| Date |
News Item |
| December 2007 |
| 12/21/07 |
Electronic Data Interchange
(EDI) Telephone Support Numbers Are Down Temporarily |
| 12/19/07 |
Notice
to Iowa Providers of Upcoming Widespread Review of CPT
29580 |
| 12/19/07 |
Update
to the Home Health Local Coverage Determination – Speech-Language
Pathology |
| 12/10/07 |
Widespread
Probe Notification of Case Mix Groups for Alabama Providers |
| November 2007 |
| 11/28/07 |
Notice
to Alabama Providers of Upcoming Widespread Review of
Very High Rehabilitation RUG’s RVA07, RVB07 and
RVC07 |
| 11/26/07 |
Local
Coverage Determination Clarification —Speech-Language
Pathology - Outpatient |
| 11/26/07 |
Widespread
Targeted Review Results of Iowa Outpatient Speech Language
Pathology (SLP) Services and CPT 97532 |
| 11/26/07 |
Reason
Code 31999—Requiring 9-Digit ZIP Code |
| 11/26/07 |
Widespread
Targeted Review Results for Iowa Skilled Nursing Facility
(SNF) Providers for Speech-Language Pathology Services
and Primary Diagnosis Code 787.2 |
| 11/20/07 |
December
Medicare A Newslines Available |
| 11/20/07 |
Reminder
to Submit Claims under the Correct Contractor Workload
Number |
| 11/20/07 |
Local
Coverage Determination (LCD) Updates—2008 CPT/HCPCS
Code |
| 11/20/07 |
Widespread
Targeted Review Results for Iowa Critical Access Hospitals
Billing CPT Code 82962 |
| 11/14/07 |
A
New Look for the EDSNET Screen |
| 11/08/07 |
Medicare
Part A Local Coverage Determination Update — Debridement
Services |
| 11/02/07 |
Widespread
Probe Results and Ongoing Widespread Notification for
CPT Code 97597 |
| Oct. 2007 |
| 10/31/07 |
Widespread
Probe Notification of CPT Codes 97597 and 97598 |
| 10/26/07 |
Widespread
Targeted Review Results of 83880 |
| 10/25/07 |
November
1, 2007, Newsline Available |
| 10/24/07 |
System
Cycle Problems Causing Payment Delays |
| 10/24/07 |
Widespread
Probe Review Results on Skilled Nursing Facility and
Swing Bed Claims |
| 10/24/07 |
Widespread
Targeted Review Results Skilled Nursing Facilities (SNF)
Inpatient Part B Only Services |
| 10/23/07 |
Widespread
Targeted Review Results for Current Procedural Terminology
(CPT) 76000 |
| 10/22/07 |
Widespread
Targeted Review Results of HCPCS J0885/Q0136 |
| 10/22/07 |
Widespread
Targeted Review Results of Inpatient Rehabilitation Facilities
(IRF) and Inpatient Rehabilitation Units (IRU) |
| 10/18/07 |
Widespread
Probe Results and Review Notification for Hospice Claims |
| 10/18/07 |
Local
Coverage Determination (LCD) Update — Carbopolatin |
| 10/15/07 |
Local
Coverage Determination Update — Determining Terminal
Status |
| 10/15/07 |
Special
Newsline Bulletins—New Contractor Workload Number
Requires Third Party Software and Logon Screen Changes |
| 10/12/07 |
LCD
Update - Zoledronic Acid |
| 10/09/07 |
Hospice
Reminder - Beneficiary Listing Due for Cap Period Ending
October 31, 2007 |
| 10/03/07 |
LCD
Update Gemcitabine Hydrochloride (Gemzar) |
| Sept. 2007 |
| 09/18/07 |
Review of Hospice Claims with Primary Diagnosis Code 294.8 |
| 09/18/07 |
Upcoming Widespread Review of HCPCS A0426-Non Emergency ALS Transport—Iowa Providers |
| 09/17/07 |
LCD Updates — 2008 ICD-9-CM Coding Changes |
| 09/07/07 |
LCD – FI – Erythropoietin Analogues - Revision - CORRECTION |
