Transmittals

April 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS)

Implementation of the Medicare Performance Adjustment (MPA) for the Maryland Total Cost of Care (MD TCOC) Model

Ensuring Only the Active Billing Hospice Can Submit a Revocation

Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM)

Update to Chapter 30 in Publication (Pub.) 100-04 to Provide Language-Only Changes for the New Medicare Card Project

Medicare Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 42, Form CMS-265-11

New State Code for CA, FL, LA, MI, MS, OH, PA, TN and TX

National Coverage Determination (NCD90.2): Next Generation Sequencing (NGS)

Update to Publication 100-04 Chapters 2, 6, and 18 to Provide Language-Only Changes for the New Medicare Card Project

Implementation of the Award for the Jurisdiction 8 (J-8) Part A and Part B Medicare Administrative Contractor (J8 A/B MAC)

Evaluation and Management (E/M) when Performed with Superficial Radiation Treatment

Evaluation and Management (E/M) when Performed with Superficial Radiation Treatment

Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits

Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits

Ensuring Organ Acquisition Charges Are Not Included in the Inpatient Prospective Payment System (IPPS) Payment Calculation

National Coverage Determination (NCD) 20.4 Implantable Cardiac Defibrillators (ICDs)

Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process

Home Health (HH) Patient-Driven Groupings Model (PDGM) - Split Implementation

April Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule

Modification of the MCS Claims Processing System Logic for Modifier 59, XE, XS, XP, and XU Involving the National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) Column One and Column Two Codes