2012 Transmittals
Centers for Medicare & Medicaid Services uses transmittals to communicate new or changed policies or procedures that will be incorporated into the CMS Online Manual System. The cover or transmittal page summarizes and specifies the changes.
Transmittal # | Issue Date | Subject | Implementation Date | CR # | MM Article # | MM Article Release Date |
---|---|---|---|---|---|---|
R202FM | 01/06/2012 | Recovery Audit Program MAC-issued Demand Letters | 01/03/2012 | 7436 | N/A | N/A |
R1013OTN | 01/06/2012 | Contractor Instructions to Implement International Classification of Diseases-10th Revision (ICD-10) Plans | N/A | 7592 | N/A | N/A |
R140NCD | 01/06/2012 | Autologous Cellular Immunotherapy Treatment of Metastatic Prostate Cancer | 08/08/2011 | 7431 | N/A | N/A |
R2380CP | 01/06/2012 | Autologous Cellular Immunotherapy Treatment of Metastatic Prostate Cancer | 08/08/2011 | 7431 | N/A | N/A |
R203FM | 01/11/2012 | Notice of New Interest Rate for Medicare Overpayments and Underpayments - 2nd Notification for FY 201 | 01/19/2012 | 7570 | N/A | N/A |
SE1202 | N/A | Health Professional Shortage Area (HPSA) Bonus Payment Policy Reminders | N/A | N/A | SE1202 | 01/12/2012 |
R2383CP | 01/12/2012 | FISS Claims Processing Updates for Ambulance Services. | 04/02/2012 | 100-04 | N/A | N/A |
R2384CP | 01/13/2012 | Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 18.1, Effective April 1, 2012 | 04/02/2012 | 7726 | MM7726 | 01/17/2012 |
R402PI | 01/13/2012 | Advanced Diagnostic Imaging (ADI) Accreditation Enrollment Procedures (This CR Fully Rescinds and Replaces CR 7177.) | 01/27/2012 | 7681 | MM7681 | 01/17/2012 |
R76GI | 01/13/2012 | Allowing Physician Assistants to Perform Skilled Nursing Facility (SNF) Level of Care Certifications and Recertification's | 02/13/2012 | 7701 | MM7701 | 01/18/2012 |
R153BP | 01/13/2012 | Allowing Physician Assistants to Perform Skilled Nursing Facility (SNF) Level of Care Certifications and Recertification's | 02/13/2012 | 7701 | MM7701 | 01/18/2012 |
R2379CP | 01/18/2012 | Summary of Policies in the CY 2012 Medicare Physician Fee Schedule (MPFS) Final Rule and the Telehealth Originating Site Facility Fee Payment Amount | 01/03/2012 | 7671 | N/A | N/A |
SE1201 | N/A | Important Reminder for Providers and Suppliers Who Provide Services and Items Ordered or Referred by Other Providers and Suppliers | N/A | N/A | SE1201 | 01/20/2012 |
R79SOMA | 01/20/2012 | Revised Exhibit 286, Hospital/CAH Database Worksheet | 01/20/2012 | N/A | N/A | N/A |
R404PI | 01/20/2012 | General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part I | 04/22/2012 | 7579 | N/A | N/A |
R1015OTN | 01/20/2012 | Emergency Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB) | 01/26/2012 | 7737 | MM7737 | 01/24/2012 |
R403PI | 01/20/2012 | Claims against Surety Bonds for Suppliers of Durable Medicare Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) | 02/21/2012 | 7167 | MM7167 | 01/25/2012 |
R2394CP | 01/25/2012 | CWF Editing for Autologous Cellular Immunotherapy Treatment of Metastatic Prostate Cancer (PROVENGE) | 07/02/2012 | 7659 | N/A | N/A |
R1023OTN | 01/26/2012 | Common Edits and Enhancements Module (CEM) and Receipt, Control, and Balancing Updates - July 2012 | N/A | 7713 | N/A | N/A |
R1024OTN | 01/26/2012 | Common Edits and Enhancements Modules (CEM) Code Set Update | 07/02/2012 | 7665 | N/A | N/A |
R1021OTN | 01/26/2012 | Automated Tracking and Reporting of Recovery Audit-Associated Reopenings and Appeals | N/A | 7604 | N/A | N/A |
R1027OTN | 01/26/2012 | New Occurrence Span Code to Report Antepartum Days | 07/02/2012 | 7716 | N/A | N/A |
R1029OTN | 01/26/2012 | Delayed Work from CR 7589: Request to Require Hours for Research and Conference Calls with Maintainers, MACs, and EDCs and Additional Requirements for IDR Shared Systems | 07/02/2012 | 7662 | N/A | N/A |
R82DEMO | 01/26/2012 | Implementation Support and Payment Processing for the Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration- Additional Requirements | 07/02/2012 | 7693 | N/A | N/A |
R1031OTN | 01/26/2012 | Analysis and Design of Edits to Correct Recovery Auditor Identified Improper Payments in MCS. | 07/02/2012 | 7673 | N/A | N/A |
R1022OTN | 01/26/2012 | Fee for Service Common Eligibility Services Conference Calls and Research | 07/02/2012 | 7712 | N/A | N/A |
R1028OTN | 01/26/2012 | Contractor Instructions to Implement International Classification of Diseases-10th Revision (ICD-10) Plans | N/A | 7592 | N/A | N/A |
R1026OTN | 01/26/2012 | Implementation of the HIPAA Version 5010 276/277 Claim Status Edits July 2012 Release | 07/02/2012 | 7582 | N/A | N/A |
R1025OTN | 01/26/2012 | Enterprise Electronic Change Information Management Portal (ECHIMP) | 07/02/2012 | 7643 | N/A | N/A |
R1033OTN | 01/27/2012 | Analysis of Improper Overpayments to Design Edits to Correct these Overpayments in CWF, MCS, and FISS | 07/02/2012 | 7661 | N/A | N/A |
R1037OTN | 01/27/2012 | Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes - July 2012 | 07/02/2012 | 7664 | N/A | N/A |
R1038OTN | 01/27/2012 | Updates to Editing of Patient Discharge Status Codes on Hospice Claims | 07/02/2012 | 7690 | N/A | N/A |
R2393CP | 01/25/2012 | Inpatient Rehabilitation Facility (IRF) No-Pay Billing for Medicare Advantage (MA) Patients Update | 07/02/2012 | 7674 | MM7674 | 01/27/2012 |
R2396CP | 01/26/2012 | April 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files | 04/02/2012 | 7734 | MM7734 | 01/30/2012 |
R1032OTN | 01/26/2012 | Revisions to the Hospice Medicare Summary Notice (MSN) | 07/02/2012 | 7675 | MM7675 | 01/30/2012 |
R1016OTN | 01/25/2012 | Direct Mailing to Medicare Providers About the 2012 Electronic Prescribing Payment | 02/27/2012 | 7730 | N/A | N/A |
