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Important Medicare News
Posted Title
12-30-04 Emergency Update to the 2005 Medicare Physician Fee Schedule Database (MPFSDB)
12-30-04 CMS Job Aids Web Page Now Available
12-29-04 April 2005 Update of Health Care Claims Status Codes and Health Care Claims Status Category Codes for Use with the Health Care Claim Status Request and Response ASC X12N 276/277
12-29-04 Electrocardiographic Services
12-29-04 MMA - Coverage of Routine Costs of Clinical Trials Involving Investigational Device Exemption (IDE) Category A Devices
12-29-04 End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry Tests (AMCC)
12-28-04 MMA - Drugs Paid by Average Selling Price Beginning January 1, 2005
12-27-04 Provider Enrollment Fraud Alert
12-23-04 MMA - Medicare Prescription Drug, Improvement and Modernization Act of 2003 Information for Medicare Rural Health Providers, Suppliers, and Physicians
12-22-04 Winter '04 edition of "The Pulse of CMS"
12-22-04 (*Archived 01/19/05)Minimum Number of Drug Pricing Files That Must Be Maintained Online for Medicare
12-22-04 MMA-Cardiovascular Screening Blood Tests
12-20-04 CMS Seeks Provider Input on Satisfaction with Medicare Fee-for-Service Contractor Services
12-16-04 2005 DMEPOS Fee Schedule Update
12-16-04 Carrier and DMERC 835 Flat File Change and Replacement of Deactivated Reason Code A2
12-16-04 Unsolicited/Voluntary Refunds
12-16-04 Common Working File (CWF) Duplicate Claim Edit for Referred Clinical Diagnostic Services and Purchased Diagnostic Services
12-16-04 (* Archived 12/22/2004)Minimum Number of Drug Pricing Files That Must Be Maintained Online for Medicare
12-16-04 (* Archived 03/29/2005) MMA-Hospice Pre-Election Evaluation and Counseling Services
12-15-04 2005 Update for Routine Venipuncture
12-15-04 New Code for Verteporfin - 2005
12-15-04 New Drug Administration Codes Effective 2005
12-14-04 2005 Medicare Physician Fee Schedule Database (MPFSDB) and Related Pricing Files
12-14-04 MMA - Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2005
12-13-04 (* Archived: 12/23/2004) MMA - Medicare Prescription Drug, Improvement and Modernization Act of 2003 Information for Medicare Rural Health Providers, Suppliers, and Physicians
12-10-04 Temporary Change in Carrier Jurisdictional Pricing Rules for Purchased Diagnostic Services
12-09-04 (*Archived 12/16/04) Carrier and DMERC 835 Flat File Change and Replacement of Deactivated Reason Code A2
12-09-04 MMA - Drug Administration Coding Changes and Reimbursement
12-08-04 MMA - Fee Schedule Update for 2005 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) - Revised
12-07-04 (*Archived 12/08/2004)MMA - Fee Schedule Update for 2005 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
12-06-04 Guidance Regarding Elimination of Standard Paper Remittance (SPR) Advice Notices in the Old Format - (Revised)
12-02-04 Corrected Zip Code Files for the Health Professional Shortage Area (HPSA) Bonus Payments
12-01-04 Retired New Jersey LMRPs/LCDs
12-01-04 (* Archived 12/28/2004) MMA - Drugs Paid by Average Selling Price Beginning January 1, 2005
11-30-04 Interactive Voice Recognition and New Provider Telephone Number for Medicare Part B New Jersey Providers - Revised 11/12/04
11-30-04 Guidelines for Submitting New Jersey Inquiries
11-29-04 Clarification: Modifiers for Transportation of Portable X-rays (R0075)
11-23-04 MMA Drug Pricing Update—Payment Limit for J0207 (Amifostine)
11-19-04 Attention Electronic Submitters: New Edit Report to Replace the Submission Summary Report REVISED 11/18/2004
11-19-04 2005 Medicare Physician Fee Schedule Request
11-18-04 CR 3096 Rescinded--Nursing Facility Visits (Codes 99301-99313)
11-17-04 Extended Ophthalmoscopy--CAC Draft Correction
11-17-04 2005 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
11-16-04 Changes in ESRD Coding and Billing
11-15-04 (*Archived 11/19/2004) Attention Electronic Submitters: New Edit Report to Replace the Submission Summary Report
11-12-04 MMA-January 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective January 1, 2005
