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Transmittals

  • Influenza Vaccine Payment Allowances - Annual Update for 2017-2018 Season
  • Home Health Value-Based Purchasing Implementation
  • Out-of-Jurisdiction Providers (OJP) and Qualified Chain Providers (QCP) Move to Correct A/B MAC Jurisdiction - Analysis CR Only
  • Modify VMS Accreditation Logic to Accept Additional Modifiers
  • Multi-Carrier System (MCS), Fiscal Intermediary Shared System (FISS) and VIPS Medicare Shared System (VMS) Automation of Prior Authorization (PA) Requests/Pre-Claim Reviews (PCR) and their Responses with Multiple Services (for programs like Home Health (HH)) via the Electronic Submission of Medical Documentation (esMD) System
  • Provider Error Rate Formula
  • Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 January 2018 Updates
  • 2018 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder
  • Healthcare Provider Taxonomy Codes (HPTCs) October 2017 Code Set Update
  • Healthcare Provider Taxonomy Codes (HPTCs) October 2017 Code Set Update
  • Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): 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) Committee on Operating Rules for Information Exchange (CORE)
  • Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): 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) Committee on Operating Rules for Information Exchange (CORE)
  • Common Edits and Enhancements Modules (CEM) Code Set Update
  • Part B Detail Line Expansion - Common Working File (CWF)
  • Credentials of Reviewers
  • Automating the HCPCS Load Process
  • Implement Changes to Effect the Functionality of Combination Force Codes in the ViPS Medicare System (VMS)
  • Quarterly Update to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS)
  • Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2018
  • CICS Region Merge(s) for A/B MACs - Analysis Only
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