R1030OTN | 01/26/2012 | Health Insurance Portability and Accountability Act (HIPAA) 5010 837 Institutional (837I) Edits and 5010 837 Professional (837P) Edits - July 2012 Versio4 | 07/02/2012 | 7719 | N/A | N/A |
R2395CP | 01/26/2012 | Multiple Procedure Payment Reduction (MPPR) for Physician Services for Certain Diagnostic Imaging Procedures in Critical Access Hospitals (CAH) | 07/02/2012 | 7684 | MM7684 | 01/31/2012 |
R2391CP | 01/25/2012 | New Hospice Condition Code for Out of Service Area Discharges | 07/02/2012 | 7677 | MM7677 | 01/31/2012 |
R1019OTN | 01/25/2012 | Update to the Fiscal Year (FY) 2012 List of Codes Exempt from Reporting Present on Admission (POA) | 07/02/2012 | 7680 | MM7680 | 01/31/2012 |
R2390CP | 01/25/2012 | Revised Editing for Hepatitis B Administration Code G0010 | 07/02/2012 | 7692 | MM7692 | 01/31/2012 |
R2403CP | 01/26/2012 | Medicare System Update to Include a Rendering Provider Field to Allow Correct Physician National Provider Identifier (NPI) Reporting for the Primary Care Incentive Program (PCIP) for Critical Access Hospitals (CAHs) Reimbursed Under the Optional Method | 07/02/2012 | 7686 | MM7686 | 01/30/2012 |
R2406CP | 01/30/2012 | Announcement of Medicare Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Payment Rate Increases | 01/03/2012 | 7533 | MM7533 | 11/14/2011 |
R1017OTN | 01/24/2012 | Instructions to Teaching Hospitals for Reporting the Internal Revenue Service (IRS) Refund of Medical Resident FICA Taxes | 01/30/2012 | 7685 | MM7685 | 01/04/2012 |
R1014OTN | 01/06/2012 | Instructions to Teaching Hospitals for Reporting the Internal Revenue Service (IRS) Refund of Medical Resident FICA Taxes | 02/06/2012 | 7685 | MM7685 | 01/04/2012 |
R2388CP | 01/20/2012 | Update to Pub 100-04, Medicare Claims Processing Manual, Chapter 3: Inpatient Hospital Billing | 04/22/2012 | 7706 | MM7706 | 02/02/2012 |
R2399CP | 01/26/2012 | Clarification for Skilled Nursing Facility (SNF) and Swing Bed (SB) Part A Billing - Updating System Requirements for Assessment Date Reporting and Removal of the Occurrence Code 16 Reporting Requirement | 07/02/2012 | 7717 | MM7717 | 01/31/2012 |
R83MSP | 02/03/2012 | Electronic Correspondence Referral System (ECRS) Web Enhancements Phase I | 04/02/2012 | 7614 | N/A | N/A |
R1042OTN | 02/03/2012 | Creation of New Indicator for Use on the Ambulatory Surgical Centers (ASCs) Payment Indicator File for Reporting Quality Measures | N/A | 7472 | N/A | N/A |
R2397CP | 01/26/2012 | Update to Abortion Condition Codes Associated With Reason Code 32809 | 07/02/2012 | 7687 | MM7687 | 02/01/2012 |
R2410CP | 02/03/2012 | New Hospice Condition Code for Out of Service Area Discharges | 07/02/2012 | 7677 | MM7677 | 01/31/2012 |
R2407CP | 02/03/2012 | Revised and Clarified Place of Service (POS) Coding Instructions | 04/02/2012 | 7631 | MM7631 | 02/07/2012 |
R2408CP | 02/03/2012 | New Waived Tests | 04/02/2012 | 7694 | MM7694 | 02/07/2012 |
R1040OTN | 02/03/2012 | Interaction of Multiple Procedure Payment Reduction (MPPR) on Imaging Procedures and the Outpatient Prospective Payment System (OPPS) Cap on the Technical Component of Imaging Procedures | 07/02/2012 | 7703 | MM7703 | 02/07/2012 |
R1039OTN | 02/03/2012 | International Classification of Diseases-10th Edition (ICD-10), Inclusion of Type of Bill (TOB) 33X, Home Health, Outpatient (includes HHA visits under a Part A Plan of treatment) | 07/02/2012 | 7704 | MM7704 | 02/07/2012 |
R204FM | 01/27/2012 | Immediate Recoupment for Fee for Service Claims Overpayments | 07/02/2012 | 7688 | MM7688 | 02/09/2012 |
R2412CP | 02/10/2012 | Instructions for Downloading the Medicare ZIP Code File for July 2012 | 07/02/2012 | 7725 | N/A | N/A |
R77GI | 02/10/2012 | July 2012 Quarterly Updates to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS) | 07/02/2012 | 7652 | N/A | N/A |
SE1205 | N/A | Updating Beneficiary Information with the Coordination of Benefits Contractor | N/A | N/A | SE1205 | 02/10/2012 |
R2402CP | 01/26/2012 | Screening for Sexually Transmitted Infections (STIs) and High Intensity Behavioral Counseling (HIBC) to Prevent STIs (ICD-10) | N/A | 7610 | MM7610 | 02/15/2012 |
R141NCD | 01/26/2012 | Screening for Sexually Transmitted Infections (STIs) and High Intensity Behavioral Counseling (HIBC) to Prevent STIs (ICD-10) | N/A | 7610 | MM7610 | 02/15/2012 |
R407PI | 02/09/2012 | Advanced Diagnostic Imaging (ADI) Accreditation Enrollment Procedures (This CR Fully Rescinds and Replaces CR 7177.) | 01/27/2012 | 7681 | MM7681 | 02/15/2012 |
R205FM | 02/09/2012 | Immediate Recoupment for Fee for Service Claims Overpayments | 07/02/2012 | 7688 | MM7688 | 02/15/2012 |
R2416CP | 02/17/2012 | Healthcare Provider Taxonomy Codes (HPTC) Update April 2012 | 07/02/2012 | 7742 | N/A | N/A |
R1047OTN | 02/17/2012 | Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the ViPS Medicare System (VMS) | N/A | 7603 | N/A | N/A |
SE1206 | N/A | 2012 Electronic Prescribing (eRx) Incentive Program: Future Payment Adjustments | N/A | N/A | SE1206 | 02/22/2012 |
SE1207 | N/A | 2012 Physician Quality Reporting System Claims-Based Coding and Reporting Principles | N/A | N/A | SE1207 | 02/22/2012 |
R408PI | 02/22/2012 | Additional Provider and Supplier Enrollment Requirements for Fixed Wing and Helicopter Air Ambulance Operators. | N/A | 7363 | N/A | N/A |
R2386CP | 01/13/2012 | January 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 01/03/2012 | 7672 | MM7672 | 01/06/2012 |
R1049OTN | 02/24/2012 | Implement Fraud Prevention Predictive Modeling Prepayment Edits - Analysis and Design Only | 07/02/2012 | 7669 | N/A | N/A |
R1050OTN | 02/29/2012 | Automated Tracking and Reporting of Recovery Audit-Associated Reopenings and Appeals | N/A | 7604 | N/A | N/A |
