Transmittals

Influenza Vaccine Payment Allowances - Annual Update for 2011-2012 Season

January 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Discontinuation of Hospice Late Charge Claims

Format Revisions to the Special Incentive Remittance Advice used to Report Quarterly Incentive Payments for Health Professional Shortage Areas (HPSAs), the Primary Care Incentive Payment Program (PCIP), and the HPSA Surgical Incentive Payment Program (HSIP)

Claim Adjustment Reason Code (CARC) Used for Therapy Claims Subject to the Multiple Procedure Payment Reduction

Modify the Interchange Control Number (ICN) for Medicare Advantage Encounters

Medicare Financial Management Manual, Chapter 4 - Debts Returned to Agency (RTA) by Treasury

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

Common Edits and Enhancements Modules (CEM) Code Set Update

Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the Fiscal Intermediary Shared System (FISS)

Modify the Interchange Control Number (ICN) for Medicare Advantage Encounters

Revisions to Common Working File (CWF) Edits that Deny Claims for Prosthetics, Orthotics, and Supplies (POS) Furnished to Beneficiaries in a Skilled Nursing Facility (SNF) Stay

Inpatient Rehabilitation Facility (IRF) and Inpatient Psychiatric Facility (IPF) Cost-to-Charge Ratios (CCRs)

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

Instructions for the Fiscal Intermediary Shared System (FISS) to modify the Workers Compensation Set Aside (WCSA) Claims Process to Capture the Amount Medicare would have paid when the Claim is returned by CWF. This change request also updates the MSP Savings Report to add Special Project Savings Total on the Savings Report to include totals from all Special Projects

Annual Type of Service (TOS) Update

VMS Modifications to Oxygen CMN Editing

New Waived Tests

Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 18.0, Effective January 1, 2012

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2012