CMS & Palmetto/J1MAC News

The following information has been received by ANCO.

****CMS NEWS****
MM6861 – Positron Emission Tomography (PET) (NaF-18) to Identify Bone Metastasis of Cancer
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6861.pdf

MM6859 – Claim Status Category Code and Claim Status Code Update
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM6859.pdf


****PALMETTO/J1MAC NEWS****
April 2010 J1 A/B MAC Medicare Advisory
The April 2010 J1 A/B MAC Medicare Advisory is available on the Web site.
Please be sure to share with your staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/83ZMG63263?opendocument


Holding of April 2010 Claims for Services Paid Under the 2010 Medicare
Physician Fee Schedule Update
The Centers for Medicare & Medicaid Services (CMS) is working with
Congress, health care providers, and the beneficiary community to avoid
disruption in the delivery of health care services and payment of claims
for physicians, non-physician practitioners, and other providers of
services paid under the Medicare Physician Fee Schedule (MPFS). As you are
aware, the Temporary Extension Act of 2010, enacted on March 2, 2010,
extended the zero percent (0%) update to the 2010 MPFS through March 31,
2010.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/83ZMJM2548?opendocument


Independent Diagnostic Testing Facilities: Availability of new 2010 Annual
Procedure Codes
This Alert explains that, per the Contractor Medical Director (CMD) review,
certain new services from the 2010 Annual Procedure Codes Update have been
generally approved as allowable procedures to be performed in Independent
Diagnostic Testing Facilities (IDTF), as long as all other certifications
and requirements have been accomplished. However, these services were not
added as approved in the system at that time. The system has been updated
and is now correct. In order to ensure accurate processing of relevant
claims already submitted, a mass adjustment will be performed on all
services denied incorrectly. Following this action, we will provide an
update on the number of claims adjusted per J1 environment. Providers are
encouraged to review the information and to share with their staff.
http://www.palmettogba.com/palmetto/providers.nsf/vMasterDID/83UNAS7187?opendocument


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