SE1210 | N/A | Recovery Auditors Findings Resulting from Medical Necessity Reviews of Renal and Urinary Tract Disorders | N/A | N/A | SE1210 | 02/24/2012 |
R1046OTN | 02/17/2012 | Fiscal Intermediary Shared System (FISS) and Common Working File (CWF) System Enhancement for Storing Line Level Rendering Physicians/Practitioners National Provider Identifier (NPI) and Physician Specialty Code Information | N/A | 7578 | MM7578 | 02/27/2012 |
SE1204 | N/A | The Role of the Zone Program Integrity Contractors (ZPICs), Formerly the Program Safeguard Contractors (PSCs) | N/A | N/A | SE1204 | 02/22/2012 |
R1051OTN | 02/29/2012 | Analysis of Improper Overpayments to Design Edits to Correct these Overpayments in CWF, MCS, and FISS | 07/02/2012 | 7661 | N/A | N/A |
R80SOMA | 03/01/2012 | Revised Exhibit 286, Hospital/CAH Database Worksheet | 03/01/2012 | N/A | N/A | N/A |
R1052OTN | 03/01/2012 | Analysis and Design of Edits to Correct Recovery Auditor Identified Improper Payments in MCS | 07/02/2012 | 7673 | N/A | N/A |
R1043OTN | 03/01/2012 | Delayed Work from CR 7589: Request to Require Hours for Research and Conference Calls with Maintainers, MACs, and EDCs and Additional Requirements for IDR Shared Systems | 07/02/2012 | 7662 | N/A | N/A |
SE1212 | N/A | Important Information Concerning Medicare Outreach Efforts to Supplemental Payers Directing Their Payments to Incorrect Addresses | N/A | N/A | SE1212 | 03/07/2012 |
SE1208 | N/A | 855-O Medicare Enrollment Application Ordering and Referring Physicians or Other Eligible Professionals | N/A | N/A | SE1208 | 03/08/2012 |
SE1209 | N/A | Provider Inquiry Screens Regarding Telehealth Services Eligibility Dates | N/A | N/A | SE1209 | 03/08/2012 |
R2421CP | 03/07/2012 | Intensive Behavioral Therapy for Obesity | N/A | 7641 | MM7641 | 02/15/2012 |
R2409CP | 02/03/2012 | Intensive Behavioral Therapy for Obesity | N/A | 7641 | MM7641 | 02/15/2012 |
R142NCD | 02/03/2012 | Intensive Behavioral Therapy for Obesity | N/A | 7641 | MM7641 | 02/15/2012 |
R1054OTN | 03/07/2012 | Use of Revised Remittance Advice Remark Code (RARC) N103 When Denying Services Furnished to Federally Incarcerated Beneficiaries | 07/02/2012 | 7678 | MM7678 | 01/10/2012 |
R1012OTN | 01/06/2012 | Use of Revised Remittance Advice Remark Code (RARC) N103 When Denying Services Furnished to Federally Incarcerated Beneficiaries | 07/02/2012 | 7678 | MM7678 | 01/10/2012 |
R410PI | 03/02/2012 | Instructions for Processing Form CMS-855O Submissions | 06/04/2012 | 7723 | MM7723 | 03/08/2012 |
R2418CP | 03/02/2012 | April 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 04/02/2012 | 7748 | MM7748 | 03/08/2012 |
R1056OTN | 03/09/2012 | Revision of Medicare Summary Notice (MSN) for Non-Competitive Bid Claims | 07/02/2012 | 7729 | MM7729 | 2012-03-14 |
R206FM | 03/09/2012 | Processing of Recovery Audit Program Error Files | 04/09/2012 | 7724 | N/A | N/A |
R1055OTN | 03/09/2012 | Medicare Fiscal Intermediaries Shared System (FISS), HealthCare Integrated General Ledger Accounting System (HIGLAS), and Change of Ownership Process Revisions for IRS Form 1099 Reporting | 07/02/2012 | 7732 | N/A | N/A |
R1057OTN | 03/09/2012 | Implementation of a Correction of Initial Default Values for Medically Unlikely Edits (MUEs) | N/A | 7418 | N/A | N/A |
R2423CP | 2012-03-09 | April 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.1 | 2012-04-02 | 7751 | MM7751 | 2012-03-16 |
R1058OTN | 2012-03-14 | Emergency March 2012 Update (MCTRJCA) to the CY 2012 Medicare Physician Fee Schedule (MPFS) Database | 2012-03-15 | 7767 | MM7767 | 03/26/2012 |
SE1214 | N/A | Home Health Agencies (HHAs) Avoid Payment Reductions! Participate in HHCAHPS (Consumer Assessment of Healthcare Providers and Systems) Now! | N/A | N/A | SE1214 | 2012-03-21 |
SE1213 | N/A | Questionable Billing By Suppliers of Lower Limb Prostheses | N/A | N/A | SE1213 | 2012-03-26 |
R2424CP | 03/16/2012 | Influenza Virus Vaccine Annual Payment Limit Effective Date | 08/01/2012 | 7741 | ||
R2425CP | 03/16/2012 | April 2012 Update of the Ambulatory Surgical Center (ASC) Payment System | 04/02/2012 | 7754 | MM7754 | 03/26/2012 |
R2427CP | 03/23/2012 | 2012 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction | 04/23/2012 | 7679 | MM7679 | 03/29/2012 |
R2429CP | 03/23/2012 | April Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB) | 04/02/2012 | 7745 | MM7745 | 03/28/2012 |
R2431CP | 03/23/2012 | Screening for Depression in Adults | 7637 | MM7637 | 03/27/2012 | |
R2432CP | 03/23/2012 | Intensive Behavioral Therapy for Cardiovascular Disease | 7636 | MM7636 | 12/08/2011 | |
R2433CP | 03/26/2012 | Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse | 7633 | MM7633 | 12/13/2011 | |
R5QRI | 03/23/2012 | Medicare Quality Reporting Incentive Programs Manual Update | 06/25/2012 | 7727 | MM7727 | 03/28/2012 |
R81SOMA | 03/23/2012 | Revisions to State Operations Manual (SOM), Appendix A, Hospitals | 03/23/2012 | |||
R2437CP | 2012-04-04 | Pharmacy Billing for Drugs Provided "Incident To" a Physician Service. This CR rescinds and fully replaces CR 7109. | 2013-01-01 | 7397 | MM7397 | 2011-05-19 |
R2438CP | 2012-04-04 | Revised Editing for Hepatitis B Administration Code G0010 | 2012-07-02 | 7692 | ||
R2436CP | 2012-03-30 | Claim Status Category and Claim Status Codes Update | 2012-07-02 | 7793 | MM7793 | 2012-04-19 |
R2441CP | 2012-04-06 | Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits | 2012-07-02 | 7778 | MM7778 | 2012-04-10 |
R2442CP | 2012-04-06 | Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) and PC Print Update | 2012-07-02 | 7775 | MM7775 | 2012-04-11 |
R2443CP | 2012-04-06 | Clinical Laboratory Fee Schedule - New Waived Tests | 2012-07-02 | 7766 | MM7766 | 2012-04-10 |
