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Transmittals

  • HIGLAS Enhancement Required for Implementation of Overpayment based Denials
  • Analyze Common Working File (CWF) System and Identify Layouts with Minimum FILLER Areas Available
  • Enhancement to the Recovery Audit Contractor (RAC) Mass Adjustment Input File
  • New Waived Tests
  • New Waived Tests
  • File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions
  • April 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • April 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • Ensuring Correct Processing of Home Health Disaster Related Claims and Claims for Denial
  • Ensuring Correct Processing of Home Health Disaster Related Claims and Claims for Denial
  • Medicare Diabetes Prevention Program (MDPP) Enrollment Process
  • Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Medicare Benefit Policy Manual Chapter 13 Update
  • Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Medicare Benefit Policy Manual Chapter 13 Update
  • Implementation of the Transitional Drug Add-On Payment Adjustment
  • January 2018 Update of the Ambulatory Surgical Center (ASC) Payment System
  • Summary of Policies in the Calendar Year (CY) 2018 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, and CT Modifier Reduction List
  • Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2018
  • Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens
  • Revisions to State Operations Manual (SOM) Appendix J, Part II – Interpretive Guidelines – Responsibilities of Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID)
  • January 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS)
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