Transmittals

Payment System (IPPS) Hospital Admission

Revision to Section 15.5.20 of Chapter 15 of the Program Integrity Manual (PIM)

MCS/TACs System Edits

Implementation of Changes in the End-Stage Renal Disease Prospective Payment System (ESRD PPS) for Calendar Year (CY) 2013

New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Incarcerated Medicare Beneficiaries

Medicare System Update to Include Rendering Line Level National Provider Identifiers (NPIs) for Primary Care Incentive Program (PCIP) Payments to Critical Access Hospitals (CAHs)

National Correct Coding Initiative (NCCI) Associated Modifier Changes (Additions)

PWK System Modifications for Processing Days

Adding Bankruptcy Status Field to the Recovery Audit Contractor Daily and Weekly Reports

Durable Medical Equipment (DME) National Competitive Bidding (NCB): National Mail Order (NMO) Program Implementation for Diabetic Supplies

Affordable Care Act (ACA) Section 3025 expansion of a field in the Inpatient Provider Specific File (PSF)

New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Medicare Beneficiaries Classified as "Unlawfully Present" in the United States

Update to the Fiscal Intermediary Shared Systems (FISS) for the End Stage Renal Disease (ESRD) Quality Incentive Program (QIP) Adjustments for Children’s Hospitals

Enforcing Interim Billing for Partial Hospitalization Services

Manual Updates to Clarify SNF Claims Processing

Manual Updates to Clarify SNF Claims Processing

Manual Updates to Clarify SNF Claims Processing

Editing Update for Annual Wellness Visit (AWV)

Payment of Global Surgical Split Care in a Method II Critical Access Hospital (CAH) Submitted with Modifier 54 and/or 55

Effect of Beneficiary Agreements Not to Use Medicare Coverage and When Payment May be Made to a Beneficiary for Service of an Opt-Out Physician/Practitioner