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Transmittals

  • Part B Drug Competitive Acquisition Program (CAP) Quarterly Drug List Update
  • Systems Changes for Prescription Order Numbers for the Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals
  • Clinical Lab: New Automated Test for the AMCC Panel Payment Algorithm
  • Extension of the Dates of Service Eligible for the Physician Scarcity Area (PSA) Bonus Payment
  • Adjudicating Claims for Immunosuppressive Drugs When Medicare Did Not Pay for the Original Transplant
  • 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)
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