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Transmittals

  • Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2020 Update
  • Update for Abdominal Aortic Aneurism and Screening Pap Smears and Pelvic Examinations
  • Update for Abdominal Aortic Aneurism and Screening Pap Smears and Pelvic Examinations
  • Implement Error Tracking into the Recovery Audit Contractor (RAC) Data Warehouse (RACDW) Non-RAC Prepayment File Layout
  • Updates in the Fiscal Intermediary Shared System (FISS) Inpatient and Outpatient Provider Specific Files (PSF)
  • New Physician Specialty Code for Micrographic Dermatologic Surgery (MDS) and Adult Congenital Heart Disease (ACHD) and a New Supplier Specialty Code for Home Infusion Therapy Services
  • Payment Change for Wheelchair Accessories and Seat and Back Cushions used with Complex Rehabilitative Manual Wheelchairs and Certain Manual Wheelchairs under Section 106 of the Further Consolidated Appropriations Act, 2020
  • Modify Edits in the Fee for Service (FFS) System When a Beneficiary has a Medicare Advantage (MA) Plan
  • National Coverage Determination (NCD) 20.19 Ambulatory Blood Pressure Monitoring (ABPM)
  • Removal of Signature Line from Appeals Page of the Medicare Summary Notice (MSN) and MSN Envelope Correction
  • International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--October 2020 Update
  • Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2020 Update
  • Update to Medicare Shared Savings Program (SSP) Skilled Nursing Facility (SNF) Affiliates' Requirement to Include Demonstration Code 77 on SNF Waiver Claims
  • Coding Support for Secure Destruction Program Implemented in Change Request (CR) 11363
  • New Codes for Therapist Assistants Providing Maintenance Programs in the Home Health Setting
  • Updates to Ensure the Original 1-Day and 3-Day Payment Window Edits are Consistent With Current Policy
  • Addition of the QW modifier to Healthcare Common Procedure Coding System (HCPCS) code U0002 and 87635
  • Quarterly Update to the Long Term Care Hospital (LTCH) Prospective Payment System (PPS) Fiscal Year (FY) 2020 Pricer
  • July 2020 Quarterly Update to the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2020 Pricer
  • Provider Education for Required Prior Authorization (PA) of Hospital Outpatient Department (OPD) Services
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