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Revised 2008 Medicare Physician Fee Schedule A Revised 2008 Medicare Physician Fee Schedule has been published online for dates of service July 1, 2008 - December 31, 2008. Published Online: Thursday, July 03, 2008

News from CMS: Questions and Answers on Announced 10 Day Hold Reference: CMS List-Serv Message 070208 The Questions and Answers below apply to the recent decision by the Centers for Medicare & Medicare Services to hold for up to 10 business days claims paid under the Medicare physician fee schedule (MPFS) that contain July 2008 dates of service. Published Online: Thursday, July 03, 2008

2008 Physician Quality Reporting Initiative (PQRI) - National Provider Call to Held on July 9th - Reminder Reference: CMS List-Serv Message 070208 The Centers for Medicare & Medicaid Services (CMS), Provider Communications Group, will host the fifth in a series of national provider conference calls on the 2008 Physician Quality Reporting Initiative (PQRI). This toll-free call will take place from 3:30 p.m. – 5:00 p.m., EDT, on Wednesday, July 9, 2008. This call will provide information on accessing your 2007 PQRI Feedback Report (for those of you who participated in 2007); an overview of the 2008 PQRI participation options, and a question and answer session. Published Online: Thursday, July 03, 2008

The Medicare DMEPOS Competitive Bidding Program is Here! Reference: CMS List-Serv Message 070108 As of Tuesday, July 1, 2008, the Supplier Directory on www.medicare.gov has been updated to reflect the start of the DMEPOS Competitive Bidding program in certain areas of the country. Users can begin their search on the Supplier Directory by entering their zip code. Product categories in that zip code that are competitive bid are identified, and special messaging will let users know if they have chosen an applicable product in a Competitive Bid Area (CBA) and why that is important to know. Search results for CBAs are organized by city of the zip code that was entered, and then by state. Users can sort by Supplier Name, and whether or not the supplier is participating. The address and phone number of the supplier is available. Users are encouraged to check the site frequently as CMS will be making regular updates during the start of this program. Published Online: Wednesday, July 02, 2008

Expiration of Therapy Cap Exceptions Reference: CMS List-Serv Message 070108 The exceptions to outpatient therapy caps expire on June 30, 2008. Outpatient therapy service providers should not submit claims with the KX modifier for services furnished on or after July 1, 2008. To the extent possible, CMS is working with Congress, health care providers, and the beneficiary community to avoid disruption in the delivery of health care services and payment of outpatient physical therapy, occupational therapy and speech-language pathology claims for services furnished by physicians, non-physician practitioners, and therapists paid under the physician fee schedule, beginning July 1. For physical therapy and speech language pathology services combined, the limit on incurred expenses is $1810. For occupational therapy services, the limit is $1810. Deductible and coinsurance amounts applied to therapy services count toward the amount accrued before a cap is reached. Therapy cap accruals began on January 1, 2008, and some patients may have reached the annual limits by June 30, 2008. Published Online: Wednesday, July 02, 2008

National Competitive Bidding (NCB) for DMEPOS, Medicare Summary Notice and Remittance Advice Messages Reference: Trans. 1542, CR #6159, Pub. 100-04 Currently, Medicare payment for most durable medical equipment, prosthetics, orthotics, and supplies (DMEPOS) is based on fee schedules. However, §302(b) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA), which amended §1847 of the Social Security Act (the Act), mandates competitive bidding programs to replace the current DMEPOS fee schedule payment amounts for selected items. Published Online: Wednesday, July 02, 2008

Medicare Provides Coverage of Diabetes Screening Tests - Reminder Reference: CMS List-Serv Message 070208 The Centers for Medicare & Medicaid Services (CMS) has released the following MLN Matters article, SE0821 Reminder - Medicare Provides Coverage of Diabetes Screening Tests http://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0821.pdf. This article reminds health care professionals that Medicare pays for diabetes screening tests for eligible beneficiaries and provides the correct procedure and diagnosis codes and modifier to use when filing claims for this screening service. Published Online: Wednesday, July 02, 2008

June 2008 Medicare Part A Providers' Newsletter The June 2008 Part A Medicare Providers' Newsletter has been posted online. Published Online: Tuesday, July 01, 2008

June 2008 Medicare Part B Providers' Newsletter The June 2008 Part B Medicare Providers' Newsletter has been posted online. Published Online: Tuesday, July 01, 2008

Quarterly Provider Update Reference: AB-03-075, CR# 2686 By publishing this Update, the Centers for Medicare & Medicaid Services' (CMS) intend to make it easier for providers, suppliers, and the general public to understand the changes we are proposing or making in the programs we administer (for example, Medicare, Medicaid, and the State Children's Health Insurance Program.(SCHIP) CMS publishes this Update at the beginning of each quarter to inform the public about the following: Regulations and major policies currently under development during this quarter, Regulations and major policies completed or cancelled, and New/Revised manual instructions. Published Online: Tuesday, July 01, 2008

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