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Transmittals

  • Tracking Status of Claims Adjustments
  • Common Edits and Enhancements Modules (CEM) Code Set Update
  • Off-Cycle Update to the Long Term Care Hospital (LTCH) Prospective Payment System (PPS) Fiscal Year (FY) 2018 Pricer
  • 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)
  • Analysis Only: Develop Enhanced Claims Search Reporting in Fiscal Intermediary Shared System (FISS)
  • Multi-Carrier System (MCS) Modernization Proof of Concept Number 8
  • Claim Status Category and Claim Status Codes Update
  • Claim Status Category and Claim Status Codes Update
  • Tracking Medicare Contractors' Prepayment and Postpayment Reviews
  • Analysis and Design Working Sessions for the Development of a Pre-Payment Common Additional Documentation Request (ADR) Letter
  • The purpose of this Change Request (CR) is for the Common Working File (CWF) Maintainer to redesign and implement the Operating Report (ORPT).
  • Out-of-Jurisdiction Providers (OJP) and Qualified Chain Providers (QCP) Move to Correct A/B MAC Jurisdiction - Analysis CR Only
  • October 2017 Integrated Outpatient Code Editor (I/OCE) Specifications Version 18.3
  • October 2017 Integrated Outpatient Code Editor (I/OCE) Specifications Version 18.3
  • Influenza Vaccine Payment Allowances - Annual Update for 2017-2018 Season
  • Influenza Vaccine Payment Allowances - Annual Update for 2017-2018 Season
  • Fee For Service (FFS) Applications Upgrade Customer Information Control System (CICS) to Transaction Server (TS) v5.2
  • IVIG Demonstration: Payment Update for 2018
  • IVIG Demonstration: Payment Update for 2018
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