Quarterly Provider Updates

QPU July 2003

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
R1793B3 Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") 10/01/2003 07/01/2003
R1881A3 Section 3604, Review of Form HCFA-1450 for Inpatient and Outpatient Bills 10/16/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
AB-03-123 Scheduled Release for October Updates to Software Programs and Pricing/Coding Files N/A 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
A-03-039 Clarification to Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittals A-02-071, A-02-117) - CHANGE IN EFFECTIVE AND IMPLEMENTATION DATE ONLY 10/01/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
AB-03-106 Third Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule 08/08/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Position Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
B-03-039 Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Bypass to Allow Separate Payment for Drugs 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
R171CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
AB-03-123 Scheduled Release for October Updates to Software Programs and Pricing/Coding Files N/A 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
A-03-071 Retroactive Correction of Provider Statistical and Reimbursement (PS&R) System Report Data Related to Mammography and Outpatient Therapy Services 10/01/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
AB-03-116 Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2003 10/01/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Position Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
R1881A3 Section 3604, Review of Form HCFA-1450 for Inpatient and Outpatient Bills 10/16/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
AB-03-127 Payment for the Fecal Leukocyte Examination Under a Clinical Laboratory Improvement Amendments of 1988 (CLIA) Certificate for Provider-Performed Microscopy (PPM) Procedures During CY 2003 10/01/2003 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
B-03-064 CLARIFICATION-ICD-9 Coding 10/01/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
AB-03-104 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 1, 2003 10/01/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Position Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
AB-03-076 Remittance Advice Message for Denial of Clinical Diagnostic Laboratory Services Denied Due to Frequency Edits 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
B-03-040 Update of the Place of Service (POS) Code Set 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
A-03-039 Clarification to Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittals A-02-071, A-02-117) - CHANGE IN EFFECTIVE AND IMPLEMENTATION DATE ONLY 10/01/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
R1793B3 Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") 10/01/2003 07/01/2003
B-03-052 Addition of Temporary "Q" Codes for Drugs Used in Infusion Pumps 10/01/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
B-03-040 Update of the Place of Service (POS) Code Set 10/01/2003 07/01/2003
AB-03-090 Coverage of Compression Garments in the Treatment of Venous Stasis Ulcers 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-100 October Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 10/01/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
R1809B3 Section 3012, Durable Medical Equipment Regional Carriers (DMERCS) - Billing Procedures Related to Advanced Beneficiary Notice (ABN) Upgrades and Section 3012.1, Providing Upgrades of DMEPOS Without Any Extra Charge 07/18/2003 07/01/2003
R1818B3 Section 3000, Filing the Request for Payment 10/01/2003 07/01/2003
A-03-039 Clarification to Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittals A-02-071, A-02-117) - CHANGE IN EFFECTIVE AND IMPLEMENTATION DATE ONLY 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
B-03-064 CLARIFICATION-ICD-9 Coding 10/01/2003 07/01/2003
B-03-067 National Council for Prescription Drug Programs (NCPDP) Batch Transaction Standard 1.1 Billing Request Companion Document 09/08/2003 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
AB-03-136 Correction to Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 10/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-02-034 Implementation of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standard Version 5.1 and the equivalent Batch Standard Version 1.1 for Retail Pharmacy Drug Transactions 10/16/2003 07/01/2003
