tci Medicare Compliance & Reimbursement - 2009 Issue 18
INDUSTRY NOTES: CMS Says Resubmit 2010 Fee Schedule Comments
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Article Overview
This article is a multi-topic industry update for health care administrators, coders, suppliers, and compliance professionals. It summarizes CMS activity related to the 2010 Physician Fee Schedule comment process, a set of laboratory tests designated CLIA-waived, a competitive bidding timetable for durable medical equipment, and several enforcement and safety-related developments affecting home health and related providers. The piece is useful for readers tracking Medicare policy updates, operational deadlines, and broader health care compliance trends.
Why This Topic Matters
It brings together several operational and regulatory items that can affect reimbursement workflows, supplier participation, lab billing, compliance oversight, and patient safety efforts. Readers working in coding, billing, home health, DME, or compliance can use it to identify which CMS and industry updates may require follow-up.
Article Sections
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CMS fee schedule comments and resubmission notice
Summarizes a CMS notice about the public comment process tied to the proposed 2010 Physician Fee Schedule and the need to resubmit affected comments by the stated deadline.
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Privacy and identity theft in home health
Describes an alleged misuse of patient identity information and the response by a home health employer and state authorities.
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CLIA-waived laboratory test update
Covers a CMS update on additional laboratory tests designated as CLIA-waived and references the related MLN Matters article and modifier reporting context.
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Competitive bidding for durable medical equipment
Outlines the planned bid window, implementation timeline, and selected changes to the competitive bidding program for durable medical equipment suppliers.
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Home care certification compliance settlement
Summarizes a state enforcement action involving certification and placement practices, along with resulting operational requirements for the company involved.
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Medicare fraud case involving physical therapy billing
Reports on a criminal case involving alleged false Medicare billing, including the scale of the claims and the potential penalties described in the news item.
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Joint Commission patient safety guidance
Highlights a patient safety alert focused on leadership responsibility and agency-wide safety culture in home care settings.
What You Will Learn
- How a CMS public comment issue affected the 2010 Physician Fee Schedule process
- Which broad categories of Medicare and CLIA-related updates are mentioned in the news roundup
- What the article says about durable medical equipment competitive bidding timing and scope
- What kinds of compliance and enforcement issues are highlighted for home health and therapy providers
- What patient safety themes are emphasized by the Joint Commission
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Compliance officers
- Home health agency administrators
- Durable medical equipment suppliers
- Laboratory billing staff
- Healthcare managers
Codes Discussed
Modifiers Discussed
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