Quarterly Provider Updates

QPU April 2004

The Quarterly Provider Update provides a listing of Agency regulations and meeting notices. Non-regulatory changes to the Medicare and Medicaid programs, consisting of manual instructions, are also included in this listing.

File Name Subject Publication/Implementation Date Quarterly Release Date
CMS-3017-IFC Final Rule with Comment Period: Conditions for Coverage of Power Mobility Devices, including Powered Wheelchairs and Power-Operated Vehicles (Scooters) N/A 04/01/2004
CMS-1429-P Proposed Rule: Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 N/A 04/01/2004
CMS-9026-N Notice: Schedule for Publishing Medicare Final Regulations after a Proposed or Interim Final Regulation N/A 04/01/2004
CMS-3142-NC Notice: Evaluation Criteria and Standards for Quality Improvement Program Contracts N/A 04/01/2004
CMS-2132-F Medicaid Program; Provider Qualifications for Audiologists 05/28/2004 04/01/2004
CMS-1428-CN Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates; Correction 06/25/2004 04/01/2004
CMS-1428-P Medicare Program; Proposed Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates 05/18/2004 04/01/2004
CMS-1263-F Medicare Program; Prospective Payment System for Long-Term Care Hospitals: Annual Payment Rate Updates and Policy Changes; Final Rule 05/07/2004 04/01/2004
CMS-1262-F Medicare Program; Changes to the Criteria for Being Classified as an Inpatient Rehabilitation Facility; Final Rule 05/07/2004 04/01/2004
CMS-1265-P Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2005 06/02/2004 04/01/2004
CMS-1279-N Medicare Program; Request for Nominations for the Program Advisory Oversight Committee for the Competitive Acquisition of Durable Medical Equipment and Other Items 06/02/2004 04/01/2004
CMS-1273-N Medicare Program; Public Meetings in Calendar Year 2004 for New Durable Medical Equipment Coding and Payment Determinations 04/23/2004 04/01/2004
CMS-5004-N Medicare Program; Voluntary Chronic Care Improvement Under Traditional Fee-for-Service Medicare 04/23/2004 04/01/2004
CMS-1727-P Medicare Program; Provider Reimbursement Determinations and Appeals 06/25/2004 04/01/2004
CMS-1380-IFC Medicare Program; Manufacturer Submission of Manufacturer's Average Sales Price (ASP) Data for Medicare Part B Drugs and Biologicals 04/06/2004 04/01/2004
CMS-1185-F Medicare Program; Elimination of Statement of Intent Procedures for Filing Medicare Claims 04/23/2004 04/01/2004
R54MCM Chapter 19, Managed Care and M+C Systems Requirements N/A 04/01/2004
R53MCM Chapter 11, Contracts With Medicare+Choice Organizations N/A 04/01/2004
R52MCM Chapter 17, Subchapter A, TEFRA Cost-Based Payment Process and Principles N/A 04/01/2004
R51MCM Chapter 2, End Stage Renal Disease N/A 04/01/2004
R50MCM Chapter 20, Managed Care and M+C Systems Business Requirements N/A 04/01/2004
R49MCM Chapter 4, Benefits and Beneficiary Protection N/A 04/01/2004
R220CP Grievances, Organization Determinations, and Appeals N/A 04/01/2004
R220CP Implementation of Section 414 of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 07/06/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R16NCD Cardiac Pacemaker 04/30/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004 07/06/2004 04/01/2004
R141CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2004 07/06/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R89CP The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R88CP Implementation of Changes to Payment for Ambulance Services Required by Section 414 of MMA 07/06/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
CMS-1469-F2 Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Correcting Amendment 06/25/2004 04/01/2004
CMS-1810-CN Medicare Program; Physicians' Referrals to Health Care Entities With Which They Have Financial Relationships (Phase II); Correction 04/06/2004 04/01/2004
CMS-1809-F5 Medicare and Medicaid Programs; Physicians' Referrals to Health Care Entities With Which They Have Financial Relationships: Extension of Partial Delay of Effective Date 06/25/2004 04/01/2004
CMS-1372-CN2 Medicare Program; Changes to Medicare Payment for Drugs and Physician Fee Schedule Payments for Calendar Year 2004: Correction 06/25/2004 04/01/2004
CMS-9022-N Medicare and Medicaid Programs; Quarterly Listing of Program Issuances--January 2004 Through March 2004 06/25/2004 04/01/2004
CMS-2189-CN Medicaid Program; Real Choice Systems Change Grants; Correction Notice 06/25/2004 04/01/2004
