Transmittals

Medicare Fee For Service Legacy Provider IDs Prohibited on Form CMS-1500 and Form CMS-1450 (UB-04) Claims

January 2008 Update of the Hospital Outpatient Prospective Payment System (OPPS)- Manualization

Modification of Payment Window Edits in the Common Working File (CWF) to Look at Line Item Dates of Service (LIDOS) on Outpatient Claims

Smoking and Tobacco Use Cessation Counseling Billing Code Update

Emergency Update to the 2008 Medicare Physician Fee Schedule Database

New HCPCS Modifiers when Billing for Patient Care in Clinical Research Studies

Summary of Policies in the 2008 Medicare Physician Fee Schedule and the Telehealth Originating Site Facility Fee Payment Amount

Clarification Regarding the Coordination of Benefits Agreement (COBA) Medigap Claim-Based Crossover Process

New Value Code to Report Patient Prior Payments

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

Additional Payable

Use of HCPCS V2787 When Billing Approved Astigmatism-Correcting Intraocular Lens (A-CIOLs) in Ambulatory Surgery Centers (ASCs), Physician Offices, and Hospital Outpatient Departments (HOPDs)

Clarification of Bone Mass Measurement (BMM) Billing Requirements

Annual Type of Service (TOS) Update

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