| R171FM |
05/28/2010 |
Expansion of Form 5 of the Contractor Reporting of Operational and Workload Data (CROWD) |
N/A |
6969 |
N/A |
N/A |
| R1898CP |
01/29/2010 |
Dialysis Adequacy, Infection and Vascular Access Reporting |
07/06/2010 |
6782 |
MM6782 |
02/02/2010 |
| R1976CP |
05/28/2010 |
July 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) |
07/06/2010 |
6996 |
MM6996 |
06/02/2010 |
| R128BP |
05/28/2010 |
July 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) |
07/06/2010 |
6996 |
MM6996 |
06/02/2010 |
| R1980CP |
06/04/2010 |
July 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) |
07/06/2010 |
6996 |
MM6996 |
06/07/2010 |
| R1982CP |
06/04/2010 |
July 2010 Integrated Outpatient Code Editor (I/OCE) Specifications Version 11.2 |
07/06/2010 |
6967 |
MM6967 |
06/07/2010 |
| R715OTN |
06/04/2010 |
Analysis for FISS, CWF and NCH for Physician and Non-Physician Practitioner Specialty Codes |
10/04/2010 |
6998 |
N/A |
N/A |
| R619OTN |
01/08/2010 |
Converting the BSIs for the Providers Transitioning from WPS Legacy Workload (formerly processed by Mutual of Omaha) to the
J1 A/B Medicare Administrative Contractor (MAC)
|
04/19/2010 |
6773 |
N/A |
N/A |
| R618OTN |
01/08/2010 |
Institutional Online Screens Changes for Version 005010 Related to ICD-10, Institutional Online Screens Changes for Additional
Medical Codes, and Changes Needed to Process Additional Medical Codes - Analysis Only
|
04/05/2010 |
6797 |
N/A |
N/A |
| R617OTN |
01/08/2010 |
Medically Unlikely Edits (MUEs). |
04/05/2010 |
6712 |
N/A |
N/A |
| R616OTN |
01/08/2010 |
Common Working File (CWF) Non-Base Jobs to Base Jobs |
N/A |
6767 |
N/A |
N/A |
| R442PR1 |
06/08/2010 |
Prospective Payment System Hospital Input Price Index |
N/A |
N/A |
N/A |
N/A |
| R63GI |
06/11/2010 |
October 2010 Update to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS) |
10/04/2010 |
6971 |
N/A |
N/A |
| R700OTN |
05/10/2010 |
Revised Payment Files for the 2010 Medicare Physician Fee Schedule Database (MPFSDB) and Retroactive Provisions under the
Patient Protection and Affordable Care Act (Pub. L. 111-148) (the Affordable Care Act)
|
06/01/2010 |
6973 |
MM6973 |
05/13/2010 |
| R706OTN |
05/21/2010 |
Extension for the Two Percent and Three Percent Add-On for the Ground Ambulance, Air Ambulance in Rural Areas and "Super Rural"
Add-0n
|
07/06/2010 |
6972 |
MM6972 |
05/21/2010 |
| R1973CP |
05/21/2010 |
Internet Only Manual (IOM) Chapter 25 Revisions |
09/01/2010 |
6907 |
MM6907 |
05/21/2010 |
| R1970CP |
05/21/2010 |
Updated Form CMS-1500 Information |
10/04/2010 |
6929 |
MM6929 |
05/27/2010 |
| R1985CP |
06/11/2010 |
Clarifications and Updates of Therapy Services Policies |
07/11/2010 |
6980 |
N/A |
N/A |
| R170FM |
05/21/2010 |
Cardiac Rehabilitation and Intensive Cardiac Rehabilitation |
10/04/2010 |
6850 |
MM6850 |
05/21/2010 |
| R126BP |
05/21/2010 |
Cardiac Rehabilitation and Intensive Cardiac Rehabilitation |
10/04/2010 |
6850 |
MM6850 |
05/21/2010 |
| R339PI |
05/21/2010 |
Cardiac Rehabilitation and Intensive Cardiac Rehabilitation |
10/04/2010 |
6850 |
MM6850 |
05/21/2010 |
| R1974CP |
05/21/2010 |
Cardiac Rehabilitation and Intensive Cardiac Rehabilitation |
10/04/2010 |
6850 |
MM6850 |
05/21/2010 |
| R124BP |
05/07/2010 |
Pulmonary Rehabilitation (PR) Services |
10/04/2010 |
6823 |
MM6823 |
05/07/2010 |
| R1966CP |
05/07/2010 |
Pulmonary Rehabilitation (PR) Services |
10/04/2010 |
6823 |
MM6823 |
05/07/2010 |
| SE1016 |
N/A |
Re-Assignment of Certain Providers to Jurisdiction 1 and Jurisdiction 4 Medicare Administrative Contractors (MACs) |
N/A |
NA |
SE1016 |
05/18/2010 |
| R125BP |
05/14/2010 |
Ambulance Services - Joint Responses |
06/15/2010 |
6949 |
MM6949 |
05/18/2010 |
| R1984CP |
06/11/2010 |
July 2010 Update to the Ambulatory Surgical Center (ASC) Payment System |
07/06/2010 |
7008 |
MM7008 |
06/11/2010 |
| R1988CP |
06/14/2010 |
Enhancements to Home Health (HH) Consolidated Billing |
10/04/2010 |
6911 |
MM6911 |
05/27/2010 |
| R1983CP |
06/11/2010 |
Clarification on Use of the SNFABN and Denial Letters |
07/12/2010 |
6987 |
MM6987 |
06/15/2010 |
| R1975CP |
05/28/2010 |
Revisions and Re-issuance of Audiology Policies |
07/28/2010 |
6447 |
MM6447 |
06/03/2010 |
| R127BP |
05/28/2010 |
Revisions and Re-issuance of Audiology Policies |
07/28/2010 |
6447 |
MM6447 |
06/03/2010 |
| R1977CP |
05/28/2010 |
Collagen Meniscus Implant |
07/06/2010 |
6903 |
MM6903 |
06/03/2010 |
| R121NCD |
05/28/2010 |
Collagen Meniscus Implant |
07/06/2010 |
6903 |
MM6903 |
06/03/2010 |
| SE1017 |
N/A |
Preparing for a Transition from an FI/Carrier to a Medicare Administrative Contractor (MAC) or from one Durable Medical Equipment
(DME) MAC to another DME MAC
|
N/A |
N/A |
SE1017 |
06/02/2010 |
| R14P232 |
01/15/2010 |
transmittal updates Chapter 32, Home Health Agency Cost Report, (Form CMS-1728-94 |
N/A |
N/A |
N/A |
N/A |
| R1893CP |
01/15/2010 |
Paying Claims Without Common Working File (CWF) Approval |
04/01/2010 |
6764 |
N/A |
N/A |
| R620OTN |
01/15/2010 |
Various OIG Reports that have Medical Review Implications |
02/16/2010 |
6779 |
N/A |
N/A |
| R1894CP |
01/15/2010 |
Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncoverage (ABNs) |
04/05/2010 |
6563 |
N/A |
N/A |
| R322PI |
01/15/2010 |
Durable Medical Equipment (DME MAC) and the National Supplier Clearinghouse (NSC MAC) Procedures for Third Party Notification
of Deceased Durable Medical Equipment, Prosthetic, Orthotic and Supplies (DMEPOS) Supplier Associates
|
07/06/2010 |
6714 |
N/A |
N/A |
| R21P236 |
01/15/2010 |
This transmittal also reflects further clarification to existing instructions and incorporates select Federal Register provisions. |
N/A |
N/A |
N/A |
N/A |
| R622OTN |
01/15/2010 |
Systematic Synchronization of Medicare Participating Physician or Supplier Agreement (PAR) Status Between the Multi Carrier
System (MCS) Provider Enrollment, Chain and Ownership System (PECOS)
|
01/04/2010 |
6449 |
N/A |
N/A |
| R119BP |
01/15/2010 |
Coverage of Inpatient Rehabilitation Services |
01/04/2010 |
6699 |
N/A |
N/A |
| R164FM |
01/15/2010 |
Chapter 7, Internal Control Requirements Update |
11/23/2009 |
6659 |
N/A |
N/A |
| R327PI |
03/16/2010 |
Signature Guidelines for Medical Review Purposes |
04/16/2010 |
6698 |
MM6698 |
04/12/2010 |
| R338PI |
05/14/2010 |
Clinical Review Judgment (CRJ) |
06/15/2010 |
6954 |
MM6954 |
05/14/2010 |
| R343PI |
06/18/2010 |
Medical Review Resolutions in the Absence of a Plan of Care (POC) and the Outcome Assessment Information Set (OASIS) |
07/19/2010 |
6982 |
N/A |
N/A |
| R1891CP |
01/08/2010 |
Correction to CR 6728 on Correct Coding Initiative (CCI) Edits, Version 16.0, Effective January 1, 2010 |
01/15/2010 |
6818 |
MM6818 |
01/12/2010 |
| R1887CP |
01/06/2010 |
Emergency Update to the 2010 Medicare Physician Fee Schedule Database |
01/04/2010 |
6796 |
MM6796 |
12/29/2009 |
| R1889CP |
01/08/2010 |
PharmacogenomicTesting for Warfarin Response |
04/05/2010 |
6715 |
MM6715 |
12/30/2009 |
| R722OTN |
06/18/2010 |
Requirement for Submission of Shared Systems Data to the Integrated Data Repository (IDR) |
10/04/2010 |
6942 |
N/A |
N/A |
| R165FM |
01/15/2010 |
Notice of New Interest Rate for Medicare Overpayments and Underpayments 2nd Notification for FY 2010 |
01/25/2010 |
6652 |
N/A |
N/A |
| R344PI |
06/18/2010 |
Chapter 10 Manual Redesign |
07/05/2010 |
6938 |
N/A |
N/A |
| R721OTN |
06/18/2010 |
Durable Medical Equipment National Competitive Bidding Implementation -- Phase 10C: Exception for Medicare Beneficiaries Previously
Enrolled in a Medicare Advantage Plan
|
10/04/2010 |
6918 |
MM6918 |
05/05/2010 |
| R1989CP |
06/18/2010 |
October Quarterly Update to 2010 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing
(CB) Enforcement
|
10/04/2010 |
7002 |
MM7002 |
06/22/2010 |
| R719OTN |
06/11/2010 |
Reprocessing of Claims for Certain Replacement Parts, Accessories, or Supplies for Prosthetic Implants and Surgically Implanted
Durable Medical Equipment (DME) with Dates of Service of October 27th, 2008 through December 31, 2009
|
10/04/2010 |
6970 |
MM6970 |
06/15/2010 |
| R1987CP |
