Transmittals

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

Enrollment Denials When an Existing or Delinquent Overpayment Exists

Detailed Written Orders and Face-to-Face Encounters

Requirements for the Closing of Complaints After Transfer to the PSCs and ZPICs in the Office of the Inspector General (OIG) Hotline Complaint Database

Part 2, Provider Cost Reporting Forms and Instructions, Chapter 32, Form CMS -1728-94

Internet Only Manual (IOM) Update to Payment for Medical or Surgical Services Furnished by CRNAs. This CR recinds and fully replaces CR 8027.

Change in Creation Date for CMS Standard Edit/Audit/Reason Code Reports

To reflect clarifications and corrections to existing instructions, incorporate statutory changes, and comply with an Executive order.

Updates to Chapter 12 and Chapter 16 of the Medicare Claims Processing Manual to Revise Instructions Regarding the Technical Component (TC) of Pathology Services Furnished to Hospital Patients

Claim Status Category and Claim Status Codes Update

Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2013

Expedited Determinations for Provider Service Terminations

Medicare Contractors submission of Prescription Drug Inquiries and Common Working File Assistance Requests to the Coordination of Benefits Contractor through the ECRS Web Portal

Standardizing the Standard - Phase I

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

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