Transmittals

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

IDR Shared Systems Daily Claims Feeds Expansion to Accommodate Ambulance Data Element

Instructions for Removing Logic Involving the IUR Implemented with CR8271

Removal of User-Controlled Effective Date to Apply Therapy Caps to Critical Access Hospital (CAH) Claims

Modifying FISS Part B Claims Overlap Edits related to CMS-1599-F

Modifying FISS Part B Claims Overlap Edits related to CMS-1599-F

Medicare Remit Easy Print (MREP) Enhancement

Medicare Remit Easy Print (MREP) Enhancement

Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for January 2015

Inpatient Hospital Claims and Medicare Secondary Payer (MSP) Claims with Medicare Coinsurance Days and/or Medicare Lifetime Reserve Days Occurring in the Seventh or More Calendar Years – Analysis and Design Only

Clarification of the Confined to the Home Definition in Chapter 15, Covered Medical and Other Health Services, of the Medicare Benefit Policy Manual

Clarification of the Confined to the Home Definition in Chapter 15, Covered Medical and Other Health Services, of the Medicare Benefit Policy Manual

Adjustment to Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Assessments

Preventing Duplicate Payments When Overlapping Inpatient and Home Health Claims Are Received Out of Sequence

Preventing Duplicate Payments When Overlapping Inpatient and Home Health Claims Are Received Out of Sequence