Phone: 734.717.1101
Email: info@gawendaseminars.com

Rules/Regulations

Outpatient

Release Date

Effective Date

Location

Topic

2008

July 7, 2008 January 1, 2009 2008 Federal Register CY 2009 Proposed Rule For Services Reimbursed Under the Medicare Physician Fee Schedule
February 29, 2008 April 1, 2008 2008 Transmittal 1470
CMS Pub 100-04, Chapter 12
Update to Audiology Policies
January 17, 2008 January 1, 2008 2008 Transmittal 1414
CMS Pub 100-04, Chapter 5
Outpatient Therapy Caps without KX Modifier Exceptions

2007

December 14, 2007 January 1, 2008 2007 Transmittal 1393
CMS Pub 100-04, Chapter 26
Revised Guidance for Completing Form CMS-1500
December 14, 2007 January 1, 2008 2007 Transmittal 49
CMS Pub 100-01, Chapter 3
Update to Medicare Deductible, Coinsurance and Premium Rates for 2008
October 5, 2007 January 1, 2008 2007 Federal Register Medicare Part B Monthly Actuarial Rates, Premium Rate, and Annual Deductible Beginning January 1, 2008
September 5, 2007 December 4, 2007 2007 Code of Federal Regulations Physicians' Referrals to Health Care Entities With Which They Have Financial Relationships; Final Rule
August 13, 2007 2007 Code of Federal Regulations Medicaid Program; Coverage for Rehabilitative Services-Proposed Rule

2006

December 29, 2006 January 1, 2007 2006 Transmittal 60
CMS Pub 100-02, Chapter15
Outpatient Therapy Documentation Updates & Outcome Measures
December 29, 2006 January 1, 2007 2006 Transmittal 1145
CMS Pub 100-04, Chapter 5
Outpatient Therapy Cap Exceptions Process for Calendar Year 2007
November 9, 2006 January 1, 2007 2006 Transmittal 1106
CMS Pub 100-04, Chapter 5
2007 Therapy Cap Update
November 9, 2006 January 1, 2007 2006 Transmittal 60
CMS Pub 100-02, Chapter 15
Outpatient Therapy Documentation Updates
July 28, 2006 January 1, 2007 2006 Transmittal 1016
CMS Pub 100-04, Chapter 5
CMS Further Clarifies "8 Minute Rule": Adds New Edits
June 15, 2006 April 1, 2006 MedLearnMatters KX Modifier Update
January 10, 2006 November 21, 2005 2006 Transmittal 16
CMS Pub 100-07, Chapter 2
Rehab Agency and CORF Update & Changes
January 6, 2006 January 1, 2006 2006 Transmittal 805
CMS Pub 100-4, Chapter 5
2006 Update to the Therapy Code List

2005

November 21, 2005 January 1, 2006 2005 Federal Register 2006 Final Rule for Payment Under the MPFS
November 18, 2005 January 1, 2006 CMS Transmittal 759
CMS Pub 100-4, Chapter 5
Therapy Caps to be Effective January 1, 2006
August 8, 2005 NA 2005 Federal Register 2006 Proposed Rule For Payment Under the MPFS
June 30, 2005 July 1, 2005 2005 Federal Register Claims Appeals Procedures; Changes
June 24, 2005 June 6, 2005 2005 Transmittal 36
CMS Pub 100-02
CMS Updated Therapy Manual
May 6, 2005 June 6, 2005 2005 Transmittal 34
CMS Pub 100-02
CMS Clarifies/Re-organizes Therapy Section of Manual
March 25, 2005 May 1, 2005 2005 Transmittal 146
CMS Pub 100-20
Medicare Appeals Transition
March 8, 2005 ay 1, 2005 2005 Federal Register Medicare Appeals Procedures; Interim Final Rule
February 18, 2005 April 1, 2005 2005 Transmittal 105
CMS Pub 100-08
The Medically Unbelievable Edits
February 4, 2005 January 1, 2006 2005 Transmittal 468
CMS Pub 100-04
New Appeals Process For Private Practices
February 4, 2005 January 3, 2005 2005 Transmittal 463, CMS Pub 100-04, Medicare Claims Processing Manual Update To Therapy Code Lists
January 21, 2005 February 1, 2005 2005 Transmittal 100
CMS Pub 100-08
Review of Documentation During Medical Review

2004

November 15, 2004

January 1, 2005

2004 Federal Register

2005 Medicare Physician Fee Schedule; Final Rule

October 22, 2004

April 4, 2005

2004 Transmittal 319, CMS Pub 100-04, Medicare Claims Processing Manual

Therapy Supply Billing: Q codes for splints

September 24, 2004

October 25, 2004

2004 Transmittal 21, CMS Pub. 100-2 Medicare Benefit Policy Manual

Medicare CORF Coverage

August 5, 2004

2004 Federal Register

2005 Proposed Rule For Payment Under The MPFS

June 18, 2004

October 4, 2004

2004 Transmittal 17, CMS Pub. 100-02 Medicare Benefit Policy Manual

Incident-To Services On Form CMS-1500

March 26, 2004

July 26, 2004

2004 Federal Register

Physician Self Referral Interim Final Rule

March 19, 2004

July 1, 2004

2004 Transmittal 7, CMS Pub. 100-03 Medicare National Coverage Determinations

Electromagnetic Therapy National Coverage Decision

March 19, 2004

July 1, 2004

2004 Transmittal 124, CMS Pub. 100-04 Medicare Claims Processing

Electromagnetic Therapy for Treatment of Wounds

January 9, 2004

Unknown

CMS Pub 100-2 Medicare Benefit Policy

Physician Visit Requirement and Recertification Timeframe

2003

November 7, 2003

January 1, 2004

2003 Federal Register

2004 Medicare Physician Fee Schedule Final Rule

August 8, 2003

N/A

2003 Federal Register

2004 Medicare Physician Fee Schedule Proposed Rule

July 25, 2003

July 1, 2002

2003 Federal Register

Noncontact Normothermic Wound Coverage NCD

N/A

Current

CMS Pub 100-2 Medicare Benefit Policy

Medicare Benefit Policy Manual