R1803B3 Section 4270, ESRD Bill Processing Procedures 10/01/2003 07/01/2003
R1881A3 Section 3604, Review of Form HCFA-1450 for Inpatient and Outpatient Bills 10/16/2003 07/01/2003
AB-03-136 Correction to Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 10/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
AB-03-123 Scheduled Release for October Updates to Software Programs and Pricing/Coding Files N/A 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
AB-03-097 Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 07/21/2003 07/01/2003
AB-03-057 Implementation of the Financial Limitation for Outpatient Rehabilitation Services 10/01/2003 07/01/2003
B-03-065 Changes to Code List for Therapy Services 09/01/2003 08/08/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 08/08/2003
A-03-072 Instructions for Provider Credit Balance Reporting Activities 08/08/2003 08/08/2003
A-03-059 Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65 10/01/2003 08/08/2003
A-03-071 Retroactive Correction of Provider Statistical and Reimbursement (PS&R) System Report Data Related to Mammography and Outpatient Therapy Services 10/01/2003 08/08/2003
A-03-039 Clarification to Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittals A-02-071, A-02-117) - CHANGE IN EFFECTIVE AND IMPLEMENTATION DATE ONLY 10/01/2003 08/08/2003
R306HHA Instructions for Provider Credit Balance Reporting Activities N/A 08/08/2003
R31SOM Regional Office Assignment of Provider and Supplier Identification Numbers N/A 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
A-03-070 Inclusion of the State of New York in Demonstration for Settlement of Payments for Home Health Services to Dual Eligibles and Instructions for Processing Fiscal Year 2000 Claims Under the Demonstration. Regional Home Health Intermediaries (RHHIs) Only. 08/28/2003 07/01/2003
A-03-061 Tentative Settlement Requirements for Cost Reports from Home Health Agencies (HHAs) and Skilled Nursing Facilities (SNFs) that have No Reimbursement Impact 07/01/2003 07/01/2003
A-03-034 Modification to Medicare Timely Filing Edit for Claims Paid Under Certain Prospective Payment Systems 10/01/2003 07/01/2003
A-03-060 Medicare Program - Update to the Prospective Payment System (PPS) for Home Health Agencies for FY 2004 10/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
A-03-032 Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65 10/01/2003 07/01/2003
R67HSP Section 303.5, Frequency of Billing 10/01/2003 07/01/2003
AB-03-136 Correction to Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 10/01/2003 07/01/2003
R1892A3 Update to Frequency of Billing Sections 10/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
R304HHA Section 446, Frequency of Billing 10/01/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
AB-03-123 Scheduled Release for October Updates to Software Programs and Pricing/Coding Files N/A 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
AB-03-097 Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 07/21/2003 07/01/2003
AB-03-057 Implementation of the Financial Limitation for Outpatient Rehabilitation Services 10/01/2003 07/01/2003
B-03-065 Changes to Code List for Therapy Services 09/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
A-03-039 Clarification to Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittals A-02-071, A-02-117) - CHANGE IN EFFECTIVE AND IMPLEMENTATION DATE ONLY 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
AB-03-104 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 1, 2003 10/01/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
R1793B3 Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") 10/01/2003 07/01/2003
R1881A3 Section 3604, Review of Form HCFA-1450 for Inpatient and Outpatient Bills 10/16/2003 07/01/2003
R67HSP Section 303.5, Frequency of Billing 10/01/2003 07/01/2003
R1793B3 Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") 10/01/2003 07/01/2003
R1881A3 Section 3604, Review of Form HCFA-1450 for Inpatient and Outpatient Bills 10/16/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
R304HHA Section 446, Frequency of Billing 10/01/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
A-03-057 Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2004 10/01/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
A-03-032 Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65 10/01/2003 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
