Transmittals

Home Health Prospective Payment System Rate (HH PPS) Update for Calendar Year (CY) 2011

Face Validity Assessment of Advance Beneficiary Notices (ABN) for Complex Medical Record Reviews

Payment for 510k Post-Approval Extension Studies Using 510k-Cleared Embolic Protection Devices during Carotid Artery Stenting (CAS) Procedures

Pharmacy Billing for Drugs Provided Incident to a Physician Service

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

Ventricular Assist Devices (VAD) as Destination Therapy

Outlier Reconciliation and other Outlier Manual Updates for the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), Inpatient Rehabilitation Facility (IRF) PPS, Inpatient Psychiatric Facility (IPF) PPS and Long Term Care Hospital (LTCH) PPS

Currently Not Collectable (CNC) Type Development for 93 Appealed Claims

Add Supplier Specialty Code 95 (Advanced Diagnostic Imaging (ADI) Accreditation) to CROWD Form F (Participating Physician/Supplier Report)

Chapter 4, Benefits and Beneficiary Protections

Clinical Laboratory Fee Schedule- Medicare Travel Allowance Fees for Collection of Specimens

Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS)

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

Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS)

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

Dermal Injections for Treatment of Facial Lipodystrophy Syndrome (LDS)

Calendar Year (CY) 2011 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment

Waiver of Coinsurance and Deductible for Preventive Services in Rural Health Clinics (RHCs), Section 4104 of Affordable Care Act (ACA).

Payment for Implantable Tissue Markers (HCPCS Code A4648) and Implantable Radiation Dosimeters (HCPCS Code A4650)

Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.3, Effective October 1, 2010