Transmittals
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Next Generation Accountable Care Organization (NGACO) Year Three Benefit Enhancements
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Revisions to the Home Health Pricer to Support Value-Based Purchasing and Payment Standardization
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Revisions to the Home Health Pricer to Support Value-Based Purchasing and Payment Standardization
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July Quarterly Update for 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
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Revisions to the Home Health Pricer to Support Value-Based Purchasing and Payment Standardization
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Next Generation Accountable Care Organization (NGACO) Year Three Benefit Enhancements
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Provider-Based Determination
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October Quarterly Update to 2017 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
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Suppression of the Standard Paper Remittance Advice (SPR) in 45 Days if also receiving Electronic Remittance Advice (ERA)
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July Quarterly Update for 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
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Shared System Maintainers (SSMs) Standardized Release Identification (ID) Format Analysis and Design
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Analysis Only- Medicare Reporting on the Return of Self-Identified Overpayments
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Common Working File (CWF) to Increase the Next Eligible Date Occurrences for Preventive Services to 99 Occurrences - Analysis
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Shared Savings Program (SSP) Demonstration Code 77 Modification
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Implementation CR: Integrating NLR into the HQR system
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Common Working File (CWF) to Add User Identification (ID) Information to CWF Provider Queries Audit File(s)
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FISS Process Enhancements – Analysis Only
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Correcting Payment of Inpatient Prospective Payment System (IPPS) Transfer Claims Assigned to Medicare Severity-Diagnosis Related Group (MS DRG) 385 and Allowing Part A Deductible on Medicare Secondary Payer (MSP) Same Day Transfer Inpatient Claims
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Common Working File (CWF) to Modify CWF Provider Queries to Only Accept National Provider Identifier (NPI) as valid Provider Number
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Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process