R67HSP Section 303.5, Frequency of Billing 10/01/2003 07/01/2003
R1892A3 Update to Frequency of Billing Sections 10/01/2003 07/01/2003
R304HHA Section 446, Frequency of Billing 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
B-03-040 Update of the Place of Service (POS) Code Set 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
R1808B3 Manualizing PMS CR 2380 and 2337 N/A 07/01/2003
R1793B3 Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") 10/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
R1793B3 Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") 10/01/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
R4QIO Transfers information from the Peer Review Organization Manual to the new Internet-Only Manual equivalent. Clarifies review responsibilities and type of cases to be selected for review. N/A 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
AB-03-123 Scheduled Release for October Updates to Software Programs and Pricing/Coding Files N/A 07/01/2003
AB-03-136 Correction to Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 10/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
AB-03-102 Clarification Regarding Coverage of Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities 08/08/2003 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
AB-03-097 Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 07/21/2003 07/01/2003
AB-03-102 Clarification Regarding Coverage of Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities 08/08/2003 07/01/2003
AB-03-057 Implementation of the Financial Limitation for Outpatient Rehabilitation Services 10/01/2003 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-065 Changes to Code List for Therapy Services 09/01/2003 07/01/2003
R67HSP Section 303.5, Frequency of Billing 10/01/2003 07/01/2003
AB-03-097 Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 07/21/2003 07/01/2003
R1807B3 ICD-9-CM Coding for Diagnostic Tests 10/01/2003 07/01/2003
AB-03-057 Implementation of the Financial Limitation for Outpatient Rehabilitation Services 10/01/2003 07/01/2003
R1892A3 Update to Frequency of Billing Sections 10/01/2003 07/01/2003
B-03-065 Changes to Code List for Therapy Services 09/01/2003 07/01/2003
B-03-064 CLARIFICATION-ICD-9 Coding 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
R1818B3 Section 3000, Filing the Request for Payment 10/01/2003 07/01/2003
R1810B3 Daily Visit charges & Non-ESRD Patients Requiring Hemodialysis 10/01/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
AB-03-119 Final Update to the 2003 Medicare Physician Fee Schedule Database 10/01/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-094 October 2003 Quarterly Update for Skilled Nursing Facility (SNF) Consolidated Billing 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
R1891A3 ICD-9-CM Coding for Diagnostic Tests 10/01/2003 07/01/2003
AB-03-076 Remittance Advice Message for Denial of Clinical Diagnostic Laboratory Services Denied Due to Frequency Edits 10/01/2003 07/01/2003
R805HO ICD-9-CM Coding for Diagnostic Tests 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
R304HHA Section 446, Frequency of Billing 10/01/2003 07/01/2003
R802HO Section 402, Frequency of Billing 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
R171CIM Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 10/01/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
AB-03-123 Scheduled Release for October Updates to Software Programs and Pricing/Coding Files N/A 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
AB-03-057 Implementation of the Financial Limitation for Outpatient Rehabilitation Services 10/01/2003 07/01/2003
AB-03-097 Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 07/21/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
B-03-065 Changes to Code List for Therapy Services 09/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
A-03-072 Instructions for Provider Credit Balance Reporting Activities 08/08/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
A-03-059 Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65 10/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
A-03-039 Clarification to Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittals A-02-071, A-02-117) - CHANGE IN EFFECTIVE AND IMPLEMENTATION DATE ONLY 10/01/2003 07/01/2003
AB-03-076 Remittance Advice Message for Denial of Clinical Diagnostic Laboratory Services Denied Due to Frequency Edits 10/01/2003 07/01/2003