CMS-2189-N Medicaid Program; Real Choice Systems Change Grants 05/18/2004 04/01/2004
CMS-5033-N Medicare Program; Establishment of the Advisory Board on the Demonstration of a Bundled Case-Mix Adjusted Payment System for End Stage Renal Disease Services and Request for Nominations for Members 06/02/2004 04/01/2004
CMS-5025-N Medicare Program; Medicare Replacement Drug Demonstration 06/29/2004 04/01/2004
CMS-4071-N2 Medicare Program; Listening Sessions on Performance Measures for Public Reporting on the Quality of Hospital Care During April, May, and June 2004 04/23/2004 04/01/2004
CMS-4066-N Medicare Program; Meeting of the Advisory Panel on Medicare Education--May 11, 2004 04/23/2004 04/01/2004
CMS-3134-N Medicare Program; Town Hall Meeting on Potential Facility Qualifications for Expanded Coverage of Percutaneous Transluminal Angioplasty for Carotid Stenting Procedures 06/25/2004 04/01/2004
CMS-3130-N Medicare Program; Meeting of the Medicare Coverage Advisory Committee--July 14, 2004 05/28/2004 04/01/2004
CMS-2200-N3 Medicare Program; Meeting of the State Pharmaceutical Assistance Transition Commission--July 7, 2004 06/18/2004 04/01/2004
CMS-1363-N Medicare Program; May 17, 2004, Meeting of the Practicing Physicians Advisory Council 04/23/2004 04/01/2004
CMS-1266-N Medicare Program; Public Meeting in Calendar Year 2004 for New Clinical Laboratory Tests Payment Determinations 05/28/2004 04/01/2004
CMS-1269-N Medicare Program; Establishment of the Emergency Medical Treatment and Labor Act (EMTALA) Technical Advisory Group (TAG) and Request for Nominations for Members 05/28/2004 04/01/2004
CMS-4069-N Medicare Program; Open Public Meeting To Discuss Definitions of Regions for Regional Medicare Preferred Provider Organizations and Prescription Drug Plans Under the Medicare Modernization Act--July 21, 2004 05/28/2004 04/01/2004
CMS-2196-N Aging and Disability Resource Center Grant Program 04/23/2004 04/01/2004
CMS-2195-N Medicaid Program; Demonstration To Improve the Direct Service Community Workforce 05/28/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004 07/06/2004 04/01/2004
R141CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2004 07/06/2004 04/01/2004
R114CP Outpatient Clinical Laboratory /Tests Furnished by Hospitals With Fewer Than 50 Beds 07/06/2004 04/01/2004
R100CP Outpatient Clinical Laboratory /Tests Furnished by Hospitals With Fewer Than 50 Beds 07/06/2004 04/01/2004
R98CP Consolidation of the Claims Crossover Process--Additional CWF Functionality 07/06/2004 04/01/2004
R9BP Arrangements for Physical, Occupational, and Speech Language Pathology Services (PT, OT, SLP) 05/24/2004 04/01/2004
R85CP Processing of Claims for Referred Services for a Independent Clinical Diagnostic Laboratory 07/06/2004 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R133CP Billing NonCovered Charges to Fiscal Intermediaries - Summary and New Instructions - Clarification 04/16/2004 04/01/2004
R16NCD Cardiac Pacemaker 04/30/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R68OTN Transmittal 49 Implementation Date Extension 07/06/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004 07/06/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R89CP The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R213CP Payment to Bank 07/25/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R145CP Data Element Requirements Matrix - Carrier 05/24/2004 04/01/2004
R13BP Diabetes Self Management Training Services 06/28/2004 04/01/2004
R171CP July Quarterly Update for 2004 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 07/06/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004 07/06/2004 04/01/2004
R136CP Addition of Two "WW" Codes to Identify Xeloda (Capecitabine) 07/06/2004 04/01/2004
R127CP 2004 Jurisdiction List 05/26/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R98CP Consolidation of the Claims Crossover Process--Additional CWF Functionality 07/06/2004 04/01/2004
R89CP The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R83CP New "K" Codes for Wheelchair Cushions 07/06/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R16NCD Cardiac Pacemaker 04/30/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R115CP DMERCs and VIPS, Processing NDC Numbers Clarification to CR 3141 07/06/2004 04/01/2004
R191CP Skilled Nursing Facility Consolidated Billing L Codes - DMERCs and FIs 06/28/2004 04/01/2004
