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Transmittals

  • 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
  • Screening for Hepatitis C Virus (HCV) in Adults
  • Screening for Hepatitis C Virus (HCV) in Adults
  • 2015 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder
  • October Quarterly Update for 2014 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
  • Implementation of Changes in the End-Stage Renal Disease Prospective Payment System (ESRD PPS) for Calendar Year (CY) 2015
  • Implementation of Changes in the End-Stage Renal Disease Prospective Payment System (ESRD PPS) for Calendar Year (CY) 2015
  • Analysis and Design to Automate Adjustments That Are Completed In The Common Working File (CWF) When Inpatient (INP) Or Skilled Nursing Facility (SNF) Claims Are Processed Out Of Sequence.
  • New Timeframe for Response to Additional Documentation Requests
  • 2015 Annual Update to the Therapy Code List
  • Therapy Cap Values for Calendar Year (CY) 2015
  • Revised Centers for Medicare & Medicaid Services (CMS) 855R Application - Reassignment of Medicare Benefits
  • Elimination of the 50/50 Payment Rule for Laboratory Services on End Stage Renal Disease (ESRD) Claims
  • Elimination of the 50/50 Payment Rule for Laboratory Services on End Stage Renal Disease (ESRD) Claims
  • Additional Instruction on the Use of Claims Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs) with Regard to Operating Rule: 360 Compliance
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