Transmittals

2007 Transmittals

Centers for Medicare & Medicaid Services uses transmittals to communicate new or changed policies or procedures that we will incorporate into the CMS Online Manual System. The cover or transmittal page summarizes and specifies the changes.
Transmittal # Issue Date Subject Impl Date CR # MM Article # MM Article Release Date
JA0003 01/03/2007 CMS 270/271 (Eligibility) Extranet Transactions N/A N/A N/A N/A
R259OTN 01/05/2007 Additional Codes for Physician Voluntary Reporting Program (PVRP) 01/02/2007 5409 N/A N/A
R113FM 01/11/2007 Notice of New Interest Rate for Medicare Overpayments and Underpayments-2nd Qtr. FY 2007 01/19/2007 5298 N/A N/A
R1154CP 01/12/2007 Healthcare Provider Taxonomy Codes (HPTC) Update 04/02/2007 5436 N/A N/A
R182PI 01/12/2007 Medicaid State Agencies 03/01/2007 5284 N/A N/A
R1153CP 01/12/2007 Claim Status Category Code and Claim Status Code Update 04/02/2007 5430 N/A N/A
R1156CP 01/12/2007 Revised Medicare Zip Code File to Download 02/05/2007 5265 N/A N/A
R23SOMA 01/19/2007 Federal Minimum Qualifications Standards 02/20/2007 N/A N/A N/A
R64BP 01/19/2007 Guidelines for Payment of Diabetes Self-Management Training (DSMT 07/02/2007 N/A N/A N/A
R183PI 01/24/2007 Update the MCS System to Validate National Provider Identifiers (NPIs) in Place of Unique Physician Identification Numbers (UPINs N/A 5318 N/A N/A
R24SOMA 01/26/2007 Sunset of the Policies for Provider Nominations for an Intermediary and the Provider Requests for a Change of Intermediary 01/26/2007 N/A N/A N/A
R115FM 01/26/2007 Clarification of the Protocol for Estimating Allowance for Uncollectible Accounts Form CMS-H/M751A/B, Status of Accounts Receivable 04/02/2007 5451 N/A N/A
R184PI 01/26/2007 Revisions for MACs and PSCs 02/26/2007 5399 N/A N/A
R114FM 01/26/2007 Reporting Requirements for Crossover Claims Transmitted to the Coordination of Benefits Contractor (COBC) under the Coordination of Benefits Agreement (COBA) Process 02/26/2007 5444 N/A N/A
R188PI 01/26/2007 Accrediation Quality Standards for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 04/02/2007 5415 N/A N/A
R185PI 01/26/2007 Updating Financial Reporting Requirements for Workload and Cost Associated With the Return of Demand Bills. 02/26/2007 4378 N/A N/A
R187PI 01/26/2007 Implementation of New Compliance Standards for Independent Diagnostic Testing Facilities (IDTFs). 02/26/2007 5449 N/A N/A
R186PI 01/26/2007 Durable Medical Equipment Medicare Administrative Contractors (DME MACs) Adoption or Rejection of Local Coverage Determinations (LCDs) Recommended by Durable Medical Equipment Program Safeguard Contractors (DME PSCs). N/A 5410 N/A N/A
R262OTN 01/26/2007 Invalid Managed Care Informational Unsolicited Responses (MCIURs) from CWF 04/26/2007 5507 MM5507 01/31/2007
R116FM 01/31/2007 Chapter 7, Internal Control Requirements Update 01/29/2007 5429 N/A N/A
R1169CP 02/02/2007 Revision of Editing to Ensure Demand Bills Remain Identifiable in Claims History After Processing 07/02/2007 5248 N/A N/A
R1171CP 02/02/2007 Revisions to the Medicare Physician Fee Schedule (MPFS) Disclosure Format 07/02/2007 5476 N/A N/A
R191PI 03/23/2007 Provider/Supplier Enrollment Approval Letters 05/23/2007 5285 N/A N/A
R266OTN 03/23/2007 New Contractor Number for CIGNA Government Services, LLC-Jurisdiction C DME MAC Workload 06/01/2007 5548 N/A N/A
R273OTN 04/27/2007 Discontinuing the Application of Outpatient Frequency of Billing Edits to Roster Bills 10/01/2007 5580 N/A N/A
R1282CP 07/06/2007 Medicare Contractors Use of the Coordination of Benefits Agreement (COBA) Problem Inquiry Request Form to Identify and Send COBA Related Issues to the COB Contractor 08/06/2007 5656 N/A N/A
R215PI 07/06/2007 Implementation of Durable Medical Equipment Medicare Administrative Contractor (DME MAC) Access to VIPS Medicare Shared System (VMS) Medical Review (MR) Functions at DME MACs 10/01/2007 5664 N/A N/A
R1184CP 02/09/2007 Consolidation of Data Processing for Part A 07/02/2007 5458 N/A N/A
R117FM 02/13/2007 Chapter 7, Internal Control Requirements Update 01/29/2007 5429 N/A N/A
R1150CP 01/10/2007 January 2007 Non-Outpatient Prospective Payment System (Non-OPPS) Outpatient Code Editor (OCE) Specifications Version 22.1 01/02/2007 5437 MM5437 01/12/2007
R1155CP 01/12/2007 January 2007 Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) Specifications Version 8.0 01/02/2007 5425 MM5425 01/16/2007
R1164CP 01/26/2007 Coding Change for Lumbar Artificial Disc Replacement (LADR) 03/03/2007 5462 MM5462 01/31/2007
R1186CP 02/23/2007 Changes to Chapter 30 - Updates to Amount in Controversy Requirement and Correction of Appeals Terminology 05/23/2007 5348 N/A N/A
R190PI 02/23/2007 General Background Information on Certified Providers and Certified Suppliers 04/02/2007 5401 N/A N/A
R1185CP 02/23/2007 Ambulance Fee Schedule - Medical Conditions List - Manualization Revisions 04/02/2007 5442 N/A N/A
R218PI 08/10/2007 Provider Enrollment Manual Update 10/01/2007 5671 N/A N/A
R65NCD 02/23/2007 INDEPENDENCE iBOT 4000 Mobility System 04/02/2007 5372 MM5372 02/27/2007
R66BP 02/23/2007 Services Not Provided Within United States 04/02/2007 5427 MM5427 02/27/2007
R26SOMA 08/17/2007 Revised Appendix P and Appendix PP New Tag F373 08/17/2007 N/A N/A N/A
R1317CP 08/17/2007 2008 Annual Update of HCPCS Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) for the Common Working File (CWF), Medicare Carriers and Fiscal Intermediaries (FIs) 01/07/2008 5696 MM5696 08/20/2007
R1191CP 03/02/2007 Type of Service (TOS) Corrections 04/02/2007 5510 N/A N/A
R1182CP 02/09/2007 April Quarterly Update to 2007 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 04/02/2007 5502 MM5502 02/12/2007
R1322CP 08/24/2007 Indian Health Service (IHS) Hospital Payment Rates for Calendar Year 2007 09/04/2007 5707 N/A N/A
R290OTN 08/24/2007 New Contractor Workload Number for Trispan Missouri Part A Data 10/01/2007 5650 N/A N/A
R220PI 08/24/2007 Various Medical Review Clarifications 09/03/2007 5550 N/A N/A
R1147CP 01/05/2007 Intracranial Percutaneous Transluminal Angioplasty (PTA) With Stenting 02/05/2007 5432 MM5432 01/11/2007
R64NCD 01/05/2007 Intracranial Percutaneous Transluminal Angioplasty (PTA) with Stenting 02/05/2007 5432 MM5432 01/11/2007
SE0680 N/A The New HHS National Clearinghouse for Long-Term Care Information Website N/A N/A SE0680 01/04/2007
SE0702 N/A Annual Medicare Contractor Provider Satisfaction Survey: Make Your Voice Heard! N/A N/A SE0702 01/10/2007
R1199CP 03/09/2007 April 2007 Non-Outpatient Prospective Payment System (Non-OPPS) Outpatient Code Editor (OCE) Specifications Version 22.2 04/02/2007 5523 MM5523 03/12/2007
R1200CP 03/09/2007 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2007 04/02/2007 5514 MM5514 03/12/2007
