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Transmittals

  • Twelfth General Update to Provider Enrollment Instructions in Chapter 10 of CMS Publication (Pub.) 100-08
  • Revisions to Chapter 12 (The Comprehensive Error Rate Testing (CERT) Program) of Publication (Pub.) 100-08 (Medicare Program Integrity Manual) and Deletions to Exhibit 34 in the Exhibits Chapter of Pub. 100-08
  • Making Care Primary (MCP) Model Implementation
  • Additional Implementation Edits on Hospice Claims for Hospice Certifying Physician Medicare Enrollment
  • Implement Edits on Hospice Claims
  • Revisions to the State Operations Manual (SOM) Chapter 10 –Informal Dispute Resolution (IDR) and Enforcement Procedures for Home Health Agencies and Hospice Programs
  • Medical Review Policies for Signature Requirements
  • Fiscal Intermediary Shared System (FISS) - New Process to Create and Use Overridable Reason Codes
  • Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS) National Coverage Determination (NCD) 110.23
  • Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS) National Coverage Determination (NCD) 110.23
  • Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2024 Update
  • Quarterly Update to the End-Stage Renal Disease Prospective Payment System (ESRD PPS)
  • International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--October 2024
  • Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Expiration of a Unique Tracking Number (UTN) on the Prior Authorization (PA) Tracking File
  • Internet-Only Manual (IOM) Updates for Split (or Shared) Evaluation and Management Visits
  • A Social Determinants of Health Risk Assessment in the Annual Wellness Visit Policy Update in the Calendar Year 2024 Physician Fee Schedule Final Rule
  • A Social Determinants of Health Risk Assessment in the Annual Wellness Visit Policy Update in the Calendar Year 2024 Physician Fee Schedule Final Rule
  • The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider and Statistical Reimbursement (PS&R) System
  • File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions
  • Update to Several Sections of the Internet-only Manual (IOM) Publication (Pub.) 100-04, Medicare Claims Processing Manual, Chapter 23 - Fee Schedule Administration and Coding Requirements
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