INDUSTRY NOTES: CMS May Be Just Going Through The CAP Motions

Why This Topic Matters

It helps readers stay current on CMS transmittals that may affect billing workflow, diagnosis reporting, and coding for vaccine and PET-related services, while also flagging a high-profile fraud case relevant to compliance awareness.

Article Sections

1. CMS instructions on the Competitive Acquisition Program

   Covers CMS guidance on enrollment logistics for the Competitive Acquisition Program and the broader context for Part B drug acquisition updates.

2. Other CMS transmittals and coding updates

   Summarizes additional CMS administrative changes addressing provider enrollment procedures, vaccine-related diagnosis reporting, and new HCPCS items for PET scan radiopharmaceutical agents.

3. Doctor can never use that title again, judge orders

   Briefly reports on a Medicare fraud conviction, sentencing, and professional sanctions imposed by a federal judge.