Regulatory Information Center Updates: July 23, 2024


These updates are now available on Codify by AAPC. You can access them by selecting Publications/Regulatory Information from the top menu or by clicking the links below.

Federal Register/Notice Document #
Medicaid and Children's Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Comment Request 2024-15882
Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities 2024-15087
Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-April Through June 2024 2024-16040
Federal Register/Rule Document #

Medicare and Medicaid Programs: Hospital Outpatient Prospective Payment and Ambulatory Surgical Center Payment Systems; Quality Reporting Programs, Including the Hospital Inpatient Quality Reporting Program; Health and Safety Standards for Obstetrical Services in Hospitals and Critical Access Hospitals; Prior Authorization; Requests for Information; Medicaid and CHIP Continuous Eligibility; Medicaid Clinic Services Four Walls Exceptions; Individuals Currently or Formerly in Custody of Penal Authorities; Revision to Medicare Special Enrollment Period for Formerly Incarcerated Individuals; and All-Inclusive Rate Add-On Payment for High-Cost Drugs Provided by Indian Health Service and Tribal Facilities

2024-15087

Transmittal Document #

Changes to The Electronic Correspondence Referral System (ECRS) Web to Prevent the Creation of Non-Group Health Plan (NGHP) Self Report that are Not Synchronized with the Common Working File (CWF)

R12709MSP

Update to the Patient-Driven Payment Model (PDPM) Claim Editing R12714OTN
Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Quarter Notification for FY 2024 R12715FM
New State Codes for Arizona, California, Nevada, and Texas R12716OTN
Accommodating 10-Digit Dollar Amounts on All Part A Medicare Summary Notices (MSNs) R12712CP
Changing the Frequency of No-Pay Medicare Summary Notice (MSN) Mailings from Every 90 Days to Every 120 Days R12718CP
Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 4 R12720OTN
Thirteenth General Update to Provider Enrollment Instructions in Chapter 10 of CMS Publication (Pub.) 100-08 R12717PI
Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment R12721CP
Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 5 R12722OTN
Revisions to Home Health Edit Matching Claims to Notices of Admission R12723OTN
Implementation of Common Working File (CWF) Edits to Prevent Duplicate Payments for Compression Bandaging Systems R12725OTN
Update to the Patient-Driven Payment Model (PDPM) Claim Editing R12726OTN
CMS/Claim processing manuals Document #

Chapter 32 – Billing Requirements for Special Services

clm104c32