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Transmittals

  • PACE Marketing Guidelines
  • Handling of Incomplete or Invalid Claims once the Phase 2 Ordering and Referring Edits are Implemented
  • Diagnosis Code Reporting on Religious Nonmedical Health Care Institution Claims
  • Diagnosis Code Reporting on Religious Nonmedical Health Care Institution Claims
  • Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index, Quality Reporting Program and the Hospice Pricer for FY 2014
  • Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index, Quality Reporting Program and the Hospice Pricer for FY 2014
  • 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
  • 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
  • Multi Carrier System (MCS) Modifications to Liability Assignment Regarding Therapy Cap Claim Denials
  • Update to the Claims Processing Internet-Only Manual (IOM) to Add the National Uniform Billing Committee (NUBC) Payer Only Codes
  • Update to the Claims Processing Internet-Only Manual (IOM) to Add the National Uniform Billing Committee (NUBC) Payer Only Codes
  • Annual Clotting Factor Furnishing Fee Update 2014
  • Annual Clotting Factor Furnishing Fee Update 2014
  • Healthcare Provider Taxonomy Codes (HPTC) Update, October 2013
  • Healthcare Provider Taxonomy Codes (HPTC) Update, October 2013
  • Mandatory Reporting of an 8-Digit Clinical Trial Number on Claims
  • Mandatory Reporting of an 8-Digit Clinical Trial Number on Claims
  • October 2013 Integrated Outpatient Code Editor (I/OCE) Specifiations Version 14.3
  • October 2013 Integrated Outpatient Code Editor (I/OCE) Specifiations Version 14.3
  • Revision to the CWF Edit for Technical Component (TC) of Pathology Services Occurring on the Same Day as an Outpatient Hospital Visit
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