06/11/2010 |
Correction to the Claims Processing Internet Only Manual (IOM) to Reinstate Previous Instructions Regarding Payment Jurisdiction
for Reassigned Services
|
08/12/2010 |
6923 |
MM6923 |
06/14/2010 |
| R711OTN |
05/28/2010 |
Revised Payment Files for the 2010 Ambulatory Surgical Center Payment System |
06/21/2010 |
7010 |
MM7010 |
06/11/2010 |
| R1981CP |
06/04/2010 |
Update-Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Rate Year 2011 |
07/06/2010 |
6986 |
MM6986 |
06/07/2010 |
| R712OTN |
05/28/2010 |
One-Time Mailing of Solicitation Letter To All Physicians And Non-Physician Practitioners Who Are Currently Enrolled In Medicare
But Who Do Not Have An Enrollment Record In The Provider Enrollment, Chain And Ownership System (PECOS)
|
06/28/2010 |
6842 |
MM6842 |
06/08/2010 |
| R709OTN |
05/21/2010 |
Additional Instruction for Implementation of Health Insurance Portability and Accountability Act of 1996 (HIIPAA) Version
5010 for Transaction 835 - Health Care Claim Payment/Advice and Updated Standard Paper Remit (SPR)
|
10/04/2010 |
6975 |
MM6975 |
06/04/2010 |
| R1968CP |
05/28/2010 |
New Waived Tests |
07/06/2010 |
6906 |
MM6906 |
06/07/2010 |
| R1888CP |
01/06/2010 |
Positron Emission Tomography (PET) (FDG) for Cervical Cancer |
01/04/2010 |
6753 |
N/A |
N/A |
| R1992CP |
06/25/2010 |
July Update to the 2010 Medicare Physician Fee Schedule Database |
07/06/2010 |
6974 |
MM6974 |
06/29/2010 |
| R1991CP |
06/25/2010 |
July 2010 Update to the Ambulatory Surgical Center (ASC) Payment System |
07/06/2010 |
7008 |
MM7008 |
06/11/2010 |
| R1990CP |
06/18/2010 |
October 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing
Files
|
10/04/2010 |
7007 |
MM7007 |
06/29/2010 |
| SE1023 |
N/A |
Provisions in the Affordable Care Act of 2010 (ACA) |
N/A |
N/A |
SE1023 |
07/01/2010 |
| R1994CP |
07/02/2010 |
Billing and Claims Processing for Automatic Implantable Cardiac Defibrillator (ICD) Services |
08/31/2010 |
7015 |
N/A |
N/A |
| R1986CP |
06/11/2010 |
Guidelines to Allow Contractors to Develop and Utilize Procedures for Accepting and Processing Appeals Via Facsimile and/or
Via a Secure Internet Portal/Application
|
10/01/2010 |
6958 |
MM6958 |
06/14/2010 |
| R720OTN |
06/18/2010 |
Additional Healthcare Common Procedure Coding System (HCPCS) Codes Subject to Clinical Laboratory Improvement Amendments (CLIA)
Edits
|
07/19/2010 |
6985 |
MM6985 |
06/22/2010 |
| SE1019 |
N/A |
ICD-10 Implementation Information |
N/A |
N/A |
SE1019 |
06/22/2010 |
| SE1020 |
N/A |
Reminder to Inpatient Psychiatric Facilities (IPFs) to use Source of Admission Code D for Patient Transfers within the Same
Facility
|
N/A |
N/A |
SE1020 |
06/18/2010 |
| R717OTN |
06/08/2010 |
Clarification of the Date of Service for Maintenance and Servicing Payments for Certain Oxygen Equipment After July 1, 2010 |
07/09/2010 |
6990 |
MM6990 |
06/16/2010 |
| R1993CP |
07/01/2010 |
July Quarterly Update for 2010 Durable Medical Equipment, Prosthetics, Orthotics, and Suppliers (DMEPOS) Fee Schedule |
07/06/2010 |
6945 |
MM6945 |
05/13/2010 |
| R1899CP |
01/29/2010 |
April 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing
Files
|
04/05/2010 |
6804 |
MM6804 |
02/02/2010 |
| R2SBI |
07/07/2010 |
Conversion of Chapter 8, Premium Payments By States to the Internet Only Manual |
07/02/2010 |
N/A |
N/A |
N/A |
| R726OTN |
07/08/2010 |
Updates to the Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, Outpatient Prospective Payment
System (OPPS), and Inpatient Rehabilitation Facility (IRF) PPS Changes due to the Affordable Care Act (ACA)
|
08/09/2010 |
7029 |
N/A |
N/A |
| R57SOMA |
01/29/2010 |
Revised Chapter 2, The Certification Process, Section 2256H |
01/29/2010 |
N/A |
N/A |
N/A |
| R628OTN |
01/29/2010 |
Integrated Outpatient Code Editor (IOCE) PC (interactive and batch) Re-Write |
07/06/2010 |
6709 |
N/A |
N/A |
| R623OTN |
01/15/2010 |
Implementation of the HIPAA Version 5010 276/277 Claim Status Second Phase |
N/A |
6721 |
N/A |
N/A |
| R1916CP |
02/05/2010 |
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.1, effective April 1, 2010 |
04/05/2010 |
6819 |
MM6819 |
02/12/2010 |
| R1998CP |
07/09/2010 |
Magnetic Resonance Angiography (MRA) |
08/09/2010 |
7040 |
MM7040 |
07/14/2010 |
| R123NCD |
07/09/2010 |
Magnetic Resonance Angiography (MRA) |
08/09/2010 |
7040 |
MM7040 |
07/14/2010 |
| SE1013 |
N/A |
Summary of Medicare Reporting and Payment of Services for Alcohol and/or Substance (Other than Tobacco) Abuse Structured Assessment
and Brief Intervention (SBIRT) Services
|
N/A |
N/A |
SE1013 |
07/07/2010 |
| R172FM |
07/14/2010 |
Notice of New Interest Rate for Medicare Overpayments and Underpayments-4th Notification for FY 2010 |
07/21/2010 |
6654 |
N/A |
N/A |
| R627OTN |
01/29/2010 |
Carriers and Part A and Part B Medicare Administrative Contractors (A/B MACs) to Fully Populate the Provider Enrollment, Chain
and Ownership System (PECOS)
|
03/15/2010 |
6755 |
N/A |
N/A |
| R629OTN |
01/29/2010 |
MCS Changes Needed to Automate the Annual Update to the International Classification of Diseases, Ninth Revision, Clinical
Modification (ICD-9-CM)
|
07/06/2010 |
6798 |
N/A |
N/A |
| R632OTN |
01/29/2010 |
Claim Adjustment Reason Code (CARC) Update for Medicare Secondary Payer (MSP) Claims Processing |
07/06/2010 |
6623 |
N/A |
N/A |
| R8P229 |
01/29/2010 |
This transmittal also reflects further clarification to existing instructions and incorporates select legislative and other
provisions. The effective date for instructional changes will vary due to various implementation dates.
|
N/A |
N/A |
N/A |
N/A |
| R347PI |
07/15/2010 |
Chapter 10 Manual Redesign |
07/30/2010 |
6938 |
N/A |
N/A |
| R639OTN |
02/12/2010 |
Editing Guidance/Clarification Related to HIPAA 5010 |
07/06/2010 |
6824 |
N/A |
N/A |
| R60SOMA |
07/16/2010 |
Revisions to Appendix V-Interpretive Guidelines-Responsibilities of Medicare Participating Hospitals in Emergency Cases. |
07/16/2010 |
N/A |
N/A |
N/A |
| R2003CP |
N/A |
New Physician Specialty Code for Geriatric Psychiatry |
07/19/2010 |
6533 |
N/A |
N/A |
| R728OTN |
07/15/2010 |
Updates to the Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, Outpatient Prospective Payment
System (OPPS), and Inpatient Rehabilitation Facility (IRF) PPS Changes due to the Affordable Care Act (ACA)
|
08/09/2010 |
7029 |
MM7029 |
07/21/2010 |
| R2002CP |
07/16/2010 |
Claim Status Category and Claim Status Code Update |
10/04/2010 |
7052 |
MM7052 |
07/21/2010 |
| R2001CP |
07/16/2010 |
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2010 |
10/04/2010 |
7057 |
MM7057 |
07/21/2010 |
| R630OTN |
01/29/2010 |
FISS Integrated Outpatient Code Editor (IOCE) Control Block Changes Related to ICD-10 |
07/06/2010 |
6737 |
N/A |
N/A |
| R1903CP |
01/29/2010 |
Instructions for Processing Claims Containing Anti-Markup Services but with Partial Information Completed in Item 20 of the
Form CMS-150
|
04/05/2010 |
6670 |
N/A |
N/A |
| SE1001 |
N/A |
Additional Information Regarding the Calendar Year (CY) 2010 Annual Update for Clinical Laboratory Fee Schedule and Laboratory
Services Subject to Reasonable Charge Payment
|
N/A |
N/A |
SE1001 |
01/14/2010 |
| R624OTN |
01/22/2010 |
Incorporation of the National Provider Identifier (NPI) into the National Supplier Clearinghouse (NSC) Enrollment System and
Related Instructions
|
N/A |
6488 |
N/A |
N/A |
| SE1005 |
N/A |
Providers Randomly Selected to Participate in the Medicare Contractor Provider Satisfaction Survey (MCPSS) Urged to Respond |
N/A |
N/A |
SE1005 |
01/22/2010 |
| R1892CP |
01/15/2010 |
Payment to Physician or Other Supplier for Diagnostic Tests Subject to the Anti-Markup Payment Limitation |
03/15/2010 |
6733 |
MM6733 |
01/20/2010 |
| R621OTN |
01/15/2010 |
Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 5010 - MAC Jurisdiction 9 Only |
03/01/2010 |
6745 |
MM6745 |
01/26/2010 |
| R1900CP |
01/29/2010 |
Correction to Processing of Non-Covered Revenue Codes |
07/06/2010 |
6774 |
MM6774 |
02/02/2010 |
| R1897CP |
01/29/2010 |
Associating Hospice Visits to the Level of Care |
04/29/2010 |
6791 |
MM6791 |
