Transmittals

Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 30.3, Effective October 1, 2024

Revisions to the State Operations Manual (SOM) Appendix G - RHC

Revisions to the State Operations Manual (SOM) Appendix M-Hospice

October 2024 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

Replacement Wheelchair Equipment When the Manufacturer Exits Wheelchair Business

Billing and Payment for Telehealth Services with Place of Service (POS) 10

July 2024 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

User Enhancement Change Request (UECR) - Enhance the Multi-Carrier System Desktop Tool (MCSDT) to Export Tables

Combined Common Edits/Enhancements Modules (CCEM) Code Set Update

Clarification of Liability for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Claims Overlapping Inpatient Hospital Stays.

Changing the Frequency of No-Pay Medicare Summary Notice (MSN) Mailings from Every 90 Days to Every 120 Days

July 2024 Update of the Hospital Outpatient Prospective Payment System (OPPS)

July 2024 Integrated Outpatient Code Editor (I/OCE) Specifications Version 25.2

Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update

Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE

Medical Review Policies for Signature Requirements

Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment

October 2024 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder

Quarterly Update to Home Health (HH) Grouper

Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits