/default.aspxLinking to Cranewares Insights ArticlesCopyright 2012 Craneware. All rights reserved./public/InsightsArticle.aspx?ArticleID=661On April 24, 2012, CMS released the proposed rule for changes to the Hospital Inpatient Prospective Payment Systems (IPPS) and Long Term Care Hospital PPS for fiscal year (FY) 2013. The proposed changes are applicable to discharges occurring on or after October 1, 2012.Mon, 14 May 2012 00:00:00 GMT/public/InsightsArticle.aspx?ArticleID=660Medicare Claims Processing Manual Transmittal 2446 (Change Request 7794), released April 26, 2012, announces updated payment and processing information for influenza virus vaccine, code Q2034.Mon, 14 May 2012 00:00:00 GMT/public/InsightsArticle.aspx?ArticleID=659On May 01, 2012, CMS issued a press release announcing coverage for transcatheter aortic valve replacement (TAVR). A decision memo, (CAG-00430N), was released May 01, 2012 containing the requirements needed for participationMon, 14 May 2012 00:00:00 GMT/public/InsightsArticle.aspx?ArticleID=658Medicare Claims Processing Manual, Transmittal 2457 (Change Request 7785), released April 27, 2012, announced the extension of the therapy cap exceptions process through December 31, 2012. Effective October 1, 2012; the therapy cap exclusions will also apply to services provided in the outpatient hospital setting. Fri, 11 May 2012 00:00:00 GMT/public/InsightsArticle.aspx?ArticleID=657CMS released a One Time Notification, Publication 100-20, Transmittal 1083 (Change request 7816), on April 27, 2012, to provide temporary direction for billing organ donor complications.Fri, 11 May 2012 00:00:00 GMT/public/InsightsArticle.aspx?ArticleID=656On April 09, 2012, the CMS Office of Public Affairs announced a proposal to delay the ICD-10 implementation for one year.Wed, 25 Apr 2012 00:00:00 GMT/public/InsightsArticle.aspx?ArticleID=655On March 13, 2012, CMS posted new guidelines increasing the maximum number of records that may be requested by Recovery Audit Contractors.Mon, 16 Apr 2012 00:00:00 GMT/public/InsightsArticle.aspx?ArticleID=654On February 16, 2012, CMS released their proposed rule, CMS-6037-P, regarding the reporting and returning of overpayments for Medicare claims and Medicare cost reports. This proposed rule would require providers and suppliers receiving funds under the Medicare program to report and return overpayments by the later of the date which is 60 days after the date on which the overpayment was identified; or any corresponding cost report is due, if applicable.Tue, 03 Apr 2012 00:00:00 GMT/public/InsightsArticle.aspx?ArticleID=653On March 9, 2012, CMS issued Internet Only Manual 100-04 (Medicare Claims Processing Manual) Transmittal 2423, Change Request 7751. This instruction informs the Fiscal Intermediaries (FIs), A/B MACs, and the Fiscal Intermediary Standard System (FISS) that the I/OCE was updated for April 1, 2012. The I/OCE routes all institutional outpatient claims (which includes non-OPPS hospital claims) through a single integrated OCE which eliminates the need to update, install, and maintain two separate OCE software packages on a quarterly basis.Sat, 17 Mar 2012 00:00:00 GMT/public/InsightsArticle.aspx?ArticleID=652In an announcement, the Centers for Medicare & Medicaid Services' (CMS) Office of E-Health Standards and Services (OESS) said it will not initiate enforcement action against any non-compliant entities for an additional three (3) months, through June 30, 2012, for updated HIPAA transaction standards (ASC X12 Version 5010, NCPDP Versions D.0 and 3.0). Thu, 15 Mar 2012 00:00:00 GMT