Transmittals

April 2015 Integrated Outpatient Code Editor (I/OCE) Specifications Version 16.1

Identifying “No Documentation” Medical Necessity Denials for Claims Flagged for Recovery Auditor Review

April 2015 Update of the Ambulatory Surgical Center (ASC) Payment System

April 2015 Update of the Ambulatory Surgical Center (ASC) Payment System

Revisions to State Operations Manual (SOM) Appendices A, G, L and T related to Hospitals, Rural Health Clinics, Ambulatory Surgical Centers and Swing Beds

Use of Modifiers KK, KG, KU, and KW under the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program

Revisions to State Operations Manual (SOM) Appendices A, G, L and T related to Hospitals, Rural Health Clinics, Ambulatory Surgical Centers and Swing Beds

Update to Pub. 100-04 Chapter 13 to Provide Language-Only Changes for Updating ICD-10 and ASC X12

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

Removal of Multiple National Coverage Determinations Using Expedited Process

Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 21.2, Effective July 1, 2015

Update to Pub. 100-04, Chapters 5 and 6 to Provide Language-Only Changes for Updating ICD-10, ASC X12, and Medicare Administrative Contractor (MAC) Implementation

Automation of the Request for Reopening Claims Process

Automation of the Request for Reopening Claims Process

Updates to the Medicare Internet-Only Manual Chapters for Skilled Nursing Facility (SNF) Providers

Screening for Hepatitis C Virus (HCV) in Adults

April 2015 Update of the Ambulatory Surgical Center (ASC) Payment System

This transmittal updates Chapter 40, Hospital and Hospital Health Care Complex Cost Report, (Form CMS-2552-10) to clarify and correct the existing instructions and incorporate statutory and regulatory changes. Effective dates will vary.

April 2015 Update of the Hospital Outpatient Prospective Payment System (OPPS)

Updates to the Medicare Internet-Only Manual Chapters for Skilled Nursing Facility (SNF) Providers