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CMS-HINN 12 Instructions Hospitals provide Hospital-Issued Notices of Noncoverage (HINNs) to beneficiaries prior to admission, at admission, or at any point during an inpatient stay if the hospital determines that the care the beneficiary is receiving, or is about to receive, is not covered because it is: Not medically necessary; Not delivered in the most […]
CMS Final Rule on NRPCMR This Final Rule regards Termination of Non-Random Prepayment Complex Medical Review. A provider or supplier may be terminated from this program by these criteria. Published in Federal Register on Sep 26, 2008. These regulations are effective Jan 1, 2009. Click for the Federal Register publication
IRS Can Levy Medicare Payments Effective October 1, 2008, Medicare payments to physicians may be reduced by the amount of tax owed to the IRS. This directive impacts providers submitting claims to Medicare contractors for services provided to Medicare beneficiaries. Click to view Pub 100-20 One Time Notification Click to view MLN Matters News Flash
Hospital Acquired Conditions On July 31, 2008, in the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2009 Final Rule, CMS included 10 categories of conditions that were selected for the HAC payment provision. Payment implications began October 1, 2008, for these Hospital Acquired Conditions. The IPPS FY 2009 Final Rule is available in the Statute/Regulations/Program […]
This document describes a change by CMS regarding IPPS and LTCHs. It is 4 pages in pdf format. Click here to view or download.
Audit trails show which of your claims were accepted by the Cahaba GBA Part B processing system, along with claims that were rejected and the reason for the rejection. Referring to this report will allow you to correct and resubmit claims quickly, resulting in a dramatically reduced turnaround time. You will also become aware of […]
Audit trails show which of your claims were accepted by the Cahaba GBA Part B processing system, along with claims that were rejected and the reason for the rejection. Referring to this report will allow you to correct and resubmit claims quickly, resulting in a dramatically reduced turnaround time. You will also become aware of […]
The 2008 Work Plan is a PDF format copy of the entire official publication. The project areas described in this Office of Inspector General (OIG) Work Plan reflect what the OIG believes at the beginning of each fiscal year best identifies vulnerabilities of Department of Health & Human Services’ (HHS) programs and activities. They intend […]
These links go to CDC for the latest information on ICD-9-CM. ICD-9 Classification of Diseases, Functioning, and Disability web page. ICD-9-CM web page ICD-9-CM Files via FTP (2010) ICD-9-CM Files via FTP (2011) ICD-9-CM 2011 Addenda and Conversion table These pdf files include Addenda and Errata for 2008 – 2011 ICD-9 Provider & Diagnostic Codes […]