R414PI | 2012-04-06 | General Update to Chapter 15 of the Program Integrity Manual (PIM) – Part IV | 2012-05-07 | 7763 | ||
R1062OTN | 2012-04-06 | Health Insurance Portability and Accountability Act (HIPAA) 5010 and D.O Annual Re – Certification Program | 2012-05-07 | 7758 | ||
R2439CP | 2012-04-06 | New Waived Tests | 2012-07-02 | 7795 | MM7795 | 2012-04-10 |
R2440CP | 2012-04-06 | July 2012 Quarterly Average Sales price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files | 2012-07-02 | 7810 | MM7810 | 2012-04-10 |
R17QIO | 2012-04-06 | QIO Manual Chapter 5 – “Quality of Care Review” | 2012-05-07 | N/A | ||
SE1211 | N/A | Information on the Centers for Medicare & Medicaid Services (CMS) Fraud Prevention: Automated Provider Screening and National Site Visit Initiatives | N/A | 7669 | SE1211 | 2012-04-10 |
SE1215 | N/A | Information for Medicare Fee-For-Service Providers About the Middle Class Tax Relief and Job Creation Act of 2012 | N/A | N/A | SE1215 | 2012-04-10 |
SE1218 | N/A | Redesigned Medicare Summary Notices | N/A | N/A | SE1218 | 2012-04-10 |
SE1217 | N/A | Guidance for Correct Claims Submission When Secondary Payers Are Involved | N/A | N/A | SE1217 | 2012-04-11 |
R2435CP | 2012-03-29 | Revised and Clarified Place of Service (POS) Coding Instructions | 2012-10-01 | 7631 | ||
R415PI | 2012-04-13 | General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part V | 2012-05-14 | 7797 | MM7797 | 2012-04-19 |
R405PI | 2012-01-26 | General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part III | 2012-02-27 | 7698 | ||
R1060OTN | 2012-04-13 | Implementation of the Award for the Jurisdiction H Part A and Part B Medicare Administrative Contractor (JH A/B MAC) Including New Workload Numbers for Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas as well as for the J4 WPS Legacy Part A Workload | 2012-07-02 | 7812 | ||
R416PI | 2012-04-13 | General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part III | 2012-02-27 | 7698 | ||
R207FM | 2012-04-12 | Notice of New Interest Rate for Medicare Overpayments and Underpayments - 3rd Notification for FY 2012 | 2012-04-18 | 7571 | ||
R451PR1 | 2012-04-20 | Section 905.6, Inflation Factor, provides for calendar year (CY) inflation factors to update previous years’ reasonable compensation ranges. | ||||
R418PI | 04/20/2012 | OMB Collection Number | 04/21/2012 | 7750 | ||
R208FM | 2012-04-20 | Overpayment Recovery from Suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) | 2012-05-20 | 7744 | MM7744 | 2012-05-01 |
R155BP | 2012-04-20 | Allowing Physician Assistants to Perform Skilled Nursing Facility (SNF) Level of Care Certifications and Recertifications | 7701 | |||
R1071OTN | 2012-04-26 | Expansion of the Laboratory National Coverage Determination (NCD) Edit Software | 2012-10-01 | 7808 | ||
R1070OTN | 2012-04-26 | Request to Require Hours for Research and Conference Calls with Maintainers, MACs, and EDCs and Additional Requirements for IDR Shared Systems | 2012-10-01 | 7756 | ||
R2454CP | 2012-04-26 | Contractor and Common Working File (CWF) Additional Instructions Related to Change Request (CR) 7633 - Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse | 2012-10-01 | 7791 | MM7791 | 2012-05-01 |
R2446CP | 2012-04-26 | New Influenza Virus Vaccine Code | 2012-10-01 | 7794 | MM7794 | 2012-05-01 |
R1073OTN | 2012-04-26 | American Recovery and Reinvestment Act of 2009 Electronic Health Record (EHR) Incentive Program: Financial Information File Transfer Modifications for Eligible Hospitals | 2012-10-01 | 7776 | ||
R1072OTN | 2012-04-26 | Fiscal Intermediary Shared System (FISS) System Enhancement for Including Line Level Rendering Physicians/Practitioners National Provider Identifier (NPI) and Name Information in the Comprehensive Error Rate Testing (CERT) Resolution Record | 2012-10-01 | 7807 | ||
R1076OTN | 2012-04-26 | Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes - October 2012 | 2012-10-01 | 7769 | ||
R1077OTN | 2012-04-26 | Update to the Fiscal Intermediary Shared Systems (FISS) Outpatient Provider Specific File (OPSF) for Children’s Hospitals | 2012-10-01 | 7798 | MM7798 | 2012-05-02 |
R2449CP | 2012-04-26 | Modification to CWF, FISS, MCS and VMS to Return Submitted Beneficiary Information when there is a CWF Name and Health Insurance Claim Number (HICN) Mismatch. | 2012-10-01 | 7260 | MM7260 | 2012-05-02 |
R2455CP | 2012-04-26 | Hospital Dialysis Services for Patients with and without End Stage Renal Disease (ESRD) | 2012-10-01 | 7762 | MM7762 | 2012-05-01 |
R2452CP | 2012-04-26 | Anesthesiologist Services with a Modifier GC in a Method II Critical Access Hospital (CAH) | 2012-10-01 | 7764 | MM7764 | 2012-05-01 |
R1079OTN | 2012-04-27 | New Occurrence Code to Report Date of Death | 2012-10-01 | 7792 | MM7792 | 2012-05-01 |
R1066OTN | 2012-04-27 | Implementation of the HIPAA Version 5010 276/277 Claim Status Edits October 2012 Release | 2012-10-01 | 7804 | ||
R2457CP | 2012-04-27 | Revisions of the Financial Limitation for Outpatient Therapy Services – Section 3005 of the Middle Class Tax Relief and Job Creation Act of 2012 | 2012-10-01 | 7785 | MM7785 | 2012-05-09 |
R1082OTN | 2012-04-27 | FISS update for Clinical Laboratory Fee Schedule upload to include Kansas Payment Locality Structure | 2012-10-01 | 7815 | MM7815 | N/A |
R1083OTN | 2012-04-27 | Temporary Direction to Accommodate Organ Donor Complication Billing on 8371 Claims | 2012-10-01 | 7816 | MM7816 | 2012-05-01 |
R2458CP | 2012-04-27 | Systematic Validation of Payment Group Codes for Prospective Payment Systems(PPS) Based on Patient Assessments | 2012-10-01 | 7760 | MM7760 | 2012-05-10 |
