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Transmittals

  • Update to Publication 100-4, Chapters 1 & 15 for ZIP5 and ZIP9 Medicare ZIP Code Files.
  • Program Instructions Designating the Competitive Bidding Areas and Product Categories Included in the CY 2007 DMEPOS Competitive Bid Program
  • Common Working File (CWF) Duplicate Claim Edit for the Technical Component (TC) of Radiology and Pathology Laboratory Services Provided to Hospital Patients
  • April 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective April 1, 2007, and Revisions to the January 2007 Quarterly ASP Medicare Part B Drug Pricing Files
  • Competitive Acquisition Program (CAP) for Part B Drugs
  • April Quarterly Update for 2007 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
  • Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2007
  • April 2007 Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) Specifications Version 8.1
  • April Update to the 2007 Medicare Physician Fee Schedule Database
  • Outpatient Clinical Laboratory Tests Furnished by Hospitals With Fewer Than 50 Beds in Qualified Rural Areas
  • Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for Oncology Treatment Payment Adjustment
  • Emergency Update to the 2007 Medicare Physician Fee Schedule Database
  • Revisions to the Medicare Physician Fee Schedule (MPFS) Disclosure Format
  • Medicare Exclusion Database (MED) Addition of National Provider Identifier (NPI)
  • Continuation of Legacy Number Reporting on Outbound Claims for COBA Process
  • Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes for Implementation of Stage 3 of National Provider Identifier (NPI)
  • Skilled Nursing Facility (SNF) Consolidated Billing (CB) Common Working File (CWF) Edit Bypass Instructons for Hospital Emergency Room Services Spanning Multiple Service Dates
  • Colorectal Cancer Screening Flexible Sigmoidoscopy and Colonoscopy Coinsurance Payment Change
  • Tax Relief and Health Care Act of 2006 Changes to Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services
  • Adding Three CMS Specialty Codes for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
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