Transmittals for Chapter 1 Part 1 (Sections 10 – 80.12) Transmittals for Chapter 1 Part 2 (Sections 90 – 160.26) Transmittals for Chapter 1 Part 3 (Sections 170 – 190.34) Transmittals for Chapter 1 Part 4 (Sections 200 – 310.1) Crosswalk from NCD Manual to Coverage Issues Manual (CIM) [PDF, 447KB] Crosswalk […]
Links to all Chapters and Crosswalks. The Internet-only Manuals (IOMs) are a replica of the Agency’s official record copy. They are CMS’ program issuances, day-to-day operating instructions, policies, and procedures that are based on statutes, regulations, guidelines, models, and directives. The CMS program components, providers, contractors, Medicare Advantage organizations and state survey agencies use the […]
According to the Medicare Benefits Policy Manual, Chapter 6, section 20.6 (Rev. 215, Issued, 12-18-15, Effective, 01-01-16, Implementation: 01-04-16) Observation care is a well-defined set of specific, clinically appropriate services, which include ongoing short term treatment, assessment, and reassessment before a decision can be made regarding whether patients will require further treatment as hospital inpatients […]
Acronyms in the IRF Setting
UPDATED March, 2015: Form Version 02/12 will replace the current CMS 1500 claim form, 08/05, effective with claims received on and after April 1, 2014: Medicare will begin accepting claims on the revised form, 02/12, on January 6, 2014; Medicare will continue to accept claims on the old form, 08/05, through March 31, 2014; On […]
A white paper is available from AQ-IQ regarding the new modifiers effective January 1, 2014. Download it here.
This checklist is produced by the CDC. Additional information is available on the CDC site.
Some great questions were presented from the audience when Paula Digby was a guest on “Finally Friday” this Summer. Visit our eCourse Library to review the complete presentation.
CMS Transmittal 1203 dated March 22, 2013 MLN Matters (revised July 6, 2013) These documents provide guidance for billing Part B inpatient claims and the use of condition code W2.