80_FR_23092 80 FR 23013 - Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-January through March 2015

80 FR 23013 - Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-January through March 2015

DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services

Federal Register Volume 80, Issue 79 (April 24, 2015)

Page Range23013-23026
FR Document2015-09539

This quarterly notice lists CMS manual instructions, substantive and interpretive regulations, and other Federal Register notices that were published from January through March 2015, relating to the Medicare and Medicaid programs and other programs administered by CMS.

Federal Register, Volume 80 Issue 79 (Friday, April 24, 2015)
[Federal Register Volume 80, Number 79 (Friday, April 24, 2015)]
[Notices]
[Pages 23013-23026]
From the Federal Register Online  [www.thefederalregister.org]
[FR Doc No: 2015-09539]


-----------------------------------------------------------------------

DEPARTMENT OF HEALTH AND HUMAN SERVICES

Centers for Medicare & Medicaid Services

[CMS-9091-N]


Medicare and Medicaid Programs; Quarterly Listing of Program 
Issuances--January through March 2015

AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.

ACTION: Notice.

-----------------------------------------------------------------------

SUMMARY: This quarterly notice lists CMS manual instructions, 
substantive and interpretive regulations, and other Federal Register 
notices that were published from January through March 2015, relating 
to the Medicare and Medicaid programs and other programs administered 
by CMS.

FOR FURTHER INFORMATION CONTACT: It is possible that an interested 
party may need specific information and not be able to determine from 
the listed information whether the issuance or regulation would fulfill 
that need. Consequently, we are providing contact persons to answer 
general questions concerning each of the addenda published in this 
notice.

----------------------------------------------------------------------------------------------------------------
                    Addenda                                         Contact                       Phone number
----------------------------------------------------------------------------------------------------------------
I CMS Manual Instructions......................  Ismael Torres...............................     (410) 786-1864
II Regulation Documents Published in the         Terri Plumb.................................     (410) 786-4481
 Federal Register.
III CMS Rulings................................  Tiffany Lafferty............................      (410)786-7548
IV Medicare National Coverage Determinations...  Wanda Belle.................................     (410) 786-7491
V FDA-Approved Category B IDEs.................  John Manlove................................     (410) 786-6877
VI Collections of Information..................  Mitch Bryman................................     (410) 786-5258
VII Medicare -Approved Carotid Stent Facilities  Lori Ashby..................................     (410) 786-6322
VIII American College of Cardiology-National     Marie Casey, BSN, MPH.......................     (410) 786-7861
 Cardiovascular Data Registry Sites.
IX Medicare's Active Coverage-Related Guidance   JoAnna Baldwin..............................     (410) 786-7205
 Documents.
X One-time Notices Regarding National Coverage   JoAnna Baldwin..............................     (410) 786-7205
 Provisions.
XI National Oncologic Positron Emission          Stuart Caplan, RN, MAS......................     (410) 786-8564
 Tomography Registry Sites.
XII Medicare-Approved Ventricular Assist Device  Marie Casey, BSN, MPH.......................     (410) 786-7861
 (Destination Therapy) Facilities.
XIII Medicare-Approved Lung Volume Reduction     Marie Casey, BSN, MPH.......................     (410) 786-7861
 Surgery Facilities.
XIV Medicare-Approved Bariatric Surgery          Jamie Hermansen.............................     (410) 786-2064
 Facilities.
XV Fluorodeoxyglucose Positron Emission          Stuart Caplan, RN, MAS......................     (410) 786-8564
 Tomography for Dementia Trials.
All Other Information..........................  Annette Brewer..............................     (410) 786-6580
----------------------------------------------------------------------------------------------------------------


SUPPLEMENTARY INFORMATION:

I. Background

    The Centers for Medicare & Medicaid Services (CMS) is responsible 
for administering the Medicare and Medicaid programs and coordination 
and oversight of private health insurance. Administration and oversight 
of these programs involves the following: (1) Furnishing information to 
Medicare and Medicaid beneficiaries, health care providers, and the 
public; and (2) maintaining effective communications with CMS regional 
offices, state governments, state Medicaid agencies, state survey 
agencies, various providers of health care, all Medicare contractors 
that process claims and pay bills, National Association of Insurance 
Commissioners (NAIC), health insurers, and other stakeholders. To 
implement the various statutes on which the programs are based, we 
issue regulations under the authority granted to the Secretary of the 
Department of Health and Human Services under sections 1102, 1871, 
1902, and related provisions of the Social Security Act (the Act) and 
Public Health Service Act. We also issue various manuals, memoranda, 
and statements necessary to administer and oversee the programs 
efficiently.
    Section 1871(c) of the Act requires that we publish a list of all 
Medicare manual instructions, interpretive rules, statements of policy, 
and guidelines of general applicability not issued as regulations at 
least every 3 months in the Federal Register.

II. Format for the Quarterly Issuance Notices

    This quarterly notice provides only the specific updates that have 
occurred in the 3-month period along with a hyperlink to the full 
listing that is available on the CMS Web site or the appropriate data 
registries that are used as our resources. This is the most current up-
to-date information and will be available earlier than we publish our 
quarterly notice. We believe the Web site list provides more timely 
access for beneficiaries, providers, and suppliers. We also believe the 
Web site offers a more convenient tool for the public to find the full 
list of qualified providers for these specific services and offers more 
flexibility and ``real time'' accessibility. In addition, many of the 
Web sites have listservs; that is, the public can subscribe and receive 
immediate notification of any updates to the Web site. These listservs 
avoid the need to check the Web site, as notification of updates is 
automatic and sent to the subscriber as they occur. If assessing a Web 
site proves to be difficult, the contact person listed can provide 
information.

[[Page 23014]]

III. How To Use the Notice

    This notice is organized into 15 addenda so that a reader may 
access the subjects published during the quarter covered by the notice 
to determine whether any are of particular interest. We expect this 
notice to be used in concert with previously published notices. Those 
unfamiliar with a description of our Medicare manuals should view the 
manuals at http://www.cms.gov/manuals.

    Dated: April 20, 2015.
Kathleen Cantwell,
Director, Office of Strategic Operations and Regulatory Affairs.

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[FR Doc. 2015-09539 Filed 4-23-15; 8:45 am]
BILLING CODE 4120-01-P



                                                                                         Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices                                                                               23013

                                                 Dated: April 21, 2015.                                                 DEPARTMENT OF HEALTH AND                                                     and interpretive regulations, and other
                                              William N. Parham, III,                                                   HUMAN SERVICES                                                               Federal Register notices that were
                                              Director, Paperwork Reduction Staff, Office                                                                                                            published from January through March
                                              of Strategic Operations and Regulatory                                    Centers for Medicare & Medicaid                                              2015, relating to the Medicare and
                                              Affairs.                                                                  Services                                                                     Medicaid programs and other programs
                                              [FR Doc. 2015–09591 Filed 4–23–15; 8:45 am]                               [CMS–9091–N]                                                                 administered by CMS.
                                              BILLING CODE 4120–01–P
                                                                                                                        Medicare and Medicaid Programs;                                              FOR FURTHER INFORMATION CONTACT:    It is
                                                                                                                        Quarterly Listing of Program                                                 possible that an interested party may
                                                                                                                        Issuances—January through March                                              need specific information and not be
                                                                                                                        2015                                                                         able to determine from the listed
                                                                                                                                                                                                     information whether the issuance or
                                                                                                                        AGENCY: Centers for Medicare &                                               regulation would fulfill that need.
                                                                                                                        Medicaid Services (CMS), HHS.                                                Consequently, we are providing contact
                                                                                                                        ACTION: Notice.                                                              persons to answer general questions
                                                                                                                               This quarterly notice lists
                                                                                                                        SUMMARY:                                                                     concerning each of the addenda
                                                                                                                        CMS manual instructions, substantive                                         published in this notice.

                                                                                                                 Addenda                                                                                        Contact                Phone number

                                              I CMS Manual Instructions ..................................................................................................................            Ismael Torres ..............     (410) 786–1864
                                              II Regulation Documents Published in the Federal Register .............................................................                                 Terri Plumb .................    (410) 786–4481
                                              III CMS Rulings ....................................................................................................................................    Tiffany Lafferty ............     (410)786–7548
                                              IV Medicare National Coverage Determinations .................................................................................                          Wanda Belle ................     (410) 786–7491
                                              V FDA-Approved Category B IDEs .....................................................................................................                    John Manlove ..............      (410) 786–6877
                                              VI Collections of Information ................................................................................................................          Mitch Bryman ..............      (410) 786–5258
                                              VII Medicare –Approved Carotid Stent Facilities .................................................................................                       Lori Ashby ...................   (410) 786–6322
                                              VIII American College of Cardiology-National Cardiovascular Data Registry Sites ...........................                                             Marie Casey, BSN,                (410) 786–7861
                                                                                                                                                                                                         MPH.
                                              IX Medicare’s Active Coverage-Related Guidance Documents ..........................................................                                     JoAnna Baldwin ..........        (410) 786–7205
                                              X One-time Notices Regarding National Coverage Provisions ...........................................................                                   JoAnna Baldwin ..........        (410) 786–7205
                                              XI National Oncologic Positron Emission Tomography Registry Sites ...............................................                                       Stuart Caplan, RN,               (410) 786–8564
                                                                                                                                                                                                         MAS.
                                              XII Medicare-Approved Ventricular Assist Device (Destination Therapy) Facilities ............................                                           Marie Casey, BSN,                (410) 786–7861
                                                                                                                                                                                                         MPH.
                                              XIII Medicare-Approved Lung Volume Reduction Surgery Facilities ..................................................                                      Marie Casey, BSN,                (410) 786–7861
                                                                                                                                                                                                         MPH.
                                              XIV Medicare-Approved Bariatric Surgery Facilities ...........................................................................                          Jamie Hermansen .......          (410) 786–2064
                                              XV Fluorodeoxyglucose Positron Emission Tomography for Dementia Trials ...................................                                              Stuart Caplan, RN,               (410) 786–8564
                                                                                                                                                                                                         MAS.
                                              All Other Information ............................................................................................................................      Annette Brewer ...........       (410) 786–6580



