Part B Medicare News Items
On September 1, 2009, the
Tennessee Part B workload will transition from CIGNA Government
Services to Cahaba GBA. For information regarding the transition
please visit the Cahaba Web site at www.cahabagba.com/j10/index.htm.
NOTE: All articles and announcements for the entire year are available on our Articles Archive Page
July 2009
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LCD for Skin Lesion Removal Revised: The LCD for Skin Lesion Removal have been revised for ID (L9644) to add ICD.9 078.12 as a covered diagnosis effective October 1, 2008. Please refer to the CIGNA Government Services Web site at http://www.cignagovernmentservices.com/partb/coverage/index.html#policies to view the policy. - 07.02.09
- The July 2009 Medicare Bulletin is now available - 07.02.09
- The 3rd Quarter 2009 Not Otherwise Classified Drug Fee Schedule and Payment Allowance Limits for Medicare Part B Drugs are now available under Option 3 of the Fee Schedule page - 07.01.09
- The 3rd Quarter 2009 ASC Drug Fee Schedule has been posted and the 1st Quarter 2009 schedule has been revised - 07.01.09
- Rural Provider Workshops Coming to Western North Carolina! - 07.01.09
June 2009
- Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgery or Other Invasive Procedure Performed on the Wrong Body Part; and Surgical or Other Invasive Procedure Performed on the Wrong Patient - MLN Matters PDF Document MM6405 - 06.30.09
- LCD for Skin Lesion Removal Revised: The LCDs for Skin Lesion Removal have been revised for NC (L24460) and TN (L28340) to add ICD.9 078.12 as a covered diagnosis effective October 1, 2008. Please refer to the Medical Review Policy section of the CIGNA Government Services Web site: at http://www.cignagovernmentservices.com/partb/coverage/index.html#policies to link to the revised policy. - 06.30.09
- Release of MLN Matters Article SE0912 – Expiration of Medicare Processing of Certain Indian Health Service (IHS) Part B Claims - Sunset of Section 630 of the Medicare Modernization Act (MMA) of 2003 for Payment of Indian Health Services (IHS)! View it at: http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0912.pdf - 06.30.09
- Expiration of Medicare Processing of Certain Indian Health Service (IHS) Part B Claims - Sunset of Section 630 of the Medicare Modernization Act (MMA) of 2003 for Payment of Indian Health Services (IHS) - MLN Matters PDF Document SE0912 - 06.29.09
- CMS Website on Recovery Act and Health Information Technology Now Available! - 06.29.09
- Upcoming Tennessee/Idaho Provider Contact Center Training Closures - 06.26.09
- Upcoming North Carolina Provider Contact Center Closure - 06.26.09
- New Idaho Webinars - 06.26.09
- Urgent Important Alert for All CIGNA Government Services' Medicare Providers - 06.25.09
- CERT (Comprehensive Error Rate Testing): Insufficient Documentation & Medical Necessity Errors - 06.25.09
- Healthcare Common Procedure Coding System; HCPCS Code Q4115 (Skin substitute, alloskin, per square centimeter) - 06.24.09
- 2009 Physician Quality Reporting Initiative (PQRI) Program Reminder - 06.24.09
- REVISED: July 2009 Update to the Ambulatory Surgical Center (ASC) Payment System; Summary of Payment Policy Changes - MLN Matters PDF Document MM6496 - 06.24.09
- Concerning Crossover Claims - 06.23.09
- Medicare Dependent Hospital Fact Sheet - 06.23.09
- Get Ready for DMEPOS Competitive Bidding! - 06.22.09
- Reassignment and Ambulatory Surgical Centers (ASCs) - MLN Matters PDF Document MM6470 - 06.22.09
- Rural Provider Workshops Coming to Western North Carolina! - 06.19.09
- Important Information for Idaho Providers - 06.19.09
- ICD-10-CM/PCS Implementation and GEMs Conference Call Transcripts - 06.18.09
- *Scam Alert* - 06.18.09
- Revised Rural Referral Center Fact Sheet (April 2009) - 06.17.09
- 2009 Physician Quality Reporting Initiative (PQRI) Reporting Qualified Registries Announcement - 06.17.09
- FDA Consumer Alert: Warning Consumers of a Tainted Skin Sanitizer - 06.17.09
- Revised Certificate of Medical Necessity (CMN) Web-Based Training Course - 06.17.09
- Revised Rural Health Fact Sheets - 06.17.09
- July 2009 Average Sales Price (ASP) Files Are Now Available - 06.17.09
- June 15th-21st is National Men's Health Week and June 21st is Father's Day! - 06.16.09
- North Carolina Part B Summer 2009 Rural/Small Provider Workshops - 06.15.09
- Important Information Concerning Crossover Claims Impacted by Common Working File (CWF) Pacific Host Site Problem - 06.15.09
- Clarification for Billing Part B versus Part D for the Anti-emetic Aprepitant (Emend®) - MLN Matters PDF Document SE0910 - 06.15.09
- Information for Eligible Professionals Who Participated in the 2007 Physician Quality Reporting Initiative (PQRI) - 06.15.09
- The Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) competitive bidding program Round 1 Rebid is coming soon! - 06.15.09
