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Transmittals

  • Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process Stemming Principally From the Affordable Care Act (ACA)
  • Advanced Diagnostic Imaging Accreditation Enrollment Procedures
  • Implementation of New Reasonable Useful Lifetime (RUL) Policy for Stationary and Portable Oxygen Equipment
  • Notice of New Interest Rate for Medicare Overpayments and Underpayments-3rd Notification for FY 2011.
  • New Specialty Code for Advanced Diagnostic Imaging Accreditation
  • Flat File Update for Institutional Claim Transaction 837I, Professional Claim Transaction 837P, and Claim Payment/Advice Transaction 835
  • Home Health Therapy Services
  • Implementation of the PWK (paperwork) segment for X12N Version 5010
  • ViPS Medicare System (VMS) ICD-10 Remove any Obsolete Quarterly Medical Review(QMR) Processes and Reports that Include ICD-9 codes
  • Upgrade of Optical Character Recognition (OCR) and Intelligent Character Recognition (ICR) Systems in Preparation for HIPAA Version 5010 (Analysis Only)
  • Modify the Common Working File (CWF) Application to Allow the Medicare Secondary Payer (MSP) Effective and Termination dates for all MSP Occurrences to be Equal
  • HITECH Overpayment Data Collection Coordination between FISS, MCS and the NLR
  • Physician Certification and Recertification of Services Manual Changes
  • System Changes to VMS to Allow DME MACs to Adjust Claims Denied as a Result of ZPIC Auto-Denial Edits to Pay After an Appeals Decision
  • 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
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