Effective March 1, 200. WPS is taking the next step towards full implementation of the NPI in Medicare. Medicare Part B claims must include an NPI in the primary fields on the claim (i.e., the billing, pay-to, and rendering fields). You may continue to submit NPI/legacy pairs in these fields or submit only your NPI on the claim. You may not submit claims containing only a legacy identifier in the...
The following is the latest update of Remittance Advice Remark Codes used in electronic and paper remittance advice and Claim Adjustment Reason Codes used in electronic and paper remittance advice and coordination of benefits (COB) claim transactions. Effective Date: January 1, 2008 New Codes Code Current Narrative Comment N388...
New Codes 80047: Basic metabolic panel (Calcium Ionized- 82330) 82610: Cystatin C 83993: Calprotectin 84704: Gonadotropin, chorionic, (hCG); free beta chain 86356: Mononuclear cell antigen, quantitative, (e.g. flow cytometry), not otherwise specified, each antigen 86486: Skin test; unlisted antigen, each 87500: Vancomycin resistance...
The following contracts have been awarded so far: Highmark Medicare Services On October 24, 2007, CMS awarded the J12 A/B MAC contract to Highmark Medicare Services, Inc (HMS). As the J12 A/B MAC, HMS will immediately begin implementation activities and will assume full responsibility for the work no later than September 2008. Visit their web site. Noridian Administrative...
As of October 29, 2007 all Medicare contractors have lifted the bypass logic and are editing against the Medicare crosswalk. As a result, claims that include non-matching NPIs and legacy identifiers are now rejecting. The following reviews the next set of dates which are crucial for compliance with the NPI regulations. New Codes Date Implementation...
The Department of Health Care Services (DHCS) is extending the current dual-use period, which began on May 23, 2007, to continue beyond the NPI implementation date. Effective November 26, 2007, the NPI implementation date, a Medi-Cal provider number will continue to be required, even though the NPI is also being requested. Failure to include the Medi-Cal provider number beyond the NPI...
In the near future, CMS will be announcing new online enterprise applications that will allow Medicare fee-for-service providers to access, update, and submit information over the Internet. Even though these new internet applications are not yet available, CMS recommends that providers take the time now to set up their online account so they can access these applications as soon as they are...
CMS will be offering a new e-mail update (or listserv) service that delivers Medicare information to Fee-for-Service (FFS) providers, suppliers, and their staffÕs Inboxes. Visitors to the website will be able to sign up to receive updates relevant to Medicare Fee-for-Service providers...
The effective date for the diagnosis restriction policy for Procedure Code 82607 (cyanocobalamin, [vitamin B-12]) has been changed from June 1, 2003 to January 1, 2007.
When laboratory testing is being performed using a kit or transportable instrument that wholly or in part consists of a single use, disposable analytical chamber, the service may be identified by adding modifier 92 to the usual laboratory procedure code (HIV testing 86701-86703). The test does not require permanent dedicated space; hence by its design it may be hand carried or transported to the...