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Transmittals

  • Common Working File (CWF) to Add User Identification (ID) Information to CWF Provider Queries Audit File(s)
  • FISS Process Enhancements – Analysis Only
  • 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
  • Common Working File (CWF) to Modify CWF Provider Queries to Only Accept National Provider Identifier (NPI) as valid Provider Number
  • Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process
  • ICD-10 Coding Revisions to National Coverage Determinations (NCDs)
  • Clarification of Certificate of Medical Necessity (CMN) and Durable Medical Equipment Information Forms (DIFs)
  • Accepting Hospice Notices of Election via Electronic Data Interchange
  • Updated Editing of Always Therapy Services - MCS
  • New Waived Tests
  • Update to Reporting Requirements
  • Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF)
  • National Coverage Determination (NCD20.8.4): Leadless Pacemakers
  • National Coverage Determination (NCD20.8.4): Leadless Pacemakers
  • QIO Manual Chapter 15 – “Performance Evaluation”
  • The guidelines in section 905.7 are provided beginning with cost reporting periods beginning in Federal Year (FY) 2009
  • Instructions for the Prepaid Health Plan Cost Report and the applicable cost reports.
  • Updates to Pub. 100-09, Chapter 6 Beneficiary and Provider Communications Manual, Chapter 6, Provider Customer Service Program
  • Clarifying the Instructions for Amending or Correcting Entries in Medical Records
  • October 2017 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
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