Transmittals

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

Clarification to CR 5744 - Payment Allowance Update for the Influenza Virus Vaccine CPT 90660 and Further Instruction Regarding the Pneumococcal Vaccine CPT 90669

Payment for Hospital Observation Services (Codes 99217 - 99220) and Observation or Inpatient Care Services (Including Admission and Discharge Services - Codes 99234 - 99236)

Subsequent Hospital Visits and Hospital Discharge Day Management Services (Codes 99231 - 99239)

MANUALIZATION of Payment for Outpatient ESRD-Related Services

Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits

Medicare, Medicaid, and SCHIP Extension Act of 2007 Changes to Independent Laboratory Billing for the Technical Component of Physician Pathology Services