Archive
Last Modified: 8/7/2008
This bulletin includes articles on Medicare bad debt policy, changes to the program due to MIPPA of 2008 legislation, 2009 yearly rate for LTCH & IPF PPS, and clarification on denial of payments for SNF new admissions among other issues.
Last Modified: 7/7/2008
This bulletin includes information on the DMEPOS Competitive Bidding Program, which includes an extensive series of regulations, policies and instructions on this new initiative.
Last Modified: 6/5/2008
This comprehensive bulletin includes educational articles on medical record requests, CMS approach to the Medicare administrative contractor initiative, policies on therapy personnel qualifications, and update to Form CMS-10079 [2008] among other issues.
Last Modified: 5/6/2008
This comprehensive bulletin includes notices of changes to the CMS-855 enrollment applications, a series of articles introducing the DMEPOS competitive bidding initiative, and April 2008 updates to the hospital I/OCE and OPPS among other issues.
Last Modified: 4/9/2008
This bulletin includes notices of changes to the LTCH and IRF PPS PRICERS, refinements in cost reporting under the inpatient hospital PPS, manual updates related to outpatient PPS hospital, and CORF billing requirements among other issues.
Last Modified: 3/5/2008
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 2/7/2008
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 1/25/2008
Draft local coverage determinations for Medicare Part A providers are now available for review and comments.
Last Modified: 1/9/2008
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 12/10/2007
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 11/8/2007
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 10/8/2007
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 9/5/2007
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 8/6/2007
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 7/10/2007
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 6/5/2007
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 5/7/2007
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 4/10/2007
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 3/9/2007
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 2/6/2007
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 1/10/2007
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 12/5/2006
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 11/7/2006
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 10/9/2006
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 10/4/2006
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 8/8/2006
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 7/5/2006
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 6/13/2006
Newsletter for Florida Medicare Part A Providers, June 2006, Special Issue
Last Modified: 5/19/2006
Newsletter for Florida Medicare Part A Providers, June 2006, Special Issue, LCDs posted
Last Modified: 5/11/2006
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 3/2/2006
Newsletter for Florida Medicare Part A Providers, February 2006, Service Fee Schedules
Last Modified: 3/2/2006
2006 Outpatient Service Fee Schedules
Last Modified: 2/14/2006
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 2/3/2006
Newsletter for Florida Medicare Part A Providers, January 2006, Special Issue
Last Modified: 1/30/2006
Newsletter for Florida Medicare Part A Providers, January 2006, Draft LCDs
Last Modified: 11/10/2005
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 9/24/2005
Newsletter for Florida Medicare Part A Providers, September 2005, Draft LCDs
Last Modified: 8/11/2005
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 6/3/2005
Newsletter for Florida Medicare Part A Providers, June 2005, Draft LCDs
Last Modified: 5/12/2005
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 2/28/2005
Newsletter for Florida Medicare Part A Providers, February 2005, RHC Special [CR 3487]
Last Modified: 2/9/2005
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 1/18/2005
Newsletter for Florida Medicare Part A Providers, January 2005, HCPS Annual Update
Last Modified: 1/18/2005
Newsletter for Florida Medicare Part A Providers, January 2005, HCPS Annual Update
Last Modified: 1/5/2005
First Coast Service Options' enhanced electronic publications. January 2005
Last Modified: 11/5/2004
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 8/4/2004
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 6/1/2004
Newsletter for Florida Medicare Part A Providers, June 2004, Draft LCDs
Last Modified: 5/10/2004
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 2/20/2004
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 12/17/2003
This is an index to the FY2002 through FY2003 Part A Bulletins [1st Quarter 2004 Medicare A Bulletin, pages 62-66]
Last Modified: 12/17/2003
This is an index to the June/July 1999 through 3rd Quarter 2001 Part A Bulletins [1st Quarter 2002 Medicare A Bulletin, pages 97-102]
Last Modified: 11/17/2003
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 8/15/2003
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 8/13/2003
Newsletter for Florida Medicare Part A Providers, August 2003, ICD-9-CM Coding [AB03091, CR 2763]
Last Modified: 5/14/2003
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 2/18/2003
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 1/13/2003
Newsletter for Florida Medicare Part A Providers, January 2003, Outpatient SFS, Medicare Deductible
Last Modified: 12/6/2002
Newsletter for Florida Medicare Part A Providers, November 2002, Draft LMRPs
Last Modified: 11/7/2002
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 8/15/2002
Newsletter for Florida Medicare Part A Providers, August 2002, ICD-9-CM [AB02085, CR 2194]
Last Modified: 8/7/2002
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 5/21/2002
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 5/21/2002
Newsletter for Florida Medicare Part A Providers, May 2002, Draft LMRPs
Last Modified: 3/6/2002
Newsletter for Florida Medicare Part A Providers, February 2002
Last Modified: 2/14/2002
The Medicare A Bulletin is a comprehensive publication developed by First Coast Service Options, Inc. (FCSO) for Part A providers.
