Transmittals

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

Updated Billing Requirements for Outpatient Therapy Services --Middle Class Tax Relief and Jobs Creation Act (MCTRJCA) of 2012

Annual Type of Service (TOS) Update

January 2013 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Implementation of the Redesigned MSN

Revisions to the Method of Cost Settlement for Inpatient Services for Rural Hospitals Participating Under Demonstration Authorized by Section 410A of the Medicare Modernization Act. Sections 3123 and 10313 of the Affordable Care Act authirizes and expansion of the demonstration and an extension for an additional 5-year period. This CR makes revisions to CR 7505, which gives instructins for the additional 5-year period.

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

Medicare Financial Management Manual, Chapter 7, Internal Control Requirements

Incorporates select Federal Register provisions as well as select legislative provisions

Calendar Year (CY) 2013 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures

Elimination of the Fiscal Intermediary Shared System (FISS) Off Quarter User Releases

Reasonable Charge Update for 2013 for Splints, Casts, and Certain Intraocular Lenses

Medicare Physician Fee Schedule Database (MPFSDB)2013 File Layout Manual

Correct Provider Billing of Line Item Rendering Physician on the Paper UB-04 Claims Form

Revised and Clarified Place of Service (POS) Coding Instructions

Notice of New Interest Rate for Medicare Overpayments and Underpayments -1st qtr Notfication for FY 2013