Transmittals

Remittance Advice (RA) Changes due to Durable Medical Equipment Medicare Administrative Contractors (DME MACs) Transition to Healthcare Integrated General Ledger Accounting System (HIGLAS)

Internet Only Manual Update, Pub. 100-04, Chapter 3 (Inpatient Hospital Billing), Sections 90.1.2 - Billing for Kidney Transplant and Acquisition Services, 90.2 - Heart Transplants and 90.6- Intestinal and Multi-Visceral Transplants

Instructions To Process Services During Disenrollment From The Programs Of All-Inclusive Care For The Elderly (PACE)

The purpose of this Change Request (CR) is to update current Skilled Nursing Facility (SNF) PDPM claims processing edits in order to process and pay claims correctly.

Revision to State Operations Manual (SOM) Appendix A- Hospitals

User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) to Display Edit/Audit and CWF Error Code Override Information on the MCS Desktop Tool (MCSDT)

2022 Hospice Aggregate Cap Calculation

Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99) - Phase 2

Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notification for FY 2023Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notification for FY 2023

July 2023 Update of the Ambulatory Surgical Center [ASC] Payment System

Update to the Payment for Grandfathered Tribal Federally Qualified Health Centers (FQHCs) for Calendar Year (CY) 2023

Update to Section 20.2.4.2 on D-SNPS With or Without Medicare Zero-Dollar Cost Sharing.

Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 29.3, Effective October 1, 2023

CMS Mammography Quality Standards Act (MQSA) File Reformatting

Addition of New Data Elements to the National Claims History (NCH) Claims Data Output

The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider and Statistical Reimbursement (PS&R) System

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2023

Shared System Support Hours for Application Programming Interfaces (APIs) - January 2024

Calendar Year 2024 Modifications/Improvements to Value-Based Insurance Design (VBID) Model – Implementation

Creation of the Medicare Fee-For-Service (FFS) Companion Guide for 837D (Dental Format)