Last Modified: 1/24/2002
Newsletter for Florida Medicare Part A Providers, January 2002, Draft LMRPs
Last Modified: 1/23/2002
Newsletter for Florida Medicare Part A Providers, December 2002
Last Modified: 12/20/2001
The following reason codes have been established to return to provider (RTP) claims that have exceeded the field length when submitted on the inbound ANSI 837 HIPAA 4010 transaction.
Last Modified: 11/14/2001
In This Issue...ICD-9-CM Coding for Diagnostic Tests, New Medicare Enrollment Application, Coverage of Sacral Nerve Stimulation
Last Modified: 8/13/2001
Providers are required to use the 2002-updated ICD-9-CM coding effective for all hospital discharges and outpatient services occurring...
Last Modified: 8/11/2001
HCFA instructions regarding development of LMRP are addressed in the Medicare Intermediary Manual (HCFA Publication 13-3, Section 3911).
Last Modified: 8/9/2001
In this issue...Medicare Guidelines on Telehealth Services, Medicare eNews is Now Available, Skilled Nursing Facility Consolidated Billing, Final Medical Review Policies
Last Modified: 6/14/2001
A draft local medical review policy for Vitamin D Analogs – J0635 was published for general comment request on May 18, 2001.
Last Modified: 5/14/2001
In This Issue...Promoting Colorectal Cancer Screening, Intestinal and Multi-Visceral Transplantation, Expanded Coverage of Positron Emission Tomography Scans
Last Modified: 5/14/2001
Medical review initiatives ensure the appropriateness of medical care.
Last Modified: 4/23/2001
Medical review ensure that new medical policies and review guidelines are consistent with accepted standards of medical practice.
Last Modified: 2/9/2001
In This Issue...From the Intermediary Medical Director, General Information, General Coverage, Outpatient Hospital Services
Last Modified: 1/10/2001
In This Issue...Benefits Contractor for Medicare Secondary Payer Activities, Final Medical Review Policies, End Stage Renal Disease Blood Pricing
Last Modified: 11/15/2000
Medicare regulations are reviewed to determine areas of limitation and/or noncoverage.
Last Modified: 11/14/2000
In This Issue...Free Eye Exams for Medicare Beneficiaries with Diabetes, End Stage Renal Disease, Final Medical Review Policies, 2001 HCPCS Annual Update
Last Modified: 10/10/2000
The HCFA has issued a list of long descriptor corrections to include the trade/brand names and/or model numbers to the specific assigned C-code for devices eligible for transitional pass-through payments under the OPPS.
Last Modified: 10/10/2000
In This Issue...Medicare Beneficiaries Participating in Qualifying Clinical Trials, SNFs, Final Medical Review Policies
Last Modified: 8/30/2000
In This Issue...Multi-Purpose Hospital Outpatient Facilities, Outpatient Rehabilitation Services, Correct Usage of Reporting Modifier 25
Last Modified: 8/23/2000
Due to the direct relationship between coding and reimbursement, it is particularly important that providers reimbursed under the PPS used the appropriate ICD-9-CM coding.
Last Modified: 7/1/2000
In this issue...Prospective Payment System, Reclassification of Certain Urban Hospitals, Final Medical Review Policies
Last Modified: 7/1/2000
This is a special issue fo the Electronic Mailing Listservs for Outpatient Prospective Payment Initiative.
Last Modified: 6/13/2000
Extensive literature research is undertaken to identify how and when the subject matter is utilized by the medical community.
