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October 2007 Medicare Bulletin - Tennessee Insert

Posted October 4, 2007


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CMS Laboratory Specimen

Do you file claims for Laboratory Specimens? The general rule for the date of service (DOS) of a test performed on a laboratory specimen is the date that the specimen is collected. If a specimen is collected over a period that spans two calendar days, then the DOS must be the date that the collection period ended.

The current DOS policy allows an exception to the general rule for tests performed on an archived specimen. If a specimen was stored for more than 30 calendar days before testing (otherwise known as “an archived specimen”), the DOS of the test must be the date that the specimen was obtained from storage.

To find detailed information about this exception, how it will affect you and the implementations January 1, 2008, visit the following CMS Web link.
http://www.cms.hhs.gov/MLNMattersArticles/downloads/MM5573.pdf

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Tennessee Mental Health Professional Shortage Areas (HPSAs)

Designated Geographic Areas

COUNTY AREA NAME/PARTS RURAL/URBAN
Bedford MHCA 19
  • Bedford
 Rural
Benton

MHCA 21

  • Benton
 Rural
Bledsoe

MHCA 12

  • Bledsoe
Rural
Bradley

MHCA 10

  • Bradley
Rural
Cannon

MHCA 9

  • Cannon
 Rural
Carroll

MHCA 21

  • Carroll
 Rural
Cheatham

Catchment Area 14

  • Cheatham
 Rural
Chester

MHCA 24

  • Chester
 Rural
Claiborne

MHCA 5

  • Claiborne
 Rural
Clay

MHCA 9

  • Clay
Rural

Cocke

MHCA 5

  • Cocke

Rural
Coffee MHCA 19
  • Coffee
 Rural
Crockett

Catchment Area 22

  • Crockett
Rural
Cumberland

MHCA 9

  • Cumberland
 Rural
Decatur

MHCA 24

  • Decatur
Rural
Dekalb

MHCA 9

  • Dekalb
 Rural
Dickson

Catchment Area 14

  • Dickson
Rural
Dyer

Catchment Area 22

  • Dyer
Rural
Fayette

MHCA 25

  • Fayette
Rural
Fentress

MHCA 9

  • Fentress
 Rural
Franklin

MHCA 19

  • Franklin
Rural
Gibson

MHCA 21

  • Gibson
 Rural
Giles

MHCA 20

  • Giles
 Rural
Grainger

MHCA 5

  • Grainger
 Rural
Greene

MHCA 4

  • Greene
 Rural
Grundy

MHCA 12

  • Grundy
Rural
Hamblen

MHCA 5

  • Hamblen
 Rural
Hancock

MHCA 4

  • Hancock
Rural
Hardeman

MHCA 24

  • Hardeman
 Rural
Hardin

MHCA 24

  • Hardin
Rural
Hawkins

MHCA 4

  • Hawkins
 Rural
Haywood

Catchment Area 23

  • Haywood
 Urban
Henderson

Catchment Area 23

  • Henderson
Urban
Henry

MHCA 21

  • Henry
Rural
Hickman

MHCA 20

  • Hickman
Rural
Houston

Catchment Area 14

  • Houston
Rural
Humphreys

Catchment Area 14

  • Humhreys
Rural
Jackson MHCA 9
  • Jackson
 Rural
Jefferson

MHCA 5

  • Jefferson
Rural
Lake

Catchment Area 22

  • Lake
 Rural
Lauderdale

MHCA 25

  • Lauderdale
Rural
Lawrence

MHCA 20

  • Lawerence
 Rural
Lewis

MHCA 20

  • Lewis
 Rural
Lincoln

MHCA 19

  • Lincoln
 Rural
McMinn

MHCA 10

  • McMinn
Rural
McNairy

MHCA 24

  • McNairy
 Rural
Macon

MHCA 9

  • Macon
Rural
Madison

Catchment Area 23

  • Madison
Urban
Marion

MHCA 12

  • Marion
Rural
Marshall

MHCA 20

  • Marshall
Rural
Maury

MHCA 20

  • Maury
Rural
Meigs

MHCA 10

  • Meigs
Rural
Montgomery

Catchment Area 14

  • Montgomery
 Rural
Moore

MHCA 19

  • Moore
Rural
Obion

Catchment Area 22

  • Obion
 Rural
Overton

MHCA 9

  • Overton
Rural
Perry

MHCA 20

  • Perry
Rural
Pickett

MHCA 9

  • Pickett
Rural
Polk

MHCA 10

  • Polk
Rural
Putman

MHCA 9

  • Putman
 Rural
Rhea

MHCA 12

  • Rhea
Rural
Robertson

Catchment Area 14

  • Robertson
Rural
Sequatchie

MHCA#12

  • Sequatchie
 Rural
Shelby 1 Millington
• CT 0201.00
0202.10
0203.00
0204.00		 Rural
Smith

