Transmittals

Religious Nonmedical Health Care Institution Provisions of the Consolidated Appropriations Act (CAA) of 2023

Claim Status Category and Claim Status Codes Update

Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Patient-Driven Payment Model (PDPM) Claims Processing Updates to Current Editing

Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment

Update the Process for Home Dialysis Payment Adjustment (HDPA) and Performance Payment Adjustment (PPA) for End-Stage Renal Disease (ESRD) Treatment Choices (ETC) Model Part A claims

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--October 2023 Update

Skilled Nursing Facility (SNF) 5-Claim Probe and Educate Review

Inflation Reduction Act Section 11407: Limitations on Monthly Coinsurance and Adjustments to Supplier Payment Under Medicare Part B for Insulin Furnished Through Durable Medical Equipment (DME) – IMPLEMENTATION

Update to the Payment for Grandfathered Tribal Federally Qualified Health Centers (FQHCs) for Calendar Year (CY) 2023

Medicare Policy Updates for Dental Services as Finalized in the Calendar Year (CY) 2023 Physician Fee Schedule (MPFS) Final Rule

Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Patient-Driven Payment Model (PDPM) Claims Processing Updates to Current Editing

Adding Claim Through Date to Home Health Grouper interface

Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99) - Phase 1

Updates of Chapters 4 and 8 in Publication (Pub.) 100-08, Including Point of Contact Clarification and Update to Statistical Sampling Terminology

Addition of New Data Elements to the National Claims History (NCH) Claims Data Output

Telehealth Code Reporting and Date Matching Edit for Home Health Claims

Updates to Pub. 100-09, Chapter 6 Beneficiary and Provider Communications Manual, Chapter 6, Provider Customer Service Program

Religious Nonmedical Health Care Institution Provisions of the Consolidated Appropriations Act (CAA) of 2023

ViPS Medicare System (VMS) - Increase Edit Code Maximum

Implementation of a National Fee Schedule for Medicare Part B Vaccine Administration CMS