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Medicare News
Medical Policy Updates
The following JH MAC Local Coverage Determinations (LCDs) have been revised:
- Category III Codes (L32691)
- Cosmetic and Reconstructive Surgery (L32763)
- Flow Cytometry (L32730)
- Intravenous Immune Globulin (IVIG) (L32712)
- Pulmonary Function Testing (L32762)
MLN Connects Provider eNews for May 8, 2014
Please take note of the articles included in the Claims, Pricers and Codes section:
- CY 2014 Home Health PPS PC Pricer Available
- Adjustments to CMHC Claims Incorrectly Processed
- Adjustments to Correct Home Health Claim Payments
- Mass Adjustments to Inpatient Psychiatric Facility Claims with Teaching Adjustment Amounts Not Displaying Correctly
2014 Medicare Symposium “Building a Strong Foundation of Proper Billing Techniques for Physical, Occupational, and Speech Therapy Services” Session Handout Updated
The 2014 Medicare Symposium session handout for “Building a Strong Foundation of Proper Billing Techniques for Physical, Occupational, and Speech Therapy Services” has been updated! If you have registered for this event, please take the time to review and print the updated handout.
JH Top Claim Submission Errors
The Top Claim Submission Errors and resolutions for April 2014 are now available. Please take time to review these errors and avoid them on future claims.
April 2014 Medicare Part A Newsletter
The April 2014 Medicare Part A Newsletter is now available! Please take a moment to review.
Availability of the Final Federal Fiscal Year (FY) 2015 Wage Index Data Public Use Files and Deadline for Requesting Corrections to the Data
The Centers for Medicare & Medicaid Services (CMS) released the final FY 2015 wage index data public use files (PUFs) on May 2, 2014. The files are available for the limited purpose of identifying any potential data entry or transmission errors made by CMS or the fiscal intermediaries, NOT for the initiation of new revision requests. The files include: 1) a file containing the Worksheet S-3 wage data from cost reports beginning during FY 2011 (that is, on or after October 1, 2010 and before October 1, 2011), and 2) a file containing the 2010 occupational mix survey data. Data that were incorrect in the February 2014 wage data PUFs, but for which no revision request was received by the March 3, 2014 deadline, will not be considered for correction at this stage. Hospitals should promptly review their final wage index data files to ensure that their Worksheet S-3 wage and occupational mix data are accurate. All requests from hospitals for corrections to their FY 2015 wage index data files must be submitted to and received (i.e., not postmarked) by both their Medicare Administrative Contractors (MACs) and CMS on or before June 2, 2014.
Hospitals should be reminded that the average hourly wages and wage index values published in the proposed rule are based on data submitted to us by late February. Therefore, the data in the proposed rule does not reflect the wage data to be used to calculate the final FY 2015 wage index. In addition, be aware that any appeals filed in April 2014 are still pending, and are not reflected in the May 2, 2014 PUF. In order to ensure the hospital’s wage data are accurately reflected in CMS’ files prior to the calculation of the final FY 2015 wage index, hospitals must review the final wage index data PUFs posted on May 2, 2014.
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