Regulatory Information Center Updates: March 18, 2025


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.

CMS Center/Transmittals

Document #

File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions

R13082CP

Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Create a New Additional Development Request (ADR) Location Prior Authorization (PA) Claims R13069OTN
Updates to the Internet Only Manual (IOM) Publication100-06 Chapters 3 Overpayments and 4 Debt Collection R13071FM
Principal Diagnosis Code Reporting Update for Hospice and Manual Updates to Sections 30.3, 40.2, and 50 of Chapter 11 of the Claims Processing Manual: Processing Hospice Claims R13074CP
Phase 5: Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99) R13075OTN
Rejections in the Medicare Adjudication Portal (MAP) R13083OTN
Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04 Chapter 3, Inpatient Hospital Billing, Section 20.2.1 R13084CP
Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits R13085PI
Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2025 Update R13102CP
The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year (FY) 2023 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs) R13103CP
Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2025 R13109COM
July 2025 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder R13115CP
Sixteenth General Update to Provider Enrollment Instructions in Chapter 10 of CMS Publication 100-08 R13116CP
Enhancing Compliance and Payment Accuracy for Physician Services in Skilled Nursing Facilities R13062PI
Transmittal 13052 issued January 16, 2025, is being rescinded and replaced by Transmittal 13128, dated March 14, 2025, to update business requirement 13787.2. All other information remains the same.User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Create Error Message in the Beneficiary Information Tracking System (BITS) to Limit the Prior Authorization (PA) Healthcare Common Procedure Coding System (HCPCS) within a Unique Tracking Number (UTN) R13073CP
Transmittal 13052 issued January 16, 2025, is being rescinded and replaced by Transmittal 13128, dated March 14, 2025, to update business requirement 13787.2. All other information remains the same.Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment R13128OTN
OIG HHS/Reports Document #

Texas Did Not Fully Comply With Federal Waiver and State Health, Safety, and Administrative Requirements at All 20 Adult Day Activity Health and Service Facilities Audited

A-06-23-05000

Medicaid Fraud Control Units Annual Report: Fiscal Year 2024 OEI-09-25-00090
Little Overlap Exists Between ORR-Funded Foster Care and the US Domestic Foster Care System OEI-07-24-00320
State Survey Agencies Need Additional Guidance to Assess Nursing Home Emergency Preparedness Programs OEI-04-23-00030