Transmittals

Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for October 2015

Implementing the Insertion of a Sheet of Paper Promoting the Electronic Medicare Summary Notices (eMSNs) into Mailed Medicare Summary Notices (MSNs)

Influenza Vaccine Payment Allowances - Annual Update for 2015-2016 Season

Influenza Vaccine Payment Allowances - Annual Update for 2015-2016 Season

Modification to the Telehealth Originating Site Facility Fee Billing Requirements for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)

National Coverage Determination (NCD) for Screening for Colorectal Cancer Using Cologuard™ - A Multitarget Stool DNA Test

National Coverage Determination (NCD) for Screening for Colorectal Cancer Using Cologuard™ - A Multitarget Stool DNA Test

National Coverage Determination (NCD) for Screening for Colorectal Cancer Using Cologuard™ - A Multitarget Stool DNA Test

Medicare Care Choices Model (MCCM) - Per Beneficiary per Month Payment (PBPM) - Implementation

Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2016

Removing References to Network Service Vendors from Chapter 24 of the Medicare Claims Processing Manual, Pub. 100-04

State Operations Manual (SOM), Section 2185- Home Health Agencies (HHAs), Change of Address to a Medical Administrative Contractor (MAC) within 90 Days

Medicare Prior Authorization of Power Mobility Devices (PMDs) Demonstration: Advance Determination of Medicare Coverage (ADMC)Reviews for Beneficiaries Who Have Representative Payees

Changes to Supplier Documentation and Evidence of Medical Necessity for Oxygen Claims

Claim Status Category and Claim Status Codes Update

Claim Status Category and Claim Status Codes Update

Common Edits and Enhancements Modules (CEM) Code Set Update

Updates of Medicare Severity Diagnosis Related Groups (MS-DRGs) to the List Subject to Inpatient Prospective Payment System (IPPS) Replaced Devices Offered without Cost or with a Credit Policy

Updates of Medicare Severity Diagnosis Related Groups (MS-DRGs) to the List Subject to Inpatient Prospective Payment System (IPPS) Replaced Devices Offered without Cost or with a Credit Policy

Revision to Medicare Code Editor (MCE) Edit, Procedure Inconsistent with Length of Stay (LOS) for International Classification of Diseases, Tenth Revision, Procedure Classification System (ICD-10-PCS) Respiratory Ventilation, Greater than 96 Consecutive Hours