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.
| OIG HHS/Reports | Document # |
|---|---|
|
Medicare Advantage Compliance Audit of Diagnosis Codes That EmblemHealth (Contract H3330) Submitted to CMS |
A-06-18-02001 |
| Gallup Indian Medical Center—an IHS-Operated Health Facility—Did Not Timely Conduct Required Background Checks of Staff and Supervise Certain Staff | A-02-23-02006 |
| ASPR Established Adequate Controls for Maintaining Physical Security Over Stockpile Site A, but Some Inventory Discrepancies Were Identified | A-04-24-02044 |
| States Could Better Leverage Coverage and Access Requirements To Promote Maternal Health Care Access in Medicaid Managed Care | OEI-05-22-00330 |
| Federal Register/Notice | Document # |
|---|---|
| Medicare Program; Medicare Appeals; Adjustment to the Amount in Controversy Threshold Amounts for Calendar Year 2025 | 2024-22142 |
| Agency Information Collection Activities: Submission for OMB Review; Comment Request | 2024-22345 |
| Agency Information Collection Activities: Proposed Collection; Comment Request | 2024-22355 |
| Agency Information Collection Activities: Proposed Collection; Comment Request | 2024-22536 |
| Agency Information Collection Activities: Submission for OMB Review; Comment Request | 2024-22547 |
| Federal Register/Rule | Document # |
|---|---|
|
Medicare Program: Mitigating the Impact of Significant, Anomalous, and Highly Suspect Billing Activity on Medicare Shared Savings Program Financial Calculations in Calendar Year 2023 |
2024-22054 |
| Medicare Program; Changes to the Medicare Advantage and the Medicare Prescription Drug Benefit Program for Contract Year 2024-Remaining Provisions and Contract Year 2025 Policy and Technical Changes to the Medicare Advantage Program, Medicare Prescription Drug Benefit Program, Medicare Cost Plan Program, and Programs of All-Inclusive Care for the Elderly (PACE); Correcting Amendment | 2024-22203 |
| Medicare Program; FY 2025 Hospice Wage Index and Payment Rate Update, Hospice Conditions of Participation Updates, and Hospice Quality Reporting Program Requirements; Correction | 2024-22495 |
| Medicare Program; FY 2025 Inpatient Psychiatric Facilities Prospective Payment System-Rate Update; Correction | 2024-22496 |
| Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Federal Fiscal Year 2025 and Updates to the IRF Quality Reporting Program; Correction | 2024-22497 |
| Medicare and Medicaid Programs and the Children's Health Insurance Program; Hospital Inpatient Prospective Payment Systems for Acute Care Hospitals and the Long-Term Care Hospital Prospective Payment System and Policy Changes and Fiscal Year 2025 Rates; Quality Programs Requirements; and Other Policy Changes; Correction | 2024-22501 |
| Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2025; Correction | 2024-22504 |
| Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Updates to the Quality Reporting Program and Value-Based Purchasing Program for Federal Fiscal Year 2025; Correction | 2024-22765 |
| Transmittal | Document # |
|---|---|
|
Instructions for Downloading the Medicare ZIP Code File for January 2025 |
R12856CP |
| Fifteenth General Update to Provider Enrollment Instructions in Chapter 10 of CMS Publication (Pub.) 100-08 | R12852PI |
| Disable Beneficiary Eligibility Information from Medicare Administrative Contractor (MAC) Interactive Voice Response (IVR) Systems | R12858OTN |
| Technical Revision Only to the Medicare Benefit Policy (MBP) Manual, Publication (Pub) 100-02, Chapter 15, section 50.4.2 | R12858OTN |
| The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider and Statistical Reimbursement (PS&R) System | R12861FM |
| CMS/Claim processing manuals | Document # |
|---|---|
|
Chapter 12 - Physicians/Nonphysician Practitioners |
clm104c1 |