                                              SUPPLEMENTARY INFORMATION:                                                authority granted to the Secretary of the                                    as our resources. This is the most
                                                                                                                        Department of Health and Human                                               current up-to-date information and will
                                              I. Background
                                                                                                                        Services under sections 1102, 1871,                                          be available earlier than we publish our
                                                The Centers for Medicare & Medicaid                                     1902, and related provisions of the                                          quarterly notice. We believe the Web
                                              Services (CMS) is responsible for                                         Social Security Act (the Act) and Public                                     site list provides more timely access for
                                              administering the Medicare and                                            Health Service Act. We also issue                                            beneficiaries, providers, and suppliers.
                                              Medicaid programs and coordination                                        various manuals, memoranda, and                                              We also believe the Web site offers a
                                              and oversight of private health                                           statements necessary to administer and                                       more convenient tool for the public to
                                              insurance. Administration and oversight                                   oversee the programs efficiently.                                            find the full list of qualified providers
                                              of these programs involves the                                              Section 1871(c) of the Act requires                                        for these specific services and offers
                                              following: (1) Furnishing information to                                  that we publish a list of all Medicare                                       more flexibility and ‘‘real time’’
                                              Medicare and Medicaid beneficiaries,                                      manual instructions, interpretive rules,                                     accessibility. In addition, many of the
                                              health care providers, and the public;                                    statements of policy, and guidelines of
                                              and (2) maintaining effective                                                                                                                          Web sites have listservs; that is, the
                                                                                                                        general applicability not issued as
                                              communications with CMS regional                                                                                                                       public can subscribe and receive
                                                                                                                        regulations at least every 3 months in
                                              offices, state governments, state                                         the Federal Register.                                                        immediate notification of any updates to
                                              Medicaid agencies, state survey                                                                                                                        the Web site. These listservs avoid the
                                              agencies, various providers of health                                     II. Format for the Quarterly Issuance                                        need to check the Web site, as
                                              care, all Medicare contractors that                                       Notices                                                                      notification of updates is automatic and
                                              process claims and pay bills, National                                      This quarterly notice provides only                                        sent to the subscriber as they occur. If
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                                              Association of Insurance Commissioners                                    the specific updates that have occurred                                      assessing a Web site proves to be
                                              (NAIC), health insurers, and other                                        in the 3-month period along with a                                           difficult, the contact person listed can
                                              stakeholders. To implement the various                                    hyperlink to the full listing that is                                        provide information.
                                              statutes on which the programs are                                        available on the CMS Web site or the
                                              based, we issue regulations under the                                     appropriate data registries that are used




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                                              23014                            Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices

                                              III. How To Use the Notice                              We expect this notice to be used in                     Dated: April 20, 2015.
                                                This notice is organized into 15                      concert with previously published                     Kathleen Cantwell,
                                              addenda so that a reader may access the                 notices. Those unfamiliar with a                      Director, Office of Strategic Operations and
                                              subjects published during the quarter                   description of our Medicare manuals                   Regulatory Affairs.
                                              covered by the notice to determine                      should view the manuals at http://
                                              whether any are of particular interest.                 www.cms.gov/manuals.
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                                  Publication Dates for the Previous Four Quarterly Notices                designated libraries throughout the United States. Some FDLs may have
                                     We publish this notice at the end of each quarter reflecting          arrangements to transfer material to a local library not designated as an
                           information released by CMS during the previous quarter. The publication        FDL. Contact any library to locate the nearest FDL. This information is
17:30 Apr 23, 2015




                           dates of the previous four Quarterly Listing of Program Issuances notices       available at =~'-"--'-'-'-''-""'"'-=-"=-'-'-'==::=
                           are: April25, 2014 (79 FR 22976), July 25, 2014 (79 FR 43475) and                         In addition, individuals may contact regional depository libraries
                           November 14, 2014 (79 FR 68253), and February 2, 2015 (80 FR 5537).             that receive and retain at least one copy of most federal government
                           For the purposes of this quarterly notice, we arc providing only the specific   publications, either in printed or microfilm form, for usc by the general




                                                                                                                                                                                                       Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices
                           updates that have occurred in the 3-month period along with a hyperlink to      public. These libraries provide reference services and interlibrary loans;
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                           the website to access this information and a contact person for questions or    however, they are not sales outlets. Individuals may obtain information
                           additional information.                                                         about the location of the nearest regional depository library from any
                                                                                                           library. CMS publication and transmittal numbers are shown in tl1e listing
                                  Addendum 1: Medicare and Medicaid Manual Instructions                    entitled Medicare and Medicaid Manual Instructions. To help FDLs locate
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                                                 (January through March 2015)                              tl1e materials, use tl1e CMS publication and transmittal numbers. For
                                     The CMS Manual System is used by CMS program components,              example, to find the Medicare National Coverage Determination
                           partners, providers, contractors, Medicare Advantage organizations, and         (CMS-Pub. 100-03) Transmittal No. 180.
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                           State Survey Agencies to administer CMS programs. It offers day-to-day                    Addendum I lists a unique CMS transmittal number for each
                           operating instructions, policies, and procedures based on statutes and          instruction in our manuals or program memoranda and its subject number.
                           regulations, guidelines, models, and directives. In 2003, we transformed the    A transmittal may consist of a single or multiple instruction(s). Often, it is
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                           CMS Program Manuals into a web user-friendly presentation and renamed           necessary to use information in a transmittal in conjunction with
                           it the CMS Online Manual System.                                                information currently in the manual. For the purposes of this quarterly
                                                                                                           notice, we list only the specific updates to the list of manual instructions
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                           How to Obtain Manuals                                                           that have occurred in the 3-month period. This information is available on
                                     The Internet-only Manuals (IOMs) are a replica of the Agency's        our website at.!.!..!.!....!.!.~~~"'-'-"~'-"""~·
                           official record copy. Paper-based manuals are CMS manuals that were
                           officially released in hardcopy. The majority of these manuals were
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                                                                                                           Transmittal                       Manual/Subject/Publication Number
                           transferred into the Internet-only manual (10M) or retired. Pub 15-1, Pub
                           15-2 and Pub 45 are exceptions to this rule and are still active paper-based                   Rescinds/Replaces CR 746S- Updated Instructions for the Change Request
                           manuals. The remaining paper-based manuals are for reference purposes                           Implementation Report (CRIR) and Technical Direction Letter (TDL)
                           only. If you notice policy contained in the paper-based manuals that was                        Sample Cover Letter/Attestation Statement
                           not transferred to the 10M, send a message via the CMS Feedback tool.                           CR Implementation Report (CRIR) Template
                                                                                                                           TDL Compliance Repmt (TCR) Template
                                     Those wishing to subscribe to old versions of CMS manuals should                      Contractor Implementation of Change Requests and Compliance with
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                           contact the National Technical Information Service, Department of                              Technical Direction Letters
                           Commerce, 5301 Shawnee Road, Alexandria, VA 22312 Telephone
                           (703-605-6050). You can download copies of the listed material free of
                           charge at: ~~~~""-l.!:.!.!!£~.!!.!2·                                                            Reoairs, Maintenance, Replacement, and De live
                                                                                                           204           I Updates to the Medicare Internet-Only Manual Chapters for Skilled Nursing
                           How to Review Transmittals or Program Memoranda                                                Facility (SNF) Providers
                                    Those wishing to review transmittals and program memoranda can                         Readmission to a SNF
                           access this information at a local Federal Depository Library (FDL). Under
                           the FDL program, government publications are sent to approximately 1,400                       National Coverage Detennination (NCD) for Single Chamber and Dual




                                                                                                                                                                                                       23015
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                                                                                                                                                                                                                                                   23016
                                                         Chamber Permanent Cardiac Pacemakers - This CR rescinds and fully                                3170   Issued to a specific audience, not posted to Intemet/Intranet due to a
                                                         replaces CR 8525 Single Chamber and Dual Chamber Permanent Cardiac                                      Confidentiality of Instruction
                                                         Pacemakers                                                                                       3171   Issued to a specific audience, not posted to Intemet/Intranet due to a
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                              180                        Removal of Multiple National Coverage Determinations Using Expedited                                    Confidentiality of Instruction
                                                         Process                                                                                          3172   Issued to a specific audience, not posted to Intemet/Intranet due to a
                           I ;;c\ ,,;,{ '\~ ']~'),i~'~                                                                       ~; 'i;':S('i' ls~1;1~~:)~i          Confidentiality of Instruction
                             3160                        Preventive and Screening Services -Update - Intensive Behavioral Therapy                         3173   Issued to a specific audience, not posted to Intemet/Intranet due to a
                                                         for Obesity, Screening Digital Tomosynthesis Mammography, and Anesthesia                                Confidentiality of Instruction