R69HSP Instructions for Provider Credit Balance Reporting Activities 08/08/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
B-03-050 Multiple Primary Payers on Part B Claims - REVISION TO Change Request 2050 07/18/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
B-03-040 Update of the Place of Service (POS) Code Set 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
B-03-037 Excluding from Home Health Consolidated Billing Edits Claims for Therapy Services Rendered by Physicians 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
A-03-081 Conflicting Policies with Provider Reimbursement Manual 15-1, Section 2771 10/01/2003 07/01/2003
R1808B3 Manualizing PMS CR 2380 and 2337 N/A 07/01/2003
A-03-071 Retroactive Correction of Provider Statistical and Reimbursement (PS&R) System Report Data Related to Mammography and Outpatient Therapy Services 10/01/2003 07/01/2003
R1807B3 ICD-9-CM Coding for Diagnostic Tests 10/01/2003 07/01/2003
R1793B3 Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") 10/01/2003 07/01/2003
A-03-059 Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65 10/01/2003 07/01/2003
R1891A3 ICD-9-CM Coding for Diagnostic Tests 10/01/2003 07/01/2003
A-03-039 Clarification to Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittals A-02-071, A-02-117) - CHANGE IN EFFECTIVE AND IMPLEMENTATION DATE ONLY 10/01/2003 07/01/2003
R92PRO Deletes transferred material and provides crosswalk to corresponding QIO chapter. N/A 07/01/2003
R1810B3 Daily Visit charges & Non-ESRD Patients Requiring Hemodialysis 10/01/2003 07/01/2003
R806HO Instructions for Provider Credit Balance Reporting Activities 08/08/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
AB-03-136 Correction to Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 10/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
AB-03-104 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 1, 2003 10/01/2003 07/01/2003
AB-03-096 Quarterly Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement 10/01/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
AB-03-054 Diagnosis Code for Screening Pap Smear and Pelvic Examination Services 10/01/2003 07/01/2003
AB-03-097 Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 07/21/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
AB-03-057 Implementation of the Financial Limitation for Outpatient Rehabilitation Services 10/01/2003 07/01/2003
A-03-077 October Medicare Outpatient Code Editor (OCE) Specifications Version 19.0 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS 10/01/2003 07/01/2003
B-03-064 CLARIFICATION-ICD-9 Coding 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
R1818B3 Section 3000, Filing the Request for Payment 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
R1810B3 Daily Visit charges & Non-ESRD Patients Requiring Hemodialysis 10/01/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
A-03-074 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2004 10/01/2003 07/01/2003
A-03-073 Fiscal Year (FY) 2004 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH), and Other Bill Processing Changes 10/01/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
A-03-072 Instructions for Provider Credit Balance Reporting Activities 08/08/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
A-03-067 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2002 for Inpatient Prospective Payment System (IPPS) Hospitals 10/01/2003 07/01/2003
AB-03-119 Final Update to the 2003 Medicare Physician Fee Schedule Database 10/01/2003 07/01/2003
A-03-058 Change in Methodology for Determining Payment for Outliers Under the Acute Care Hospital Inpatient and Long-Term Care Hospital Prospective Payment Systems 07/10/2003 07/01/2003
AB-03-104 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 1, 2003 10/01/2003 07/01/2003
A-03-045 Payment to Hospitals and Units Excluded from the Acute Inpatient Prospective Payment System (IPPS) for Direct Graduate Medical Education (DGME) and Nursing and Allied Health (N&AH) Education for Medicare+Choice (M+C) Enrollees 10/01/2003 07/01/2003
A-03-035 Reporting of Revenue Codes Under the Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-094 October 2003 Quarterly Update for Skilled Nursing Facility (SNF) Consolidated Billing 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
B-03-065 Changes to Code List for Therapy Services 09/01/2003 07/01/2003
A-03-034 Modification to Medicare Timely Filing Edit for Claims Paid Under Certain Prospective Payment Systems 10/01/2003 07/01/2003
