Transmittals

2011 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:
R181FM 01/04/2011 Add Physician Specialty Codes for Cardiac Electrophysiology (21) and Sports Medicine (23) to CROWD Forms "F" (ParDoc) and "8" (OptOut). 07/05/2011 7233 N/A N/A
R831OTN 01/06/2011 Analysis CR - The Inclusion of Veterans Administration (VA) Skilled Nursing Facility (SNF) claims to the VA Medicare Remittance Advice (eMRA) Process 01/03/2011 7047 N/A N/A
R70SOMA 01/07/2011 Revisions to Appendix PP, State Operations Manual (SOM): Guidance to Surveyors for Long Term Care Facilities (LTC) for Minimum Data Set (MDS) 3.0 Implementation October 1, 2010 10/01/2010 N/A N/A N/A
R95MCM 01/07/2011 Chapter 1, General Provisions 01/07/2011 N/A N/A N/A
R66GI 01/07/2011 Change Request (CR) Definitions 02/08/2011 6592 N/A N/A
R2131CP 01/07/2011 Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update 04/04/2011 7250 MM7250 01/18/2011
R830OTN 01/07/2011 J15 Part A and Part B Medicare Administrative Contractor (A/B MAC) New Workload Numbers for the States of Kentucky, Ohio and the Regional Home Health Intermediary (RHHI) Region B Workloads, as well as the Split of the Customer Information Control System (CICS) Production and UAT Regions for the Part B Ohio/West Virginia Workloads and the Part B Kentucky/Indiana Workloads. 04/30/2011 6999 N/A N/A
R363PI 01/14/2011 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2011 02/15/2011 7221 N/A N/A
R834OTN 01/14/2011 Medicare Fee-For-Service (FFS) Companion Guide 02/15/2011 7251 N/A N/A
R2132CP 01/14/2011 2011 Durable Medical Equipment Prosthetics, Orthotics, and Supply Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List 02/15/2011 7257 MM7257 01/20/2011
R182FM 01/14/2011 Notice of New Interest Rate for Medicare Overpayments and Underpayments, 2nd Notification for FY 2011 01/24/2011 7154 N/A N/A
R2138CP 01/21/2011 Modifications to the Common Working File (CWF) Logic In Support of the National Coordination of Benefits Agreement (COBA) Crossover Process 07/05/2011 6741 N/A N/A
R835OTN 01/21/2011 CMS Standard Edit/Audit Setting Update 07/05/2011 7263 N/A N/A
R838OTN 01/21/2011 Entering Re-enrollment Bars in Section 3 of the Provider Enrollment, Chain and Ownership System (PECOS) 02/22/2011 7186 N/A N/A
R837OTN 01/21/2011 Expand the Multi-Carrier System (MCS) Diagnosis File to Accommodate ICD-10 Diagnosis Codes 07/05/2011 7293 N/A N/A
R841OTN 01/21/2011 Enhancements to the Recovery Audit Contractor (RAC) Mass Adjustment/Reporting Process in FISS 07/05/2011 7272 N/A N/A
R845OTN 01/21/2011 Updates to the Electronic Correspondence Referral System (ECRS) Web User Guide v1.0 and Quick Reference Card v1.0 and VMS updates 07/05/2011 7242 N/A N/A
R843OTN 01/21/2011 Processing Claims Spanning More than Ten Years with Unlimited Occurrence Span Codes (OSCs): Phase III 07/05/2011 7150 N/A N/A
R77MSP 01/21/2011 Categorizing Diagnosis Codes 500-508 and 800-999 on Incoming Medicare Secondary Payer (MSP) Claims and on the MSP Auxiliary File for non-Group Health Plan (GHP) Claims 07/05/2011 7149 N/A N/A
R2137CP 01/21/2011 Certified Registered Nurse Anesthetist (CRNA) Services in a Method II Critical Access Hospital (CAH) Without a CRNA Pass-Through Exemption 07/05/2011 7207 MM7207 01/25/2011
R840OTN 01/21/2011 Revision of the ICD-9 CM Codes Recognized for a Co-morbidity Payment Adjustment under the End Stage Renal Disease Prospective Payment System 07/05/2011 7284 MM7284 01/25/2011
R842OTN 01/21/2011 Off-Cycle Release of the Inpatient Prospective Payment System (IPPS) Pricer to Accept Diagnosis Codes and to Pass a Low-Volume Payment Amount 07/05/2011 7244 MM7244 01/25/2011
R2135CP 01/21/2011 April 2011 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 04/04/2011 7298 MM7298 01/25/2011
R839OTN 01/21/2011 Improved Processing of Oxygen Services on Home Health Claims 07/05/2011 7169 MM7169 01/25/2011
R130NCD 01/14/2011 Home Oxygen Use to Treat Cluster Headache (CH) 02/15/2011 7235 MM7235 01/25/2011
SE1037 N/A Guidance on Hospital Inpatient Admission Decisions N/A N/A SE1037 01/25/2011
R2140CP 01/21/2011 Changes to the Time Limits for Filing Medicare Fee-For-Service Claims 02/22/2011 7270 MM7270 01/26/2011
R850OTN 01/28/2011 Health Insurance Portability and Accountability Act (HIPAA) 005010 837 Institutional (837I) Edits and 005010 837 Professional (837P) Edits - July 2011 Version 07/05/2011 7282 N/A N/A
R365PI 01/28/2011 Diabetes Self-Management Training (DSMT) 04/29/2011 7236 N/A N/A
R136BP 01/28/2011 Clarification of Existing Policy Regarding Items and Services Included Under the End Stage Renal Disease (ESRD) Composite Payment Rate 02/25/2011 7312 N/A N/A
R852OTN 01/28/2011 Expansion of Multi Carrier System (MCS) Procedure Code File to Accommodate ICD-10 Diagnosis Codes N/A 7297 N/A N/A
R847OTN 01/28/2011 Health Insurance Portability and Accountability Act (HIPAA) 5010 and D.0 Medicare Administrative Contractor (MAC) Trading Partner Testing Direction for Calendar Year 2011 03/01/2011 7240 N/A N/A
R848OTN 01/28/2011 FISS System Changes for the Elimination of Lump Sum Purchase Payment for Standard Power Wheelchairs Furnished on or After January 1, 2011, Due to the Affordable Care Act 07/05/2011 7231 N/A N/A
R78MSP 01/28/2011 Updates to the Electronic Correspondence Referral System (ECRS) Web User Guide v1.0 and Quick Reference Card v1.0 03/01/2011 7309 N/A N/A
R851OTN 01/28/2011 Update to the Fiscal Intermediary Shared System (FISS) End of Present on Admission (POA) Indicator Logic for Version 5010 837I Electronic Health Care Claim Submissions 07/05/2011 7280 MM7280 01/31/2011
R2133CP 01/14/2011 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2011 04/04/2011 7290 MM7290 01/19/2011
SE1032 N/A Expansion of Durable Medical Equipment (DME) Supplier Standards N/A N/A SE1032 02/01/2011
R846OTN 01/28/2011 Additional Healthcare Common Procedure Coding System (HCPCS) Codes Payable Under the Replacement Parts, Accessories, and Supplies Pricing Logic Established By Change Requests (CRs) 5917 and 6573 07/05/2011 7261 MM7261 01/31/2011
R183FM 02/04/2011 To Create Form 9 Within the Contractor Reporting of Operational and Workload Data (CROWD) System for the Reporting of Primary Care Incentive Payments (PCIP) and HPSA Surgical Incentive Payments (HSIP) 07/05/2011 7285 N/A N/A
R853OTN 02/04/2011 Currently Not Collectible (CNC) and Write-Off Closed Recommendations for claims Eligible for Section 935 Limitation on Recoupment of the Medicare Modernization Act (MMA) 07/05/2011 7274 N/A N/A
R854OTN 02/04/2011 Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes 07/05/2011 7292 N/A N/A
R856OTN 02/04/2011 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 5010 276/277 Claim Status Edits July 2011 Release 07/05/2011 7200 N/A N/A
R67GI 02/04/2011 April 2011 Update to the CMS Standard File for Reason Codes from the Fiscal Intermediary Shared System (FISS) 04/04/2011 7304 N/A N/A
R855OTN 02/04/2011 July Common Edits and Enhancements Module (CEM) and Receipt, Control, and Balancing Updates 07/05/2011 7289 N/A N/A
R2136CP 01/21/2011 Medicare and Medicaid Extenders Act of 2010 (MMEA) Extension of Reasonable Cost Payment for Clinical Lab Tests Furnished by Hospitals with Fewer Than 50 Beds in Qualified Rural Areas 07/05/2011 7294 MM7294 01/27/2011
R366PI 02/04/2011 Auto Denial of Claim Line(s) Items Submitted With a GZ Modifier 07/05/2011 7228 MM7228 02/08/2011
R2148CP 02/04/2011 Auto Denial of Claim Line(s) Items Submitted With a GZ Modifier 07/05/2011 7228 MM7228 02/08/2011
R2142CP 01/24/2011 CY 2011 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 01/03/2011 7248 MM7248 12/21/2010
R859OTN 02/08/2011 Additions To and Revisions of Existing G-Codes for the Reporting of Skilled Nursing Services and Skilled Therapy Services in the Home Health or Hospice Setting 01/03/2011 7182 MM7182 01/05/2011
R2157CP 02/11/2011 Implementation of edits for the Emergency Department (ED) adjustment policy under the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) 04/04/2011 7072 MM7072 11/16/2010
SE1105 N/A Medicare Drug Screen Testing N/A N/A SE1105 02/14/2011
R2153CP 02/11/2011 Clinical Laboratory Fee Schedule -edicare Travel Allowance Fees for Collection of Specimens 03/14/2011 7313 MM7313 02/15/2011
R2141CP 01/24/2011 January 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS) 01/03/2011 7271 MM7271 02/16/2011
R79MSP 02/18/2011 Updates to the Electronic Correspondence Referral System (ECRS) Web User Guide v1.0 and Quick Reference Card v1.0 03/01/2011 7309 N/A N/A
R861OTN 02/18/2011 Common Working File (CWF) Requires More Space for the Health Insurance Master Record (HIMR) Auxiliary File Menu 07/05/2011 7288 N/A N/A
R863OTN 02/18/2011 Integrated Data Repository (IDR) Claims Sourcing from Shared System Implementation Based on Further Conference Calls and Further Research 04/04/2011 7215 N/A N/A
R2152CP 02/11/2011 Primary Care Incentive Payment Program (PCIP) Eligibility for New Providers Enrolled in Medicare 07/05/2011 7267 MM7267 02/22/2011
SE1107 N/A 2011 Electronic Prescribing (eRx) Incentive Program Update - Future Payment Adjustments N/A N/A SE1107 02/22/2011
R2147CP 02/04/2011 Quarterly HCPCS Drug/Biological Code Changes - April 2011 Update 04/04/2011 7299 MM7299 02/09/2011
R2160CP 02/18/2011 Correction to Manual References in Chapter 5, Section 20.2 05/19/2011 7315 MM7315 02/23/2011
