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Transmittals

  • Claims Processing Requirements for Medicare Beneficiaries in State or Local Custody Under a Penal Authority - MANUALIZATION
  • Recurring Update Notification for the Notice of New Interest Rate for Medicare Overpayments and Underpayments
  • Elimination of the Durable Medical Equipment Regional Carriers (DMERC) Information Form (DIF)
  • Appeals of Claims Decisions: Administrative Law Judge; Departmental Appeals Board; U.S. District Court Review
  • Expansion of Glaucoma Screening Services
  • 2006 Juridiction List
  • Update to Chapter 20, Billing for Oxygen and Oxygen Equipment, Section 130.6
  • Clarification of Instructions in Pub. 100-6, Chapter 5 Financial Reporting, Section 310.4 - Line 4(a) through (e), Reclassified CNC Debt (Principal & Interest)
  • Type of Service (TOS) Corrections
  • Medicare Part B Drug Pricing Update - Payment Limit for J7620 (Albuterol and Ipratropium Bromide, non-compounded)
  • Remittance Advice Remark Code and Claim Adjustment Reason Code Update
  • System Edits for Respiratory Assist Devices (RADs) with Bi-Level Capability and a Back-Up Rate
  • January 2006 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective January 1, 2006, and Revisions to April 2005, July 2005, and October 2005 Quarterly ASP Medicare Part B Drug Pricing Files
  • Teaching Physician Services
  • Claim Status Category Code and Claim Status Code Update
  • Change Payment Floor Date for Paper Claims
  • Revisions to Chapter 13, Medicare Managed Care Beneficiary Grievances, Organization Determinations, and Appeals Applicable to Medicare Advantage Plans, Cost Plans, and Health Care Prepayment Plans (HCPPs), (collectively referred to as Medicare health plans)
  • CAP for Part B Drugs
  • Nat'l Monitoring Policy for EPO and Aranesp for ESRD Patients in Dialysis Facilities
  • Repeat Tests for Automated Muli-Channel Chemistries for ESRD Beneficaries
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