Transmittals

User Enhancement Change Request UECR Update the Summary Report - Healthcare Integrated General Ledger Accounting System HIGLAS 824 Status Notification Error Report H99RJSUM)

"International Classification of Diseases, 10th Revision ICD-10 and Other Coding Revisions to National Coverage Determinations NCDs)—April 2025 CR 1 of 2)"

Payments to Inpatient Rehabilitation Facilities That Do Not Submit Required Quality Data - This CR Rescinds and Fully Replaces CR 9543.

Corrections to Change Request CR 7270 - Changes to the Time Limits for Filing Medicare Fee For Service Claims

User Enhancement Change Request UECR Update the Multi-Carrier System MCS System Control Facility SCF System Element SE for Diagnosis Validation

Accountable Care Organization ACO Primary Care Flex Model ACO PC Flex Model)

User Enhancement Change Request UECR Update Multi-Carrier System MCS Portal Re-Openings Negative/Zero Adjustments Report H99RBPRZ)

Ambulance Inflation Factor (AIF) for Calendar Year (CY) 2025 and Productivity Adjustment

Chapter 3 Revisions (Segment 1) in Publication (Pub.) 100-08 Program Integrity Manual (PIM)

Migration of the Contractor Reporting of Operational and Workload Data (CROWD) to the Centers for Medicare & Medicaid Services (CMS) Enterprise Portal – Internet-Only Manual (IOM) Updates

Migration of the Contractor Reporting of Operational and Workload Data (CROWD) to the Centers for Medicare & Medicaid Services (CMS) Enterprise Portal – Internet-Only Manual (IOM) Updates

Guiding an Improved Dementia Experience (GUIDE) Model Implementation

Implementation of a New National Uniform Billing Committee (NUBC) Condition Code “KX”, “Documentation on file. Requirements specified in the medical policy have been met.” and Implementation of a New NUBC Value Code “92”, “Invoice Cost of Drug/Biologic. For use with Revenue Category 0636 when required by federal regulation.”

Reporting Identifiers for the Healthcare Integrated General Ledger Accounting System (HIGLAS) Payments Reported for Periodic Interim Payment (PIP) Claims

Updates of Chapter 1, Chapter 2, Chapter 3, Chapter 4, and Appendices in Publication (Pub.) 100-15, Including Auditing of Program Integrity Activities in Managed Care Plans

Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 18 Section 170.1 and Chapter 32 Section 340.2 for Coding Revisions to the National Coverage Determinations (NCDs) - January 2025 Change Request (CR) 13706

Notice of New Interest Rate for Medicare Overpayments and Underpayments -1st Quarter Notification for FY 2025

Phase 4: Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99)

The Recovery and Adjustment of Medicare Claims where the Department of Veteran Affairs (VA) also Made Payment Using the Medicare Duplicate Payment (DP) Process

Correction to Pulmonary Rehabilitation Services for Indian Health Services (IHS)