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AAPC Mar. 19, 2008
Edge Blast Header Issue #97
Top Stories

MedPAC: Stop Medicare Cuts to Docs!

CMS to Pay for CPAP Therapy for OSA

Special DME Review Moved to MACs

"Spring" to Your Chapter in May

Test Yourself - Earn 0.5 CEUs

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Michelle Dick
EdgeBlast Editor

Top News

MedPAC: Stop Medicare Cuts to Docs!

On March 12, Congress’ Advisory Committee on Medicare went to Capitol Hill to urge lawmakers to increase Medicare physician payments to mirror medical practice costs rather than make payment cuts. The American Medical Association (AMA) agrees with this recommendation to help secure accessibility to care for seniors.

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CMS to Pay for CPAP Therapy for OSA

After receiving many requests to reconsider the 2005 National Coverage Determination (NCD) for continuous positive airway pressure (CPAP) therapy for obstructive sleep apnea (OSA) (CAG-00093R), CMS decided to allow coverage of CPAP based upon a diagnosis of OSA by home sleep testing (HST).

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Special DME Review Moved to MACs

CMS transmittal CR 5909 replaces CR 5765, revising the transition date of medical review duties from the durable medical equipment (DME) program safeguard contractors (PSCs) to the DME Medicare administrative contractors (MACs).

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"Spring" to Your Chapter in May

The weather is breaking and spring is upon us. It’s a great time to attend local chapter meetings, especially in May, as it will be Support Your Local Chapter month. Start spreading the word about your chapter and get involved in the action. There'll be contests, prizes and giveaways, so watch for more information to come from the AAPC. Spring to your local chapter—don't miss out on the fun!

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Test Yourself - Earn 0.5 CEUs

By answering the following questions, you can earn 0.5 continuing education units to apply toward your annual AAPC CEU renewal every two years. Simply answer the questions and list this as one of your itemized CEUs on your CEU form. If you are chosen for verification, we will then ask you to send in a copy of your work. Please put the number of each EdgeBlast included in your submission. The number is available at the top of the page.

Answers to the questions are not always found directly (word for word) in the EdgeBlast in which they appear. While often related to the EdgeBlast content, they require additional resources such as your ICD-9-CM, CPT® and HCPCS Level II manuals.

Index #EB03022008A
Use this number to document your ½ CEU for this EdgeBlast.

1. How long is the coverage of CPAP limited to for beneficiaries diagnosed with OSA?
Answer:

2. CMS allows coverage of CPAP based upon a diagnosis of OSA by what?
Answer:

3. The AMA agrees with MedPAC to use innovative solutions like comparative effectiveness research to do what?
Answer:

4. The items and services having special DME review considerations rules were revised to reflect what transition of medical review duties?
Answer:

5. What pay cut will force 60 percent of physicians to limit the number of new Medicare patients they can treat, and more than half say it will force them to reduce their medical office staff?
Answer:

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