11-12-04 Update of Healthcare Common Procedure Coding System (HCPCS) Codes and File Names, Descriptions, and Instruction for Retrieving the 2005 Ambulatory Surgical/Surgery Center (ASC) HCPCS Deletions and Master Listing
11-11-04 Requirements for Obtaining Eligibility or Claim Status
11-11-04 (* Archived 03/23/05) Implementation of the Medicare Physician Fee Schedule (MPFS) National Abstract File for Purchased Diagnostic Tests and Interpretations
11-10-04 2005 Allowances for Anesthesia Services
11-10-04 2005 Fees for Portable X-Ray Transportation Services (HCPCS Codes R0070 and R0075
11-10-04 Inappropriate Access to or Use of Electronic Data Interchange (EDI) Transaction Data by Third-Party Entities - All Providers
11-10-04 Reminder Notice of the Implementation of the Ambulance Transition Schedule
11-10-04 Annual Update of HCPCS Codes Used for Home Health (HH) Consolidated Billing Enforcement - Physicians
11-10-04 (*Archived 11/30/04)Clarification: Modifiers for Transportation of Portable X-Rays (R0075)
11-03-04 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 11.0, Effective January 1, 2005
11-03-04 Manual Revision Regarding Waiver of Annual Deductible and Coinsurance for Both Ambulatory Surgery Centers (ASCs) and ASC/Hospital Outpatient Department Physician Services
11-03-04 MMA-Nurse Practitioners as Attending Physicians in the Medicare Hospice Benefit
11-03-04 Medicare-Approved Drug Discount Card & Transitional Assistance (TA) Program Information for Providers
11-03-04 Town Hall Meeting: Medicare Provider Feedback
11-01-04 Invalid Diagnosis Code Editing - Second Phase
11-01-04 MMA - Third Update to the 2004 Medicare Physician Fee Schedule Database
10-29-04 Important News about Flu Shots for Medicare Beneficiaries
10-26-04 Percutaneous Transluminal Angioplasty (PTA)
10-26-04 Remittance Advice Remark Code and Claim Adjustment Reason Code Update
10-25-04 Payment Amounts for the Influenza Virus Vaccine (CPT 90658) and the Pneumococcal Vaccine (CPT 90732) When Payment Is Based on 95 Percent of the Average Wholesale Price (AWP)
10-25-04 PET Scans for Dementia and Neurodegenerative Diseases
10-25-04 Revised Requirements for Chiropractic Billing of Active/Corrective Treatment and Maintenance Therapy, Full Replacement of CR 3063
10-22-04 Billing Requirements for Positron Emission Tomography (PET) Scans for Dementia and Neurodegenerative Diseases
10-21-04 MMA-Treatment of Obesity
10-20-04 MMA - Medicare-Approved Drug Discount Cards and Transitional Assistance Program: A Summary of New Initiative of Interest to Physicians and Other Health Care Professionals
10-20-04 MMA - Medicare-Approved Drug Discount Cards and Transitional Assistance Program: A Summary of New Initiative of Interest to Pharmacists and Pharmacy Professionals
10-18-04 Splitting Postoperative Care
10-15-04 2005 Medicare Physician Fee Schedule - CD-ROM Additional Information
10-15-04 Interactive Voice Recognition (IVR) Provider User's Guide
10-14-04 Interactive Voice Recognition and New Provider Telephone Number for Medicare Part B New Jersey Providers - Effective October 18, 2004 (Revised 10/12/04)
10-13-04 Ophthalmic Echography
10-12-04 MMA - Third Update to the 2004 Medicare Physician Fee Schedule Database Full Replacement of CR 3415: CR 3415 Is Rescinded
10-11-04 MMA-Implementation of New Medicare Redetermination Notice
10-05-04 (*Archived 12/06/2004) Guidance Regarding Elimination of Standard Paper Remittance (SPR) Advice Notices in the Old Format
10-04-04 Payment for Outpatient End Stage Renal Disease (ESRD)-Related Services
10-04-04 Clarification of Medicare Secondary Payer (MSP) Rules in Relation to a Temporary Leave of Absence
10-04-04 MMA - Reasonable Charge Update for 2005 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, Therapeutic Shoes, and Certain Intraocular Lenses
10-04-04 Magnetic Resonance Spectroscopy (MRS) for Diagnosing Brain Tumors
10-04-04 (*Archived 10/11/04)MMA-Implementation of New Medicare Redetermination Notice
