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Transmittals

  • Modifications to the Common Working File Interrupted Stay Edits for Long Term Care Hospital Claims for Discharges to an Acute Care Hospital
  • Outpatient Therapy Cap Exceptions Process for Calendar Year (CY) 2007
  • Update to Medicare Deductible, Coinsurance and Premium Rates for 2007
  • Payment Allowances for the Influenza Virus Vaccine (CPT 90655, 90656, 90657, and 90658) and the Pneumococcal Vaccine CPT 90732 When Payment is Based on 95 Percent of the Average Wholesale Price
  • Claims Submitted With Only a National Provider Identifier (NPI) During the Stage 2 NPI Transition Period
  • Update to the Place of Service (POS) Code Set to Add a Code for Prison/Correctional Facility
  • Uniform Billing (UB-04) Implementation
  • Division of Provider and Supplier Enrollment Issued Revocations
  • Medicare Payment for Preadministration-Related Services Associated with IVIG Administration-Payment Extended through CY 2007
  • New DMEPOS Certificates of Medical Necessity (CMNs) and DME Information Forms (DIFS) for Claims Processing
  • Provider Migration
  • Competitive Acquisition Program, Claim Processing for Not Otherwise Classified Drugs
  • Update of HCPCS Codes and Payments for Ambulatory Surgical Centers and File Names, Descriptions and Instructions for Retrieving the 2007 ASC HCPCS Additions, Deletions and Master Listing
  • Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
  • Stage 2 NPI Changes for Transaction 835, and Standard Paper Remittance Advice, and Changes in Medicare Claims Processing Manual, Chapter 22 - Remittance Advice
  • Non-Physician Practitioner Payment for Care Plan Oversight
  • New Current Procedural Terminology CPT) Codes
  • Update of ICD-9 Codes Used in CWF Editing of Oral Anti-Cancer and Oral Anti-Emetic Drugs
  • Revised Health Insurance Claim Form CMS-1500
  • Changes Conforming to CR 3648 Instructions for Therapy Services
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