R2165CP 02/25/2011 Update for Pub. 100-04, Medicare Claims Processing Manual, Chapter 31 03/25/2011 7245 N/A N/A
R184FM 02/25/2011 Recovery Audit Program Underpayments Instruction Alteration 03/28/2011 7326 N/A N/A
R367PI 02/25/2011 Use of Claims History Information in Claim Payment Determinations 03/25/2011 7305 N/A N/A
R2164CP 02/25/2011 Healthcare Provider Taxonomy Codes (HPTC) Update April 2011 07/05/2011 7318 N/A N/A
R23P236 02/28/2011 This transmittal updates Chapter 36, Hospital and Hospital Health Care Complex Cost Report, (Form CMS-2552-96). Reflects further clarification to existing instructions and incorporates select Federal Register provisions. N/A N/A N/A N/A
R2166CP 02/25/2011 Clarification to CR 6686 - Outpatient Mental Health Treatment Limitation 03/25/2011 7307 MM7307 02/28/2011
R2168CP 02/28/2011 Expansion of Medicare Telehealth Services for CY 2011 N/A 7049 MM7049 11/26/2010
R140BP 02/28/2011 Expansion of Medicare Telehealth Services for CY 2011 N/A 7049 MM7049 11/26/2010
R864OTN 03/02/2011 Waiver of Coinsurance and Deductible for Preventive Services, Section 4104 of the Patient Protection and Affordable Health Care Act (the Affordable Care Act), Removal of Barriers to Preventive Services in Medicare 01/03/2011 7012 MM7012 12/07/2010
R2169CP 03/03/2011 Incentive Payment Program for Primary Care Services, Section 5501(a) of the Patient Protection and Afforable Care Act (the ACA), Payment to a CAH Paid Under the Optional Method 04/04/2011 7115 MM7115 12/07/2010
R185FM 03/04/2011 Modify CROWD Form K to allow for the submission of additional Medicare Secondary Payer (MSP) savings information. 10/03/2011 7291 N/A N/A
R867OTN 03/04/2011 Analyze, Design, Maintain and Provide Implementation Instructions for a Modification of the Part A and Part B Common Edits and Enhancement Modules (CEMs), to allow 277C Edits to be Turned On/Off by the Encounter Data Front-End System (EDFES) Contractor Only 07/05/2011 7201 N/A N/A
SE1102 N/A Inappropriate Medicare Payments for Transforaminal Epidural Injection Services N/A N/A SE1102 03/09/2011
SE1104 N/A The Importance of Correctly Coding the Place of Service by Physicians and Their Billing Agents N/A N/A SE1104 03/09/2011
R138BP 02/15/2011 Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS) 04/04/2011 7079 MM7079 12/14/2010
R2159CP 02/15/2011 Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS) 04/04/2011 7079 MM7079 12/14/2010
R868OTN 03/09/2011 July Common Edits and Enhancements Module (CEM) and Receipt, Control, and Balancing Updates 07/05/2011 7289 N/A N/A
R3SBI 03/11/2011 Summary Accounting Statement - Exhibit 01/01/2011 N/A N/A N/A
R2171CP 03/04/2011 Magnetic Resonance Imaging (MRI) in Medicare Beneficiaries with Implanted Permanent Pacemakers (PMs) or Implantable Cardioverter Defibrillators (ICDs) 04/04/2011 7296 MM7296 03/11/2011
R132NCD 03/04/2011 Magnetic Resonance Imaging (MRI) in Medicare Beneficiaries with Implanted Permanent Pacemakers (PMs) or Implantable Cardioverter Defibrillators (ICDs) 04/04/2011 7296 MM7296 03/11/2011
R2172CP 03/11/2011 April 2011 Integrated Outpatient Code Editor (I/OCE) Specifications Version 12.1 04/04/2011 7344 MM7344 03/14/2011
R865OTN 03/04/2011 Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) N/A 7333 MM7333 03/16/2011
R80MSP 03/18/2011 Updating the Medicare Secondary Payer (MSP) Part B Savings Report to include Additional Savings Information and Additional Special Project Numbers N/A 7265 N/A N/A
R869OTN 03/18/2011 Allowing the Common Working File (CWF) to accept both Medicare Secondary Payer (MSP) and Non-MSP Lines on MSP Claims and MSP Adjustment Claims. This CR rescinds and fully replaces CR 7026. 04/04/2011 7335 N/A N/A
R186FM 03/18/2011 Receivables Initiated by the Recovery Auditor as Independent Audit Accessible Information 04/18/2011 7336 N/A N/A
R2178CP 03/18/2011 Instructions for Downloading the Medicare ZIP Code File for July 2011 07/05/2011 7353 N/A N/A
R870OTN 03/18/2011 Health Insurance Portability and Accountability Act (HIPAA) 5010 and D.0 Medicare Administrative Contractor (MAC) Trading Partner Testing Direction for Calendar Year 2011 03/01/2011 7240 N/A N/A
R141BP 03/02/2011 New Hospice Certification Requirements and Revised Conditions of Participation (CoPs) 03/23/2011 7337 MM7337 03/08/2011
R833OTN 01/07/2011 Emergency Update to CY 2011 Medicare Physician Fee Schedule (MPFS) Database N/A 7300 MM7300 01/06/2011
R2167CP 02/25/2011 April Update to the CY 2011 Medicare Physician Fee Schedule Database (MPFSDB) 04/04/2011 7319 MM7319 02/09/2011
R2150CP 02/04/2011 April Update to the CY 2011 Medicare Physician Fee Schedule Database (MPFSDB) 04/04/2011 7319 MM7319 02/09/2011
SE1106 N/A Important Reminders about HIPAA 5010 & D.0 Implementation N/A N/A SE1106 03/08/2011
R2175CP 03/18/2011 2011 Update to the Therapy Code List 07/05/2011 7364 MM7364 03/22/2011
R2177CP 03/18/2011 Claim Status Category and Claim Status Codes Update 07/05/2011 7348 MM7348 03/22/2011
R2174CP 03/18/2011 April 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS) 04/04/2011 7342 MM7342 03/22/2011
R2179CP 03/18/2011 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 17.1, Effective April 1, 2011 04/04/2011 7331 MM7331 03/22/2011
R139BP 02/16/2011 Clarifications for Home Health Face-to-Face Encounter Provisions 03/10/2011 7329 N/A N/A
R2181CP 03/25/2011 Medicare Claims Processing Pub. 100-04 Chapter 24 Update for HIPAA 5010 and EDI Enhancements 04/25/2011 7269 N/A N/A
R444PR1 03/25/2011 Insurance Purchased From a Limited Purpose Insurance Company N/A N/A N/A N/A
R24P236 03/25/2011 Reflects further clarification to existing instructions and incorporates select Federal Register provisions. N/A N/A N/A N/A
R2180CP 03/18/2011 April Update to the CY 2011 Medicare Physician Fee Schedule Database (MPFSDB) 04/04/2011 7319 MM7319 02/09/2011
R2187CP 03/28/2011 New Waived Tests 04/04/2011 7266 N/A N/A
R2186CP 03/28/2011 Waiver of Coinsurance and Deductible for Preventive Services in Rural Health Clinics (RHCs), Section 4104 of Affordable Care Act (ACA). 04/04/2011 7208 N/A N/A
R372PI 03/25/2011 Effective Date of Certified Provider or Supplier Agreement or Approval 04/25/2011 7232 MM7232 03/29/2011
R2185CP 03/25/2011 April 2011 Update of the Ambulatory Surgical Center (ASC) Payment System 04/04/2011 7343 MM7343 03/29/2011
R2182CP 03/25/2011 July 2011 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 07/05/2011 7357 MM7357 03/29/2011
R2155CP 02/11/2011 New Waived Tests 04/04/2011 7266 MM7266 02/15/2011
R2173CP 03/10/2011 Affordable Care Act-Section 3113- Laboratory Demonstration for Certain Complex Diagnostic Tests 07/05/2011 7278 MM7278 02/08/2011
R70DEMO 03/10/2011 Affordable Care Act-Section 3113- Laboratory Demonstration for Certain Complex Diagnostic Tests 07/05/2011 7278 MM7278 02/08/2011
R2144CP 01/28/2011 Affordable Care Act - Section 3113 -Laboratory Demonstration for Certain Complex Diagnostic Tests 07/05/2011 7278 MM7278 02/08/2011
R67DEMO 01/28/2011 Affordable Care Act - Section 3113 - Laboratory Demonstration for Certain Complex Diagnostic Tests 07/05/2011 7278 MM7278 02/08/2011
R2184CP 03/25/2011 July Quarterly Update to 2011 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 07/05/2011 7345 MM7345 04/01/2011
R2162CP 02/22/2011 Updates to the Internet Only Manual Pub. 100-04, Chapter 1 - General Billing Requirements, Chapter 15 - Ambulance, and Chapter 26 - Completing and Processing Form CMS-1500 Data Set 03/21/2011 7018 MM7018 12/29/2010
R2161CP 02/25/2011 Incentive Payment Program for Primary Care Services, Section 5501(a) of the ACA N/A 7060 MM7060 11/18/2010
R2189CP 04/04/2011 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process Stemming Principally From the Affordable Care Act (ACA) 04/04/2011 7136 N/A N/A
R187FM 04/12/2011 Notice of New Interest Rate for Medicare Overpayments and Underpayments-3rd Notification for FY 2011. 04/19/2011 7153 N/A N/A
R873OTN 04/15/2011 Flat File Update for Institutional Claim Transaction 837I, Professional Claim Transaction 837P, and Claim Payment/Advice Transaction 835 07/05/2011 7409 N/A N/A
SE1111 N/A Electronic Health Record (EHR) Incentive Payment Process N/A N/A SE1111 04/20/2010
R875OTN 04/22/2011 ViPS Medicare System (VMS) ICD-10 Remove any Obsolete Quarterly Medical Review(QMR) Processes and Reports that Include ICD-9 codes 10/03/2011 7322 N/A N/A
R876OTN 04/22/2011 Upgrade of Optical Character Recognition (OCR) and Intelligent Character Recognition (ICR) Systems in Preparation for HIPAA Version 5010 (Analysis Only) 10/03/2011 7347 N/A N/A
R877OTN 04/22/2011 Modify the Common Working File (CWF) Application to Allow the Medicare Secondary Payer (MSP) Effective and Termination dates for all MSP Occurrences to be Equal 10/03/2011 7365 N/A N/A
R883OTN 04/22/2011 HITECH Overpayment Data Collection Coordination between FISS, MCS and the NLR 10/03/2011 7327 N/A N/A
R874OTN 04/20/2011 Implementation of the PWK (paperwork) segment for X12N Version 5010 N/A 7041 MM7041 09/09/2010
R68GI 04/22/2011 Physician Certification and Recertification of Services Manual Changes 05/12/2011 7377 N/A N/A
R878OTN 04/22/2011 System Changes to VMS to Allow DME MACs to Adjust Claims Denied as a Result of ZPIC Auto-Denial Edits to Pay After an Appeals Decision 10/03/2011 7276 N/A N/A
R879OTN 04/22/2011 Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes 10/03/2011 7375 N/A N/A
