Medicare Monthly Review, Issue 2007-11AB

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Medicare Monthly Review

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	National Government Services, Inc. Medicare Monthly Review Part A and B
A Combined Part A and Part B Newsletter

November 2007

MMR-2007-11AB

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
A	A	All	2007-2008 Corporate Holiday Schedule
A	A	IL, IN, KY, OH	Comprehensive Error Rate Testing
A	A	All	National Government Services Electronic Mailing Lists
A	A	All	Frequently Asked Questions about Comprehensive Error Rate Testing
A	A	All	Medicare Physician Fee Schedule Rates for 2008

Information Issued by National Government Services for Part A Providers
Part A (Speciality)	Location (State Appreviation)	Title
H	All	2008 Cost Reimbursement for Certified Registered Nurse Anesthetist
A	All	Important PS&R Update
A	All	New Address for Provider Correspondence and Internet Emails
H	NY, CT, DE	Retired Cardiac Rehabilitation Programs (LCD) September 30, 2007

Information Issued by National Government Services for Part B Providers
Part B (Speciality)	Location (State Appreviation)	Title
A	IN, KY	ICD-9-CM Coding Update for October 1, 2007
A	IN, KY, NY	Incorrect Interest Rate in Demand Letters
A	NY	Offset by Fax
P, H	NJ, NY	Retired Cardiac Rehabilitation LCD September 30, 2007
P, N	All	Revised Coverage of Erythropoiesis Stimulating Agents
P, N	NJ, NY	Temsirolimus (Torisel ™)

Information Issued by CMS Pertaining to Part A and Part B Providers
Part A (Speciality)	Part B (Speciality)	Location (State Appreviation)	Title
H	A	All	2008 Annual Update for Health Professional Shortage Area Bonus Payment (CR#5698)
H	A	All	Lumbar Artificial Disc Replacement (LADR) (CR#5727 Revised)
H	P, N, O, R	All	Magnetic Resonance Imaging (MRI) Procedures (CR#5677)
A	A	All	Medicare Fee-for-Service NPI Final Implementation (CR#5728)
A	A	All	Medicare Summary Notice Message: Revised 38.13 (CR#5722)
H	P, N, S	All	New Web Site for Approved Transplant Centers (CR#5724)
H, S, E	A	All	Reasonable Charge Update for 2008 Splints, Casts, Dialysis Supplies, Dialysis Equipment, and Certain Intraocular Lenses
A	A	All	Remittance Advice Remark Code and Claim Adjustment Reason Code Update (CR#5721)
A	A	All	Revisions to Nine-Digit ZIP Code List Provided in CR# 5208 (CR#5730)
A	A	All	SNF Consolidated Billing and Preventive/Screening Services
H, S	B	All	SNF Consolidated Billing Relating to Ambulance Services (SE0433 Revised)
A	A	All	Stage 3 NPI Changes for Transaction 835, and Standard Payer Remittance (CR#5452 Revised)
H	A	All	Ultrasound Diagnostic Procedures (CR#5608 Revised)

Information Issued by CMS Pertaining to Part A Providers
Part A (Speciality)	Title
P	Billing Hospice Care Based on Location Where Care Is Furnished (CR#5745)
H	Correction to CR 5645: July 2007 Quarterly Update to HCPCS Codes for Albuterol, Levalbuterol, and Reclast® (CR#5735)
A	NUBC Update on Revenue Codes and Corrected SNF Spell of Illness Chart (CR#5734)
A	October 2007 Integrated Outpatient Code Editor Specifications Version 8.3 (CR#5723)
M	Phase II: Implementation of Case Mix Refinement for Home Health PPS (CR#5746)
P	Reporting Additional Data to Describe Services on Hospice Claims (CR#5667 Revised)
S	SNF Definition Used to Determine DME Coverage and Ending a Spell of Illness (SE0745)

Information Issued by CMS Pertaining to Part B Providers
Part B (Speciality)	Title
A	Adjustment to Medicare CWF Duplicated Claim Edit for the Technical Component of Radiology and Pathology Laboratory Services to Hospital Patients (CR#5675 Revised)
A	Application of Administrative Simplification Compliance Act (ASCA) Enforcement Review Decisions Made by Other Medicare Contractors to the Same Providers When Selected for ASCA Review by the Railroad Medicare Carrier, Elimination of References to Claim Status and COB Medicare HIPAA Contingency Plans and Changes to Reflect Transfer of Responsibility for Medigap Claims to the COBC Contractor
A	Clarification Concerning Provider Billing Procedures Related to the Transition of Medigap Claim Based Crossover Process to the Coordination of Benefits Contractor (SE0743)
P, N	Important NPI and Enrollment Information for Physicians and Nonphysician Practitioners (SE0744)
P. N	Key Medicare News for 2008 for Physicians and Other Health Care Professionals (SE0730)
A	New Waived Tests
P, N, E	Notification of 2008 Physician Election Period for Part B Drugs CAP (SE0737)
P, N	Required Use of Tamper-Resistant Prescription Pads for Outpatient Drugs Prescribed to Medicaid Recipients on or after April 1, 2008 (SE0736 Revised)
A	Unlabeled Use for Anti-Cancer Drugs: Medical Literature Used to Determined Accepted Indications for Drugs and Biologicals Used in Anti-Cancer Treatment (CR#5729 Revised)

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

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.