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Transmittals

  • Multiple Procedure Payment Reduction (MPPR) for Selected Therapy Services
  • Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases
  • Reporting of Service Units With HCPCS
  • Claim Status Category and Claim Status Codes Update
  • Waiver of Coinsurance and Deductible for Preventive Services in Rural Health Clinics (RHCs), Section 4104 of Affordable Care Act (ACA).
  • Implementation of Home Health Agency (HHA) Payment Safeguard Provisions
  • Additions To and Revisions of Existing G-Codes for the Reporting of Skilled Nursing Services and Skilled Therapy Services in the Home Health or Hospice Setting
  • Expansion of the Current Scope of Editing for Ordering/Referring Providers for Claims Processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs)
  • Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplier (DMEPOS) Suppliers Claims Process by Durable Medical Equipment Medicare Administrative Contractors (DMEMACs)
  • Revisions to Chapter 2, The Certification Process, Sections 2080 - 2089- Hospices, and Appendix M, Guidance to Surveyors, Hospices
  • Medicare Physician Fee Schedule Database (MPFSDB) 2011 File Layout Manual
  • Revision to Common Working File (CWF) Edit for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Provided During an Inpatient Stay
  • Revisions to the Medicare Code Editor (MCE) and Integrated Outpatient Code Editor (IOCE) Reporting Requirements
  • Implementation of Changes in End Stage Renal Disease (ESRD) Payment for Calendar Year (CY) 2011
  • Home Health Prospective Payment System Rate (HH PPS) Update for Calendar Year (CY) 2011
  • Face Validity Assessment of Advance Beneficiary Notices (ABN) for Complex Medical Record Reviews
  • Payment for 510k Post-Approval Extension Studies Using 510k-Cleared Embolic Protection Devices during Carotid Artery Stenting (CAS) Procedures
  • Pharmacy Billing for Drugs Provided Incident to a Physician Service
  • CY 2011 Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
  • Ventricular Assist Devices (VAD) as Destination Therapy
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