R880OTN 04/22/2011 October Common Edits and Enhancements Module (CEM) and Receipt, Control, and Balancing Updates 10/03/2011 7392 N/A N/A
R881OTN 04/22/2011 Update ViPS Medicare System (VMS) Automated Development System (ADS) to Recognize and Print the ICD-10 Indicator 10/03/2011 7320 N/A N/A
R188FM 04/22/2011 Modify CROWD Form K to allow for the submission of additional Medicare Secondary Payer (MSP) savings information. N/A 7291 N/A N/A
R2196CP 04/22/2011 New Waived Tests 07/05/2011 7349 MM7349 04/25/2011
R2193CP 04/22/2011 Updates to Pub 100-04, Medicare Claims Processing Manual, Chapter 3: Inpatient Hospital Billing 07/23/2011 7385 MM7385 04/25/2011
R2195CP 04/22/2011 End Stage Renal Disease (ESRD) Low Volume Adjustment and Establishing Quarterly Updates to the ESRD Prospective Payment System (PPS) 10/03/2011 7388 MM7388 04/25/2011
R885OTN 04/22/2011 Update the existing ViPS Medicare System (VMS) Utilization Parameter files for ICD-10. 10/03/2011 7321 N/A N/A
R886OTN 04/22/2011 Expand Related Diagnosis File to Accommodate ICD-10 Diagnosis Codes N/A 7356 N/A N/A
R884OTN 04/22/2011 New HCPCS Q-codes for 2010-2011 Seasonal Influenza Vaccines N/A 7234 MM7234 11/26/2010
R871OTN 04/08/2011 Implementation of New Reasonable Useful Lifetime (RUL) Policy for Stationary and Portable Oxygen Equipment 05/08/2011 7213 MM7213 04/28/2011
R2199CP 04/22/2011 Screening for the Human Immunodeficiency Virus (HIV) Infection 07/06/2010 6786 MM6786 05/04/2010
R2163CP 02/23/2011 Screening for the Human Immunodeficiency Virus (HIV) Infection 07/06/2010 6786 MM6786 05/04/2010
R131NCD 02/23/2011 Screening for the Human Immunodeficiency Virus (HIV) Infection 07/06/2010 6786 MM6786 05/04/2010
R889OTN 04/29/2011 Instructions for Multi Carrier System (MCS) to review submitted claims history and identify Primary Care Incentive Payment Program (PCIP) eligible services furnished by newly enrolled Medicare primary care practitioners. 10/03/2011 7402 N/A N/A
R888OTN 04/29/2011 VMS Utility Run for DME MACs Identification of Edits for ICD-10 10/03/2011 7406 N/A N/A
R2205CP 04/29/2011 IOM 100-04 Chapter 22 Update for Remittance Advice for version 5010 - ASC X12N 005010A1 and Related Standard Paper Remittance (SPR) 05/31/2011 7308 N/A N/A
R143BP 04/29/2011 Manual Restructuring of Chapter 6, Section 20, Subsections 20.4.4, and 20.5.2 05/31/2011 7354 N/A N/A
R2204CP 04/29/2011 Type of Service (TOS) Corrections 10/03/2011 7407 N/A N/A
SE1112 N/A Power Mobility Device Face-to-Face Examination Checklist N/A N/A SE1112 05/02/2011
R2203CP 04/29/2011 Home Health Requests for Anticipated Payment and Timely Claims Filing 10/03/2011 7396 MM7396 05/03/2011
R2206CP 04/29/2011 New K codes for Suction Pumps and Wound Dressings 07/05/2011 7411 MM7411 05/03/2011
R887OTN 04/28/2011 Transition Budget Neutrality Adjustment - Correction N/A 7366 MM7366 05/03/2011
R882OTN 04/22/2011 Adjudication of Laboratory Tests that are Excluded from Clinical Laboratory Improvement Amendment (CLIA) Edits 10/03/2011 7325 MM7325 04/28/2011
R25P236 04/29/2011 Provider Reimbursement Manual - Part 2, Provider Cost Reporting Forms and Instructions, Chapter 36, Form CMS-2552-96 N/A N/A N/A N/A
R2202CP 04/27/2011 Section 1833 (a)(1)(F) of the Social Security Act - Payment of Licensed Clinical Social Worker (LCSW) in a Method II Critical Access Hospital (CAH) 10/03/2011 7361 MM7361 05/05/2011
R2212CP 05/05/2011 Payment Update for Influenza Virus Vaccine and Pneumococcal Vaccine Codes 07/05/2011 7128 N/A N/A
R189FM 05/06/2011 Recovery Audit Program Tracking Overpayments Instruction Alteration 06/06/2011 7403 N/A N/A
R374PI 05/06/2011 Update to Notifications Sent to State Medicaid Agencies and Child Health Plans of Medicare Terminations for Certified Providers and Suppliers and Medicare Revocations for Providers and Suppliers 06/06/2011 7334 N/A N/A
R891OTN 05/06/2011 Update to the Medicare Fee-For-Service (FFS) Companion Guide 06/06/2011 7373 N/A N/A
R890OTN 05/06/2011 Switching Off Versions 4010A1 and 5.1 10/03/2011 7390 N/A N/A
R2208CP 05/06/2011 Manual Update for Quarterly Reporting Requirements for Do Not Forward Reports 06/06/2011 7295 N/A N/A
R895OTN 05/06/2011 Revisions to Change Request (CR) 7054: Integrated Data Repository (IDR) Claims Sourcing from Shared Systems. Implementation Based on Conference Calls and Further Research 10/03/2011 7362 N/A N/A
R892OTN 05/06/2011 935 Limitation on Recoupment. Duplicate Payment after Favorable Appeal Decision for HIGLAS Users 10/03/2011 7268 N/A N/A
R69GI 05/06/2011 July 2011 Update to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS) 07/05/2011 7432 N/A N/A
R71DEMO 05/06/2011 Clarification to Payment Processing for the Electronic Health Records Demonstration 10/03/2011 7360 N/A N/A
R893OTN 05/06/2011 Health Insurance Portability and Accountability Act (HIPAA) 005010 837 Institutional (837I) Edits and 005010 837 Professional (837P) Edits - October 2011 Version 10/03/2011 7398 N/A N/A
R2209CP 05/06/2011 Corrections to Home Health Prospective Payment System (HH PPS) Outlier Limitation N/A 7395 MM7395 05/09/2011
R2210CP 05/06/2011 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 N/A N/A
R2213CP 05/06/2011 Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update 07/05/2011 7369 MM7369 05/11/2011
R2194CP 04/22/2011 Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update 07/05/2011 7369 MM7369 05/11/2011
R142BP 04/15/2011 Home Health Therapy Services 05/05/2011 7374 MM7374 04/20/2011
R144BP 05/06/2011 Home Health Therapy Services 05/05/2011 7374 MM7374 04/20/2011
R894OTN 05/06/2011 Update Common Working File (CWF) to modify the Indicators for Trailer Mask on Unsolicited Response (UR) or Informational Unsolicited Response (IUR) 10/03/2011 7386 N/A N/A
SE1115 N/A Recently Enrolled Home Health Agencies (HHAs): Submit OASIS and HHCAHPS Data Promptly to Ensure Full Medicare Payment N/A N/A SE1115 05/12/2011
R900OTN 05/13/2011 HIPAA 5010 National Testing Days 06/14/2011 7415 N/A N/A
R898OTN 05/13/2011 Processing Claims Spanning More than Ten Years with Unlimited Occurrence Span Codes (OSCs): Final Completion N/A 7151 N/A N/A
R899OTN 05/13/2011 Addendum to CR 7362 to Require Hours for Research and Conference Calls With Maintainers, MACs, and EDCs 10/03/2011 7433 N/A N/A
R897OTN 05/13/2011 Implementation of Client Letter to ViPS Medicare System (VMS) N/A 7408 N/A N/A
R2215CP 05/13/2011 Modifications to the COBA Process For Other Federal Payer Payment Order and the Special State Coordinated Care Project 10/03/2011 7393 N/A N/A
R2217CP 05/13/2011 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 17.2, Effective July 1, 2011 07/05/2011 7399 MM7399 05/17/2011
R962OTN 09/23/2011 HITECH - Annual 1099 Address File - Requirements for Submitting Updated Address, TIN and Full Legal Name for all HITECH Payees Receiving EHR Incentive Payments During the Calendar Year 01/03/2012 7509 N/A N/A
R80DEMO 09/27/2011 Implementation Support and Payment Processing for the Multi-payer Advanced Primary Care Practice (MAPCP) Demonstration N/A 7283 N/A N/A
R11SS 09/30/2011 CMS Business Partners Systems Security Manual 10/31/2011 7328 N/A N/A
R447PR1 09/30/2011 Update cross references and to make minor descriptive language and grammar revisions. N/A N/A N/A N/A
R446PR1 09/30/2011 Regional Medicare Swing-Bed-Rates N/A N/A N/A N/A
R2P241 09/30/2011 Corrects clerical errors in Chapter 41 Transmittal 1. N/A N/A N/A N/A
R195FM 09/30/2011 To Create Form 9 Within the Contractor Reporting of Operational and Workload Data (CROWD) System for the Reporting of Primary Care Incentive Payments (PCIP) and HPSA Surgical Incentive Payments (HSIP). 07/05/2011 7285 N/A N/A
R2289CP 08/26/2011 Fiscal Year (FY) 2012 Inpatient Psychiatric Facility (IPF) PPS Changes 10/03/2011 7506 MM7506 10/05/2011
R950OTN 08/19/2011 Medicare Fee-For-Service Claims Processing Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10) 01/03/2012 7492 MM7492 09/08/2011
SE1123 N/A Contractor Entities at a Glance: Who May Contact You about Specific Centers for Medicare & Medicaid Services (CMS) Activities N/A N/A SE1123 09/08/2011
R196FM 10/13/2011 Updates to the Internet Only Manual Pub.100-04, Chapter 15-Ambulance to include The Medicare and Medicaid Extenders Act of 2010 (MMEA) Provisions 10/19/2011 7569 N/A N/A
R2316CP 10/07/2011 Hospice Claims Processing Procedures When Required Face-to-Face Encounters Do Not Occur Timely 01/09/2012 7478 MM7478 10/14/2011
R392PI 10/14/2011 Update to Notifications Sent to State Medicaid Agencies and Child Health Plans of Medicare Terminations for Certified Providers and Suppliers and Medicare Revocations for Providers and Suppliers. This CR rescinds and fully replaces CR 7017, 7074 and 7334. 11/15/2011 7532 N/A N/A
R71SOMA 05/13/2011 Clarifications to Appendix L, Center Interpretive Guidelines. Comprehensive Medical History and Physical (H&P) Assessment and Anesthetic Risk and Evaluation. 05/13/2011 N/A N/A N/A
R96MCM 05/17/2011 Chapter 3. "Medicare Marketing Guidelines" 05/17/2011 N/A N/A N/A
R197FM 10/17/2011 Notice of New Interest Rate for Medicare Overpayments and Underpayments - 1st Notification for FY 2012 N/A 7569 N/A N/A
SE1110 N/A Medicare Pilot Project for Electronic Submission of Medical Documentation (esMD) N/A N/A SE1110 09/08/2011
