Transmittals

Outlier Reconciliation and other Outlier Manual Updates for the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), Inpatient Rehabilitation Facility (IRF) PPS, Inpatient Psychiatric Facility (IPF) PPS and Long Term Care Hospital (LTCH) PPS

Currently Not Collectable (CNC) Type Development for 93 Appealed Claims

Add Supplier Specialty Code 95 (Advanced Diagnostic Imaging (ADI) Accreditation) to CROWD Form F (Participating Physician/Supplier Report)

Chapter 4, Benefits and Beneficiary Protections

Clinical Laboratory Fee Schedule- Medicare Travel Allowance Fees for Collection of Specimens

Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS)

Primary Care Incentive Payment Program (PCIP), Section 5501(a) of the Patient Protection and Affordable Care Act (the ACA), Payment to a CAH Paid Under the Optional Method

Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS)

Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes

Dermal Injections for Treatment of Facial Lipodystrophy Syndrome (LDS)

Calendar Year (CY) 2011 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment

Waiver of Coinsurance and Deductible for Preventive Services in Rural Health Clinics (RHCs), Section 4104 of Affordable Care Act (ACA).

Payment for Implantable Tissue Markers (HCPCS Code A4648) and Implantable Radiation Dosimeters (HCPCS Code A4650)

Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.3, Effective October 1, 2010

2011 Annual Update of Healthcare Common Procedure Code System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update

2010 Reminder for Roster Billing and Centralized Billing for Influenza and Pneumococcal Vaccinations

2010 - 2011 Seasonal Influenza (Flu) Resources for Health Care Professionals

Clarification of Payment Window for Outpatient Services Treated as Inpatient Services

American Recovery and Reinvestment Act of 2009 Electronic Health Record (EHR) Incentive Program: Healthcare Common Procedure Coding System (HCPCS) Modifier for the EHR Incentive Program

Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)