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Transmittals

  • Revisions to Medicare Claims Processing Manual for Foreign, Emergency and Shipboard Claims
  • Revisions to State Operations Manual (SOM) Exhibit 138 EMTALA Physician Review Worksheet revisions
  • Renaming PPS-FLX6- PAYMENT Field in the Inpatient Prospective Payment System (IPPS) Pricer Output
  • Renaming PPS-FLX6- PAYMENT Field in the Inpatient Prospective Payment System (IPPS) Pricer Output
  • Develop Rough Order of Magnitude (ROM) for Appeals Workload in Preparation for Implementation of International Classification of Diseases-10th Revision (ICD-10)
  • Final MSN Redesign-Related Update to Chapter 21 of the Medicare Claims Processing Manual
  • Identification of Obsolete Shared System Maintainer (SSM) Reports
  • Incorporation of Revalidation Policies into Pub. 100-08, Program Integrity Manual (PIM), Chapter 15
  • Incorporation of Revalidation Policies into Pub. 100-08, Program Integrity Manual (PIM), Chapter 15
  • Payment Repairs to Capped Rental Equipment Prior to the End of the 13-Month Cap
  • Payment Repairs to Capped Rental Equipment Prior to the End of the 13-Month Cap
  • Payment Repairs to Capped Rental Equipment Prior to the End of the 13-Month Cap
  • Durable Medical Equipment Prosthetics Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP): Additional Instructions for Grandfathered Items Subject to CBP
  • Durable Medical Equipment Prosthetics Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP): Additional Instructions for Grandfathered Items Subject to CBP
  • Update to the Federally Qualified Health Centers (FQHC) Prospective Payment System (PPS) - Recurring File Updates
  • Identification of Obsolete Shared System Maintainer (SSM) Reports
  • Reporting Force Balance Claim Payment on the Electronic Remittance Advice (ERA) 835 and Cross Over Beneficiary (COB) 837 Claim Transactions
  • Reporting Force Balance Claim Payment on the Electronic Remittance Advice (ERA) 835 and Cross Over Beneficiary (COB) 837 Claim Transactions
  • Use of Modifiers KK, KG, KU, and KW under the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program
  • Use of Modifiers KK, KG, KU, and KW under the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program
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