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To: Administrators
From: Medicare Administration
Date: 2/27/2006
Subject: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2006 - CR 4328
Message:
This article is based on Change Request (CR) 4328, which announces the implementation of changes to the list of codes associated with the 23 negotiated laboratory NCDs, and the update of the laboratory edit module for changes in the laboratory NCD code lists for April 2006.
The changes to the list of codes are a result of coding analysis decisions developed under the procedures for maintenance of codes in the negotiated NCDs. Several of the listed changes correct codes to reflect the recent Current Procedural Terminology (CPT) update and are necessary so that the laboratory edit module will appropriately process claims using the most current negotiated laboratory NCDs and code lists.
CMS has posted a provider education article related to this instruction under the Medlearn Matters section of their website. Please refer to http://www.cms.hhs.gov/MedlearnMattersArticles/downloads/MM4328.pdf
CMS also posts Change Requests on their website. The full context of this CR is available via the following link: www.cms.hhs.gov/manuals.
If you have any questions regarding this Bulletin, please contact a Medicare Part A Representative at 1-866-539-5593.
This Bulletin should be shared with all health care practitioners and managerial members of the provider staff. Bulletins are available at no cost from our website at www.ahpnhmedicare.com.
___________________________________________________________________________
CERT
Beginning October 31, 2005, Livanta will be the new CERT Documentation Contractor. Providers will now receive requests for CERT medical documentation from Livanta. Please be sure to forward requested medical record documentation to Livanta. AdvanceMed will only be responsible for medical review of the claims.
Reminder: Help reduce the national Medicare claims payment error rate. Please submit medical records promptly when requested by the CERT contractor, Livanta. If you have any questions about CERT, please call 1-866-539-5593.
Medicare Prescription Drug Coverage Information for Providers
Coming in 2006 ! Beginning January 1, 2006, Medicare prescription drug coverage will be available to people with Medicare. Health care professionals can find information about this new coverage at http://www.cms.hhs.gov/MedlearnProducts/23_drugcoverage.asp, on the CMS website.
"Public Service Announcements for Health Care Professionals: What Do You Say When Asked About the New Medicare Prescription Drug Coverage?"
Public Service Announcements (PSAs) for the provider community to increase awareness of the new prescription drug coverage and the resources available to assist people with Medicare are available. There are two versions of the PSAs---the only difference between the two is the graphics and orientation (horizontal vs. vertical). The PSAs are posted on http://www.cms.hhs.gov/MedlearnProducts/23_drugcoverage.asp, under the heading, "Basic Information for Health Care Professionals."
Posters Now Available! Posters titled "Have Limited Income? Social Security Can Help with Prescription Costs" can be ordered free of charge on the Centers for Medicare and Medicaid Services' (CMS) website. The posters are suitable for display in a physician's, provider's, or supplier's office, a pharmacy, or other health care setting where Medicare beneficiaries will see this information. The posters direct Medicare beneficiaries with limited income to a toll free number where they can find out if they are eligible for help with prescription drug costs. Flat posters are suitable for wall display. Easel posters are suitable for counter display. Order the size and style appropriate for your use. Artwork cannot be specified as posters will be sent based on availability at the time the order is received. To view and order the posters, go to the Medlearn Prescription Drug Coverage web page located at: http://www.cms.hhs.gov/MedlearnProducts/23_drugcoverage.asp on the CMS website. We need your help in getting this information out to Medicare beneficiaries with limited income and resources. We encourage you to order and display the posters where Medicare beneficiaries will see them.
NPI
Announcing the redesigned CMS web page dedicated to providing all the latest NPI news for health care providers! Visit http://www.cms.hhs.gov/NationalProvIdentStand/ on the web.
Posted - 02/27/06 - kdr
From: Medicare Administration
Date: 2/27/2006
Subject: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2006 - CR 4328
Message:
This article is based on Change Request (CR) 4328, which announces the implementation of changes to the list of codes associated with the 23 negotiated laboratory NCDs, and the update of the laboratory edit module for changes in the laboratory NCD code lists for April 2006.
The changes to the list of codes are a result of coding analysis decisions developed under the procedures for maintenance of codes in the negotiated NCDs. Several of the listed changes correct codes to reflect the recent Current Procedural Terminology (CPT) update and are necessary so that the laboratory edit module will appropriately process claims using the most current negotiated laboratory NCDs and code lists.
CMS has posted a provider education article related to this instruction under the Medlearn Matters section of their website. Please refer to http://www.cms.hhs.gov/MedlearnMattersArticles/downloads/MM4328.pdf
CMS also posts Change Requests on their website. The full context of this CR is available via the following link: www.cms.hhs.gov/manuals.
If you have any questions regarding this Bulletin, please contact a Medicare Part A Representative at 1-866-539-5593.
This Bulletin should be shared with all health care practitioners and managerial members of the provider staff. Bulletins are available at no cost from our website at www.ahpnhmedicare.com.
___________________________________________________________________________
CERT
Beginning October 31, 2005, Livanta will be the new CERT Documentation Contractor. Providers will now receive requests for CERT medical documentation from Livanta. Please be sure to forward requested medical record documentation to Livanta. AdvanceMed will only be responsible for medical review of the claims.
Reminder: Help reduce the national Medicare claims payment error rate. Please submit medical records promptly when requested by the CERT contractor, Livanta. If you have any questions about CERT, please call 1-866-539-5593.
Medicare Prescription Drug Coverage Information for Providers
Coming in 2006 ! Beginning January 1, 2006, Medicare prescription drug coverage will be available to people with Medicare. Health care professionals can find information about this new coverage at http://www.cms.hhs.gov/MedlearnProducts/23_drugcoverage.asp, on the CMS website.
"Public Service Announcements for Health Care Professionals: What Do You Say When Asked About the New Medicare Prescription Drug Coverage?"
Public Service Announcements (PSAs) for the provider community to increase awareness of the new prescription drug coverage and the resources available to assist people with Medicare are available. There are two versions of the PSAs---the only difference between the two is the graphics and orientation (horizontal vs. vertical). The PSAs are posted on http://www.cms.hhs.gov/MedlearnProducts/23_drugcoverage.asp, under the heading, "Basic Information for Health Care Professionals."
Posters Now Available! Posters titled "Have Limited Income? Social Security Can Help with Prescription Costs" can be ordered free of charge on the Centers for Medicare and Medicaid Services' (CMS) website. The posters are suitable for display in a physician's, provider's, or supplier's office, a pharmacy, or other health care setting where Medicare beneficiaries will see this information. The posters direct Medicare beneficiaries with limited income to a toll free number where they can find out if they are eligible for help with prescription drug costs. Flat posters are suitable for wall display. Easel posters are suitable for counter display. Order the size and style appropriate for your use. Artwork cannot be specified as posters will be sent based on availability at the time the order is received. To view and order the posters, go to the Medlearn Prescription Drug Coverage web page located at: http://www.cms.hhs.gov/MedlearnProducts/23_drugcoverage.asp on the CMS website. We need your help in getting this information out to Medicare beneficiaries with limited income and resources. We encourage you to order and display the posters where Medicare beneficiaries will see them.
NPI
Announcing the redesigned CMS web page dedicated to providing all the latest NPI news for health care providers! Visit http://www.cms.hhs.gov/NationalProvIdentStand/ on the web.
Posted - 02/27/06 - kdr