10-01-04 (* Archived: 10/14/2004) Interactive Voice Recognition and New Provider Telephone Number for Medicare Part B New Jersey Providers - Effective October 18, 2004
10-01-04 Coverage by Medicare Advantage Organizations for NCD Services Not Previously Included in the Medicare Advantage’s Capitated Rates - Revised
10-01-04 MMA - Billing Instructions for ADVATE rAHF-PFM on Medicare Claims
10-01-04 Attention New Jersey Part B Electronic Claim Submitters: New Edits Effective November 5, 2004
09-30-04 Additional Information on Islet Cell Transplantation for Beneficiaries in a National Institute of Health (NIH) Clinical Trial
09-28-04 Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year (CY) 2005
09-28-04 MSN Messages and Reason Codes for Mammography
09-27-04 MMA - Physician Education for the Revisions to the Health Professional Shortage Area (HPSA) Bonus Payment Processes and Implementation of the Physician Scarcity Area (PSA) Bonus Payments
09-21-04 The Pulse of CMS (Fall 2004)
09-20-04 (*Archived 10/25/2004) Revised Requirements for Chiropractic Billing of Active/Corrective Treatment and Maintenance Therapy, Full Replacement of CR 3063
09-17-04 Information and Education Resources for Medicare Providers, Suppliers, and Physicians
09-17-04 Open Meeting for Local Coverage Determinations-Update
09-17-04 CMS & WEDI Present “HIPAA Security Solutions & Beyond,” Coming to New York and New Jersey!
09-16-04 Telecommunication Device for The Deaf (TDD)
09-16-04 Pemetrexed (Alimta®) - Additional approved indication
09-14-04 (*Archived 02/16/2005) Medicare Prescription Drug, Improvement, and Modernization Act (MMA) - Skilled Nursing Facility Consolidated Billing and Services of Rural Health Clinics and Federally Qualified Health Centers
09-14-04 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 10.3, Effective October 1, 2004
09-13-04 MMA - Use of Group Health Plan Payment System to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare Fee-For-Service Beneficiaries Under Section 721 of the MMA
09-13-04 (*Archived 10/01/04)MMA - Billing Instructions for ADVATE rAHF-PFM on Medicare Claims Provider Types Affected
09-10-04 “Incident to” Services
09-10-04 (*Archived 09/27/2004) MMA - Physician Education for the Revisions to the Health Professional Shortage Area (HPSA) Bonus Payment Processes and Implementation of the Physician Scarcity Area (PSA) Bonus Payments
09-10-04 Coverage for Darbepoetin Alfa (Aranesp) Correction
09-09-04 MMA Drug Pricing Update - Payment Limit for J9045 (Carboplatin Injection) and J9310 (Rituximab Cancer Treatment)
09-08-04 Application of the Medicare Secondary Payer for the Working Aged Provision to Former Spouses and the Medicare Secondary Payer for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program
09-08-04 MMA Drug Pricing Update - Payment Limits for J1000 (Depo-estradiol cypionate inj)
09-08-04 MMA-Ambulatory Surgical Center (ASC) Payment Rates and Wage Index Values Remain in Effect for Fiscal Year (FY) 2005
09-08-04 2005 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder
09-02-04 2005 Medicare Physician Fee Schedule and Enrollment Package Arriving on CD-ROM
08-30-04 (*Archived 10/12/04. Refer to CR 3505 posted 10/12/04) Third Update to the 2004 Medicare Physician Fee Schedule Database
08-27-04 (* Archived 03/07/2005) Clarification of Epoetin Alfa (EPO) Billing Procedures and Codes in ESRD
08-26-04 (*Archived 09/10/2004) Coverage for Darbepoetin Alfa (Aranesp)
08-26-04 Interactive Voice Recognition for Medicare Part B New Jersey Providers - Correction
08-24-04 (*Archived 09/10/2004)"Incident to" Services--Revised Medlearn Matters Article
08-23-04 (*Archived 10/01/2004) Coverage by Medicare Advantage Organizations for National Coverage Determination (NCD) Services Not Previously Included in the Medicare Advantage’s Capitated Rates
08-23-04 FDA Approval for PlenaxisTM (Abarelix for injectable suspension)
08-23-04 Open Meeting for Local Coverage Determinations
08-20-04 MMA - Medicare Replacement Drug Demonstration
08-20-04 Comparative Distribution Report (CDR)