02/02/2010 |
| R61SOMA |
07/23/2010 |
Corrections to the Exhibits Table of Contents |
07/23/2010 |
N/A |
N/A |
N/A |
| R2005CP |
07/23/2010 |
Billing and Claims Processing for Automatic Implantable Cardiac Defibrillator (ICD)Services |
08/31/2010 |
7015 |
N/A |
N/A |
| R120BP |
01/29/2010 |
Revision of Definition of Compendia as Authoritative Source for Use in the Determination of a Medically-Accepted Indication
of Drugs/Biologicals Used Off-label in Anti-Cancer Chemotherapeutic Regimens
|
03/01/2010 |
6806 |
MM6806 |
02/04/2010 |
| R1QRI |
06/11/2010 |
Physician Quality Reporting Initiative (PQRI) and E-Prescribing (eRx) Medicare Quality Reporting Incentive Programs Manual |
09/13/2010 |
6935 |
MM6935 |
06/14/2010 |
| R129BP |
07/23/2010 |
Revisions and Re-issuance of Audiology Policies |
08/11/2010 |
6447 |
MM6447 |
06/03/2010 |
| R2007CP |
07/23/2010 |
Revisions and Re-issuance of Audiology Policies |
08/11/2010 |
6447 |
MM6447 |
06/03/2010 |
| R2006CP |
07/23/2010 |
October Quarterly Update for 2010 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule |
10/04/2010 |
7070 |
MM7070 |
07/27/2010 |
| R348PI |
07/27/2010 |
Durable Medical Equipment (DME MAC) and the National Supplier Clearinghouse (NSC MAC) Procedures for Third Party Notification
of Deceased Durable Medical Equipment, Prosthetic, Orthotic and Supplies (DMEPOS) Supplier Associates
|
10/04/2010 |
6714 |
N/A |
N/A |
| R1896CP |
01/29/2010 |
Healthcare Provider Taxonomy Codes (HPTC) Update April 2010 |
04/05/2010 |
6840 |
N/A |
N/A |
| R725OTN |
07/02/2010 |
Mailing To All Individual Practitioners, Medical Groups and Clinics and Independent Diagnostic Testing Facilities (IDTF) Who
Are Billing or Have Billed For Advanced Diagnostic Imaging Services
|
08/02/2010 |
6912 |
MM6912 |
07/07/2010 |
| R727OTN |
07/09/2010 |
Mailing To All Individual Practitioners, Medical Groups and Clinics and Independent Diagnostic Testing Facilities (IDTF) Who
Are Billing or Have Billed For Advanced Diagnostic Imaging Services
|
08/13/2010 |
6912 |
MM6912 |
07/07/2010 |
| R1996CP |
07/02/2010 |
Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) |
10/04/2010 |
7006 |
MM7006 |
07/09/2010 |
| R1955CP |
04/28/2010 |
New Hospice Site of Service Code |
10/04/2010 |
6905 |
MM6905 |
07/07/2010 |
| R626OTN |
01/29/2010 |
One-Time Mailing of Supplier Responsibilities Letter - Individual Practitioners Only |
N/A |
6278 |
MM6278 |
10/06/2009 |
| R732OTN |
07/29/2010 |
Shared System Separation of Duties Enforcement (Technical Control) |
01/03/2011 |
7030 |
N/A |
N/A |
| R730OTN |
07/29/2010 |
Allowing the Common Working File (CWF) to accept both Medicare Secondary Payer (MSP) and Non-MSP Lines on MSP Claims and MSP
Adjustment Claims
|
04/04/2011 |
7026 |
N/A |
N/A |
| R736OTN |
07/30/2010 |
5010: Workgroup for Pub. 100-04, Medicare Claims Processing Manual, Chapter 24 Revisions |
08/30/2010 |
7028 |
N/A |
N/A |
| R62SOMA |
07/30/2010 |
New State Code for Missouri; New CCN for Medicaid-Only Hospitals |
01/03/2011 |
6989 |
N/A |
N/A |
| R740OTN |
07/30/2010 |
Alternative Feedback Report Request Process for Quality Initiatives |
01/03/2011 |
7031 |
N/A |
N/A |
| R743OTN |
07/30/2010 |
Analysis Change Request - The Inclusion of Veterans Administration (VA) Skilled Nursing Facility (SNF) Claims to the VA Medicare
Remittance Advice (eMRA) Process
|
01/03/2011 |
7047 |
N/A |
N/A |
| R742OTN |
07/30/2010 |
Multi-Carrier System (MCS) Review and System Changes for IRS Reporting where Providers have been Paid under a Current and
a Historic (or Multiple Historic) EIN Number in the Same Calendar Year
|
01/03/2011 |
6878 |
N/A |
N/A |
| R733OTN |
07/30/2010 |
Further Instruction for Implementation of Health Insurance Portability and Accountability Act of 1996 (HIPAA) version 5010
for Transaction 835 - Health Care Claim Payment/Advice and Updated Standard Paper Remit (SPR)
|
01/03/2011 |
7032 |
N/A |
N/A |
| R735OTN |
07/30/2010 |
Health Insurance Portability and Accountability Act (HIPAA) 005010 837 Institutional (837I) Edits and 005010 837 Professional
(837P) Edits - January 2011 Version
|
01/03/2011 |
7059 |
N/A |
N/A |
| R633OTN |
02/04/2010 |
Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 5010 Acknowledgements Instructions |
N/A |
6783 |
N/A |
N/A |
| R744OTN |
08/02/2010 |
Jurisdiction 10 A/B MAC Merge of the Part B Alabama, Georgia, and Tennessee CICS Production and User Acceptance Test Regions |
07/31/2010 |
6765 |
N/A |
N/A |
| R9PDB |
02/05/2010 |
Chapter 13 of the Medicare Prescription Drug Benefit Manual, Premium and Cost-Sharing Subsidies for Low-Income Individuals |
01/01/2010 |
N/A |
N/A |
N/A |
| R1908CP |
02/05/2010 |
Clotting Factor Furnishing Fee Conforming Manual Change to Unit |
03/05/2010 |
6811 |
N/A |
N/A |
| R1910CP |
02/05/2010 |
Type of Service (TOS) Corrections |
04/05/2010 |
6835 |
N/A |
N/A |
| R112NCD |
02/05/2010 |
Outpatient Intravenous Insulin Treatment (Therapy) |
03/08/2010 |
6775 |
N/A |
N/A |
| R637OTN |
02/05/2010 |
Common Working File (CWF) Edit to Reject Claims for Durable Medical Equipment (DME) Provided to Medicare Beneficiaries During
Non-Covered Stays in a Skilled Nursing Facility (SNF)
|
07/06/2010 |
6695 |
N/A |
N/A |
| R1913CP |
02/05/2010 |
Outpatient Intravenous Insulin Treatment (Therapy) |
03/08/2010 |
6775 |
N/A |
N/A |
| R324PI |
02/05/2010 |
Revisions to Model Approval Letters |
03/08/2010 |
6780 |
N/A |
N/A |
| R63DEMO |
02/05/2010 |
Modification to Accommodate the Acute Care Episode (ACE) Demonstration |
07/06/2010 |
6771 |
N/A |
N/A |
| R1915CP |
02/05/2010 |
Non-systems Internet Only Manual (IOM) Chapter 25 Changes |
04/14/2010 |
6788 |
N/A |
N/A |
| R2017CP |
08/04/2010 |
Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) |
10/04/2010 |
7006 |
MM7006 |
07/09/2010 |
| R1901CP |
01/29/2010 |
Billing and Processing for Healthy Control Group Volunteers in a Qualified Clinical Trial |
07/06/2010 |
6776 |
MM6776 |
02/04/2010 |
| R323PI |
01/29/2010 |
MCS Changes Needed to Automate the Annual Update to the International Classification of Diseases, Ninth Revision, Clinical
Modification (ICD-9-CM)
|
03/29/2010 |
6748 |
MM6748 |
02/02/2010 |
| R1905CP |
02/05/2010 |
New Waived Tests |
04/05/2010 |
6800 |
MM6800 |
02/12/2010 |
| R1912CP |
02/05/2010 |
Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments
(CLIA) Edits
|
04/05/2010 |
6812 |
MM6812 |
02/12/2010 |
| R636OTN |
02/05/2010 |
Instructions for Reprocessing Claims and Recouping Overpayments for Claims for Implanted DME and Implanted Prosthetics Submitted
Under the Guidelines Established in Change Request (CR) 5917
|
05/05/2010 |
6762 |
MM6762 |
02/12/2010 |
| R17P235 |
02/26/2010 |
Cost Report, Form CMS 2540-96, to reflect further clarification to existing instructions. |
N/A |
N/A |
N/A |
N/A |
| R1925CP |
03/05/2010 |
Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting |
04/05/2010 |
6839 |
N/A |
N/A |
| R645OTN |
03/05/2010 |
Version D.0 Inbound National Council for Prescription Drug Programs (NCPDP) Flat File Implementation |
N/A |
6845 |
N/A |
N/A |
| R646OTN |
03/05/2010 |
VMS End-to-End Testing for HIPAA 5010 |
07/06/2010 |
6853 |
N/A |
N/A |
| R1926CP |
03/05/2010 |
April 2010 Update to the Ambulatory Surgical Center (ASC) Payment System |
04/05/2010 |
6866 |
N/A |
N/A |
| R62GI |
03/05/2010 |
July 2010 Update to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS) |
07/06/2010 |
6841 |
N/A |
N/A |
| R647OTN |
03/05/2010 |
Implementation of Common Edits and Enhancements (CEM) Software at Part A/B MAC Local Data Centers |
07/06/2010 |
6836 |
N/A |
N/A |
| R748OTN |
08/06/2010 |
Identify All Beneficiaries in the Common Working File (CWF) With Dual Eligibility |
01/03/2011 |
7051 |
N/A |
N/A |
| R746OTN |
08/06/2010 |
Changes to the Medicare Fraud Edit Modules |
09/06/2010 |
7067 |
N/A |
N/A |
| R2018CP |
08/06/2010 |
Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2010 |
09/06/2010 |
7069 |
N/A |
N/A |
| R9P229 |
03/12/2010 |
This transmittal updates Chapter 29, Independent Rural Health Clinic (RHC)/Freestanding Federally Qualified Health Center
(FQHC) Cost Report, (Form CMS-222-92).
