CMS recently released Transmittal 123 (Change Request 6950) on April 30, 2010 on Determining Self-Administration of Drugs or Biologicals which took effect on April 30, 2010. Transmittal 123 provided contractors with updates to manual language related to the determination of self-administration of drugs and biologicals, to allow for other routes of administration besides injections to be considered as not usually self-administered based on some new drugs that were approved by the Food and Drug Administration.

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May 19, 2010

Per CPT guidelines, you may only report one “initial” vaccine administration code per day, regardless of the route of administration. Simple, straightforward, and easy to understand…right? 

 

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April 5, 2010

The OIG recently released a report entitled "Medicare Part D Payments For Beneficiaries In Part A Skilled Nursing Facility Stays In 2006."  The purpose of the review was to determine the extent to which Medicare Part D paid for drugs for beneficiaries in Part A SNF stays in 2006.  The OIG found that Part D payments were widespread among SNFs and ph

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June 8, 2009

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