The following information is provided by Novitas Solutions.
Medicare News
Reopenings and Appeals of Inpatient Probe and Educate Claims
On August 2, 2013 the Centers for Medicare & Medicaid Services (CMS) issued a final rule, CMS-1599-F, updating fiscal year FY 2014 Medicare payment policies and rates under the Inpatient Prospective Payment System (IPPS) and the Long-Term Care Hospital Prospective Payment System (LTCH PPS). The final rule modifies and clarifies CMS’s longstanding policy on how Medicare contractors review inpatient hospital and critical access hospital (CAH) admissions for payment purposes. CMS subsequently released guidance on September 5, 2013 and January 30, 2014 that clarified the physician order and physician certification requirements for hospital inpatient admissions. Read the full article here.
MLN Connects Provider eNews for April 17, 2014
Please take note of the articles included in the Claims, Pricers and Codes section:
- PC Print Version 4.3.0 Incompatible with Microsoft XP
- SNF Consolidated Billing: Exclusion of HCPCS Code G0463 for Certain Outpatient Hospital Clinic Visits
- Hold on CAH Claims for Non-Patient Specimen Analysis
- Hold on Some Part B Claims Following April Inpatient Payment Policy Update
Part A/B Getting Ready for ICD-10 Webinar Has Been Cancelled!
The Part A/B Getting Ready for ICD-10 webinar scheduled for April 17, 2014 at 2:00pm ET/1:00pm CT has been cancelled. At this time, it has not been rescheduled. We apologize for any inconvenience this may cause you.
Contact Centers Closed for All-CSR Meeting May 16, 2014 09:45 am – 12:30 pm CT
The Contact Centers will close on May 16, 2014 from 9:45 am to 12:30 pm CT for an All-CSR-Meeting with the Centers for Medicare and Medicaid Services (CMS). You may continue utilizing EDI Services, the Interactive Voice Response Unit (IVR), Direct Data Entry (DDE) functions (online claims entry or the Health Insurance Query Access (HIQA) transaction for beneficiary eligibility), and Professional Provider Telecommunications Network (PPTN) during this time.
