Transmittals

Health Insurance Portability and Accountability Act (HIPAA) 5010 and D.0 Medicare Administrative Contractor (MAC) Trading Partner Testing Direction for Calendar Year 2011

Expansion of Multi Carrier System (MCS) Procedure Code File to Accommodate ICD-10 Diagnosis Codes

Clarification of Existing Policy Regarding Items and Services Included Under the End Stage Renal Disease (ESRD) Composite Payment Rate

Diabetes Self-Management Training (DSMT)

FISS System Changes for the Elimination of Lump Sum Purchase Payment for Standard Power Wheelchairs Furnished on or After January 1, 2011, Due to the Affordable Care Act

Updates to the Electronic Correspondence Referral System (ECRS) Web User Guide v1.0 and Quick Reference Card v1.0

Update to the Fiscal Intermediary Shared System (FISS) End of Present on Admission (POA) Indicator Logic for Version 5010 837I Electronic Health Care Claim Submissions

Additional Healthcare Common Procedure Coding System (HCPCS) Codes Payable Under the Replacement Parts, Accessories, and Supplies Pricing Logic Established By Change Requests (CRs) 5917 and 6573

Modifications to the Implementation of the PWK (paperwork) segment for X12N Version 5010

Affordable Care Act - Section 3113 -Laboratory Demonstration for Certain Complex Diagnostic Tests

Affordable Care Act - Section 3113 - Laboratory Demonstration for Certain Complex Diagnostic Tests

Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 5010 276/277 Claim Status Edits July 2011 Release

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

April 2011 Update to the CMS Standard File for Reason Codes from the Fiscal Intermediary Shared System (FISS)

To Create Form 9 Within the Contractor Reporting of Operational and Workload Data (CROWD) System for the Reporting of Primary Care Incentive Payments (PCIP) and HPSA Surgical Incentive Payments (HSIP)

Currently Not Collectible (CNC) and Write-Off Closed Recommendations for claims Eligible for Section 935 Limitation on Recoupment of the Medicare Modernization Act (MMA)

July Common Edits and Enhancements Module (CEM) and Receipt, Control, and Balancing Updates

Auto Denial of Claim Line(s) Items Submitted With a GZ Modifier

Auto Denial of Claim Line(s) Items Submitted With a GZ Modifier

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