Transmittals

General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part VI

Extracorporeal Photopheresis (ICD-10)

Instruction for Downloading the Medicare ZIP Code File for October 2012

Medicare Fee – for Service (FFS) Editing and Flat File Utility

Quarterly Update to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS)

Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) – October 2012

Handling Misdirected Claims for Part B Item and Services

Validation of Recovery Audit Program New Issues

Coding Changes to Ultrasound Diagnostic for Tranesophageal Doppler Monitoring

Common Edits and Enhancements Modules (CEM) Code Set Update

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 Fiscal Intermediary Shared System (FISS)

Assigned Codes for Home Oxygen Use for Cluster Headache (CH) in a Clinical Trial (ICD-10)

Implement Fraud Prevention Predictive Modeling Prepayment Edits

Calendar Year 2013 and After Payments to Home Health Agencies That Do Not Submit Required Quality Data

July Quarterly Update for 2012 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule

July 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.2

Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number

Enhance the Multi-Carrier System (MCS) and ViPS Medicare System (VMS) to maintain five full years of pricing data and to automatically price claims/adjustments at the rates in effect at the dates of service.

Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the ViPS Medicare System (VMS)