Transmittals

Revisions to Medicare State Operations Manual (SOM) Table of Contents, Medicare SOM Appendix, SOM Appendix A – Survey Protocol, Regulations and Interpretive Guidelines for Hospitals, SOM Appendix T- Regulations and Interpretive Guidelines for Swing Beds in Hospitals, SOM Appendix W- Survey Protocol, Regulations and Interpretive Guidelines for Critical Access Hospitals (CAHs) and Swing-Beds in CAHs

Templates in Medical Review

Order Requirements When Prescribing Practitioner is Also the Supplier and is Permitted to Furnish Specific Items of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)

Updating Calendar Year (CY) 2019 Medicare Diabetes Prevention Program (MDPP) Payment Rates

Notice of New Interest Rate for Medicare Overpayments and Underpayments -1st Qtr Notification for FY 2019

Procedures for Shared Systems to Handle Foreign (non US) Addresses

Shared System Enhancement 2018: Implementation of the Medicare Summary Notice (MSN) Zip Code Analyzer Tool

Update to the Long Description for Spanish Records on The Procedure Descriptor Master File for all Adds and Updates That Were Not Loaded with Change Request (CR) 10286

Claim Based Incentive Programs - Non-Assigned Claim Update

Fiscal Year (FY) 2019 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes

2019 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update

Local Coverage Determinations (LCDs)

Update to Exhibit 16 - Model Payment Suspension Letters in Publication (Pub.) 100-08

Table 30 to update the Medicare Payment Rates for routine SNF-type services by swing-bed hospitals during calendar year 2019. These rates should be used to carve out swing-bed costs on the hospital cost report

Guidance Regarding the Use of Statistical Sampling for Overpayment Estimation

Updates to Chapter 1 Payer Only Codes in the Medicare Claims Processing Manual

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2019

Quarterly Influenza Virus Vaccine Code Update - January 2019

New Waived Tests

Revisions to State Operations Manual, Chapter 2, Certification Process