Medicare Monthly Review, Issue 2007-08AB

Page Tool

Printable View

Content Section

Medicare Monthly Review

Note: Should you have landed here as a result of a search engine (or other) link, be advised that these files contain material which is copyrighted by the American Medical Association (AMA). You are forbidden to download the files unless you read, agree to and abide by the provisions of the copyright statement. Read the copyright statement now (you will be linked back to here).

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

August 2007

MMR-2007 08AB

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:

Key		Information Issued by National Government Services for Part A Providers
Part A (Speciality)	Location (State Abbreviations)	Title
A	All	How Do I Share My National Provider Identifier (NPI) with Medicare?
A	All	Interest Rate
H, S, E	IL, IN, KY, OH	LCD Part A Updates for August 1, 2007
A	All	Reminder for Paper Claim Submitters
A	NY, CT, DE	What's Preventing Your Electronic Claims From Being Accepted?

Key		Information Issued by National Government Services for Part B Providers
Part B (Speciality)	Location (State Abbreviations)	Title
P, L	IN, KY	Medical Policy Unit New Policy – B-Type Natriuretic Peptide (BNP) Testing
P, L	IN, KY	Medical Policy Unit New Policy – C-Reactive Protein (hsCRP) Testing
C, O, P, R	IN, KY	Retired Local Coverage Determination – Carotid Angiography
C, O, P, R	IN, KY	Revised Local Coverage Determination – Magnetic Resonance Angiography
C, O, P, R	IN, KY	Revised Local Coverage Determination – Myocardial Perfusion Imaging
P, N, Q	IN, KY	Revised Local Coverage Determination – Psychiatry and Psychology Services
P, N	IN, KY	Revised Local Coverage Determination – Psychological Services Coverage under the Incident to Provision for Physician and Non-Physicians
C, O, P, R	IN, KY	Revised Supplemental Instructions for Magnetic Resonance Angiography
A	NY, NJ	Zostavax – Clarification

KEY			Information Issued by National Government Services for Part A and Part B Providers
Part A (Speciality)	Part B (Speciality)	Location (State Abbreviations)	Title
A	A	All	Annual Update of the ICD-9-CM (MM#5643)
A	A	All	Appeals Transition – BIPA Section 521 Appeals (MM#5460)
A	A	All	Charges for Missed Appointments (MM#5613)
A	A	All	Clarification About the Medical Privacy of Protected Health Information (SE0726)
H	P, W	All	CMS Ruling 1536-R: Astigmatism Correcting Intraocular Lens (MM#5527-R)
A	A	All	Electronic Funds Transfer Standardization (MM5586)
	A	All	Important Information for Providers/Suppliers about NPPES Errors (SE0725)
A	A	All	August 2007 Quarterly ASP Part B Drug Pricing File (MM5646-R)
	A	All	NPI Required to Enroll in EDI and Update of Telecommunications and Transmission Protocols for EDI (MM5637)
A	A	All	October Update to 2007 HCPCS Codes for SNF Consolidated Billing (MM5636)
H	P, R	All	Percutaneous Transluminal Angioplasty (PTA) (MM5660)
H	P	All	Preadministration Services Associated with IVIG (MM5428-R)
A	A	All	Provider Customer Service Program Updates (MM5597-R)
A	A	All	Reminder Regarding Submission of CMS-855 Changes (JSM-07458)
A	A	All	Update of Claim Adjustment Reason Codes and Remittance Advice Remark Codes (MM5634)
A	A	All	Update to the 2007 Medicare Physician Fee Schedule Database (MM5614-R)
H	P	All	Vagus Nerve Stimulation for Resistant Depression (MM5612)

Key		Information Issued by CMS Pertaining to Part A Providers
Part A (Speciality)	Location (State Abbreviations)	Title
H, S	All	Coverage of Extended Care Services under Hospital Insurance (MM5532)
P	All	Hospice Payment Rates, Cap, Wage Index and Pricer for FY 2008 (MM5685)
H, E	All	Line Item Billing for Epoetin Alfa on ESRD Claims (MM5545)
H	All	Long Term Care Hospital PPS Rate Year 2008 (MM5652)
H, S	All	SNF Billing for Beneficiaries Enrolled in Medicare Advantage Plans (MM5653)
H, S	All	SNF No-Payment Billing (MM5583-R)
H, S	All	Clarification of Skilled Nursing Facility (SNF) No-Payment Billing (MM5583-R)

Key		Information Issued by CMS Pertaining to Part B Providers
Part B (Speciality)	Location (State Abbreviations)	Title
P, N	All	Billing and Payment for Health Professional Shortage Area (HPSA) (MM5625)
A	All	Changes to Mandatory Medigap (Claim-Based) Crossover Process (MM5662-R)
P, N	All	Claims with HPSA Modifiers QB or QU (MM5629)
B	All	Clarifying of NPI Reporting Requirement for Ambulance Services (MM5564)
A	All	CWF Editing for Skilled Nursing Facility Consolidated Billing (MM5624-R)
A	All	Part B Influenza Billing (MM5511)
D	All	Pre-Bidding Activities for DMEPOS Competitive Bidding Program (SE0714-R)
A	All	Provider Education for Issues Related to Deceased Providers (5508-R)
A	All	Vaccine and Vaccine Administration Under Medicare Part D (SE0727)

Part A Key: A-All Providers, C-Community Mental Health Centers (CMHC), E-Renal Dialysis (ESRD) Providers, H-Hospitals, M-Home Health Providers, O-Comprehensive Outpatient Rehabilitation Facilities (CORF) and Outpatient Physical Therapy Providers, P-Hospice Providers, 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, R-Radiology, S-Surgery, U-Urology, V-Chiropractor, W-Ophthalmology, X-Podiatry, Q-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.

Note

: Links with this graphic go to an external site outside of Empire Medicare Services and will open in a new window.

Note

: You must have the Adobe Acrobat Reader (version 4.0 or higher) to view the PDF files. If you do not already have this software, you can Download it here (This software is free!).

Note

: PDF file links externally and will open in a new window. You must have the Adobe Acrobat Reader (version 4.0 or higher) to view the PDF files. If you do not already have this software, you can Download it here (This software is free!).

Note

: You must have WinZip to view the files. If you do not already have this software, you may download an evaluation version from: http://www.winzip.com.