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Transmittals

  • Chapter 16b: Special Needs Plans
  • Implementation of Changes in the End-Stage Renal Disease Prospective Payment System (ESRD PPS) for Calendar Year (CY) 2015
  • Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2015
  • Provider Enrollment Requirements for Writing Prescriptions for Medicare Part D Drugs
  • Instructions for Downloading the Medicare ZIP Code File for April 2015
  • Common Edits and Enhancements Modules (CEM) Code Set Update
  • Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - April 2015
  • Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - April 2015
  • 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
  • Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 21.1, Effective April 1, 2015
  • Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 21.1, Effective April 1, 2015
  • Recovery Auditor Appeal Adjustments with “RI” Indicator
  • Revisions to State Operations Manual (SOM), Appendix PP – “Guidance to Surveyors for Long Term Care Facilities”
  • Required Changes to the Company Entry Description Value in the Batch Header Record for Backup Withholding Files
  • Update to Medicare Deductible, Coinsurance and Premium Rates for 2015
  • Revisions to State Operations Manual (SOM), Chapter 4 – “Program Administration and Fiscal Management”
  • Medicare Provider Reimbursement Manual Part 1, Chapter 9, Compensation of Owners
  • Screening for Hepatitis C Virus (HCV) in Adults
  • Screening for Hepatitis C Virus (HCV) in Adults
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