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Transmittals

  • July 2013 Integrated Outpatient Code Editor (I/OCE) Specifications Version 14.2
  • July Update to the CY 2013 Medicare Physician Fee Schedule Database (MPFSDB)
  • Indian Health Service (HIS) Hospital Payment Rates for Calendar Year 2013
  • Analysis and Design of VMS for implementing system changes for handling Bankrupt Suppliers
  • Model Letter Revisions
  • Rescind and Replaced of CR 6452: Termination of Frontier Extended Stay Clinic Demonstration
  • Requirement for Sending Immediate Advisements to the to the OIG/OI (Office of the Inspector General/Office of Investigations)
  • Reopening Claims with Additional Information or Denied due to Late or No Submission of Requested Information
  • Use of a Rubber Stamp for Signature
  • Update to Chapter 15 of the Program Integrity Manual (PIM)
  • Adding MSP Validity Indicator to the CWF to MBD Feed
  • To clarify and correct existing instructions, incorporate statutory changes and comply with an Executive order. The effective dates vary.
  • Phase III ERA Enrollment Operating Rules.
  • MSP Claims and use of CARC 23 - Analysis and Design
  • Ambulance Payment Reduction for Non-Emergency Basic Life Support (BLS) Transports to and from Renal Dialysis Facilities
  • Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 19.2, Effective July 1, 2013
  • Updates to Medicare Coverage of Hepatitis B Vaccine and its Administration and Medicare Coverage of the Annual Wellness Visit (AWV) Providing Personalized Prevention Plan Services (PPPS)
  • Standardizing the standard - Operating Rules for code usage in Remittance Advice
  • Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for October 2013
  • New Healthcare Common Procedure Coding System (HCPCS) Codes for Customized Durable Medical Equipment
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