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Transmittals

  • Update to Notifications Sent to State Medicaid Agencies and Child Health Plans of Medicare Terminations for Certified Providers and Suppliers and Medicare Revocations for Providers and Suppliers
  • Update to the Medicare Fee-For-Service (FFS) Companion Guide
  • Switching Off Versions 4010A1 and 5.1
  • Manual Update for Quarterly Reporting Requirements for Do Not Forward Reports
  • Update Common Working File (CWF) to modify the Indicators for Trailer Mask on Unsolicited Response (UR) or Informational Unsolicited Response (IUR)
  • Revisions to Change Request (CR) 7054: Integrated Data Repository (IDR) Claims Sourcing from Shared Systems. Implementation Based on Conference Calls and Further Research
  • Durable Medical Equipment National Competitive Bidding: Correction to Permit Payment for Certain Grandfathered Accessories and Supplies
  • 935 Limitation on Recoupment. Duplicate Payment after Favorable Appeal Decision for HIGLAS Users
  • July 2011 Update to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS)
  • Clarification to Payment Processing for the Electronic Health Records Demonstration
  • Health Insurance Portability and Accountability Act (HIPAA) 005010 837 Institutional (837I) Edits and 005010 837 Professional (837P) Edits - October 2011 Version
  • Home Health Therapy Services
  • Corrections to Home Health Prospective Payment System (HH PPS) Outlier Limitation
  • Enhance the Multi-Carrier System (MCS) and ViPS Medicare System (VMS) to maintain five full years of pricing data and to automatically price claims/adjustments at the rates in effect at the dates of service
  • Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update
  • Changes to the Time Limits for Filing Medicare Fee-For-Service Claims
  • Revision of the ICD-9 CM Codes Recognized for a Co-morbidity Payment Adjustment under the End Stage Renal Disease Prospective Payment System
  • Expand the Multi-Carrier System (MCS) Diagnosis File to Accommodate ICD-10 Diagnosis Codes
  • Medicare and Medicaid Extenders Act of 2010 (MMEA) Extension of Reasonable Cost Payment for Clinical Lab Tests Furnished by Hospitals with Fewer Than 50 Beds in Qualified Rural Areas
  • 2011 Durable Medical Equipment Prosthetics, Orthotics, and Supply Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List
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