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Transmittals

  • Implementation of a New Claim Adjustment Reason Code (CARC) No.213. "Non-compliance with the physician self-referral prohibition legislation or payer policy"
  • Medicare Coverage of Artificial Hearts
  • Revisions to the Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals
  • Phase 2 Manual Revisions for the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program
  • 2008 Reminder for Roster Billing and Centralized Billing for Influenza and Pneumococcal Vaccinations
  • Payment for Complex Rehabilitative Power Mobility Device (PMD) Services that Span the Implementation Date of DMEPOS Competitive Bidding Programs in Competitive Bidding Areas
  • July 2008 Quarterly Update for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program
  • 2008 Physician Quality Reporting Initiative (PQRI) Establishment of Alternative Reporting Periods and Reporting Criteria
  • Physician Signature Requirements for Diagnostic Tests
  • Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
  • Screening Pelvic Examination
  • July 2008 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • July 2008 Integrated Outpatient Code Editor (I/OCE) Specifications Version 9.2
  • Medicare Improvements for Patients and Providers Act of 2008 - Legislative Change to Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services
  • July Update to the 2008 Medicare Physician Fee Schedule Database (MPFSDB)
  • Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2008
  • New Waived Tests
  • Revisions to the Chapter 14 of the Medicare Program Integrity Manual
  • Clinical Laboratory Fee Schedule - New Waived Tests Provider Types
  • Instructions for Institutional Providers and Suppliers Billing Self-Referred Mammography Claims Regarding the Attending/Referring Physician National Provider Identifier (NPI)
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