R1201CP 03/09/2007 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 13.1, Effective April 1, 2007 04/02/2007 5492 MM5492 03/12/2007
R1160CP 01/19/2007 Colorectal Cancer Screening Flexible Sigmoidoscopy and Colonoscopy Coinsurance Payment Chang 07/02/2007 5387 MM5387 01/23/2007
R52DEMO 01/10/2007 Chiropractic Demonstration 2007 Rate Change 01/02/2007 5396 MM5396 01/12/2007
R260OTN 01/12/2007 Enhance MCS to Avoid Duplicate Payments When a Full Claim Adjustment is Performed. This CR rescinds and fully replaces CR 3878. 04/02/2007 5424 MM5424 01/16/2007
R1157CP 01/19/2007 Processing All Diagnosis Codes Reported on Claims Submitted to Carriers (Final Phase) 07/02/2007 5441 MM5441 01/23/2007
R1163CP 01/26/2007 Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update 04/02/2007 5456 MM5456 01/31/2007
R1148CP 01/05/2007 Tax Relief and Health Care Act of 2006 Changes to Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services 02/05/2007 5468 MM5468 01/10/2007
R1170CP 02/02/2007 Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for Oncology Treatment Payment Adjustment 07/02/2007 5470 MM5470 02/06/2007
R1180CP 02/02/2007 Outpatient Clinical Laboratory Tests Furnished by Hospitals With Fewer Than 50 Beds in Qualified Rural Areas 07/02/2007 5493 MM5493 02/06/2007
R1161CP 01/24/2007 Additional Changes to the 2007 Medicare Physician Fee Schedule Database 02/26/2007 5498 MM5498 01/31/2007
R1168CP 01/26/2007 Direct Billing and Payment for Non- Physician Practitioner Services Furnished to Hospital Inpatients and Outpatients 04/26/2007 5221 MM5221 02/07/2007
R119FM 04/20/2007 Contractor CROWD Form 5 Completion Changes 10/01/2007 4274 N/A N/A
SE0707 N/A Overview of Medicare Podiatry Services N/A N/A SE0707 02/22/2007
R123FM 06/08/2007 Contractor CROWD Form 5 Completion Changes 10/01/2007 4274 N/A N/A
R1329CP 08/31/2007 Modification to the Timeliness Requirements for Contractors Forwarding Reconsideration Requests Submitted to the Wrong Contractor 10/01/2007 5602 N/A N/A
R1327CP 08/31/2007 Schedule for Completing the Calendar Year (CY) 2008 Fee Schedule Updates and the Participating Physician Enrollment Process--(For Informational Purposes Only) 10/01/2007 5712 N/A N/A
R264OTN 03/09/2007 Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes 04/02/2007 5515 N/A N/A
R1205CP 03/16/2007 Instructions for Downloading the Medicare Zip Code File - July 2007 07/02/2007 5524 N/A N/A
R1332CP 08/31/2007 Transitioning the Mandatory Medigap ("Claim-Based") Crossover Process to the Coordination of Benefits Contractor (COBC) 10/01/2007 5601 MM5601 2007-05-30
R130FM 08/31/2007 Revisions of the CROWD Report 01/07/2008 5555 N/A N/A
R1332CP 08/31/2007 Transitioning the Mandatory Medigap (Claim-Based) Crossover Process to the Coordination of Benefits Contractor (COBC) 10/01/2007 5601 MM5601 2007-05-30
R1203CP 03/09/2007 April Quarterly Update for 2007 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 04/02/2007 5537 MM5537 03/12/2007
R1242CP 05/18/2007 Transitioning the Mandatory Medigap ("Claim-Based") Crossover Process to the Coordination of Benefits Contractor (COBC) 10/01/2007 5601 MM5601 05/30/2007
R1326CP 08/30/2007 October Update to the 2007 Medicare Physician Fee Schedule Database 10/01/2007 5714 MM5714 09/04/2007
R1204CP 03/16/2007 April 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective April 1, 2007, and Revisions to the January 2007 Quarterly ASP Medicare Part B Drug Pricing Files 04/02/2007 5517 MM5517 03/17/2007
R73NCD 09/06/2007 Ultrasound Diagnostic Procedures 09/28/2007 5608 MM5608 2007-09-13
R221PI 09/06/2007 Administrative Appeals for Provider Enrollment 10/01/2007 5467 N/A N/A
R1333CP 08/17/2007 Ambulance: New Remark Code for Denying Separately Billed Services 10/01/2007 5659 MM5659 2007-08-20
R28SOMA 09/07/2007 Revisions to Appendix D, Guidance to Surveyors for Portable X-ray Services 09/07/2007 N/A N/A N/A
R1240CP 05/11/2007 Present On Admission Indicator 10/01/2007 5499 MM5499 05/15/2007
R77NCD 09/12/2007 Percutaneous Transluminal Angioplasty (PTA) 07/30/2007 5660 N/A N/A
R1334CP 09/12/2007 October 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 10/01/2007 5710 MM5710 09/13/2007
R1292CP 07/13/2007 Payment for Hospice Care Based on Location Where Care is Furnished 01/07/2008 5670 N/A N/A
R1335CP 09/14/2007 Updating the Internet Only Manual (IOM) to Include Language "or NPI When Required 10/01/2007 5708 N/A N/A
R291OTN 09/18/2007 Cessation of FI-to-FI Moves for Providers that are Members of Chains 10/18/2007 5720 N/A N/A
R88MCM 09/21/2007 Revisions to Chapter 13, "Medicare Managed Care Beneficiary Grievances, Organization Determinations, and Appeals Applicable to Medicare Advantage Plans, Cost Plans, and Health Care Prepayment Plans (HCPPs)," (collectively referred to as Medicare Health Plans). 09/21/2007 N/A N/A N/A
R207PI 05/31/2007 Discontinuance of the Unique Physician Identification Number (UPIN) Registry 06/29/2007 5584 MM5584 06/01/2007
R74NCD 09/07/2007 Medicare Clinical Trial Policy (CTP) 10/09/2007 5719 MM5719 09/17/2007
R267OTN 03/30/2007 RAC/Other Medicare Contractors Claims Mass Adjustments in FISS 09/04/2007 5494 N/A N/A
R8SS 04/06/2007 CMS Business Partners System Security Manual 05/01/2007 5500 N/A N/A
R1340CP 09/21/2007 Lumbar Artificial Disc Replacement (LADR) 10/01/2007 5727 N/A N/A
R131FM 09/21/2007 Participating Physicians Report - Deletion of Requirement to Forward a Memorandum to CMS Detailing Adjustments to Form F Column 1 (PAR Prior) (from previous enrollment period). 01/07/2008 5697 N/A N/A
R131FM 09/21/2007 Participating Physicians Report - Deletion of Requirement to Forward a Memorandum to CMS Detailing Adjustments to Form F Column 1 (PAR Prior) (from previous enrollment period). 01/07/2008 5697 N/A N/A
R1343CP 09/21/2007 Stage 3 NPI Changes for Transaction 835 and Standard Paper Remittance Advice N/A 5452 N/A N/A
R75NCD 09/11/2007 Lumbar Artificial Disc Replacement (LADR) 10/01/2007 5727 MM5727 09/19/2007
R1241CP 05/18/2007 Stage 3 NPI Changes for Transaction 835 and Standard Paper Remittance Advice N/A 5452 MM5452 06/01/2007
R1341CP 09/21/2007 New Web Site for Approved Transplant Centers 10/22/2007 5724 MM5724 09/25/2007
R1342CP 09/21/2007 October 2007 Integrated Outpatient Code Editor (I/OCE) Specifications Version 8.3 10/01/2007 5723 MM5723 09/25/2007
R1337CP 09/21/2007 Revisions to 9-Digit ZIP Code List Provided in Change Request 5208 10/22/2007 5730 MM5730 09/25/2007
R1339CP 09/21/2007 Magnetic Resonance Imaging (MRI) Procedures 10/22/2007 5677 MM5677 09/26/2007
R43GI 03/30/2007 Clarification in Testing Instructions for Definition of "Local Components 07/02/2007 5395 N/A N/A
