Transmittals

Recovery Audit Program Underpayments Instruction Alteration

Update for Pub. 100-04, Medicare Claims Processing Manual, Chapter 31

Use of Claims History Information in Claim Payment Determinations

Healthcare Provider Taxonomy Codes (HPTC) Update April 2011

Clarification to CR 6686 - Outpatient Mental Health Treatment Limitation

April Update to the CY 2011 Medicare Physician Fee Schedule Database (MPFSDB)

Incentive Payment Program for Primary Care Services, Section 5501(a) of the ACA

This transmittal updates Chapter 36, Hospital and Hospital Health Care Complex Cost Report, (Form CMS-2552-96). Reflects further clarification to existing instructions and incorporates select Federal Register provisions.

Expansion of Medicare Telehealth Services for CY 2011

Expansion of Medicare Telehealth Services for CY 2011

Waiver of Coinsurance and Deductible for Preventive Services, Section 4104 of the Patient Protection and Affordable Health Care Act (the Affordable Care Act), Removal of Barriers to Preventive Services in Medicare

New Hospice Certification Requirements and Revised Conditions of Participation (CoPs)

Incentive Payment Program for Primary Care Services, Section 5501(a) of the Patient Protection and Afforable Care Act (the ACA), Payment to a CAH Paid Under the Optional Method

Modify CROWD Form K to allow for the submission of additional Medicare Secondary Payer (MSP) savings information.

Analyze, Design, Maintain and Provide Implementation Instructions for a Modification of the Part A and Part B Common Edits and Enhancement Modules (CEMs), to allow 277C Edits to be Turned On/Off by the Encounter Data Front-End System (EDFES) Contractor Only

Magnetic Resonance Imaging (MRI) in Medicare Beneficiaries with Implanted Permanent Pacemakers (PMs) or Implantable Cardioverter Defibrillators (ICDs)

Magnetic Resonance Imaging (MRI) in Medicare Beneficiaries with Implanted Permanent Pacemakers (PMs) or Implantable Cardioverter Defibrillators (ICDs)

Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)

Reporting of Recoupment for Overpayment on the Remittance Advice (RA)

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