                                                                                                                                                                                                                                                   Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices
                                                         Associated with Screening Colonoscopy                                                            3174   Issued to a specific audience, not posted to Intemet/Intranet due to a
                                                          Table of Preventive and Screening Services                                                             Confidentiality of Instmction
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                                                          HCPCS and Diagnosis for Mammography Services                                                    3175   Percutaneous Image, guided Lumbar Decompression (PILD) for Lumbar
                                                          Screening Digital Tomosynthesis                                                                        Spinal Stenosis (LSS)-Blinded Clinical Trial- Follow-Up CR to Implement a
                                                          Claim Adjustment Reason Codes (CARCs), Remittance Advice Remark                                        Second Claims Processing Procedure Code
                                                         Codes (RARCs), Group Codes, and Medicare Summary Notice (MSN)                                    3176   Preventing Inappropriate Payments on Home Health Low Utilization Payment
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                                                         Messages                                                                                                Adjustment (LUP A) Claims
                                                          Payment Deductible and Coinsurance Policy                                                              HH PPS Claims
                                                          Common Working File (CWF) Edits                                                                          Request for Anticipated Payment (RAP)
                                                          Professional Billing Requirements                                                                        Adjustments of Episode Payment- Low Ctilization Payment Adjustments
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                                                          Claim Adjustment Reason Codes (CARCs), Remittance Advice Remark                                        (LUPAs)
                                                         Codes (RARCs), Group Codes, and Medicare Summary Notice (MSN)                                    3177   Updating CMS 10M 100-04, Chapter 26 with Specialty Code l:l1
                                                         Messages                                                                                                Nonphysician Practitioner, Supplier, and Provider Specialty Codes
                                                          Institutional Billing Requirements                                                              3178   Issued to a specific audience, not posted to Intemet/Intranet due to a
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                             3161                        Remittance Advice Remark and Claims Adjustment Reason Code and                                          Confidentiality of Instmction
                                                         Medicare Remit Easy Print and PC Print Update                                                    3179   Issued to a specific audience, not posted to Intemet/Intranet due to a
                             3162                        Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for Solid                                   Confidentiality of Instmction
                                                         Tumors (TI1is CR rescinds and fully replaces CR84G8/TR2873 dated February                        3180   April2015 Quarterly Average Sales Price (ASP) Medicare Part B Drug
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                                                         6, 2014)                                                                                                Pricing Files and Revisions to Prior Quarterly Pricing Files
                                                          Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for Solid                           11Sl   Implementation of New NlJRC Condition Code "51" "Initial placement of a
                                                         Tumors (This CR rescinds and fully replaces CR8468/TR2873 dated February                                medical device provided as part of a clinical trial or a free sample"
                                                         6, 2014)                                                                                                  Billing Requirements for Providers Billing Routine Costs of Clinical Trials
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                                                          Billing and Coverage Changes for PET Scans                                                             Involving a Category BIDE
                                                          Billing Requirements for CMS-Approved Clinical Trials and Coverage with                                  Billing No Cost Items Due to Recall, Replacement, or Free Sample
                                                         Evidence Claims for PET Scans for Neurodegenerative Diseases, Previously                                Reporting and Charging Requirements When a Device is Furnished Without
                                                         Specified Cancer Indications, and All Other Cancer Indications Not                                      Cost to the Hospital or When the Hospital Receives a Full or Partial Credit for
                                                         Previously Specit!ed                                                                                    the Replacement Device Beginning January 1, 2014
                             3163                        January 2015 Update of the Ambulatory Surgical Center (ASC) Payment                              3182   Healthcare Common Procedure Coding System (HCPCS) Codes Subject to
                                                         System                                                                                                  and I:xcluded from Clinical Laboratory hnprovement Amendments (CLIA)
                             3164                        Medicare Shared Systems Modifications Necessary to Capture Various                                      Edits
                                                         HIPAA Compliant Payments on the MPFS for Providers With Multiple
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                                                                                                                                                          3183   Issued to a specific audience, not posted to Intemet/Intranet due to a
                                                         Service Locations                                                                                       Confidentiality of Instmction
                             3165                        Issued to a specific audience, not posted to Intemet/Intranet due to a                           3184   Issued to a specific audience, not posted to Intemet/Intranet due to a
                                                         Confidentiality of Instruction                                                                          Confidentiality of Instmction
                             1166                        Emergency Update to the CY 2015 Medicare Physician Fee Schedule                                  3185   Issued to a specific audience, not posted to Internet/Intranet due to a
                                                         Database (MPFSDB)                                                                                       Confidentiality of Instmction
                             3167                        Modifications to the National Coordination of Benefits Agreement (COBA)                          3186   Issued to a specific audience, not posted to Intemet/Intranet due to a
                                                         Crossover Process                                                                                       Confidentiality of Instmction
                             3168                        Issued to a specific audience, not posted to Intemet/Intranet due to a                           3187   Language Only Update to Pub 100-04, Chapter 30 for ASC X12 and Claim
                                                         Confidentiality of Instruction                                                                          References
                             3169                        Clinical Laboratory Fee Schedule -Medicare Travel Allowance Fees for                                      Processing Initial Denials
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                                          Bill Processing                                                                   Services Rendered By Nonparticipating Providers
                                          Applicability ofthe Limitation on Liability Provision to Claims tor               Establishing an Emergency
                                         Ancillary, Outpatient Provider and Rural Health Clinic Services Payable            Qualifications of an Emergency Services Hospital
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                                         Under Part B                                                                       Coverage Requirements for Emergency Hospital Services in Foreign
                                          Preparation of Denial Notices                                                    Countries
                             3188        Issued to a specific audience, not posted to Intcrnct/Intranct due to a            Services Furnished in a Foreign Hospital Nearest to Beneficiary's U.S.
                                         Confidentiality of Instmction                                                     Residence
                             31S9        Clinical Laboratory Fee Schedule -Medicare Travel Allowance Fees for               Coverage of Physician and Ambulance Services Furnished Outside U.S.




                                                                                                                                                                                                         Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices
                                         Collection of Specimens                                                            Claims for Services Furnished in Canada to Qualified Railroad Retirement
                             3190        CY 2015 Update for Durable Medical Equipment, Prosthetics, Orthotics and          Beneficiaries
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                                         Supplies (DMEPOS) Fee Schedule                                                     Claims from Hospital-Leased Laboratories Not Meeting Conditions of
                             3191        Issued to a specific audience, not posted to Internet/Intranet due to a           Participation
                                         Confidentiality of Instmction                                                      l\onemergency Part B Medical and Other Health Services
                             3192        Issued to a specific audience, not posted to Internet/Intranet due to a            Elections to Dill for Services Rendered Dy l\onparticipating Hospitals
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                                         Confidentiality of Instmction                                                     Processing Claims
                             1191        Issued to a specific audience, not posted to lnternet/lntranet due to a            Contractors Designated to Process Foreign Claims
                                         Confidentiality of Instmction                                                      Contractor Processing Guidelines
                             3194        Update to the federally Qualified Ilealth Centers (fQIIC) Prospective              Medicare Approved Charges for Services Rendered in Canada or Mexico
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                                         Payment System (PPS)- Recurring File Updates                                      Acce<Sibility Criteria
                                                                                                                            Medical Necessity
                             3195        Final MSN Redesign-Related Update to Chapter 21 of the Medicare Claims
                                                                                                                            Time Limitation on Emergency and foreign Claims
                                         Processing Manual Basic Concepts and Approaches
                                                                                                                            Payment Denial for Medicare Services Furnished to Alien Beneficiaries
                                          Format Conventions for the MSN
                                                                                                                           Who Are Not Lawfully Present in the United States
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                                          Specifications for Section I: Summary (Page I)
                                          Specifications for Section 2: Making the Most of Your Medicare (Page 2)           Appeals on Claims for Emergency and Foreign Services
                                                                                                                            Payment for Services Received By Nonparticipating Providers
                                          Specifications for Section 3: Claims
                                                                                                                            Payment for Services from Foreign Hospitals
                                          Claims Calculations
Sfmt 4725




                                                                                                                            Attending Physician's Statement and Documentation of Medicare
                                          Specifications for Section 4 (Last Page): Denials and Appeals
                                                                                                                           Emergency
                                          Specifications for Pay MSN Cover Sheet and Check
                                                                                                                            Designated Contractors
                                          Specifications for Envelopes
                                          Specifications for RRB Part B MSNs                                                Model Letters, Nonparticipating Hospital and Emergency Claims
E:\FR\FM\24APN1.SGM




                                                                                                                            Model Letter to Nonparticipating Hospital That Elected to Bill For Current
                                          Specifications for SSA Part B MSNs
                                                                                                                           Year
                                          Character Measurements for Fonts
                                                                                                                            Model Letter to Nonparticipating Hmpital That Did Not Elect to Bill for
                                          Specifications for Spanish MSK
                                                                                                                           Current Year
                                          Specifications for Content Variations of Spanish MSNs
                                                                                                                            Full Denial- Foreign Claim- Beneficiary Filed
                                          Exhibits of the Extended Family of MSNs in Black & White
                                          General Information, Explanatory, and Denial Messages                             Full Denial- Hospital-Filed or Beneficiary-Filed Emergency Claim
                                                                                                                            Partial Denial- Hospital-Filed or Beneficiary-Filed Emergency Claim
                                          Exhibits ofMSl\s in Spanish
                                                                                                                            Denial - 'v!ilitary Personnel/Eligible Dependents
                                          Exhibits of the Extended Family of MSNs in Color
                                          Exhibits of Alternate Scenarios                                                   Full Denial - Shipboard Claim - Beneficiary filed
24APN1




                                                                                                                            Model Letter to Nonparticipating Hmpital That Requests to Bill the Program
                             3196        Payment Repairs to Capped Rental Equipment Prior to the End of the 13-
                                                                                                                    3200   Issued to a specific audience, not posted to Internet/Intranet due to a
                                         Month Cap
                                                                                                                           Confidentiality of Instmction
                                          Maintenance and Service of Capped Rental Items
                                          General                                                                   3201   Healthcare Provider Taxonomy Codes (HPTCs) April 20 I 5 Code Set Cpdate
                                          Payment for Maintenance and Service of Equipment                          3202   Common Edits and Enhancements Modules (CEM) Code Set Update
                             3197        Issued to a specific audience, not posted to Internet/Intranet due to a    3203   Automation of the Request for Reopening Claims Process Application to
                                         Confidentiality of Instmction                                                     Special Claim Types
                             3198        Instmctions for Downloading the Medicare ZIP Code File for July 2015       3204   National Coverage Detennination (NCD) for Single Chamber and Dual
                             3199        Revisions to Medicare Claims Processing Manual for Foreign, Emergency             Chamber Permanent Cardiac Pacemakers - This CR rescinds and fully
                                         and Shipboard Claims                                                              replaces CR 8525 TOC
                                          Emergency and Foreign Hospital Services                                           Cardiac Pacemakers: Single Chamber and Dual Chamber