R2249CP 07/01/2011 Calendar Year 2012 and After Payments to Home Health Agencies That Do Not Submit Required Quality Data 10/03/2011 7459 MM7459 10/18/2011
R97MCM 05/20/2011 Chapter 4, Benefits and Beneficiary Protections 05/20/2011 N/A N/A N/A
R2313CP 09/30/2011 Updates to the Internet Only Manual, Pub. 100-04, Chapter 15-Ambulance, to include the Medicare and Medicaid Extenders Act of 2010 (MMEA) Provisions 01/03/2012 7558 MM7558 10/04/2011
R2318CP 10/13/2011 Updates to the Internet Only Manual Pub.100-04, Chapter 15-Ambulance to include The Medicare and Medicaid Extenders Act of 2010 (MMEA) Provisions 01/18/2012 7558 MM7558 10/04/2011
SE1133 N/A Predictive Modeling Analysis of Medicare Claims N/A N/A 10/19/2011 N/A
R2P240 08/30/2011 Updates to Chapter 40, Hospital and Hospital Health Care Complex Cost Report N/A N/A N/A N/A
R964OTN 10/19/2011 Expansion of the Current Scope of Editing for Ordering/Referring Providers for claims processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs) 01/03/2011 6417 N/A N/A
R1P241 05/23/2011 Contains instructions for the completion of the new cost report forms to be filed by skilled nursing facilities (SNF's) and SNF complexes. N/A N/A N/A N/A
R2320CP 10/21/2011 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2012 01/03/2012 7621 N/A N/A
SE1129 N/A Reminder - Beneficiary Cost-Sharing for Medicare-Covered Preventive Services Under the Affordable Care Act N/A N/A SE1129 10/21/2011
R2225CP 05/20/2011 October 2011 Quarterly Update for the DMEPOS Competitive Bidding Program 10/03/2011 7425 MM7425 05/25/2011
R2223CP 05/20/2011 July Update to the CY 2011 Medicare Physician Fee Schedule Database (MPFSDB) 07/05/2011 7430 MM7430 05/25/2011
R2220CP 05/20/2011 Update- Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Rate Year 2012 07/05/2011 7367 MM7367 05/26/2011
R1ARS 05/24/2011 Information Security Acceptable Risk Safeguards 06/24/2011 7104 N/A N/A
R81DEMO 10/25/2011 Implementation Support and Payment Processing for the Multi-payer Advanced Primary Care Practice (MAPCP) Demonstration N/A 7283 N/A N/A
R2322CP 10/21/2011 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 18.0, Effective January 1, 2012 01/03/2012 7616 MM7616 10/26/2011
R2321CP 10/21/2011 New Waived Tests 01/03/2012 7566 MM7566 10/26/2011
R968OTN 10/26/2011 Automated Tracking and Reporting of Recovery Audit-Associated Reopenings and N/A 7604 N/A N/A
R970OTN 10/26/2011 VMS Modifications to Oxygen CMN Editing 04/02/2012 7467 N/A N/A
R2325CP 10/26/2011 Annual Type of Service (TOS) Update 01/03/2012 7586 N/A N/A
R973OTN 10/27/2011 Revisions to Common Working File (CWF) Edits that Deny Claims for Prosthetics, Orthotics, and Supplies (POS) Furnished to Beneficiaries in a Skilled Nursing Facility (SNF) Stay 04/02/2012 7625 N/A N/A
R972OTN 10/27/2011 Common Edits and Enhancements Modules (CEM) Code Set Update 04/02/2012 7577 N/A N/A
R980OTN 10/27/2011 Modify the Interchange Control Number (ICN) for Medicare Advantage Encounters 04/02/2012 7521 N/A N/A
R983OTN 10/27/2011 Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes - April 2012 04/02/2012 7576 N/A N/A
R985OTN 10/27/2011 Fee for Service Common Eligibility Services Conference Calls and Research 04/02/2011 7611 N/A N/A
R977OTN 10/27/2011 Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the Fiscal Intermediary Shared System (FISS) 04/02/2012 7601 N/A N/A
R198FM 10/27/2011 Medicare Financial Management Manual, Chapter 4 - Debts Returned to Agency (RTA) by Treasury 11/28/2011 7311 N/A N/A
R978OTN 10/27/2011 Modify the Interchange Control Number (ICN) for Medicare Advantage Encounters 04/02/2012 7562 N/A N/A
R971OTN 10/26/2011 Instructions for the Fiscal Intermediary Shared System (FISS) to modify the Workers Compensation Set Aside (WCSA) Claims Process to Capture the Amount Medicare would have paid when the Claim is returned by CWF. This change request also updates the MSP Savings Report to add Special Project Savings Total on the Savings Report to include totals from all Special Projects 04/02/2012 7519 N/A N/A
R990OTN 10/28/2011 CMS Standard Edit 009H is Obsolete 04/02/2012 7560 N/A N/A
R988OTN 10/28/2011 Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the Multi-Carrier System (MCS) 04/02/2012 7602 N/A N/A
R991OTN 10/28/2011 Expansion of the Current Scope of Editing for Ordering/Referring Providers for claims processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs) 07/05/2011 6417 N/A N/A
R976OTN 10/28/2011 Determining Claims Processing Timeliness When Held Claims Are Later Subject to an Additional Documentation Request 04/02/2012 7550 N/A N/A
R979OTN 10/28/2011 Processing Multiple Home Health Unsolicited Responses 04/02/2012 7544 N/A N/A
R2328CP 10/27/2011 Claim Adjustment Reason Code (CARC) Used for Therapy Claims Subject to the Multiple Procedure Payment Reduction 04/02/2012 7564 MM7564 10/28/2011
R975OTN 10/27/2011 Format Revisions to the Special Incentive Remittance Advice used to Report Quarterly Incentive Payments for Health Professional Shortage Areas (HPSAs), the Primary Care Incentive Payment Program (PCIP), and the HPSA Surgical Incentive Payment Program (HSIP) 04/02/2012 7561 MM7561 10/28/2011
R2326CP 10/27/2011 Discontinuation of Hospice Late Charge Claims 04/02/2012 7556 MM7556 10/28/2011
R989OTN 10/28/2011 Change Management Process -- Enterprise Electronic Change Information Management Portal (ECHIMP) 04/02/2012 7590 N/A N/A
R966OTN 10/26/2011 Health Insurance Portability and Accountability Act (HIPAA) 5010 837 Institutional (837I) Edits and 5010 837 Professional (837P) Edits-April 2012 Version 04/02/2012 7596 N/A N/A
R371PI 03/23/2011 Implementation of Provider Enrollment Provisions in CMS-6028-FC 03/25/2011 7350 MM7350 03/25/2011
R2332CP 10/28/2011 Diagnosis Code Update for Add-on Payments for Blood Clotting Factor Administered to Hemophilia Inpatients 04/02/2012 7553 MM7553 11/01/2011
R2333CP 10/28/2011 Payment for Multiple Surgeries in a Method II Critical Access Hospital (CAH) 04/02/2012 7587 MM7587 11/01/2011
R2331CP 10/27/2011 January 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 01/03/2012 7624 MM7624 11/01/2011
SE1134 N/A Medicare Payments for Diagnostic Radiology Services in Emergency Departments N/A N/A SE1134 11/01/2011
SE1136 N/A 2011-2012 Seasonal Influenza (Flu) Resources for Health Care Professionals N/A N/A SE1136 11/01/2011
SE1126 N/A Further Details on the Revalidation of Provider Enrollment Information N/A N/A SE1126 08/05/2011
R2233CP 05/27/2011 Medicare Preventive and Screening Services 06/28/2011 7423 N/A N/A
R903OTN 05/27/2011 Medicare Remit Easy Print (MREP) Update to Accommodate Extended Fractional Units for ASC X12 Transaction 835 (Health Care Claim Payment/Advice) 10/03/2011 7451 N/A N/A
R99MCM 05/27/2011 Medicare Managed Care Manual Chapter 16a Private Fee-for-Service 05/27/2011 N/A N/A N/A
R904OTN 06/08/2011 Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2011 07/05/2011 7272 N/A N/A
R389PI 09/30/2011 Proof of Delivery and Delivery Methods 10/31/2011 7410 MM7410 10/03/2011
R2323CP 10/26/2011 Inpatient Rehabilitation Facility (IRF) and Inpatient Psychiatric Facility (IPF) Cost-to-Charge Ratios (CCRs) 11/28/2011 7609 N/A N/A
R2222CP 05/20/2011 Pass-through Payment for Certified Registered Nurse Anesthetist Services 10/03/2011 7379 MM7379 05/26/2011
R2230CP 05/27/2011 Revisions to Ch. 10, Home Health Agency Billing 08/28/2011 7338 MM7338 06/02/2011
R2231CP 05/27/2011 Phase 3 of Manual Revisions to Reflect Payment Changes for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Items as a Result of the DMEPOS Competitive Bidding Program and the Deficit Reduction Act of 2005 08/28/2011 7401 MM7401 06/02/2011
R2234CP 05/27/2011 July 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS) 07/05/2011 7443 MM7443 06/02/2011
R2227CP 05/24/2011 Quarterly HCPCS Drug/Biological Code Changes - July 2011 Update 07/05/2011 7303 MM7303 06/03/2011
R2207CP 04/29/2011 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes July 2011 Update 07/05/2011 7303 MM7303 06/03/2011
R2232CP 05/27/2011 Critical Access Hospital (CAH) Optional Method Election for Outpatient Services 10/03/2011 7404 MM7404 06/03/2011
SE1113 N/A Foot Care Coverage Guidelines N/A N/A SE1113 06/03/2011
R377PI 05/27/2011 Program Integrity Manual Reorganization of Chapters 3 and 8 06/28/2011 6560 N/A N/A
R396PI 11/02/2011 Medical Review of PWK (paperwork) 04/02/2012 7330 N/A N/A
R2319CP 10/17/2011 Calendar Year (CY) 2012 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures 11/08/2011 7573 N/A N/A
R103MCM 11/04/2011 Medicare Managed Care Manual Chapter 10 - MA Organization Compliance with State Law and Preemption by Federal Law 11/04/2011 N/A N/A N/A
R398PI 11/04/2011 Revision of PIM Chapter 3, Section 3.7.5, Part B, Corrective Action Reporting on CMS and OIG Identified Vulnerabilities spreadsheet submission instructions 12/05/2011 7479 N/A N/A
R399PI 11/04/2011 Revision of PIM Chapter 3, Section 3.2.1 Setting Priorities and Targeting Reviews 12/05/2011 7622 N/A N/A
R2342CP 11/04/2011 Annual Medicare Physician Fee Schedule Files Delivery and Implementation Manualization 01/03/2012 7607 N/A N/A
R199FM 11/04/2011 Instructions for Processing Physicians and other Suppliers Debts that have been Confirmed as Identity Theft 12/05/2011 7419 N/A N/A
SE1117 N/A Correct Provider Billing of Admission Date and Statement Covers Period N/A N/A SE1117 06/22/2011
