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What's New from Cahaba

Date News Item
08/27/08

Local Coverage Determination- Retiring X-Ray of the Chest

08/20/08 Provider Reminder: Type of Bill 13X – Correct Billing of CPT Code 82962
08/20/08 Local Coverage Determinations: 2009 ICD-9-CM Updates
08/05/08 Cahaba GBA Transitions to Healthcare Integrated General Ledger Accounting System (HIGLAS)
08/05/08 Presentation: Healthcare Integrated General Ledger Accounting System (HIGLAS)
08/05/08 HIGLAS Cutover
July 2008
07/29/08 Notice of Providers of Upcoming Widespread Review of Ultra High Rehabilitation RUG’s RUA03, RUB03 AND RUC03, TOB 21X
07/23/08 Medical Records’ Signature Requirements for Providers - Clarification
07/23/08 Local Coverage Determination (LCD) – Pathology and Laboratory: Syphilis Testing
07/11/08 Finalized Draft LCDs
07/01/08 Part A Alabama CERT Findings for Insufficient Laboratory and/or Diagnostic Documentation
June 2008
06/27/08 Presentation: HIGLAS - Healthcare Integrated General Ledger Accounting System
06/24/08 Widespread Probe Notification – FI - Notice to Provider of Upcoming Widespread Review of CPT 86141 C-Reactive Protein; High Sensitivity (hsCRP), TOB 13X - CORRECTION
06/24/08 Widespread Probe Notification – FI - Notice to Providers of Upcoming Widespread Review of CPT 86140 C-Reactive Protein, TOB 13X - CORRECTION
06/23/08 Widespread Probe Notification – FI – Notice to Providers of Upcoming Widespread Review of CPT 99291 Critical Care, Evaluation and Management of the Critically Ill or Injured Patient; First 30-74 minutes, TOB 13X
06/23/08 Widespread Probe Notification – FI – Notice to Providers of Upcoming Widespread Review of TOB 75X CORF
06/19/08 Standardization of Part A Local Coverage Determinations
06/13/08 Widespread Targeted Review Results – AL - FI - CPT 97597 and/or 97598 (Wound Debridement) 
06/04/08 The June 2008 Medicare A Newsline Is Now Available
06/02/08 HIGLAS Frequently Asked Questions (FAQs)
May 2008
05/23/08 Consolidation of Part A (Fiscal Intermediary) and Part B (Carrier) Local Coverage Determinations (LCDs)
05/23/08 Widespread Probe Notification - Notice to Providers of Upcoming Widespread Review of CPT 86141 C-Reactive Protein; High Sensitivity (hsCRP), TOB 13X
05/21/08 Widespread Probe Notification – FI - Notice to Providers of Upcoming Widespread Review of CPT 86140 C-Reactive Protein, TOB 13X
05/21/08 Widespread Probe Review Results – FI – Review of CMG 2004, TOB 11X
05/21/08 Widespread Probe Review Results – FI – Review of CMGs A0803 or A0804, TOB 11X
05/21/08 Widespread Probe Results With No Further Action – FI - Inpatient Rehabilitation Facilities (IRFs) and Inpatient Rehabilitation Units (IRUs) Case Mix Groups (CMGs) A0704 and A0703 (Fracture of lower extremity), no comorbidities
05/21/08 Widespread Targeted Review Results – FI - HCPCS 83880, 13X Bill Type
05/21/08 Widespread Targeted Review Results – FI - Skilled Nursing Facilities (SNFs) Billing 82962
05/21/08 Widespread Targeted Review Results - FI - HCPCS J0885/Q0136
05/16/08 Widespread Targeted Review Results – AL - FI - Inpatient Rehabilitation Facilities (IRF) and Inpatient Rehabilitation Units (IRU), CMG A0801-A0802
05/16/08 Update to the Self-Administered Drug (SAD) List
05/15/08 2008 Outpatient Therapy Services- Coverage and Documentation Requirements
05/07/08 Widespread Targeted Review Results – IA - FI - Inpatient Rehabilitation Facilities (IRF), 11X Bill Type, CMG of A0801-A0806
05/06/08 Local Coverage Determination Revision — Drugs and Biologicals: Immune Globulin Intravenous (IVIg)
05/06/08 Retiring Local Coverage Determination - Polysomnography Sleep Testing (L1062)
05/01/08 The May 2008 Medicare A Newslines Are Now Available
April 2008
04/29/08 HIGLAS - Healthcare Integrated General Ledger Accounting System
04/29/08 Widespread Probe Notification –AL– FI – Notice to Providers of Upcoming Widespread Review of HCPCS J0152 Injection, adenosine for diagnostic use, 30 mg (use this code for adenoscan) TOB 13X DOS 9/1/07-2/29/08
04/29/08 Widespread Probe Notification – AL – FI – Notice to Providers of Upcoming Widespread Review of HCPCS J0150 Injection, adenosine for therapeutic use, 6 mg (use this code for adenocard) TOB 13X DOS 9/1/07-2/29/08