                                                                                                                                                                                                         23017
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                                                                                                                                                                                                                                                       23018
                                          Cardiac Pacemakers:Single Chamber and Dual Chamber Policy                                                     Decision Logic Used by the Pricer on Claims
                                          Cardiac Pacemaker Healthcare Common Procedure Coding System                                                   Annual Updates to the SNF Pricer
                                         (HCPCS) and Current Procedural Terminology (CPT) Codes                                                         Leave of Absence
17:30 Apr 23, 2015




                                          Cardiac Pacemaker Covered ICD-9/ICD-10 Diagnosis Codes                                                        Other Excluded Services Beyond the Scope of a SNF Part A Benefit
                                          Cardiac Pacemaker Claims Non-Covered ICD-9/ICD-10 Diagnosis Codes:              3217                         April2015 Update of the Hospital Outpatient Prospective Payment Inpatient-
                                         Denial Messages                                                                                               only Services
                                          Cardiac Pacemaker Claims Without the KX modifier                                                              Cse of HCPCS Modifier- PO
                                          Cardiac Pacemaker Non -Covered !CD-I 0 Diagnosis Codes                                                        Payment Window for Outpatient Services Treated as Inpatient Services




                                                                                                                                                                                                                                                       Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices
                                          Cardiac Pacemaker Claims Require the KX Modifier                                                             System (OPPS)
                             3205        Issued to a specific audience, not posted to Intemet/Intranet due to a           3218                         April20 15 Integrated Outpatient Code Editor (1/0CE) Specifications Version
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                                         Confidentiality of Instruction                                                                                16.1
                             3206        Issued to a specific audience, not posted to Intemet/Intranet due to a           3219                         Automation of the Request for Reopening Claims Process Application to
                                         Confidentiality of Instruction                                                                                Special Claim Types
                             3207        New Waived Tests                                                                 3220                         Update to Pub. I 00-04, Chapters S and 6 to Provide Language-Only
PO 00000




                             3208        Issued to a specific audience, not posted to Intemet/Intranet due to a                                         Changes for Updating ICD-10, ASC Xl2, and Medicare Administrative
                                         Confidentiality of Instruction                                                                                Contractor (MAC) Implementation
                             3209        Issued to a specific audience, not posted to Intemet/Intranet due to a                                         Part R Outpatient Rehahilitation and Comprehensive Outpatient
                                         Confidentiality of Instruction                                                                                            Rehabilitation Facility (CORF) Services- General
Frm 00052




                             3210        Final MSN Redesign-Related Update to Chapter 21 of the Medicare Claims                                         Application of Financial Limitations
                                         Processing Manual                                                                                              Multiple Procedure Payment Reductions for Outpatient Rehabilitation
                                          Format Conventions for the MSN                                                                               Services
                                          Basic Concepts and Approaches                                                                                 Reporting of Service Units With HCPCS
Fmt 4703




                             3211        Issued to a specific audience, not posted to Intemet/Intranet due to a                                         Coding Guidance for Certain CPT Codes - All Claims
                                         Confidentiality of Instruction                                                                                 General
                             3212        April2015 Update of the Ambulatory Surgical Center (ASC) Payment                                               Off-Site CORF Services
                                         System                                                                                                         K otifying Patient of Service Denial
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                             3213        Issued to a specific audience, not posted to Intemet/Intranet due to a                                         Billing for DME, Prosthetic and Orthotic Devices, and Surgical Dressings
                                         Sensitivity of Instruction                                                                                     Addendum A- Chapter 5, Section 20.4- Coding Guidance for Certain CPT
                             3214        April2015 Update of the Ambulatory Surgical Center (ASC) Payment                                              Codes - All Claims
                                         System                                                                                                         Other Billing Situations
E:\FR\FM\24APN1.SGM




                             3215        Screening for Hepatitis C Virus (HCV) in Adults                                                                Billing SNF PPS Services
                                          Common Working File (CWF) Edits                                                                               Billing Procedures for Periodic Interim Payment (PIP) Method of Payment
                                          Institutional Billing Requirements                                                                            Total and K uncovered Charges
                                                                                                                                                        Services in Excess of Covered Services
                                          Professional Billing Requirements
                                          Claim Adjustment Reason Codes (CARCs), Remittance Advice Remark                                               Reporting Accommodations on Claims
                                          Codes (RARCs), Group Codes, and Medicare Summary Notice (MSN)                                                 Bills with Covered and Noncovered Days
                                         Messages                                                                                                       Billing in Benefits Exhaust and No-Payment Situations
                                          Screening for Hepatitis C Virus (HCV)                                                                         Consolidated Rilling Requirement for SNFs
                                                                                                                          3221                         Issued to a specific audience, not posted to Intemet/Intranet due to a
24APN1




                             3216        Updates to the .\iledicare Internet-Only Manual Chapters for Skilled Nursing
                                         Facility (SNF) Providers                                                                                      Confidentiality of Instruction
                                          Hospital's "Facility Charge" in Connection with Clinic Services of a            3222                         Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 21.2,
                                         Physician Transportation of Equipment Billed by a SNF to a MAC                                                Effective July I, 20 IS
                                          Screening and Preventive Services                                               3223                         Issued to a specific audience, not posted to Intemet/Intranet due to a
                                          SNI' CD Annual Update Process for Part A MACs                                                                Confidentiality of Instruction
                                          Health Insurance Prospective Payment System (HIPPS) Rate Code                   3224                         Issued to a specific audience, not posted to Intemet/Intranet due to a
                                          Coding PPS Bills for Ancillary Services                                                                      Confidentiality of Instruction
                                          Adjustment Requests                                                           '''"'')' ···'~;,~;~~.i      ;;~;~0;1                                                    ~t:,~$,¥;~i\;c;;:i :,'~~~l;':;;;r ~'
                                          SNF PPS Pricer Software                                                         110                          None
                                          Input/Output Record Layout                                                    tJ,,r1.:'~' ) ,~!i'iX'£.~)' ;;;~;                                                        ,, ;"(;~ ''''i~:t:;'ciE~\(~~~~'
                                          SNF PPS Rate Components                                                         249                          Notice of 'lew Interest Rate for Medicare Overpayments and Underpayments




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tkelley on DSK3SPTVN1PROD with NOTICES
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                                                        -2nd Qtr Notification for FY 2015                                                                         Model Acknowledgement Letter
                           p,;''0¥'c;ii,   &'t?~'''";                                                                   ':\ 'i::(<{~!i)?:~.¥\i .\                 Acknowledgement Letter Example
                                                                                                                                                                  Model Revalidation Letter
17:30 Apr 23, 2015




                                131                     New to State Operations Manual (SOM). Appendix N- Psychiatric Residential
                                                        Treatment Facilities (PRTF) Interpretive Guidance                                                         Model Revalidation Letter- CHOW Scenario Only
                                132                     New Additions to State Operating Manual (SOM), Psychiatric Residential                                    Model Large Group Revalidation Notification Letter
                                                        Treatment facilities (PRTf) Chapter 2                                                                     Model Revalidation Pend Letter
                                133                     Revisions to the State Operations Manual (SOM) - Appendix PP -Guidance                                    Deactivation Actions
                                                        to Surveyors for Long-Term Care Facilities                                                                Approval Letter Guidance




                                                                                                                                                                                                                                             Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices
                                134                     Revisions to State Operations Manual (SOM) Exhibit 138 EMTALA                                             Denial Example #6- Existing or Delinquent Overpayments
                                                                                                                                                                  Revocation Letter Guidance
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                                                        Physician Review Worksheet Revisions
                                135                     Revisions to State Operations Manual (SOM) Appendix J, Part II-                                           Provider and Supplier Revalidations
                                                        Interpretive Guidelines- Responsibilities of Intem1ediate Care facilities for                             Revalidation Lists
                                                        Individuals with Intellectual Disabilities Revisions.                                                     Mailing Revalidation Letters
                                                         An addition of a New Exhibit to the State Operations Manual (SOM) for                                    !\on-Response to Revalidation Actions
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                                                        Intennediate Care Facilities for Individuals with- Intellectual Disabilities                              Phone Calls
                                                        (ICF/IID), Probes and Procedures for Appendix J, Part II Interpretive                                     Pend Status
                                                        Guidelines- Responsibilities ofTntermediate Care Facilities for Individuals                               Model Revalidation Deactivation Letter
                                                        with Intellectual Disabilities                                                                            Manual (PLv!), Chapter 15
Frm 00053




                                136                     Revisions to State Operations Manual (SOM) Appendices A, G, Land T                                 579   Issued to a specific audience, not posted to Intemet/ Intranet due to
                                                        related to Hospitals, Rural Health Clinics, Ambulatory Surgical Centers and                              Confidentiality of Instruction
                                                        Swing Beds                                                                                         580   Issued to a specific audience, not posted to Intemet/ Intranet due to
                                                                                                                                                                 Confidentiality oflnstruclion
                           t~   Y; ;~''.,ci .' "1','\t"i'~: .>\(\ti'Mr.i;t~(,"'N~IIl\~~i~~-~-~~~llO"il$t~:!•''                     ' '\,, ~:t;'\,~\;;~ '
Fmt 4703