R195PI 03/30/2007 General Background Information on Individual Practitioners and Certain Part B Services 04/30/2007 5503 N/A N/A
R1213CP 03/30/2007 EDI Enrollment and Electronic Claim Record Retention 07/02/2007 5491 N/A N/A
R1214CP 03/30/2007 Discontinuance of ASCA Excel spreadsheet maintenance 07/02/2007 5509 N/A N/A
R1295CP 07/13/2007 Laboratory and Radiology: Adjustment to Common Working File (CWF) Duplicate Claim Edit for the Technical Component (TC) of Radiology and Pathology Laboratory Services Provided to Hospital Patients 10/01/2007 5675 MM5675 08/02/2007
R268OTN 03/30/2007 Recovery Audit Contractors (RAC)/Other Medicare Contractors Claims Mass Adjustments in MCS- Analysis and Design 07/01/2007 5496 N/A N/A
R196PI 03/30/2007 Medical Review of Skilled Nursing Facility (SNF) Claims Using the MDS QC System Software 04/30/2007 5418 N/A N/A
R299OTN 11/02/2007 NCPDP Inbound Claim and COB Companion Documents Updated for NPI Reporting 04/07/2008 5716 MM5716 11/06/2007
R1269CP 06/15/2007 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/01/2007 5643 MM5643 06/20/2007
R1364CP 11/02/2007 Common Working File (CWF) Informational Unsolicited Responses for RDF Claims Overlapping Inpatient Hospital Stays 04/07/2008 5768 MM5768 11/05/2007
R1369CP 11/02/2007 Crossover of Assignment of Benefits Indicator (CLM08) From Paper Claim Input 04/07/2008 5780 MM5780 11/05/2007
R277OTN 05/18/2007 Physician Quality Reporting Initiative (PQRI) Coding & Reporting Principles 05/18/2007 5640 MM5640 05/23/2007
R226PI 11/02/2007 Items and Services Having Special DME Review Considerations 04/01/2008 5765 MM5765 11/05/2007
R54DEMO 11/02/2007 Revisions to Change Request (CR) 4294 - Low Vision Rehabilitation Demonstration 04/07/2008 5756 MM5756 11/05/2007
R1243CP 05/18/2007 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 13.2, Effective July 1, 2007. 07/02/2007 5604 MM5604 05/23/2007
R1361CP 11/02/2007 New Patient Status Discharge Code 70 to Define Discharges or Transfers to Other Types of Health Care Institutions not Defined Elsewhere in the UB-04 (CMS-1450) Manual Code List 04/07/2008 5764 MM5764 11/05/2007
R77BP 08/29/2007 Testing and Implementation of 2008 Ambulatory Surgical Center (ASC) Payment System Changes 01/07/2008 5680 MM5680 11/13/2007
R1362CP 11/02/2007 Correction to Calculation of Coinsurance for Indian Health Service Critical Access Hospitals (IHS CAHs) 04/07/2008 5769 MM5769 11/13/2007
R1158CP 01/19/2007 Guidelines for Payment of Diabetes Self-Management Training (DSMT) 07/02/2007 5433 MM5433 02/06/2007
R1325CP 08/29/2007 Testing and Implementation of 2008 Ambulatory Surgical Center (ASC) Payment System Changes 01/07/2008 5680 MM5680 11/13/2007
SE0747 N/A Individuals Authorized Access to CMS Computer Services - Provider Community (IACS-PC): THE FIRST IN A SERIES OF ARTICLES N/A N/A SE0747 11/19/2007
SE0753 N/A Individuals Authorized Access to CMS Computer Services - Provider Community (IACS-PC): THE SECOND IN A SERIES OF ARTICLES ON THE IACS N/A N/A SE0753 12/27/2007
R1375CP 11/09/2007 Ambulance Inflation Factor for CY 2008 01/07/2008 5801 MM5801 11/19/2007
R1224CP 04/20/2007 Home Health Agencies (HHAs) Providing Durable Medical Equipment (DME) in Competitive Bidding Areas 10/01/2007 5551 MM5551 04/25/2007
R1260CP 06/01/2007 July 2007 Quarterly Update to the HCPCS Codes for Albuterol, Levalbuterol, and Reclast 07/02/2007 5645 MM5645 06/05/2007
R1371CP 11/02/2007 Validation of Non-Routine Supply Reporting on Home Health Prospective Payment System (HH PPS) Claims 04/07/2008 5776 MM5776 11/05/2007
R1377CP 11/23/2007 2008 Annual Update to the Therapy Code List 01/07/2008 5810 MM5810 11/26/2007
R302OTN 11/02/2007 Rejection of X12 276 Claim Status Requests That Lack National Provider Identifiers (NPIs) N/A 5726 MM5726 11/06/2007
R1192CP 03/02/2007 Payment and Billing for Islet Isolation Add-On in National Institutes of Health (NIH) Clinical Trial 04/02/2007 5505 MM5505 03/05/2007
R298OTN 11/02/2007 Update Multi-Carrier System (MCS) to Deactivate Billing Numbers for Non-Frequent Billers (Note, this instruction supersedes CR 5296 dated 9/29/2006) 04/07/2008 5676 N/A N/A
R1360CP 11/02/2007 Modifications to the Coordination of Benefits Agreement (COBA) Common Working File (CWF) Logic 04/07/2008 5766 N/A N/A
R301OTN 11/02/2007 Automate Adjustments to Home Health Agency (HHA) and Managed Care (MC) Common Working File (CWF) Informational Unsolicited Responses (IURs) 04/07/2008 5782 N/A N/A
R300OTN 11/02/2007 Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes for Implementation of Stage 3 of National Provider Identifier (NPI) 04/07/2008 5590 N/A N/A
R89MCM 11/02/2007 Chapter 8, Payment to Medicare Advantage Organizations 11/02/2007 N/A N/A N/A
R278OTN 05/25/2007 Department of Veterans Affairs Medicare-equivalent Remittance Advice (MRA) Project: Continued Use of Part A Legacy Provider Numbers After National Provider Identifiers (NPIs) Are Fully Implemented 10/01/2007 5615 N/A N/A
R278OTN 05/25/2007 Department of Veterans Affairs Medicare-equivalent Remittance Advice (MRA) Project: Continued Use of Part A Legacy Provider Numbers After National Provider Identifiers (NPIs) Are Fully Implemented 10/01/2007 5615 N/A N/A
R432PR1 05/04/2007 Inflation factors to update previous years reasonable compensation ranges. N/A N/A N/A N/A
R433PR1 11/16/2007 This transmittal updates Chapter 1 N/A N/A N/A N/A
R1376CP 11/16/2007 Instructions for Downloading the Medicare ZIP Code File for April 2008 04/07/2008 5736 N/A N/A
R208PI 06/01/2007 Expand PSC Data Transfer Files to Include a National Provider Identifier (NPI) for Each Legacy Provider Identifier N/A 5393 N/A N/A
R27SOMA 08/17/2007 Revisions to Appendix PP Guidance to Surveyors for Long Term Care Facilities 08/06/2007 N/A N/A N/A
R229PI 11/23/2007 Medical Review Strategy and Strategy Analysis Report 04/07/2008 5760 N/A N/A
R1380CP 11/23/2007 Modification to Update the Medicare Summary Notice (MSN) Messages and the MSN Customer Service Information Box 01/07/2008 5799 N/A N/A
R1381CP 11/23/2007 File Descriptions for Retrieving the 2008 Pricing and HCPCS Data Files through CMS Mainframe Telecommunications System 01/07/2008 5814 N/A N/A
R303OTN 11/23/2007 Addition of Data Elements to the Common Working File Database Extract into the Next Generation Desktop Data Repository 01/07/2008 5709 N/A N/A
R1215CP 03/30/2007 Revisions to Form CMS-1500 Submission Requirements 04/30/2007 5489 N/A N/A
R123FM 06/08/2007 Contractor CROWD Form 5 Completion Changes 10/01/2007 4274 N/A N/A
R17P236 05/01/2007 Changes to the electronic reporting specifications are effective for cost reporting periods ending on or after December 31, 2006. N/A N/A N/A N/A
