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Transmittals

  • Contractor and Common Working File (CWF) Additional Instructions Related to Change Request (CR) 7633 - Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse
  • Provider Self Audits.
  • July 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • July 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • October Quarterly Update to 2012 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
  • Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
  • Internet Only Manual (IOM) Update for Laboratory Services and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims Processed under the End Stage Renal Disease Prospective Payment System (ESRD PPS)
  • Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the ViPS Medicare System (VMS) R 7603, Pub.100-20
  • Updates to Caps and Limitations on Hospice Payments
  • General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part VII
  • Advanced Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, Updated Manual Instructions
  • July Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB)
  • Updates to Caps and Limitations on Hospice Payments
  • Modifying the Timely Filing Exceptions on Retroactive Medicare Entitlement and Retroactive Medicare Entitlement Involving State Medicaid Agencies
  • Request Records Related to the Claim Being Reviewed
  • July 2012 Update of the Ambulatory Surgical Center Payment System (ASC)
  • Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers - Compensation Medicare Secondary Payer (MSP) Claims
  • Automated Tracking and Reporting of Recovery Audit-Associated Reopenings and Appeals
  • Screening for Sexually Transmitted Infections (STIs) and High Intensity Behavioral Counseling (HIBC) to Prevent STIs (ICD-10)
  • Extracorporeal Photopheresis (ICD-10)
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