                                566                     New Timeframe for Response to Additional Documentation Requests Time-                              581   Incorporation of Certain Provider Enrollment Policies in CMS-6045-F into
                                                        Frames for Submission                                                                                    Pub. 100-08, Program Integrity Manual (PIM), Chapter 15
                                567                     New Timeframe for Response to Additional Documentation Requests                                           Deceased Practitioners
                                                                                                                                                                  Denials
Sfmt 4725




                                568                     Review Timeliness Requirements for Prepay Review
                                                                                                                                                                  Establishing an Effective Date of Medicare Billing Privileges
                                569                     Issued to a specific audience, not posted to Intemet/ Intranet due to
                                                                                                                                                                  Model Revocation Letter for Part B Suppliers and Certified Providers and
                                                        Confidentiality of Instruction
                                                                                                                                                                 Suppliers
                                570                     Issued to a specific audience, not posted to Intemet/ Intranet due to
                                                                                                                                                                  Corrective Action Plans (CAPs)
E:\FR\FM\24APN1.SGM




                                                        Confidentiality of Instruction
                                                                                                                                                                  Corrective Action Plans (CAPs
                                571                     Issued to a specific audience, not posted to Internet/ Intranet due to
                                                                                                                                                                  Revocations
                                                        Confidentiality of Instruction
                                                                                                                                                                  Definitions
                                572                     Issued to a specific audience, not posted to Intemet/ Intranet due to                              582   Incorporation of Certain Provider Enrollment Policies in CMS-6045-F into
                                                        Confidentiality of Instruction
                                                                                                                                                                 Pub. 100-08, Program Integrity Manual (PIM), Chapter 15
                                573                     Issued to a specific audience, not posted to Intemet/ Intranet due to                                     Definitions
                                                        Confidentiality of Instruction                                                                            Denials
                                574                     Issued to a specific audience, not posted to Internet/ Intranet due to                                    Deceased Practitioners
                                                        Confidentiality of Instruction                                                                            Model Revocation Letter for Part B Suppliers and Certified Providers and
24APN1




                                575                     Incorporation of Revalidation Policies into Pub. 100-08, Program Integrity                               Suppliers
                                                        Manual (PIM), Chapter 15                                                                                  Corrective Action Plans (CAPs)
                                576                     Issued to a specific audience, not posted to Internet/ Intranet due to                                    Corrective Action Plans (CAPs)
                                                        Confidentiality of Instruction                                                                            Revocations
                                577                     Issued to a specific audience, not posted to Internet/ Intranet due to                                    Establishing an Effective Date of Medicare Billin<> Privileges
                                                        Confidentiality of Instruction                                                                     583   Issued to a specific audience, not posted to Intemet/ Intranet due to
                                578                     Incorporation of Revalidation Policies into Pub. 100-08, Program Integrity                               Confidentiality of Instruction
                                                        NPI Punctuation Licenses and Certifications                                                        584   Issued to a specific audience, not posted to Internet/ Intranet due to
                                                         Section 2 of the Form CMS-855I                                                                          Confidentiality of Instruction
                                                         Practice Location Infom1ation
                                                         Voluntarv Terminations




                                                                                                                                                                                                                                             23019
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                                                                                                                                                                                                                                                                   23020
                           1'-31"'                           Update of !OM Pub. I 00-09, Chapter 6, section 30.2.11 to include the
                                                                                                                                                                 <;:<.    1461   Issued to a specific, audience not to Intemet/ Intranet due to a Sensitivity of
                                                                                                                                                                                 Instruction
17:30 Apr 23, 2015




                                                             requirements for implementing Quality Assurance Monitoring at the Medicare                                   1462   Identifying "No Documentation" Medical Necessity Denials for Claims
                                                             Administrative Contractors.                                                                                         Flagged for Recovery Auditor Review
                                                              Contingency Plans                                                                                           1463   Identification of Obsolete Shared System Maintainer (SSM) On-Request Jobs
                                                              Direct Monitoring                                                                                           1464   Issued to a specific, audience not to Intemet/ Intranet due to a Sensitivity of
                                                              Quality Assurance Monitoring (QAM)                                                                                 Instruction
                                                              Remote Monitoring                                                                                           1465   Issued to a specific, audience not to Intemet/ Intranet due to a Sensitivity of




                                                                                                                                                                                                                                                                   Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices
                                                              Monitoring CSR Calls                                                                                               Instruction
Jkt 235001




                            '''· ;<~;•;>i> ~ '1iMt!li~t~\Q~               .                        · ·~~n"!:<::M~fuliil'DQ:.l!J):'.'~'r;.:,<•'t,;·;;                      1466   Use of Modifiers KK, KG, KC, and KW under the Durable Medical
                                                             None                                                                                                                Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive
                                                                                                                                                          ""'' "'"' '·•          Bidding Program
                              00                             None                                                                                                         1467   Reporting Force Balance Claim Payment on the Electronic Remittance
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                           1~:~~··:'):)                                                                                                                                          Advice (ERA) 835 and Cross Over Beneficiary (COB) 837 Claim
                                                             None                                                                                                                Transactions
                           I've; :_,,,,;,.,; \~:,~;. •': "lc:?~'.!'\~;                                                 ;,\;.\:";,,>:~:~·;,~±,,   •:'"' ~:•;•. Et          1468   Identification of Obsolete Shared System Maintainer (SSM) Reports
                              120                       Chapter 4, Quality Improvement Program                                                                            1469   Develop Rough Order of Magnitude (ROM) for Appeals Workload in
Frm 00054




                           f~\'0•~!.,;,\:;                  ~~~i)$~~~~-~:z~-~;~~'·.·                                                  !:c:,,\;\'' j                              Preparation for Implementation of Intemational Classification of Diseases-
                                                        None                                                                                                                     lOth Revision (ICD-10)
                           f;.": :·~~(~,~~~~/·'"-!;', 'i'":••;\~'T                                         .•_,\! ;(,·\)"~·±•)!;;;; '\';'2/;,:                            1470   Durable Medical Equipment Prosthetics Orthotics and Supplies (DMEPOS)
                              115                       Implementation of the Intravenous Immune Globulin (IVIG) demonstration-                                                  Competitive Bidding Program (CBP): Additional Instructions for
Fmt 4703




                                                        Processing for home health service overlap editing                                                                       Grandfathered Items Subject to CBP
                              116                       Implementing Home Health Travel Reimbursement Payment Changes for                                                 1471   Renaming PPS-FLX6- PAYMENT Field in the Inpatient Prospective
                                                        l'CIIIP (l'rontier Community Health Integration Project) Mandated by section                                             Payment System (IPPS) Pricer Output
                                                        123 ofMIPPA 2008 and as amended by section 3126 of the ACA 2010                                                   1472   Intcmational Classification of Diseases, lOth Revision (ICD-1 0) Testing -
Sfmt 4725




                                                          'i\;;;;; ,•;;                                                                                                          Acknowledgement Testing with Providers
                           ~~·<~;"~~(?iii~(('~''"                                                                      •,; '\~~\~. ····~'• ;~;\ ::~ 0!{. ~;;•"c~h:!( £;
                              1450                           Moratorium on Classification of Long-Term Care Hospitals (L TCH) or                                          1473   Correction of the Maintenance of the Medicare Status Code
                                                             Satellites/Increase in Certified LTCH Beds                                                                   1474   Issued to a specific, audience not to Intemet/ Intranet due to a Sensitivity of
                              1451                           Intemational Classification of Diseases, Tenth Revision (ICD-10) Limited                                            Instruction
E:\FR\FM\24APN1.SGM




                                                             End-to-end testing with Submitters for 2015                                                                  1475   Health Insurance Portability and Accountability Act (HIP AA) ED! Front End
                              1452                           Issued to a specific, audience not to Intemet/ Intranet due to a Sensitivity of                                     Updates for April20 15
                                                             Instruction                                                                                                  1476   Health Insurance Portability and Accountability Act (HIP AA) ED! Front End
                              1453                           Issued to a specific, audience not to Intemet/ Intranet due to a Sensitivity of                                     Updates for April20 15
                                                             Instruction                                                                                                  1477   Issued to a specific, audience not to Intemet/ Intranet due to a Sensitivity of
                              1454                           Issued to a specific, audience not to Intemet/ Intranet due to a Confidentiality                                    Instruction
                                                             of Instruction                                                                                               1478   10 Conversion/Coding Infrastmcture Revisions/ICD-9 Updates to National
                              1455                           Corrections to Processing Service Facility Information on Hospice Claims                                            Coverage Determinations (NCDs)--2nd Maintenance CR
                                                                                                                                                                          1479   Issued to a specific, audience not to Intemet/ Intranet due to a Sensitivity of
24APN1




                              1456                           Phase Two: Changing Fiscal Intermediary Shared System (FISS) Action on
                                                             Informational Unsolicited Responses (IURs) From Canceled Claims to                                                  Instruction
                                                             Adjustments                                                                                                  1480   Health Insurance Portability and Accountability Act (HIP AA) ED! Front End
                              1457                           Renaming PPS-FLX6- PAYMENT Field in the Inpatient Prospective                                                       Updates for July 2015
                                                             Payment System (IPPS) Pricer Output                                                                          14Sl   Issued to a specific, audience not to Intemet/ Intranet due to a Sensitivity of
                              1458                           Fee for Service Beneficiary Data Streamlining (FFS BDS) Phase II                                                    Instmction
                                                             Beneficiary Address Analysis and Design                                                                      1482   Use of Modifiers KK, KG, KC, and KW under the Durable Medical
                              1459                           Continuation of Systematic Validation of Payment Group Codes for                                                    Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive
                                                             Prospective Pavment Systems (PPS) Based on Patient Assessments                                                      Bidding Program
                              1460                           Health Insurance Portability and Accountability Act (HIP AA) ED! Front End                                   1483   Identifying "No Documentation" Medical Necessity Denials for Claims
                                                             Updates for July 2015                                                                                               Flagged for Recovery Auditor Review




