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Transmittals

  • Creating Payor ID for Medicare Advantage Encounter Data Submission
  • Instructions for Processing Physicians and other Suppliers Debts that have been Confirmed as Identity Theft
  • Medicare Managed Care Manual Chapter 10 - MA Organization Compliance with State Law and Preemption by Federal Law
  • Revision of PIM Chapter 3, Section 3.7.5, Part B, Corrective Action Reporting on CMS and OIG Identified Vulnerabilities spreadsheet submission instructions
  • Annual Medicare Physician Fee Schedule Files Delivery and Implementation Manualization
  • Revision of PIM Chapter 3, Section 3.2.1 Setting Priorities and Targeting Reviews
  • Medical Review of PWK (paperwork)
  • New Influenza Virus Vaccine Code
  • Clarification and Revisions for Claims Submitted for End Stage Renal Disease (ESRD) Patients
  • Billing for Donor Post-Kidney Transplant Complication Services
  • Billing for Donor Post-Kidney Transplant Complication Services
  • Payment for Multiple Surgeries in a Method II Critical Access Hospital (CAH)
  • FISS Claims Processing Updates for Ambulance Services
  • Diagnosis Code Update for Add-on Payments for Blood Clotting Factor Administered to Hemophilia Inpatients
  • Change Management Process -- Enterprise Electronic Change Information Management Portal (ECHIMP)
  • Processing Multiple Home Health Unsolicited Responses
  • Determining Claims Processing Timeliness When Held Claims Are Later Subject to an Additional Documentation Request
  • Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the Multi-Carrier System (MCS)
  • CMS Standard Edit 009H is Obsolete
  • Additional Provider and Supplier Enrollment Requirements for Fixed Wing and Helicopter Air Ambulance Operators
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