R118FM 04/13/2007 Recurring Update Notification for the Notice of New Interest Rate for Medicare Overpayments and Underpayments - 3rd Qtr. FY 2007 04/20/2007 5299 N/A N/A
R1262CP 06/08/2007 Medicare Fee For Service (FFS) National Provider Identifier (NPI) Crosswalk Status Review 06/22/2007 5649 N/A N/A
R304OTN 11/30/2007 Medicare Exclusion Database (MED) Addition of National Provider Identifier (NPI) 01/07/2008 5750 N/A N/A
R1383CP 11/26/2007 Adjustment to Payment under Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for Partial Device Credit 01/07/2008 5668 N/A N/A
R1385CP 11/30/2007 Shared System Participation in Claim Adjustment Reason Code and Remittance Advice Remark Code Maintenance 04/07/2008 5806 N/A N/A
R1304CP 07/20/2007 Reporting of Additional Data to Describe Services on Hospice Claims 01/07/2008 5567 MM5567 08/23/2007
R1259CP 06/01/2007 July 2007 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes 07/02/2007 5623 MM5623 06/12/2007
R1253CP 05/25/2007 Quarterly Update to Medically Unlikely Edits (MUEs), Version 1.2, Effective July 1, 2007 07/02/2007 5603 MM5603 05/30/2007
R1264CP 06/08/2007 July 2007 Integrated Outpatient Code Editor (I/OCE) Specifications Version 8.2 07/02/2007 5617 MM5617 06/13/2007
R1366CP 11/02/2007 Update to Place of Service (POS) Code Set: New Code for Temporary Lodging 04/07/2008 5777 MM5777 11/29/2007
R227PI 11/02/2007 Update to Requirement to Submit National Provider Identifier (NPI) Notification 01/07/2008 5795 MM5795 11/29/2007
R1374CP 11/07/2007 Fiscal Year (FY) 2008 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes 10/18/2007 5748 MM5748 12/03/2007
R1368CP 11/02/2007 Reporting an NPI and the 'EY' Modifier on Claims for DMEPOS Items Dispensed Without a Physician's Order to Obtain a Medicare Denial for Coordination of Benefits (COB) 04/07/2008 5771 MM5771 12/03/2007
SE0732 N/A Adjustment to Payment Under Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for Partial Device Credit N/A N/A SE0732 12/03/2007
R1263CP 06/08/2007 July Quarterly Update for 2007 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 07/02/2007 5641 MM5641 06/12/2007
R1266CP 06/15/2007 October Quarterly Update to 2007 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 10/01/2007 5636 MM5636 06/20/2007
R1384CP 11/30/2007 Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update 01/07/2008 5800 MM5800 12/04/2007
R1386CP 11/30/2007 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 14.0, Effective January 1, 2008 01/07/2008 5824 MM5824 12/04/2007
R87MCM 06/08/2007 Update of Chapter 4, Benefits and Beneficiary Protections. 06/08/2007 N/A N/A N/A
R1403CP 12/28/2007 January 2008 Integrated Outpatient Code Editor (I/OCE) Specifications Version 9.0 01/07/2008 5865 MM5865 01/02/2008
R209PI 06/12/2007 Revise the VIPS Medicare System (VMS) and Medicare Contractor System (MCS) to Expand Files to Include a National Provider Identifier for Each Legacy Provider Identifier N/A 5044 N/A N/A
R211PI 06/22/2007 Medicare Benefit Vulnerability Reporting 07/23/2007 5581 N/A N/A
R1265CP 06/12/2007 Quarterly Update to Medically Unlikely Edits (MUEs), Version 1.2, Effective July 1, 2007 07/02/2007 5603 MM5603 2007-05-30
R1389CP 12/07/2007 Implementation of Changes in End Stage Renal Disease (ESRD) Payment for Calendar Year 2008 01/07/2008 5827 MM5827 12/10/2007
R1270CP 06/15/2007 July 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective July 1, 2007, and Revisions to the January 2007 and April 2007 Quarterly ASP Medicare Part B Drug Pricing Files 07/02/2007 5646 MM5646 06/20/2007
SE0751 N/A Clarification on the National Provider Identifier (NPI) Enumerator's Responsibilities N/A N/A SE0751 12/10/2007
R1216CP 03/30/2007 Provider Education for Handling NPI Issues Related to Deceased Providers 04/30/2007 5508 MM5508 04/10/2007
SE0724 N/A Medicare Payments for Ambulance Transports N/A N/A SE0724 06/12/2007
R1229CP 04/27/2007 Modification to the Model Medicare Redetermination Notice (for partly or fully unfavorable redeterminations) and the ALJ Filing Locations Where the Place of Service Was in Delaware, Kentucky, Puerto Rico, Virginia, &/or the US Virgin Islands. 07/02/2007 5554 MM5554 05/07/2007
R225PI 10/26/2007 How to Handle the National Provider Identifier (NPI) for Ordering/Referring and Attending/Operating/Other/Service Facility for Medicare Claims 04/07/2008 5674 MM5674 10/30/2007
R119FM 04/20/2007 Contractor CROWD Form 5 Completion Changes 10/01/2007 4274 N/A N/A
R25SOMA 04/20/2007 New Number Series and State Codes for CMS Certification Numbers (formerly OSCAR Provider Numbers) 10/01/2007 5490 N/A N/A
R271OTN 04/20/2007 Recovery Audit Contractor (RAC)/Other Medicare Contractors Claims Mass Adjustments in VIPS Medicare System (VMS)-Analysis and Design 10/01/2007 5497 N/A N/A
R81MCM 04/25/2007 Updates to Chapter 1, General Provisions N/A N/A N/A N/A
R82MCM 04/25/2007 Revision to Chapter 6 Relationships with Providers N/A N/A N/A N/A
R85MCM 04/27/2007 Revisions to Chapter 18 Subpart B Section 110, Determining Deductibles and Coinsurance 04/27/2007 N/A N/A N/A
R120FM 04/27/2007 Accounts Receivable Trending Analysis Procedures 07/02/2007 5506 N/A N/A
R86MCM 04/27/2007 Revisions to Chapter 17, Subpart B, Section 220, Determining Deductibles and Coinsurance 04/27/2007 N/A N/A N/A
R294OTN 10/15/2007 New Contractor Workload Number for Cahaba Part A Iowa Data 11/01/2007 5566 N/A N/A
R296OTN 10/19/2007 New Numbers for All MAC Jurisdictions N/A 5651 N/A N/A
R223PI 10/16/2007 Instructions for the Implementation and Execution of the Medicare Provider Enrollment Demonstration for Home Health Agencies (HHAs) in High-Risk Areas 10/19/2007 5738 N/A N/A
R224PI 10/16/2007 Revise the Fiscal Intermediary Shared System (FISS) to Expand Files to Include a National Provider Identifier (NPI) for Each Legacy Provider Identifier 12/03/2007 5043 N/A N/A
R1252CP 05/25/2007 Clarification of Skilled Nursing Facility (SNF) No Pay Billing 08/27/2007 5583 MM5583 05/29/2007
R1258CP 05/29/2007 July Update to the 2007 Medicare Physician Fee Schedule Database 07/02/2007 5614 MM5614 06/18/2007
SE0714 N/A Pre-Bidding Activities for the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program N/A N/A SE0714 05/15/2007
R261OTN 01/19/2007 Institutional Value Code Changes 07/02/2007 5411 MM5411 01/23/2007
R1283CP 07/06/2007 National Provider Identifier (NPI) Required to Enroll in Electronic Data Interchange (EDI), Update of Telecommunication and Transmission Protocols for EDI and Deletion of Obsolete Reference to Medicaid Subrogation Claims 10/01/2007 5637 N/A N/A
R79BP 10/19/2007 Requirements for Ordering and Following Orders for Diagnostic Tests 11/19/2007 5743 N/A N/A
SE0752 N/A Medicare Provides Coverage for Many Preventive Services and Screenings N/A N/A SE0752 12/21/2007