|
N/A |
N/A |
N/A |
N/A |
| R15P232 |
03/12/2010 |
Updates Chapter 32, Home Health Agency Cost Report |
N/A |
N/A |
N/A |
N/A |
| R650OTN |
03/12/2010 |
DME MAC and NSC MAC Processing Do Not Forward Code Notification and Action |
07/06/2010 |
6704 |
N/A |
N/A |
| R27COM |
03/12/2010 |
Change in Provider Customer Service Program Requirements |
04/12/2010 |
6817 |
N/A |
N/A |
| R749OTN |
08/06/2010 |
Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes |
01/03/2011 |
7036 |
N/A |
N/A |
| R750OTN |
08/10/2010 |
Health Insurance Portability and Accountability Act (HIPAA) 005010 837 Institutional (837I) Edits and 005010 837 Professional
(837P) Edits - January 2011 Version
|
01/03/2011 |
7059 |
N/A |
N/A |
| R1929CP |
03/09/2010 |
Point of Origin for Admission or Visit Codes Update to the UB-04 (CMS-1450) Manual Code List |
07/06/2010 |
6801 |
N/A |
N/A |
| R1924CP |
02/26/2010 |
April 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) |
04/05/2010 |
6857 |
MM6857 |
03/09/2010 |
| R1922CP |
02/19/2010 |
July 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing
Files
|
07/06/2010 |
6805 |
MM6805 |
03/09/2010 |
| R1928CP |
03/05/2010 |
Correction to Processing of Non-Covered Revenue Codes |
07/06/2010 |
6774 |
MM6774 |
02/02/2010 |
| R116NCD |
03/05/2010 |
Repeal of Section 20.10, Cardiac Rehabilitation (CR) Programs |
04/05/2010 |
6855 |
MM6855 |
03/09/2010 |
| R1927CP |
03/05/2010 |
April 2010 Integrated Outpatient Code Editor (I/OCE) Specifications Version 11.1 |
04/05/2010 |
6882 |
MM6882 |
03/15/2010 |
| R1917CP |
02/05/2010 |
Point of Origin for Admission or Visit Codes Update to the UB-04 (CMS-1450) Manual Code List |
07/06/2010 |
6801 |
MM6801 |
02/12/2010 |
| SE1007 |
01/29/2010 |
Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program; A Better Way
for Medicare to Pay for Medical Equipment
|
04/29/2010 |
NA |
SE1007 |
02/02/2010 |
| R751OTN |
08/13/2010 |
Extract File Format Requirements to Fully Implement Change Request 6312 (Fiscal Intermediary Standard System (FISS) to Deactivate
Billing Numbers for Non-Frequent Billers)
|
01/03/2011 |
6957 |
N/A |
N/A |
| R753OTN |
08/13/2010 |
January Common Edits and Enhancements Module (CEM) Updates |
01/03/2011 |
7053 |
N/A |
N/A |
| R752OTN |
08/13/2010 |
rocessing Claims Spanning More than Ten Years with Unlimited Occurrence Span Codes (OSCs) |
01/03/2011 |
7088 |
N/A |
N/A |
| R755OTN |
08/13/2010 |
National Council for Prescription Drug Programs (NCPDP) code set updates. |
01/03/2011 |
7075 |
N/A |
N/A |
| R654OTN |
03/19/2010 |
Beta Testing of the HIPAA Version 5010 Common Edits and Enhancements Module (CEM) at Part A/B MAC Local Data Centers |
04/30/2010 |
6872 |
N/A |
N/A |
| R655OTN |
03/19/2010 |
HIPAA 5010 Activity-Testing of 5010 CRs |
N/A |
6739 |
N/A |
N/A |
| R657OTN |
03/19/2010 |
Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 5010 Catch-up Phase Two - MAC Jurisdiction
9 Only
|
05/03/2010 |
6847 |
N/A |
N/A |
| R658OTN |
03/19/2010 |
Jurisdiction 10 A/B MAC Merge of the Part B Alabama, Georgia, and Tennessee CICS Production and User Acceptance Test Regions |
07/31/2010 |
6765 |
N/A |
N/A |
| R656OTN |
03/19/2010 |
Health Insurance Portability and Accountability Act (HIPAA) 005010 837 Institutional (837I) Edits and 005010 837 Professional
(837P) Edits - July Version
|
07/06/2010 |
6849 |
N/A |
N/A |
| R2026CP |
08/13/2010 |
Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2011 |
10/04/2010 |
7076 |
MM7076 |
08/17/2010 |
| R1907CP |
02/05/2010 |
Medicare Systems Edit Refinements Related to Hospice Services |
07/06/2010 |
6778 |
MM6778 |
02/12/2010 |
| R121BP |
02/05/2010 |
Medicare Systems Edit Refinements Related to Hospice Services |
07/06/2010 |
6778 |
MM6778 |
02/12/2010 |
| R73MSP |
02/05/2010 |
Instructions on How to Process Negative Claim Adjustment Reason Code (CARC) Adjustment Amounts when Certain CARCs Appear on
Medicare Secondary Payer Claims
|
07/06/2010 |
6736 |
MM6736 |
02/12/2010 |
| R634OTN |
02/05/2010 |
Reporting the Beneficiary's Residence State Code and ZIP Code for Durable Medical Equipment, Prosthetics, Orthotics and Supplies
(DMEPOS) Claims
|
07/06/2010 |
6359 |
MM6359 |
02/18/2010 |
| SE1014 |
N/A |
Medicare Policy Regarding Pressure Reducing Support Surfaces |
N/A |
N/A |
SE1014 |
05/07/2010 |
| R2004CP |
07/23/2010 |
Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index, and the Hospice Pricer for FY 2011 |
10/04/2010 |
7077 |
MM7077 |
07/27/2010 |
| R2008CP |
07/30/2010 |
Common Working File (CWF) Override Edit for Kidney Transplant Donor Claims When the Kidney Recipient is Deceased |
01/03/2011 |
6978 |
MM6978 |
08/02/2010 |
| R741OTN |
07/30/2010 |
Home Health Agencies (HHAs)Providing Durable Medical Equipment(DME)in Competitive Bidding Areas |
01/03/2011 |
7014 |
MM7014 |
08/02/2010 |
| R2011CP |
07/30/2010 |
Revised Instructions for Reporting Assessment Dates under the Inpatient Rehabilitation Facility (IRF), Skilled Nursing Facility
(SNF), and Swing Bed (SB) Prospective Payment Systems (PPS)
|
01/03/2011 |
7019 |
MM7019 |
08/02/2010 |
| R2014CP |
07/30/2010 |
Common Working File (CWF) Unsolicited Response Adjustments for Certain Claims Denied Due to an Open Medicare Secondary Payer
(MSP) Group Health Plan (GHP) Record Where the GHP Record was Subsequently Deleted or Terminated
|
N/A |
6625 |
MM6625 |
08/05/2010 |
| R734OTN |
07/30/2010 |
Timely Claims Filing: Additional Instructions |
01/03/2011 |
7080 |
MM7080 |
08/02/2010 |
| R718OTN |
06/10/2010 |
Durable Medical Equipment National Competitive Bidding Implementation Phase 10G: Paying for Oxygen Equipment when Grandfathered |
10/04/2010 |
6934 |
MM6934 |
07/30/2010 |
| R641OTN |
02/19/2010 |
Common Working File (CWF) Submission of Codes to the Part A Contractors and Shared Systems and the Systems Ability to Override
the Claim Level CWF Edit for Certain MSP Claims
|
04/05/2010 |
6794 |
N/A |
N/A |
| R1921CP |
02/19/2010 |
Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncoverage (ABNs) |
04/05/2010 |
6563 |
N/A |
N/A |
| R64DEMO |
02/19/2010 |
Payments to Practices Participating in the Electronic Health Records (EHR) Demonstration |
N/A |
6603 |
N/A |
N/A |
| R1919CP |
02/19/2010 |
Instructions for Downloading the Medicare ZIP Code File for July 2010 |
07/06/2010 |
6815 |
N/A |
N/A |
| R114NCD |
02/22/2010 |
Outpatient Intravenous Insulin Treatment (Therapy) |
03/08/2010 |
6775 |
N/A |
N/A |
| R1923CP |
02/22/2010 |
Outpatient Intravenous Insulin Treatment (Therapy) |
03/08/2010 |
6775 |
N/A |
N/A |
| R1920CP |
02/19/2010 |
Modifications to Gap-Filling Requirements for the Health Insurance Portability Accountability Act (HIPAA) 837 version 5010
Coordination of Benefits (COB) Claims Transactions and National Council for Prescription Drug Programs (NCPDP) Version D.0
Claim Files
|
07/06/2010 |
6816 |
N/A |
N/A |
| R350PI |
08/20/2010 |
Notification to State Medicaid Agencies and Child Health Plans of Medicare Revocations |
09/21/2010 |
7017 |
N/A |
N/A |
| R762OTN |
08/20/2010 |
Additional Conference Call and Research Hours in Support of CR 5949 |
01/03/2011 |
7102 |
N/A |
N/A |
| R759OTN |
08/20/2010 |
Deactivation Letters for the Fiscal Intermediary Standard System (FISS) |
01/03/2011 |
6763 |
N/A |
N/A |
| R761OTN |
08/20/2010 |
Revisions to Change Request (CR)5949 Integrated Data Repository (IDR) Claims Sourcing from Shared Systems Implementation Based
on Conference Calls and Further Research
|
N/A |
7054 |
N/A |
N/A |
| R651OTN |
03/16/2010 |
5010-D.0 Project Receipt, Control and Balancing Initial Phase for Durable Medical Equipment (DME) Only |
N/A |
6591 |
N/A |
N/A |
| R652OTN |
03/17/2010 |
Medically Unlikely Edits (MUE) |
04/05/2010 |
6712 |
N/A |
N/A |
| R666OTN |
03/26/2010 |
Update ViPS Medicare System (VMS) to Deactivate Billing Numbers for Non-Frequent Billing Durable Medical Equipment, Prosthetics,
Orthotics, and Supplies (DMEPOS) Suppliers.
