tci Medicare Compliance & Reimbursement - 2005 Issue 2

PROGRAM TRANSMITTAL ROUNDUP

The Centers for Medicare & Medicaid Services said in an Oct. 29 transmittal (CR 3551) that the Common Working File will implement a new edit on April 1, 2005, to check for duplicate claims for referred clinical diagnostic laboratory and purchased diagnostic services that physicians or suppliers submit to more than one carrier.In other recent transmittals, CMS:   instructs Durable Medical Equipment Regional Carriers (DMERCs) to use the 2004 MMA Payment Limits Pricing File when pricing the drug, Treprostinil, starting Nov. 29 (CR 3533); modifies the Fiscal Intermediary Standard System (FISS) to ensure the Common Working File (CWF)...

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