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Transmittals

  • Targeted Probe and Educate Pilot
  • Introductory Letters for Suppliers and Providers Related to the Prior Authorization for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items
  • Claim Status Category and Claim Status Codes 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)
  • Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update
  • Clarifying Date and Timing Requirements for Certain Durable Medical Equipment Prosthetics Orthotics and Supplies (DMEPOS)
  • ICD-10 Coding Revisions to National Coverage Determinations (NCDs)
  • Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS)
  • July 2017 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • Instructions for Downloading the Medicare ZIP Code File for October Files
  • Common Edits and Enhancements Modules (CEM) Code Set Update
  • Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS)
  • Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 October 2017 Updates
  • Update to Reporting Requirements
  • Instructions to Process Services Not Authorized by the Veterans Administration (VA) in a Non-VA Facility Reported With Value Code (VC) 42
  • Screening for the Human Immunodeficiency Virus (HIV) Infection
  • Clarifying Medical Review of Hospital Claims for Part A Payment
  • Clarifying Medical Review of Hospital Claims for Part A Payment
  • Update FISS Editing to Include All Three Patient Reason for Visit Code Fields
  • Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF)
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