R2453CP | 2012-04-26 | CY 2012 OPPS Payment Adjustment for Certain Cancer Hospitals | 2012-05-29 | 7780 | ||
R1067OTN | 2012-04-26 | Fee for Service Common Eligibility Services Conference Calls and Research | 2012-10-01 | 7800 | ||
R452PR1 | 2012-04-27 | Part 1, Chapter 14, Reasonable Cost of Therapy and Other Services Furnished by Outside Suppliers | N/A | N/A | ||
R209FM | 2012-04-27 | New Physician Specialty Code for Sleep Medicine and Sports Medicine | 2012-10-01 | 7600 | MM7600 | 2012-05-07 |
R2462CP | 2012-04-27 | New Physician Specialty Code for Sleep Medicine and Sports Medicine | 2012-10-01 | 7600 | MM7600 | 2012-05-07 |
R1084OTN | 2012-04-26 | Common Edits and Enhancements Module (CEM) and Receipt, Control, and Balancing Updates – October 2012 | 2012-10-01 | 7811 | ||
R1064OTN | 2012-04-26 | Health Insurance Portability and Accountability Act (HIPAA) 5010 837 Institutional (837I) Edits and 5010 837 Professional (837P) Edits - October 2012 | 2012-10-01 | 7817 | ||
R2450CP | 2012-04-26 | Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2012 Update | 2012-04-26 | 7831 | MM7831 | 2012-05-02 |
R2447CP | 2012-04-26 | Additional fields added to the Outlier Reconciliation Lump Sum Utility | 2012-10-01 | 7789 | ||
R2448CP | 2012-04-26 | Ensuring Hospice Certifying Physician Identifiers Are Fully Processed | 2012-10-01 | 7755 | MM7755 | 2012-05-02 |
R1065OTN | 2012-04-26 | Addition of a New Common Working File (CWF) Medicare Secondary Payer (MSP) Error Code for CWF to Send the Shared Systems When the Trauma Diagnosis Code on the Claim is Considered a Match with the Family of DX Codes in CWF for Non-Group Health Plan (NGHP) MSP Claims. | 7605 | |||
R1085OTN | 2012-05-02 | Establish an Automated Process between ViPS Medicare System (VMS) and the Provider Enrollment Chain and Ownership System (PECOS) to Post Payment Suspension Alert Codes and Related Data to All Four Durable Medical Equipment Medicare Administrator Contractors (DME MAC) Jurisdictions | N/A | 7355 | ||
R84MSP | 2012-03-30 | Electronic Correspondence Referral System (ECRS) Web Enhancements Phase I | 2012-04-02 | 7614 | ||
R1061OTN | 2012-03-30 | Implementation of the Award for the Jurisdiction 8 Part and B Medicare Administrative Contractor (J8 A/B MAC) including New Workload Numbers for Indiana and Michigan | 2012-07-02 | 7752 | ||
R85MSP | 2012-05-03 | Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers’ Compensation Medicare Secondary Payer (MSP) Claims. | N/A | 7355 | ||
R412PI | 2012-03-30 | General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part II | 2012-04-30 | 7646 | ||
R105MCM | 2012-04-20 | Chapter 13, Medicare Managed Care Beneficiary Grievances, Organization Determinations, and Appeals Applicable to Medicare Advantage Plans, Cost Plans, and Health Care Prepayment Plans (HCPPs), (collectively referred to as Medicare Health Plans) | 2012-04-20 | N/A | ||
R104MCM | 2012-03-23 | Chapter 13, Medicare Managed Care Beneficiary Grievances, Organization Determinations, and Appeals Applicable to Medicare Advantage Plans, Cost Plans, and Health Care Prepayment Plans (HCPPs), (collectively referred to as Medicare Health Plans) | 2012-03-23 | N/A | ||
R2463CP | 2012-05-04 | New Fiscal Intermediary Shared System (FISS) Edit to Review Medicare Outpatient Prospective Payment System (OPPS) Payments Exceeding Charges. | 2012-10-01 | 7771 | MM7771 | 2012-05-09 |
R2464CP | 2012-05-04 | Enhance the Multi-Carrier System (MCS) and ViPS Medicare System (VMS) to maintain five full years of pricing data and to automatically price claims/adjustments at the rates in effect at the dates of service. | N/A | 7383 | ||
SE1219 | N/A | A Physician’s Guide to Medicare’s Home Health Certification, including the Face-to-Face Encounter | N/A | N/A | SE1219 | 2012-05-07 |
R1087OTN | 2012-05-04 | Expand Place of Service Address to Include Full Address | N/A | 7786 | ||
SE1222 | N/A | Negative Pressure Wound Therapy Interpretive Guidelines | N/A | N/A | SE1222 | 2012-05-11 |
R1088OTN | 2012-05-10 | Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number | N/A | 7499 | ||
R2465CP | 2012-05-11 | Assigned Codes for Home Oxygen Use for Cluster Headache (CH) in a Clinical Trial (ICD-10) | 2012-10-01 | 7820 | MM7820 | 2012-05-17 |
R1089OTN | 2012-05-11 | Implement Fraud Prevention Predictive Modeling Prepayment Edits | N/A | 7787 | ||
R2466CP | 2012-05-11 | Calendar Year 2013 and After Payments to Home Health Agencies That Do Not Submit Required Quality Data | 2012-08-13 | 7833 | MM7833 | 2012-05-15 |
R2467CP | 2012-05-11 | July Quarterly Update for 2012 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 2012-07-02 | 7822 | MM7822 | 2012-05-15 |
R2468CP | 2012-05-11 | July 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.2 | 2012-07-02 | 7841 | MM7841 | 2012-05-15 |
SE1216 | N/A | Examining the Difference between a National Provider Identifier (NPI) and a Provider Transaction Access Number (PTAN) | N/A | N/A | SE1216 | 2012-05-17 |
R1091OTN | 2012-05-16 | Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the Fiscal Intermediary Shared System (FISS) | 2012-04-02 | 7601 | ||
R2473CP | 2012-05-18 | Extracorporeal Photopheresis (ICD-10) | 2012-10-01 | 7806 | MM7806 | 2012-06-07 |
R421PI | 2012-05-18 | General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part VI | 2012-06-19 | 7827 | ||
R143NCD | 2012-05-18 | Extracorporeal Photopheresis (ICD-10) | 2012-10-01 | 7806 | MM7806 | 2012-06-07 |
R2469CP | 2012-05-18 | Instruction for Downloading the Medicare ZIP Code File for October 2012 | 2012-10-01 | 7774 | ||
R1075OTN | 2012-05-18 | Medicare Fee – for Service (FFS) Editing and Flat File Utility | N/A | 7823 | ||
R78GI | 2012-05-18 | Quarterly Update to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS) | 2012-10-01 | 7653 | ||
