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Transmittals

  • Erroneous Partial Episode Payment Adjustments on Certain Home Health Dual-Eligible Claims
  • Implementation of the Revised Health Insurance Claim Form CMS-1500 (02/12) (Analysis Only)
  • Fee for Service Beneficiary Data Streamlining (FFS BDS)
  • The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2010 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs)
  • Termination of the Common Working File ELGB Provider Query
  • 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
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