A-03-032 Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
A-03-072 Instructions for Provider Credit Balance Reporting Activities 08/08/2003 07/01/2003
A-03-039 Clarification to Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittals A-02-071, A-02-117) - CHANGE IN EFFECTIVE AND IMPLEMENTATION DATE ONLY 10/01/2003 07/01/2003
R18OPT Instructions for Provider Credit Balance Reporting Activities 08/08/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
AB-03-096 Quarterly Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement 10/01/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
R1793B3 Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") 10/01/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
AB-03-123 Scheduled Release for October Updates to Software Programs and Pricing/Coding Files N/A 07/01/2003
AB-03-102 Clarification Regarding Coverage of Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities 08/08/2003 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
AB-03-097 Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 07/21/2003 07/01/2003
AB-03-057 Implementation of the Financial Limitation for Outpatient Rehabilitation Services 10/01/2003 07/01/2003
B-03-065 Changes to Code List for Therapy Services 09/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
A-03-033 End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests 10/01/2003 07/01/2003
R95RDF Section 323.1, Frequency of Billing 10/01/2003 07/01/2003
R67HSP Section 303.5, Frequency of Billing 10/01/2003 07/01/2003
R1793B3 Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") 10/01/2003 07/01/2003
R1892A3 Update to Frequency of Billing Sections 10/01/2003 07/01/2003
R304HHA Section 446, Frequency of Billing 10/01/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
A-03-039 Clarification to Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittals A-02-071, A-02-117) - CHANGE IN EFFECTIVE AND IMPLEMENTATION DATE ONLY 10/01/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
A-03-072 Instructions for Provider Credit Balance Reporting Activities 08/08/2003 07/01/2003
A-03-039 Clarification to Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittals A-02-071, A-02-117) - CHANGE IN EFFECTIVE AND IMPLEMENTATION DATE ONLY 10/01/2003 07/01/2003
R96RDF Instructions for Provider Credit Balance Reporting Activities 08/08/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
AB-03-097 Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 07/21/2003 07/01/2003
AB-03-057 Implementation of the Financial Limitation for Outpatient Rehabilitation Services 10/01/2003 07/01/2003
B-03-065 Changes to Code List for Therapy Services 09/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
A-03-072 Instructions for Provider Credit Balance Reporting Activities 08/08/2003 07/01/2003
A-03-071 Retroactive Correction of Provider Statistical and Reimbursement (PS&R) System Report Data Related to Mammography and Outpatient Therapy Services 10/01/2003 07/01/2003
A-03-069 October Outpatient Code Editor (OCE) Specifications Version (V4.3) 10/01/2003 07/01/2003
A-03-059 Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65 10/01/2003 07/01/2003
A-03-039 Clarification to Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittals A-02-071, A-02-117) - CHANGE IN EFFECTIVE AND IMPLEMENTATION DATE ONLY 10/01/2003 07/01/2003
R377SNF Instructions for Provider Credit Balance Reporting Activities 08/08/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
AB-03-119 Final Update to the 2003 Medicare Physician Fee Schedule Database 10/01/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-094 October 2003 Quarterly Update for Skilled Nursing Facility (SNF) Consolidated Billing 10/01/2003 07/01/2003
R67HSP Section 303.5, Frequency of Billing 10/01/2003 07/01/2003
R1793B3 Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") 10/01/2003 07/01/2003
R304HHA Section 446, Frequency of Billing 10/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
A-03-080 End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
AB-03-054 Diagnosis Code for Screening Pap Smear and Pelvic Examination Services 10/01/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
A-03-075 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Update 10/01/2003 07/01/2003
A-03-061 Tentative Settlement Requirements for Cost Reports from Home Health Agencies (HHAs) and Skilled Nursing Facilities (SNFs) that have No Reimbursement Impact 07/01/2003 07/01/2003
