Transmittals

October 2015 Integrated Outpatient Code Editor (I/OCE) Specifications Version 16.3

October 2015 Integrated Outpatient Code Editor (I/OCE) Specifications Version 16.3

New Waived Tests

New Waived Tests

Update to Pub. 100-08 to Provide Language-Only Changes for Updating ICD-10 and ASC X12

Update to Pub. 100-04, Chapter 18 to Provide Language-Only Changes for Updating ICD-10 and ASC X12

Revisions to State Operations Manual (SOM) Appendix J, Part II – Interpretive Guidelines – Responsibilities of Intermediate Care Facilities for Individuals with Intellectual Disabilities

International Classification of Diseases, 10th Revision (ICD-10) Additional Acknowledgement Testing Reporting

October Quarterly Update for 2015 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule

October Quarterly Update for 2015 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule

Clarification Regarding the Processing of Certain Provider Enrollment-Related Transactions

Revisions to State Operations Manual (SOM) Chapter 2, The Certification Process and Appendix W, Survey Protocol, Regulations and Interpretive Guidelines for Critical Access Hospitals (CAHs) and Swing-Beds in CAHs

Data Act Treasury Referral Timeframe and Reporting - DME MAC Changes

Procedures for Processing Under Tolerance Part A 935, Part A-Other, Part A and B Healthcare Professional Shortage Area (HPSA), and Part A-Provider Recovery Audit Contractor (RAC) Identified debts in the Healthcare Integrated General Ledger Accounting System (HIGLAS)

Provider Reimbursement Manual - Part 2, Provider Cost Reporting Forms and Instructions, Chapter 43, Form CMS-1984-14

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October CY 2015 Update

Instructions for the Shared Systems and Medicare Administrative Contractors (MACs) to follow when a Medicare Residual Payment must be Paid on Workers’ Compensation Medicare Set-aside Arrangement (WCMSA) or for Ongoing Responsibility of Medicals (ORM) Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) Claims.

Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update

Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - October 2015 Update

Update for Paper Claims Processing Under the Administrative Simplification Compliance Act (ASCA)