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Publication Year: 2020 2019 2018 2017 2016 2015 2014 2013 2012 2011 2010 2009 2008 2007 2006 2005 2004 2003 2002 2001 2000 1999 1998 1997
Modified: 12/22/1997
A hospital’s discharge plan shall not specify or limit access to qualified HHAs and it must identify any provider or...
Modified: 12/19/1997
Providers should review these instructions and make the necessary changes to their operations to be compliant.
Modified: 12/16/1997
This edition includes information on how to determine the reasonable cost of ambulance services furnished by a provider.
Modified: 12/13/1997
Numerous research studies have demonstrated the correlation between adequacy of dialysis and health care outcomes.
Modified: 12/12/1997
Medicare will cover colorectal cancer screening test/procedures for the early detection of colorectal cancer.
Modified: 12/1/1997
The HCFA has announced the new deductible and coinsurance amounts for calendar year 1998.
Modified: 11/26/1997
This edition includes updates regarding medical review initiatives.
Modified: 11/19/1997
The purpose of this bulletin is to clarify Health Care Financing Administration (HCFA) regulations with regard to billing of contrast material.
Modified: 11/5/1997
The Office of the Inspector General (OIG) keeps public records of individuals/entities that are excluded from reimbursement under Medicare (Title XVIII of the Social Security Act).
Modified: 11/3/1997
HCFA requires fiscal intermediaries to review 100% of all SNF demand bills.
Modified: 10/22/1997
This edition includes final LMRPs A80162, A83036, and A87086, and revisions to A99183.
Modified: 9/25/1997
Extension of the limitation on payment for services to individuals entitled to benefits on the basis of end stage renal disease (ESRD) who are covered by group health plans (GHP).
Modified: 9/5/1997
HCFA’s instructions signified that reporting code G0051 plus code G0052 would be equal to the reporting of the destruction of 14 lesions.
Modified: 8/29/1997
This edition focuses on the high denial rate for diagnostic mammography services despite a lower claim submission total.
Modified: 8/8/1997
Medicare Part A, Blue Cross and Blue Shield of Florida, Inc., is pleased to announce that we acquired AFLAC as a new trading partner under the COB process.
Modified: 7/25/1997
The purpose of this bulletin to reiterate instructions requiring CMHC providers to utilize TOB 76X, effective April 1, 1997.
Modified: 7/23/1997
The purpose of this bulletin is to clarify billing by certified independent dialysis facilities for separately billable laboratory test.
Modified: 7/17/1997
The purpose of this bulletin is to clarify information regarding the reporting of outpatient ASC procedures and...
Modified: 7/15/1997
The ARU will allow our provider customers to obtain information via the ARU without speaking directly to a Customer Service Representative (CSR).
Modified: 7/2/1997
Medicare Part A, Blue Cross and Blue Shield of Florida, Inc., is pleased to announce that we acquired Pioneer Life Insurance Co. as a new trading partner under the COB process.
Modified: 6/26/1997
In the spirit of continuous improvement, and with a need to involve more providers, we have redesigned our provider communication process.
Modified: 6/24/1997
In accordance with HCFA instructions, the intermediary begins its count on the day after the day of receipt.
Modified: 6/16/1997
The purpose of this bulletin is to advise providers that HCFA has delayed the implementation of codes until January 1, 1998.
Modified: 6/13/1997
The purpose of this bulletin is to ensure providers are aware of these Medicare coverage issue regulations.
Modified: 6/11/1997
One of these revised procedures resulted in the establishment of a new report relative to your claim adjustment/cancel processing.
Modified: 6/4/1997
The purpose of this bulletin is to ensure that all Medicare hospital providers are aware of the repeal of the Pacemaker Registry.
Modified: 5/23/1997
Subsequent to the release of the revised instructions, HCFA has received numerous contacts requesting clarification of the medical review...
Modified: 5/16/1997
HCFA has placed strict limits on the amount of hours a beneficiary can be placed in outpatient observation.
