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Transmittals

  • Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update
  • Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes
  • October Common Edits and Enhancements Module (CEM) and Receipt, Control, and Balancing Updates
  • Update ViPS Medicare System (VMS) Automated Development System (ADS) to Recognize and Print the ICD-10 Indicator
  • Modify CROWD Form K to allow for the submission of additional Medicare Secondary Payer (MSP) savings information.
  • New Waived Tests
  • 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)
  • Update the existing ViPS Medicare System (VMS) Utilization Parameter files for ICD-10.
  • Expand Related Diagnosis File to Accommodate ICD-10 Diagnosis Codes
  • New HCPCS Q-codes for 2010-2011 Seasonal Influenza Vaccines
  • Screening for the Human Immunodeficiency Virus (HIV) Infection
  • Adjudication of Laboratory Tests that are Excluded from Clinical Laboratory Improvement Amendment (CLIA) Edits
  • 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)
  • Transition Budget Neutrality Adjustment - Correction
  • Instructions for Multi Carrier System (MCS) to review submitted claims history and identify Primary Care Incentive Payment Program (PCIP) eligible services furnished by newly enrolled Medicare primary care practitioners.
  • VMS Utility Run for DME MACs Identification of Edits for ICD-10
  • IOM 100-04 Chapter 22 Update for Remittance Advice for version 5010 - ASC X12N 005010A1 and Related Standard Paper Remittance (SPR)
  • Manual Restructuring of Chapter 6, Section 20, Subsections 20.4.4, and 20.5.2
  • Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes July 2011 Update
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