The Medicare Monthly Review, MMR-2011-01, January 2011 - CGS
The Medicare Monthly Review, MMR-2011-01, January 2011 - CGS
The Medicare Monthly Review, MMR-2011-01, January 2011 - CGS
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Centers for <strong>Medicare</strong> & Medicaid Services – Articles for Part A and Part B Providers Page A BMetastasis of Cancer in the Context of a Clinical Trial (MM7125)Quarterly Update to Correct Coding Initiative Edits, Version 17.0, effective <strong>January</strong> 1, 53 A P<strong>2<strong>01</strong>1</strong> (MM7210)Ventricular Assist Devices as Destination <strong>The</strong>rapy (MM7220 Revised) 54 A PUpdate to <strong>Medicare</strong> Deductible, Coinsurance and Premium Rates for <strong>2<strong>01</strong>1</strong> (MM7224) 56 A A,PReasonable Charge Update for <strong>2<strong>01</strong>1</strong> for Splints, Casts, and Certain Intraocular Lenses 58 A P(MM7225)New HCPCS Q-codes for 2<strong>01</strong>0-<strong>2<strong>01</strong>1</strong> Seasonal Influenza Vaccines (MM7234 Revised) 61 A A,PClinical Laboratory Fee Schedule – <strong>Medicare</strong> Travel Allowance Fees for Collection of 64 A LSpecimens (MM7239)2<strong>01</strong>0–<strong>2<strong>01</strong>1</strong> Seasonal Influenza Resources for Health Care Professionals (SE1031Revised)66 A N,PCenters for <strong>Medicare</strong> & Medicaid Services – Articles for Part A Providers Page A BIncentive Payment Program for Primary Care Services, Section 55<strong>01</strong>(a) of the Patient 70 AProtection and Affordable Care Act, Payment to a Critical Access Hospital Paid Underthe Optional Method (MM7115)Systems Changes Necessary to Implement “Technical Correction Related to Critical 73 AAccess Hospital Services,” Section 3128 of the Affordable Care Act, Pub. L. 111-148(MM7219)Implementation of Changes in End-Stage Renal Disease Payment for Calendar Year 75 A<strong>2<strong>01</strong>1</strong> (MM7237)Home Health Face-to-Face Encounter - A New Home Health Certification Requirement(SE1038)77 MAnnouncement of <strong>Medicare</strong> Rural Health Clinics (RHCs) and Federally QualifiedHealth Centers (FQHCs) Payment Rate Increases (MM71<strong>01</strong>)79 A, F,RCenters for <strong>Medicare</strong> & Medicaid Services – Articles for Part B Providers Page A BEnd-Stage Renal Disease Home Dialysis <strong>Monthly</strong> Capitation Payment (MM7003) 81 A,PEdit to Deny Payment to Physicians and Other Suppliers for the Technical Component 83 A,P(TC) of Pathology Services Furnished on Same Date as Inpatient and OutpatientServices and Implements New Messages (MM7061)Section 55<strong>01</strong>(b) Incentive Payment Program for Major Surgical Procedures Furnished in 84 AHealth Professional Shortage Areas Under the Affordable Care Act (MM7063)New Physician Specialty Codes for Cardiac Electrophysiology and Sports Medicine 87 N,P(MM7209)Edits on the Ordering/Referring Providers in <strong>Medicare</strong> Part B Claims (Change Requests 88 N,P6417, 6421, and 6696) (SE1<strong>01</strong>1 Revised)Physicians and Nonphysician Practitioners Excluded from Deactivation in <strong>Medicare</strong> 94 N,PDue to Inactivity with <strong>Medicare</strong> (SE1034)Recovery Audit Contractor Demonstration High-Risk Vulnerabilities for Physicians(SE1036)95 PCPT codes and descriptors are only copyright 2<strong>01</strong>0 American Medical Association (or such other date publication of CPT)<strong>The</strong> <strong>Medicare</strong> <strong>Monthly</strong> <strong>Review</strong> 2 <strong>MMR</strong> <strong>2<strong>01</strong>1</strong>-<strong>01</strong>, <strong>January</strong> <strong>2<strong>01</strong>1</strong>
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