|
10/04/2010 |
6360 |
N/A |
N/A |
| R662OTN |
03/26/2010 |
Conference Call and Research Hours in Support of CR 5949 |
07/06/2010 |
6869 |
N/A |
N/A |
| R660OTN |
03/22/2010 |
Version D.0 Inbound National Council for Prescription Drug Programs (NCPDP) Flat File Implementation |
N/A |
6845 |
N/A |
N/A |
| R1937CP |
03/26/2010 |
Positron Emission Tomography (NaF-18) to Identify Bone Metastasis of Cancer |
07/06/2010 |
6861 |
N/A |
N/A |
| R1938CP |
03/25/2010 |
April 2010 Update to the Ambulatory Surgical Center (ASC) Payment System |
04/05/2010 |
6866 |
N/A |
N/A |
| R664OTN |
03/26/2010 |
Implementation of the HIPAA Version 5010 276/277 Claim Status Multi-Carrier System (MCS) Only Transaction Pairing Fix |
07/06/2010 |
6858 |
N/A |
N/A |
| R346PI |
06/25/2010 |
Guidance on Implementing Section 3109 (a) of the Patient Protection and Affordable Care Act (PPACA) |
01/03/2011 |
7021 |
MM7021 |
06/29/2010 |
| R2037CP |
08/27/2010 |
2011 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder |
01/03/2011 |
7121 |
N/A |
N/A |
| R353PI |
08/27/2010 |
Notification to State Medicaid Agencies and Child Health Plans of Medicare Terminations for Certified Providers and Suppliers |
09/28/2010 |
7074 |
N/A |
N/A |
| R764OTN |
08/27/2010 |
Health Insurance Portability and Accountability Act (HIPAA) Version 5010-D.0 Transition Reporting |
N/A |
7096 |
N/A |
N/A |
| R354PI |
08/27/2010 |
Manual Redesign |
09/28/2010 |
7016 |
N/A |
N/A |
| R2036CP |
08/27/2010 |
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.3, Effective October 1, 2010 |
10/04/2010 |
7081 |
MM7081 |
08/30/2010 |
| R2035CP |
08/27/2010 |
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.3, Effective October 1, 2010 |
01/03/2011 |
6890 |
MM6890 |
08/31/2010 |
| R2038CP |
08/27/2010 |
New Waived Tests |
10/04/2010 |
7084 |
MM7084 |
09/01/2010 |
| R328PI |
03/19/2010 |
Ordering/Referring Providers Who Are not Enrolled in Medicare |
04/19/2010 |
6696 |
MM6696 |
04/01/2010 |
| R130BP |
07/29/2010 |
Definition of Ambulance Services |
01/03/2011 |
7058 |
MM7058 |
08/02/2010 |
| R756OTN |
08/13/2010 |
5010 Implementation-Changes to Present on Admission (POA) Indicator "1" and the K3 Segment |
01/03/2011 |
7024 |
MM7024 |
08/17/2010 |
| R2019CP |
08/06/2010 |
Identify All Beneficiaries in the Common Working File (CWF) With Dual Eligibility |
10/04/2010 |
7089 |
MM7089 |
08/20/2010 |
| R2020CP |
08/06/2010 |
Clarification of Billing Requirement for Ancillary Services Performed in the Ambulatory Surgical Center (ASC) by Entities
Other Than ASCs
|
09/07/2010 |
7078 |
MM7078 |
08/12/2010 |
| R2009CP |
07/29/2010 |
Implementation of the Interrupted Stay Policy under the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) |
01/03/2011 |
7044 |
MM7044 |
08/04/2010 |
| R2023CP |
08/06/2010 |
Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2011 |
10/04/2010 |
7034 |
MM7034 |
08/12/2010 |
| SE1022 |
N/A |
Medical Record Retention and Media Formats for Medical Records |
N/A |
N/A |
SE1022 |
08/10/2010 |
| R1961CP |
04/30/2010 |
Payment for Replacement of Oxygen Equipment In Bankruptcy Situations |
10/04/2010 |
6838 |
MM6838 |
08/24/2010 |
| R2015CP |
07/30/2010 |
Revisions to Claims Processing Instructions for Services Rendered in Place of Service Home |
01/03/2011 |
6947 |
MM6947 |
08/02/2010 |
| R766OTN |
09/03/2010 |
Enhancements to the Healthcare Integrated General Ledger Accounting System (HIGLAS) System to Eliminate Unnecessary Demand
Letters
|
10/04/2010 |
7033 |
N/A |
N/A |
| R64GI |
09/03/2010 |
January 2011 Update to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS) |
01/03/2011 |
7099 |
N/A |
N/A |
| R2043CP |
09/03/2010 |
Calendar Year 2011 Payments to Home Health Agencies That Do Not Submit Required Quality Data |
10/05/2010 |
7114 |
N/A |
N/A |
| R642OTN |
02/26/2010 |
Expansion of the Current Scope of Editing for Ordering/Referring Providers for Claims Processed by Medicare Carriers and Part
B Medicare Administrative Contractors (MACs)
|
01/03/2010 |
6417 |
MM6417 |
05/05/2009 |
| R643OTN |
02/26/2010 |
Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics,
and Supplier (DMEPOS) Suppliers Claims Process by Durable Medical Equipment Medicare Administrative Contractors (DMEMACs)
|
N/A |
6421 |
MM6421 |
08/25/2009 |
| R22P236 |
08/20/2010 |
Chapter 36, Hospital and Hospital Health Care Complex Cost Report, (Form CMS-2552-96). This transmittal also reflects further
clarification to existing instructions and incorporates select Federal Register provisions.
|
N/A |
N/A |
N/A |
N/A |
| SE1025 |
N/A |
Consumer Assessment of Health Providers and Systems (CAHPS) Update for Home Health Agencies (HHA) |
N/A |
N/A |
SE1025 |
08/25/2010 |
| R2031CP |
08/20/2010 |
Beneficiary-Submitted Claims |
11/29/2010 |
6874 |
MM6874 |
08/26/2010 |
| R2030CP |
08/20/2010 |
New Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Specialty Code for Ocularists |
N/A |
6891 |
MM6891 |
08/24/2010 |
| R2016CP |
07/30/2010 |
5010 Implementation--Processing Additional International Classification of Diseases, 9th Revision-Clinical Modification (ICD-9-CM)
Diagnosis and Procedure Codes in Pricer, Grouper, and the Medicare Code Editor (MCE)
|
01/03/2011 |
7004 |
MM7004 |
08/02/2010 |
| R2028CP |
08/13/2010 |
5010 Implementation--Processing Additional International Classification of Diseases, 9th Revision-Clinical Modification (ICD-9-CM)
Diagnosis and Procedure Codes in Pricer, Grouper, and the Medicare Code Editor (MCE)
|
01/03/2011 |
7004 |
MM7004 |
08/02/2010 |
| R758OTN |
08/20/2010 |
Discarded Drugs and Biological Policy at Contractor Discretion |
09/21/2010 |
7095 |
MM7095 |
08/25/2010 |
| R18P235 |
09/08/2010 |
his transmittal introduces 23 additional RUGs (RUG-IV) required for reimbursement for services on and after October 1, 2010.
Worksheet S-7 is included in this Transmittal to provide a sample of the subscripted lines needed to implement RUG-IV. Line
45 will be subscripted as lines 45.01 through 45.23 to accommodate the 23 additional RUGs.
|
N/A |
N/A |
N/A |
N/A |
| R2042CP |
09/03/2010 |
October 2010 Integrated Outpatient Code Editor (I/OCE) Specifications Version 11.3 |
10/04/2010 |
7111 |
MM7111 |
09/09/2010 |
| R638OTN |
02/12/2010 |
Revised Clinical Laboratory Fee Schedule and ZIP Code File to include Kansas Payment Locality Structure |
07/06/2010 |
6787 |
MM6787 |
02/23/2010 |
| R326PI |
03/12/2010 |
Revision of the Internet Only Manual (IOM) to Remove References to Purchased Diagnostic Test and Replace With Language Consistent
With the Anti-Markup Rule
|
06/14/2010 |
6627 |
MM6627 |
03/16/2010 |
| R1931CP |
03/12/2010 |
Revision of the Internet Only Manual (IOM) to Remove References to Purchased Diagnostic Test and Replace With Language Consistent
With the Anti-Markup Rule
|
06/14/2010 |
6627 |
MM6627 |
03/16/2010 |
| R644OTN |
02/26/2010 |
Accumulation of Claims with Condition Code 04 on the Provider Statistical and Reimbursement Report (PS&R) |
07/06/2010 |
6784 |
MM6784 |
03/09/2010 |
| R115NCD |
03/05/2010 |
Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting |
04/05/2010 |
6839 |
MM6839 |
03/09/2010 |
| R648OTN |
03/05/2010 |
Additional ICD-9 Codes Analysis and Processing direction (Institutional Claims Only) |
N/A |
6851 |
MM6851 |
03/09/2010 |
| SE1009 |
N/A |
Medicare Quality Standards and Beneficiary Protections for Respiratory Equipment, Power Mobility Devices, and Other Related
Durable Medical Equipment
|
N/A |
N/A |
SE1009 |
03/23/2010 |
| R1933CP |
03/19/2010 |
Clinical Laboratory Fee Schedule (CLFS) - Medicare Travel Allowance Fees for Collection of Specimens |
04/05/2010 |
6864 |
MM6864 |
03/23/2010 |
| R661OTN |
03/23/2010 |
Validating the Billing of End Stage Renal Disease (ESRD) 50/50 Rule Modifier |
04/05/2010 |
6683 |
N/A |
N/A |
| R1930CP |
03/09/2010 |
Outpatient Intravenous Insulin Treatment (Therapy) |
04/05/2010 |
6775 |
MM6775 |
03/25/2010 |
| R117NCD |
03/09/2010 |
Outpatient Intravenous Insulin Treatment (Therapy) |
04/05/2010 |
6775 |
MM6775 |
03/25/2010 |
| R329PI |
03/19/2010 |
Change in Provider Enrollment Timeliness Standards for Certain Paper Applications |
06/21/2010 |
6807 |
MM6807 |
03/23/2010 |
| R653OTN |
03/19/2010 |
Clinical Laboratory Fee Schedule (CLFS) - Special Instructions for Specific Test Codes (CPT Code 80100, CPT Code 80101, CPT
Code 80101QW, G0430, G0430QW, and G0431QW)
|
04/05/2010 |
6852 |
MM6852 |
03/23/2010 |
| R332PI |
03/26/2010 |
Reporting Changes in Surety Bonds |
06/28/2010 |
6854 |
MM6854 |
03/29/2010 |
| R2047CP |
09/10/2010 |
Instructions for Downloading the Medicare ZIP Code File for January 2011 |
01/03/2011 |
7131 |
N/A |
N/A |
| R2046CP |
09/10/2010 |
Healthcare Provider Taxonomy Codes (HPTC) Update October 2010 |
01/03/2011 |
7130 |
N/A |
N/A |
| R63SOMA |
09/10/2010 |
Chapter 7 - Survey and Enforcement Process for Skilled Nursing Facilities and Nursing Facilities |
09/10/2010 |
N/A |
N/A |
N/A |
| R58SOMA |
04/09/2010 |
Revision of Exhibit 63, List of Documents in Certification Packet (Initial Certifications Include Initial Denials) |
04/09/2010 |
N/A |
N/A |
N/A |
| R670OTN |
04/12/2010 |
Allow Zoned Program Integrity Contractors (ZPICs) to Access Medicare Administrative Contractors (MACs) by ZPIC Zone |
N/A |
6550 |
N/A |
N/A |
| R2045CP |
09/10/2010 |
October 2010 Update of the Ambulatory Surgical Center (ASC) Payment System |
10/04/2010 |
7147 |
MM7147 |
09/14/2010 |
| SE1026 |
N/A |
Important News about Flu Shot Frequency for Medicare Beneficiaries |
N/A |
N/A |
SE1026 |
09/15/2010 |
| R767OTN |
09/10/2010 |
Expansion of the Current Scope of Editing for Attending, Operating, or Other Physician or Non-Physician Practitioner Providers
for Critical Access Hospital (CAH) Claims Processed by Medicare Fiscal Intermediaries and Part A Medicare Administrative Contractors
(A/B MAC)
|
01/03/2011 |
7046 |
MM7046 |
09/20/2010 |
| R771OTN |
09/17/2010 |
J11 Part A and Part B Medicare Administrative Contractor (A/B MAC) New Part A Workload Number for the State of North Carolina |
09/30/2010 |
7000 |
N/A |
N/A |
| R2051CP |
09/17/2010 |
October Update to the 2010 Medicare Physician Fee Schedule Database (MPFSDB) |
