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Pulmonary Rehabilitation (PR) Services
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Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months
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Appeals Revisions AIC Requirements
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Date Issued:
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03-05-2010
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Implementation Date:
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04-05-2010
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Effective Date:
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12-09-2010
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Source:
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CMS - Transmittal
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Source#:
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CR6839
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Category:
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Bill/Pmt Drugs
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CBSI Contact:
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Missy Tieken
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Effective for claims with dates of service on and after December 9, 2009, contractors shall be aware that percutaneous transluminal angioplasty (PTA) concurrent with carotid artery stenting (CAS) system placement in Food and Drug AdministrationApproved postapproval studies, and PTA Concurrent with CAS system placement in patients at high risk for carotid endarterectomy includes revised language specific to embolic protection devices. See Pub. 10003, section 20.7 for detailed information in this regard.
This revision [to the Medicare National Coverage Determinations Manual] is a national coverage determination (NCD). NCDs are binding on all carriers, fiscal intermediaries,[contractors with the Federal government that review and/or adjudicate claims, determinations, and/or decisions], quality improvement organizations, qualified independent contractors, the Medicare appeals council, and administrative law judges (ALJs). An NCD that expands coverage is also binding on a Medicare Advantage Organization. In addition, an ALJ may not review and NCD.
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http://www.cms.gov/transmittals/downloads/R115NCD.pdf
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