R179CP Clarification to CR 3069 - New "K" Codes for Wheelchair Cushions 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004 07/06/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R107CP 2nd POC Review--HIPAA X12N 837 Health Care Claim Implementation Guide Editing Additional Instruction 07/06/2004 04/01/2004
R89CP The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R75OTN One time instructions for audit intermediary cost reporting processes to accommodate claims processing error that prevented some supply charges from being reported on home health prospective payment system claims 05/24/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R16NCD Cardiac Pacemaker 04/30/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R9BP Arrangements for Physical, Occupational, and Speech Language Pathology Services (PT, OT, SLP) 05/24/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R68OTN Transmittal 49 Implementation Date Extension 07/06/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R184CP Update to the Medicare July Outpatient OPPS Outpatient Code Editor 07/06/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004 07/06/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R107CP 2nd POC Review--HIPAA X12N 837 Health Care Claim Implementation Guide Editing Additional Instruction 07/06/2004 04/01/2004
R91CP Processing Non-covered HH PPS Charges 07/06/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R89CP Update of UB-92 Codes 07/06/2004 04/01/2004
R80CP Extend Medicare Coverage for Certain Colorectal Cancer Screenings at SNF 07/06/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R133CP Billing NonCovered Charges to Fiscal Intermediaries - Summary and New Instructions - Clarification 04/16/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R13BP Diabetes Self Management Training Services 06/28/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R68OTN Transmittal 49 Implementation Date Extension 07/06/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004 07/06/2004 04/01/2004
R141CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2004 07/06/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R107CP 2nd POC Review--HIPAA X12N 837 Health Care Claim Implementation Guide Editing Additional Instruction 07/06/2004 04/01/2004
R89CP The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R133CP Billing NonCovered Charges to Fiscal Intermediaries - Summary and New Instructions - Clarification 04/16/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R68OTN Transmittal 49 Implementation Date Extension 07/06/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004 07/06/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R107CP 2nd POC Review--HIPAA X12N 837 Health Care Claim Implementation Guide Editing Additional Instruction 07/06/2004 04/01/2004
R89CP The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
CMS-1275-N Notice: Announcement of Bi-Annual Ambulatory Payment Classification, Panel Meeting on August 18, 19 & 20, 2004 & Announcement of New Members N/A 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
CMS-2187-N Notice: Extended Availability of Unexpended SCHIP Funds From the Appropriation for FYs 1998 Through 2004; and Authority To Use a Portion of SCHIP Funds for Medicaid Expenditures N/A 04/01/2004
CMS-2186-P Proposed Rule: Payment Error Rate Measurement (PERM) Program N/A 04/01/2004
CMS-1492-IFC Medicare Ambulance Fee Schedule Updates N/A 04/01/2004
CMS-4068-P Proposed Rule: Medicare Drug Benefit Effective CY 2006 (Title I) N/A 04/01/2004
CMS-2199-P Proposed Rule: Special Rules for Employer Sponsored Drug Programs: Subsidies to Encourage Retention (Title I)) N/A 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R133CP Billing NonCovered Charges to Fiscal Intermediaries - Summary and New Instructions - Clarification 04/16/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R133CP Billing NonCovered Charges to Fiscal Intermediaries - Summary and New Instructions - Clarification 04/16/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004 07/06/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R89CP The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R9NCD (PDF - 413 KB) NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R209CP Correction to CR 2944, Transmittal 90, Issued on February 6, 2004 07/06/2004 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R182CP Updated SNF NO PAY File for July 2004 07/06/2004 04/01/2004