Last Modified: 6/13/2000
The decision to postpone the implementation from the scheduled date of July 1, 2000, to August 1, 2000, was reached after careful consideration of the...
Last Modified: 6/1/2000
The CELIP project was scheduled for national implementation on April 1, 2000. The complexity of the changes...
Last Modified: 5/11/2000
The HCFA has provided final instructions for implementation of the OPPS, which is effective form claims departments...
Last Modified: 4/7/2000
In this issue...Prospective Payment System, Physical Medicine Coding Guidelines, New CLIA Waived Tests, Final Medical Review Policies
Last Modified: 3/29/2000
The medical review policy is a composite of statutory provisions, regulations, nationally published Medicare coverage policies, and LMRPs.
Last Modified: 3/29/2000
The Medicare Part A outpatinet fee schedule for clinical laboratory services was published in the December 1999 issue. However, some procedures were missing from the fee schedule list.
Last Modified: 2/24/2000
In this issue...Year 2000 Processing Schedule Implementation, Update to the ESRD Blood Pricing List, 2000 Outpatient Services Fee Schedule
Last Modified: 1/9/2000
Our goal for the year 2000 rollover is to ensure a smooth and risk free transition to the new millennium.
Last Modified: 12/13/1999
The HCFA has recently implemented new procedures to allow public access to medical coverage policies that are under review by Medicare.
Last Modified: 11/22/1999
Drafts for new LMRPs are attached for your review and comments. The comment period of 45 days begins on the date of this bulletin.
Last Modified: 9/30/1999
You as a health care provider are an important partner in promoting the benefits of influenza and pneumonia vaccination.
Last Modified: 8/1/1999
In This Issue...Y2K Future Date Testing Available, Promoting Influenza and Pneumococcal Vaccinations, Final Medical Review Policies
Last Modified: 7/1/1999
Medical policy is the basis for medical review decisions made by a Medicare contractor’s medical review staff.
Last Modified: 6/1/1999
In This Issue...Information About the Re-designed Medicare A Bulletin, Are You Ready for the Year 2000?
Last Modified: 5/20/1999
Starting June 1, 1999, the Bulletin will have a new format, and all Part A providers will receive the same edition.
Last Modified: 5/5/1999
The Medicare A Bulletin G-370 advised providers of several new features available on the ARU.
Last Modified: 4/15/1999
During May, calls relevant to issues that can be answered by the ARU will still be handled by the CSRs.
Last Modified: 3/15/1999
An estimated four million Americans have been infected with HCV, of whom about 7 percent may have acquired their infection from blood transfusions.
Last Modified: 3/14/1999
The final LMRPs A93015, A93312, A93350 and A93975 were previously published to the provider community for “notice and comment.”
Last Modified: 3/9/1999
Providers are required to determine whether Medicare is a primary or secondary payer for each inpatient admission of a Medicare beneficiary and...
Last Modified: 2/19/1999
A public use file containing the wage data from cost reports beginning during Federal fiscal year (FY) 1996 was made available as of February 5, 1999.
Last Modified: 2/15/1999
The interest rate to be paid on clean, non-PIP claims exceeding the claims processing timeliness criteria is determined by...
Last Modified: 2/10/1999
It has been brought to our attention that many SNFs have been contacted by consultants who are providing misleading...
Last Modified: 1/22/1999
Electronic claims submitted to the intermediary on or after April 5, 1999, that are not Y2K compliant will be returned as unprocessable.
Last Modified: 1/21/1999
This bulletin includes several articles on specific implementation, changes and or revisions affecting the Medicare Part A coverage guidelines, and...
Last Modified: 1/20/1999
In accordance with the HCFA guidelines, a minimum 30-day advance notice is required when initially implementing all final Medicare Part A LMRPs.
Last Modified: 1/14/1999
This bulletin provides new End Stage Renal Disease (ESRD) Blood Pricing.
Last Modified: 12/30/1998
Because of the many changes to the HCPCS coding structure, we strongly encourage providers to purchase the 1999 CPT Level I book and/or the 1999 HCPCS Level II coding book.
Last Modified: 12/10/1998
Prior to enactment to the BBA of 1997, Medicare benefits were secondary to benefits payable under a GHP in the case of...
