Transmittals

Update to Medicare Benefit Policy Manual and Medicare Claims Processing Manual Adding New Chapters for Opioid Treatment Programs (Manual Updates Onl

January 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.0

Revisions to the State Operating Manual (SOM) Chapter 2; Community Mental Health Center (CMHC)

Add Dates of Service (DOS) for Pneumococcal Pneumonia Vaccination (PPV) Health Care Procedure Code System (HCPCS) Codes (90670, 90732), and remove Next eligible dates for PPV HCPCS

Implementation of Usage of the K3 Segment for Reporting Line Level Ordering Provider on Institutional Claims for Advanced Diagnostic Imaging

Update to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for Vaping Related Disorder

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--April 2020 Update

Multi-Carrier System (MCS) Financial Changes for Combining Pay Alone Payments in the Healthcare General Ledger Accounting System (HIGLAS) Payment Sets

Updates to Ensure the Original 1-Day and 3-Day Payment Window Edits are Consistent with Current Policy

Update to the Fiscal Intermediary Shared System (FISS) Integrated Outpatient Code Editor (IOCE) Claim Return Buffer

Second Update to CR 11152 Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM)

Update to the Home Health Grouper for New Diagnosis Code for Vaping Related Disorder

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2020 Update

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2020 Update

Implementation of Additional Requirement to add Healthcare Common Procedure Coding System (HCPC) and Current Procedural Terminology (CPT) - HCPC/CPT as Paired Items of Service for Prior Authorization and Medicare Claims Processing for Part A, Part B, DME, and Home Health and Hospice

Updates to Chapter 4 and Exhibit 8 in Publication (Pub.) 100-0

Updates to the Prior Authorization (PA) Guidance Within Publication (Pub.) 100-08

July 2020 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder

Quarterly Update for the Temporary Gap Period of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - April 2020

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2020 Update