R178CP Evaluation and Management Service Codes N/A 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R174CP Healthcare Common Procedure Coding System (HCPCS) Corrections Involving 0040T and A9603 07/06/2004 04/01/2004
R133CP Billing NonCovered Charges to Fiscal Intermediaries - Summary and New Instructions - Clarification 04/16/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R68OTN Transmittal 49 Implementation Date Extension 07/06/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004 07/06/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R191CP Skilled Nursing Facility Consolidated Billing L Codes - DMERCs and FIs 06/28/2004 04/01/2004
R189CP Updated SNF Help File Available for Calendar Year 2004 06/28/2004 04/01/2004
R177CP Updated SNF NO PAY File for July 2004 07/06/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R89CP The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004 07/06/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R107CP 2nd POC Review--HIPAA X12N 837 Health Care Claim Implementation Guide Editing Additional Instruction 07/06/2004 04/01/2004
R89CP The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R133CP Billing NonCovered Charges to Fiscal Intermediaries - Summary and New Instructions - Clarification 04/16/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R68OTN Transmittal 49 Implementation Date Extension 07/06/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004 07/06/2004 04/01/2004
R143CP Updated SNF NO PAY File for April 2004 04/19/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R107CP 2nd POC Review--HIPAA X12N 837 Health Care Claim Implementation Guide Editing Additional Instruction 07/06/2004 04/01/2004
R94CP More Info on MSNs About SNFs 07/06/2004 04/01/2004
R90CP Bundled Services for SNF 07/06/2004 04/01/2004
R89CP The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R178CP Evaluation and Management Service Codes N/A 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R201CP IOM Manualization of Indian Health Services N/A 04/01/2004
R205CP Nurse Practitioners As Attending Physicians in the Medicare Hospice Benefit 06/28/2004 04/01/2004
R209CP Correction to CR 2944, Transmittal 90, Issued on February 6, 2004 07/06/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R194CP July 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS): Payment for Drugs, Biologicals and Radiopharmaceuticals 07/06/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R68OTN Transmittal 49 Implementation Date Extension 07/06/2004 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R87CP Expansion of Transfer Policy Under Inpatient Payment Prospective System (IPPS) 07/06/2004 04/01/2004
R89CP The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R100CP Outpatient Clinical Laboratory /Tests Furnished by Hospitals With Fewer Than 50 Beds 07/06/2004 04/01/2004
R103CP Chapter 4, Section 250.2, Optional Method for Outpatient Services: Cost-Based Facility Services Plus 115 Percent. 07/01/2004 04/01/2004
R107CP 2nd POC Review--HIPAA X12N 837 Health Care Claim Implementation Guide Editing Additional Instruction 07/06/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R13BP Diabetes Self Management Training Services 06/28/2004 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R133CP Billing NonCovered Charges to Fiscal Intermediaries - Summary and New Instructions - Clarification 04/16/2004 04/01/2004
R16NCD Cardiac Pacemaker 04/30/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R133CP Billing NonCovered Charges to Fiscal Intermediaries - Summary and New Instructions - Clarification 04/16/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R89CP The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R107CP 2nd POC Review--HIPAA X12N 837 Health Care Claim Implementation Guide Editing Additional Instruction 07/06/2004 04/01/2004
R89CP The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R133CP Billing NonCovered Charges to Fiscal Intermediaries - Summary and New Instructions - Clarification 04/16/2004 04/01/2004
R16NCD Cardiac Pacemaker 04/30/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004 07/06/2004 04/01/2004
R141CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2004 07/06/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R170CP Chapter 1, General Billing Requirements N/A 04/01/2004
R141CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2004 07/06/2004 04/01/2004