R2334CP 10/28/2011 Billing for Donor Post-Kidney Transplant Complication Services 04/02/2012 7523 MM7523 11/02/2011
R148BP 10/28/2011 Billing for Donor Post-Kidney Transplant Complication Services 04/02/2012 7523 MM7523 11/02/2011
R996OTN 11/04/2011 Creating Payor ID for Medicare Advantage Encounter Data Submission 04/02/2012 7521 N/A N/A
R2344CP 11/04/2011 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2012 01/03/2012 7621 MM7621 11/07/2011
R2281CP 08/19/2011 Implementation of Changes to the End Stage Renal Disease (ESRD) Prospective Payment System (PPS) Outlier Payment Policy and Changes to the ESRD PPS Consolidated Billing Requirements for Laboratory Services Furnished in a Hospital Emergency Room or Department 01/03/2012 7471 MM7471 11/07/2011
R963OTN 10/14/2011 Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplier (DMEPOS) Suppliers Claims Process by Durable Medical Equipment Medicare Administrative Contractors (DMEMACs) N/A 6421 MM6421 08/25/2009
R993OTN 11/01/2011 Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number N/A 7499 MM7499 11/07/2011
SE1122 N/A Important Reminders about Advanced Diagnostic Imaging (ADI) Accreditation Requirements N/A N/A SE1122 06/30/2011
R2340CP 11/04/2011 CY 2012 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 01/03/2012 7635 MM7635 11/08/2011
R2221CP 05/20/2011 Postcard Mailing for the Annual Participation Open Enrollment Period 10/31/2011 7412 MM7412 05/25/2011
SE1119 N/A National Coverage Determination (NCD) for Percutaneous Transluminal Angioplasty (20.7) Concurrent with Carotid Artery Stenting in Patients at High Risk for Carotid Endarterectomy N/A N/A SE1119 06/02/2011
R2235CP 06/03/2011 July 2011 Update of the Ambulatory Surgical Center (ASC) Payment System 07/05/2011 7445 MM7445 06/07/2011
R2236CP 06/03/2011 July Quarterly Update for 2011 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 07/05/2011 7416 MM7416 06/10/2011
R999OTN 11/10/2011 MCS ICD-10 Changes 04/02/2012 7640 N/A N/A
R998OTN 11/10/2011 HIPAA 5010 Outbound File Compliance Check N/A 7583 N/A N/A
R997OTN 11/10/2011 Expansion of FISS Medical Policy Parameter 04/02/2012 7639 N/A N/A
R71GI 11/10/2011 January 2012 Quarterly Updates to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS) 01/03/2012 7647 N/A N/A
R2317CP 10/07/2011 Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 01/03/2012 7599 MM7599 11/14/2011
R2341CP 11/04/2011 January 2012 Quarterly Update for the DMEPOS Competitive Bidding Program 01/03/2012 7632 MM7632 11/14/2011
R98MCM 05/20/2011 Chapter 16B. Medicare Managed Care Special Needs Plans chapter 05/20/2011 N/A N/A N/A
R2329CP 10/27/2011 Influenza Vaccine Payment Allowances - Annual Update for 2011-2012 Season 01/27/2012 7575 MM7575 10/28/2011
R2345CP 11/09/2011 Influenza Vaccine Payment Allowances - Annual Update for 2011-2012 Season 01/27/2012 7575 MM7575 10/28/2011
R2337CP 10/28/2011 New Influenza Virus Vaccine Code 04/02/2012 7580 MM7580 11/01/2011
R200FM 11/16/2011 Recovery Audit Program Tracking Appeals and Reopenings 09/27/2011 7458 N/A N/A
R2PACE 06/09/2011 Programs of All-Inclusive Care for the Elderly (PACE) Manual - Initial Release 06/03/2011 N/A N/A N/A
R907OTN 06/14/2011 Flat File Update for Institutional Claim Transaction 837I, Professional Claim Transaction 837P, and Claim Payment/Advice Transaction 835 07/05/2011 7409 N/A N/A
R2201CP 04/22/2011 Section 1833 (a)(1)(F) of the Social Security Act - Payment of Licensed Clinical Social Worker (LCSW) in a Method II Critical Access Hospital (CAH) 10/03/2011 7361 N/A N/A
R2228CP 05/20/2011 Manual Update for Quarterly Reporting Requirements for Do Not Forward Reports 06/06/2011 7295 N/A N/A
R2346CP 11/18/2011 Medicare Claims Processing Pub. 100-04 Chapter 24 Update for HIPAA 5010 and EDI Enhancements 12/19/2011 7598 N/A N/A
SE1135 N/A Guidance on Completing the CMS-855A Enrollment Form N/A N/A SE1135 11/17/2011
R380PI 08/03/2011 Advanced Diagnostic Imaging Accreditation Enrollment Procedures 07/05/2011 7177 MM7177 03/14/2011
R373PI 04/07/2011 Advanced Diagnostic Imaging Accreditation Enrollment Procedures 07/05/2011 7177 MM7177 03/14/2011
R369PI 03/11/2011 Advanced Diagnostic Imaging Accreditation Enrollment Procedures 06/12/2011 7177 MM7177 03/14/2011
R1001OTN 11/18/2011 Request to Require Hours for Research and Conference Calls with Maintainers, MACs, and EDCs and Additional Requirements for IDR Shared Systems 04/02/2012 7589 N/A N/A
R72SOM 11/18/2011 Revised Appendix A: Conditions of Participation and Interpretive Guidelines for Hospitals 11/18/2011 N/A N/A N/A
R2348CP 11/18/2011 Instructions for Retrieving the 2012 Pricing and HCPCS Data Files through CMS Mainframe Telecommunications Systems 01/03/2012 7568 N/A N/A
R2353CP 11/18/2011 Instructions for Downloading the Medicare ZIP Code File for April 2012 04/02/2012 7634 N/A N/A
R901OTN 05/13/2011 Edit to Deny Claims for Repairs to Capped Rental Durable Medical Equipment (DME) 10/03/2011 7212 MM7212 06/02/2011
R2245CP 06/17/2011 Manual Clarifications for Skilled Nursing Facility (SNF) Part A Billing 08/01/2011 7339 MM7339 N/A
SE1121 N/A Recovery Audit Program Diagnosis Related Group (DRG) Coding Vulnerabilities for Inpatient Hospitals N/A N/A SE1121 06/22/2011
R2350CP 11/18/2011 2012 Annual Update to the Therapy Code List 01/03/2012 7648 MM7648 11/21/2011
R149BP 11/04/2011 Implementation of Changes in End Stage Renal Disease (ESRD) Payment for Calendar Year (CY) 2012 01/03/2012 7617 MM7617 11/07/2011
R150BP 11/16/2011 Implementation of Changes in End Stage Renal Disease (ESRD) Payment for Calendar Year (CY) 2012 01/03/2012 7617 MM7617 11/07/2011
R2239CP 06/14/2011 Manual Clarifications for Skilled Nursing Facility (SNF) Part A Billing 08/01/2011 7339 MM7339 03/29/2011
R2183CP 03/25/2011 Manual Clarifications for Skilled Nursing Facility (SNF) Part A Billing 06/28/2011 7339 MM7339 03/29/2011
R2243CP 06/17/2011 Claim Status Category and Claim Status Codes Update 10/03/2011 7456 MM7456 06/21/2011
R2241CP 06/17/2011 Guidelines to allow contractors to develop and utilize procedures for accepting and processing reopenings via a secure Internet portal/application 10/03/2011 7420 MM7420 06/21/2011
R2244CP 06/17/2011 New Waived Tests 10/03/2011 7435 MM7435 06/22/2011
R849OTN 01/28/2011 Modifications to the Implementation of the PWK (paperwork) segment for X12N Version 5010 07/05/2011 7306 MM7306 02/02/2011
R908OTN 06/22/2011 Modifications to the Implementation of the PWK (paperwork) segment for X12N Version 5010 N/A 7306 MM7306 02/02/2011
R2347CP 11/18/2011 Recoupment of Incorrect Payments Made Under the End Stage Renal Disease (ESRD) Prospective Payment System (PPS) for the Low-Volume Payment Adjustment 01/03/2012 7626 MM7626 11/23/2011
R73GI 11/23/2011 April 2012 Quarterly Updates to the CMS Standard File for Reason Codes for the Fiscal Intermediary Share System (FISS) 04/02/2012 7651 N/A N/A
R1002OTN 11/23/2011 Automated Tracking and Reporting of Recovery Audit-Associated Reopenings and Appeals N/A 7604 N/A N/A
R2360CP 11/23/2011 Instructions for Retrieving the 2012 Pricing and HCPCS Data Files through CMS Mainframe Telecommunications Systems 01/03/2012 7568 N/A N/A
R2354CP 11/18/2011 Expansion of Medicare Telehealth Services for CY 2012 01/03/2012 7504 MM7504 11/29/2011
R151BP 11/18/2011 Expansion of Medicare Telehealth Services for CY 2012 01/03/2012 7504 MM7504 11/29/2011
R942OTN 08/05/2011 Instructions to Accept and Process All Ambulance Transportation Healthcare Common Procedure Coding System (HCPCS) Codes 01/03/2012 7489 MM7489 08/09/2011
R1003OTN 11/25/2011 Instructions to Accept and Process All Ambulance Transportation Healthcare Common Procedure Coding System (HCPCS) Codes 01/03/2012 7489 MM7489 08/09/2011
R2335CP 10/28/2011 Clarification and Revisions for Claims Submitted for End Stage Renal Disease (ESRD) Patients 04/02/2012 7593 MM7593 11/08/2011
R2361CP 11/25/2011 Clarification and Revisions for Claims Submitted for End Stage Renal Disease (ESRD) Patients 04/02/2012 7593 MM7593 11/08/2011
R10P229 11/23/2011 This transmittal updates Chapter 29, Independent Rural Health Clinic (RHC) /Freestanding Federally Qualified Health Center (FQHC) Cost Report, (Form CMS-222-92). This transmittal also reflects further clarification and makes corrections to existing instructions. N/A N/A N/A N/A
R2356CP 11/23/2011 Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2012 01/03/2012 7657 MM7657 12/01/2011
R2247CP 06/24/2011 Teaching Physician Services 07/25/2011 7378 N/A N/A
R2248CP 06/24/2011 New Specialty Code for Advanced Diagnostic Imaging Accreditation 04/04/2011 7175 N/A N/A
R2238CP 06/08/2011 Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2011 07/09/2011 7448 N/A N/A
R73SOMA 12/02/2011 Revisions to Chapter 2, Sections 2082 - 2089 - Hospices 12/02/2011 N/A N/A N/A
R74SOMA 12/02/2011 Revised Appendix A, Interpretive Guidelines for Hospitals 12/02/2011 N/A N/A N/A
R445PR1 06/17/2011 Chapter 12 has been deleted because the Medicare program no longer pays an allowance N/A N/A N/A N/A
R2240CP 06/17/2011 Instructions for Downloading the Medicare ZIP Code File for October 2011 10/03/2011 7462 N/A N/A
R75SOMA 12/02/2011 Revised Appendix A, Interpretive Guidelines for Hospitals, and Appendix W, Interpretive Guidelines for Critical Access Hospitals (CAHs) 12/02/2011 N/A N/A N/A
