February 1, 2010, Home Health & Hospice Medicare A ... - CGS

use and while they may serve other uses, CMS does not offer to maintain this product for purposes otherthan Medicare Fee-for-Service. You can find these documents athttp://www.cms.hhs.gov/MFFS5010D0/20_Technical%20Documentation.asp#TopOfPage on the CMS Website.Additional InformationThe official instruction, CR 6721, issued to your carrier, FI, A/B MAC, RHHI, and DME MAC regardingthis change may be viewed at http://www.cms.hhs.gov/Transmittals/downloads/R623OTN.pdf on the CMSWeb site.You can also review the Final Rule as published in the Federal Register on January 16, 2009, by theDepartment of Health and Human Services 45 CFR Part 162, Subpart N—Health Care Claim Status athttp://edocket.access.gpo.gov/2009/pdf/E9-740.pdf on the Internet.You can find more information about HIPAA Version 5010 and NCPDP Version D.0. athttp://www.cms.hhs.gov/ElectronicBillingEDITrans/18_5010D0.asp on the CMS Web site. A specialedition MLN Matters ® article, SE0832, on the ICD-10 code set is available athttp://www.cms.hhs.gov/MLNMattersArticles/downloads/SE0832.pdf on the CMS Web site.DisclaimerThis article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article maycontain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be ageneral summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review thespecific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT onlycopyright 2009 American Medical Association.Coverage of Kidney Disease Patient Education ServicesThe Centers for Medicare & Medicaid Services (CMS) has provided the following Medicare LearningNetwork (MLN) Matters article. This MLN Matters article and other CMS articles can be found on theCMS Web site at: http://www.cms.hhs.gov/MLNMattersArticlesMLN Matters ® Number: MM6557 Related Change Request (CR) #: 6557Related CR Release Date: December 18, 2009 Effective Date: January 1, 2010Related CR Transmittal #: R1876CP and R117BP Implementation Date: April 5, 2010Provider Types AffectedThis article affects physicians, providers, and suppliers submitting claims to Medicare contractors (carriers,fiscal intermediaries (FIs), A/B Medicare administrative contractors (A/B MACs), and/or regional homehealth intermediaries (RHHIs)) for Kidney Disease Education services provided to Medicare beneficiariesdiagnosed with Stage IV chronic kidney disease (CKD).Provider Action Needed STOP – Impact to YouThis article is based on CR 6557 which implements Kidney Disease Education (KDE) Services as aMedicare Part B covered benefit for Medicare beneficiaries diagnosed with Stage IV CKD.Home Health & Hospice February 1, 2010 6Medicare A Newsline Vol. 17, No. 5