A-03-032 Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65 10/01/2003 07/01/2003
R67HSP Section 303.5, Frequency of Billing 10/01/2003 07/01/2003
R1793B3 Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") 10/01/2003 07/01/2003
R1892A3 Update to Frequency of Billing Sections 10/01/2003 07/01/2003
R376SNF Section 561, Frequency of Billing 10/01/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
R304HHA Section 446, Frequency of Billing 10/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 09/05/2003 07/01/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update 10/01/2003 07/01/2003
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
A-03-072 Instructions for Provider Credit Balance Reporting Activities 08/08/2003 07/01/2003
A-03-039 Clarification to Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittals A-02-071, A-02-117) - CHANGE IN EFFECTIVE AND IMPLEMENTATION DATE ONLY 10/01/2003 07/01/2003
R39RHC Instructions for Provider Credit Balance Reporting Activities 08/08/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 10/01/2003 07/01/2003
AB-03-104 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 1, 2003 10/01/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
CMS-1185-P Medicare Program; Elimination of Statement of Intent Procedures for Filing Medicare Claims 07/25/2003 07/01/2003
CMS-0008-IFC Medicare Program; Electronic Submission of Medicare Claims 08/15/2003 07/01/2003
CMS-3124-WN Medicare Program; Withdrawal of Medicare Coverage of Multiple-Seizure Electroconvulsive Therapy, Electrodiagnostic Sensory Nerve Conduction Threshold Testing, and Noncontact Normothermic Wound Therapy 07/25/2003 07/01/2003
CMS-4018-P Medicare Program; Continuation of Medicare Entitlement When Disability Benefit Entitlement Ends Because of Substantial Gainful Activity 07/25/2003 07/01/2003
CMS-2136-FN Medicaid Program; State Allotments for Payment of Medicare Part B Premiums for Qualifying Individuals: Federal Fiscal Year 2002 08/22/2003 07/01/2003
CMS-2131-F Medicare and Medicaid Programs; Requirements for Paid Feeding Assistants in Long Term Care Facilities 09/26/2003 07/01/2003
CMS-1476-CN Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004; Correction 09/26/2003 07/01/2003
CMS-2226-CN Medicare, Medicaid, and CLIA Programs; Laboratory Requirements Relating to Quality Systems and Certain Personnel Qualifications; Correction 08/22/2003 07/01/2003
CMS-1473-NC Medicare Program; Home Health Prospective Payment System Rate Update for FY 2004 07/02/2003 07/01/2003
CMS-6014-P Medicare Program; Interest Calculation 07/25/2003 07/01/2003
CMS-1475-FC Medicare Program; Third Party Liability Insurance Regulations 07/25/2003 07/01/2003
CMS-1476-P Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004 08/15/2003 07/01/2003
CMS-1199-F Medicare Program; Electronic Submission of Cost Reports 08/22/2003 07/01/2003
CMS-2182-FN Medicare and Medicaid Programs; Reapproval of the Community Health Accreditation Program (CHAP) for Deeming Authority for Hospices 09/26/2003 07/01/2003
CMS-1473-NC CORRECTION Medicare Program; Home Health Prospective Payment System Rate Update for FY 2004 - Correction 09/30/2003 07/01/2003
CMS-1262-P Medicare Program; Changes to the Criteria for Being Classified as an Inpatient Rehabilitation Facility 09/09/2003 07/01/2003
CMS-1063-F Medicare Program; Clarifying Policies Related to the Responsibilities of Medicare-Participating Hospitals in Treating Individuals with Emergency Medical Conditions 09/09/2003 07/01/2003
CMS-1233-N Medicare Program; Hospice Wage Index for Fiscal Year 2004 09/30/2003 07/01/2003
CMS-4041-F Medicare Program; Modifications to Managed Care Rules 08/22/2003 07/01/2003
CMS-2166-N State Children's Health Insurance Program; Final Allotments to States, the District of Columbia, and U.S. Territories and Commonwealths for Fiscal Year 2004 08/22/2003 07/01/2003
CMS-1474-F Medicare Program; Changes to the Inpatient Rehabilitation Facility Prospective Payment System and Fiscal Year 2004 Rates 08/01/2003 07/01/2003
CMS-1472-CN Medicare Program; Prospective Payment System for Long-Term Care Hospitals: Annual Payment Rate Updates and Policy Changes 07/15/2003 07/01/2003
CMS-1471-P Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2004 Payment Rates 08/12/2003 07/01/2003
CMS-1470-F CORRECTION Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2004 Rates 08/11/2003 07/01/2003
CMS-1470-F Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2004 Rates 08/01/2003 07/01/2003