Last Modified: 12/8/1998
The National Uniform Billing Committee has revised the UB-92, Form Locator 22, Patient Status, to modify the structure of four...
Last Modified: 12/7/1998
The purpose of this bulletin is to publish the final Local Medical Review Policies (LMRPs): A53850, A64573, A70450, A70541, A70551, A76092, A78460, A82784, A83970...
Last Modified: 11/10/1998
The purpose of this bulletin is to communicate, to Medicare Part A customers, a comprehensive list of Information and...
Last Modified: 11/2/1998
The purpose of this bulletin is to publish the 1999 ICD-9-CM changes that will affect final LMRPs.
Last Modified: 9/29/1998
Please remember to promote influenza and pneumococcal vaccinations, both Medicare Part B covered preventive health care benefits.
Last Modified: 9/18/1998
The purpose of this bulletin is to publish final LMRPs AA4644, AG0030, AJ9999, A71020, A84484, A95900, A97003, A97010, A97110.
Last Modified: 8/24/1998
It is our desire to improve the intermediary and provider communication process by publishing a bulletin on the top questions and...
Last Modified: 8/18/1998
The purpose of this bulletin is to publish final Local Medical Review Policies (LMRPs) A52282, A99183, ARSFNFR and AJ3490.
Last Modified: 7/29/1998
ESRD Medicare Bulletin E-34, dated March 31,1998, notified providers of instructions from the HCFA regarding processing and...
Last Modified: 7/28/1998
The purpose of this bulletin is to communicate, to all Medicare participating providers, the HCFA’s revised billing requirements for...
Last Modified: 7/22/1998
Section 4106 of the BBA of 1997 standardizes Medicare coverage of medically necessary bone mass measurements by providing for uniform coverage under Medicare Part B...
Last Modified: 6/23/1998
The purpose of this bulletin is to change information shared with the SNF provider community via SNF Medicare Bulletin S-19, dated 06/12/98, which addressed consolidated billing for SNFs.
Last Modified: 6/17/1998
This bulletin advises providers and suppliers of the decision that HCFA has made regarding implementation of this interlocutory order.
Last Modified: 6/16/1998
Attention Part A providers, you can now obtain important reports, relating specifically to your facility, electronically via the Medicare B-Line BBS!
Last Modified: 6/12/1998
The purpose of this bulletin is to formally publish instructions to SNFs on the changes associated with consolidated billing.
Last Modified: 5/28/1998
As of January 1, 1998, the automated profile codes 80002-80019 and G0058-G0060 are no longer reportable procedure/HCPCS codes.
Last Modified: 5/19/1998
PET is a quantitve imaging technology that permits non-invasive measurements of regional tracer tissue concentrations in myocardial tissue, following administration of a radiotracer.
Last Modified: 5/15/1998
The purpose of this bulletin is to publish Provider requirements for collection of insurance information and responding to first claim development letters sent from the Intermediary.
Last Modified: 5/13/1998
Effective immediately, all providers that submit claims electronically to Medicare must complete the EDI Enrollment Form as mandated by the HCFA.
Last Modified: 5/11/1998
Attached is a letter to inform the Medicare providers about national health data standards that will affect them.
Last Modified: 4/29/1998
The purpose of this bulletin is to formally publish the temporary codes for screening pap smears that are performed using the automated thin layer preparation method.
Last Modified: 4/27/1998
The PC-ACE product for Medicare Part A will produce the HCFA 1450 (UB92) Version 5.0 format in order to achieve millennium compliance.
Last Modified: 3/31/1998
The purpose of this bulletin is to formerly publish the changes to the HCFA regulations regarding Oral Anti-Nausea Drugs.
Last Modified: 2/18/1998
The purpose of this bulletin is to publish final LMRPs A77750, A82105, A86812, A87536, A94799, A97110, A99183 & AJ0585.
Last Modified: 1/23/1998
The purpose of this bulletin is to publish final LMRPs A51784, A76092, A82728, A86430, A95857& A95860; and Revised Final LMRPs...
Last Modified: 1/16/1998
The Medicare Part A outpatient fee schedules for clinical laboratory, orthotics/prosthetics, surgical dressings, outpatient radiology, and other diagnostic services are provided via this bulletin.
