Transmittals

Ordering/Referring Providers Who Are Not Enrolled in Medicare

Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Medicare Administrative Contractors Requirements

Reporting of Recoupment for Overpayment on the Remittance Advice (RA)

Update to the Medicare Claims Processing Manual (Publication 100-04, Chapter 15, Section 40)

Signature Guidelines for Medical Review Purposes

April 2010 Update to the Ambulatory Surgical Center (ASC) Payment System

Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority and Examples of Application of Government Entity Exclusion. CR6880 rescinds and fully replaces CR 6544.

Legislation to Allow Independent Laboratory Billing for the Technical Component of Physician Pathology Services for Hospital Inpatients and Outpatients

Extension of Reasonable Cost Payment for Clinical Lab Tests Furnished by Hospitals with Fewer Than 50 Beds in Qualified Rural Areas

Revision of the Internet Only Manual (IOM) to Remove References to Purchased Diagnostic Test and Replace with Language Consistent with the Anti-Markup Rule

Revision of the Internet Only Manual (IOM) to Remove References to Purchased Diagnostic Test and Replace with Language Consistent with the Anti-Markup Rule

New physician specialty code for Geriatric Psychiatry. The new physician specialty code for Geriatric Psychiatry is 27

Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.1, effective April 1, 2010

Round One Rebid of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program - Phase 8A: Hospital Exception

April 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Jurisdiction 10 A/B MAC Merge of the Part B Alabama, Georgia, and Tennessee CICS Production and User Acceptance Test Regions

Notice of New Interest Rate for Medicare Overpayments and Underpayments

Coverage of Kidney Disease Patient Education Services

Instructions on How to Process Negative Claim Adjustment Reason Code (CARC) Adjustment Amounts when Certain CARCs Appear on Medicare Secondary Payer Claims

Medicare Systems Edit Refinements Related to Hospice Services