Medicare News
Part A Teleconference Handout: "Two Midnight Rule Probe and Educate"
July 15, 2014 (2:00pm-3:00pm ET/1:00pm-2:00pm CT)
Handout materials are now available for our teleconference "Two Midnight Rule Probe and Educate" on July 15, 2014 (2:00pm-3:00pm ET/1:00pm-2:00pm CT).
We will provide an overview of the Two Midnight Rule (CMS 1599-F), discuss the Probe and Educate review process, and review case scenarios for identified Probe and Educate errors.
Registration is still open for this teleconference. Register today to reserve your spot!
Draft Local Coverage Determination Comment Period Closed
The comment period is now closed for the following JH MAC Draft Local Coverage Determinations (LCDs). The comments received are being reviewed by our Contractor Medical Directors.
Update to the CWF Qualifying Stay Edit C7123 for Inpatient SNF Claims
CMS recently resolved an issue concerning the Common Working File (CWF) qualifying stay edit C7123 to allow Skilled Nursing Facility (SNF) claims that contain a valid qualifying hospital stay to bypass edit C7123. SNF providers that have received this edit in error may adjust their affected claims or contact their Medicare Administrative Contractor (MAC) in order to have their claims adjusted. CMS is currently working on a permanent coding fix for CWF edit C7123 that will address all possible bypass scenarios for the edit. SNF providers should contact their MAC with any questions or concerns.
Handout materials are now available for our teleconference "Two Midnight Rule Probe and Educate" on July 15, 2014 (2:00pm-3:00pm ET/1:00pm-2:00pm CT).
We will provide an overview of the Two Midnight Rule (CMS 1599-F), discuss the Probe and Educate review process, and review case scenarios for identified Probe and Educate errors.
Registration is still open for this teleconference. Register today to reserve your spot!
Draft Local Coverage Determination Comment Period Closed
The comment period is now closed for the following JH MAC Draft Local Coverage Determinations (LCDs). The comments received are being reviewed by our Contractor Medical Directors.
- DL32679 Cardiac Event Detection Monitoring
- DL30529 Cardiac Rhythm Device Evaluation
- DL27487 Debridement of Mycotic Nails
- DL32712 Intravenous Immune Globulin (IVIG)
- DL32610 Luteinizing Hormone-Releasing Hormone (LHRH) Analogs
- DL32628 Monitored Anesthesia Care
- DL35269 Pharmacokinetic (PK) Testing for Chemotherapy Dosing
- DL27486 Routine Foot Care
- DL31686 Services That Are Not Reasonable and Necessary
- DL27532 Surgical Treatment of Nails
- DL32932 Transoral Incisionless Fundoplication
- DL32678 Treatment of Varicose Veins and Venous Stasis Disease of the Lower Extremities
Update to the CWF Qualifying Stay Edit C7123 for Inpatient SNF Claims
CMS recently resolved an issue concerning the Common Working File (CWF) qualifying stay edit C7123 to allow Skilled Nursing Facility (SNF) claims that contain a valid qualifying hospital stay to bypass edit C7123. SNF providers that have received this edit in error may adjust their affected claims or contact their Medicare Administrative Contractor (MAC) in order to have their claims adjusted. CMS is currently working on a permanent coding fix for CWF edit C7123 that will address all possible bypass scenarios for the edit. SNF providers should contact their MAC with any questions or concerns.
