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Transmittals

  • Enrollment Denials When an Existing or Deliquent Overpayment Exists
  • Addition of the End Stage Renal Disease (ESRD) Facilities Located in the Pacific Rim to the ESRD Prospective Payment System (PPS)
  • Addition of the End Stage Renal Disease (ESRD) Facilities Located in the Pacific Rim to the ESRD Prospective Payment System (PPS)
  • Common Working File (CWF) Informational Unsolicited Response (IUR) and Reject for Hospital to Hospital Transfers.
  • Informational Unsolicited Response (IUR) or Reject for Add-On Codes billed without respective Primary Codes
  • Informational Unsolicited Response (IUR) or Reject for Add-On Codes billed without respective Primary Codes
  • Update to Post Acute TransferEdit 7272 to Extend Home Health Agency CMS Certification Number (CCN) Range and Add Bypass
  • Additional Data Reporting Requirement for Hospice Claims
  • Additional Data Reporting Requirement for Hospice Claims
  • Revision to the ViPS Medicare System Diagnosis Code Editing on the CMS-1500
  • Demand Billing of Hospice General Inpatient Level Care
  • Demand Billing of Hospice General Inpatient Level Care
  • Fee for Service Beneficiary Data Streaming (FFS BDS) Local Beneficiary File Analysis
  • New Claim Adjustment Reason Code (CARC) to Identify a Reduction in Payment Due to Sequestration.
  • New Claim Adjustment Reason Code (CARC) to Identify a Reduction in Payment Due to Sequestration.
  • Coding Changes to Ultrasound Diagnostic Procedures for Transesophageal Doppler Monitoring.
  • HIPAA 5010 and D.0 2013 Annual Recertification
  • Reduction of Health Insurance Claim Numbers (HICNs) in Medicare Redetermination Notices (MRNs')
  • Type of Service (TOS) Corrections 2013
  • New Waived Tests
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