Transmittals

Chronic Care Management (CCM) services for Rural Health Clinics (RHCs) and Federal Qualified Health Centers (FQHCs)

System Specific Enhancement 2014: Process Health Maintenance Organization (HMO) edits in a single module in Common Working File (CWF) Analysis Only

Revisions to State Operations Manual (SOM), Appendix A -Survey Protocol, Regulations and Interpretive Guidelines for Hospitals

Claim Status Category and Claim Status Codes Update

Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE

Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE

Common Edits and Enhancements Modules (CEM) Code Set Update

System Specific Enhancement 2015: Remove Direct Claim Updates within the Daily Batch Cycle Analysis and Design CR

Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 22.1, Effective April 1, 2016

Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 22.1, Effective April 1, 2016

Instructions for Downloading the Medicare ZIP Code File for April 2016

Off-Cycle Update to the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2016 Pricer

Update to the Federally Qualified Health Centers (FQHC) Prospective Payment System (PPS) - Recurring File Updates

New Values for Incomplete Colonoscopies Billed with Modifier 53

Medicare Coverage of Screening for Lung Cancer with Low Dose Computed Tomography (LDCT)

Medicare Coverage of Screening for Lung Cancer with Low Dose Computed Tomography (LDCT)

Announcement of Payment Rate Increases for Rural Health Clinics (RHCs) for Calendar Year (CY) 2016

Announcement of Payment Rate Increases for Rural Health Clinics (RHCs) for Calendar Year (CY) 2016

Ambulance Inflation Factor for CY 2016 and Productivity Adjustment

Ambulance Inflation Factor for CY 2016 and Productivity Adjustment