June 23, 2000
Medi-806-00
TO: ALL MEDICARE PROVIDERS
SUBJECT: SCHEDULE DATES
PRIMARY INTEREST: BUSINESS OFFICE MANAGERS
IMPORTANT INFORMATION
PLEASE SHARE WITH APPROPRIATE STAFF
The Health Care Financing Administration has announced revised implementation and/or effective date for the following items due to the complexities involved in making the related system changes necessary for implementation.
A. Original Implementation/Original Effective Date
1) The following items will be implemented by all Medicare contractors on July 3, as originally planned. In the event the contractor implementation date is delayed beyond July 3, we will issue a notification.
|
ORIGINAL ANNOUNCEMENT |
TOPIC |
EFFECTIVE DATE |
NEW IMPLEMENTATION DATE |
|
Medi-789-00 |
Medicare + Choice |
7/3/00 |
7/3/00 |
|
ORIGINAL ANNOUNCEMENT |
TOPIC |
EFFECTIVE DATE |
IMPLEMENTATION EFFECTIVE DATE |
|
Medi 761-00 |
Payment of CORF Services under MPFS |
7/1/00 |
8/14/00 |
|
Medi 777-00 |
Hospital Outpatient Radiology Services |
1/1/00 |
8/14/00 |
B. Delayed Implementation/Delayed Effective Date
All Medicare contractors will implement the following items on 8/14/00. The effective date of the provision is being revised from the date originally communicated to the providers. In the event the contractor implementation date is delayed beyond 8/14/00, we will issue a notification.
|
ORIGINAL ANNOUNCEMENT |
TOPIC |
ORIGINAL EFFECTIVE DATE |
NEW IMPLEMENTATION & EFFECTIVE DATE |
|
Medi 783-00 |
Pneumococcal Vaccine |
7/1/00 |
8/14/00 |
|
Medi 791-00 Medi 794-00 |
UB92 Version 6.0 |
7/1/00 |
8/14/00 |
|
Medi 762-00 |
Religious Non Medical Health Care Institutions |
7/1/00 |
8/14/00 |
|
Medi 764-00 |
Oral Cancer & Anti-Nausea Drugs |
1/1/00 |
8/14/00 |
|
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|
|
|
|
C. New Effective/Delayed Implementation Date In these type cases, claims will continue to be processed as they are today until the effective date of August 1, 2000. All hospital outpatient PPS claims with dates of service of August 1, 2000, or later, must be held for the period of August 1, 2000 until the August 14 implementation of this release. (Claims for dates of service prior to August 1 are not covered by the PPS and can be processed under the existing systems.) The following bill types, when containing dates of service of August 1, 2000, or later, are subject to outpatient PPS: All outpatient hospital Part B bills (bill types 12X, 13X), with the exception of bills from hospitals in Maryland, Indian health service, CAH bills, and hospitals in American Samoa, Guam, and Saipan; CMHC bills (bill type 76X); CORF and HHA bills containing certain HCPCS codes as described in "New HCPCS Coding Requirements for CORF and HHAs" (bill types 75X OR 34X); and Any bill containing a condition code 07 with certain HCPCS codes as described in "New HCPCS Coding Requirements for CORF and HHAs".
|
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Medi 781-00 Medi 786-00 Medi 793-00 Medi 797-00 Medi 798-00 Medi 804-00 |
Outpatient PPS Contractors are instructed to hold all bill types subject to OP PPS for the period 8/1/00 until the 8/14/00 implementation. |
7/1/00 |
8/1/00 |
|
Medi 780-00 Medi 803-00 |
Outpatient Code Editor |
7/1/00 |
8/1/00 |
THIS BULLETIN SHOULD BE SHARED WITH ALL HEALTH CARE PRACTITIONERS AND MANAGERIAL MEMBERS OF THE PROVIDER STAFF. NO COST COPIES ARE ALSO AVAILABLE FROM OUR WEB SITE AT riverbendgba.com
Please refer any questions to our office at (423) 755-5950.
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