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Transmittals

  • Implementation of the PWK (paperwork) segment for X12N Version 5010
  • Expansion of Medicare Telehealth Services for CY 2011
  • Incentive Payment Program for Primary Care Services, Section 5501(a) of the ACA
  • Implementation of edits for the Emergency Department (ED) adjustment policy under the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS)
  • Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS)
  • 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
  • Payment Update and Common Working File (CWF) Editing for Influenza Virus Vaccine and Pneumococcal Vaccine Codes
  • New Specialty Code for Advanced Diagnostic Imaging Accreditation
  • Accreditation for Physicians and Non-Physician Practitioners Supplying the Technical Component of Advanced Diagnostic Imaging Services
  • Advanced Diagnostic Imaging Accreditation Enrollment Procedures
  • Additions To and Revisions of Existing G-Codes for the Reporting of Skilled Nursing Services and Skilled Therapy Services in the Home Health or Hospice Setting
  • Implementation of New Reasonable Useful Lifetime (RUL) Policy for Stationary and Portable Oxygen Equipment
  • Auto Denial of Claim Line(s) Items Submitted With a GZ Modifier
  • Effective Date of Certified Provider or Supplier Agreement or Approval
  • New HCPCS Q-codes for 2010-2011 Seasonal Influenza Vaccines
  • CY 2011 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
  • 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
  • New Waived Tests
  • Primary Care Incentive Payment Program (PCIP) Eligibility for New Providers Enrolled in Medicare
  • Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
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