10/04/2010 |
7112 |
MM7112 |
09/12/2010 |
| R2054CP |
09/17/2010 |
2011 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments |
01/03/2011 |
7139 |
MM7139 |
09/21/2010 |
| R2049CP |
09/17/2010 |
Claim Status Category and Claim Status Codes Update |
01/03/2011 |
7158 |
MM7158 |
09/21/2010 |
| R2050CP |
09/17/2010 |
October 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) |
10/04/2010 |
7117 |
MM7117 |
09/21/2010 |
| R2056CP |
09/17/2010 |
2010 Durable Medical Equipment Prosthetics, Orthotics, and Supply Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction
List
|
12/22/2010 |
7110 |
MM7110 |
09/21/2010 |
| R768OTN |
09/13/2010 |
Further Instruction for Implementation of Health Insurance Portability and Accountability Act of 1996 (HIPAA) version 5010
for Transaction 835 - Health Care Claim Payment/Advice and Updated Standard Paper Remit (SPR)
|
01/03/2011 |
7032 |
N/A |
N/A |
| R773OTN |
09/22/2010 |
Health Insurance Portability and Accountability Act (HIPAA) 5010 and D.0 Certification Program October to December 2010 |
10/04/2010 |
7091 |
N/A |
N/A |
| R770OTN |
09/17/2010 |
Suspension of Automatic Denial of Institutional Claims Reporting Modifier -GA |
10/17/2010 |
7106 |
MM7106 |
09/23/2010 |
| R1943CP |
04/06/2010 |
April 2010 Update to the Ambulatory Surgical Center (ASC) Payment System |
04/05/2010 |
6866 |
MM6866 |
04/13/2010 |
| R1934CP |
03/19/2010 |
Billing and Processing Claims with Unlimited Occurrence Span Codes (OSCs) |
N/A |
6777 |
MM6777 |
03/23/2010 |
| SE1029 |
N/A |
5010 Requirement for Ambulance Suppliers |
N/A |
N/A |
SE1029 |
09/24/2010 |
| R772OTN |
09/21/2010 |
Medicare Fee-For-Service Emergency Policies and Procedures: Questions and Answers For All Types of Emergencies and Disasters;
Rescission of Change Requests (CRs) 5099, 6146, 6164, 6174, 6209, 6256, 6280, 6284, and 6378
|
11/22/2010 |
6837 |
MM6837 |
09/24/2010 |
| R775OTN |
09/24/2010 |
Revised Mailing To All Individual Practitioners, Medical Groups and Clinics and Independent Diagnostic Testing Facilities
(IDTF) Who Are Billing or Have Billed For Advanced Diagnostic Imaging Services
|
10/24/2010 |
7108 |
N/A |
N/A |
| R132BP |
09/03/2010 |
Revisions and Re-issuance of Audiology Policies |
09/30/2010 |
6447 |
MM6447 |
06/03/2010 |
| R2044CP |
09/03/2010 |
Revisions and Re-issuance of Audiology Policies |
09/30/2010 |
6447 |
MM6447 |
06/03/2010 |
| R777OTN |
09/24/2010 |
Durable Medical Equipment (DME) National Competitive Bidding (NCB) Implementation- Phase 11E: Remittance Advice (RA) and Medicare
Summary Notice (MSN) Messages for Round One
|
01/03/2011 |
7066 |
MM7066 |
09/27/2010 |
| R125NCD |
09/24/2010 |
Intensive Cardiac Rehabilitation (ICR) Programs - Dr. Ornish's Program for Reversing Heart Disease and the Pritikin Program |
10/25/2010 |
7113 |
MM7113 |
09/27/2010 |
| R774OTN |
09/24/2010 |
2010 Reminder for Roster Billing and Centralized Billing for Influenza and Pneumococcal Vaccinations |
10/25/2010 |
7124 |
MM7124 |
09/27/2010 |
| R776OTN |
09/24/2010 |
Clarification on the Effective Date on the Procedure Status Indicator for Common Procedural Terminology (CPT) Code 80101 |
10/26/2010 |
7140 |
MM7140 |
09/27/2010 |
| R124NCD |
09/24/2010 |
Positron Emission Tomography (FDG PET) for Initial Treatment Strategy (PI) in Solid Tumors and Myeloma |
10/25/2010 |
7148 |
MM7148 |
09/27/2010 |
| R356PI |
09/24/2010 |
Manual Redesign |
10/26/2010 |
7083 |
N/A |
N/A |
| R671OTN |
04/16/2010 |
Implementation of a File-Based Recovery Audit Contractor (RAC) Mass Adjustment Process in VMS (This CR Rescinds and Fully
Replaces CR 6549)
|
07/06/2010 |
6943 |
N/A |
N/A |
| R649OTN |
03/12/2010 |
Health Insurance Portability and Accountability Act (HIPAA) 5010 Error Corrections |
N/A |
6846 |
N/A |
N/A |
| R2048CP |
09/10/2010 |
2011 Annual Update of Healthcare Common Procedure Code System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated
Billing (CB) Update
|
01/03/2011 |
7159 |
MM7159 |
09/14/2010 |
| R119NCD |
03/26/2010 |
Positron Emission Tomography (NaF-18) to Identify Bone Metastasis of Cancer |
07/06/2010 |
6861 |
MM6861 |
03/29/2010 |
| R167FM |
04/23/2010 |
Recovery Audit Contractors (RACs) |
05/24/2010 |
6871 |
N/A |
N/A |
| R334PI |
04/23/2010 |
Update to Site Verification Process |
05/24/2010 |
6895 |
N/A |
N/A |
| R166FM |
04/16/2010 |
Notice of New Interest Rate for Medicare Overpayments and Underpayments 3rd Notification for FY 2010 |
04/23/2010 |
6653 |
N/A |
N/A |
| R673OTN |
04/16/2010 |
Modification of the File-Based RAC Mass Adjustment Process in FISS (This CR Rescinds and Fully Replaces CR 6555) |
07/06/2010 |
6928 |
N/A |
N/A |
| R2052CP |
09/17/2010 |
Billing and Processing for Healthy Control Group Volunteers in a Qualified Clinical Trial |
07/06/2010 |
6776 |
MM6776 |
02/04/2010 |
| R780OTN |
10/01/2010 |
Health insurance Portability and Accountability Act (HIPAA) 5010 and D.0 Certification Program October to December 2010 |
N/A |
7091 |
N/A |
N/A |
| R506OTN |
06/19/2009 |
Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Medicare Administrative Contractors
Requirements
|
10/05/2009 |
6472 |
MM6472 |
04/08/2010 |
| R1942CP |
04/02/2010 |
Update to the Medical Conditions List and Instructions |
05/03/2010 |
6896 |
MM6896 |
04/08/2010 |
| R122BP |
04/09/2010 |
Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority
and Examples of Application of Government Entity Exclusion. This CR rescinds and fully replaces CR 6544.
|
07/09/2010 |
6880 |
MM6880 |
04/13/2010 |
| R1944CP |
04/09/2010 |
Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority
and Examples of Application of Government Entity Exclusion. This CR rescinds and fully replaces CR 6544.
|
07/09/2010 |
6880 |
MM6880 |
04/13/2010 |
| R1945CP |
04/09/2010 |
New Legislation to Allow Independent Laboratory Billing for the Technical Component of Physician Pathology Services for Hospital
Inpatients and Outpatients
|
07/09/2010 |
6813 |
MM6813 |
04/13/2010 |
| R1940CP |
04/02/2010 |
Extension of Reasonable Cost Payment for Clinical Lab Tests Furnished by Hospitals with Fewer Than 50 Beds in Qualified Rural
Areas
|
07/06/2010 |
6873 |
MM6873 |
04/13/2010 |
| R357PI |
10/01/2010 |
Durable Medical Equipment (DME MAC) and the National Supplier Clearinghouse (NSC MAC) Procedures for Third Party Notification
of Deceased Durable Medical Equipment, Prosthetic, Orthotic and Supplies (DMEPOS) Supplier Associates
|
10/04/2010 |
6714 |
N/A |
N/A |
| R66SOMA |
10/01/2010 |
Revisions to Appendix PP, State Operations Manual SOM Guidance to Surveyors for Long Term Care Facilities LTC for Minimum
Data Set MDS 3.0 Implementation October 1, 2010
|
10/01/2010 |
N/A |
N/A |
N/A |
| R443PR1 |
10/01/2010 |
Section 2231, Regional Medicare Swing-Bed-Rates |
N/A |
N/A |
N/A |
N/A |
| R2059CP |
10/01/2010 |
Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes |
01/03/2011 |
7180 |
N/A |
N/A |
| R779OTN |
10/01/2010 |
Allow Zoned Program Integrity Contractors (ZPICs) to Access Medicare Administrative Contractors (MACs) by ZPIC Zone |
N/A |
6550 |
N/A |
N/A |
| R2061CP |
10/01/2010 |
October 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) |
10/04/2010 |
7117 |
MM7117 |
09/21/2010 |
| R2060CP |
10/01/2010 |
Fiscal Year (FY) 2011 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric
Facility (IPF) PPS Changes
|
10/04/2010 |
7134 |
MM7134 |
09/21/2010 |
| SE1030 |
N/A |
Results of the 2010 Medicare Contractor Provider Satisfaction Survey (MCPSS) |
N/A |
N/A |
SE1030 |
10/06/2010 |
| R663OTN |
03/26/2010 |
Update to List of ICD-9-CM Diagnosis Codes Not Requiring the Q0 Healthcare Common Procedure Coding System (HCPCS) Modifier
for Automatic Implantable Cardiac Defibrillator (ICD) Services Provided in a Clinical Study
|
07/06/2010 |
6867 |
MM6867 |
03/29/2010 |
| SE1008 |
N/A |
Medicare Coverage of Blood Glucose Monitors and Testing Supplies |
N/A |
N/A |
SE1008 |
04/16/2010 |
| R1963CP |
04/30/2010 |
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2010 |
07/06/2010 |
6964 |
MM6964 |
05/05/2010 |
| R698OTN |
05/07/2010 |
Phase 2 Base System Changes for Implementation of the Next Version of the Health Insurance Portability and Accountability
Act (HIPAA)-Multi Carrier System (MCS) Only
|
N/A |
6576 |
N/A |
N/A |
| R782OTN |
10/08/2010 |
The Transition of a Segment of the Wisconsin Physicians Service (WPS) Legacy Workload (Formerly Processed by Mutual of Omaha)
for the States of Delaware, Maryland, New Jersey, Pennsylvania and the District of Columbia to the J12 A/B Medicare Administrative
Contractor (MAC)
|
02/21/2011 |
7135 |
N/A |
N/A |
| R64SOMA |
10/08/2010 |
Revision of Various Exhibits and the Table of Contents |
10/08/2010 |
N/A |
N/A |
N/A |
| R1946CP |
04/15/2010 |
Billing and Processing Claims with Unlimited Occurrence Span Codes (OSCs) |
N/A |
6777 |
N/A |
N/A |
| R682OTN |
04/28/2010 |
Sending DMEPOS Medicare Summary Notices on a Monthly Schedule to all beneficiaries in Miami-Dade, Broward and Palm Beach County
Zip Codes in Florida
|
10/04/2010 |
6877 |
N/A |
N/A |
| R683OTN |
04/28/2010 |
Analysis of the Expansion of the Legal Business Name (LBN), Practice Location and Special Payment Address Fields in the Viable
Medicare System (VMS)
|
10/04/2010 |
6790 |
N/A |
N/A |
| R681OTN |
04/28/2010 |
Requirement for Submission of Shared Systems Data to the Integrated Data Repository (IDR) |
10/04/2010 |
6942 |
N/A |
N/A |
| R680OTN |
04/28/2010 |
Deactivation Letters for the Fiscal Intermediary Standard System (FISS) |
10/04/2010 |
6763 |
N/A |
N/A |
| R679OTN |
04/28/2010 |
Carrier and Part A and Part B Medicare Administrative Contractors (A/B MACs) Implementation of Title 42 Code of Federal Regulations
(CFR) Section 424.535
|
10/04/2010 |
6770 |
N/A |
N/A |
| R1967CP |
05/07/2010 |
July Quarterly Update for 2010 Durable Medical Equipment, Prosthetics, Orthotics, and Suppliers (DMEPOS) Fee Schedule |
07/06/2010 |
6945 |
MM6945 |
05/13/2010 |
| R675OTN |
04/23/2010 |
Customer Information Control System (CICS) Production Region Merge of the Part A Arkansas, Louisiana and Mississippi Workloads
in Preparation for the J7 A/B Medicare Administrative Contractor (MAC) Implementation.