R1188CP 02/26/2007 April Update to the 2007 Medicare Physician Fee Schedule Database 04/02/2007 5528 MM5528 03/02/2007
R210PI 06/15/2007 High Risk Areas 07/16/2007 5626 N/A N/A
SE0754 N/A Individuals Authorized Access to CMS Computer Services - Provider Community (IACS-PC): THE THIRD IN A SERIES OF ARTICLES ON THE IACS-PC N/A N/A SE0754 12/27/2007
SE0711 N/A Reminder - Medicare Now Provides Coverage for Eligible Medicare Beneficiaries of a One-Time Ultrasound Screening for Abdominal Aortic Aneurysms (AAA) When Referred for this Screening as a Result of the Initial Preventive Physical Examination ("Welcome to Medicare" Physical Exam) N/A N/A SE0711 03/14/2007
SE0734 N/A Limitation on Charges for Services Furnished by Medicare Participating Hospitals to Individuals Eligible for Care through Indian Health Service (IHS) Programs N/A N/A SE0734 08/15/2007
SE0737 N/A Notification of the 2008 Physician Election Period for the Part B Drug Competitive Acquisition Program (CAP) N/A N/A SE0737 09/27/2007
SE0738 N/A An Overview of Medicare Covered Diabetes Supplies and Services N/A N/A SE0738 11/19/2007
SE0744 N/A IMPORTANT NPI AND ENROLLMENT INFORMATION FOR PHYSICIANS AND NON - PHYSICIAN PRACTITIONERS N/A N/A SE0744 10/11/2007
SE0745 N/A Special "Skilled Nursing Facility" (SNF) Definition Used in Determining Durable Medical Equipment (DME) Coverage, and in Ending a Benefit Period or "Spell of Illness" N/A N/A SE0745 10/25/2007
SE0746 N/A Coding for Polypectomy Performed During Screening Colonoscopy or Flexible Sigmoidoscsopy N/A N/A SE0746 11/08/2007
SE0748 N/A 2007 - 2008 Influenza (Flu) Season Resources for Health Care Professionals N/A N/A SE0748 11/13/2007
SE0749 N/A Addressing Misinformation Regarding Chiropractic Services and Medicare N/A N/A SE0749 12/14/2007
SE0750 N/A Centers for Medicare & Medicaid Services (CMS) Seeks Provider Input on Satisfaction with Medicare Fee-for-Service Contractor Services N/A N/A SE0750 12/07/2007
R1288CP 07/13/2007 Update to the Place of Service (POS) Code Set to Add a Code for Prison/Correctional Facility - VMS Only 01/07/2008 5331 MM5331 07/26/2007
R19COM 06/29/2007 IOM Pub 100-09, Chapters 3, Provider Inquiries and Chapter 6 - Provider Customer Service Program Updates 07/30/2007 5597 MM5597 07/05/2007
R20COM 07/13/2007 IOM Pub. 100-09, Chapters 3- Provider Inquiries and Chapter6- Provider Customer Service Program Updates 07/30/2007 5597 MM5597 2007-07-05
R1284CP 07/09/2007 Chapter 24 Update and EFT Format Standardization 10/01/2007 5586 MM5586 07/19/2007
R1296CP 07/18/2007 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 10/01/2007 5569 N/A N/A
R1232CP 04/27/2007 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 10/01/2007 5563 N/A N/A
R46GI 07/20/2007 Implement New Contractor ID for Single Testing Contractor (STC) 01/07/2008 5648 N/A N/A
R1303CP 07/20/2007 Modification of Part B Flat File for Electronic Remittance Advice Transaction 835 01/07/2008 5695 N/A N/A
R1301CP 07/20/2007 Revised Information on PET Scan Coding 01/07/2008 5665 MM5665 07/31/2007
R1300CP 07/20/2007 Healthcare Provider Taxonomy Codes (HPTC) Update October 2007 10/01/2007 5673 N/A N/A
R1166CP 01/26/2007 Correction to the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) Pricer 04/02/2007 5455 MM5455 01/31/2007
SE0723 N/A Important Notice Regarding Vaccine Administrations in 2008 N/A N/A SE0723 05/30/2007
R1234CP 04/27/2007 Update of HCPCS Codes for Hemophilia Clotting Factors 10/02/2007 5466 MM5466 04/30/2007
R1387CP 12/07/2007 Mammography: Change Certification-Based Action from Return to Provider (RTP)/Return as Unprocessable to Reject/Denial 04/07/2008 5577 MM5577 12/14/2007
R1397CP 12/18/2007 Reporting of Additional Data to Describe Services on Hospice Claims 01/07/2008 5567 N/A 08/22/2007
R1372CP 11/02/2007 Reporting of Additional Data to Describe Services on Hospice Claims 01/07/2008 5567 MM5567 08/22/2007
R1251CP 05/25/2007 Clarification fo the National Provider Identifier(NPI) Reporting Requirements for Ambulance Service Claims 07/02/2007 5564 MM5564 06/20/2007
R198PI 04/13/2007 New DMEPOS Certificates of Medical Necessity (CMNs) and DME Information Forms (DIFS) for Claims Processing. 07/02/2007 5571 MM5571 05/04/2007
R1316CP 08/17/2007 Anesthesia Services Furnished by the Same Physician Providing the Medical and Surgical Service 10/01/2007 5618 MM5618 08/22/2007
R1324CP 08/27/2007 Anesthesia Services Furnished by the Same Physician Providing the Medical and Surgical Service 10/01/2007 5618 MM5618 08/22/2007
R75BP 08/17/2007 Nurse Practitioner (NP) Services and Clinical Nurse Specialist (CNS) Services 11/19/2007 5639 MM5639 08/20/2007
R219PI 08/17/2007 Nurse Practitioner (NP) Services and Clinical Nurse Specialist (CNS) Service 11/19/2007 5639 MM5639 08/20/2007
R71NCD 06/29/2007 Percutaneous Transluminal Angioplasty (PTA) 07/30/2007 5660 MM5660 07/09/2007
R1318CP 08/17/2007 Ambulance: New Remark Code for Denying Separately Billed Services 10/01/2007 5659 MM5659 08/20/2007
R1250CP 05/25/2007 Implementation of the Carrier Jurisictional Pricing Rules for All Purchased Diagnostic Service Claims 10/01/2007 5543 MM5543 05/23/2007
R69BP 05/04/2007 Change to the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) Discharge Bill 12/03/2007 5474 MM5474 05/07/2007
R1231CP 05/04/2007 The Use of Benefit's Exhaust (BE) Day as the Day of Discharge for Payment Purposes for the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) and Clarification of Discharge for Long Term Care Hospitals (LTCH) and the Allowance of No-Pay Benefits Exhaust Bills (TOB 110) 12/03/2007 5474 MM5474 05/07/2007
R1206CP 03/16/2007 Extracorporeal Photopheresis 04/02/2007 5464 MM5464 03/21/2007
R1221CP 04/18/2004 Common Working File (CWF) Duplicate Claim Edit for the Technical Component (TC) of Radiology and Pathology Laboratory Services Provided to Hospital Patients 04/02/2007 5347 MM5347 04/16/2007
R1151CP 01/11/2007 Skilled Nursing Facility (SNF) Consolidated Billing (CB) Common Working File (CWF) Edit Bypass Instructons for Hospital Emergency Room Services Spanning Multiple Service Dates 04/02/2007 5389 MM5389 01/12/2007
R1149CP 01/05/2007 Revision of Chapter 31 Eligibility Rules of Behavior 04/02/2007 5431 MM5431 01/10/2007
SE0726 N/A Clarification About the Medical Privacy of Protected Health Information N/A N/A SE0726 07/19/2007
R1330CP 08/31/2007 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 13.3, Effective October 1, 2007 10/01/2007 5703 MM5703 09/04/2007
R213PI 06/29/2007 Various Benefit Integrity Revisions 07/30/2007 5630 N/A N/A
SE0709 N/A Reminder - Medicare Provides Coverage of Prostate Cancer Screening for Eligible Medicare Beneficiaries N/A N/A SE0709 03/02/2007
R69NCD 05/11/2007 Bone Mass Measurements (BMMs) 07/02/2007 5521 MM5521 05/18/2007
