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Transmittals

  • Calendar Year (CY) 2016 Eligibility Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) Low-Volume Payment Adjustment (LVPA)
  • Calendar Year (CY) 2016 Eligibility Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) Low-Volume Payment Adjustment (LVPA)
  • Rural Health Clinic and Federally Qualified Health Center - Medicare Benefit Policy Manual Update
  • Internet Only Manual (IOM) Publication 100-01 - General Information, Eligibility, and Entitlement, Chapter 7 - Contract Administrative Requirements, Section 40 - Shared System Maintainder Responsibilities for Systems Releases
  • Update to Pub. 100-04, Chapter 02 Admission and Registration Requirements, for Provider Verification of Beneficiary Eligibility and Entitlement
  • New Waived Tests
  • Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
  • Medicare Program Integrity Changes - Pub. 100-08 Chapter 7
  • Internet Only Manual Pub.100-06, Chapter 4 Revisions to Reflect the New Debt Referral Requirements Mandated by the Digital Accountability and Transparency Act of 2014 (DATA Act)
  • Award of Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Contract for Jurisdiction D
  • Reviewers Credentials, Notifying the Provider, CARC Code Update
  • Issuing Continuing Compliance Letters to Specific Providers and Suppliers
  • Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2016
  • Advance Care Planning (ACP) as an Optional Element of an Annual Wellness Visit (AWV)
  • Advance Care Planning (ACP) as an Optional Element of an Annual Wellness Visit (AWV)
  • January 2016 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • January 2016 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - April 2016
  • Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - April 2016
  • Summary of Policies in the Calendar Year (CY) 2016 Medicare Physician Fee Schedule (MPFS) Final Rule and Telehealth Originating Site Facility Fee Payment Amount
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