Transmittals

Updates to Pub 100-04, Medicare Claims Processing Manual, Chapter 3: Inpatient Hospital Billing

End Stage Renal Disease (ESRD) Low Volume Adjustment and Establishing Quarterly Updates to the ESRD Prospective Payment System (PPS)

Update the existing ViPS Medicare System (VMS) Utilization Parameter files for ICD-10.

Expand Related Diagnosis File to Accommodate ICD-10 Diagnosis Codes

New HCPCS Q-codes for 2010-2011 Seasonal Influenza Vaccines

Screening for the Human Immunodeficiency Virus (HIV) Infection

Adjudication of Laboratory Tests that are Excluded from Clinical Laboratory Improvement Amendment (CLIA) Edits

Section 1833 (a)(1)(F) of the Social Security Act - Payment of Licensed Clinical Social Worker (LCSW) in a Method II Critical Access Hospital (CAH)

Transition Budget Neutrality Adjustment - Correction

Instructions for Multi Carrier System (MCS) to review submitted claims history and identify Primary Care Incentive Payment Program (PCIP) eligible services furnished by newly enrolled Medicare primary care practitioners.

VMS Utility Run for DME MACs Identification of Edits for ICD-10

IOM 100-04 Chapter 22 Update for Remittance Advice for version 5010 - ASC X12N 005010A1 and Related Standard Paper Remittance (SPR)

Manual Restructuring of Chapter 6, Section 20, Subsections 20.4.4, and 20.5.2

Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes July 2011 Update

Type of Service (TOS) Corrections

Home Health Requests for Anticipated Payment and Timely Claims Filing

New K codes for Suction Pumps and Wound Dressings

Provider Reimbursement Manual - Part 2, Provider Cost Reporting Forms and Instructions, Chapter 36, Form CMS-2552-96

Payment Update for Influenza Virus Vaccine and Pneumococcal Vaccine Codes

Recovery Audit Program Tracking Overpayments Instruction Alteration