R1336CP 09/14/2007 October 2007 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes 10/01/2007 5718 MM5718 09/17/2007
R1391CP 12/14/2007 Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 01/07/2008 5829 MM5829 12/27/2007
R1233CP 04/27/2007 Clarification of Bariatric Surgery Billing Requirements Issued in CR 5013 05/29/2007 5477 N/A N/A
R129FM 07/13/2007 Notice of New Interest Rate for Medicare Overpayments and Underpayments - 4th Qtr. FY 2007. 07/20/2007 5300 N/A N/A
R1294CP 07/13/2007 Revision of the Fiscal Intermediary Standard System (FISS) to Forward Payment Ambulatory Payment Classification (APC) to the Common Working File (CWF) 01/07/2008 5599 N/A N/A
R1226CP 04/20/2007 Medicare Program, Correction of Hospice Cap for FYs 2003 and 2004 07/31/2007 5596 N/A N/A
R84MCM 04/25/2007 Revisions to Chapter 12-Effect of Change of Ownership 04/25/2007 N/A N/A N/A
R83MCM 04/25/2007 Chapter 11, Medicare Advantage Application Procedures and Contract Requirements 04/25/2007 N/A N/A N/A
R1285CP 07/13/2007 Renal Dialysis Facility Line Item Billing Requirement for Epoetin Alfa (EPO) Submitted on End Stage Renal Disease (ESRD) Claims 01/07/2008 5545 MM5545 07/17/2007
R1280CP 06/29/2007 Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2008 10/01/2007 5685 MM5685 07/16/2007
R1289CP 07/13/2007 Additional Common Working File (CWF) Editing for Skilled Nursing Facility (SNF) Consolidated Billing (CB) 01/02/2008 5624 MM5624 07/16/2007
R73BP 06/29/2007 Coverage Requirements for Therapy Services Provided in a Skilled Nursing Facility 10/01/2007 5532 MM5532 07/19/2007
SE0727 N/A Reimbursement for Vaccines and Vaccine Administration Under Medicare Part D N/A N/A SE0727 07/10/2007
SE0729 N/A Important Guidance on the New CMS-1500 and UB-04 Forms N/A N/A SE0729 08/02/2007
R1314CP 07/23/2007 Claim Status Category Code and Claim Status Code Update 01/07/2008 5687 MM5687 08/06/2007
R1311CP 07/20/2007 Capturing Medicare Advantage (MA) Beneficiary Days in the Medicare/Supplemental Security Income (SSI) Fraction for Disproportionate Share Hospital (DSH) Data 01/07/2008 5647 MM5647 08/01/2007
R1401CP 12/21/2007 Medicare Shared Systems Modifications Necessary to Accept and Crossover to Medicaid National Drug Codes (NDC) And Corresponding Quantities Submitted on Form CMS11500 Paper Claims 04/07/2008 5835 MM5835 04/17/2008
R1404CP 12/28/2007 2008 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payment 01/07/2008 5698 MM5698 01/02/2008
R1274CP 06/29/2007 Appeals of Claims Decisions: Appointment of Representatives; Fraud and Abuse; Guidelines for Writing Appeals Correspondence; Disclosure of Information. 10/01/2007 5460 MM5460 07/02/2007
R1307CP 07/20/2007 Modification to the National Monitoring Policy for Erythropoietic Stimulating Agents (ESAs) for End-Stage Renal Disease (ESRD) Patients Treated in Renal Dialysis Facilities 01/07/2008 5700 MM5700 07/24/2007
SE0733 N/A The 2007 Medicare Contractor Provider Satisfaction Survey (MCPSS) Shows Positive Results for Medicare's Fee-for-Service Contractors N/A N/A SE0733 08/07/2007
SE0728 N/A Reasons for Provider Notification of Medicare Claims Disputed/Rejected by Supplemental Payers/Insurers N/A N/A SE0728 08/02/2007
R1290CP 07/13/2007 Clarification of Skilled Nursing Facility (SNF) Billing Requirements for Beneficiaries Enrolled in Medicare Advantage (MA) Plans 01/07/2008 5653 MM5653 07/16/2007
R1278CP 06/29/2007 Update to Pub. 100-04, Chapter 18, Section 10 for Part B influenza Billing 07/30/2007 5511 MM5511 07/12/2007
R1313CP 07/23/2007 Response to Competitive Acquisition for Part B Drugs and Biologicals (CAP) Claims When the Common Working File (CWF) 69XD Error Code is Received 08/23/2007 5658 MM5658 08/07/2007
R217PI 07/13/2007 Provider Enrollment Fraud Detection Program for High Risk Areas 08/13/2007 5633 N/A N/A
R45GI 07/13/2007 Cancellation of Data File Extract in CR 3801 01/07/2008 5620 N/A N/A
R1287CP 07/13/2007 Instructions for Downloading the Medicare ZIP Code Files- January 2008 01/07/2008 5657 N/A N/A
R287OTN 07/13/2007 FISS Recoupment and Claims Adjustment Process Changes- Limitation of Recoupment- Analysis and Design 01/07/2008 5605 N/A N/A
R126FM 07/13/2007 Manual Revision Re: MSN Workload Reporting 01/07/2008 5642 N/A N/A
R127FM 07/13/2007 Instructions for Documenting Scoping Decision of Providers Internal Controls Revisions to Continuing Education and Training and Revision Regarding Time Frame for Settling Cost Reports 10/01/2007 5661 N/A N/A
R125FM 06/29/2007 Instructions for Completion of the Contractors Monthly Bank Reconciliation Worksheet 07/30/2007 5592 N/A N/A
R216PI 07/13/2007 Implementation of New Compliance Standards for Independent Diagnostic Testing Facilities (IDTFs) 10/01/2007 5672 N/A N/A
R1390CP 12/13/2007 Part B Drug Competitive Acquisition Program (CAP) Quarterly Drug Updates and Annual Price Updates 01/07/2008 5839 MM5839 12/27/2007
R1198CP 03/09/2007 April 2007 Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) Specifications Version 8.1 04/02/2007 5522 MM5522 03/12/2007
R222PI 09/14/2007 Discontinuance of the Unique Physician Identification Number (UPIN) Registry 06/29/2007 5584 MM5584 06/01/2007
R1328CP 08/31/2007 Delete References to Reporting of the National Provider Identifier (NPI) on or after May 23, 2007, and Revise References to a 'When Required' Date. 10/01/2007 5678 MM5678 09/04/2007
R1321CP 08/24/2007 Sunset of the Physician Scarcity Area (PSA) Bonus Payment 01/07/2008 5711 MM5711 09/13/2007
R306OTN 12/21/2007 New Inpatient Spell and Adjustment Process for VA Claims 07/07/2008 5783 N/A N/A
R1323CP 08/24/2007 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2008 10/01/2007 5694 MM5694 08/27/2007
R1346CP 09/28/2007 New Waived Tests 10/01/2007 5715 MM5715 10/02/2007
R1338CP 09/21/2007 Medicare Payment for Preadministration-Related Services Associated with IVIG Administration-Payment Extended through CY 2008 01/07/2008 5713 MM5713 01/10/2008
R1357CP 10/26/2007 Payment: Allowances for the Influenza Virus Vaccine and the Pneumococcal Vaccine When Payment is Based on 95 Percent of the Average Wholesale Price (AWP) 11/26/2007 5744 MM5744 10/30/2007
R72NCD 08/28/2007 Ultrasound Diagnostic Procedures 09/28/2007 5608 MM5608 2007-09-13
R133FM 10/12/2007 Notice of New Interest Rate for Medicare Overpayments and Underpayments - 1st Notification for FY 2008 10/19/2007 5754 N/A N/A
R1347CP 09/28/2007 MSN Message: Revised 38.13 10/29/2007 5722 MM5722 10/15/2007
R1349CP 10/05/2007 Medicare Fee For Service (FFS) National Provider Identifier (NPI) Final Implementation N/A 5728 MM5728 10/09/2007
R1365CP 11/02/2007 Additional Common Working File (CWF) Editing for Skilled Nursing Facility (SNF) Consolidated Billing (CB) - Part II 04/07/2008 5757 MM5757 11/05/2007