|
08/02/2010 |
6919 |
N/A |
N/A |
| R65DEMO |
04/23/2010 |
Clarification of Unsolicited Response and Auto Adjustment of Claims under CR 6001 for the Medicare Acute Care Episode (ACE)
Demonstration.
|
07/06/2010 |
6932 |
N/A |
N/A |
| SE1024 |
N/A |
Recovery Audit Contractor (RAC) Demonstration High-Risk Vulnerabilities - No Documentation or Insufficient Documentation Submitted |
N/A |
N/A |
SE1024 |
07/12/2010 |
| R701OTN |
05/14/2010 |
October Common Edits and Enhancements Module (CEM) Updates |
10/04/2010 |
6977 |
N/A |
N/A |
| R704OTN |
05/14/2010 |
Implementation of the HIPAA Version 5010 276/277 Claim Status Edit October 2010 Release |
10/04/2010 |
6940 |
N/A |
N/A |
| R784OTN |
10/15/2010 |
Version 005010 Inbound 837 Institutional (837I) Flat File Update |
12/17/2010 |
7162 |
N/A |
N/A |
| R173FM |
10/15/2010 |
Update to the Quarterly Opt Out Reporting Form (Form 8) in the Contractor Reporting of Operational Workload Data (CROWD) |
11/16/2010 |
7165 |
N/A |
N/A |
| R127NCD |
10/08/2010 |
Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndrome (MDS) |
11/10/2010 |
7137 |
MM7137 |
10/15/2010 |
| R2062CP |
10/08/2010 |
Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndrome (MDS) |
11/10/2010 |
7137 |
MM7137 |
10/15/2010 |
| R174FM |
10/18/2010 |
Notice of New Interest Rate for Medicare Overpayments and Underpayments - 1st Notification for FY 2011 |
10/22/2010 |
7155 |
N/A |
N/A |
| R67SOMA |
10/18/2010 |
Revision of Various Exhibits and the Table of Contents |
10/18/2010 |
N/A |
N/A |
N/A |
| R2067CP |
10/15/2010 |
January 2011 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing
Files
|
01/03/2011 |
7188 |
MM7188 |
10/19/2010 |
| R783OTN |
10/15/2010 |
Revenue Codes Update |
01/19/2011 |
7100 |
MM7100 |
10/19/2010 |
| R126NCD |
09/30/2010 |
Counseling to Prevent Tobacco Use |
01/03/2011 |
7133 |
MM7133 |
10/19/2010 |
| R1956CP |
04/28/2010 |
Remittance Advice Coding to Identify Claims Subject to the Limitation on Home Health Prospective Payment System (HH PPS) Outlier
Payments
|
10/04/2010 |
6897 |
MM6897 |
04/30/2010 |
| R1951CP |
04/27/2010 |
Removal of the Provider Reporting Requirement for Total Number of Therapy Visits using Value Codes 50-53 |
10/04/2010 |
CR 6899 |
MM6899 |
04/30/2010 |
| R1957CP |
04/28/2010 |
Update to the HCPCS Codes for Payment of Surgical Dressings in Indian Health Service (IHS) Providers |
10/04/2010 |
6909 |
MM6909 |
04/30/2010 |
| R674OTN |
04/23/2010 |
Temporary 3 Percent Rural Add-On for the Home Health Prospective Payment System (HH PPS) |
05/24/2010 |
6955 |
MM6955 |
04/27/2010 |
| R1958CP |
04/28/2010 |
Skilled Nursing Facility (SNF) Health Insurance Prospective Payment System (HIPPS) Coding Updates Effective October 1, 2010 |
10/04/2010 |
6916 |
MM6916 |
04/30/2010 |
| R693OTN |
04/29/2010 |
Instructions Regarding the Processing of Inpatient Claims for Gender/Procedure Conflict |
10/04/2010 |
6917 |
MM6917 |
05/04/2010 |
| R2066CP |
10/15/2010 |
Submission of Informational Only Claims by Maryland Waiver Hospitals and Critical Access Hospitals (CAHs) for Electronic Health
Records (EHR) Purposes
|
01/03/2011 |
7172 |
MM7172 |
10/19/2010 |
| R74MSP |
04/28/2010 |
New Medicare Secondary Payer Insurer Type Codes |
10/04/2010 |
6768 |
N/A |
N/A |
| R685OTN |
04/28/2010 |
Provide Mapping of Shared Systems Data to the HIPAA835 and 837 Formats |
10/04/2010 |
6893 |
N/A |
N/A |
| R785OTN |
10/15/2010 |
Version D.0 National Council for Prescription Drug Programs (NCPDP) Integration Testing |
01/03/2011 |
6976 |
N/A |
N/A |
| SE1010 |
N/A |
Questions and Answers on Reporting Physician Consultation Services |
N/A |
N/A |
SE1010 |
02/23/2010 |
| R122NCD |
06/04/2010 |
Dermal Injections for Treatment of Facial Lipodystrophy Syndrome (LDS) |
07/06/2010 |
6953 |
MM6953 |
07/01/2010 |
| R1978CP |
06/04/2010 |
Dermal Injections for Treatment of Facial Lipodystrophy Syndrome (LDS) |
07/06/2010 |
6953 |
MM6953 |
07/01/2010 |
| R687OTN |
04/29/2010 |
Additional Medicare Secondary Payer (MSP) Claims Processing Instructions for the Common Working File, Medicare Part B, and
Durable Medical Equipment (DME) Shared Systems Regarding Medicare Secondary Payer Claims that Contain a Claim Adjustment Reason
Code (CARC) 19, 20 or 21
|
10/04/2010 |
6795 |
N/A |
N/A |
| R688OTN |
04/29/2010 |
Durable Medical Equipment National Competitive Bidding Implementation; Phase 10G: Paying for Oxygen Equipment when Grandfathered |
04/29/2010 |
6934 |
N/A |
N/A |
| R689OTN |
04/30/2010 |
Analysis and Design to Ensure That Coordination of Benefits Agreement (COBA) Trading Partners Can Accept and Process Acute
Care Episodic (ACE) Demonstration Claims For Crossover Purposes
|
10/04/2010 |
6881 |
N/A |
N/A |
| R691OTN |
04/30/2010 |
The Transition of a Segment of the Wisconsin Physicians Service (WPS) Legacy Workload (Formerly Processed by Mutual of Omaha)
for the States of Colorado, New Mexico, Oklahoma, and Texas to the J4 A/B Medicare Administrative Contractor (MAC)
|
10/18/2010 |
6902 |
N/A |
N/A |
| R168FM |
04/30/2010 |
Recovery Audit Contractors (RACs) |
06/01/2010 |
6936 |
N/A |
N/A |
| R169FM |
04/30/2010 |
Recovery Audit Contractors (RACs) |
06/01/2010 |
6951 |
N/A |
N/A |
| R120NCD |
05/06/2010 |
FDG PET for Solid Tumors and Myeloma |
10/30/2010 |
6632 |
N/A |
N/A |
| R1964CP |
05/07/2010 |
Instructions for Downloading the Medicare ZIP Code File for October 2010 |
10/04/2010 |
6922 |
N/A |
N/A |
| R702OTN |
05/14/2010 |
Common Edits and Enhancements Module (CEM) October Release Update for Test/Production Indicator Activity and Outbound Data
Scrubbing
|
N/A |
6946 |
N/A |
N/A |
| R2057CP |
09/17/2010 |
Fiscal Year (FY) 2011 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric
Facility (IPF) PPS Changes
|
10/04/2010 |
7134 |
MM7134 |
09/21/2010 |
| R1911CP |
02/05/2010 |
Implementation of a New Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edit for Facility Services Billed by Ambulatory
Surgical Centers (ASCs)
|
07/06/2010 |
6702 |
MM6702 |
02/12/2010 |
| R1895CP |
01/15/2010 |
Processing of Non-Covered International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Procedure
Codes on Inpatient Hospital Claims
|
04/05/2010 |
6547 |
N/A |
N/A |
| R1890CP |
01/08/2010 |
Processing of Non-Covered International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Procedure
codes on Inpatient Hospital Claims
|
04/05/2010 |
6547 |
N/A |
N/A |
| R1936CP |
03/26/2010 |
Claim Status Category and Claim Status Code Update |
07/06/2010 |
6859 |
MM6859 |
03/29/2010 |
| R1969CP |
05/14/2010 |
July 2010 Integrated Outpatient Code Editor (I/OCE) Specifications Version 11.2 |
07/06/2010 |
6967 |
MM6967 |
05/14/2010 |
| R123BP |
04/30/2010 |
Determining Self-Administration of Drug or Biological |
07/30/2010 |
6950 |
MM6950 |
05/04/2010 |
| R1953CP |
04/28/2010 |
Use of 12X Type of Bill (TOB) for Billing Colorectal Screening Services |
10/04/2010 |
6760 |
MM6760 |
04/30/2010 |
| R684OTN |
04/28/2010 |
New Medicare Summary Notice (MSN) Message for Higher than Expected (PPS) Payments |
10/04/2010 |
6910 |
MM6910 |
05/05/2010 |
| R1950CP |
04/23/2010 |
Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update |
07/06/2010 |
6901 |
MM6901 |
05/05/2010 |
| R690OTN |
04/30/2010 |
Durable Medical Equipment National Competitive Bidding Implementation -- Phase 10C: Exception for Medicare Beneficiaries Previously
Enrolled in a Medicare Advantage Plan
|
10/04/2010 |
6918 |
MM6918 |
05/05/2010 |
| R696OTN |
05/05/2010 |
Requirements for Hospital Attestation and Billing of Fiscal Year 2007 and 2008 Informational Only Inpatient Claims for Medicare
Advantage Beneficiaries
|
06/07/2010 |
6821 |
MM6821 |
05/07/2010 |
| R694OTN |
05/07/2010 |
Multiple Procedure Payment Reduction (MPPR) on the Technical Component (TC) of Certain Diagnostic Imaging Procedures |
07/06/2010 |
6965 |
MM6965 |
05/11/2010 |
| R1952CP |
04/28/2010 |
Enhancements to Home Health (HH) Consolidated Billing |
10/04/2010 |
6911 |
MM6911 |
05/06/2010 |
| R697OTN |
05/07/2010 |
Systems Changes Necessary to Implement the Patient Protection and Affordable Care Act (PPACA) Section 6404 - Maximum Period
for Submission of Medicare Claims Reduced to Not More Than 12 Months
