Transmittals

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 - July 1, 2014 version 3.1.1

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 - July 1, 2014 version 3.1.1

Title: Two New “K” Codes for Prefabricated Single and Double Upright Knee Orthoses That Are Furnished Off-The-Shelf (OTS)

Date Correction to Diagnosis Code Reporting on Religious Nonmedical Health Care Institution (RNHCI) Claims

October 2014 Integrated Outpatient Code Editor (I/OCE) Specifications Version 15.3

Update to Pub. 100-04, Chapter 23 to Provide Language-Only Changes for Conversion to ICD-10

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

Claims that are Related

Update to Pub. 100-04, Medicare Claims Processing Manual, Chapter 11 to Provide Language-Only Changes for Updating ICD-10 and ASC X12

Medicare Claims Processing Manual, Pub. 100-04, Chapter 4 Language Only Update for ICD-10, ASC X12, and Medicare Administrative Contractor (MAC) Implementation

Update to Pub. 100-04, Chapter 16 to Provide Language-Only Changes for Updating ICD-10, ASC X12, and Medicare Administrative Contractors (MAC) Implementation

Updates to the Model 4 Bundled Payment of Care Initiative (BPCI) Payment Calculation to Include Uncompensated Care Payment (UCP) and Reduction in Payment Due to Sequestration

Federally Qualified Health Centers Prospective Payment System- Recurring File Updates

Fee for Service Beneficiary Data Streamlining (FFS BDS) - Phase II - Auxiliary Data

Change in Applying Co-insurance and Lifetime Reserve (LTR) Amounts on Informational Only Claims with Condition Code (CC) 04

Modify the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) File to no longer include Preventive Healthcare Common Procedure Coding System (HCPCS) Codes that have been terminated

Diagnosis Reporting on Home Health Claims

Diagnosis Reporting on Home Health Claims

Add Smoking Cessation Initial Session Date to the Common Working File (CWF) to Medicare Beneficiary Database (MBD) Extract File

Fee for Service Beneficiary Data Streamlining (FFS BDS) Updates to Operational Issues