Transmittals
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April 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)
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Rural Health Clinic (RHC) and Federally Qualified Health Clinic (FQHC) Updates
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Correction to Editing of Health Insurance Prospective Payment System (HIPPS) Codes on Home Health Prospective Payment System (HH PPS) Claims
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New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers" Compensation Medicare Set-aside Arrangements (WCMSAs), to Stop Conditional Payments
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Speech-Language Pathology Private Practice Payment Policy
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Manualization of the Medicare Physician Fee Schedule (MPFS) Record Layouts for Contractors Processing Institutional Claims
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Assignment of Initial Enrollment FQHCs, ESRD Facilities, and RHCs
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Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process
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Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
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Shipboard Services Billed to the Carrier and Services Not Provided Within the United States. This CR rescinds and fully replaces CR 6217.
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Heartsbreath Test for Heart Transplant Rejection
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New Waived Tests
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Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 15.1, Effective April 1, 2009
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April 2009 Integrated Outpatient Code Editor (I/OCE) Specifications Version 10.1
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Updates to the Medicare Claims Processing Manual Publication 100-04, Chapter 15.
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Outpatient Therapy Caps With Exceptions in CY 2009
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April 2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
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April 2009 Update to the ASC Payment System; Summary of Payment Policy Changes/Manual Revisions.
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Change in the Amount in Controversy Requirement for Administrative Law Judge Hearings and Federal District Court Appeals
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Reporting the National Provider Identifier (NPI) on Claims for Reference Laboratory and Purchased Diagnostic Services Performed Outside the Billing Jurisdiction.