R2470CP | 2012-05-18 | Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) – October 2012 | 2012-10-01 | 7768 | MM7768 | 2012-05-22 |
R2474CP | 2012-05-18 | Handling Misdirected Claims for Part B Item and Services | 2012-07-20 | 7629 | MM7629 | 2012-05-22 |
R210FM | 2012-05-18 | Validation of Recovery Audit Program New Issues | 2012-06-19 | 7733 | ||
R2472CP | 2012-05-18 | Coding Changes to Ultrasound Diagnostic for Tranesophageal Doppler Monitoring | 2012-10-01 | 7819 | MM7819 | 2012-05-22 |
R2471CP | 2012-05-18 | Common Edits and Enhancements Modules (CEM) Code Set Update | 2012-10-01 | 7772 | ||
R2475CP | 2012-05-18 | Internet Only Manual (IOM) Update for Laboratory Services and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims Processed under the End Stage Renal Disease Prospective Payment System (ESRD PPS) | 2012-06-19 | 7749 | ||
R1093OTN | 2012-05-23 | Automated Tracking and Reporting of Recovery Audit-Associated Reopenings and Appeals | N/A | 7604 | ||
R2476CP | 2012-05-23 | Screening for Sexually Transmitted Infections (STIs) and High Intensity Behavioral Counseling (HIBC) to Prevent STIs (ICD-10) | N/A | 7610 | ||
R2477CP | 2012-05-25 | Modifying the Timely Filing Exceptions on Retroactive Medicare Entitlement and Retroactive Medicare Entitlement Involving State Medicaid Agencies | 2012-08-27 | 7834 | MM7834 | 2012-05-31 |
R422PI | 2012-05-25 | Request Records Related to the Claim Being Reviewed | 2012-06-26 | 7837 | ||
R2479CP | 2012-05-25 | July 2012 Update of the Ambulatory Surgical Center Payment System (ASC) | 2012-07-02 | 7854 | MM7854 | 2012-05-31 |
R86MSP | 2012-05-25 | Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers - Compensation Medicare Secondary Payer (MSP) Claims | 2013-01-07 | 7355 | MM7355 | 2012-05-21 |
156 | 2012-06-01 | Update to Caps and Limitations on Hospice Payments | 2012-07-02 | 7838 | ||
R156BP | 2012-06-01 | Updates to Caps and Limitations on Hospice Payments | 2012-07-02 | 7838 | MM7838 | 2012-06-15 |
R423PI | 2012-06-01 | General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part VII | 2012-07-02 | 7839 | ||
R2480CP | 2012-06-01 | Advanced Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, Updated Manual Instructions | 2012-09-04 | 7821 | MM7821 | 2012-06-08 |
R2481CP | 2012-06-01 | July Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB) | 2012-07-02 | 7844 | MM7844 | 2012-06-07 |
R2482CP | 2012-06-01 | Updates to Caps and Limitations on Hospice Payments | 2012-07-02 | 7838 | MM7838 | 2012-06-15 |
R1095OTN | 2012-06-07 | Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the ViPS Medicare System (VMS) R 7603, Pub.100-20 | N/A | 7603 | ||
R157BP | 2012-06-08 | July 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 2012-07-02 | 7847 | MM7847 | 2012-06-12 |
R2483CP | 2012-06-08 | July 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 2012-07-02 | 7847 | MM7847 | 2012-06-12 |
R2484CP | 2012-06-08 | October Quarterly Update to 2012 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 2012-10-01 | 7856 | MM7856 | 2012-06-12 |
R2485CP | 2012-06-08 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 2012-10-01 | 7863 | MM7863 | 2012-06-12 |
R2487CP | 2012-06-08 | Internet Only Manual (IOM) Update for Laboratory Services and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims Processed under the End Stage Renal Disease Prospective Payment System (ESRD PPS) | 2012-06-19 | 7749 | ||
SE1223 | N/A | Appeals for Denied Claims Submitted by an Ordering and Referring Opt-out Physician/Non-physician Practitioners Who Are Excluded by the Office of Inspector General (OIG) | N/A | N/A | SE1223 | 2012-06-12 |
R425PI | 2012-06-15 | Provider Self Audits. | 2012-07-16 | 7851 | ||
R1097OTN | 2012-06-15 | Change in Creation Date for CMS Standard Edit/Audit/Reason Code Reports. | 2011-10-15 | 7846 | ||
R426PI | 2012-06-15 | Process for Handling Electronic Submission of Medical Documentation (esMD). | 2012-07-16 | 7835 | ||
SE1221 | N/A | Phase 2 of Ordering and Referring Requirement | N/A | N/A | SE1221 | 2012-06-18 |
R2488CP | 2012-06-21 | Contractor and Common Working File (CWF) Additional Instructions Related to Change Request (CR) 7633 - Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse | 2012-10-01 | 7791 | MM7791 | 2012-05-01 |
R107MCM | 2012-06-22 | Chapter 4, Benefits and Beneficiary Protections | 2012-06-22 | N/A | ||
R106MCM | 2012-06-22 | Chapter 3, “Medicare Marketing Guidelines” | 2012-07-01 | N/A | ||
R2489CP | 2012-06-22 | Attending Provider Identifiers on Religious Nonmedical Health Care Institution Claims | 2012-09-24 | 7862 | MM7862 | 2012-06-26 |
R2491CP | 2012-06-25 | July 2012 Update of the Ambulatory Surgical Center Payment System (ASC) | 2012-07-02 | 7854 | MM7854 | 2012-06-25 |
R1098OTN | 2012-06-22 | Addition of New Common Working File (CWF) Medicare Secondary Payer (MSP) Utilization Edit Codes for CWF to Send the Shared Systems When the Diagnosis Code on the Claim is Considered a Match with the Family of DX Codes in CWF for Non-Group Health Plan (NGHP) MSP Claims. | N/A | 7605 | ||
R1099OTN | 2012-06-28 | Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number | N/A | 7499 | ||
R2492CP | 06/27/2012 | October Quarterly Update to 2012 Annual Update of Healthcare Common Procedure Coding System (HPCPS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement. | 10/01/2012 | 7856 | MM7856 | 2012-06-12 |
R1100OTN | 06/28/2012 | Fiscal Intermediary Shared System (FISS) System Enhancement for Including Line Level Rendering Physicians/Practitioners National Provider Identifier (NPI) and Name Information in the Comprehensive Error Rate Testing (CERT)Resolution Record. | 10/01/2012 | 7807 | ||
