Transmittals

April 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS)

April 2011 Update of the Ambulatory Surgical Center (ASC) Payment System

April 2011 Integrated Outpatient Code Editor (I/OCE) Specifications Version 12.1

July Quarterly Update to 2011 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

Claim Status Category and Claim Status Codes Update

New Waived Tests

Implementation of Provider Enrollment Provisions in CMS-6028-FC

July 2011 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Section 1833 (a)(1)(F) of the Social Security Act - Payment of Licensed Clinical Social Worker (LCSW) in a Method II Critical Access Hospital (CAH)

2011 Update to the Therapy Code List

Transition Budget Neutrality Adjustment - Correction

Home Health Therapy Services

Updates to Pub 100-04, Medicare Claims Processing Manual, Chapter 3: Inpatient Hospital Billing

End Stage Renal Disease (ESRD) Low Volume Adjustment and Establishing Quarterly Updates to the ESRD Prospective Payment System (PPS)

Corrections to Home Health Prospective Payment System (HH PPS) Outlier Limitation

Home Health Requests for Anticipated Payment and Timely Claims Filing

Accreditation for Physicians and Non-Physician Practitioners Supplying the Technical Component of Advanced Diagnostic Imaging Services

CY 2011 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule

January 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS)

Health Insurance Portability and Accountability Act (HIPAA) 005010 837 Institutional (837I) Edits and 005010 837 Professional (837P) Edits - July 2011 Version