R2359CP 11/23/2011 Screening for Depression in Adults N/A 7637 MM7637 12/05/2011
R2349CP 11/18/2011 Reasonable Charge Update for 2012 for Splints, Casts, and Certain Intraocular Lenses 01/03/2012 7628 MM7628 12/05/2011
R2357CP 11/23/2011 Intensive Behavioral Therapy for Cardiovascular Disease N/A 7636 MM7636 12/08/2011
R2250CP 07/01/2011 Non-systems Internet Only Manual (IOM) Changes 08/01/2011 7437 N/A N/A
R137NCD 11/23/2011 Intensive Behavioral Therapy for Cardiovascular Disease N/A 7636 MM7636 12/08/2011
R910OTN 07/01/2011 VMS Utility Run for DME MACs identification of edits for ICD-10 10/03/2011 7406 N/A N/A
SE1141 N/A 2012 Electronic Prescribing (eRx) Payment Adjustment: Assessment and Application N/A N/A SE1141 12/08/2011
R8P238 06/29/2011 This transmittal updates Chapter 38, Hospice Cost Report, (Form CMS-1984-99). N/A N/A N/A N/A
R909OTN 06/29/2011 CMS Standard Edit/Audit Setting Update 07/05/2011 7263 N/A N/A
R2351CP 11/18/2011 Therapy Cap Values for Calendar Year (CY) 2012 01/03/2012 7529 MM7529 11/23/2011
R102MCM 10/24/2011 Chapter 3 "Medicare Marketing Guidelines" 10/24/2011 N/A N/A N/A
R1005OTN 12/09/2011 Implementation of the Award for the Jurisdiction F (J-F) Part A and Part B Medicare Administrative Contractor (A/B MAC) including New Workload Numbers for Alaska, Idaho, Oregon and Washington 02/01/2012 7667 N/A N/A
R2367CP 12/09/2011 Verification of Status for all Hospitals Qualifying for Disproportionate Share Hospital (DSH) Payments under 42 CFR Section 412.106(c)(2), also known as the "Pickle Amendment" 10/05/2009 6564 N/A N/A
R190FM 07/12/2011 Notice of New Interest Rate for Medicare Overpayments and Underpayments - 4th Notification for FY 2011 07/18/2011 7152 N/A N/A
R2253CP 07/08/2011 Influenza Virus Vaccine 08/08/2011 7453 N/A N/A
R145BP 07/08/2011 Influenza Virus Vaccine 08/08/2011 7453 N/A N/A
R2358CP 11/23/2011 Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse N/A 7633 MM7633 12/13/2011
R2358CP 11/23/2011 Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse N/A 7633 MM7633 12/13/2011
R138NCD 11/23/2011 Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse N/A 7633 MM7633 12/13/2011
R2365CP 12/09/2011 Calendar Year (CY) 2012 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 01/03/2012 7654 MM7654 12/13/2011
R139NCD 11/23/2011 Screening for Depression in Adults N/A 7637 MM7637 12/05/2011
R450PR1 12/13/2011 Part 1 - Chapter 8, Purchase Discounts; Allowances; Refunds of Expenses N/A N/A N/A N/A
R2366CP 12/09/2011 Off-Cycle Release of the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2012 Pricer 01/03/2012 7666 MM7666 12/15/2011
SE1142 N/A Preventive Services Educational Resources for Health Care Professionals N/A N/A SE1142 12/15/2011
R449PR1 12/12/2011 Provider Reimbursement Manual - Part 1, Chapter 1 N/A N/A N/A N/A
R448PR1 12/12/2011 Part 1 Chapter 21- Cost Related to Patient Care N/A N/A N/A N/A
R911OTN 07/15/2011 Implementing the Recompetition Award for the Jurisdiction D DME Medicare Administrative Contractor (MAC) Workload 07/29/2011 7368 N/A N/A
R2214CP 05/13/2011 Pharmacy Billing for Drugs Provided, Incident To,a Physician Service(This CR rescinds and fully replaces CR 7109.) 06/29/2011 7397 MM7397 2012-05-19
R2251CP 07/01/2011 Pharmacy Billing for Drugs Provided Incident to a Physician Service This CR rescinds and fully replaces CR 7109. 08/15/2011 7397 MM7397 2012-05-19
R2271CP 08/05/2011 Pharmacy Billing for Drugs Provided "Incident To" a Physician Service. This CR rescinds and fully replaces CR 7109. 10/01/2011 7397 MM7397 2011-05-19
R2312CP 09/23/2011 Pharmacy Billing for Drugs Provided 'Incident To' a Physician Service - This CR rescinds and fully replaces CR 7109. 01/01/2012 7397 MM7397 05/19/2011
R2368CP 12/15/2011 Pharmacy Billing for Drugs Provided "Incident To" a Physician Service This CR rescinds and fully replaces CR 7109. 01/01/2013 7397 MM7397 05/19/2011
R2370CP 12/16/2011 January 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.0 01/03/2012 7668 MM7668 12/19/2011
R72GI 11/18/2011 Update to Medicare Deductible, Coinsurance and Premium Rates for 2012 01/03/2012 7567 MM7567 11/23/2011
R74GI 12/16/2011 Update to Medicare Deductible, Coinsurance and Premium Rates for 2012 01/03/2012 7567 MM7567 11/23/2011
R3P241 12/09/2011 The Patient Protection and Affordable Care Act (ACA), Section 6104 (Reporting of Direct Care Expenditures), for Skilled Nursing Facility and Skilled Nursing Facility Complex Cost Reports, Form CMS-2540-10. N/A N/A N/A N/A
R1P242 12/16/2011 Independent End-Stage Renal Disease cost report form CMS-265-11 which contains instructions and implements case-mix adjusted bundled ESRD PPS, for Medicare outpatient renal dialysis services furnished on or after January 1, 2011 N/A N/A N/A N/A
R2363CP 12/02/2011 April 2012 Quarterly Update for the DMEPOS Competitive Bidding Program 04/02/2012 7638 MM7638 12/20/2011
R77SOMA 12/22/2011 Revised Appendix A, Interpretive Guidelines for Hospitals 12/22/2011 N/A N/A N/A
R76SOMA 12/22/2011 Clarifications to Appendix L, Ambulatory Surgical Center Interpretive Guidelines - Obtaining Consent before Observing Surgical Procedures 12/22/2011 N/A N/A N/A
R78SOMA 12/22/2011 Revised Appendix A, Interpretive Guidelines for Hospitals, and Revised Appendix W, Interpretive Guidelines for Critical Access Hospitals (CAHs) 12/22/2011 N/A N/A N/A
R2375CP 12/22/2011 Annual Type of Service (TOS) Update 01/03/2012 7586 N/A N/A
SE1120 N/A Electronic Prescribing (eRx) Incentive Program 2011 Updates N/A N/A SE1120 06/29/2011
R2246CP 06/24/2011 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/03/2011 7454 MM7454 06/30/2011
R896OTN 05/06/2011 Durable Medical Equipment National Competitive Bidding: Correction to Permit Payment for Certain Grandfathered Accessories and Supplies 10/03/2011 7389 MM7389 05/11/2011
R915OTN 07/22/2011 Additional Healthcare Common Procedure Coding System (HCPCS) Codes Subject to Clinical Laboratory Improvement Amendments (CLIA) Edits 10/03/2011 7513 MM7513 07/26/2011
SE1114 N/A NEW INFORMATION TO IMPROVE PATIENT SAFETY AT AMERICA'S HOSPITALS N/A N/A SE1114 07/29/2011
R2134CP 01/14/2011 End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Consolidated Billing for Limited Part B Services 01/03/2011 7064 MM7064 08/27/2010
R2362CP 12/01/2011 Home Health Advance Beneficiary Notice, (HHABN), Form CMS-R-296 02/03/2012 7323 MM7323 12/27/2011
R2372CP 12/22/2011 Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) and PC Print Update 04/02/2012 7683 MM7683 12/27/2011
R2374CP 12/22/2011 Additional Instructions Regarding Demand Bills Under the Home Health Prospective Payment System 03/22/2012 7660 MM7660 12/27/2011
R948OTN 08/12/2011 Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program: Allowing Contract or Non-contract Suppliers to Maintain and Service the Enteral Nutrition Equipment that They Provided in the 15th Continuous Month of Rental 01/03/2012 7498 MM7498 08/16/2011
R1008OTN 12/23/2011 Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program: Allowing Contract or Non-contract Suppliers to Maintain and Service the Enteral Nutrition Equipment that They Provided in the 15th Continuous Month of Rental . 01/03/2012 7498 MM7498 08/16/2011
R995OTN 11/04/2011 Multiple Procedure Payment Reduction (MPPR) on Certain Diagnostic Imaging Procedures 01/03/2012 7442 MM7442 12/27/2011
R2192CP 04/12/2011 New Specialty Code for Advanced Diagnostic Imaging Accreditation 07/05/2011 7175 MM7175 11/02/2010
R2154CP 02/11/2011 Payment Update and Common Working File (CWF) Editing for Influenza Virus Vaccine and Pneumococcal Vaccine Codes 07/05/2011 7128 MM7128 07/06/2011
R378PI 07/01/2011 Prospective Billing for Refills of DMEPOS Items Provided on a Recurring Basis 08/02/2011 7452 MM7452 07/07/2011
R2258CP 07/29/2011 Correction to Processing of Hospice Discharge Claims 01/03/2012 7473 MM7473 2011-08-01
R2265CP 07/29/2011 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 17.3, Effective October 1, 2011 10/03/2011 7511 MM7511 08/01/2011
R78DEMO 07/29/2011 Affordable Care Act - Section 3113 - Laboratory Demonstration for Certain Complex Diagnostic Tests (This CR fully Rescinds and Replaces CR 7413) 01/03/2012 7516 MM7516 08/01/2011
R2261CP 07/29/2011 Affordable Care Act - Section 3113 - Laboratory Demonstration for Certain Complex Diagnostic Tests (This CR fully Rescinds and Replaces CR 7413) 01/03/2012 7516 MM7516 08/01/2011
R2260CP 07/29/2011 Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2012 10/03/2011 7518 MM7518 08/01/2011
R77DEMO 07/22/2011 Method of Cost Settlement for inpatient Services for Rural Hospitals Participating Under Demonstrations Authorized by Section 410A of the Medicare Modernization Act. Sections 3123 and 10313 of the Affordable Care Act authorized an expansion of the demonstration and an extension for additional 5-year period. This CR gives instructions for this additional 5-year period. This CR is an extension of CR 5020 for additional 5-year period. 08/22/2011 7505 MM7505 08/01/2011
R2377CP 12/30/2011 Manual Revision to Chapter 6, Section 20.1.1 Physician's Services and Other Professional Services Excluded From Part A PPS Payment and the Consolidated Billing Requirement 01/31/2012 7658 N/A N/A
R1011OTN 12/30/2011 Review and Analysis of draft Accredited Standards Committee X12 Technical Report 3s 04/02/2012 7697 N/A N/A
