The Centers for Medicare & Medicaid Services (CMS) has issued a notification that describes changes to, and billing instructions for, payment policies implemented in the October 2008 ambulatory surgical center update. On October 3, CMS provided instructions on the calculation of reasonable charges for payment of claims for splints, casts, dialysis supplies, dialysis equipment, and intraocular lenses furnished in CY09. CMS has revised the Medicare Claims Processing Manual, Pub.100-04, Chapter 4, 240, to provide instructions regarding how contractors are to establish the payment for implanted prosthetic devices furnished to Medicare beneficiaries who are inpatients of hospitals paid under the OPPS when the beneficiary does not have Part A coverage on the date the device is implanted.
CMS Anonymous Healthcare Financial Management; Nov 2008; 62, 11; Docstoc pg. 12 Reproduced with permission of the copyright owner. Further
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