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Transmittals

  • Expansion of Medicare Telehealth Services for CY 2013
  • Expansion of Medicare Telehealth Services for CY 2013
  • Implementation Support and Payment Processing for the Multi-payer Advanced Primary Care Practice (MAPCP) Demonstration- Processing of Shared Savings Payments for Practices in Pennsylvania
  • Changes to the Laboratory National Coverage Determination (NCD) Software for ICD-10
  • Emergency Update to the CY 2013 Medicare Physician Fee Schedule Database (MPFSDB)
  • Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program: Correction to the Medicare Summary Notice Message for PEN Items Furnished to Traveling Beneficiaries
  • Data Reporting on Home Health Prospective Payment System (HH PPS) Claims
  • Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2013
  • Inpatient Hospital Claims and Medicare Secondary Payer (MSP) Claims with Medicare Coinsurance Days and/or Medicare Lifetime Reserve Days Occurring in the Third or More Calendar Years
  • Adjustment to fiscal Intermediary Shared system (FISS) Consistency Edit to Validate Attention Physician NPI
  • Streamlining the Process for Updating the Abstract Files Used to Price Institutional Claims
  • Common Working File (CWF) Informational Unsolicited Response (IUR) or Reject for place of service billed by physician office and either ambulatory surgical center or inpatient hospital, for the same beneficiary, same date of service, and same procedure, based on sequence received of the Part B claim.
  • Reorganization of Chapter 13
  • Update MCS HVSRPARC - Participating Physicians/Suppliers Report - Group Codes
  • Hospice Monthly Billing Requirement
  • Modification of Payment Window Edit in the Common Working File (CWF) to Modify Diagnostic Service List
  • Correction to Common Working File (CWF) A/B Crossover Edit 7272 for Transfer to Home for Home Health Services
  • Deletion of MR Operations mailbox
  • Instructions to Contractors for Implementing Section 5506 of the Affordable Care Act (ACA)-Preservation of Resident Cap Positions from Closed Teaching Hospitals - Round 1 and Round 2 Only
  • Bariatric Surgery for the Treatment of Morbid Obesity National Coverage Determination, Addition of Laparoscopic Sleeve Gastrectomy (LSG)
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