Last Modified: 1/15/1998
The purpose of this bulletin is to share with providers the draft regulation changes that the HCFA has published with regards to screening mammography services.
Last Modified: 1/9/1998
Section 4102 of the Balanced Budget Act of 1997 amends §1861 of the Social Security Act to include coverage every three years for a screening Pap smear.
Last Modified: 12/22/1997
A hospital’s discharge plan shall not specify or limit access to qualified HHAs and it must identify any provider or...
Last Modified: 12/19/1997
Providers should review these instructions and make the necessary changes to their operations to be compliant.
Last Modified: 12/16/1997
This section maintains that in determining the reasonable cost of ambulance services furnished by a provider of services, the Secretary shall not recognize the cost per...
Last Modified: 12/13/1997
Numerous research studies have demonstrated the correlation between adequacy of dialysis and health care outcomes.
Last Modified: 12/12/1997
Medicare will cover colorectal cancer screening test/procedures for the early detection of colorectal cancer.
Last Modified: 12/1/1997
The HCFA has announced the new deductible and coinsurance amounts for calendar year 1998.
Last Modified: 11/26/1997
Medical review initiatives are designed to ensure the appropriateness of medical care and to ensure that the medical policies and...
Last Modified: 11/19/1997
The purpose of this bulletin is to clarify Health Care Financing Administration (HCFA) regulations with regard to billing of contrast material.
Last Modified: 11/5/1997
The Office of the Inspector General (OIG) keeps public records of individuals/entities that are excluded from reimbursement under Medicare (Title XVIII of the Social Security Act).
Last Modified: 11/3/1997
The HCFA requires fiscal intermediaries to review 100% of all SNF demand bills.
Last Modified: 10/22/1997
The purpose of this bulletin is to publish final LMRPs A80162, A83036, A87086 and to revise LMRP A99183.
Last Modified: 9/25/1997
Prior to enactment to the Balanced Budget Act (BBA) of 1997, Medicare benefits were secondary to benefits payable under a GHP in the case of...
Last Modified: 9/5/1997
HCFA’s instructions signified that reporting code G0051 plus code G0052 would be equal to the reporting of the destruction of 14 lesions.
Last Modified: 8/29/1997
Even with the decrease in claims submission for diagnostic mammography services, there continues to be a high denial rate for these services.
Last Modified: 8/8/1997
Medicare Part A, Blue Cross and Blue Shield of Florida, Inc., is pleased to announce that we acquired AFLAC as a new trading partner under the COB process.
Last Modified: 7/25/1997
The purpose of this bulletin to reiterate instructions requiring CMHC providers to utilize TOB 76X, effective April 1, 1997.
Last Modified: 7/23/1997
The purpose of this bulletin is to clarify billing by certified independent dialysis facilities for separately billable laboratory test.
Last Modified: 7/17/1997
The purpose of this bulletin is to clarify information regarding the reporting of outpatient ASC procedures and...
Last Modified: 7/15/1997
The ARU will allow our provider customers to obtain information via the ARU without speaking directly to a Customer Service Representative (CSR).
Last Modified: 7/2/1997
Medicare Part A, Blue Cross and Blue Shield of Florida, Inc., is pleased to announce that we acquired Pioneer Life Insurance Co. as a new trading partner under the COB process.
Last Modified: 6/26/1997
In the spirit of continuous improvement, and with a need to involve more providers, we have redesigned our provider communication process.
Last Modified: 6/24/1997
In accordance with HCFA instructions, the intermediary begins its count on the day after the day of receipt.
Last Modified: 6/16/1997
The purpose of this bulletin is to advise providers that HCFA has delayed the implementation of these codes until January 1, 1998.
Last Modified: 6/13/1997
The purpose of this bulletin is to ensure providers are aware of these Medicare coverage issue regulations.
Last Modified: 6/11/1997
One of these revised procedures resulted in the establishment of a new report relative to your claim adjustment/cancel processing.
Last Modified: 6/4/1997
The purpose of this bulletin is to ensure that all Medicare hospital providers are aware of the repeal of the Pacemaker Registry.
Last Modified: 5/23/1997
Subsequent to the release of the revised instructions, HCFA has received numerous contacts requesting clarification of the medical review...
