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Transmittals

  • Modification to the Model Medicare Redetermination Notice (for partly or fully unfavorable redeterminations)
  • January 2008 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • Reporting of Hematocrit or Hemoglobin Levels on All Claims for the Administration of Erythropoiesis Stimulating Agents (ESAs), Implementation of New Modifiers for Non-ESRD Indications, and Reporting of Hematocrit/Hemoglobin Levels on all Non-ESRD, Non-ESA Claims Requesting Payment for Anti-Anemia Drugs
  • Medicare Shared Systems Modifications Necessary to Accept and Crossover to Medicaid National Drug Codes (NDC) And Corresponding Quantities Submitted on Form CMS-1500 Paper Claims
  • 2008 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
  • 2008 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payment
  • Manual Updates to Chapter 6, Skilled Nursing Facility (SNF) Inpatient Part A Billing, for No Payment and Medicare Advantage (MA) Claims
  • Handling Personally Identifiable Information on the Medicare Summary Notice
  • New Medicare Summary Notice (MSN) General Information Section Message Regarding Medicare Records for New Retirees, and Modification to Update the MSN Messages
  • Part B Drug Competitive Acquisition Program (CAP) Quarterly Drug Updates and Annual Price Updates
  • Fee Schedule Update for 2008 for Durable Medical Equipment, Prosthetics, Orthotics and Supplies
  • Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 14.0, Effective January 1, 2008
  • Crossover of Assignment of Benefits Indicator (CLM08) From Paper Claim Input
  • Mammography: Change Certification-Based Action from Return to Provider (RTP)/Return as Unprocessable to Reject/Denial
  • Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update
  • 2008 Annual Update to the Therapy Code List
  • Update to Place of Service (POS) Code Set: New Code for Temporary Lodging
  • Reporting an NPI and the "EY" Modifier on Claims for DMEPOS Items Dispensed Without a Physician
  • Application of ASCA Enforcement Review Decisions Made by Other Medicare Contractors to the Same Providers When Selected for ASCA Review by the Railroad Medicare Carrier, Elimination of References to Claim Status and COB Medicare HIPAA Contingency Plans and Changes to Reflect Transfer of Responsibility for Medigap Claims to the COBC Contractor
  • Additional Common Working File (CWF) Editing for Skilled Nursing Facility (SNF) Consolidated Billing (CB) - Part II
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