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Transmittals

  • Updated Billing Requirements for Outpatient Therapy Services -- Middle Class Tax Relief and Jobs Creation Act (MCTRJCA) of 2012
  • Revised and Clarified Place of Service (POS) Coding Instructions
  • Addition of New Common Working File (CWF) Medicare Secondary Payer (MSP) Utilization Edit Codes for CWF to Send the Shared Systems When the Diagnosis Code on the Claim is Considered a Match with the Family of DX Codes in CWF for Non-Group Health Plan (NGHP) MSP Claims
  • Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 19.1, Effective April, 1, 2013
  • National Correct Coding Initiative Add-On Codes – Replacement of "Identical Letter" Dated December 19, 1996 with Subject Line "Correct Coding Initiative Add-On (ZZZ) Codes - ACTION"
  • Update for Amendments, Corrections and Delayed Entries in Medical Documentation
  • Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
  • Update to Medicare Deductible, Coinsurance and Premium Rates for 2013
  • Calendar Year (CY) 2013 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
  • Therapy Cap Values for Calendar Year (CY) 2013
  • New Place of Service (POS) Code for Place of Employment/ Worksite
  • Implementing the Claims-Based Data Collection Requirement for Outpatient Therapy Services -- Section 3005(g) of the Middle Class Tax Relief and Jobs Creation Act (MCTRJCA) of 2012
  • Implementing the Claims-Based Data Collection Requirement for Outpatient Therapy Services -- Section 3005(g) of the Middle Class Tax Relief and Jobs Creation Act (MCTRJCA) of 2012
  • Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP)
  • Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP)
  • Expansion of Medicare Telehealth Services for CY 2013
  • Expansion of Medicare Telehealth Services for CY 2013
  • Annual Type of Service (TOS) Update
  • Retirement of the Program Integrity Management Reporting (PIMR) System
  • Revision to Appeals Section of Chapter 15 of the Program Integrity Manual (PIM)
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