R143CP Updated SNF NO PAY File for april 2004 04/19/2004 04/01/2004
R186CP July Update to the Medicare Outpatient code Editor (OCE) Version 19.2 For Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System 07/06/2004 04/01/2004
R187CP Billing Requirements for Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities 06/28/2004 04/01/2004
R188CP Hospital Outpatient Billing and Payment under OPPS for New, Unclassified Drugs or Biologicals Approved by the FDA After January 1, 2004, But Before Assignment of a Product-Specific Drug/Biological HCPCS Code 07/06/2004 04/01/2004
R191CP Skilled Nursing Facility Consolidated Billing L Codes - DMERCs and FIs 06/28/2004 04/01/2004
R195CP July 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS) 07/06/2004 04/01/2004
R208CP Long Term Care Hospital Prospective Payment System (LTCH PPS) Fiscal Year 2005-Update 07/06/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R72OTN Changes in Determining Rural Status of Hospitals for Transitional Outpatient Payments (TOPs) for 2004 06/01/2004 04/01/2004
R77OTN Instructions Related to "Redistribution of Unused Resident Positions," Section 422 of the Medicare Modernization Act of 2003 (MMA), P.L. 108-173, for Purposes of Graduate Medical Education (GME) Payments 06/04/2004 04/01/2004
R79OTN 18-Month Moratorium on Physician Self-Referrals to Specialty Hospitals; Processing of Form CMS-855A Applications to Become a Medicare Certified Hospital 06/07/2004 04/01/2004
R87OTN Instructions Related to "Redistribution of Unused Resident Positions," Section 422 of the Medicare Modernization Act of 2003 (MMA), P.L. 108-173, for Purposes of Graduate Medical Education (GME) Payments 06/14/2004 04/01/2004
R9BP Arrangements for Physical, Occupational, and Speech Language Pathology Services (PT, OT, SLP) 05/24/2004 04/01/2004
R14BP Changes in the Medicare Benefit Policy Manual-Chapter 10 07/01/2004 04/01/2004
R15BP Nurse Practitioners As Attending Physicians in the Medicare Hospice Benefit 06/28/2004 04/01/2004
R140CP Hospital Concerns Regarding Changing of Patient Status Code Due to Common Working File Edit 7272 05/23/2004 04/01/2004
R178CP Evaluation and Management Service Codes NA 04/01/2004
R202CP Revised Updated SNF NO PAY File for July 2004 07/06/2004 04/01/2004
R203CP Billing Payment in a Health Professional Shortage Area 07/06/2004 04/01/2004
R205CP Nurse Practitioners As Attending Physicians in the Medicare Hospice Benefit 06/28/2004 04/01/2004
R207CP Expansion of Policy Where Patient is a Member of a Medicare Advantage (MA) Organization For ONly a Portion of the Billing Period to Include Inpatient Rehabiliation Facilities (IRF) and Long Term Care Hospitals (LTCH) 07/19/2004 04/01/2004
R216CP Manualization of INR Monitoring NA 04/01/2004
R82OTN Changes in Determining Rural Status of Hospitals for Transitional Outpatient Payments (TOPs) for 2004 06/01/2004 04/01/2004
R88OTN Clarification and Revision of Change Request (CR) 3084, Implementation of Section 508(f) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108-173) 07/06/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R89CP The Elimination of the 90-Day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 10.2, Effectie July 1, 2004 07/06/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment REason Code Update 07/06/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R68OTN Transmittal 49 Implementation Date Extension 07/06/2004 04/01/2004
R83OTN Additional Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R16NCD Cardiac Pacemaker 04/30/2004 04/01/2004
R135CP Purchased Diagnostic Test - Carriers N/A 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of INtent (SOI) 07/19/2004 04/01/2004
R147CP Payment for Chemotherapy Administration Services, Nonchemotherapy Drug INfusion Services, and Drug Injection Services 05/24/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Complaint EDI Format-Option II 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July 1, 2004 07/06/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment REason Code Update 07/06/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act(HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R133CP Billing Non-Covered Charges to Fiscal Intermediaries - Summary and New Instructions - Clarification 04/16/2004 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of INtent (SOI) 07/19/2004 04/01/2004