SE1225 | N/A | The Supplemental Security Income (SSI) Ratios for Fiscal Year (FY) 2006 through FY 2009 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs) | N/A | N/A | SE1225 | 2012-06-22 |
SE1226 | N/A | Reminder of Importance of Correct Place-of-Service Coding on Medicare Part B Claims | N/A | N/A | SE1226 | 2012-07-06 |
R2494CP | 2012-07-10 | Extracorporeal Photopheresis (ICD-10) | 2012-10-01 | 7806 | MM7806 | 2012-06-07 |
R211FM | 2012-07-11 | Notice of New Interest Rate for Medicare Overpayment and Underpayments - 4th Notificatin for FY 2011. | 2012-07-18 | 7572 | ||
R2495CP | 2012-07-18 | Systematic Validation of Payment Groupu Codes for Prospective Payment Systems (PPS) Based on Patient Asssessment. | N/A | 7760 | ||
R1101OTN | 2012-07-19 | Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number | N/A | 7499 | ||
R108MCM | 2012-07-20 | This is the initial release of New Chapter 21, Compliance Program Guidelines | 2012-07-20 | N/A | ||
R2496CP | 2012-07-20 | New Waived Tests | 2012-10-01 | 7868 | MM7868 | 2012-07-25 |
R2497CP | 2012-07-20 | Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2013 | 2012-10-01 | 7857 | MM7857 | 2012-07-25 |
R2500CP | 2012-07-27 | Clarification of the Use of the Electronic Claim Format to Indicate Where a Service Was Performed. | 2012-08-27 | 7871 | ||
R109MCM | 2012-07-27 | This is the initial release of New Chapter 21, Compliance Program Guidelines. | 2012-07-20 | |||
R82SOMA | 2012-08-01 | CMS Certification Numbers for Medicaid-Only Hospitals and New State Code for Foreign Countries. | 2012-08-01 | N/A | ||
R1102OTN | 2012-08-01 | Direction to Modify Institutional Reason Code 39012 | 2013-01-07 | 7832 | ||
R1103OTN | 2012-08-01 | Health Insurance Portability and Accountability Act (HIPPA) 5010 and D.0 Executive of the Annual Recertification Program. | 2012-09-04 | 7904 | ||
R2508CP | 2012-08-02 | Claim Status Category and Claim Status Codes Update | 2012-10-01 | 7905 | MM7905 | 2012-08-08 |
R2507CP | 2012-08-02 | Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2013 | 2012-10-01 | 7907 | MM7907 | 2012-08-08 |
R1106OTN | 2012-08-02 | Posting the Limiting Charge after Applying the e-Prescribing (eRx) Negative Adjustment | 2013-01-07 | 7877 | MM7877 | 2012-08-08 |
R1107OTN | 2012-08-03 | The Medicare Secondary Payer Payment Module (MSPPAY) to be Maintained by the Shared System Maintainers for all Future Enhancements | 2013-01-07 | 7826 | ||
R1108OTN | 2012-08-03 | Fee For Service Common Eligibility Services (FFS CES) - Common Working File (CWF) Detail Analysis, Design and Requirements | 2013-01-07 | 7895 | ||
R87MSP | 2012-08-03 | Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers’ Compensation Medicare Secondary Payer (MSP) Claims. | N/A | 7355 | MM7355 | 2012-05-21 |
R2510CP | 2012-08-03 | Payment of Global Surgical Split Care in a Method II Critical Access Hospital (CAH) Submitted with Modifier 54 and/or 55 | 2013-01-07 | 7872 | MM7872 | 2012-08-08 |
R2514CP | 2012-08-03 | October 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files | 2012-10-01 | 7885 | MM7885 | 2012-08-08 |
R144NCD | 2012-08-03 | Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP) | 2013-01-07 | 7836 | MM7836 | 2012-08-10 |
R2511CP | 2012-08-03 | Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP) | 2013-01-07 | 7836 | MM7836 | 2012-08-10 |
R145NCD | 2012-08-03 | National Coverage Determination (NCD) for Transcatheter Aortic Valve Replacement (TAVR) | 2013-01-07 | 7897 | MM7897 | 2012-08-10 |
R146NCD | 2012-08-03 | Liver Transplantation for Patients with Malignancies | 2012-09-04 | 7908 | MM7908 | 2012-08-10 |
R2512CP | 2012-08-03 | National Coverage Determination (NCD) for Transcatheter Aortic Valve Replacement (TAVR) | 2013-01-07 | 7897 | MM7897 | 2012-08-10 |
R2513CP | 2012-08-03 | Liver Transplantation for Patients with Malignancies | 2012-09-04 | 7908 | MM7908 | 2012-08-10 |
R2506CP | 2012-08-03 | Extracorporeal Photopheresis (ICD-10) | 2012-10-01 | 7806 | ||
R1110OTN | 2012-08-03 | Revision of Medicare Summary Notice (MSN) for Non- Competitive Bid Claims | 2012-07-02 | 7729 | MM7729 | 2012-03-14 |
R1111OTN | 2012-08-06 | Expand Place of Service Address to Include Full Address | 2013-04-01 | 7786 | ||
R2515CP | 2012-08-08 | Handling Form CMS-1500 Hard Copy Claims Where an ICD-9-CM "E" Code or Where an ICD-10 V00-Y99 Code is Reported as the First Diagnosis on the Claim | N/A | 7700 | MM7700 | 2012-08-14 |
R2516CP | 2012-08-10 | New Non-Physician Specialty Code for Centralized Flu | 2013-01-07 | 7884 | MM7884 | 2012-08-14 |
R212FM | 2012-08-10 | New Non-Physician Sppeciality Code for Centralized Flu. | 2013-01-07 | 7884 | ||
R1112OTN | 2012-08-10 | Health Insurance Portability and Accountability Act (HIPAA) 5010 837 Institutional (837I) Edits and 5010 837 Professional (837P) Edits January 2013 | 2013-01-07 | 7880 | ||
R2517CP | 2012-08-10 | Medicare Claims Processing Pub. 100-04 Chapter 24 Update for Security Requirements. | 2012-09-10 | 8004 | ||
SE1230 | N/A | Addition of Digital Document Repository to Provider Enrollment Chain and Ownership System (PECOS) | N/A | N/A | SE1230 | 2012-08-14 |
R2518CP | 2012-08-10 | Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2013. | 2012-10-01 | 7901 | MM7901 | 2012-08-16 |
R10QRI | 2012-07-27 | Physician Quality Reporting System and Electronic Prescribing (eRx) Incentive Program Pub. 100-22 Medicare Quality reporting Incentive Programs Manual Update | 2012-10-29 | 7879 | MM7879 | 2012-08-16 |
R2519CP | 2012-08-17 | New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician NPI. | 2013-01-07 | 7902 | MM7902 | 2012-08-29 |
R2520CP | 2012-08-17 | Update-Inpatien Psychiatric Facilities Prospective Payment System (IPF PPS) Fiscal Year (FY) 2013. | 2012-10-01 | 8000 | MM8000 | 2012-08-21 |