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tkelley on DSK3SPTVN1PROD with NOTICES
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                           l,;§,;s)ric~~:'                                                                  ' '~lc ,·\~:!'',"5!           Addendum IV: Medicare National Coverage Determinations
                              39              Payments to Hospice Agencies That Do Not Submit Required Quality Data                                       (January through March 2015)
                           l\(,;i   >.,, ?\
17:30 Apr 23, 2015




                                                                                                             ·~,,~;,i;2;;;;s:
                                              None
                                                                                                                                             Addendum IV includes completed national coverage
                                                                                                                                  determinations (NCDs), or reconsiderations of completed NCDs, from the
                                                                                                                                  quarter covered by this notice. Completed decisions are identified by the
                                              Addendum II: Regulation Documents Published
                                           in the Federal Register (January through March 2015)                                   section of the NCD Manual (NCDM) in which the decision appears, the
                                                                                                                                  title, the date the publication was issued, and the effective date of the




                                                                                                                                                                                                                   Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices
                              Regulations and Notices
                                                                                                                                  decision. An NCD is a determination by the Secretary for whether or not a
Jkt 235001




                                        Regulations and notices are published in the daily Federal
                                                                                                                                  particular item or service is covered nationally under the Medicare Program
                              Register. To purchase individual copies or subscribe to the Federal
                              Register, contact GPO at                            When ordering individual                        (title XVIII of the Act), but does not include a determination of the code, if
                              copies, it is necessary to cite either the date of publication or the volume                        any, that is assigned to a particular covered item or service, or payment
PO 00000




                              number and page number.                                                                             determination for a particular covered item or service. The entries below
                                        The Federal Register is available as an online database through                           include information concerning completed decisions, as well as sections on
                                                                                                                                  program and decision memoranda, which also announce decisions or, in
                              GPO Access. The online database is updated by 6 a.m. each day the
                                                                                                                                  some cases, explain why it was not appropriate to issue an NCD.
Frm 00055




                              Federal Register is published. The database includes both text and
                                                                                                                                  Information on completed decisions as well as pending decisions has also
                              graphics from Volume 59, Number 1 (January 2, 1994) through the present
                              date and can be accessed at                                               The                       been posted on the CMS website. For the purposes of this quarterly notice,
                                                                                                                                  we list only the specific updates that have occurred in the 3-month period.
                              following website                                                provides
Fmt 4703




                              information on how to access electronic editions, printed editions, and                             Tins infonnation is available at: illill&!~~@}g]l!Q!£~::9J~!ill!;£
                                                                                                                                               For questions or additional information, contact Wanda Belle
                              reference copies.
                                                                                                                                  (410-786-7491).
                                        This information is available on our website at:
Sfmt 4725




                                                                                                                                  Title                     NCDM          Transmittal   Issue Date   Effective
                                                                                                                                                            Section       Number                     Date
                                      For questions or additional information, contact Terri Plumb                                Removal of Multiple       NCD50.6,
E:\FR\FM\24APN1.SGM




                              (410-786-4481).                                                                                     National Coverage         NCD160.4,
                                                                                                                                  Determinations Using      NCD160.6,
                                                     Addendum III: CMS Rulings                                                    Expedited Process         NCD160.9,     R80           03/06/2015   12/18/2014
                                        CMS Rulings are decisions of the Administrator that serve as                                                        NCD190.4,
                                                                                                                                                            NCD220.7,
                              precedent final opinions and orders and statements of policy and                                                              NCD220.8
                              interpretation. They provide clarification and interpretation of complex or                         National Coverage
                              ambiguous provisions of the law or regulations relating to Medicare,                                Determination (NCD) for
24APN1




                              Medicaid, Utilization and Quality Control Peer Review, private health                               Single Chamber and Dual   NCD20.8.3     R179          02/20/2015   08113/2013
                              insurance, and related matters.                                                                     Cham her Permanent
                                                                                                                                  Cardiac Pacemakers
                                        The rulings can be accessed at lmp:~;wwvd..:ms,goYJK~..:gmauous­
                                                                 For questions or additional information,
                                                                                                                                      Addendum V: FDA-Approved Category B Investigational Device
                              contact Tiffany Lafferty (410-786-7548).
                                                                                                                                              Exemptions (IDEs) (January through March 2015)
                                                                                                                                            Addendum V includes listings of the FDA-approved
                                                                                                                                  investigational device exemption (IDE) numbers that the FDA assigns. The
                                                                                                                                  listings are organized according to the categories to which the devices are
                                                                                                                                  assigned (that is, Category A or Category B), and identified by the IDE




                                                                                                                                                                                                                   23021
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                                                                                                                                                                                                          23022
                             number. For the purposes of this quarterly notice, we list only the specific          IDE        Device                                                         Start Date
                             updates to the Category B IDEs as of the ending date of the period covered            Gl40134    Lenstec SBL-3 Multifocal Posterior Chamber Intraocular Lens    03/04/2015
17:30 Apr 23, 2015




                                                                                                                              (MIOL)
                             by this notice and a contact person for questions or additional infmmation.           Gl40130    Embosphere Microspheres                                        03/06/2015
                             For questions or additional information, contact John Manlove (410-786-               Gl50030    BK Medical/Analogic 8666-RF laparoscopic transducer and        03/06/2015
                             6877).                                                                                           bedside flex Focus 1202 imaging system (Intrathoracic use
                                       Under the Food, Drug, and Cosmetic Act (21 U.S. C. 360c) devices                       during video-assisted thoracoscopy
                                                                                                                   Gl50031    Hyalrheuma Injectable Viscosupplement                          03/10/2015




                                                                                                                                                                                                          Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices
                             fall into one of three classes. To assist CMS under this categorization
                                                                                                                   Gl40154    Simplify Disc                                                  03/11/2015
                             process, the FDA assigns one of two categories to each FDA-approved
Jkt 235001




                                                                                                                   Gl50007    Asahi Gudiewires & Corsair Microcatheter                       03/20/2015
                             investigational device exemption (IDE). Category A refers to experimental             Gl20054    GAMMAPOD                                                       03/20/2015
                             IDEs, and Category B refers to non-experimental IDEs. To obtain more                  G140245    Syncardia Temporary Total Artificial Heart (TAH-4) System      03/20/2015
                             information about the classes or categories, please refer to the notice               Gl50037    HEMOBLAST Bellows Hemostatic Agent                             03/20/2015
PO 00000




                             published in the April21, 1997 Federal Register (62 FR 19328).                        Gl50036    Simplicity Spyral Multi-Electrode Renal Denervation Catheter   03/25/2015
                                                                                                                              and Symplicity G3 Renal Denervation RF Generator
                                                                                                                   Gl30021    NANOKNIPE System                                               03/25/2015
                             IDE         Device                                                       Start Date
Frm 00056




                             Gl40237     Ncruostar TMS Therapy                                        01/02/2015
                             G140244     Cochlear Implant                                             01/07/2015      Addendum VI: Approval Numbers for Collections of Information
                             Gl40218     Automated Remote Ischemic Conditioning (autoRIC) Device      01/08/2015                         (January through March 2015)
                             Gl40209     Inspire Upper Airway Stimulation (UAS)                       01/09/2015            All approval numbers are available to the public at Reginfo.gov.
Fmt 4703




                             Gl40246     SENZA Spinal Cord Stimulation (SCS) System                   01/09/2015   Under the review process, approved information collection requests are
                             Gl40041     Penumbra, TREVO, and Solitaire                               01/14/2015
                             G140178     Resolute Onyx Zotarolimus Coronary Stent System              01/15/2015
                                                                                                                   assigned OMB control numbers. A single control number may apply to
                             Gl30195     LUM 2.6 Imaging System                                       01/16/2015   several related information collections. This information is available at
Sfmt 4725




                             Gl40253     EmboTrap Revascularization Device                            01/27/2015                                            For questions or additional
                             Gl40254     BreathiD MCS                                                 01/28/2015   information, contact Mitch Bryman (410-786-5258).
                             Gl40252     Myeloma Prognostic Risk Signaure, MYPRS                      01/28/2015
                             G140251     Physio-Stim Model33150A                                      01/29/2015
E:\FR\FM\24APN1.SGM




                                                                                                                         Addendum VII: Medicare-Approved Carotid Stent Facilities,
                             Gl40255     SmartPatch PNS System For T11e Treatment of Pain Following   01/29/2015
                                         Total Knee Arthroplasty (TKA) Utilizing Preoperative Lead                                         (January through March 2015)
                                         Placement                                                                            Addendum VII includes listings of Medicare-approved carotid
                             Gl40078     Osiro Sirolimus Eluting Coronary Stent System                01/30/2015   stent facilities. All facilities listed meet CMS standards for performing
                             G150004     Diode Laser                                                  02/05/2015   carotid artery stenting for high risk patients. On March 17. 2005, we issued
                             Gl40213     Embosphere Microspheres                                      02/06/2015
                                                                                                                   our decision memorandum on carotid artery stenting. We determined that
                             Gl50006     Neuroform Atlas Stent System                                 02/06/2015
                             Gl50012     Occlusin 500 Artificial                                      02/12/2015   carotid artery stenting with embolic protection is reasonable and necessary
                                                                                                                   only if performed in facilities that have been determined to be competent in
24APN1