| 09/07/07 |
Upcoming Widespread Review of HCPCS A0426-Non Emergency ALS Transport - Alabama Providers |
| 09/07/07 |
Are You Submitting Your National Provider Identifier (NPI)? |
| August 2007 |
| 08/29/07 |
Routine Level of Care With Length of Stay Greater Than Two Years |
| 08/29/07 |
September 1, 2007, Newsline Available |
| 08/27/07 |
LCD – FI – Erythropoietin Analogues - Revision |
| 08/27/07 |
Home Health Claims Without a Qualifying Skilled Service |
| 08/24/07 |
Claims with Correct National Provider Identifiers (NPIs) Going to Return to Provider in Error |
| 08/21/07 |
Attention: Alabama Part A Providers — Take Action Now! You Need New Security to Continue Accessing FISS or ELGA/ELGH |
| 08/20/07 |
Review of Home Health Non-Start of Care Claims With A Primary Diagnosis of Diabetes and a Secondary Diagnosis of Congestive Heart Failure |
| 08/13/07 |
Take Action NOW! Critical Information for Providers who Submit Claims to the Cahaba office in Birmingham, Alabama |
| 08/10/07 |
LCD - RHHI - Dysphagia - Home Health Update |
| 08/06/007 |
Review of Critical Access Hospital Claims With CPT 82962 |
| 08/01/07 |
Watch for Changes to Medical Review Denial Reason Codes |
| 08/01/07 |
Widespread Probe Review Results- AL – FI – Review of CPT 83880, B-type Natriuretic Peptide (BNP) testing in a hospital outpatient setting, TOB 14X |
| 08/01/07 |
Widespread Probe Review Results - AL – FI – Review of CPT 83880, B-type Natriuretic Peptide (BNP) testing in a hospital outpatient setting, TOB 13X |
| 08/01/07 |
Claims With Epogen (EPO) Denied Incorrectly |
| July 2007 |
| 07/30/07 |
Widespread Probe Notification – RHHI Home Health – Daily Skilled Nurse With Length of Stay Greater Than 60 Days |
| 07/27/07 |
Widespread Probe Notification – AL – FI - Notice to Providers of Upcoming Widespread Review of Community Mental Health Centers, TOB 76X |
| 07/27/07 |
Widespread Targeted Review Results – AL - FI – 2nd Quarter Results of 100% Review of Inpatient Rehabilitation Facilities (IRF) and Inpatient Rehabilitation Units (IRU), Including Bill Type 11X, Revenue Code 0024, CMGs A0801-A0802 (replacement of lower extremity joint); Edit Reason Code 5111K |
| 07/27/07 |
Widespread Targeted Review Results- AL-FI – 2nd Quarter 2007 Results for Medicare Skilled Nursing Facilities (SNF) Outpatient Services (23X bill type), Billing CPT 82962 (glucose, blood by glucose monitoring device(s), cleared by the FDA specifically for home use); Edit Reason Code 5122K |
| 07/27/07 |
Widespread Targeted Review Results for 2nd Quarter 2007- AL - FI – Review of CPT 76000 (fluoroscopy, separate procedure, up to one hour physician time, other than 71023 or 71034) with various procedures; Edit Reason Code 5123K |
| 07/26/07 |
Widespread Targeted Review Results – AL - FI – 2nd Quarter Results of 100% Review of Outpatient Hospitals (Type of Bill 13X) Billing CPT 83519 (Immunoassay, Analyte, Quantitative; by Radiopharmaceutical Technique (e.g. RIA); Edit Reason Code 5119K |
| 07/26/07 |
Widespread Targeted Review Results- AL – FI - 2nd Quarter Results of Review of HCPCS J0885/Q0136 (Injection, Epoetin Alpha, (for non-end-stage renal disease (ESRD) use, per 1, 000 units); Edit Reason Code 5112K |
