Transmittals

Nursing Facility Services (Codes 99304 - 99318)

April 2008 Update to the ASC Payment System; Summary of Payment Policy Changes

Establish Pre-Payment Autodenial Edits in Applicable States for DMEPOS Suppliers of

Prolonged Services (Codes 99354 - 99359)

July Quarterly Update to 2008 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

New Chapter for Independent Diagnostic Testing Facilities (IDTF)

Coordination of Benefits Agreement (COBA) and Affiliate National Provider Identifier (NPI) Process Modifications

April 2008 Integrated Outpatient Code Editor (I/OCE) Specifications Version 9.1

April 2008 Update of the Hospital Outpatient Prospective Payment System (OPPS)

April Update to the 2008 Medicare Physician Fee Schedule Database

Type of Service (TOS) Corrections

New Waived Tests

Update to Audiology Policies

Additional Clarification to Chapter 17, Section 40, Regarding Processing of Drug Claims with the JW Modifier

Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 14.1, Effective April 1, 2008.

Payment for Initial Hospital Care Services (Codes 99221 - 99233) and Observation or Inpatient Care Services (Including Admission and Discharge Services) (Codes 99234 - 99236)

Teaching Physician Requirements For ESRD Monthly Capitation Payment (MCP)

Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update

Exception to 60-Day Limit on Substitute Physician Billing Arrangements for Physicians Called to Active Duty in the Armed Forces Reserves

ZIP Code Files by Date of Service