June 02, 2006

Electronic File Interchange

  CMS

Medicare Learning Matters:  SE0632 (PDF).
Publication Date: May 03, 2006

On May 1, 2006, the Centers for Medicare & Medicaid Services (CMS) introduced the revised CMS 855 Medicare provider enrollment applications. As part of the revised enrollment process, initial enrollees and existing enrollees making changes to their enrollment information must include their National Provider Identifier (NPI) number and a copy of the National Plan and Provider Enumeration System (NPPES) NPI notification with the enrollment application. No initial application can be approved and no updates to existing enrollment information can be made without this NPI information. All health care providers and suppliers who bill Medicare are required to obtain their NPI in advance of enrolling in or changing their Medicare enrollment data.

For additional information about the NPI, please visit:  NPIS.



New Waived Tests

  CMS

Medicare Transmittal 947  CR 5083 (PDF).
Publication Date: May 12, 2006

The following are the latest tests approved by the FDA as waived tests under CLIA. The Current Procedural Terminology (CPT) codes for the following new tests must have the modifier QW to be recognized as a waived test.

CPT Code
/ Modifier
Effective
Date
Description
86308QW 01/24/2005 Icon Mono
81003QW,
82570QW
09/07/2005 Bayer Clinitek Status Urine Chemistry Analyzer
83001QW 01/10/2006 Biotechnostix, Inc. Rapid Response FSH One Step Menopause Test Device
80101QW 01/17/2006 First Check Diagnostics First Check Multi Drug Cup
83036QW 02/17/2006 Axis-Shield Afinion AS100 Analyzer
86308QW 02/22/2006 RAC Medical Clarity MONO Mononucleosis Rapid Test Device {Whole Blood}
80101QW 02/22/2006 First Check Diagnostics First Check 12 Drug Test
80101QW 02/27/2006 Biotechnostix Rapid Response Multi-Drug, Multi-Line Screen Test Card with Integrated Cup
80101QW 03/03/2006 Biotechnostix Rapid Response One Step Multi-Drug, Multi-Line Screen Test Device

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