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Transmittals

  • Inpatient Prospective Payment System (IPPS) Hospital Extensions per the Medicare Access and CHIP Reauthorization Act of 2015
  • HIGLAS Release 12 (R12) Upgrade and Organizational Transitions for A/B MACs - R12 Upgrade
  • July 2015 Integrated Outpatient Code Editor (I/OCE) Specifications Version 16.2
  • NCD20.30 Microvolt T-wave Alternans (MTWA)
  • NCD20.30 Microvolt T-wave Alternans (MTWA)
  • Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2015
  • Revisions to Surety Bond Collection Policies
  • Payments to Inpatient Rehabilitation Facilities That Do Not Submit Required Quality Data
  • Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2015
  • Correction to the Multi-Carrier System (MCS) Editing on the Service Location National Provider Identifier (NPI) Reported for Anti-Markup and Reference Laboratory Claims
  • Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2015 Update
  • IDR Shared Systems Daily Claims Feeds Expansion to Accommodate Medical Review Data Elements
  • Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for October 2015
  • Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process
  • Modification to Telehealth Originating Site Facility Fee Billing Requirements for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
  • Section 504: Implement National Medicare Summary Notices (MSNs) in Alternate Formats
  • Updates to the Model 4 Bundled Payments for Care Improvement (BPCI) Initiative to Clarify the Payment Calculation to Include New Technology Add-On Payments, Validate Only Claims with Medicare as Primary Payer, Allowing Medical Necessity Denial Claims to Process Effectively, and Correct Processing of Claims Submitted as Model 4 for Beneficiaries Determined to be Ineligible.
  • Update of Provider Enrollment Instructions in Chapter 15 of Pub. 100-08
  • Transcatheter Mitral Valve Repair (TMVR)-National Coverage Determination (NCD)
  • Transcatheter Mitral Valve Repair (TMVR)-National Coverage Determination (NCD)
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