R1344CP 09/28/2007 Reasonable Charge Update for 2008 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, and Certain Intraocular Lenses 01/07/2008 5740 MM5740 10/02/2007
R1350CP 10/05/2007 Correction to CR 5635 Revised HCPCS Codes Relating to Immune Globulin 11/05/2007 5741 MM5741 10/09/2007
R1348CP 10/05/2007 Billing Instructions for the Home Health Prospective Payment System (HH PPS) Case Mix Refinement 11/05/2007 5746 MM5746 10/09/2007
R1402CP 12/21/2007 VMS Modification Analysis to Implement the Common Electronic Data Interchange (CEDI) System 04/07/2008 5755 MM5755 01/02/2008
R1393CP 12/14/2007 Changes are being made to the Form CMS-1500 submission requirements related to boxes 32a and 32b 01/07/2008 5749 MM5749 01/02/2008
R1399CP 12/19/2007 Handling Personally Identifiable Information on the Medicare Summary Notice 01/07/2008 5770 MM5770 12/27/2007
R1388CP 12/07/2007 Fee Schedule Update for 2008 for Durable Medical Equipment, Prosthetics, Orthotics and Supplies 01/07/2008 5803 MM5803 12/10/2007
R1400CP 12/20/2007 2008 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 01/07/2008 5813 MM5813 12/27/2007
R79NCD 12/21/2007 Nebulized Beta Adrenergic Agonist Therapy for Lung Diseases 01/22/2008 5820 MM5820 01/02/2008
R49GI 12/14/2007 Update to Medicare Deductible, Coinsurance and Premium Rates for 2008 01/07/2008 5830 MM5830 12/27/2007
R50GI 12/21/2007 Revision to Certification for Hospital Services Covered by the Supplementary Medical Insurance Program as it Pertains to Ambulance Services 01/07/2008 5833 MM5833 01/02/2008
R1396CP 12/14/2007 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year (FY) 2006 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs) 01/04/2008 5846 MM5846 12/27/2007
R78NCD 12/05/2007 Pulmonary Rehabilitation Services 01/07/2008 5834 MM5834 12/10/2007
SE0730 N/A Key Medicare News for 2008 for Physicians and Other Health Care Professionals N/A N/A SE0730 10/19/2007
SE0736 N/A Required Use of Tamper-Resistant Prescription Pads for Outpatient Drugs Prescribed to Medicaid Recipients on or After October 1, 2007 N/A N/A SE0736 08/20/2007
R1345CP 09/28/2007 Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update 10/01/2007 5721 MM5721 10/02/2007
SE0713 N/A Accreditation Information for Suppliers of Durable Medical Equipment, Orthotics, Prosthetics, and Supplies (DMEPOS) N/A N/A SE0713 04/03/2007
R1351CP 10/05/2007 Correction to CR5645 -July 2007 Quarterly Update to the HCPCS Codes for Albuterol, Levalbuterol, and Reclast 11/05/2007 5735 MM5735 10/09/2007
R1394CP 12/14/2007 Manual Updates to Chapter 6, Skilled Nursing Facility (SNF) Inpatient Part A Billing, for No Payment and Medicare Advantage (MA) Claims 03/17/2008 5840 MM5840 03/12/2008
R76NCD 09/12/2007 Ultrasound Diagnostic Procedures 09/28/2007 5608 MM5608 09/13/2007
R295OTN 10/15/2007 Durable Medical Equipment Medicare Administrative Contractors (DME MACs) - Discontinuance/Cancellation of the Use of a WL Modifier on Claims for the DeWall Posture Protector Orthotic Body Jacket HCPCS Code (L0430) 11/16/2007 5758 MM5758 10/17/2007
R1281CP 07/06/2007 Clarification on Billing for Oral Three Drug Combination Anti-Emetic (Aprepitant) 01/07/2008 5655 MM5655 03/04/2008
R78BP 09/21/2007 Unlabeled Use for Anti-Cancer Drugs: Medical Literature Used to Determine Medically Accepted Indications for Drugs and Biologicals Used in Anti-Cancer Treatment 10/22/2007 5729 MM5729 09/25/2007
R1353CP 10/15/2007 Application of ASCA Enforcement Review Decisions Made by Other Medicare Contractors to the Same Providers When Selected for ASCA Review by the Railroad Medicare Carrier, Elimination of References to Claim Status and COB Medicare HIPAA Contingency Plans and Changes to Reflect Transfer of Responsibility for Medigap Claims to the COBC Contractor 01/07/2008 5606 MM5606 10/17/2007
R1187CP 02/23/2007 Revisions to Incomplete or Invalid Claims Instructions Necessary to Implement the Revised Health Insurance Form CMS-1500(8/05) 05/23/2007 5391 MM5391 02/27/2007
R1208CP 03/19/2007 Extension for Acceptance of Form CMS - 1500 (12-90) 04/02/2007 5568 MM5568 03/21/2007
R305OTN 12/14/2007 New Contractor Numbers for the states of Iowa, Kansas, Nebraska and Missouri in Jurisdiction 5 A/B Medicare Administrative Contractor (MAC) Workload 12/01/2007 5809 N/A N/A
R230PI 12/14/2007 Update to Chapter 10 01/07/2008 5802 N/A N/A
R434PR1 12/21/2007 Provider Reimbursement Manual - Part 1 N/A N/A N/A N/A
R1320CP 08/20/2007 2008 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payment 01/07/2008 5698 MM5698 09/25/2007
R285OTN 06/22/2007 Implement Changes to the VMS DME Standard System to include SAFE Audit Records 10/01/2007 5565 N/A N/A
R284OTN 06/22/2007 Limiting Numbers of Letters Automatically Generated For Claims Suspended When There is No One-to-One Match of National Provider Identifier (NPI) to Legacy Provider Number 10/01/2007 5621 N/A N/A
R214PI 06/29/2007 Clarification of Provider Enrollment Revocations 07/30/2007 5504 N/A N/A
R286OTN 06/29/2007 Adding a CMS Specialty Code for Suppliers of Oxygen and/or Oxygen Related Equipment 01/02/2008 5563 N/A N/A
R212PI 06/29/2007 Administrative Appeals for Provider Enrollment 10/01/2007 5467 N/A N/A
R307OTN 12/21/2007 National Provider Identifier Accounts Receivable Netting Process 01/07/2008 5654 N/A N/A
R48GI 12/14/2007 Include NPI for the MBD/NGD extracts from CWF for Hospice and Home Health Episodes 04/07/2008 5812 N/A N/A
R1395CP 12/14/2007 Updated National Uniform Billing Committee (NUBC) Codes and Other Internet Only Manual Chapter 25 Revisions 01/07/2008 5850 N/A N/A
R1392CP 12/14/2007 New Medicare Summary Notice )MSN) General Information Section Message Regarding Medicare Records for New Retirees, and Modification to Update the MSN Messages 01/07/2008 5841 N/A N/A
R30SOMA 12/14/2007 Revisions, deletions, and changes to the SOM Exhibits 12/14/2007 N/A N/A N/A
R1276CP 06/29/2007 Waiving Medicare Fee-for-Service Appeals Requirements 07/30/2007 5322 N/A N/A
R1355CP 10/19/2007 National Uniform Billing Committee (NUBC) Update on Revenue Codes and Corrected Skilled Nursing Facility (SNF) Spell of Illness Chart 01/22/2007 5734 MM5734 10/25/2007
R70BP 05/11/2007 Bone Mass Measurements (BMMs) 07/02/2007 5521 MM5521 05/18/2007
R1236CP 05/11/2007 Bone Mass Measurements (BMMs) 07/02/2007 5521 MM5521 05/18/2007
R1352CP 10/15/2007 Billing Instructions Regarding Payment for Hospice Care Based on Location Where Care is Furnished 01/07/2008 5745 MM5745 10/17/2007
R1319CP 08/17/2007 Date of Service for Laboratory Specimens 01/01/2008 5573 MM5573 08/20/2007
R124FM 06/29/2007 Treasury Collections on Non-Medicare Secondary Payer (Non-MSP) Debts 07/30/2007 5631 N/A N/A
