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CCH NetNews™ |
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(May 30, 2008)
Home Health Medicare and Medicaid Payment |
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Annual Appellant Climate Survey Office of Medicare Hearings and Appeals (OMHA), Notice, 73 FR 19504, April 15, 2008, ¶300,565.
Removal of Edits That Deny Claims for Parenteral or Enteral Services and/or Supplies if a Provider Has Not Recertified Medical Necessity, Medicare National Coverage Determinations Manual, Pub. No. 100-03, Trans. No. 82, April 18, 2008, ¶502,015.
Establishment of Pre-Payment Auto-Denial Edit for Use by Durable Medical Equipment Medicare Administrative Contractors in Applicable States for Suppliers of Oxygen and Oxygen Equipment, Medicare Claims Processing Manual, Pub. No. 100-04, Trans. No. 1493, April 18, 2008, ¶502,017.
Assignment of Providers to Medicare Administrative Contractors (MACs), One-Time Notification Manual, Pub. No. 100-20, Trans. No. 333, April 18, 2008, ¶502,018.
Transition of Responsibility for Local Coverage Determinations (LCDs) From Durable Medical Equipment (DME) Program Safeguard Contractors (PSC) to DME Medicare Administrative Contractors (MACs), Medicare Program Integrity Manual, Pub. No. 100-08, Trans. No. 253, April 25, 2008, ¶502,019.
Update of Inflation Factors Used to Determine Reasonable Compensation, Provider Reimbursement Manual, Pub. No. 15-1, Trans. No. 437, April 25, 2008, ¶502,020.
Payments, Claims Filing and Cost Reports
Quarterly Update to Interest Rate on Overdue Debts, Notice, 73 FR 21135, April 18, 2008, ¶300,566.
Proposed Hospice Wage Index for Fiscal Year 2009, Proposed Rule, 73 FR 24000, May 1, 2008, ¶300,567.
Important Changes for Practitioners and Providers Under the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program, MedLearn Matters Article, April 17, 2008, ¶400,455.
Quarterly Update of Interest Rate for Medicare Overpayments and Underpayments, Medicare Financial Management Manual, Pub. No. 100-06, Trans. No. 138, April 11, 2008, ¶502,011.
Flagging Health Insurance Claim Numbers (HICN) in the Medicare Carrier System (MCS) for Pre-Payment Review/Audit, Medicare Program Integrity Manual, Pub. No. 100-08, Trans. No. 252, April 11, 2008, ¶502,013.
New Process for Accessing Medicare Summary Notice (MSN) Messages and MSN Message File, Medicare Claims Processing Manual, Pub. No. 100-04, Trans. No. 1491, April 11, 2008, ¶502,014.
New HCPCS Codes for April 2008 Update, Medicare Claims Processing Manual, Pub. No. 100-04, Trans. No. 1492, April 18, 2008, ¶502,016.
Required Reporting of Data Describing Services on Hospice Claims, Medicare Claims Processing Manual, Pub. No. 100-04, Trans. No. 1494, April 29, 2008, ¶502,021.
Appeals
Administrative Appeals of Provider Enrollment Determinations, Medicare Program Integrity Manual, Pub. No. 100-08, Trans. No. 251, April 11, 2008, ¶502,012.
Treble Damages Penalty in Civil Actions Under False Claims Act, U.S. v. Davis, No. 05-393-EBA, E.D. Ky., April 11, 2008, ¶100,429.
Requirements for Felony Conviction of Durable Medical Equipment Suppliers and Physician for Healthcare Fraud and Payment of Illegal Kickback; Double Jeopardy Violation, US v. Ogba, No. 06-10519, 4th Cir., April 24, 2008, ¶100,430.
Financial Eligibility for Long-Term Care Assistance, Availability of Trust Property Not Spent for Sole Benefit of Disabled Beneficiary, Hobbs v. Zenderman, No. 06-CIV-0985BB/WDS, D. N.M., March 31, 2008, ¶100,431.
Guidance on Scope of Optional Home- and Community- Based Services Benefit, Letter to State Medicaid Directors, No. SMDL-08-001, April 4, 2008, ¶400,454.
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