Transmittals

Pub. 100-04, Chapter 29 – Appeals of Claims Decisions Update: Revisions to Timeliness Requirements for Forwarding Misfiled Appeal Requests, Reconsideration Request Form, and Guidelines for Writing Appeals Correspondence

New Physician Specialty Code for Dentist

New Physician Specialty Code for Dentist

System Changes to Implement Section 231 of the Consolidated Appropriations Act, 2016, Temporary Exception for Certain Severe Wound Discharges From Certain Long-Term Care Hospitals (LTCHs)

System Changes to Implement Section 231 of the Consolidated Appropriations Act, 2016, Temporary Exception for Certain Severe Wound Discharges From Certain Long-Term Care Hospitals (LTCHs)

Medical Review of Skilled Nursing Facility Prospective Payment System (SNF PPS) Bills

Medicare Administrative Contractors (MACs) Analysis of the Proposed Contract CMS Security Clause Update

October Quarterly Update to 2016 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

October Quarterly Update to 2016 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

Special Provisions for Lab Additional Documentation Requests (ADRs)

Payment Change for Group 3 Complex Rehabilitative Power Wheelchairs Accessories and Seat and Back Cushions under Section 2 of the Patient Access and Medicare Protection Act (PAMPA)

Corrections to Chapter 1 of the Medicare Claims Processing Manual

Shared System Enhancement 2015 Analysis and Design HUOPCUT Hospice Period and Health Maintenance Organization (HMO) Processing

JW Modifier: Drug amount discarded/not administered to any patient

Billing of Vaccine Services on Hospice Claims

Billing of Vaccine Services on Hospice Claims

Revisions to the State Operations Manual (SOM) - Appendix PP – Guidance to Surveyors for Long Term Care Facilities

Revisions to the State Operations Manual (SOM) - Appendix P – Survey Protocol for Long Term Care Facilities

Revisions to the State Operations Manual (SOM) –Chapter 5

Revisions to the State Operations Manual (SOM) –Chapter 2