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Transmittals

  • Updates to the Medicare Claims Processing Internet-Only Manual (IOM)
  • Immediate Suspension of Postpayment Patient Status Reviews of Inpatient Hospital Admissions 10/1/13-12/31/13
  • Bariatric Surgery for Treatment of Co-Morbid Conditions Related to Morbid Obesity
  • Bariatric Surgery for Treatment of Co-Morbid Conditions Related to Morbid Obesity
  • Bariatric Surgery for Treatment of Co-Morbid Conditions Related to Morbid Obesity
  • Update to Medicare Deductible, Coinsurance and Premium Rates for 2015
  • Update to Medicare Deductible, Coinsurance and Premium Rates for 2014
  • Use of Claim Adjustment Reason Code 23
  • 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 - October 1, 2013 version 3.0.3
  • Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 January 2014 Updates
  • Improve Your Patients’ Health with the Initial Preventive Physical Examination (IPPE) and Annual Wellness Visit (AWV)
  • Implementation of the Award for the Jurisdiction K (JK) Part A and Part B Medicare Administrative Contractor (A/B MAC) to National Government Services
  • Termination of the Common Working File ELGA, ELGH, HIQA, HIQH, and HUQA Part A Provider Queries
  • Termination of the Common Working File ELGA, ELGH, HIQA, HIQH, and HUQA Part A Provider Queries
  • Common Working File (CWF) and Fiscal Intermediary Standard System (FISS) Informational Unsolicited Response (IUR) or Denial of Inpatient Services Related to a Hospice Terminal Diagnosis
  • Common Working File (CWF) and Fiscal Intermediary Standard System (FISS) Informational Unsolicited Response (IUR) or Denial of Inpatient Services Related to a Hospice Terminal Diagnosis
  • Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process
  • Reassignment to Part A Critical Access Hospitals billing under Method II (CAH II)
  • Denial for Power Mobility Device (PMD) Claim from a Supplier of Durable Medical, Orthotics, Prosthetics, and Supplies (DMEPOS) When Ordered By a Non-Authorized Provider
  • Reassignment to Part A Critical Access Hospitals billing under Method II (CAH II)
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