CMS-4053-N Medicare Program: Meeting of the Advisory Panel on Medicare Education - September 18, 2003 08/22/2003 07/01/2003
CMS-3117-N Medicare Program; Meeting of the Medicare Coverage Advisory Committee on September 9, 2003 07/25/2003 07/01/2003
CMS-1260-N Medicare Program; Meeting of the Advisory Panel on Ambulatory Payment Classification Groups on August 22, 2003 07/25/2003 07/01/2003
CMS-1229-P Medicare Program; Payment Reform for Part B Drugs 08/20/2003 07/01/2003
CMS-3062-N Medicare Program; Revised Process for Making Medicare National Coverage Determinations 09/26/2003 07/01/2003
CMS-2175-FC Medicaid Program; Time Limitation on Price Recalculations and Recordkeeping Requirements Under the Drug Rebate Program 08/29/2003 07/01/2003
CMS-1167-P Medicare Program; Payment for Respiratory Assist Devices with Bi-level Capability and a Back-up Rate 08/22/2003 07/01/2003
CMS-1469-CN Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Correction 09/29/2003 07/01/2003
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/01/2003 07/01/2003
CMS-1469-F Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities--Update 08/04/2003 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/01/2003 07/01/2003
R1793B3 Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
CMS-1910-F Rural Health Clinics: Amendments to Participation Requirements and Payment Provisions and Establishment of a Quality Assessment and Improvement Program N/A 07/01/2003
CMS-3063-F Review of National Coverage Determinations and Local Coverage Determinations N/A 07/01/2003
CMS-3118-N Notice of the Medicare Coverage Advisory Committee/Executive Committee for October 2003 N/A 07/01/2003
CMS-3099-NC CY 2003 Review of the Appropriateness of Payment Amounts for New Technology Intraocular Lenses (NTIOLs) Furnished by Ambulatory Surgical Centers N/A 07/01/2003
CMS-1213-P Prospective Payment System for Inpatient Psychiatric Facilities for FY 2004 N/A 07/01/2003
R92PRO Deletes transferred material and provides crosswalk to corresponding QIO chapter. N/A 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
R31MCM Chapter 19, Managed Care and M+C Systems Requirements N/A 07/01/2003
R30MCM Chapter 18, Health Care Prepayment Plans N/A 07/01/2003
R29MCM Chapter 5-Quality Assessment N/A 07/01/2003
R28MCM Chapter 3-Marketing N/A 07/01/2003
R27MCM Chapter 13 - Medicare + Choice Beneficiary Grievances, Organization Determinations, and Appeals N/A 07/01/2003
R26MCM Chapter 2 - Medicare + Choice Enrollment and Disenrollment 08/11/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2003 07/01/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/01/2003 07/01/2003
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/01/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 08/11/2003 07/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 10/01/2003 07/01/2003
R1OTSN Payment for Tositumomab and Iodine I-131 08/11/2003 07/01/2003
A-03-071 Retroactive Correction of Provider Statistical and Reimbursement (PS&R) System Report Data Related to Mammography and Outpatient Therapy Services 10/01/2003 07/01/2003
R3OTN Payment Amount for the Influenza Virus Vaccine 10/01/2003 07/01/2003
A-03-071 Retroactive Correction of Provider Statistical and Reimbursement (PS&R) System Report Data Related to Mammography and Outpatient Therapy Services 10/01/2003 07/01/2003
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 07/25/2003 07/01/2003
A-03-039 Clarification to Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittals A-02-071, A-02-117) - CHANGE IN EFFECTIVE AND IMPLEMENTATION DATE ONLY 10/01/2003 07/01/2003
R171CIM Section 50-36, Positron Emission Tomography (PET) Scans 10/01/2003 07/01/2003
R173CIM Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 10/01/2003 07/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/01/2003 07/01/2003
R4QIO Transfers information from the Peer Review Organization Manual to the new Internet-Only Manual equivalent. Clarifies review responsibilities and type of cases to be selected for review. N/A 07/01/2003
CMS-2175-CN Time Limitation on Price Recalculations and Recordkeeping Requirements Under the Drug Rebate Program; Correction 09/26/2003 07/01/2003
CMS-9018-N Quarterly Listing of Program Issuances--April 2003 Through June 2003 09/26/2003 07/01/2003
CMS-1236-N September 15 and 16, 2003, Meeting of the Practicing Physicians Advisory Council and Request for Nominations 08/22/2003 07/01/2003