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Transmittals

  • Internet-Only Manual (IOM) Updates for Split (or Shared) Evaluation and Management Visits
  • A Social Determinants of Health Risk Assessment in the Annual Wellness Visit Policy Update in the Calendar Year 2024 Physician Fee Schedule Final Rule
  • A Social Determinants of Health Risk Assessment in the Annual Wellness Visit Policy Update in the Calendar Year 2024 Physician Fee Schedule Final Rule
  • The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider and Statistical Reimbursement (PS&R) System
  • File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions
  • Update to Several Sections of the Internet-only Manual (IOM) Publication (Pub.) 100-04, Medicare Claims Processing Manual, Chapter 23 - Fee Schedule Administration and Coding Requirements
  • Fiscal Intermediary Shared System (FISS) - User Enhancement Change Request (UECR) - Create a Beneficiary Liable Reason Code for National Coverage Determination (NCD) 210.14
  • Expand Diabetes Screening and Diabetes Definitions Policy Update in the Calendar Year 2024 Physician Fee Schedule Final Rule
  • Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment
  • Expand Diabetes Screening and Diabetes Definitions Policy Update in the Calendar Year 2024 Physician Fee Schedule Final Rule
  • Enhancements to Home Health Consolidated Billing Edits
  • User Enhancement Change Request (UECR) - Enhance the MCS Desktop Tool (MCSDT) Table Manager and Customer Service Representative (CSR) Security Table
  • User Enhancement Change Request (UECR) - Enhance the Multi-Carrier System Desktop Tool (MCSDT) to Export Tables
  • User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Increase the Number of Accumulation File Numbers (AFNs) That Can Be Assigned to a Procedure Code
  • Extension of Payment Period for Pennsylvania Rural Health Model
  • Primary Care First (PCF) Model: Updated Appendix B - Prohibited Healthcare Common Procedure Coding System (HCPCS) Codes
  • Create APIs to Support ACO REACH Model - Full Agile Pilot
  • This transmittal updates Chapter 47, Home Health Agency Cost Report, Form CMS-1728-20, by clarifying the existing instructions, forms, and electronic cost report (ECR) specifications. Revisions
  • Outlier Reconciliation and Cost-to-Charge Ratio (CCR) Updates for the Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS
  • Revisions to Manual for the State Payment of Medicare Premiums
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