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Transmittals

  • July 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective July 1, 2007, and Revisions to January 2007 and April 2007 Quarterly ASP Medicare Part B Drug Pricing Files
  • Revision to Internet Only Manual (IOM) Pub 100-04, Chapter 12, Section 90.4 Billing and Payment in a Health Professional Shortage Area (HPSA)
  • 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
  • Physician Quality Reporting Initiative (PQRI) Coding & Reporting Principles
  • July 2007 Integrated Outpatient Code Editor (I/OCE) Specifications
  • Ultrasound Diagnostic Procedures
  • Revision to Medicare Publication 100-09, Chapter 3
  • Program Instructions Designating the Competitive Bidding Areas and Product Categories Included in the CY 2007 DMEPOS Competitive Bid Program
  • Medicare Fee-For-Service (FFS) National Provider Identifier (NPI) Implementation Contingency Plan
  • Discontinuance of the Unique Physician Identification Number (UPIN) Registry
  • April Quarterly Update for 2007 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
  • Implementation of the Carrier Jurisdictional Pricing Rules for All Purchased Diagnostic Service Claims
  • Outpatient Clinical Laboratory Tests Furnished by Hospitals With Fewer Than 50 Beds in Qualified Rural Areas
  • 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
  • April Update to the 2007 Medicare Physician Fee Schedule Database (MPFSDB)
  • Date of Service (DOS) for Laboratory Specimens
  • Competitive Acquisition Program (CAP) for Part B Drugs
  • Revisions to the Medicare Claims Processing Manual, Chapter 17, Sections 40 and 100, Regarding Discarded Drugs and Biologicals and Submission of Claims With the Modifier JW,
  • Program Instructions Designating the Competitive Bidding Areas and Product Categories Included in the Calendar Year (CY) 2007 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bid Program
  • Tax Relief and Health Care Act of 2006 Changes to Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services
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