08-18-04 MMA-Billing Requirements for Islet Cell Transplantation for Beneficiaries in a National Institutes of Health (NIH) Clinical Trial
08-18-04 (* Archived 01/05/2005)End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests
08-18-04 October 2004 Quarterly Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement
08-17-04 Cardiac Pacemakers
08-16-04 Autologous Blood-Derived Products for Chronic, Non-Healing Wounds
08-13-04 Standardized Responses to Provider Inquiries Regarding the Negotiated National Coverage Determinations (NCDs) Edit Module
08-13-04 The Pulse of CMS (Special Edition)
08-09-04 (*Archived 09/10/2004)“Incident to” Services
08-09-04 (*Archived 02/16/2005) Skilled Nursing Facility Consolidated Billing as It Relates to Prosthetics and Orthotics
08-06-04 (*Archived 02/16/2005) Skilled Nursing Facility Consolidated Billing as It Relates to Clinical Social Workers
08-06-04 (*Archived: 09/14/2004) MMA-Medicare Prescription Drug, Improvement, and Modernization Act - Skilled Nursing Facility Consolidated Billing and Services of Rural Health Clinics and Federally Qualified Health Centers
08-06-04 (* Archived 03/07/2005) Skilled Nursing Facility Consolidated Billing and Erythropoietin (EPO, Epoetin Alfa) and Darbepoetin Alfa (Aranesp)
08-06-04 (* Archived 03/04/2005) Skilled Nursing Facility Consolidated Billing as It Relates to Certain Diagnostic Tests
08-06-04 (*Archived 02/16/2005)Skilled Nursing Facility Consolidated Billing and Preventive/Screening Services)
08-06-04 (* Archived 03/02/2005) Skilled Nursing Facility Consolidated Billing as It Relates to Certain Types of Exceptionally Intensive Outpatient Hospital Services
08-06-04 (*Archived 02/02/05)Skilled Nursing Facility Consolidated Billing
08-06-04 (*Archived 02/03/2005)Skilled Nursing Facility Consolidated Billing as It Relates to Dialysis Coverage
08-06-04 (* Archived 03/04/2005) Skilled Nursing Facility Consolidated Billing as It Relates to Ambulance Services
08-04-04 OIG Alert About Charging Extra for Covered Services
08-03-04 Update of Health Care Claims Status Codes and Health Care Claims Status Category Codes for Use with the Health Care Claim Status Request and Response ASC X12N 276/277
08-02-04 MMA - Clarification for CR3064 - Medicare Secondary Payer (MSP) Policy for Hospital Reference Lab Services and Independent Reference Lab Services
08-02-04 October 2004 Quarterly Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement
07-30-04 Co-Management of Surgical Procedures
07-30-04 (Article rescinded by CMS, 03/05/07) Referral of Patients for X-Rays by Chiropractors
07-30-04 CMS Manual System - Payment to Bank - Revised Article
07-29-04 FDA Approval for Vidaza™ (Azacitidine)
07-29-04 Use the ARU to Avoid Some Duplicate Claim Denials
07-29-04 Interactive Voice Recognition for Medicare Part B New Jersey Providers
07-29-04 Medicare and Diabetes Supplies and Services
07-28-04 (Change Request Rescinded 09/17/04) Instructions for Providing Supervisor’s Information When a Service Incident to the Ordering Physician Is Supervised by Another Physician in the Group
07-27-04 Correction--Clarification of the Elimination of Regulations for Written Statement of Intent
07-27-04 Chapter 5 - Financial Management Manual: Section 420 - Procedures for Reissuance and Stale Dating of Medicare Checks
07-26-04 (*Archived 07/27/2004) Clarification of the Elimination of Regulations for Written Statement of Intent
07-26-04 CMS Fact Sheet for LTCH PPS
07-23-04 (*Archived: 08/02/2004) MMA - Clarification for CR3064 - Medicare Secondary Payer (MSP) Policy for Hospital Reference Lab Services and Independent Reference Lab Services
07-23-04 Xenograft vs. Wound Dressings
07-23-04 MMA - MSN Messages for Mammography Claims, Pub 100-04, Chapter 18, Section 20 and Chapter 21, Section 50
07-21-04 Reimbursement for Anesthesia is Bundled Into a Medical or Surgical Service Performed by the Same Provider
07-21-04 (*Archived: 09/02/2004) 2005 Medicare Physician Fee Schedule and Enrollment Package - Arriving on CD-ROM
07-20-04 MMA - Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2004
