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National Government Services, Inc.
 Medicare Monthly Review Part A and B
A Combined Part A and Part B Newsletter
October 2007  
MMR-2007-10AB

CPT five-digit codes, descriptions, and other data only are copyright 2006 American Medical Association. All Rights Reserved. No fee schedules, basic units, relative values or related listings are included in CPT. AMA does not directly or indirectly practice medicine or dispense medical services. AMA assumes no liability for data contained or not contained herein.   Applicable FARS/DFARS clauses apply.
In This Issue:

Information Issued by National Government Services for Part A and Part B Providers

Part A
(Speciality)

Part B
(Speciality)

Location (State Appreviation)

Title
H P, N, R All Bone Mass Measurement Article Summary
H, S C, H, P, N All Cardiac Rehabilitation Programs Article Summary
A A All Investigational Device Exemptions
H, S, E A All New and Revised Local Coverage Determinations
A A All

National Government Services Electronic Mailing Lists

 

Information Issued by National Government Services for Part A Providers

Part A
(Speciality) 		Location (State Appreviation) Title
A All

Institutional (Part A) Provider Enrollment
A All International Classification of Diseases (ICD-9-CM)
H All Retired LCD for Bone Mass Measurement
M All

Retired Part A LCD for Home Health Psychiatric Care

 

Information Issued by National Government Services for Part B Providers

Part B
(Speciality) 		Location (State Appreviation) Title
A IN, KY Medical Policy Update: LCD: B-type Natriuretic Peptide (BNP) Testing (R1)
A NJ, NY Offset by Fax
A NJ, NY Return to Provider and Auto Reject Items of the Paper CMS-1500-Claim Form
A All What Is HPSA/PSA?

 

Information Issued by CMS Pertaining to Part A and Part B Providers

Part A
(Speciality)

Part B
(Speciality)

Location (State Appreviation)

Title
H C, P, N, R All Clarification of PTA Billing Requirements (CR#5667-Revised)
A A All Discontinuance of the UPIN Registry (CR#5584-Revised)
A A All Healthcare Provider Taxonomy Codes Update (CR#5673)
H, S, M P, N All Medicare Clinical Trial Policy (CTP) (CR#5719)
H, S, M A All October 2007 Quarterly Average Sales Price for Part B Drugs (CR#5710)
A A All October Update to the 2007 MPFS (CR#5714)
H C, P, N, R All Percutaneous Transluminal Angioplasty (PTA) (CR#5660-Revised)
A A All Sunset of the Physician Scarcity Areas Bonus Payment (CR#5711)
H P, N All

Ultrasound Diagnostic Procedures (CR#5608)

 

Information Issued by CMS Pertaining to Part A Providers

Part A
(Speciality) 		Title
H

Inpatient Rehabilitation Facility Annual PPS Update (CR#5694)
H October Update of Hospital OPPS-Summary of Changes (CR#5718)
H

Present on Admission Indicator (CR#5499-Revised)

 

Information Issued by CMS Pertaining to Part B Providers

Part B
(Speciality) 		Title
A

Alert About the Transition of the Medigap Crossover Process (JSM-07535)
P, N Anesthesia Services by the Same Physician Providing Medical and Surgical Services (CR#5618-Revised)
A

Delete Reference to Required Reporting of the NPI on or after May 23, 2007 and Revised When Effective Date (CR#5678)
A

New Remark Code for Denying Separately Billed Services (CR#5659-Revised)
A Quarterly Update to Correct Coding Initiative (CR#5703)
F, P, N Revised Payment System for Ambulatory Surgery Centers (SE0742)
A

Transitioning the Mandatory Medigap Crossover Process to COBC (CR#5601-Revised)

 

Provider Outreach and Education Training Seminars
Contract Location
(State Abbreviations)		 Title
A NY, CT, DE, RI, NH, VT, MA, ME Don’t Miss Out on Upcoming Medicare Training… Save These Dates!!!
B IN , KY, NJ, NY Evaluation and Management Documentation Guidelines Training - Now Offered Monthly… Save These Dates!!!
B NJ Part B NJ Providers: Don’t Miss Out on Upcoming Medicare Training…Save These Dates!!!
B NY Part B New York Providers: Don’t Miss Out on Upcoming Medicare Training… Save These Dates!!!
B All

Provider Outreach & Clinical Education Midwest/West Upcoming Events

This key is provided as a convenience to alert providers/suppliers to articles with topics that may pertain to their particular field. This key is not a guarantee that information in other articles will not also apply. It is each provider’s/supplier’s responsibility to become familiar with the contents of each newsletter.

Part A Key: A-All Providers, C-Community Mental Health Centers (CMHC), E-Renal Dialysis (ESRD) Providers, F-Federally Qualified Health Centers (FQHC), H-Hospitals, M-Home Health Providers,
O-Comprehensive Outpatient Rehabilitation Facilities (CORF) and Outpatient Physical Therapy Providers, P-Hospice Providers, R-Rural Health Center (RHC), S-Skilled Nursing Facilities (SNF), NA-Not Applicable

Part B Key: A-All Providers, B-Ambulance, C-Cardiovascular, D-DMEPOS, E-Drugs & Biologicals, F-ASC, G-Anesthesia, H-Physical & Occupational Therapy, I-Beneficiaries, J-Insurers, K-Home Health Care, L-Laboratory, M-Medicine, N-Non-Physician Practitioner, O-Nuclear Medicine, P-Physicians, Q-Mental Health R-Radiology, S-Surgery, T-Nephrology, U-Urology, V-Chiropractor, W-Ophthalmology & Optometry, X-Podiatry, Y-Radiation Z-Oncology, NA-Not Applicable

 

Contact Information can be found on each of the National Government Services legacy Web sites which can be accessed though: http://www.NGSMedicare.com.

Medicare policies can be found on our Web site in the Local Coverage Determination section. You can access these through the http://www.NGSMedicare.com homepage. Providers without access to the Internet can request hard copies from National Government Services.

 

This bulletin should be shared with all health care practitioners and managerial members of the provider staff. Bulletins are available at no cost from our Web site at www.NGSMedicare.com.