Last Modified: 5/16/1997
HCFA has placed strict limits on the amount of hours a beneficiary can be placed in outpatient observation.
Last Modified: 5/14/1997
The new value code (A4) is reported via the HCFA-1450 (UB-92) billing format, in form locators 39-41, when providers report...
Last Modified: 5/8/1997
The Medicare Part A fee schedules for drugs and/or pharmacy services are provided via this bulletin.
Last Modified: 5/5/1997
The OIG fraud alert (OIG 96-18) details fraud and abuse in the provision of services in nursing services.
Last Modified: 4/25/1997
This section is revised to indicate that reconstruction of the affected breast and the contralateral unaffected breast following a medically necessary mastectomy.
Last Modified: 4/22/1997
The purpose of this bulletin is to ensure that all Medicare hospital providers reporting outpatient PHP services are aware of...
Last Modified: 4/1/1997
The purpose of this bulletin is notify providers of payment calculation changes to EPO for ESRD patients.
Last Modified: 3/26/1997
Although this Fraud Alert has been widely circulated by the Fraud Unit, this bulletin distribution is an attempt to ensure that all Medicare Part A providers are aware of this potential fraud situation.
Last Modified: 3/13/1997
The purpose of this bulletin is to ensure providers are aware that Modified Barium Swallow studies are not covered when...
Last Modified: 3/12/1997
Considerable attention has been focused recently on treatments for breast cancer.
Last Modified: 3/5/1997
This section is revised to reflect that the present instruction relating to electrical nerve stimulation does not apply to...
Last Modified: 2/28/1997
Effective March 1, 1997, the HCFA has revised the regulations regarding surgical dressings to reflect a change in billing and payment.
Last Modified: 2/25/1997
Medical review policy is a composite of statutory provisions, regulations, nationally published Medicare coverage policies, and LMRPs.
Last Modified: 2/20/1997
General Medicare Bulletin G-230, dated August 30, 1996, informed Medicare participating providers of the HCFA’s instructions pertaining to laboratory tests that are frequently...
Last Modified: 2/14/1997
Due to feedback received from our provider community, and in keeping with this intermediary’s continuous improvement efforts, a change in the revised hours will be effective March 3, 1997.
Last Modified: 2/5/1997
This section is revised to eliminate certain tests from the list of separately billable laboratory tests that...
Last Modified: 1/28/1997
The purpose of this bulletin is to ensure that all ESRD customers are aware that only the current versions of HCFA-382 should be used, and...
Last Modified: 1/24/1997
The purpose of this bulletin is to provide additional billing instructions for ambulance services.
Last Modified: 1/23/1997
General Medicare Bulletin G-253, published December 20, 1996, advised providers of specific revisions for radiology and other diagnostic changes.
Last Modified: 1/23/1997
General Medicare Bulletin G-253, published December 20, 1996, advised providers of specific revisions for radiology and other diagnostic changes.
Last Modified: 1/20/1997
The new non-medical AI applications, will eliminate the manual review of claims that suspend for specific claim edits within the FSS.
Last Modified: 1/17/1997
The purpose of this bulletin to is make providers aware that an additional outcome of the MSN implementation is the elimination of the...
Last Modified: 1/15/1997
Reason codes, and the text messages that define those codes, are used to explain why a claim may not have been paid in full.
Last Modified: 1/14/1997
The purpose of this bulletin is to ensure that all Medicare hospital and CMHC providers are aware of HCFA’s manualized instructions.
Last Modified: 1/12/1997
The purpose of this bulletin is to alert RHCs about the HCFA plans to implement section 4205 (b) of the BBA of 1997.
Last Modified: 1/12/1997
This provision requires Medicare participating Rural Health Clinics to have a quality assessment and performance improvement program (QAPI), effective January 1, 1998.
Last Modified: 1/10/1997
HCFA is proposing to implement PAYERID for Medicare only, on a voluntary basis for providers.
Last Modified: 1/9/1997
The purpose of this bulletin is to share HCFA’s information, in that HCFA has determined that an initial evaluation by a CMHC on-site at a SNF.
Last Modified: 1/7/1997
A study of elderly nursing home residents vaccinated with Fluogen from the recalled lots has shown that because of the reduced potency of the...