                             Gl40071     Juvedenn                                                     02/13/2015
                             G140211     Substernal Pacing Acute Clinical Evaluation (Space) Study    02/13/2015   performing the evaluation, procedure, and follow-up necessary to ensure
                             Gl40118     COMBO Bio-engineered Sirolimus Eluting Stent                 02/19/2015   optimal patient outcomes. We have created a list of minimum standards for
                             Gl50020     Injectible Calcium Hydroxylapatite With And Without          02/20/2015   facilities modeled in part on professional society statements on competency.
                                         Triamcinalone Acetate For The Treatment of Volume Loss To
                                         Dorsum Areas of the Hands                                                 All facilities must at least meet our standards in order to receive coverage
                             Gl50019     CorMalrix ECM Tricuspod Valve                                02/25/2015   for carotid artery stenting for high risk patients. For the purposes of this
                             Gl50024     Endurant Evo AAA Stent Graft System                          02/27/2015   quarterly notice, we are providing only the specific updates that have
                             Gl50026     High-Resolution Microendoscopy (HRME)                        02/27/2015   occurred in the 3-month period. This information is available at:
                             Gl50028     Trevo Retriever; Solitare FR Revascularization Device;       03/04/2015
                                         Penumbra system thrombectomy system




EN24AP15.012</GPH>


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VerDate Sep<11>2014




                           For questions or additional infonnation, contact Lori Ashby                                                  Facility                                      Provider      Effective    State
                           (410-786-6322).                                                                                                                                            Number        Date
                                                                                                                                                                                      180093        07115/2005   KY
17:30 Apr 23, 2015




                                                                                                                                        FROM: Regional Medical Center of Hopkins
                                                                                                                                        County
                              Facility                                         Provider     Effective                  State            TO: Baptist Health Madisonville
                                                                               Number       Date                                        900 Hospital Drive Madisonville, KY 42431
                           f '.\'''' , • ,,. ·~!!l"i;•;;   ::i,                                    .:.;''1:7:;;.~; ~'1:t'.'i'~'1
                              The Rochester General Hospital                   70005A       01/15/2015                 NY
                                                                                                                                                                  Addendum VIII:




                                                                                                                                                                                                                         Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices
                              1425 Portland Avenue Rochester, NY 14621
                              Methodist Richardson Medical Center              430537       02/26/2015                 TX                  American College of Cardiology's National Cardiovascular Data
Jkt 235001




                              2831 E. President George Bush Highway                                                                                Registry Sites (January through March 2015)
                              Richardson TX 75082-3561
                                                                                                                                                 Addendum VIII includes a list of the American College of
                           [;.,;~~.;; ;vi:•ic·;·;'''"·" ''·;•: •·                         •••'i(izs•··~ \i~;'1.1t'i .•~) .• l~i};;;;
                              Rhode Island Hospital                            410007       07/07/2005                 RI
                                                                                                                                       Cardiology's National Cardiovascular Data Registry Sites. We cover
PO 00000




                              593 Eddy Street Providence, RI 02903                                                                     implantable cardioverter defibrillators (ICDs) for certain clinical
                              FROM: Franciscan Health System d/b/a St.         500108       07/31/2006                 WA              indications, as long as information about the procedures is reported to a
                              Joseph Medical Center                                                                                    central registry. Detailed descriptions of the covered indications are
                              TO: CIII Franciscan Health- St. Joseph Medical
                                                                                                                                       available in the NCD. In January 2005, CMS established the ICD
Frm 00057




                              Center
                              1717 South J Street Tacoma, WA 98401-2197                                                                Abstraction Tool through the Quality Network Exchange (QNet) as a
                              FROM: St. Joseph Medical Center Heart            210063       05/17/2005                 MD              temporary data collection mechanism. On October 27, 2005, CMS
                              Institute                                                                                                armounced that the American College of Cardiology's National
Fmt 4703




                              TO: University Of Maryland St. Joseph Medical
                                                                                                                                       Cardiovascular Data Registry (ACC-NCDR) ICD Registry satisfies the data
                              Center
                              7601 Osler Drive Towson, 'v!D 21204-7582                                                                 reporting requirements in the NCD. Hospitals needed to transition to the
                              FROM: The Baldwin County Eastern Shore           010100       04/07/2005                 AL              ACC-NCDR ICD Registry by April 2006.
Sfmt 4725




                              Health Care Authority d/b/a Thomas Hospital                                                                        Effective January 27, 2005, to obtain reimbursement, Medicare
                              TO: Gulf Health Hospitals, Inc. d/b/a Thomas                                                             NCD policy requires that providers implanting ICDs for primacy prevention
                              Hospital
                              750 Morphy Avenue Fairhope, AL 36532                                                                     clinical indications (that is, patients without a history of cardiac arrest or
E:\FR\FM\24APN1.SGM




                              FROM: St John's Mercy Medical Center             260020       08/24/2005                 MO              spontaneous arrhythmia) report data on each primacy prevention ICD
                              TO: Mercy Hospital St Louis                                                                              procedure. Details of the clinical indications that are covered by Medicare
                              615 South New Ballas Road St. Louis. MO 63141                                                            and their respective data reporting requirements are available in the
                              FROM: Town and Country Hospital                  100255       05/05/2005                 FL
                              TO: Tampa Community Hospital
                                                                                                                                       Medicare NCD Manual, which is on the CMS website at
                              6001 Webb Road Tampa, FL 33615-3241
                              FROM: Bon Secours Cottage Health Services        230089       09/15/2005                 MI
                              TO: Beaumont Grosse Pointe                                                                                         A provider can use either of two mechanisms to satisfy the data
24APN1




                              468 Cadieux Road Grosse Pointe, MI 48230
                                                                                                                                       reporting requirement. Patients may be enrolled either in an Investigational
                              FROM: Carolinas Medical Center Mercy             340098        11108/2007                NC
                              TO: Carolinas HealthCare System - Pineville                                                              Device Exemption trial studying ICDs as identified by the FDA or in the
                              10628 Park Road Charlotte. NC 28210                                                                      ACC-NCDR lCD registry. Therefore, for a beneficiary to receive a
                              Kaiser Sunnyside Medical Center                  380091       06/30/2010                 OR              Medicare-covered lCD implantation for primary prevention, the beneficiary
                              10180 SE Sunnyside Road Clackamas, OR 97015                                                              must receive the scan in a facility that participates in the ACC-NCDR lCD
                              Good Samaritan Regional Health Center            140046       04/25/2013                 IL
                              1 Good Samaritan Way Mt Vernon, IL 62864
                                                                                                                                       registry. The entire list of facilities that participate in the ACC-NCDR lCD
                              Porter Regional Hospital                         150035       05/02/2006                 IN              registry can be found at IDDY~ill:,.£QJ:!l!]IT!ll]S;~£Q.!llil:!Q!!
                              85 East US Hi~:hwav 6 Valparaiso, IN 46383                                                                         For the purposes of this quarterly notice, we arc providing only the
                                                                                                                                       specific updates that have occurred in the 3-month period. This information




                                                                                                                                                                                                                         23023
EN24AP15.013</GPH>


tkelley on DSK3SPTVN1PROD with NOTICES
VerDate Sep<11>2014




                                                                                                                                                                                                                 23024
                           is available by accessing our website and clicking on the link for the                               vehicles relating to evidence development activities including the
                           American College of Cardiology's National Cardiovascular Data Registry                               investigational device exemption (IDE), the clinical trial policy, national
                           at:                                    For questions or additional                                   coverage determinations and local coverage determinations, this guidance
17:30 Apr 23, 2015




                           information, contact Marie Casey, BSN, MPH (410-786-7861).                                           document is principally intended to help the public understand CMS 's
                                                                                                                                implementation of coverage with evidence development (CED) through the
                              Facility                                             City                      State              national coverage determination process. The document is available at
                           11~\: .\ .•;:•\\\~~,,·~:::,   ' i                                            .~~\:\~
                                                                                                              ;'\/ yy~ .':'




                                                                                                                                                                                                                 Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices
                              Owensboro Health Regional Hospital                   Owensboro                 KY
                              Yakima Valley Memorial Hospital                      Yakima                    WA
Jkt 235001




                              University Hospitals Bedford Medical Center          Bedford                   OH                 Active CMS Coverage-Related Guidance Documents for the January
                              University Hospitals Richmond Medical Center         Richmond Heights          OH                 through March 2015 quarter. For questions or additional information,
                              Doctors Hospital- Tidwell                            Houston                   TX                 contact JoAnna Baldwin (410-786-7205).
                              Resolute Health Hospital                             New Braunfels             TX
PO 00000




                              Baylor Jack and Jane Hamilton At Fort Worth          Dallas                    TX
                              Children's Hospital of The King's Daughters, Inc.
                                                                                                                                                               Addendum X:
                                                                                   Norfolk                   VA
                              Ranchos Los Amigos l\ational Rehabilitation Center   Downev                    CA                      List of Special One-Time Notices Regarding National Coverage
                              Unity Medical and Surgical Hospital                  Mishawaka                 IN                                 Provisions (January through March 2015)
Frm 00058




                              Presbyterian Hospital-Huntersville                   Huntersville              NC                           There were no special one-time notices regarding national
                              McLaren Lapeer Region                                Lapeer                    MI                 coverage provisions published in the January through March 2015 quarter.
                              Vail Valley Medical Center                           Vail                      co                 This information is available at                              For questions
                              St. Joseph's Hospital - South                        Riverview                 FL
Fmt 4703




                              Bayonne Medical Center                               Bayonne                   NJ
                                                                                                                                or additional information, contact JoAnna Baldwin (410-786 7205).
                              Phelps Memorial Hospital Center                      Sleepy Hollow             NY
                              Beth Israel Deaconess Hospital-Plymouth, Inc.        Plymouth                  MA                         Addendum XI: National Oncologic PET Registry (NOPR)
Sfmt 4725




