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Transmittals

  • Skilled Nursing Facility (SNF) 5-Claim Probe and Educate Review
  • Inflation Reduction Act Section 11407: Limitations on Monthly Coinsurance and Adjustments to Supplier Payment Under Medicare Part B for Insulin Furnished Through Durable Medical Equipment (DME) – IMPLEMENTATION
  • Update to the Payment for Grandfathered Tribal Federally Qualified Health Centers (FQHCs) for Calendar Year (CY) 2023
  • Medicare Policy Updates for Dental Services as Finalized in the Calendar Year (CY) 2023 Physician Fee Schedule (MPFS) Final Rule
  • Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Patient-Driven Payment Model (PDPM) Claims Processing Updates to Current Editing
  • Adding Claim Through Date to Home Health Grouper interface
  • Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99) - Phase 1
  • Updates of Chapters 4 and 8 in Publication (Pub.) 100-08, Including Point of Contact Clarification and Update to Statistical Sampling Terminology
  • Addition of New Data Elements to the National Claims History (NCH) Claims Data Output
  • Telehealth Code Reporting and Date Matching Edit for Home Health Claims
  • Updates to Pub. 100-09, Chapter 6 Beneficiary and Provider Communications Manual, Chapter 6, Provider Customer Service Program
  • Religious Nonmedical Health Care Institution Provisions of the Consolidated Appropriations Act (CAA) of 2023
  • ViPS Medicare System (VMS) - Increase Edit Code Maximum
  • Implementation of a National Fee Schedule for Medicare Part B Vaccine Administration CMS
  • Updates of Publication (Pub.) 100-15, Including Revisions to Chapters 1 and 2, and the Addition of Chapters 3, 4, 5, and Appendices
  • User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Update Beneficiary Information Tracking System (BITS) Edit BT06 to allow the Response Date to be equal to the Receipt Date
  • International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--July 2023 Update
  • Notice of New Interest Rate for Medicare Overpayments and Underpayments -3rd Qtr Notification for FY 2023
  • New Waived Tests
  • April 2023 Update of the Hospital Outpatient Prospective Payment System (OPPS)
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