Modified: 5/14/1997
The new value code (A4) is reported via the HCFA-1450 (UB-92) billing format, in form locators 39-41, when providers report...
Modified: 5/8/1997
The Medicare Part A fee schedules for drugs and/or pharmacy services are provided via this bulletin.
Modified: 5/5/1997
The OIG fraud alert (OIG 96-18) details fraud and abuse in the provision of services in nursing services.
Modified: 4/25/1997
This section is revised to indicate that reconstruction of the affected breast and the contralateral unaffected breast following a medically necessary mastectomy.
Modified: 4/22/1997
The purpose of this bulletin is to ensure that all Medicare hospital providers reporting outpatient PHP services are aware of revised reporting requirements.
Modified: 4/1/1997
The purpose of this bulletin is notify providers of payment calculation changes to EPO for ESRD patients.
Modified: 3/26/1997
Although this Fraud Alert has been widely circulated by the Fraud Unit, this bulletin distribution is an attempt to ensure that all Medicare Part A providers are aware of this potential fraud situation.
Modified: 3/13/1997
The purpose of this bulletin is to ensure providers are aware that Modified Barium Swallow studies are not covered when...
Modified: 3/12/1997
Considerable attention has been focused recently on treatments for breast cancer.
Modified: 3/5/1997
This edition includes revised instruction relating to billing for electrical nerve stimulation.
Modified: 2/28/1997
Effective March 1, 1997, the HCFA has revised the regulations regarding surgical dressings to reflect a change in billing and payment.
Modified: 2/25/1997
Medical review policy is a composite of statutory provisions, regulations, nationally published Medicare coverage policies, and LMRPs.
Modified: 2/20/1997
General Medicare Bulletin G-230, dated August 30, 1996, informed Medicare participating providers of the HCFA’s instructions pertaining to laboratory tests that are frequently...
Modified: 2/14/1997
This edition includes an update regarding a revised schedule for the customer contact center beginning March 3, 1997.
Modified: 2/5/1997
This section is revised to eliminate certain tests from the list of separately billable laboratory tests that...
Modified: 1/28/1997
The purpose of this bulletin is to ensure that all ESRD customers are aware that only the current versions of HCFA-382 should be used, and...
Modified: 1/24/1997
The purpose of this bulletin is to provide additional billing instructions for ambulance services.
Modified: 1/23/1997
General Medicare Bulletin G-253, published December 20, 1996, advised providers of specific revisions for radiology and other diagnostic changes.
Modified: 1/20/1997
The new non-medical AI applications, will eliminate the manual review of claims that suspend for specific claim edits within the FSS.
Modified: 1/17/1997
The purpose of this bulletin to is make providers aware that an additional outcome of the MSN implementation is the elimination of the...
Modified: 1/15/1997
Reason codes, and the text messages that define those codes, are used to explain why a claim may not have been paid in full.
Modified: 1/14/1997
The purpose of this bulletin is to ensure that all Medicare hospital and CMHC providers are aware of HCFA’s manualized instructions.
Modified: 1/12/1997
This provision requires Medicare participating Rural Health Clinics to have a quality assessment and performance improvement program (QAPI), effective January 1, 1998.
Modified: 1/10/1997
HCFA is proposing to implement PAYERID for Medicare only, on a voluntary basis for providers.
Modified: 1/9/1997
The purpose of this bulletin is to share HCFA’s information, in that HCFA has determined that an initial evaluation by a CMHC on-site at a SNF.
Modified: 1/7/1997
A study of elderly nursing home residents vaccinated with Fluogen from the recalled lots has shown that because of the reduced potency of the...
First Coast Service Options (First Coast) strives to ensure that the information available on our provider website is accurate, detailed, and current. Therefore, this is a dynamic site and its content changes daily. It is best to access the site to ensure you have the most current information rather than printing articles or forms that may become obsolete without notice.