Transmittals

July 2012 Update of the Ambulatory Surgical Center Payment System (ASC)

Chapter 4, Benefits and Beneficiary Protections

Chapter 3, “Medicare Marketing Guidelines”

Attending Provider Identifiers on Religious Nonmedical Health Care Institution Claims

Addition of New Common Working File (CWF) Medicare Secondary Payer (MSP) Utilization Edit Codes for CWF to Send the Shared Systems When the Diagnosis Code on the Claim is Considered a Match with the Family of DX Codes in CWF for Non-Group Health Plan (NGHP) MSP Claims.

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