R107CP 2nd POC Review--HIPAA X12N 837 Health Care Claim Implementation guide Editing Additional Instruction 07/06/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electrically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July 1, 2004 07/06/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R68OTN Transmittals 49 Implementation Date Extension 07/06/2004 04/01/2004
R83OTN Additional Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R9BP Arrangements for Physical, Occupational, and Speech Language Pathology Services (PT, OT, SLP) 05/24/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R133CP Billing NonCovered Charges to Fiscal Intermediaries - Summary and New Instructions - Clarification 04/16/2004 04/01/2004
R148CP Incident-To Services on Form CMS-1500 05/24/2004 04/01/2004
R168CP Chapter 12, Physician/Practicioner Billing N/A 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R13BP Diabetes Self Management Training Services 06/28/2004 04/01/2004
R78CP Medicare Incentive Payments for Physician Care 07/06/2004 04/01/2004
R86CP Health Incurance Portability and Accountability Act (HIPAA) X12N837 Professional II 07/06/2004 04/01/2004
R90CP Bundled Services for SNF 07/06/2004 04/01/2006
R98CP Consolidation of the Claims Crossover Process--Additional CWF Functionality 07/06/2004 04/01/2006
R141CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2004 07/06/2004 04/01/2004
R170CP Chapter 1, General Billing Requirements N/A 04/01/2004
R79OTN 18-Month Moratorium on Physician Self-Referrals to Specialty Hospitals; Processing of Form CMS-855A Applications to Become a Medicare Certified Hospital 06/07/2004 04/01/2004
R9BP Arrangements for Physical, Occupational, and Speech Language Pathology Services (PT, OT, SLP) 05/24/2004 04/01/2004
R14BP Changes in the Medicare Benefit Policy Manual-Chapter 10 07/01/2004 04/01/2004
R135CP Purchased Diagnostic Test - Carriers N/A 04/01/2004
R148CP Incident-To Services on Form CMS-1500 05/24/2004 04/01/2004
R178CP Evaluation and Management Service Codes N/A 04/01/2004
R201CP IOM Manualization of Indian Health Services N/A 04/01/2004
R16NCD Cardiac Pacemaker 04/30/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R133CP Billing NonCovered Charges to Fiscal Intermediaries - Summary and New Instructions - Clarification 04/16/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R220CP Implementation of Section 414 of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 07/06/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R134CP Instructions for Downloading the Medicare Zip Code File. 07/06/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R107CP 2nd POC Review--HIPAA X12N 837 Health Care Claim Implementation Guide Editing Additional Instruction 07/06/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R89CP The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004 07/06/2004 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R68OTN Transmittal 49 Implementation Date Extension 07/06/2004 04/01/2004
R98CP Consolidation of the Claims Crossover Process--Additional CWF Functionality 07/06/2004 04/01/2004
R181CP Instructions for Downloading the Medicare Zip Code File 07/06/2004 04/01/2004
R88CP Implementation of Changes to Payment for Ambulance Services Required by Section 414 of MMA 07/06/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R143CP Updated SNF NO PAY File for April 2004 04/19/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R107CP 2nd POC Review--HIPAA X12N 837 Health Care Claim Implementation Guide Editing Additional Instruction 07/06/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R68OTN Transmittal 49 Implementation Date Extension 07/06/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R89CP The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004 07/06/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R16NCD Cardiac Pacemaker 04/30/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R89CP The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R79CP ESRD Reimbursement for AMCC Tests 07/06/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004 07/06/2004 04/01/2004
R202CP Revised Updated SNF NO PAY File for July 2004 07/06/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R114CP Changes in Payment Floor Calculation for Claims Submitted Electronically in a non-HIPAA Compliant EDI Format-Option II 07/06/2004 04/01/2004
