Medicare B Newsline February 2007 Please Route

Medicare B Newsline

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February 2007

Average Sales Price (ASP)

Average Sales Price (ASP) January 2007 Quarterly Update

Clinical Laboratories

Clinical Laboratory Improvement Amendments (CLIA) Edits

Education From Electronic Data Interchange (EDI)

Electronic Data Interchange (EDI) Media Changes

Education From Medical Review

Approval For X STOP® Interspinous Process Decompression IDP) System

Education From Provider Enrollment

Medicare Fee for Service (FFS) Implementation of the National Provider Identifier (NPI)
NPI Billing Alert
NPI Countdown

Education From Provider Outreach and Education

Advanced Beneficiary Notices (ABNs)
Cahaba Government Benefit Administrators (GBA) E-mail Notification Service-Subscribe NOW
Cardiac Output Monitoring by Thoracic Electrical Bioimpedance (TEB) Correction to CR4136: New Waived Tests
How to Complete the Revised CMS-1500 (08/05) Claim Form Using Your National Provider Identifier (NPI) Number
Influenza Virus and the Pneumoccocal Vaccines Payment Allowances
IVIG Administration–Medicare Payment for Pre-administration-Related Services
Medically Unlikely Edits (MUEs)
Medicare Fee-for-Service (FFS) and Medicare Advantage (MA) Eligibility System Issues
Medicare Part B Provider Call Center Hours and Telephone Numbers
Private Contracting- Definition of Physician/Practitioner
Remittance Advice Remark Code and Claim Adjustment Reason Code Update
Revisions to Procedures to Establish Good Cause and Qualified Independent Contractor (QIC) Jurisdictions
Schedule of Upcoming Events
The New HHS National Clearinghouse for Long-Term Care Information Website

Fee Schedules

2007 Physician Fee Schedule Payment Policies
2007 Medicare Physician Fee Schedule Database (MPFSDB) – Emergency Update
2007 Medicare Physician Fee Schedule (MPFS) and Extension of the Participating Enrollment Period

General Medicare Questions for Patients/Beneficiaries

Holiday Schedule

Local Coverage Determinations (LCD) Updates

Creation or Revision of Arteriovenous Fistula
Colony Stimulating Factors
Hyaluronate Joint Injections

Medicare Secondary Payer (MSP)

Coordination of Medicare Secondary Payer (MSP) Claims for the Competitive Acquisition Program (CAP)

Medicare B Newsline Quality Survey

Therapy

Outpatient Therapy - Additional DRA Mandated Service Edit
Outpatient Therapy Cap Exception Process for 2007
Infrared Therapy Devices

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Remember that this newsletter, and all other Medicare publications, serves as your official notice of Medicare coverage and billing information. If you have any questions about the information included in this newsletter, please call your Provider Contact Center.

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CPT five digit codes, nomenclature and other data only are copyright 2005 American Medical Association. All rights reserved. No fee schedules, basic units, relative values or related listings are included in CPT. AMA does not directly or indirectly practice medicine or dispense medical services. The AMA assumes no liability for the data contained or not contained herein.