February 1, 2010, Home Health & Hospice Medicare A ... - CGS

If the transfer date is more than 36 months after the effective date of the provider’s enrollment inMedicare or most recent ownership change, the application can be processed normally, without the needfor a new State survey or an approval from an approved accreditation organization.Additional InformationThe official instruction, CR 6750, issued to your FI, A/B MAC, and RHHI regarding this change may beviewed at http://www.cms.hhs.gov/Transmittals/downloads/R318PI.pdf on the CMS Web site.If you have questions regarding this issue, refer to the “Contact Us” page of our Web site and select“Telephone Us” to call the Provider Contact Center.DisclaimerThis article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article maycontain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be ageneral summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review thespecific statutes, regulations and other interpretive materials for a full and accurate statement of their contents.January 2010 Integrated Outpatient Code Editor (I/OCE) Specifications Version 11.0The Centers for Medicare & Medicaid Services (CMS) has provided the following Medicare LearningNetwork (MLN) Matters article. This MLN Matters article and other CMS articles can be found on theCMS Web site at: http://www.cms.hhs.gov/MLNMattersArticlesMLN Matters ® Number: MM6761 Related Change Request (CR) #: 6761Related CR Release Date: December 11, 2009 Effective Date: January 1, 2010Related CR Transmittal #: R1872 Implementation Date: January 4, 2010Provider Types AffectedThis article is for providers submitting claims to Medicare contractors (fiscal intermediaries (FIs), Medicareadministrative contractors (MACs), and/or regional home health intermediaries (RHHIs)) for outpatientservices provided to Medicare beneficiaries and paid under the Outpatient Prospective Payment System(OPPS) and for outpatient claims from any non-OPPS provider not paid under the OPPS, and for claims forlimited services when provided in a home health agency not under the Home Health Prospective PaymentSystem, or claims for services to a hospice patient for the treatment of a non-terminal illness.Provider Action NeededThis article is based on CR 6761, which describes changes to the I/OCE and OPPS to be implemented in theJanuary 2010 OPPS and I/OCE updates. Be sure billing staffs are aware of these changes.BackgroundCR 6761 describes changes to billing instructions for various payment policies implemented in the January2010 OPPS update. The January 2010 Integrated Outpatient Code Editor (I/OCE) changes are alsodiscussed in CR 6761. Attached to CR 6761 are lengthy specifications for the I/OCE. A summary of thechanges for January 2010 is within Appendix M of Attachment A of CR 6761 and that summary is capturedin the following key points:Home Health & Hospice February 1, 2010 17Medicare A Newsline Vol. 17, No. 5