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Transmittals

  • New Hemophilia Clotting Factor and HCPCS Code
  • Physician Fee Schedule Payment Policy Indicator File Record Layout for Use in Processing Method II Critical Access Hospital (CAH) Claims for Professional Services
  • Transmittal 1579, dated August 21, 2008, rescinds and replaces Transmittal 1546, dated July 1, 2008. The corrections are explained in the Summary of Changes. The implementation date is also changed. All other material remains the same
  • Medicare Improvements for Patients and Providers Act of 2008 - Legislative Change to Independent Laboratory Billing for the Technical Component of Physician Pathology Services.
  • Clarification on the Correct Condition Code to Report on Provider Adjustment Requests to Indicate a Health Insurance Prospective Payment System (HIPPS) Code Change
  • Part B Drug Competitive Acquisition Program (CAP) Quarterly Drug List Update
  • Transition of Responsibility for Medical Review From Quality Improvement Organizations (QIOs)
  • Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update
  • July 2008 Integrated Outpatient Code Editor (I/OCE) Specifications Version 9.2
  • VMS Recognition of New Specialty Codes for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) With Pedorthic Personnel, Medical Supply Companies With Pedorthic Personnel, and Rehabilitation Agencies. (DME MACs Only)
  • Prothrombin Time (PT/INR) Monitoring for Home Anticoagulation Management
  • Clarifications to Audiology Update Transmittal 1470, Change Request 5717
  • Manual Revisions to Reflect Special Billing Instructions for DMEPOS Items as a Result of the DMEPOS Competitive Bidding Program
  • July 2008 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • National Competitive Bidding (NCB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS), Medicare Summary Notice (MSN), and Remittance Advice (RA) Messages
  • Phase 2 of Manual Revisions to Reflect Payment Changes for DMEPOS Items as a Result of the DMEPOS Competitive Bidding Program and the Deficit Reduction Act of 2005
  • Screening Pelvic Examinations
  • Laboratory National Coverage Determination (NCD) Edit Software Changes for July 2008
  • New Waived Tests
  • July 2008 Update to the ASC Payment System; Summary of Payment Policy Changes
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