07-19-04 CMS Fact Sheets
07-15-04 Evaluation & Management (E&M) Update
07-15-04 MMA-Implementation of Section 414 of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003
07-15-04 FDA Approval for OrthoVisc® (High Molecular Weight Hyaluronan)
07-14-04 Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee-Correction
07-14-04 Ambulance Fee Schedule - Update
07-13-04 Drug Pricing Update-Payment Limits for J7308 (Levulan Kerastick) and J9395 (Faslodex)
07-13-04 Health Professional Shortage Area (HPSA) Eligible Mental Health Providers Designations
07-12-04 Electrical Stimulation and Electromagnetic Therapy for the Treatment of Wounds (Correction)
07-09-04 Implementation of Skilled Nursing Facility Claim Edits for Therapy Codes Considered Separately Payable Physician Services
07-09-04 Clarification of Change Request 2631
07-09-04 (*Archived 07/09/04)CMS Manual System – Payment to Bank
07-08-04 Change to the Skilled Nursing Facility Consolidated Billing Edits for Ambulance Transports to and from a Diagnostic or Therapeutic Site Other Than a Hospital
07-08-04 (*Archived: 07/12/2004)Revision of Criteria for Payment to Bank in the Name of a Provider/Physician/Supplier
07-07-04 (*Archived 07/14/2004) Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee
07-07-04 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 10.2, Effective July 1, 2004
07-07-04 Reporting Telemetry Services
07-07-04 Comprehensive Error Rate Testing (CERT)
07-01-04 Quarterly Provider Update
07-01-04 Correction to CR 2944, Transmittal 90, Issued on February 6, 2004
07-01-04 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
07-01-04 NCD: Sensory Nerve Conduction Threshold Test (sNCTs)
07-01-04 Elimination of Regulations for Written Statement of Intent
06-30-04 Reminder to Providers to Supply Information to Medicare’s Comprehensive Error Rate Testing (CERT) Program
06-24-04 Nurse Practitioners as Attending Physicians in the Medicare Hospice Benefit
06-24-04 Stem Cell Transplantation
06-22-04 The Pulse of CMS (Summer 2004)
06-21-04 2004 Ambulance Fee Schedule Amounts--Revised
06-17-04 (*Archived: 07/12/2004) MMA - Clarification of Change Request 2631
06-11-04 Reporting Medicare Secondary Payer Information on the Health Insurance Portability and Accountability Act of 1996 X12N 837, Created Via the Free Billing Software
06-10-04 (*Archived 10/15/04) New Requirements for Chiropractic Billing of Active/Corrective Treatment and Maintenance Therapy
06-09-04 (*Archived 08/17/04)Cardiac Pacemakers
06-09-04 Diabetes Self-Management Training Services Provider Types Affected
06-09-04 Pulmonary Function Studies
06-08-04 Correct Billing of Fecal-Occult Blood Testing
06-02-04 (* Archived 03/22/2005) Use of Group Health Plan Payment System for Demonstrations Serving Medicare Fee-for-Service Beneficiaries
06-01-04 Ocular Photodynamic Therapy (OPT)
06-01-04 Medigap Insurer ID Listing
05-28-04 Skilled Nursing Facility Consolidated Billing: Services Furnished Under an "Arrangement" with an Outside Entity
05-28-04 MMA-Implementation of New Medicare Redetermination Notice
05-27-04 Implantable Automatic Defibrillators
05-27-04 MMA - Second Update to the 2004 Medicare Physician Fee Schedule Database
05-27-04 Modification of CMS’s Medicare Contingency Plan for HIPAA Implementation
05-21-04 New Medicare-Approved Drug Discount Cards
05-20-04 Additional Covered ICD-9-CM Code (593.9) for Medical Nutrition Therapy
05-19-04 Remittance Advice Remark Code and Claim Adjustment Reason Code Update
05-19-04 (*Archived: 07/12/2004) Change to the Skilled Nursing Facility Consolidated Billing Edits for Ambulance Transports to and from a Diagnostic or Therapeutic Site Other Than a Physician’s Office or Hospital
05-19-04 Healthcare Common Procedure Coding System Corrections Involving 0040T and A9603
05-18-04 July Quarterly Update for 2004 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Fee Schedule
05-17-04 ESRD Related Services Coding Guidelines--Revised
05-17-04 Revised American National Standards Institute X12N 837 Professional Health Care Claim Companion Document
