Transmittals

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)

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