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Transmittals

  • Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority and Examples of Application of Government Entity Exclusion. This CR rescinds and fully replaces CR 6544
  • Claim Status Category and Claimn Status Code Update
  • Update to List of ICD-9-CM Diagnosis Codes Not Requiring the Q0 Healthcare Common Procedure Coding System (HCPCS) Modifier for Automatic Implantable Cardiac Defibrillator (ICD) Services Provided in a Clinical Study
  • Positron Emission Tomography (NaF-18) to Identify Bone Metastasis of Cancer
  • Instructions on How to Process Negative Claim Adjustment Reason Code (CARC) Adjustment Amounts when Certain CARCs Appear on Medicare Secondary Payer Claims
  • Collagen Meniscus Implant
  • Revised Payment Files for the 2010 Ambulatory Surgical Center Payment System
  • One-Time Mailing of Solicitation Letter to Physicians and Non-Physician Practitioners Who Are Currently Enrolled In Medicare But Who Do Not Have Enrollment Records In The Provider Enrollment, Chain and Ownership System (PECOS)
  • New Waived Tests
  • July 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • July 2010 Integrated Outpatient Code Editor (I/OCE) Specifications Version 11.2
  • Update-Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Rate Year 2011
  • Dermal Injections for Treatment of Facial Lipodystrophy Syndrome (LDS)
  • Clarification of the Date of Service for Maintenance and Servicing Payments for Certain Oxygen Equipment after July 1, 2010
  • Clarification on Use of the Skilled Nursing Facility Advance Beneficiary Notice (SNFABN) and Denial Letters
  • Reprocessing of Claims for Certain Replacement Parts, Accessories, or Supplies for Prosthetic Implants and Surgically Implanted Durable Medical Equipment (DME) with Dates of Service of October 27, 2008, through December 31, 2009
  • Correction to the Claims Processing Internet Only Manual (IOM) to Reinstate Previous Instructions Regarding Payment Jurisdiction for Reassigned Services
  • Guidelines to Allow Contractors to Develop and Utilize Procedures for Accepting and Processing Appeals via Facsimile and/or via a Secure Internet Portal/Application
  • The Physician Quality Reporting Initiative (PQRI) and E-Prescribing (eRx) Medicare Quality Reporting Incentive Programs Manual
  • Enhancements to Home Health (HH) Consolidated Billing Enforcement
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