05-17-04 Cardiac Output Monitoring by Thoracic Electrical Bioimpedance (TEB)
05-13-04 MMA - National 1-800-MEDICARE (1-800-633-4227)Implementation (Section 923(d) of MMA)
05-12-04 MMA - Payment for Chemotherapy Administration Services, Nonchemotherapy Drug Infusion Services, and Drug Injection Services
05-07-04 (*Archived: 07/12/2004) Electrical Stimulation and Electromagnetic Therapy for the Treatment of Wounds
05-07-04 CMS Fact Sheets
05-06-04 Update to the Healthcare Provider Taxonomy Codes (HPTCs) Version 4.0
05-05-04 Emergency Correction Regarding Correction to Healthcare Common Procedure Coding System (HCPCS) Codes for Low-Osmolar Contrast Material
05-05-04 (*Archived: 05/07/2004)Electrical Stimulation and Electromagnetic Therapy for the Treatment of Wounds
05-05-04 Arrangements for Physical, Occupational, and Speech-Language Pathology Services
05-05-04 Incident-to-Services
05-05-04 Open Meeting for Local Coverage Determinations
05-04-04 (*Archived: 05/06/2004)Update to the Healthcare Provider Taxonomy Codes (HPTCs) Version 4.0
05-04-04 MMA-New Medicare-Approved Drug Discount Cards and Transitional Assistance Program: A Summary for Physicians and Other Health Care Professionals
04-26-04 Retired Local Coverage Determinations
04-26-04 The Consolidation of the Claims Crossover Process: Smaller-Scale Initial Implementation
04-26-04 Retired Local Coverage Determinations (LCD)/Local Medical Review Policies (LMRP)
04-26-04 FDA Approval for Bevacizumab (Avastin™)
04-26-04 Pemetrexed (Alimta®)
04-22-04 Medicare Providers: Their Vendors, Clearinghouses, or Other Third-Party Billers and the HIPAA/Medicare Contingency Plan
04-22-04 Correction--Ocular Photodynamic Therapy (OPT) with Verteporfin for Age-Related Macular Degeneration (AMD)
04-21-04 (*Archived: 02/22/2004) Ocular Photodynamic Therapy (OPT) with Verteporfin for Age-Related Macular Degeneration (AMD)
04-20-04 Local Policy Formatting Changes LMRP to LCD
04-19-04 Manualization of POS Code Set Program Memorandum; Revision to Group Home Code Description
04-13-04 MMA-Clarifications to Certain Exceptions to Medicare Limits on Physician Referrals
04-08-04 2004 Jurisdiction List
04-06-04 Updated Policy and Claims Processing Instructions for Ambulatory Blood Pressure Monitoring (ABPM)
04-06-04 Interferon, Alfa-2B, Recombinant (Intron A)
04-02-04 NCD: Current Perception Threshold/Sensory Nerve Conduction Threshold Test (sNCT)
04-01-04 Order Influenza Vaccine Now
03-30-04 Frequency Limitations for Darbepoetin Alfa (trade name Aranesp) for Treatment of Anemia in End Stage Renal Disease (ESRD) Patients on Dialysis
03-29-04 MMA Drug Pricing Update-Drug Exceptions
03-26-04 New ESRD Codes
03-24-04 Revised Claims Processing Instructions for Payment Jurisdiction for Claims Received on or after April 1, 2004
03-24-04 Outpatient Cardiac Telemetry Services
03-23-04 Coverage for Cetuximab (Erbitux™)
03-23-04 Coverage of Omalizumab (Xolair®)
03-23-04 MMA - New Part B Annual Deductible
03-23-04 Nephrology Billing in 2004
03-19-04 New HCPCS Code for Adenosine for 2004
03-19-04 Payment for Services Provided Under a Contractual Arrangement
03-19-04 The Pulse of CMS (Spring 2004)
03-19-04 Laboratory Codes Subject to Denial
03-12-04 MMA-Medicare Secondary Payer (MSP) Policy for Hospital Reference Laboratory Services and Independent Reference Laboratory Services
03-12-04 CERT (Comprehensive Error Rate Testing)
03-10-04 (*Archived: 03/19/2004) Payment for Services Provided Under a Contractual Arrangement
03-08-04 HIGLAS (Healthcare Integrated General Ledger Accounting Systems): Information and How It Will Affect Providers
03-05-04 Consolidation of the Claims Crossover Process: Additional Common Working File (CWF) Functionality
03-05-04 Modification of CMS’s Medicare Contingency Plan for HIPAA Implementation
03-04-04 (*Archived 07/15/04) MMA-Implementation of Section 414 of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003
03-03-04 Immunoassay for Bladder Cancer - Covered Indications
03-02-04 Retired Local Coverage Determinations (LCD)
03-02-04