R1114OTN | 2012-08-17 | New Field Established within FISS and MCS | 2013-01-07 | 8012 | ||
R84DEMO | 2012-08-17 | Revisions to the Method of Cost Settlement for Inpatient Services for Rural Hospitals Participating Under Demostration Authorized by Section 410A of the Medicare Modernization Act. Sections 3123 and 10313 of the Affordable Care Act authorizes and expansion of the demostration and an extension for an additional 5-year period. This CR makes revisions fo CR 7505, which gives instructions for the additional 5-year period. | 2012-09-18 | 7898 | ||
R88MSP | 2012-08-17 | Expanding the Coordination of Benefits (COB) Contractor Numbers to Include 11139 and 11142 for the Common Working File (CWF). | 2012-08-17 | 7906 | ||
R2521CP | 2012-08-17 | Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) and PC Print Update. | 2012-10-01 | 8029 | MM8029 | 2012-08-24 |
R2525CP | 2012-08-24 | October 2012 Update of the Ambulatory Surgical Center Payment System (ASC) | 2012-10-01 | 8032 | MM8032 | 2012-08-31 |
R2531CP | 2012-08-24 | October 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 2012-10-01 | 8031 | MM8031 | 2012-08-29 |
R2526CP | 2012-08-24 | 2013 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments | 2013-01-07 | 7883 | MM7883 | 2012-08-24 |
R2530CP | 2012-08-24 | October Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB) | 2012-10-01 | 8017 | ||
R1116OTN | 2012-08-24 | Standardizing the Standard - Phase I | N/A | 7910 | ||
R79GI | 2012-08-24 | January 2013 Quarterly Updates to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS) | 2013-01-07 | 7655 | ||
R2529CP | 2012-08-24 | 2013 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder | 2013-01-07 | 7909 | ||
R2528CP | 2012-08-24 | Instructions for Downloading the Medicare ZIP Code File for January 2013 | 2013-01-07 | 7859 | ||
R2523CP | 2012-08-24 | Revised Medicare Summary Notice (MSN) Message Regarding Outpatient Therapy Caps | 2012-10-01 | 7891 | ||
R1115OTN | 2012-08-24 | Implement Fraud Prevention Predictive Modeling Prepayment Edits for Shared Systems (xref CR7787) | N/A | 7861 | ||
SE1227 | N/A | Important Reminder About Medicare Secondary Payer Laws | N/A | N/A | SE1227 | 2012-08-28 |
SE1231 | N/A | Medicare Demonstration Allows for Prior Authorization for Certain Power Mobility Devices (PMDs) | N/A | N/A | SE1231 | 2012-08-28 |
R89MSP | 2012-08-30 | Expanding the Coordination of Benefits (COB) Contractor Numbers to include 11139 and 11142 for the Common Working File (CWF) | 2013-01-07 | 7906 | ||
R2534CP | 2012-08-31 | Healthcare Provider Taxonomy Codes (HPTC) Update, October 2012 | 2013-01-07 | 8021 | MM8021 | 2012-08-31 |
R2535CP | 2012-08-31 | Update to Remove Outdated Information | 2012-10-01 | 8018 | ||
R2537CP | 2012-08-31 | Expiration of 2012 Therapy Cap Revisions and User-Controlled Mechanism to Identify Legislative Effective Dates | 2013-01-07 | 7881 | MM7881 | 2012-08-31 |
R2539CP | 2012-08-31 | Fiscal Year (FY) 2013 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital | 2012-10-01 | 8041 | MM8041 | 2012-09-05 |
R1117OTN | 2012-08-31 | Manual Medical Review of Therapy Services | 2012-10-01 | 8036 | ||
R2536CP | 2012-08-31 | Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2012 | 2012-10-01 | 8011 | ||
R431PI | 2012-08-31 | Ordering and Certifying Documentation - Maintenance Requirements | 2012-10-01 | 7890 | MM7890 | 2012-09-06 |
R432PI | 2012-08-31 | Timeframe for Handling OIG Hotline Complaints Uploaded into the OIG Hotline Database; Requirements for the Transfer and Closing of Cases in the OIG Hotline Complaint Database System | 2012-08-01 | 7852 | ||
R2543CP | 2012-09-07 | Extracorporeal Photopheresis (ICD-10) | 2012-10-01 | 7806 | MM7806 | 2012-09-10 |
R433PI | 2012-09-07 | Review of Debarment List and Processing of Tie-in Notices | 2012-10-09 | 8020 | ||
R2542CP | 2012-09-07 | 2013 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consoliadated Billing (CB) Update | 2013-01-07 | 8037 | MM8037 | 2012-09-11 |
SE1234 | Important Information Concerning the Medicare Crossover Process and State Medicaid Agency Requirements for National Drug Codes (NDCs) Associated with Physician-Administered Part B Drugs | 2012-09-05 | SE1234 | 2012-09-11 | ||
SE1233 | N/A | Clarification of the Quality Standards and Accreditation Requirements for Ultra Lightweight Manual Wheelchairs | N/A | N/A | SE1233 | 2012-09-10 |
R2544CP | 2012-09-13 | Contractor and Common Working File (CWF) Additional Instructions Related to Change Request (CR) 7633 - Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse | 2012-10-01 | 7791 | ||
R2547CP | 2012-09-14 | Claim Status Category and Claim Status Codes Update | 2013-01-07 | 8045 | MM8045 | 2012-09-18 |
R2546CP | 2012-09-14 | Instructions for Retrieving the 2013 Pricing and HCPCS Data Files through CMS' Mainframe Telecommunications Systems | 2013-01-07 | 8061 | ||
SE1236 | N/A | Documenting Medical Necessity for Major Joint Replacement (Hip and Knee) | N/A | N/A | SE1236 | 2012-09-17 |
R1119OTN | 2012-09-14 | Implementation of the Award for the Jurisdiction 5 Part A and Part B Medicare Administrative Contractor (J5 A/B MAC) Reprocurement Including a New Workload Number for the Remaining WPS Legacy Workload | 2012-10-22 | 8059 | ||
R1122OTN | 2012-09-14 | International Classification of Diseases (ICD)-10 Conversion from ICD-9 of the Medicare Shared Systems as They Relate to CMS National Coverage Determinations (NCDs) (CR 1 of 3) (ICD-10) | 2013-01-07 | 7818 | ||
SE1238 | N/A | Claim Modifier Did Not Prevent Medicare from Paying Millions in Unallowable Claims for Selected Durable Medical Equipment | N/A | SE1238 | 2012-09-20 |
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