04/29/08 Widespread Probe Notification – AL – FI – Notice to Providers of Upcoming Widespread Review of CPT 11043 (Debridement; skin, subcutaneous tissue, and muscle), TOB 13X; CPT 11044 (Debridement; skin, subcutaneous tissue, muscle, and bone), TOB 13X. Dates of service 9/1/07-2/29/08
04/29/08 Consolidation of Part A and Part B Local Coverage Determinations
04/22/08 Widespread Probe Review Results – IA – FI – Review for HCPCS 29580 Strapping: Unna Boot All Bill Types
04/22/08 Widespread Targeted Review Results - IA – FI - Critical Access Hospitals (CAH) Billing CPT Code 82962
04/22/08 Widespread Probe Review Results – IA – FI – Review of CPT Codes 97597 Wound Debridement; Total Wound(s) Surface Area 20 Square Centimeters for all Bill Types
04/22/08 Widespread Targeted Review Results – IA - FI - Skilled Nursing Facility (SNF) Providers Billing Speech-Language Pathology (SLP) Services with Primary Diagnosis Code 787.2
04/22/08 Widespread Targeted Review Results – IA-FI - Skilled Nursing Facility (SNF) Claims Billed With a RUG-III Code of RUBXX
04/02/08 Widespread Probe Review Results - AL – FI – Review of CPT 90806
March 2008
03/26/08 Bone Mass Measurement
03/26/08 Widespread Probe Review Results of HCPCS A0426-Non Emergency ALS Transport- Edit Number 5140V
03/26/08 Self-Administered Drug List Update
03/26/08 Wastage- Appropriate Billing Update
03/26/08 Alabama - FI - Oxaliplatin (J9263) Claims To Be Adjusted
03/26/08 Provider Outreach & Education (POE) Advisory Group Accepting Applications
03/26/08 Widespread Targeted Review Results FI – IA - Outpatient Speech Language Pathology (SLP) Services and CPT 97532, Edit 5TT36
03/26/08 Alabama Widespread Targeted Review Results for CPT 97597 and 97598 (Wound Debridement)
03/26/08 Widespread Targeted Review Results – IA – FI - Skilled Nursing Facility (SNF) Claims Billed With a RUG-III Code of RUBXX
03/12/08 LCD – FI – Erythropoietin Analogues - Clarification
03/05/08 National Provider Identifier (NPI) and Reason Code 32000
03/03/08 Notice to Alabama Providers of Upcoming Widespread Review of IRFs and IRUs Case Mix Group A2004-CORRECTION
03/03/08 Widespread Targeted Review Results for Alabama Providers Billing HCPCS Code 83880
03/03/08 Widespread Targeted Review Results for Alabama Providers Billing Current Procedural Terminology (CPT) 76000
03/03/08 Widespread Targeted Review Results for Alabama Skilled Nursing Facilities (SNFs) Billing 82962
03/03/08 Widespread Targeted Review Results for Iowa Inpatient Rehabilitation Facilities (IRF) for TOB 11X with a CMG of A0801-A0806
February 2008
02/28/08 Widespread Targeted Review Results for Iowa Skilled Nursing Facility (SNF) Providers for Speech-Language Pathology Services and Primary Diagnosis Code 787.2
02/28/08 The March 2008 Medicare A Newsline is Now Available
02/27/08 Widespread Targeted Review Results for Alabama Providers Billing HCPCS Code J0885/Q0136
02/27/08 Widespread Targeted Review Results for Iowa Critical Access Hospitals Billing CPT Code 82962
02/27/08 Widespread Targeted Review Results of Alabama Inpatient Rehabilitation Facilities (IRFs) and Inpatient Rehabilitation Units (IRUs)
02/27/08 Widespread Probe Review Results for Iowa Providers Billing HCPCS A0426
02/27/08 Widespread Probe Review Results for Alabama Providers Billing Ultra High Rehabilitation RUG’s RUA07, RUB07 and RUC07
02/27/08 Widespread Probe Review Results for Alabama Providers for CPT Code 96152
02/20/08 Cahaba is Conducting a Provider Satisfaction Survey
January 2008
01/28/08 Widespread Probe Review Results for Alabama Community Mental Health Centers
01/28/08 Notice to Alabama Providers of Upcoming Widespread Review of IRFs and IRUs Case Mix Group A2004
01/08/08 National Provider Identifier Reminder for Cahaba Providers
01/08/08 Teleconference to Address EDI Implementation Questions
01/08/08 Notice to Alabama Providers of Upcoming Widespread Review of IRFs and IRUs CMGs
01/04/08 Temporary Hold on Claims

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Page last updated: August 27, 2008