Transmittals

Intensive Behavioral Therapy for Obesity

International Classification of Diseases-10th Edition (ICD-10), Inclusion of Type of Bill (TOB) 33X, Home Health, Outpatient (includes HHA visits under a Part A Plan of treatment)

Interaction of Multiple Procedure Payment Reduction (MPPR) on Imaging Procedures and the Outpatient Prospective Payment System (OPPS) Cap on the Technical Component of Imaging Procedures

New Waived Tests

Revised and Clarified Place of Service (POS) Coding Instructions

New Hospice Condition Code for Out of Service Area Discharges

Creation of New Indicator for Use on the Ambulatory Surgical Centers (ASCs) Payment Indicator File for Reporting Quality Measures

Electronic Correspondence Referral System (ECRS) Web Enhancements Phase I

Announcement of Medicare Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Payment Rate Increases

Immediate Recoupment for Fee for Service Claims Overpayments

Updates to Editing of Patient Discharge Status Codes on Hospice Claims

Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes - July 2012

Analysis of Improper Overpayments to Design Edits to Correct these Overpayments in CWF, MCS, and FISS

Screening for Sexually Transmitted Infections (STIs) and High Intensity Behavioral Counseling (HIBC) to Prevent STIs (ICD-10)

Screening for Sexually Transmitted Infections (STIs) and High Intensity Behavioral Counseling (HIBC) to Prevent STIs (ICD-10)

Update to Abortion Condition Codes Associated With Reason Code 32809

Clarification for Skilled Nursing Facility (SNF) and Swing Bed (SB) Part A Billing - Updating System Requirements for Assessment Date Reporting and Removal of the Occurrence Code 16 Reporting Requirement

Medicare System Update to Include a Rendering Provider Field to Allow Correct Physician National Provider Identifier (NPI) Reporting for the Primary Care Incentive Program (PCIP) for Critical Access Hospitals (CAHs) Reimbursed Under the Optional Method

Multiple Procedure Payment Reduction (MPPR) for Physician Services for Certain Diagnostic Imaging Procedures in Critical Access Hospitals (CAH)

Health Insurance Portability and Accountability Act (HIPAA) 5010 837 Institutional (837I) Edits and 5010 837 Professional (837P) Edits - July 2012 Versio4