Transmittals

Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement

User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Cancellation Process Phase 2

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October 2023 Update

Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for Fiscal Year (FY) 2024

Prior Authorization (PA) Changes to Implement the Inpatient Rehabilitation Facility (IRF) Review Choice Demonstration (RCD)

National Coverage Determination (NCD) 280.16 Power Seat Elevation Equipment on Power Wheelchairs

Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update Fiscal Year (FY) 2024

Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for Fiscal Year (FY) 2024

Fiscal Year 2018 and After Payments to Skilled Nursing Facilities (SNFs) That Do Not Submit Required Quality Data - This CR Rescinds and Fully Replaces CR 9944.

National Coverage Determination (NCD) 30.3.3 Acupuncture for Chronic Low Back Pain Revised Frequency Edits

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--January 2024 Update

October 2023 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99) - Phase 1

Updates of Chapters 4, Chapter 8, and Exhibits in Publication (Pub.) 100-08, Including Adding Additional Clarification to Ongoing Direction

Remittance Advice (RA) Changes due to Durable Medical Equipment Medicare Administrative Contractors (DME MACs) Transition to Healthcare Integrated General Ledger Accounting System (HIGLAS)

Internet Only Manual Update, Pub. 100-04, Chapter 3 (Inpatient Hospital Billing), Sections 90.1.2 - Billing for Kidney Transplant and Acquisition Services, 90.2 - Heart Transplants and 90.6- Intestinal and Multi-Visceral Transplants

Instructions To Process Services During Disenrollment From The Programs Of All-Inclusive Care For The Elderly (PACE)

The purpose of this Change Request (CR) is to update current Skilled Nursing Facility (SNF) PDPM claims processing edits in order to process and pay claims correctly.

Revision to State Operations Manual (SOM) Appendix A- Hospitals

User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) to Display Edit/Audit and CWF Error Code Override Information on the MCS Desktop Tool (MCSDT)