Transmittals

Instructions for Downloading the Medicare ZIP Code File for July 2011

Allowing the Common Working File (CWF) to accept both Medicare Secondary Payer (MSP) and Non-MSP Lines on MSP Claims and MSP Adjustment Claims. This CR rescinds and fully replaces CR 7026.

Receivables Initiated by the Recovery Auditor as Independent Audit Accessible Information

Health Insurance Portability and Accountability Act (HIPAA) 5010 and D.0 Medicare Administrative Contractor (MAC) Trading Partner Testing Direction for Calendar Year 2011

2011 Update to the Therapy Code List

Claim Status Category and Claim Status Codes Update

April 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS)

Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 17.1, Effective April 1, 2011

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

Implementation of Provider Enrollment Provisions in CMS-6028-FC

Medicare Claims Processing Pub. 100-04 Chapter 24 Update for HIPAA 5010 and EDI Enhancements

Insurance Purchased From a Limited Purpose Insurance Company

Reflects further clarification to existing instructions and incorporates select Federal Register provisions.

Effective Date of Certified Provider or Supplier Agreement or Approval

Manual Clarifications for Skilled Nursing Facility (SNF) Part A Billing

April 2011 Update of the Ambulatory Surgical Center (ASC) Payment System

July 2011 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

July Quarterly Update to 2011 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

New Waived Tests

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