tci Medicare Compliance & Reimbursement - 2013 Issue 19
Industry Notes
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Article Overview
This article collects several Medicare and contractor updates relevant to billing and compliance. It summarizes CMS guidance affecting ICD-10-related coverage posting timelines, seasonal influenza vaccine payment updates, a home health type-of-bill billing change, and revisions to extended repayment schedule handling. It is useful for practices, billing staff, and compliance teams tracking payer announcements and operational changes.
Why This Topic Matters
These updates can affect how practices stay current with Medicare coverage information, vaccine billing, claim acceptance, and overpayment repayment workflows. The article helps readers identify which operational changes may require attention from billing, reimbursement, or compliance staff.
Article Sections
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CMS to Update LCDs With ICD-10 Codes by April 10
Discusses CMS timing for publishing ICD-10-related local coverage decisions and associated coverage articles. The section frames the update in the context of Medicare coverage database availability and ICD-10 transition planning.
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CMS Gives Vaccine Prices a Shot in the Arm
Covers seasonal influenza vaccine pricing updates announced by CMS and referenced in an MLN Matters article. The section presents the broad context for the payment changes affecting flu vaccine billing.
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Nix This Home Health Claim Type Next Month
Addresses a Medicare Administrative Contractor notice about a home health claim type-of-bill change and resulting claim rejections. It also notes the associated rejection/error reporting referenced in the update.
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MAC Makes Changes To Extended Repayment Plans
Summarizes changes to the extended repayment schedule process described by a Medicare contractor. The section focuses on repayment plan handling, recoupment timing, and related policy updates.
What You Will Learn
- How CMS timing updates affect the availability of ICD-10-related Medicare coverage information
- Which kinds of Medicare payment updates were announced for seasonal influenza vaccines
- What operational change was announced for a home health claim type-of-bill category
- What changed in the extended repayment schedule process for Medicare overpayments
Who Should Read This
- Medical billers
- Coding professionals
- Practice managers
- Compliance staff
- Home health billing staff
- Reimbursement specialists
Codes Discussed
Code Ranges Discussed
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