Transmittals

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

Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2020 - Recurring July File Update

New Waived Tests

New Waived Tests

Implementation of the Award for the Jurisdiction 5 Part A and Part B Medicare Administrative Contractor (J-5 A/B MAC)

Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update

April 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.1