Transmittals

Transmittal 1678

• Clarifies that the old "excepted" diagnosis codes are not exclusive, but more likely to qualify for an exception than other codes.
• Clarifies use of the NEMB on page 23.

Med Learn Matters Article 6321

• Published on March 10 to clarify ABN requirements.
• Clarifies that users must use the new ABN form (CMS-R-131)
• Provides a link to download the new ABN form.

Med Learn Matters Article JA 6321

• Revision of MLN 6321 attempting to clarify.

Transmittal 1414: Clarifies Medicare Cap Exceptions Process for 2008

• Published Jan 17, 2008
• Change in the dollar limit (p. 7)
• Clarify what is meant by "automatic exceptions" (p.9)
• What is a condition vs. a complexity (p.10)
• Does diagnosis have to be "on the list" for patient to qualify for an exception? (No, p. 10)
• Conditions and Complexities that may qualify for a cap exception (p. 12)
• Using the ABN to notify patien that services will more than likely not be covered by Medicare (p. 25)

Transmittal 88: Therapy Personnel Qualifications and Policies Effective January 1, 2008

• Implementation Date: June 9, 2008
• Definitions
  • Active Participation of the clinician in treatment. (p. 7)
  • Certification (p.7)
  • Complexities (p. 8)
  • Evaluation and Re Evaluation (p. 8)
  • Certification Interval (p. 9)
  • Supervision Levels (p. 10)
• Contents of Plans of Care (p. 16)
• Duration and Frequency of Plans of Care (p. 17)
• Max time for approval of POC (p. 18)
• Delayed Certifications (p. 21)
• Documentation Requirements (p. 24)
• Evaluation Requirements (p. 27)
• Progress Report Requirements (p. 31)
• Treatment Note (Daily Progress Note) Requirements (p. 36)

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