| 07/25/07 |
Widespread Probe Notification - AL - FI - Notice to Providers of Upcoming Widespread Review |
| 07/25/07 |
Widespread Probe Notification – RHHI – Hospice Primary Diagnosis 414.00 |
| 07/25/07 |
Widespread Targeted Review Results – AL - FI – 2nd Quarter 2007 Review of Medicare Skilled Nursing Facilities (SNF) Inpatient Part B Only Services (22X bill type), billing CPT 82962 (glucose, blood by glucose monitoring device(s), cleared by the FDA specifically for home use); Edit Reason Code 5121K |
| 07/03/07 |
URGENT REQUEST: Security Changes for AL Providers-More Details |
| June 2007 |
| 06/28/07 |
Not Otherwise Classified (NOC) HCPCS Codes and How to Avoid Delay in Claims Processing |
| 06/28/07 |
Widespread Probe Notification – Alabama-FI – CPT 96152 -TOB X13 |
| 06/28/07 |
Widespread Probe Notification – Alabama-FI – CPT 90806 - TOB 13X |
| 06/28/07 |
LCD – FI – Vagus Nerve Stimulation – Update |
| 06/25/07 |
LCD – FI - Bevacizumab (AVASTIN TM) - Clarification |
| 06/20/07 |
Important Announcement: Security Changes Coming Soon |
| 06/08/07 |
Update on National Provider Identifier (NPI) for Cahaba Providers |
| 06/06/07 |
LCD – FI – Immune Globulin Intravenous (IVIG) |
| May 2007 |
| 05/31/07 |
Updated Information to the National Provider Identifier (NPI) Edit 32103 |
| 05/31/07 |
Top Claim Submission Errors and How to Resolve |
| 05/31/07 |
New Comparative Billing Reports Now Available - RHHI |
| 05/23/07 |
NPI Edit—Effective May 14, 2007 |
| 05/21/07 |
Widespread Probe Review Results –IA-FI - Skilled Nursing Facility and Swing Bed Prospective Payment System Claims Billed With a RUG-III Code of RUBXX |
| 05/21/07 |
Widespread Targeted Review Results- IA- FI - Skilled Nursing Facility Claims Billed with the Diagnosis Cellulitis/Abscess |
| 05/21/07 |
Widespread Probe Review Results – IA - FI - Skilled Nursing Facility and Swing Bed Prospective Payment System Claims Billed With a Diagnosis of Congestive Heart Failure and RUG-III Code of RMXXX-RUXXX |
| 05/02/07 |
Widespread Probe Results and Review Notification – IA-FI Skilled Nursing Facility (SNF) Non-PPS Claims with Type of Bill 22X and 23X for Speech Language Pathology Services and Primary Diagnosis Code 787.2 |
| 05/02/07 |
Widespread Probe Results and Review Notification – IA – FI – Outpatient Speech Language Pathology (SLP) Services and Current Procedural Terminology (CPT) Code 97532, Development of Cognitive Skills to Improve Attention, Memory, Problem Solving |
| 05/02/07 |
Widespread Targeted Review Results for 1st Quarter 2007- AL-FI – Review of Current Procedural Terminology (CPT) 76000 (fluoroscopy, separate procedure, up to one hour physician time, other than 71023 or 71034) with various procedures; Edit Reason Code 5123K |
| 05/02/07 |
Widespread Targeted Review Results- AL-FI – 1st Quarter 2007 Results for Medicare Skilled Nursing Facilities (SNF) Outpatient Services (23X bill type) Billing CPT 82962 (Glucose, blood by glucose monitoring device(s), cleared by the FDA specifically for home use); Edit Reason Code 5122K |
| 05/02/07 |
Widespread Targeted Review Results- AL-FI – 1st Quarter 2007 Review of Medicare Skilled Nursing Facilities (SNF) Inpatient Part B Only Services (22X bill type) Billing CPT 82962 (Glucose, blood by glucose monitoring device(s), cleared by the FDA specifically for home use); Edit Reason Code 5121K |
