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Transmittals

  • Update to the Medicaid Program Integrity Manual (PIM)
  • New “K” Code for Therapeutic Shoe Inserts
  • New “K” Code for Therapeutic Shoe Inserts
  • Comprehensive Error Rate Testing (CERT) Updates to Chapter 12 of Pub. 100-08
  • Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 1
  • Part B Detail Line Expansion - Multi-Carrier System (MCS) Phase 8
  • Editing Update for Mammography Services
  • Consumer Friendly Spanish Descriptors for the Current Procedural Terminology (CPT) / Level 1 Healthcare Common Procedure Coding System (HCPCS) Codes and a Correction to the Part A Spanish Medicare Summary Notices (MSNs)
  • Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF)
  • Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process
  • Revisions to State Operations Manual (SOM) Appendix G, Guidance for Surveyors: Rural Health Clinics
  • Updates to the Common Working File (CWF) to Allow Entry Code 9 Durable Medical Equipment (DME) Claims to Process Correctly
  • Identifying Prior Hospice Days When Calculating Hospice Routine Home Care Payments After a Transfer
  • Identifying Prior Hospice Days When Calculating Hospice Routine Home Care Payments After a Transfer
  • Global Surgical Days for Critical Access Hospital (CAH) Method II
  • Global Surgical Days for Critical Access Hospital (CAH) Method II
  • Analysis of Reject Responses for Prior Authorization/Pre-Claim Review Requests (PA/PCR) via the Electronic Submission of Medical Documentation (esMD) System and Usage of Standardized Review Reason Codes and Statements
  • Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Codes 46, 48, and 49 within the Fiscal Intermediary Shared System (FISS)
  • Analysis Only: Procedures to Handle Foreign (non US) Addresses
  • Part B Detail Line Expansion - VMS
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