                              Mercy St. Anne Hospital                              Toledo                    OH
                                                                                                                                                       (January through March 2015)
                              Apogee Surgery Center                                Redding                   CA
                              Physicians of Winter Haven D/b/A/ Day Surgery        Winter Haven              FL                           Addendum XI includes a listing of National Oncologic Positron
                              Center                                                                                            Emission Tomography Registry (NOPR) sites. We cover positron emission
E:\FR\FM\24APN1.SGM




                              Mercy Hospital                                       Moose Lake                  MI               tomography (PET) scans for particular oncologic indications when they are
                              Southern California Hospital At Culver City          Culver City                 CA               performed in a facility that participates in the NOPR.
                              Harrison Memorial Hospital                           Cynthiana                   KY
                                                                                                                                          In January 2005, we issued our decision memorandum on positron
                              Florida Hospital - Altamonte Springs                 Orlando                     FL
                              Memorial Hermann Katy Hospital                       Katy                        TX
                                                                                                                                emission tomography (PET) scans, which stated that CMS would cover
                           1.~:0?':-z~,>;;~·tg:;::>                                               ·;~ S;;c:.;:;•: i ~.·:;;\\I   PET scans for particular oncologic indications, as long as they were
                              Avera St. Luke's                                     Aberdeen                    SD               performed in the context of a clinical study. We have since recognized the
                              Holy Cross Hospital                                  Taos                        NM               National Oncologic PET Registry as one of these clinical studies.
24APN1




                              Waco Surgery Center                                  Waco                        TX               Therefore, in order for a beneficiary to receive a Medicare-covered PET
                              Trios Health                                         Kennewick                   WA
                              Fleming Cmmty Hospital                               Flemingsburg                KY
                                                                                                                                scan, the beneficiary must receive the scan in a facility that participates in
                              MaryV ale Hospital                                   Phoenix                     AZ               the registry. There were no additions, deletions, or editorial changes to the
                                                                                                                                listing of National Oncologic Positron Emission Tomography Registry
                            Addendum IX: Active CMS Coverage-Related Guidance Documents                                         (NOPR) in the January through March 2015 quarter. This information is
                                               (January through March 2015)                                                     available at
                                   CMS issued a guidance document on November 20, 2014 titled
                           "Guidance for the Public, Industry, and CMS Staff: Coverage with                                     For questions or additional infonnation, contact Stuart Caplan, RN, MAS
                           Evidence Development Document". Although CMS has several policy                                      (410-786-8564).




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VerDate Sep<11>2014




                                                                                                                                        Addendum XIII: Lung Volume Reduction Surgery (LVRS)
                                      Addendum XII: Medicare-Approved Ventricular Assist Device                                                           (January through March 2015)
17:30 Apr 23, 2015




                                   (Destination Therapy) Facilities (January through March 2015)                                           Addendum XIII includes a listing of Medicare-approved facilities
                                         Addendum XII includes a listing of Medicare-approved facilities                         that are eligible to receive coverage for lung volume reduction surgery.
                              that receive coverage for ventricular assist devices (VADs) used as                                Until May 17, 2007, facilities that participated in the National Emphysema
                              destination therapy. All facilities were required to meet our standards in                         Treatment Trial were also eligible to receive coverage. The following three
                              order to receive coverage for V ADs implanted as destination therapy. On                           types of facilities are eligible for reimbursement for Lung Volume




                                                                                                                                                                                                                  Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices
                              October 1, 2003, we issued our decision memorandum on V ADs for the                                Reduction Surgery (L VRS):
Jkt 235001




                              clinical indication of destination therapy. We determined that V ADs used                               • National Emphysema Treatment Trial (NETT) approved (Beginning
                              as destination therapy are reasonable and necessary only if performed in                           05/07/2007, these will no longer automatically qualify and can qualify only
                              facilities that have been determined to have the experience and                                    with the other programs);
PO 00000




                              infrastructure to ensure optimal patient outcomes. We established facility                              • Credentialed by the Joint Commission (formerly, the Joint
                              standards and an application process. All facilities were required to meet                         Commision on Accreditation ofHealthcare Organizations (JCAHO)) under
                              our standards in order to receive coverage for VADs implanted as                                   their Disease Specific Certification Program for L VRS; and
                              destination therapy.                                                                                    • Medicare approved for lung transplants.
Frm 00059




                                         For the purposes of this quarterly notice, we are providing only the                              Only the first two types are in the list. There were no updates to
                              specific updates that have occurred to the list of Medicare-approved                               the listing of facilities for lung volume reduction surgery published in the
                              facilities that meet our standards in the 3-month period. This information is                      January through March 2015 quarter. This information is available at
Fmt 4703




                              available at                                                                                                                                                                  For
                                                                                                                                 questions or additional information, contact Marie Casey, BSN, MPH
                              For questions or additional information, contact Marie Casey, BSN, MPH                             (410-786-7861 ).
Sfmt 4725




                              (410-786-7861).
                                                                                                                                    Addendum XIV: Medicare-Approved Bariatric Surgery Facilities
                              Facility                                   Provider Number   Date Approved             State                              (January through March 2015)
E:\FR\FM\24APN1.SGM




                            .;s~;·.•·"'' '·''''·~g~:,•:;;;.:,;.                                    ~L~&·~'sj?•; ·~.c.~:·;:c                Addendum XIV includes a listing of Medicare-approved facilities
                              Mercy Medical Center                       16-00S:>          01/07/2015               TA
                              1111 6th Avenue Des Moines, IA 50314
                                                                                                                                 that meet minimum standards for facilities modeled in part on professional
                              CHI Health Nebraska Heart                  28-0128           11119/2014               NE           society statements on competency. All facilities must meet our standards in
                              7500 South 9lst Street Lincoln, NE 68526                                                           order to receive coverage for bariatric surgery procedures. On February 21,
                              Memorial Regional Hospital                 10-0038           08/20/2014               IA           2006, we issued our decision memorandum on bariatric surgery procedures.
                              1111 6th Avenue Des Moines, IA 50314
                                                                                                                                 We determined that bariatric surgical procedures are reasonable and
                              Mercy Hospital Springfield                 260065            02/1112015               MO
                              1235 East Cherokee                                                                                 necessary for Medicare beneficiaries who have a body-mass index (BMI)
24APN1




                              Springfield, MO 65804                                                                              greater than or equal to 35, have at least one co-morbidity related to obesity
                              St. Luke·s Hospital                        390049            12/18/2014               PA           and have been previously unsuccessful with medical treatment for obesity.
                              SOl Ostrum Street Bethlehem PA 1S015                                                               This decision also stipulated that covered bariatric surgery procedures arc
                           f~~s·~;·.;, ·:~,·~·   •is"l;
                                               .i:'r·~ •; •'
                                                                                                 ,,.,..      ';.;   ~";.:)!•:)   reasonable and necessary only when performed at facilities that are: (1)
                              The Indiana Heart Hospital, LLC            150154            10/0112014                IN
                              8075 N Shadeland Avenue                                                                            certified by the American College of Surgeons (ACS) as a Level 1 Bariatric
                              Indianapolis, IN 46250                                                                             Surgery Center (program standards and requirements in effect on February
                                                                                                                                 15, 2006); or (2) certified by the American Society for Bariatric Surgery
                                                                                                                                 (ASBS) as a Bariatric Surgery Center of Excellence (BSCOE) (program
                                                                                                                                 standards and requirements in effect on February 15, 2006).




                                                                                                                                                                                                                  23025
EN24AP15.015</GPH>


                                              23026                            Federal Register / Vol. 80, No. 79 / Friday, April 24, 2015 / Notices




                                              [FR Doc. 2015–09539 Filed 4–23–15; 8:45 am]             DEPARTMENT OF HEALTH AND                              SUMMARY:   The Department of Health and
                                              BILLING CODE 4120–01–P                                  HUMAN SERVICES                                        Human Services, Administration for
                                                                                                                                                            Children and Families, Administration
                                                                                                      Administration for Children and                       for Native Americans (ANA) will host a
                                                                                                      Families                                              Tribal Consultation to consult on the
                                                                                                                                                            Community Native Language
                                                                                                      Administration for Native Americans;                  Coordination Initiative, an expansion of
                                                                                                      Notice of Meeting                                     funding for ANA proposed in the
tkelley on DSK3SPTVN1PROD with NOTICES




                                                                                                                                                            President’s fiscal year 2016 budget.
                                                                                                      AGENCY:Administration for Children                    DATES: May 20, 2015.
                                                                                                      and Families, Department of Health and                ADDRESSES: 200 Independence Ave.
                                                                                                      Human Services.                                       SW., Washington, DC.
                                                                                                      ACTION:   Notice of tribal consultation.              FOR FURTHER INFORMATION CONTACT:
                                                                                                                                                                                                       EN24AP15.016</GPH>




                                                                                                                                                            Lillian A. Sparks Robinson,


                                         VerDate Sep<11>2014   17:30 Apr 23, 2015   Jkt 235001   PO 00000   Frm 00060   Fmt 4703   Sfmt 4703   E:\FR\FM\24APN1.SGM   24APN1



Document Created: 2015-12-16 08:42:49
Document Modified: 2015-12-16 08:42:49
CategoryRegulatory Information
CollectionFederal Register
sudoc ClassAE 2.7:
GS 4.107:
AE 2.106:
PublisherOffice of the Federal Register, National Archives and Records Administration
SectionNotices
ActionNotice.
ContactIt is possible that an interested party may need specific information and not be able to determine from the listed information whether the issuance or regulation would fulfill that need. Consequently, we are providing contact persons to answer general questions concerning each of the addenda published in this notice.
FR Citation80 FR 23013 

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