- Upcoming Tennessee/Idaho Provider Contact Center Training Closures - 06.12.09
- Upcoming North Carolina Provider Contact Center Closure - 06.12.09
- North Carolina Draft Local Coverage Determination: The draft version of the Paravertebral Facet Joint Nerve Block/Denervation and Sacroiliac Joint Injection Local Coverage Determinations is now available. - 06.11.09
- Healthcare Common Procedure Coding System (HCPCS) Coding Decision and Preliminary Medicare Payment Decision for Negative Pressure Wound Therapy (NPWT) Devices - 06.11.09
- Tennessee Draft Local Coverage Determinations: The draft version of the Skin Substitutes Local Coverage Determinations is now available. - 06.10.09
- Idaho Draft Local Coverage Determinations: Draft versions of the Skin Substitutes, Cataract Extraction Surgery, and K-ras Testing Required Before Epidermal Growth Factor Receptor Antibody Use in Colorectal Cancer Codes Local Coverage Determinations are now available. - 06.10.09
- North Carolina Draft Local Coverage Determinations: Draft versions of the Skin Substitutes, Cataract Extraction Surgery, and K-ras Testing Required Before Epidermal Growth Factor Receptor Antibody Use in Colorectal Cancer Codes Local Coverage Determinations are now available. - 06.10.09
- New Drug/Biological Health Care Procedure Code System (HCPCS) Codes for July 2009 Update - MLN Matters PDF Document MM6477 - 06.10.09
- Manual Update to Include Billing Instructions for Professional Component (PC) and Technical Component (TC) in Regards to One Line Global Billing for Pathology Services - MLN Matters PDF Document MM6457 - 06.10.09
- New Waived Tests - MLN Matters PDF Document MM6459 - 06.10.09
- 2009 Physician Quality Reporting Initiative National Provider Call with Question & Answer Session - 06.10.09
- July Quarterly Update for 2009 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) - MLN Matters PDF Document MM6511 - 06.10.09
- 2007 Physician Quality Report Initiative Program Re-Run Frequently Asked Questions - 06.09.09
- National Cancer Survivors Day - 06.09.09
- Revised Rural Health Fact Sheets - 06.09.09
- Get Ready for DMEPOS Competitive Bidding! - 06.09.09
- North Carolina Open Pre-Carrier Advisory Committee Meeting - 06.09.09
- Upcoming Provider Contact Center Training Closures - Tennessee/Idaho - 06.05.09
- Upcoming North Carolina Provider Contact Center Closure - 06.05.09
- Comprehensive Error Rate Testing (CERT) Program Physician Signatures - 06.05.09
- The June 2009 Medicare Bulletin is now available - 06.05.09
- REVISED: Discontinuance of the Unique Physician Identification Number (UPIN) Registry - MLN Matters PDF Document MM5584 - 06.04.09
- July Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB) - MLN Matters PDF Document MM6484 - 06.04.09
- North Carolina - Upper Gastrointestinal Endoscopy LCD - (Revised) - 06.03.09
- Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update - MLN Matters PDF Document MM6453 - 06.03.09
- July 2009 Update to the Ambulatory Surgical Center (ASC) Payment System; Summary of Payment Policy Changes - MLN Matters PDF Document MM6496 - 06.03.09
- Ask the Contractor Teleconference on Section 1011 - 06.03.09
- Second in Series: General Equivalence Mappings - ICD-9-CM to and from ICD-10-CM and ICD-10-PCS Fact Sheet - 06.03.09
- CMS to Host First National Medicare Fee-For-Service (FFS) Provider Education Call on HIPAA Version 5010 - June 9, 2009 - 06.03.09
- PET Myocardial Perfusion Scans - 06.03.09
- REVISED: Billing Routine Costs of Clinical Trials - MLN Matters PDF Document MM6431 - 06.03.09
- REVISED: Expansion of the Current Scope of Editing for Ordering/Referring Providers for claims processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs) - MLN Matters PDF Document MM6417 - 06.03.09
- REVISED: Influenza Pandemic Emergency -- The Medicare Program Prepares - MLN Matters PDF Document SE0836 - 06.03.09
- NC/ID ACT Announcement - 06.02.09
- New Idaho Webinars - 06.02.09
- The 1st and 2nd 2009 Quarter Not Otherwise Classified Drug Fee Schedules have been updated - 06.02.09
- Get Ready for Competitive Bidding! - 06.01.09
- Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 15.2, Effective July 1, 2009 - MLN Matters PDF Document MM6469 - 06.01.09
- A Drop-In Item for Your Membership News Vehicles Regarding Medicare Contractor Listservs - 06.01.09
- DMEPOS Supplier Accreditation – Time is Running Out! - 06.01.09
- Tennessee-only Ask the Contractor Teleconference - 06.01.09
- REVISED: Expansion of the Current Scope of Editing for Ordering/Referring Providers for claims processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs) - MLN Matters PDF Document MM6417 - 06.01.09
- REVISED: Billing Routine Costs of Clinical Trials - MLN Matters PDF Document MM6431 - 06.01.09
- Final Agenda for the Next Meeting of the Program Advisory and Oversight Committee (PAOC) - 06.01.09
