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Transmittals

  • New Instructions for Home Health Agency Misuse of Requests for Anticipated Payments (RAPs)
  • Adding a Targeted Probe and Educate (TPE) Sub-Section Into Section 3.2 of Chapter 3 in Publication (Pub.) 100-08
  • Updating Language to Clarify for Providers Chapter 3, Section 20 and Chapter 5, Section 70 of the Medicare Secondary Payer Manual
  • Electronic Correspondence Referral System (ECRS) Enhanced Functionality
  • Ensuring Home Health Standardized Amounts Are Reflected in the National Claims History
  • Clarification of Policies Related to Reasonable Cost Payment for Nursing and Allied Health Education Programs
  • User CR: MCS - Enhance H9 Screen to Hold Information After Claim Finalizes
  • Current Medicare Coverage of Diabetes Supplies
  • Enhancement for Undeliverable Pay Medicare Summary Notices (MSNs) for Multi-Carrier System (MCS) Users
  • Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October 2018 Update
  • Revisions to Medicare Claims Processing Manual for Foreign, Emergency and Shipboard Claims
  • Payments to Home Health Agencies That Do Not Submit Required Quality Data - This CR Rescinds and Fully Replaces CR 9651.
  • User CR: FISS to Add Additional Search Features to Provider Direct Data Entry (DDE) Screen
  • Modifications Within Common Working File (CWF) to Adjustment Claims Exceeding Annual Therapy Threshold
  • Combined Common Edits/Enhancements Module (CCEM) Updates for JAVA (version 6) to JAVA (version 7)
  • Next Generation Accountable Care Organization (ACO) Model 2019 Benefit Enhancement
  • Process Improvement for Recovery Audit Contractor (RAC) Mass Adjustment Input File – Underpayment Adjustment Enhancement
  • Modifications to the National Coordination of Benefits Agreement (COBA) Medicare Crossover Process
  • October Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
  • Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - October 2018 Update
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