Transmittals
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Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2022
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Waiver of Coinsurance and Deductible for Screening for Lung Cancer with Low Dose Computed Tomography (LDCT)
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Skilled Nursing Facility (SNF) Claims Processing Updates
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Clinical Laboratory Fee Schedule (CLFS) - Instructions to Remove Co-insurance/Deductible Multi-Carrier System (MCS) Logic
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Clarifying Instructions for Billing and Processing Claims with Multiple Units to Indicate the Length of Time Per Home Infusion Therapy Service Visit
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New Waived Tests
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Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2022
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Medicare Fee-for-Service (FFS) Coverage of Costs for Kidney Acquisitions in Maryland Waiver (MW) Hospitals for Medicare Advantage (MA) Beneficiaries
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National Coverage Determination (NCD) Removal
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Additional Payment Edits for DMEPOS Suppliers of Custom Fabricated and Prefabricated (Custom Fitted) Orthotics. Update to Change Request
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National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) T-cell Therapy - This CR Rescinds and Fully Replaces
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National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) T-cell Therapy - This CR Rescinds and Fully Replaces
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Replacing Home Health Requests for Anticipated Payment (RAPs) with a Notice of Admission (NOA) -- Implementation
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National Coverage Determination (NCD) Removal
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Changes to the Laboratory National Coverage Determination [NCD] Edit Software for October 2021
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October 2021 Quarterly Average Sales Price [ASP] Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
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Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notification for FY 2021
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Quarterly Update to the National Correct Coding Initiative [NCCI] Procedure-to-Procedure [PTP] Edits, Version 27.3, Effective October 1, 2021
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Annual (2022) Update of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)
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Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Prior Authorization Coversheet Requirements