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Transmittals

  • Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
  • Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
  • Implementation of New NUBC Condition Code “53” “Initial placement of a medical device provided as part of a clinical trial or a free sample”
  • Implementation of New NUBC Condition Code “53” “Initial placement of a medical device provided as part of a clinical trial or a free sample”
  • April 2015 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • April 2015 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • Review Timeliness Requirements for Prepay Review
  • New Timeframe for Response to Additional Documentation Requests
  • Payment Codes on Home Health Claims Will Be Matched Against Patient Assessments
  • Continued Use of Modifier 59 after January 1, 2015
  • International Classification of Diseases, Tenth Revision (ICD-10) Limited End-to-end Testing with Submitters for 2015
  • International Classification of Diseases, Tenth Revision (ICD-10) Limited End-to-end Testing with Submitters for 2015
  • Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens
  • Notice of New Interest Rate for Medicare Overpayments and Underpayments - 2nd Qtr Notification for FY 2015
  • Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Proces
  • Emergency Update to the CY 2015 Medicare Physician Fee Schedule Database (MPFSDB)
  • New Additions to State Medicaid Manual (SOM) Psychiatric Residential Treatment Facility (PRTF) Chapter 2
  • New to State Operations Manual (SOM), Appendix N- Psychiatric Residential Treatment Facilities (PRTF) Interpretive Guidance
  • Chapter 4, Quality Improvement Program
  • FAQs – International Classification of Diseases, 10th Edition (ICD-10) Acknowledgement Testing and End-to-End Testing
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