Transmittals

Analysis to Create a Standard Coded List of Document Types to be used by Review Contractors (RC) for Requesting Documentation in Pre-Pay and Post-Pay Additional Documentation Request (ADR) Letters (and/or Electronic Medical Documentation Requests (eMDR)

Instructions for Retrieving the 2019 Pricing and Healthcare Common Procedure Coding System (HCPCS) Data Files through CMS' Mainframe Telecommunications Systems

Incomplete Colonoscopies Billed with Modifier 53 for Critical Access Hospital (CAH) Method II Providers

Quarterly Influenza Virus Vaccine Code Update - January 2019

2019 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder

Modify Common Working File (CWF) Editing to Apply Code G0476 to Female Beneficiaries Only

Shared System Enhancement 2018: Eliminate action code logic

Update to Bone Mass Measurements (BMM) Code 77085 Deductible and Coinsurance

Removal of the Provider Requirement for Reporting on an Institutional Claim a Value Code (VC) 05 - Professional Component-Split Implementation

Hospital and Critical Access Hospital (CAH) Swing-Bed Manual Revisions and Shared Systems Changes

Revision of Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Ambulance Services Rendered to Beneficiaries in a Part A SNF Stay

January 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Next Generation Accountable Care Organization (NGACO) Model Post Discharge Home Visit HCPCS

Update to Common Working File (CWF) Edit of Medicare Advantage (MA) Enrollees' Inpatient Claims from Approved Teaching Hospitals Billed with Indirect Medical Education (IME) or Coverage with Evidence Development (CED)

Shared System Enhancement 2018: Streamline National Provider Identifier (NPI) Processing in the VIPS Medicare System (VMS)

Systems Changes to Address Acute Kidney Injury (AKI) Claims and Outlier Payments

Medicare Cost Report E-Filing (MCReF)

Medical Review of Diagnostic Laboratory Tests

Magnetic Resonance Imaging (MRI)

Magnetic Resonance Imaging (MRI)