Medicare Monthly Review, Issue 2007-12AB

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

December 2007

MMR-2007-12AB

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	Category III CPT Code® Coverage - LCD Attachment
H	P, N	All	Clarification of Cardiac Rehabilitation Programs
A	A	All	2007 – 2008 Corporate Holiday Schedule
H	P, N	All	Investigational Device Exemption Requests
A	A	All	Migration of the Electronic Data Interchange (EDI) Gateway
A	A	All	National Government Services Electronic Mailing Lists
A	A	All	Your New M2 Submitter Number for Migration of the EDI Gateway

Information Issued by National Government Services for Part A Providers
Part A (Speciality)	Location (State Appreviation)	Title
A	All	Comprehensive Error Rate Testing Alert – Laboratory/Diagnostic Services
A	All	Part A Providers - Retired LCDs for November 30, 2007
A	NY, CT, DE	Part A New York Providers - Retired LCDs for November 30, 2007
A	All	Cranial Computerized Tomography Scans – LCD Revision
A	NY, CT, DE	Enterprise Data Center (EDC) Transition
A	NY, CT, DE	CDS Transition – Elimination of Paper Medicare Part A Logon Request Form
A	All	How to Logon to CDS FISS
A	All	What’s New - Part A Updates for December 1, 2007

Information Issued by National Government Services for Part B Providers
Part B (Speciality)	Location (State Appreviation)	Title
P, N	IN, KY	Acupuncture Billing Clarification
A	NY	Attention National Government Service Electronic Submitters – Part B NY – New Provider Numbering Format
A	NJ, NY	Compounded Drugs (J3490)
A	IN, KY	Indiana and Kentucky Part B Providers - Retired LCDs for November 30, 2007
A	IN, KY, NJ, NY	Mepivacaine Reimbursement
A	NJ, NY	New Jersey and New York Part B Providers - Retired LCDs for November 30, 2007
A	All	Offset by Fax

Information Issued by CMS Pertaining to Part A and Part B Providers
Part A (Speciality)	Part B (Speciality)	Location (State Appreviation)	Title
H, S, M	H, P, N	All	2008 Annual Update to the Therapy Code List (MM5810)
H, S, E	B	All	Ambulance Inflation Factor for CY 2008 (MM5801)
H	P, N	All	Coding for Polypectomy Performed During Screening Colonoscopy or Flexible Sigmoidoscopy (SE0746)
A	P, N	All	How to Handle the NPI for Ordering/Referring and Attending/Operating/ Other/Service Facility for Medicare Claims (MM5674)
A	A	All	Individuals Authorized Access to CMS Computer Service – Provider Community (IACS-PC) (SE0747)
H, S, E	B	All	Medicare Payments for Ambulance Transports (SE0724)
A	P, N	All	Overview of Medicare Covered Diabetes Supplies and Services (SE0738)
A	A	All	Payment Allowances for the Influenza Virus Vaccine and Pneumococcal Vaccine When Payment Is Based on 95 Percent of the Average Wholesale Price (MM5744)
A	A	All	Reasonable Charge Update for 2008 for Splints, Casts, Dialysis Supplies and Dialysis Equipment and Certain Intraocular Lenses (MM5740-Revised)
A	A	All	Rejection of Electronic Claim Status Requests that Lack an NPI (MM5726)
H	P, O	All	Revisions to CR 4294 – Low Vision Rehabilitation Demonstration (MM5756)

Information Issued by CMS Pertaining to Part A Providers
Part A (Speciality)	Title
H	Correction to Calculation of Coinsurance for Indian Health Service Critical Access Hospitals (MM5769)
H	Duplicate Transplant Registry Fees (JSM-08029)
H, E	Medicare’s CWF Informational Unsolicited Responses for RDF Claims Overlapping Inpatient Hospital Claims (MM5768)
H	Patient Status Discharge Code 70 to Define Discharges for Transfers to Other Types of Health Care Institutions Not Defined Elsewhere in the UB-04 Manual Code List (MM5764)
P	Reporting of Additional Data to Describe Services on Hospice Claims (MM5567-Revised)
M	Validation of Nonroutine Supply Reporting on Home Health PPS Claims (MM5776-Revised)

Information Issued by CMS Pertaining to Part B Providers
Part B (Speciality)	Title
A	2007-2008 Influenza Season Resources for Health Care Professionals (SE0748)
A	Additional CWF Editing for Skilled Nursing Facility Consolidated Billing – Part II (MM5757)
A	Crossover of Assignment of Benefits Indicator (CLM08) from Paper Claim Input (MM5780)
F, S	Implementation of 2008 Ambulatory Surgical Center (ASC) Payment System Changes (MM5680)
A	Mandatory Reporting of the National Provider Identifier on All Part B Claims (JSM-08048)

Provider Outreach and Education Training Seminars
Contract	Location (State Abbreviations)	Title
A	NY, CT, DE, RI, NH, VT, ME, MA	Don’t Miss Out on Upcoming Medicare Training… Save These Dates!!!
A	Northeast	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 This Date!!!
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!!!

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.