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Transmittals

  • Claim Status Category Code and Claim Status Code Update
  • Timeliness Standards for Processing Other-Than-Clean Claims
  • Additional Common Working File (CWF) Editing for Skilled Nursing Facility (SNF) Consolidated Billing (CB)
  • Revised Information on PET Scan Coding
  • Date of Service for Laboratory Specimens
  • Laboratory and Radiology: Adjustment to Common Working File (CWF) Duplicate Claim Edit for the Technical Component (TC) of Radiology and Pathology Laboratory Services Provided to Hospital Patients
  • Delay of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program
  • Use of 9-Digit ZIP codes for Determining the Correct Payment Locality for Services Paid Under the Medicare Physician Fee Schedule (MPFS) and Anesthesia Services
  • New Waived Tests
  • July 2007 Integrated Outpatient Code Editor (I/OCE) Specifications Version 8.2
  • Reporting Withholding Due to IRS Federal Payment Levy Program (FPLP) on the Remittance Advice
  • New Deadline for Required Submission of the Form CMS-1500 (08-05)
  • New 2008 Medicare Physician Fee Schedule (MPFS) Payment Rates Effective for Dates of Service July 1, 2008, Through December 31, 2008
  • 2008 Physician Quality Reporting Initiative (PQRI) Establishment of Alternative Reporting Periods and Reporting Criteria
  • Use of 9-Digit ZIP codes for Determining the Correct Payment Locality for Services Paid Under the Medicare Physician Fee Schedule (MPFS) and Anesthesia Services
  • Update to the Place of Service (POS) Code Set to Add a Code for Prison/Correctional Facility - VMS Only
  • Composite Ambulatory Payment Classification (APC) Processing under the Outpatient Prospective Payment System (OPPS)
  • National Competitive Bidding (NCB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) - Phase VIIB of Implementation
  • 2008 Reminder For Roster Billing and Centralized Billing For Influenza and Pneumococcal Vaccinations
  • Production Region Split and New Contractor Workload Number for the National Government Services (NGS) Part A Delaware Workload and New Contractor Numbers for the Jurisdiction 13 Medicare Administrative Contractor Part A and Part B Connecticut and New York Workloads
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