R8ESRD 12/14/2007 ESRD Network Organizations: Background and Responsibilities 01/07/2008 5844 N/A N/A
R276OTN 05/01/2007 New Contractor Number for Jurisdiction 3 Arizona Part A Workload 10/01/2007 5589 N/A N/A
R1228CP 04/27/2007 Instructions for Implementation of CMS 1536-R; Astigmatism-Correcting Intraocular Lens (A-C IOLs) 05/29/2007 5527 MM5527 04/30/2007
R1312CP 07/20/2007 Timeliness Standards for Processing Other-Than-Clean Claims 01/07/2008 5513 MM5513 08/13/2007
R1335CP 09/14/2007 Updating the Internet Only Manual (IOM) to Include Language "or NPI When Required" 10/01/2007 5708 N/A N/A
R29SOMA 10/12/2007 New Number Series and State Codes for CMS Certification Numbers (formerly OSCAR Provider Numbers 10/01/2007 5490 N/A N/A
R132FM 10/05/2007 Chapter 7, Internal Control Requirement Update 11/05/2007 5701 N/A N/A
R293OTN 10/05/2007 Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Change 10/01/2007 5705 N/A N/A
R1363CP 11/02/2007 Analysis and Design Only - Processing All Diagnosis Codes Reported on Claims Submitted to Durable Medical Equipment Medicare Administrative Contractors (DME MACs) 04/07/2008 5030 N/A N/A
R200PI 04/27/2007 Update Program Integrity Management Reporting (PIMR) System for Multi Carrier System (MCS) to Recognize New "T" and "F" Codes and to Expand the MCS Contractor Bill Type Code Table to Accommodate the New "T" and "F" Codes 10/01/2007 5236 N/A N/A
R1239CP 05/11/2007 Enhancements to Claims Processing Requirements for the Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals for the October 2007 Release 10/01/2007 5579 N/A N/A
R297OTN 10/26/2007 Instructions for Fiscal Intermediary Standard System (FISS), Multi-Carrier System (MCS) and Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes 01/07/2008 5773 N/A N/A
R1359CP 10/26/2007 Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes 01/07/2008 5762 N/A N/A
R23P21 10/19/2007 Provider Cost Reporting Forms and Instructions, Chapter 1, General N/A N/A N/A N/A
R74BP 06/29/2007 Medicare Telehealth Services 01/07/2008 5628 MM5628 12/03/2007
R1277CP 06/29/2007 Medicare Telehealth Services 01/07/2008 5628 MM5628 12/03/2007
SE0743 N/A Clarification Concerning Provider Billing Procedures Related to the Transition of the Medigap claim-based Crossover Process to the Coordination of Benefits Contractor on October 1, 2007 N/A N/A SE0743 09/25/2007
SE0742 N/A Revised Payment System for Ambulatory Surgical Centers (ASC) in Calendar Year (CY) 2008 N/A N/A SE0742 09/19/2007
R283OTN 06/15/2007 Notifying Affected Parties Regarding Changes to the Mandatory Medigap ("Claim-Based") Crossover Process 07/16/2007 5662 MM5662 06/25/2007
R1218CP 04/02/2007 Program Instructions Designating the Competitive Bidding Areas and Product Categories Included in the CY 2007 DMEPOS Competitive Bid Program 04/02/2007 5574 MM5574 04/05/2007
SE0717 N/A Initial Supplier Registration for Competitive Bidding Program for DMEPOS is Now Open N/A N/A SE0717 04/10/2007
R1358CP 10/26/2007 Medicare Physician Fee Schedule Database (MPFSDB) 2008 File 01/07/2008 5774 N/A N/A
R1354CP 10/18/2007 Fiscal Year (FY) 2008 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes 10/18/2007 5748 N/A N/A
R275OTN 05/01/2007 New Contractor Workload Number for Cahaba Part A Iowa Data 11/01/2007 5566 N/A N/A
R121FM 05/02/2007 Contractor CROWD Form 5 Completion Changes 10/01/2007 4274 N/A N/A
R1356CP 10/19/2007 Calendar Year (CY) 2008 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures 11/09/2007 5732 N/A N/A
R1370CP 11/02/2007 2008 Healthcare Common Procedure Coding System (HCPCS) Annual Update 04/07/2008 5775 N/A N/A
R1193CP 03/09/2007 Use of 9-Digit ZIP codes for Determining the Correct Payment Locality for Services Paid Under the Medicare Physician Fee Schedule (MPFS) and Anesthesia Services 10/01/2007 5208 N/A N/A
R202PI 05/18/2007 Medical Review Re-openings 10/01/2007 5246 N/A N/A
R1244CP 05/18/2007 New Waived Tests 07/02/2007 5600 N/A N/A
R203PI 05/25/2007 Strategy Analysis Report (SAR) 07/02/2007 5519 N/A N/A
R1246CP 05/22/2007 Home Health Agencies (HHAs) Providing Durable Medical Equipment (DME) in Competitive Bidding Areas 04/01/2008 5551 N/A N/A
R279OTN 05/25/2007 Continuation of Legacy Number Reporting on Outbound Claims for COBA Process 07/02/2007 5549 N/A N/A
R122FM 05/25/2007 CMS Reporting Requirements With the Exception of MSP for Unsolicited/Voluntary Refunds 06/25/2007 5570 N/A N/A
R204PI 05/25/2007 Comprehensive Error Rate Testing (CERT) Program Changes 06/25/2007 4120 N/A N/A
R72BP 05/25/2007 Guidelines for Payment of Diabetes Self-Management Training (DSMT) 07/02/2007 5433 N/A N/A
R281OTN 05/25/2007 Revision on the Medicare Summary Notice (MSN) Printing Cycle 10/01/2007 5588 N/A N/A
R1254CP 05/25/2007 National Uniform Billing Committee (NUBC) Update to Chapter 25 06/11/2007 5593 N/A N/A
R282OTN 05/25/2007 Common Working File Informational Unsolicited Response--Analysis Only 10/01/2007 5611 N/A N/A
R1237CP 05/11/2007 Instructions for Downloading the Medicare ZIP Code Files - October 2007 10/01/2007 5575 N/A N/A
R53DEMO 04/27/2007 Method of Payment for Extended Stay Services under the Frontier Extended Stay Clinic Demonstration, Authorized by Section 434 of the Medicare Modernization Act 10/01/2007 5454 MM5454 05/07/2007
R128FM 07/13/2007 Revisions to Instructions On Chapter 1-Budget Preparation-Intermediaries and Carriers and Chapter 2-Budget Execution of the Medicare Financial Management (Pub.100-06) 08/13/2007 5682 N/A N/A
R13P232 05/18/2007 To reflect further clarification to existing instructions and incorporates N/A N/A N/A N/A
R1249CP 05/25/2007 Update to Publication 100-4, Chapters 1 & 15 for ZIP5 and ZIP9 Medicare ZIP Code Files. 10/01/2007 5578 N/A N/A
R44GI 05/25/2007 Fee-for-Service Contractor Transition Handbooks 07/02/2007 5446 N/A N/A
R280OTN 05/25/2007 Adding Three CMS Specialty Codes for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) 01/02/2008 5576 N/A N/A
R1255CP 05/25/2007 Guidelines for Payment of Diabetes Self-Management Training (DSMT 07/02/2007 5433 N/A N/A
R201PI 05/11/2007 Revise the Fiscal Intermediary Shared System (FISS) to Expand Files to Include a National Provider Identifier (NPI) for Each Legacy Provider Identifier 12/03/2007 5043 N/A N/A
R197PI 04/06/2007 Revise the VIPS Medicare System (VMS) and Medicare Contractor System (MCS) to Expand Files to Include a National Provider Identifier (NPI) for Each Legacy Provider Identifier 07/02/2007 5044 N/A N/A
R1173CP 02/02/2007 Timeliness Standards for Processing Other-Than-Clean Claims 07/02/2007 5355 MM5355 02/06/2007
SE0710 N/A Colorectal Cancer: Preventable, Treatable, and Beatable - Medicare Coverage and Billing for Colorectal Cancer Screening N/A N/A SE0710 2007-02-22