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Transmittals

  • Issuing Compliance Letters to Specific Providers and Suppliers Regarding Inappropriate Billing of Qualified Medicare Beneficiaries (QMBs) for Medicare Cost-Sharing
  • Issuing Compliance Letters to Specific Providers and Suppliers Regarding Inappropriate Billing of Qualified Medicare Beneficiaries (QMBs) for Medicare Cost-Sharing
  • Medicare Electronic Health Record (EHR) Incentive Program – Analysis of Meaningful Use Hospital Transition into Hospital Quality Reporting System
  • Revisions to the State Operations Manual (SOM) Chapter 2
  • Audit Trail for Reason Code Edit Changes
  • Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process
  • Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2017
  • Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2017
  • Calendar Year (CY) 2017 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures
  • Adding a Foreign Language Tagline Sheet to Medicare Summary Notices (MSNs)
  • FISS Implementation of the Restructured Clinical Lab Fee Schedule
  • Extrapolated Overpayments
  • Update of Chapter 1 of the Managed Care Manual
  • Payment for Oxygen Volume Adjustments and Portable Oxygen Equipment
  • Updates to Pub. 100-04, Chapters 8, 13 and 14 to Correct Remittance Advice Messages
  • Phase 3 - Updating the Fiscal Intermediary Shared System (FISS) to Make Payment for Drugs and Biologicals Services for Outpatient Prospective Payment System (OPPS) Providers
  • Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process
  • Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process
  • Fiscal Year (FY) 2017 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes
  • Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2017
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