R75GI 12/30/2011 Contractor Implementation of Change Requests and Compliance with Technical Direction Letters 05/28/2012 7468 N/A N/A
R926OTN 07/29/2011 Medicare Remit Easy Print (MREP) and PC Print User Guide Update for Implementation of version 5010A1 01/03/2012 7466 MM7466 08/02/2011
R2255CP 07/15/2011 Quarterly Update to the End-Stage Renal Disease Prospective Payment System 10/03/2011 7476 MM7476 08/02/2011
R2264CP 07/29/2011 October 2011 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 10/03/2011 7488 MM7488 08/02/2011
R922OTN 07/29/2011 Addition of Medical Severity Diagnosis Related Group (MS-DRG) 265 to the list subject to Inpatient Prospective Payment System (IPPS) Replaced Devices Offered Without Cost or With a Credit Policy 01/03/2012 7457 MM7457 08/02/2011
R939OTN 08/01/2011 Independent Laboratory Billing of Automated Multi-Channel Chemistry (AMCC) Organ Disease Panel Laboratory Tests for Beneficiaries who are not Receiving Dialysis for Treatment of End Stage Renal Disease (ESRD) 01/03/2012 7497 MM7497 08/02/2011
R2268CP 08/01/2011 Anesthesiologist Services in a Method II Critical Access Hospital (CAH) 01/03/2012 7465 MM7465 08/03/2011
R70GI 08/05/2011 October 2011 Update to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS) 10/03/2011 7535 N/A N/A
R941OTN 08/05/2011 Common Working File (CWF) Editing Update for Pulmonary Rehabilitation Services (PR) and Cardiac and Intensive Cardiac Rehabilitation Services 01/03/2012 7470 N/A N/A
R191FM 07/13/2011 Add Physician Specialty Codes for Cardiac Electrophysiology (21) and Sports Medicine (23) to CROWD Forms F (ParDoc) and 8 (OptOut) 07/05/2011 7233 N/A N/A
R2369CP 12/16/2011 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 MM7671 12/20/2011
R2373CP 12/21/2011 Bundling of Payments for Services Provided to Outpatients Who Later Are Admitted as Inpatients: 3-Day Payment Window Policy and the Impact on Wholly Owned or Wholly Operated Physician Practices 01/03/2012 7502 MM7502 01/10/2012
R912OTN 07/14/2011 Durable Medical Equipment National Competitive Bidding: Correction to Permit Payment for Certain Grandfathered Accessories and Supplies 10/03/2011 7389 MM7389 05/11/2011
SE1103 N/A Capped Rental DME: Enforcement of Payment Requirements for Beneficiary-owned Capped Rental Durable Medical Equipment (DME) N/A N/A SE1103 03/09/2011
R2224CP 05/20/2011 July 2011 Integrated Outpatient Code Editor(I/OCE) Specifications Version 12.2 07/05/2011 7439 MM7439 05/25/2011
R2156CP 02/11/2011 Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits 04/04/2011 7277 MM7277 02/15/2011
R858OTN 02/04/2011 Accreditation for Physicians and Non-Physician Practitioners Supplying the Technical Component of Advanced Diagnostic Imaging Services 07/05/2011 7176 MM7176 02/08/2011
R2229CP 05/25/2011 Modifications to the Common Working File (CWF) Logic In Support of the National Coordination of Benefits Agreement (COBA) Crossover Process 07/05/2011 6741 N/A N/A
R136NCD 11/02/2011 Autologous Cellular Immunotherapy Treatment of Metastatic Prostate Cancer 08/08/2011 7431 MM7431 07/22/2011
R2339CP 11/02/2011 Autologous Cellular Immunotherapy Treatment of Metastatic Prostate Cancer 08/08/2011 7431 MM7431 07/22/2011
R2254CP 07/08/2011 Autologous Cellular Immunotherapy Treatment of Metastatic Prostate Cancer N/A 7431 MM7431 07/22/2011
R133NCD 07/08/2011 Autologous Cellular Immunotherapy Treatment of Metastatic Prostate Cancer N/A 7431 MM7431 07/22/2011
R192FM 07/29/2011 Recovery Audit Program MAC-issued Demand Letters 01/03/2012 7436 MM7436 08/01/2011
R2378CP 12/29/2011 January 2012 Update of the Ambulatory Surgery Center Payment System (ASC) 01/03/2012 7682 MM7682 01/06/2012
R836OTN 01/21/2011 Accreditation for Physicians and Non-Physician Practitioners Supplying the Technical Component of Advanced Diagnostic Imaging Services 07/05/2011 7176 MM7176 02/08/2011
R917OTN 07/21/2011 October Common Edits and Enhancements Module (CEM) and Receipt, Control, and Balancing Updates 10/03/2011 7392 N/A N/A
R921OTN 07/29/2011 Common Edits and Enhancements Modules (CEM) Code Set Update 01/03/2012 7491 N/A N/A
R919OTN 07/29/2011 Add Patient Status Codes to Bypass DA02 Edit in Common Working File (CWF) 01/03/2012 7490 N/A N/A
R920OTN 07/29/2011 Expand the Fiscal Intermediary Shared System (FISS) End Stage Renal Disease (ESRD) Parameter Files, Hook Selection Files, and Medical Policy Parameter Files to Accommodate the Requirements for ICD-10. 01/03/2012 7427 N/A N/A
R81MSP 07/29/2011 Requesting the Common Working File (CWF) to Cease Submitting First Claim Development (FCD) and Trauma Code Development (TCD) Alerts to the Coordination of Benefits Contractor (COBC) 01/03/2012 7483 N/A N/A
R928OTN 07/29/2011 Systems Analysis of New Medicare Summary Notice (MSN) Design 01/03/2012 7449 N/A N/A
R924OTN 07/29/2011 Implementing the Recompetition Award for the Jurisdiction A Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Workload 08/01/2011 7524 N/A N/A
R929OTN 08/01/2011 Discontinuation of FISS Data Feed to Legacy Provider Statistical and Reimbursement (PSandR) System 01/03/2012 7487 N/A N/A
R931OTN 08/01/2011 Health Insurance Portability and Accountability Act (HIPAA) 5010 837 Institutional (837I) Edits and 5010 837 Professional (837P) Edits - January 2012 Version 01/03/2012 7515 N/A N/A
R933OTN 08/01/2011 Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes - January 2012 01/03/2012 7481 N/A N/A
R945OTN 08/05/2011 Informational Message on the 835 01/03/2012 7440 N/A N/A
R944OTN 08/05/2011 Conference Calls and Research Hours to Identify an Automated Solution for Tracking and Reporting Recovery Auditor Reopening and Appeals throughout the Medicare Appeals Process 01/03/2012 7469 N/A N/A
R82MSP 08/05/2011 Updates to the Electronic Correspondence Referral System (ECRS) Web User Guide v2.0 and Chapter 5 09/05/2011 7463 N/A N/A
R100MCM 08/05/2011 Chapter 5, "Quality Improvement Program" 08/05/2011 N/A N/A N/A
R2267CP 08/01/2011 Common Working File (CWF) Editing for Influenza Virus Vaccine and Pneumococcal Vaccine Codes 01/03/2012 7461 N/A N/A
R946OTN 08/12/2011 Implementation of the HIPAA Version 5010 276/277 Claim Status Edits January 2012 Release 01/03/2012 7394 N/A N/A
R947OTN 08/12/2011 Revision to Change Request 7362: "Integrated Data Repository (IDR) Claims Sourcing from Shared Systems - Implementation" to Required Transmission of CMN History Data N/A 7496 N/A N/A
R949OTN 08/12/2011 Implementation of a Correction of Initial Default Values for Medically Unlikely Edits (MUEs) N/A 7418 N/A N/A
R2272CP 08/12/2011 Healthcare Provider Taxonomy Codes (HPTC) Update October 2011 01/03/2012 7530 N/A N/A
R2274CP 08/12/2011 2012 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments 01/03/2012 7517 MM7517 08/15/2011
R940OTN 08/05/2011 Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number N/A 7499 MM7499 08/16/2011
SE1137 N/A Additional Health Insurance Portability and Accountability Act (HIPAA) 837 5010 Transitional Changes and Further Modifications to the Coordination of Benefits Agreement (COBA) National Crossover Process N/A N/A SE1137 12/01/2011
SE1138 N/A Non-Specific Procedure Code Description Requirement for HIPAA Version 5010 Claims N/A N/A SE1138 12/27/2011
R918OTN 07/26/2011 HIPPA 5010 National Testing Day and Week 06/14/2011 7415 N/A N/A
R2242CP 06/17/2011 Revision to Formula to Compute the Time Value of Money under the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), Inpatient Rehabilitation Facility (IRF PPS), Inpatient Psychiatric Facility (IPF PPS) and Long Term Care Hospital (LTCH PPS) 07/01/2011 7464 N/A N/A
R2336CP 10/28/2011 FISS Claims Processing Updates for Ambulance Services 04/02/2012 7557 MM7557 11/01/2011
R2269CP 08/05/2011 Clarification of Payment for ESRD-Related Services Under the Monthly Capitation Payment 11/07/2011 7520 MM7520 08/16/2011
R943OTN 08/05/2011 New Claim Adjustment Reason Code (CARC) and Remittance Advice Remark Code (RARC) Messages for the Electronic Prescribing (eRx) Negative Payment Adjustment (MIPPA, 2008) 01/03/2012 7500 N/A N/A
R74DEMO 07/15/2011 Affordable Care Act - Section 3113 - Laboratory Demonstration for Certain Complex Diagnostic Tests (This CR Fully Rescinds and Replaces CR 7278) 01/03/2012 7413 MM7413 05/25/2011
R2226CP 05/20/2011 Affordable Care Act Section 3113 Laboratory Demonstration for Certain Complex Diagnostic Tests (This CR Fully Rescinds and Replaces CR 7278) 01/03/2012 7413 MM7413 05/25/2011
R73DEMO 05/20/2011 Affordable Care Act Section 3113 Laboratory Demonstration for Certain Complex Diagnostic Tests (This CR Fully Rescinds and Replaces CR 7278) 01/03/2012 7413 MM7413 05/25/2011
R2276CP 08/19/2011 October Update to the CY 2011 Medicare Physician Fee Schedule Database (MPFSDB 10/03/2011 7528 MM7528 08/23/2011
R2279CP 08/19/2011 Annual Clotting Factor Furnishing Fee Update 2012 01/03/2012 7543 MM7543 08/23/2011
R2277CP 08/19/2011 October 2011 Integrated Outpatient Code Editor (I/OCE) Specifications Version 12.3 10/03/2011 7541 MM7541 08/23/2011
R383PI 08/26/2011 Update to Pub. 100-08, Medicare Program Integrity Manual - Chapter 3 09/26/2011 7536 N/A N/A
R936OTN 08/01/2011 Expand the Expert Claims Processing System (ECPS) for the Fiscal Intermediary Shared System (FISS) to accommodate ICD-10 01/03/2012 7428 N/A N/A
R935OTN 08/01/2011 Analysis CR - The Inclusion of Veterans Administration (VA) Skilled Nursing Facility (SNF) claims to the VA Medicare Remittance Advice (eMRA) Process 01/03/2012 7503 N/A N/A
