Transmittals

Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)

Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)

Claim Status Category and Claim Status Codes Update

Claim Status Category and Claim Status Codes Update

Influenza Vaccine Payment Allowances - Annual Update for 2017-2018 Season

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