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Transmittals

  • Claim Status Category and Claim Status Codes Update
  • New Physician Specialty Code for Undersea and Hyperbaric Medicine
  • Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Medicare Benefit Policy Manual Chapter 13 Update
  • 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) 2019
  • Updates to Chapter 4 of Publication (Pub.) 100-08
  • Calendar Year (CY) 2019 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
  • Updates to the Inpatient Psychiatric Facility Benefit Policy Manual
  • Calendar Year (CY) 2019 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
  • Update to Chapter 4, Section 4.18.1.4 and Exhibit 16 in Publication (Pub.) 100-08
  • Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Update
  • Summary of Policies in the Calendar Year (CY) 2019 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
  • Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 25.0 Effective January 1, 2019
  • Revision of Definition of the Physician Supervision of Diagnostic Procedures, Clarification of DSMT Telehealth Services, and Establishing a Modifier for Expanding the Use of Telehealth for Individuals with Stroke
  • Revision of Definition of the Physician Supervision of Diagnostic Procedures, Clarification of DSMT Telehealth Services, and Establishing a Modifier for Expanding the Use of Telehealth for Individuals with Stroke
  • National Coverage Determination (NCD90.2): Next Generation Sequencing (NGS)
  • Next Generation Accountable Care Organization (NGACO) Model Post Discharge Home Visit HCPCS
  • Ambulance Inflation Factor for Calendar Year 2019 and Productivity Adjustment
  • Instructions for Downloading the Medicare ZIP Code Files for April 2019
  • National Coverage Determination (NCD) 20.4 Implantable Cardiac Defibrillators (ICDs)
  • Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2019 - Recurring File Update
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