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Transmittals

  • October 2007 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes
  • Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes
  • Adjustment to Payment under Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for Partial Device Credit
  • Calendar Year (CY) 2008 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures
  • Updating the Internet Only Manual (IOM) to Include Language "or NPI When Required"
  • Sunset of the Physician Scarcity Area (PSA) Bonus Payment
  • Billing and Payment in a Health Professional Shortage Area (HPSA)
  • Medicare Physician Fee Schedule Database (MPFSDB) 2008 File
  • October 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • July Quarterly Update for 2007 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
  • Claims Processing Change for Services Submitted with the Health Professional Shortage Area (HPSA) Modifiers QB or QU for Claims with Dates of Service On or After January 1, 2006
  • Medicare Fee For Service (FFS) National Provider Identifier (NPI) Crosswalk Status Review
  • Clarification of the National Provider Identifier (NPI) Reporting Requirements for Ambulance Service Claims
  • July 2007 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes
  • Update Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for Rate Year (RY) 2008
  • July 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective July 1, 2007, and Revisions to the January 2007 and April 2007 Quarterly ASP Medicare Part B Drug Pricing Files
  • Implementation of the Carrier Jurisictional Pricing Rules for All Purchased Diagnostic Service Claims
  • Enhancements to Claims Processing Requirements for the Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals for the October 2007 Release
  • April 2007 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes
  • Important Message from Medicare (IM) and Expedited Determination Procedures for Hospital Discharges
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