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CCH NetNews™ |
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(June 30, 2008)
Home Health Medicare and Medicaid Payment |
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Phase One of Manual Revisions to Reflect Payment Changes for Durable Medical Equipment, Prosthetic, Orthotics and Supplies (DMEPOS) Items as a Result of the DMEPOS Competitive Bidding Program, Medicare Claims Processing Manual, Pub. No. 100-04, Trans. No. 1502, May 9, 2008, ¶502,027.
Implementation of the 2007-2008 Update to the Medicare Wage Index Occupational Mix Survey (Form CMS-10079 (2008)), One-Time Notification Manual, Pub. No. 100-20, Trans. No. 339, May 9, 2008, ¶502,029.
National Competitive Bidding (NCB) for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Phase VII Correction of Common Working File (CWF) Category for Portable Oxygen, One-Time Notification Manual, Pub. No. 100-20, Trans. No. 340, May 16, 2008, ¶502,030.
Semiannual Regulatory Agenda Released, Notice, 73 FR 24678, May 5, 2008, ¶300,569.
Designation of Medically Underserved Populations and Health Professional Shortage Area, Proposed Rule, 73 FR 21300, April 21, 2008, ¶300,573; Modified in Proposed Rule, 73 FR 31418, June 2, 2008, ¶300,574.
Provider Authentication by Medicare Provider Contact Centers, MedLearn Matters Article, May 2, 2008, ¶400,458.
Blood-Derived Products for Chronic, Non-Healing Wounds, Medicare National Coverage Determinations Manual, Pub. No. 100-03, Trans. No. 83, May 2, 2008, ¶502,023.
Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process, Medicare Claims Processing Manual, Pub. No. 100-04, Trans. No. 1497, May 2, 2008, ¶502,025.
New Therapy Personnel Qualifications and Policies Effective January 1, 2008, Medicare Benefit Policy Manual, Pub. No. 100-02, Trans. No. 88, May 7, 2008, ¶502,026.
Instructions for Downloading the Medicare ZIP Code File for October 2008, Medicare Claims Processing Manual, Pub. No. 100-04, Trans. No. 1521, May 30, 2008, ¶502,033.
Payments, Claims Filing and Cost Reports
Correction to Determinations of Early vs. Later Episodes Under the Home Health Prospective Payment System (HH PPS), Medicare Claims Processing Manual, Pub. No. 100-04, Trans. No. 1505, May 16, 2008, ¶502,028.
Medicare Advantage Program and Prescription Drug Benefits Program Revised, Proposed Rule, 73 FR 28556, May 16, 2008, ¶300,570.
Duplicate Medicaid and Medicare Home Health Payments: Medical Supplies and Therapeutic Services, OIG Report, May 1, 2008, ¶400,456.
Policy Clarification on Part B Services Provided as Incident to Physician Services, Medicare Benefit Policy Manual, Pub. No. 100-02, Trans. No. 87, May 2, 2008, ¶502,022.
Billing Blood and Blood Products, Medicare Claims Processing Manual, Pub. No. 100-084, Trans. No. 1495, May 21, 2008, ¶502,024.
Update to the Medicare Secondary Payer Payment (MSPPAY) Module to Accommodate the Medicare Part A Claims Expansion, One-Time Notification Manual, Pub. No. 100-20, Trans. No. 341, May 16, 2008, ¶502,034.
July Quarterly Update for 2008 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule, Medicare Claims Processing Manual, Pub. No. 100-04, Trans. No. 1516, May 23, 2008, ¶502,031.
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 14.2, Effective July 1, 2008, Medicare Claims Processing Manual, Pub. No. 100-04, Trans. No. 1517, May 23, 2008, ¶502,032.
Appeals
Annual Adjustment in the Amount in Controversy (AIC) Threshold Amounts for Administrative Law Judge Hearings and Judicial Review Under the Medicare Appeals Process, Notice, 73 FR 73348, December 27, 2008, ¶300,568.
Provider Reimbursement Determinations and Appeals, Final Rule, 73 FR 30189, May 23, 2008, ¶300,571.
Hospice Conditions of Participation Extension of Timeline for Publication of Final Rule, Proposed rule, 73 FR 30355, May 28, 2008, ¶300,572.
Guidance to State Survey Agencies on Heparin Recall, CMS Letter to State Survey Agencies, No. SC-08-19, May 9, 2008, ¶400,457.
Updated Brochure on the Quality Indicator Survey, CMS Letter to State Survey & Certification Agencies, No. S&C-08-21, May 16, 2008, ¶400,459.
Acceptance of Orders Using Physician Signature Stamp by Home Health Agencies and Hospices Banned, CMS Letter to Survey & Certification Agencies, No. S&C-08-22, May 30, 2008, ¶400,460.
Applications for Medicaid Benefits Denied Because Irrevocable Trust Assets Exceeded Medicaid Eligibility Limits, Oyloe v. North Dakota Dept. of Human Services, No. 20070251, N.D., April 17, 2008, ¶100,432.
Medicaid Waiver Program Requires Funding for Care in Home, Grooms v. Maram, No. 06 C 2211, N.D. Ill., May 30, 2008, ¶100,433.
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