R164CP End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry Test(s) 07/06/2004 04/01/2004
R192CP Healthcare Common Procedure Coding System (HCPCS) Correction 07/06/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R141CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2004 07/06/2004 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R68OTN Transmittal 49 Implementation Date Extension 07/06/2004 04/01/2004
R98CP Consolidation of the Claims Crossover Process--Additional CWF Functionality 07/06/2004 04/01/2004
R74OTN Emergency Correction Regarding Correction to Healthcare Common Procedure Coding System (HCPCS) Codes for Low Osmolar Contrast Material 05/24/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R16NCD Cardiac Pacemaker 04/30/2004 04/01/2004
R172CP New Waived Tests - July 1, 2004 07/06/2004 04/01/2004
R133CP Billing NonCovered Charges to Fiscal Intermediaries - Summary and New Instructions - Clarification 04/16/2004 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R145CP Data Element Requirements Matrix - Carrier 05/24/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R16NCD Cardiac Pacemaker 04/30/2004 04/01/2004
R44FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 05/07/2004 04/01/2004
R81CP Update of UB-92 Codes 07/06/2004 04/01/2004
R184CP Update to the Medicare July Outpatient OPPS Outpatient Code Editor 07/06/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R168CP Chapter 12, Physician/Practitioner Billing N/A 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004 07/06/2004 04/01/2004
R12NCD Cardiac Pacemakers 04/30/2004 04/01/2004
R183CP Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity 07/01/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R133CP Billing NonCovered Charges to Fiscal Intermediaries - Summary and New Instructions - Clarification 04/16/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R89P The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R14NCD Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee 07/11/2004 04/01/2004
R107CP 2nd POC Review--HIPAA X12N 837 Health Care Claim Implementation Guide Editing Additional Instruction 07/06/2004 04/01/2004
R154CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 07/06/2004 04/01/2004
R89CP The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R107CP 2nd POC Review--HIPAA X12N 837 Health Care Claim Implementation Guide Editing Additional Instruction 07/06/2004 04/01/2004
R150CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004 07/06/2004 04/01/2004
R184CP Update to the Medicare July Outpatient OPPS Outpatient Code Editor 07/06/2004 04/01/2004
R173CP 2nd Update to the 2004 Medicare Physician Fee Schedule Database 07/06/2004 04/01/2004
R9NCD NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) 04/01/2004 04/01/2004
R211CP Elimination of Regulations for Written Statement of Intent (SOI) 07/19/2004 04/01/2004
R83OTN Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners 06/14/2004 04/01/2004
R68OTN Transmittal 49 Implementation Date Extension 07/06/2004 04/01/2004
R16NCD Cardiac Pacemaker 04/30/2004 04/01/2004
R187CP Billing Requirements for Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities 06/28/2004 04/01/2004
R15BP Nurse Practitioners As Attending Physicians in the Medicare Hospice Benefit 06/28/2004 04/01/2004
R135CP Purchased Diagnostic Test - Carriers N/A 04/01/2004
R145CP Data Element Requirements Matrix - Carrier 05/24/2004 04/01/2004
R13BP Diabetes Self Management Training Services 06/28/2004 04/01/2004
R191CP Skilled Nursing Facility Consolidated Billing L Codes - DMERCs and FIs 06/28/2004 04/01/2004
R148CP Incident-To Services on Form CMS-1500 05/24/2004 04/01/2004
R174CP Healthcare Common Procedure Coding System (HCPCS) Corrections Involving 0040T and A9603 07/06/2004 04/01/2004
R9BP Arrangements for Physical, Occupational, and Speech Language Pathology Services (PT, OT, SLP) 05/24/2004 04/01/2004
R127CP 2004 Jurisdiction List 05/26/2004 04/01/2004
R209CP Correction to CR 2944, Transmittal 90, Issued on February 6, 2004 07/06/2004 04/01/2004
R89CP The Elimination of the 90-day Grace Period for HCPCS Codes 07/06/2004 04/01/2004
R12P236 Chapter 36, Hospital and Hospital Healthcare Complex Cost Report, Form CMS 2552-96 N/A 04/01/2004
R170CP Chapter 1, General Billing Requirements N/A 04/01/2004
R90CP Bundled Services for SNF 07/06/2004 04/01/2004
R191CP Skilled Nursing Facility Consolidated Billing L Codes - DMERCs and FIs 06/28/2004 04/01/2004