Transmittals

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

October 2024 (2025 File) Update of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)

Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for Generating Reports

National Coverage Determination (NCD) 200.3 - Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer’s Disease (AD)

Guiding an Improved Dementia Experience (GUIDE) Model Implementation

Updates to the Recovery Audit Contractor Data Warehouse (RACDW) Suppression Upload File Format

Update to Pub. 100-04 Medicare Claims Processing Manual, Chapter 23, Section 60.3 Gap-filling Durable Medical Equipment Prosthetics Orthotics Supplies (DMEPOS) Fees