| 05/02/07 |
Widespread Targeted Review Results- AL-FI- 1st Quarter Results of 100% Review of HCPCS J0885/Q0136 (Injection, epoetin alpha, (for Non-End Stage Renal Disease (ESRD) use, per 1, 000 units); Edit Reason Code 5112K |
| April 2007 |
| 04/26/07 |
LCD – FI – Polysomnography Sleep Testing |
| 04/26/07 |
Widespread Probe Results and Review Notification – IA - RHHI Home Health PPS Claims with a Primary Diagnosis of 344.61—Cauda Equina Syndrome with Neurogenic Bladder |
| 04/24/07 |
Widespread Probe Results and Review Notification – IA - RHHI Home Health PPS Claims with a Primary Diagnosis of 344.61—Cauda Equina Syndrome with Neurogenic Bladder |
| 04/24/07 |
Widespread Targeted Review Results – AL - Part A – 1st Quarter Results of 100% Review of Inpatient Rehabilitation Facilities (IRF) and Inpatient Rehabilitation Units (IRU) including Bill Type 11X, Revenue Code 0024, CMGs A0801-A0802 (replacement of lower extremity joint); Edit Reason Code 5111K |
| 04/24/07 |
LCD – FI – Ambulance Services |
| 04/20/07 |
LCD – FI - Erythropoietin Analogues (EA) – Indications and Limitations Update - REMINDER |
| 04/16/07 |
LCD – RHHI – Update Hospice - Determining Terminal Status |
| 04/16/07 |
LCD – FI - Erythropoietin Analogues (EA) – Indications and Limitations Updated – CORRECTION |
| 04/13/07 |
Internet Eligibility Pilot |
| 04/10/07 |
Requests for Anticipated Payments (RAPs) with Reason Code E51#6 |
| 04/09/07 |
LCD - FI - Erythropoietin Analogues (EA) - Indications and Limitations Update |
| 04/05/07 |
Widespread Probe Notification – IA - RHHI Notice to Providers of Upcoming Widespread Review |
| March 2007 |
| 03/22/07 |
Provider Contact Center - Provider Telephone Inquiry Limit |
| 03/20/07 |
Widespread Probe Notification AL-FI – Notice to Providers of Upcoming Widespread Review |
| 03/20/07 |
Widespread Probe Notification – RHHI - Notice to Providers of Upcoming Widespread Review |
| 03/15/07 |
Widespread Probe Notification – RHHI - Notice to Providers of Upcoming Widespread Review |
| 03/02/07 |
LCD - FI - Retiring Iowa LCD |
| 03/02/07 |
LCD - FI - Retiring Alabama LCDs |
| February 2007 |
| 02/22/07 |
LCDs - IA - FI - Updates for 2007 ICD-9-CM-CORRECTION |
| 02/16/07 |
Claims Processing Issues Update—Reason Code 38107 |
| 02/14/07 |
Providers in South Dakota Will Transition to Noridian Administrative Services, LLC |
| 02/13/07 |
Widespread Targeted Review Results- AL-FI- Medicare Skilled Nursing Facilities (SNF) Outpatient services (23X bill type) billing CPT 82962 (Glucose, blood by glucose monitoring device(s), cleared by the FDA specifically for home use); Edit Reason Code 5122K |
| 02/13/07 |
Widespread Probe Results and Review Notification – IA – FI – Outpatient Hospital Claims Billing CT Scans of Thorax, CT Scans of Abdomen, and CT Scans of Pelvis on Same Date of Service |
| 02/13/07 |
Widespread Targeted Review Results – AL - FI – 4th Quarter Results of 100% Review of Inpatient Rehabilitation Facilities (IRF) and Inpatient Rehabilitation Units (IRU) including Bill Type 11X, Revenue Code 0024, CMGs A0801-A0802 (replacement of lower extremity joint); Edit Reason Code 5111K |
