February 2007Medicare Bulletin - Idaho Insert
Posted February 6, 2007
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Table of Contents
- 2007 OPPS Payment Cap Amounts for the TC and Global Portion of Imaging Services
- 2007 Clinical Lab Fee Schedule - Revision
- Computed Tomorgraphic Angiocrapy of the Chest, Heart, and Coronary Arteries - LCD Revsion
- Debridement of Ulcers and Wounds - LCD Revision
- Idaho Health Professional Shortage Areas (HPSAs)
- Idaho Mental Health Professional Shortage Areas
- Medicare Fee for Service (FFS) Implementation of the National Provider Identifier (NPI)
TopComputed Tomographic Angiograpy of the Chest, Heart, and Coronary Arteries – LCD Revision
The Idaho LCD for Computed Tomographic Angiography of the Chest, Heart, and Coronary Arteries (L21374) has been revised to add coverage for ICD-9 codes 420.0-420.99. Please refer to the CIGNA Government Services Web site to view the policy.
Debridement of Ulcers and Wounds – LCD Revision
The LCD for Debridement of Ulcers and Wounds for NC (L10230) and ID (L12167) has been revised to add ICD-9 code range 881.00-881.10 and to remove code 997.61due to a technical error. Please refer to the CIGNA Government Services Web site to view the policy.
Medicare Fee for Service (FFS) Implementation of the National Provider Identifier (NPI)
CMS has been working toward full implementation of the NPI in Medicare transactions. In coordination with CMS, CIGNA Government Services will be expanding testing efforts beginning February 12, 2007. As of this date you may experience increased suspense/reject/unprocessable claim notices. To assure that the impact on your practice is minimized, please do the following:
- Ensure claims submitted, electronically AND on paper, contain a valid NPI
- Ensure that all of your information in the National Plan and Provider Enumeration System (NPPES) is correct, such as date of birth and social security number, and that your Medicare legacy identifier(s) are present and that they are associated with the correct NPI. You may view/correct your NPPES information by accessing the following web address to the National Plan and Provider Enumeration System (NPPES) is https://nppes.cms.hhs.gov.
- If your NPPES information is correct and you have included all Medicare legacy identifiers in NPPES, but you are experiencing problems with your claims that contain a valid NPI, you may need to submit a Medicare enrollment application (i.e., the CMS-855). Please contact your contractor prior to submitting a CMS-855. If your contractor determines that a CMS-855 is needed to ensure that payments are made correctly, please make sure to complete the Medicare enrollment application fully and submit all supporting documentation, including a copy of your NPI noticed received from NPPES. It is also important to note that all providers and suppliers are required to receive payments through electronic funds transfer. Accordingly, if you will be receiving Medicare payments directly, you are also required to submit the Electronic Funds Authorization Agreement (i.e., CMS-588).
Idaho - 2007 OPPS Payment Cap Amounts for the TC and Global Portion of Imaging Services
Idaho - 2007 OPPS Payment Cap Amounts for the TC and Global Portion of Imaging Services
Idaho - 2007 Clinical Lab Fee Schedule - Revision
Idaho - 2007 Clinical Lab Fee Schedule - Revision
Mental Health Professional Shortage Areas
Designated Geographic Areas
Effective July 1, 2004
Idaho
| County | Area Name/Parts | Rural/Urban |
| Ada | Mental Hlth Region IV Ada |
Rural |
| Adams | Catchment Area # 3 Adams |
Rural |
| Bannock | Mental Hlth Region VI Bannock |
Rural |
| Bear Lake | Mental Hlth Region VI Bear Lake |
Rural |
| Benewah | Mental Hlth Region I Benewah |
Urban |
| Bingham | Mental Hlth Region VI Bingham |
Rural |
| Blaine | Mental Hlth Region V Blaine |
Rural |
| Boise | Mental Hlth Region IV Boise |
Rural |
| Bonner | Mental Hlth Region I Bonner |
Urban |
| Bonneville | Mental Hlth Region VII Bonneville |
Rural |
| Boundary | Mental Hlth Region I Boundary |
Urban |
| Butte | Mental Hlth Region VII Butte |
Rural |
| Camas | Mental Hlth Region V Camas |
Rural |
| Canyon | Catchment Area # 3 Canyon |
Rural |
| Caribou | Mental Hlth Region VI Caribou |
Rural |
| Cassia | Mental Hlth Region V Cassia |
Rural |
| Clark | Mental Hlth Region VII Clark |
Rural |
| Clearwater | Mental Hlth Region II Clearwater |
Rural |
| Custer | Mental Hlth Region VII Custer |
Rural |
| Elmore | Mental Hlth Region IV Elmore |
Rural |
| Franklin | Mental Hlth Region VI Franklin |
Rural |
| Fremont | Mental Hlth Region VII Fremont |
Rural |
| Gem | Catchment Area # 3 Gem |
Rural |
| Gooding | Mental Hlth Region V Gooding |
Rural |
| Idaho | Mental Hlth Region II Idaho |
Rural |
| Jefferson | Mental Hlth Region VII Jefferson |
Rural |
| Jerome | Mental Hlth Region V Jerome |
Rural |
| Kootenai | Mental Hlth Region I Kootenai |
Urban |
| Latah | Mental Hlth Region II Latah |
Rural |
| Lemhi | Mental Hlth Region VII Lemhi |
Rural |
| Lewis | Mental Hlth Region II Lewis |
Rural |
| Lincoln | Mental Hlth Region V Lincoln |
Rural |
| Madison | Mental Hlth Region VII Madison |
Rural |
| Minidoka | Mental Hlth Region V Minidoka |
Rural |
| Nez Perce | Mental Hlth Region II Nez Perce |
Rural |
| Oneida | Mental Hlth REgion VI Oneida |
Rural |
| Owyhee | Catchment Area #3 Owyhee |
Rural |
| Payette | Catchment Area # 3 Payette |
Rural |
| Power | Mental Hlth Region VI Power |
Rural |
| Shoshone | Mental Hlth Region I Shoshone |
Urban |
| Teton | Mental Hlth Region VII Teton |
Rural |
| Twin Falls | Mental Hlth Region V Twin Falls |
Rural |
| Valley | Mental Hlth Region IV Valley |
Rural |
| Washington | Catchment Area # 3 Washington |
Rural |
Idaho Health Professional Shortage Areas (HPSAs)
Designated Geographic Areas
|
1 Classified as HPSA, effective 5/1/04
2 No longer classified as a HPSA, effective April 12, 2005
3 No longer classified as a HPSA, effective January 7, 2004
4 Classified as a HPSA, effective September 8, 2005
5 Classified as a HPSA, effective November 18, 2005
6 No longer classified as a HPSA, effective July 5, 2006
