Transmittals

July 2013 Integrated Outpatient Code Editor (I/OCE) Specifications Version 14.2

New Non-Physician Specialty code for Indirect Payment Procedure(IPP)

New Non-Physician Specialty Code for Indirect Payment Procedure (IPP)

Update to Chapter 15 of the Program Integrity Manual (PIM)

Changes to Contractor Designation in Processing Foreign, Emergency and Shipboard Claims

Autologous Platelet-Rich Plasma (PRP) for Chronic Non-Healing Wounds

Implementation of CMS Ruling 1455-R (Medicare Program; Part B Billing in Hospitals)

Pass-through Payments for Certified Registered Nurse Anesthetist Anesthesia Services and Related Care

Revised Appendix A, Interpretive Guidelines for Hospitals, Appendix L, Interpretive Guidelines for Ambulatory Surgical Centers and Appendix W, Interpretive Guidelines for Critical Access Hospitals

Implementation of the Award for the Jurisdiction K (JK) Part A and Part B Medicare Administrative Contractor (A/B MAC) to National Government Services.

Implementing the Recompetition Award for the Jurisdiction L (formerly Jurisdiction 12) Part A/Part B Medicare Administrative Contractor (A/B MAC) Workload

Removal of POR and PSOR instructions and the Glossary of Acronyms from the Internet Only Manual, Publication 100.06, Chapter 3

Implementation of the End Stage Renal Disease (ESRD) Prospective Payment System (PPS)

Chapter 7 – Risk Adjustment

To clarify existing instructions, incorporate statutory changes and comply with an Executive Order. The effective dates vary

October 2013 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Implementation of CMS Ruling 1455-R (Medicare Program; Part B Billling in Hospitals)

Common Working File (CWF) Informational Unsolicited Response (IUR) or Reject for a new patient visit billed by the same physician or physician group within the past three years.

July 2013 Update of the Ambulatory Surgical Center (ASC) Payment System

Revision to Surety Bond Collection Process