| 02/13/07 |
Widespread Probe Notification Results – RHHI - Primary Diagnosis Contusion with Intact Skin Surface |
| 02/09/07 |
Widespread Probe Results and Review Notification – IA – FI – Outpatient Hospital Claims Billing CT Scans of Thorax, CT Scans of Abdomen, and CT Scans of Pelvis on Same Date of Service |
| 02/08/07 |
Top Claim Submission Errors and How to Resolve |
| 02/08/07 |
Widespread Targeted Review Results- AL-FI- Medicare Skilled Nursing Facilities (SNF) Inpatient Part B Only services (22X bill type) billing CPT 82962 (Glucose, blood by glucose monitoring device(s), cleared by the FDA specifically for home use); Edit Reason Code 5121K |
| 02/08/07 |
Widespread Targeted Review Results – AL – FI - Outpatient Hospitals (Type of Bill 13X) billing CPT 83519 (Immunoassay, analyte, quantitative; by radiopharmaceutical technique (e.g. RIA) |
| 02/07/07 |
Feb. 2007 Newsline Available |
| 02/05/07 |
Widespread Targeted Review Results- AL-FI– Review of Current Procedural Terminology (CPT) 76000 (fluoroscopy, separate procedure, up to one hour physician time, other than 71023 or 71034) with various procedures; Edit Reason Code 5123K |
| 02/05/07 |
Widespread Targeted Review Results- AL-FI- HCPCS J0885/Q0136 (Injection, epoetin alpha, (for Non-End Stage Renal Disease (ESRD) use, per 1, 000 units); Edit Reason Code 5112K |
| 02/05/07 |
Fiscal Intermediary Standard System (FISS) Will Not be Available March 1 |
| 02/02/07 |
Widespread Probe Results and Review Notification -- IA -- FI - Skilled Nursing Facility (SNF) Non-PPS Providers for Claims with TOB 22X and 23X and Primary Diagnosis 331.0 |
| 02/02/07 |
Widespread Probe Results and Review Notification - IA - FI - Inpatient Rehabilitation Facility PPS Claims for TOB 11X With a CMG of A0801-A0806 |
| 02/01/07 |
LCD - FI - Retiring LCDs |
| 02/01/07 |
LCD - RHHI - Revision-Infusion Pumps - Excluding Insulin Infusion Pumps - Home Health |
| 02/01/07 |
LCD – RHHI - Announcement of Notice Period for Physical Therapy-Home Health |
| January 2007 |
| 01/31/07 |
Widespread Probe Results and Review Notification - IA - RHHI - Home Health PPS Claims With a Primary Diagnosis of 920XX-924XX--Contusion With Intact Skin Surface |
| 01/24/07 |
Widespread Probe Notification - IA – FI - Skilled Nursing Facility PPS |
| 01/24/07 |
Widespread Probe Results and Review Notification – IA – FI Skilled Nursing Facility (SNF) PPS and Swing Bed (SB) Claims With a RUG-III Code CAXX2, CAXX3, and CAXX4 |
| 01/18/07 |
Widespread Probe Review Results Edit Reason Code 5101V - AL - FI - Review of CPT 90801 (Psychiatric Diagnostic Interview Examination) |
| 01/12/07 |
Educational Notification to Medicare Part A Providers of the Appropriate Billing of Drug Wastage - CORRECTION |
| 01/12/07 |
Educational Notification to Medicare Part A Providers of Incorrect Billing of Multiple Units/Multiple Claim Lines per Date of Service of CPT Code 94664 |
| 01/10/07 |
Educational Notification to Medicare Part A Providers of Outpatient Therapy Services of the Appropriate Use of Occurrence Codes and Value Codes |
| 01/04/07 |
Attention: Reason Code 32114 Requires Your Facility’s Zip Code |