MHCA 9

  • Smith
Rural
Stewart

Catchment Area 14

  • Stewart
 Rural
Sumner

MHCA 31

  • Sumner
Urban
Tipton

MHCA 25

  • Tipton
Rural
Trousdale

MHCA 31

  • Trousdale
 Urban
Union

MHCA 5

  • Union
Rural
Van Buren

MHCA 9

  • Van Buren
 Rural
Warren

MHCA 9

  • Warren
Rural
Wayne

MHCA 20

  • Wayne
Rural
Weakley

Catchment Area 22

  • Weakley
 Rural
White

MHCA 9

  • White
Rural
Wilson

MHCA 31

  • Wilson
Urban

1 Classified as a Mental Health HPSA, effective July 31, 2006

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Tennessee Health Professional Shortage Areas (HPSAs)

Designated Geographic Areas

COUNTY AREA NAME/PARTS RURAL/URBAN
Anderson Briceville - Lake City
  • Lake City West City Division
  • New River City Division
  • Lake City East City Division
 Urban
Bledsoe Dayton/Pikeville/Decataur/Bledsoe Rural
Campbell7 All Rural
Cheatham All Rural
Chester9 All Rural
Claiborne9 All Rural
Crockett All Rural
Davidson10 Census Tracts 148, 160, 161, 163, 170, 171 Urban
Decatur All Rural
Dickson Vanleer/Shiloh
  • Vanleer CCD
 Urban
Fayette All Urban
Fentress6 All Rural
Giles4 All Rural
Greene Baileyton
  • Baileyton CCD
  • Jearoldstown Division
 Rural
Grundy All Rural
Hamilton Middle Valley
  • Soddy Daisy Division
  • Middle Valley Division
  • Sale Creek Division
 Urban
Hancock All Rural
Hardeman All Rural
Hawkins10

Rogersville SA

Beech Creek CCD
Bulls Gap CCD
Eidson CCD
Mooresburg CCD
Rogersville CCD
Surgoinsville CCD

Urban
Haywood All Rural
Henderson6 All Rural
Hickman All Rural
Houston3 All Rural
Jackson All Rural
Johnson All Rural
Knox Mechanicsville -
  • Census Tracts 1, 2, 3, 4, 5, 6, 7, 11, 12, 13, 14, 20, 28
Urban
Lake10 All Rural
Lauderdale All Rural
Lewis 2 All Rural
Lincoln3 Cash Point - Blanche
  • Cash Point/Blanche CCD
 Rural
Macon1 All Rural
Madison East Jackson -
  • Census Tracts 5 and 8-12
 Rural
Marshall 6 All Rural
Maury Fairview/Boston/Santa Fe/Santa Fe Division Rural
Meigs

Dayton/Pikeville/Decatur/Meigs

 Rural
Montgomery Vanleer/Shiloh
  • Palmyra/Shiloh CCD
 Urban
Moore8 All Rural
Morgan All Rural
Obion Hornbeak/Samburg
  • Hornbeak/Samburg CCD
  • Dixie Division
  • Elbridge-Cloverdale Division
 Rural
Perry All Rural
Pickett All Rural
Polk1 Benton/Parkville
  • Benton Division
  • Parkville Division
 Rural
Rhea9 Dayton/Pikeville/Decatur/Rhea Rural
Rutherford Eagleville
  • Eagleville CCD
  • Bethesda/Eagleville
 Urban
Stewart 3 All Rural
Unicoi All Urban
Union All Urban
Van Buren All Rural
Williamson Bethesda/Eagleville
  • Bethesda Division/Fairview/Boston/Santa Fe/Fairview Division /Boston Division
 Rural

1 No longer classified as a HPSA, effective February 1, 2005
2 No longer classified as a HPSA, effective September 12, 2006
3 Classified as a HPSA, effective August 8, 2006
4 No longer classified as a HPSA, effective August 8, 2006
5 No longer classified as a HPSA. effective October 2, 2006
6 Classified as a HPSA, effective October 2, 2006
7 Classified as a HPSA, effective December 15, 2006
8 No longer classified as a HPSA. Effective December 15, 2006
9 No longer classified as a HPSA, effective May 11, 2007
10Classified as a HPSA, effective May 11, 2007


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