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Transmittals

  • Updates to the Coordination of Benefits Agreement Insurance File (COIF) For Use in the National Coordination of Benefits Agreement (COBA) Crossover Process
  • New Medicare Provider Specialty Code (D5) and Billing Codes for Opioid Treatment Programs and New Place of Service Code 58
  • Summary of Policies in the Calendar Year (CY) 2020 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, CT Modifier Reduction List, and Preventive Services List
  • Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2020
  • Claim Status Category and Claim Status Codes Update
  • CY 2020 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
  • Addition of Medical Severity Diagnosis Related Groups (MS-DRG) Subject to Inpatient Prospective Payment System (IPPS) Replaced Devices Offered Without Cost or With a Credit Policy
  • User CR: ViPS Medicare System (VMS) Increase Number of SuperOp Occurrences within a Value Set
  • Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2020
  • Positron Emission Tomography (PET) Scan - Allow Tracer Codes Q9982 and Q9983 in the Fiscal Intermediary Shared System (FISS)
  • Home Health (HH) Patient-Driven Groupings Model (PDGM) - Revised and Additional Manual Instructions
  • Updates to the Coordination of Benefits Agreement Insurance File (COIF) For Use in the National Coordination of Benefits Agreement (COBA) Crossover Process
  • Refinement of the Transitional Drug Add-on Payment Adjustment (TDAPA)
  • Calendar Year (CY) 2020 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures
  • Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - October 2019 Update
  • Health Professional Shortage Area (HPSA) Bonus Payments for All Mental Health Specialties
  • International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--April 2020
  • Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2020
  • Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 26.0, Effective January 1, 2020
  • 2020 Annual Update to the Therapy Code List
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