R1010OTN 12/30/2011 Instruction to Teaching Hospital for Reporting the Internal Revenue Service (IRS) - Refund of Medical Resident FICA Taxes 01/30/2012 7685 MM7685 01/04/2012
R2287CP 08/26/2011 Medicare Physician Fee Schedule Database (MPFSDB) 2012 File Layout Manual 01/03/2012 7554 N/A N/A
R400PI 11/21/2011 Additional Provider and Supplier Enrollment Requirements for Fixed Wing and Helicopter Air Ambulance Operators 02/03/2012 7363 MM7363 10/28/2011
R394PI 10/27/2011 Additional Provider and Supplier Enrollment Requirements for Fixed Wing and Helicopter Air Ambulance Operators 02/03/2012 7363 MM7363 2012-03-15
R2371CP 12/22/2011 Claim Status Category and Claim Status Codes Update 04/02/2012 7670 MM7670 01/27/2012
R2286CP 08/26/2011 2012 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update 01/03/2012 7552 MM7552 08/31/2011
R955OTN 08/26/2011 Analysis and Design for Documentation Status Data Feed from Shared Systems for (CR 7455) 01/03/2012 7417 N/A N/A
R2343CP 11/04/2011 Announcement of Medicare Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Payment Rate Increases 01/03/2012 7533 MM7533 11/14/2011
R2291CP 08/26/2011 Fiscal Year (FY) 2012 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Critical Access Hospital (CAH) Changes 10/03/2011 7508 MM7508 09/01/2011
R2292CP 08/26/2011 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2012 10/03/2011 7522 MM7522 09/01/2011
R2284CP 08/26/2011 Clarification to Chapter 26, Section 10.4 - Items 14-33 - Provider of Service or Supplier Information 09/26/2011 7538 MM7538 09/01/2011
R2285CP 08/26/2011 Attending Physician Identifiers on Religious Nonmedical Health Care Institution Claims 11/28/2011 7542 MM7542 09/01/2011
R387PI 09/01/2011 Eligible Physicians and Practitioners who need to Enroll in the Medicare Program for the Sole Purpose of Ordering and Referring Services for Medicare Beneficiaries 10/18/2010 7097 MM7097 09/21/2010
R2296CP 09/02/2011 October 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/03/2011 7545 MM7545 09/06/2011
SE1127 N/A Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program Expansion Announced N/A N/A SE1127 09/06/2011
R386PI 09/01/2011 Ordering/Referring Providers Who Are not Enrolled in Medicare 04/19/2010 6696 N/A N/A
R79DEMO 09/02/2011 Implementation Support and Payment Processing for the Multi-payer Advanced Primary Care Practice (MAPCP) Demonstration N/A 7283 N/A N/A
R927OTN 07/29/2011 Populating REF Segment - Other Claim Related Adjustment - for Healthcare Claim Payment/Advice or Transaction 835 Version 5010A1 01/03/2012 7484 MM7484 08/02/2011
R959OTN 09/02/2011 Populating REF Segment - Other Claim Related Adjustment - for Healthcare Claim Payment/Advice or Transaction 835 version 5010A1 01/03/2012 7484 MM7484 08/02/2011
R2257CP 07/22/2011 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2011 10/03/2011 7507 MM7507 07/26/2011
R2298CP 09/02/2011 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2011 10/03/2011 7507 MM7507 07/26/2011
SE1101 N/A Overview of Medicare Policy Regarding Chiropractic Services N/A N/A SE1101 07/18/2011
R2300CP 09/13/2011 October Quarterly Update to 2011 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 10/03/2011 7444 MM7444 06/07/2011
R2275CP 08/12/2011 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2012 10/03/2011 7510 MM7510 08/16/2011
R2301CP 09/13/2011 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2012 10/03/2011 7510 MM7510 08/16/2011
R2376CP 12/29/2011 January 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS) 01/03/2012 7672 MM7672 01/06/2012
R152BP 12/29/2011 January 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS) 01/03/2012 7672 MM7672 01/06/2012
R2299CP 09/08/2011 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 N/A N/A
R194FM 09/09/2011 Medicare Financial Management Manual, Chapter 7, Internal Control Requirements 10/11/2011 7555 N/A N/A
R960OTN 09/08/2011 Update the existing ViPS Medicare System (VMS) Utilization Parameter files for ICD-10. 01/03/2012 7321 N/A N/A
R2303CP 09/14/2011 Teaching Physician Services 10/14/2011 7378 N/A N/A
R388PI 09/16/2011 Additional Review Activities for Home Health Agencies (HHAs) 12/17/2011 7525 N/A N/A
R2288CP 08/26/2011 Establishing a Quarterly Recurring Update Notification Process for Temporary "K" and "Q" Codes 01/03/2012 7493 N/A N/A
R957OTN 08/31/2011 Request for Common Working File (CWF) System to Support the Automated Edit Project Field Test 01/03/2012 6725 N/A N/A
R2278CP 08/19/2011 2012 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder 01/03/2012 7540 N/A N/A
R101MCM 08/19/2011 Chapter 10, "MA Organization Compliance with State Law and Preemption by Federal Law" 08/19/2011 N/A N/A N/A
R952OTN 08/19/2011 Fee For Service Common Eligibility Services Conference Calls and Research 01/03/2012 7548 N/A N/A
R2280CP 08/19/2011 Instructions for Downloading the Medicare ZIP Code File for January 2012 01/03/2012 7549 N/A N/A
R951OTN 08/19/2011 HITECH - Annual 1099 Address File - Requirements for Submitting Updated Address, TIN and Full Legal Name for all HITECH Payees Receiving EHR Incentive Payments During the Calendar Year 01/03/2012 7509 N/A N/A
R954OTN 08/19/2011 Revise MCS System to Accommodate ICD-10 01/03/2012 7539 N/A N/A
R193FM 08/26/2011 Recovery Audit Program Tracking Appeals and Reopenings 09/27/2011 7458 N/A N/A
R2304CP 09/15/2011 October 2011 Update of the Ambulatory Surgery Center (ASC) Payment System 10/03/2011 7514 MM7514 09/20/2011
R2263CP 07/29/2011 Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) and PC Print Update 10/03/2011 7514 MM7514 09/20/2011
R2283CP 08/26/2011 Clinical Laboratory Fee Schedule -Medicare Travel Allowance Fees for Collection of Specimens 11/29/2011 7526 MM7526 08/30/2011
R2306CP 09/16/2011 Clinical Laboratory Fee Schedule-Medicare Travel Allowance Fees for Collection of Specimens 11/29/2011 7526 08/30/2011 09/19/2011
R2290CP 08/26/2011 October 2011 Update of the Ambulatory Surgery Center (ASC) Payment System 10/03/2011 7547 MM7547 09/01/2011
R2305CP 09/15/2011 October 2011 Update of the Ambulatory Surgery Center (ASC) Payment System 10/03/2011 7547 MM7547 09/01/2011
SE1109 N/A Summary Information Regarding Medicare's Primary Care Incentive Payment Program (PCIP) N/A N/A SE1109 03/22/2011
R2282CP 08/26/2011 Clarification of Evaluation and Management Payment Policy 11/28/2011 7405 MM7405 09/21/2011
R147BP 08/26/2011 Clarification of Evaluation and Management Payment Policy 11/28/2011 7405 MM7405 09/21/2011
R9P238 09/21/2011 Chapter 38, Hospice Cost Report, (Form CMS-1984-99) N/A N/A N/A N/A
R2309CP 09/23/2011 Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes 01/03/2012 7584 N/A N/A
R1MPI 09/23/2011 Medicaid Program Integrity Manual-Initial Release 09/23/2011 N/A N/A N/A
R906OTN 06/09/2011 Reporting of Recoupment for Overpayment on the Remittance Advice (RA) 07/06/2010 6870 MM6870 04/08/2010
R866OTN 03/04/2011 Reporting of Recoupment for Overpayment on the Remittance Advice (RA) 07/06/2010 6870 MM6870 04/08/2010
R2310CP 09/23/2011 Ambulance Inflation Factor for CY 2012 01/03/2012 7546 MM7546 09/27/2011
R134NCD 08/26/2011 Magnetic Resonance Imaging (MRI) in Medicare Beneficiaries with FDA-Approved Implanted Permanent Pacemakers (PMs) for use in an MRI Environment 09/26/2011 7441 MM7441 09/06/2011
R2307CP 09/22/2011 Magnetic Resonance Imaging (MRI) in Medicare Beneficiaries with FDA-Approved Implanted Permanent Pacemakers (PMs) for use in an MRI Environment 09/26/2011 7441 MM7441 09/06/2011
R135NCD 09/22/2011 Magnetic Resonance Imaging (MRI) in Medicare Beneficiaries with FDA-Approved Implanted Permanent Pacemakers (PMs) for use in an MRI Environment 09/26/2011 7441 MM7441 09/06/2011
R2293CP 08/26/2011 Magnetic Resonance Imaging (MRI) in Medicare Beneficiaries with FDA-Approved Implanted Permanent Pacemakers (PMs) for use in an MRI Environment 09/26/2011 7441 MM7441 09/06/2011
R2262CP 07/29/2011 Implementation of the MIPPA 153c End Stage Renal Disease (ESRD) Quality Incentive Program (QIP) and Other Requirements for ESRD Claims 01/03/2012 7460 MM7460 08/01/2011
R2311CP 09/23/2011 Implementation of the MIPPA 153c End Stage Renal Disease (ESRD) Quality Incentive Program (QIP) and Other Requirements for ESRD Claims 01/03/2012 7460 MM7460 08/01/2011
SE1128 N/A Prohibition on Balance Billing Qualified Medicare Beneficiaries (QMBs) N/A N/A SE1128 09/28/2011
R958OTN 09/15/2011 Additional Fields for Additional Documentation Request (ADR) Automated Development System (ADS) Letters N/A 7254 MM7254 09/27/2011
R862OTN 02/18/2011 Analysis and Design for Additional Fields for Additional Documentation Request (ADR) Letters for CR7254 07/05/2011 7324 MM7324 09/27/2011
SE1131 N/A Important Update Regarding 5010/D.0 Implementation - Action Needed Now N/A N/A SE1131 10/03/2011
SE1130 N/A Implementation of Pay.gov Application Fee Collection Process through PECOS N/A N/A SE1130 10/03/2011
R2314CP 09/30/2011 Claim Status Category and Claim Status Codes Update 01/03/2012 7585 MM7585 10/03/2011
R2237CP 06/03/2011 October Quarterly Update to 2011 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 10/03/2011 7444 MM7444 06/07/2011
R434PI 2012-09-14 Removal of Remaining Material from Chapter 10 of the Program Integrity Manual (PIM) 2012-10-16 8026