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Transmittals

  • 5010 Implementation--Processing Additional International Classification of Diseases, 9th Revision-Clinical Modification (ICD-9-CM) Diagnosis and Procedure Codes in Pricer, Grouper, and the Medicare Code Editor (MCE)
  • End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Consolidated Billing for Limited Part B Services
  • Discarded Drugs and Biological Policy at Contractor Discretion
  • 2011 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder
  • Notification to State Medicaid Agencies and Child Health Plans of Medicare Terminations for Certified Providers and Suppliers
  • Health Insurance Portability and Accountability Act (HIPAA) Version 5010-D.0 Transition Reporting
  • New Waived Tests
  • Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.3, Effective October 1, 2010
  • Calendar Year 2011 Payments to Home Health Agencies That Do Not Submit Required Quality Data
  • Revisions and Re-issuance of Audiology Policies
  • Revisions and Re-issuance of Audiology Policies
  • Healthcare Provider Taxonomy Codes (HPTC) Update October 2010
  • October 2010 Update of the Ambulatory Surgical Center (ASC) Payment System
  • Expansion of the Current Scope of Editing for Attending, Operating, or Other Physician or Non-Physician Practitioner Providers for Critical Access Hospital (CAH) Claims Processed by Medicare Fiscal Intermediaries and Part A Medicare Administrative Contractors (A/B MAC)
  • 2011 Annual Update of Healthcare Common Procedure Code System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update
  • Further Instruction for Implementation of Health Insurance Portability and Accountability Act of 1996 (HIPAA) version 5010 for Transaction 835 - Health Care Claim Payment/Advice and Updated Standard Paper Remit (SPR)
  • J11 Part A and Part B Medicare Administrative Contractor (A/B MAC) New Part A Workload Number for the State of North Carolina
  • Eligible Physicians and Practitioners Who Need to Enroll in the Medicare Program for the Sole Purpose of Ordering and Referring Services for Medicare Beneficiaries
  • October Update to the 2010 Medicare Physician Fee Schedule Database (MPFSDB)
  • 2011 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments
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