶100,415.
Right to Challenge Reimbursement Rates Affecting Access to Care, Equal Access for El Paso v. Hawkins, No. 06-50599, 5th Cir., December 10, 2007, ¶100,421.
Forum for Enforcement of Federal Rights, Pee Dee Health Care v. Sanford, No. 06-2108, 4th Cir., December 5, 2007, ¶100422.
Medicaid Lien Against Workers’ Compensation Settlement, Doran v. Missouri Department of Social Services, No. 07-4158-CV-CNKL, W.D. Mo., January 8, 2008, ¶100,423.
Scope of Medicaid Lien Against Personal Injury Settlement, King v. Beverly Healthcare, No. 1:03CV178, N.D. Miss., November 28, 2007, ¶100,424.
Transfers of Assets and Medicaid Eligibility, Makedonsky v. N.D. Department of Human Services, No. 2008 ND 49, N.D., March 24, 2008, ¶100,428.
2008 Update to Federal Poverty Guidelines, Notice, 73 FR 3971, January 23, 2008, ¶300,556.
Home and Community-Based State Plan Services, Proposed rule, 73 FR 18675, April 4, 2008, ¶300,563.
Medicaid Rehabilitation Services, CRS Report, April 2, 2008, ¶400,453.
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