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Transmittals

  • Advance Care Planning (ACP) as an Optional Element of an Annual Wellness Visit (AWV)
  • Comprehensive Error Rate Testing (CERT) program Treatment of Claims in the Prior Authorization Model
  • Contractor Reporting of Operational and Workload Data (CROWD) Form 5 Update with Revisions to Pub. 100-06 Medicare Financial Management Manual, Chapter 6
  • Using scrubbed Medicare beneficiary/legal rep address data within the Fee-For-Service (FFS) systems - Analysis and Design
  • Identifying "No Documentation" Medical Necessity Denials for Claims Flagged for Recovery Auditor Review
  • Additional Fields Added to the Outlier Reconciliation Lump Sum Utility
  • System Specfiic Enhancement 2014: Fiscal Intermediary Standard System (FISS) Edit/Rules Engine Analysis and Design
  • Clarification to Language Regarding Proof of Delivery Requirements in Pub. 100-08, Chapter 4, Section 4.26.1
  • Off-Cycle Update to the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2016 Pricer
  • Correction to Applying Therapy Caps to Maryland Hospitals and Billing Requirement for Rehabilitation Agencies and Comprehensive Outpatient Rehabilitation Facilities (CORFs)
  • Correction to Applying Therapy Caps to Maryland Hospitals and Billing Requirement for Rehabilitation Agencies and Comprehensive Outpatient Rehabilitation Facilities (CORFs)
  • Updating the Fiscal Intermediary Shared System (FISS) to Make Payment for Drugs and Biologicals Services for Outpatient Prospective Payment System (OPPS) Providers
  • Advance Care Planning (ACP) Services furnished by Rural Health Clinics (RHCs)
  • Accredited Standards Committee (ASC) X12 Healthcare Claims Acknowledgement (277CA) Flat File Update
  • Accredited Standards Committee (ASC) X12 Healthcare Claims Acknowledgement (277CA) Flat File Update
  • System Specific Enhancement 2014: String Testing Automation
  • Update to Pub. 100-08, Chapter 15
  • April 2016 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • April 2016 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • Shared System Enhancement 2015 Analysis and Design HUOPCUT Hospice Period and Health Maintenance Organization (HMO) Processing
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