|
10/04/2010 |
6960 |
MM6960 |
05/07/2010 |
| R1965CP |
05/07/2010 |
Appeals Revisions - AIC Requirements |
08/09/2010 |
6894 |
MM6894 |
05/11/2010 |
| R686OTN |
04/29/2010 |
Change in Claims Filing Jurisdiction for Tracheo-Esophageal Voice Prosthesis Healthcare Common Procedure Coding System (HCPCS)
Code
|
10/04/2010 |
6743 |
MM6743 |
05/11/2010 |
| R175FM |
10/28/2010 |
Change the Name of Physician Specialty Code 12 from Osteopathic Manipulative Therapy to Osteopathic Manipulative Medicine |
04/04/2011 |
7093 |
N/A |
N/A |
| R788OTN |
10/28/2010 |
Processing Claims Spanning More than Ten Years with Unlimited Occurrences Span Codes (OSCs): Phase II |
04/04/2011 |
7122 |
N/A |
N/A |
| R1971CP |
05/21/2010 |
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.2, Effective July 1, 2010 |
07/06/2010 |
6930 |
MM6930 |
05/21/2010 |
| R75MSP |
10/29/2010 |
Process 5010 Professional Medicare Secondary Payer (MSP) and Paper Claims Where Claim Adjustment Reason Code (CARC) Amounts
Appear at the Claim Level and Not at the Detail Line
|
04/04/2011 |
7027 |
N/A |
N/A |
| R794OTN |
10/29/2010 |
Accumulation of Informational Only Claims with Condition Code 04 from Critical Access Hospitals (CAH) and Maryland Waiver
Hospitals on the Provider Statistical and Reimbursement Report (PS and R)
|
04/04/2011 |
7145 |
N/A |
N/A |
| R2068CP |
10/15/2010 |
Annual Clotting Factor Furnishing Fee Update 2011 |
01/03/2011 |
7168 |
MM7168 |
10/29/2010 |
| SE1028 |
N/A |
Recovery Audit Contractor (RAC) Demonstration High-Risk Diagnosis Related Group (DRG) Coding Vulnerabilities for Inpatient
Hospitals
|
N/A |
N/A |
SE1028 |
09/23/2010 |
| R792OTN |
10/29/2010 |
Move the Physician Specialty Code to the FISS Claim Record and Forward to the Common Working File (CWF) and National Claims
History (NCH)
|
04/04/2011 |
7132 |
N/A |
N/A |
| R358PI |
10/28/2010 |
Indian Health Service (IHS)Facilities and Tribal Provider's Use of Internet-based Provider Enrollment, Chain and Ownership
System (PECOS)
|
11/29/2010 |
7174 |
MM7174 |
11/01/2010 |
| R2076CP |
10/28/2010 |
Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process Stemming Principally From the Affordable
Care Act (ACA)
|
04/04/2011 |
7136 |
N/A |
N/A |
| R789OTN |
10/28/2010 |
Revision to Common Working File (CWF) Edit 729K to Deny Claims for Durable Medical Equipment (DME) Furnished to Beneficiaries
in a Non-Part A Skilled Nursing Facility (SNF) Stay
|
04/04/2011 |
7164 |
N/A |
N/A |
| R705OTN |
05/21/2010 |
Version D.0 Inbound National Council for Prescription Drug Programs (NCPDP) Medicare Secondary Payer (MSP) Claims Processing |
10/04/2010 |
6983 |
N/A |
N/A |
| R707OTN |
05/21/2010 |
Health Insurance Portability and Accountability Act (HIPAA) 005010 837 Institutional (837I) Edits and 005010 837 Professional
(837P) Edits - October 2010 Version
|
10/04/2010 |
6979 |
N/A |
N/A |
| R59SOMA |
05/21/2010 |
Clarification of the Interpretive Guidelines for the Anesthesia Services Condition of Participation |
05/21/2010 |
N/A |
N/A |
N/A |
| R2064CP |
10/08/2010 |
Medicare Remit Easy Print (MREP) Enhancement |
01/03/2011 |
7178 |
MM7178 |
11/03/2010 |
| R803OTN |
11/05/2010 |
National Council for Prescription Drug Programs (NCPDP) code set updates. |
N/A |
7075 |
N/A |
N/A |
| R798OTN |
11/05/2010 |
Merge of the Daily CMS-1522 PULSE Report for Reporting Transitioned Wisconsin Physicians Service (WPS) Legacy Workloads. |
02/21/2011 |
7229 |
N/A |
N/A |
| R804OTN |
11/05/2010 |
Common Working File (CWF) Informational Unsolicited Response (IUR)for claims that have line item dates of service after the
date of death of a beneficiary
|
04/04/2011 |
7123 |
N/A |
N/A |
| R797OTN |
11/05/2010 |
J11 Part A and Part B Medicare Administrative Contractor (A/B MAC) New Workload Numbers for the South Carolina, Virginia and
West Virginia Part A and Part B Workloads, the North Carolina Part B Workload and the Regional Home Health Intermediary (RHHI)
Region C Workload, as well as the Split of the Customer Information Control System (CICS) Production and UAT Regions for
the Ohio and West Virginia Part B Workloads
|
01/24/2011 |
7203 |
N/A |
N/A |
| R2079CP |
10/29/2010 |
New Specialty Code for Advanced Diagnostic Imaging Accreditation |
04/04/2011 |
7175 |
MM7175 |
11/02/2010 |
| R2080CP |
10/29/2010 |
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2011 |
01/03/2011 |
7204 |
MM7204 |
11/05/2010 |
| R793OTN |
10/29/2010 |
National Uniform Billing Committee NUBC) Point of Origin Code Updates |
04/04/2011 |
7144 |
MM7144 |
11/05/2010 |
| R2083CP |
10/29/2010 |
Implementation of the Interrupted Stay Policy under the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) |
01/03/2011 |
7044 |
MM7044 |
08/04/2010 |
| R802OTN |
11/05/2010 |
Health Insurance Portability and Acccountability (HIPPA) 501/D.0 Fixes. |
04/04/2011 |
7195 |
N/A |
N/A |
| R817OTN |
11/30/2010 |
J11 Part A and Part B Medicare Administrative Contractor (A/B MAC) New Workload Numbers for the South Carolina, Virginia and
West Virginia Part A and Part B Workloads, the North Carolina Part B Workload and the Regional Home Health Intermediary (RHHI)
Region C Workload, as well as the Split of the Customer Information Control System (CICS) Production and UAT Regions for
the Ohio and West Virginia Part B Workloads
|
01/24/2011 |
7203 |
N/A |
N/A |
| R818OTN |
12/01/2010 |
Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes |
01/03/2011 |
7036 |
N/A |
N/A |
| R94MCM |
12/03/2010 |
Chapter 4, Benefits and Beneficiary Protections |
12/03/2010 |
N/A |
N/A |
N/A |
| R821OTN |
12/10/2010 |
Revision to Common Working File (CWF) Edit for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Provided
During an Inpatient Stay
|
04/04/2011 |
7189 |
N/A |
N/A |
| R360PI |
12/10/2010 |
Corrective Action Reporting |
01/12/2011 |
7241 |
N/A |
N/A |
| R2081CP |
12/03/2010 |
Primary Care Incentive Payment Program (PCIP), Section 5501(a) of the Patient Protection and Affordable Care Act (the ACA),
Payment to a CAH Paid Under the Optional Method
|
04/04/2011 |
7115 |
MM7115 |
12/07/2010 |
| R65SOMA |
10/01/2010 |
Revisions to Chapter 2,The Certification Process,Sections 2080-2089-Hospices, and Appendix M, Guidance to Surveyors, Hospices |
10/01/2010 |
N/A |
N/A |
N/A |
| R69SOMA |
12/15/2010 |
Revisions to Chapter 2, The Certification Process, Sections 2080 - 2089- Hospices, and Appendix M, Guidance to Surveyors,
Hospices
|
10/01/2010 |
N/A |
N/A |
N/A |
| R2120CP |
12/17/2010 |
Claim Status Category and Claim Status Codes Update |
04/04/2011 |
7259 |
MM7259 |
12/22/2010 |
| R822OTN |
12/14/2010 |
NPI Verification for Physician and Non-Physician Practitioner Providers for Critical Access Hospital (CAH) Claims Processed
by Medicare Fiscal Intermediaries and Part A Medicare Administrative Contractors (A/B MAC).
|
01/03/2011 |
7046 |
MM7046 |
09/21/2010 |
| R826OTN |
12/21/2010 |
Multiple Procedure Payment Reduction (MPPR) for Selected Therapy Services |
01/03/2011 |
7050 |
MM7050 |
11/18/2010 |
| R2125CP |
12/23/2010 |
Instructions for Downloading the Medicare ZIP Code File for April 2011 |
04/04/2011 |
7258 |
N/A |
N/A |
| R179FM |
12/23/2010 |
Medicare Financial Management Manual, Chapter 7 - Internal Control Requirements |
01/25/2011 |
7230 |
N/A |
N/A |
| R827OTN |
12/23/2010 |
Medicare Fee-For-Service (FFS) National Council for Prescription Drug Programs (NCPDP) Version D.0 Companion Guide |
01/25/2011 |
7255 |
N/A |
N/A |
| R2126CP |
12/23/2010 |
Annual Type of Service (TOS) Update |
01/03/2011 |
7185 |
N/A |
N/A |
| R362PI |
12/17/2010 |
Implementation of Home Health Agency (HHA) Payment Safeguard Provisions |
01/01/2011 |
7256 |
MM7256 |
12/23/2010 |
| R2123CP |
12/21/2010 |
Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases |
01/03/2011 |
7101 |
MM7101 |
12/15/2010 |
| R811OTN |
11/12/2010 |
Medicare Remit Easy Print (MREP) Compatibility Enhancement |
N/A |
7218 |
MM7218 |
12/29/2010 |
| R180FM |
12/29/2010 |
Updated Appeal Reporting Recovery Audit Contractors (RACs) |
01/28/2011 |
7160 |
N/A |
N/A |
| R2116CP |
12/10/2010 |
Home Health Prospective Payment System Rate (HH PPS) Update for Calendar Year (CY) 2011 |
01/03/2011 |
7253 |
MM7253 |
12/30/2010 |
| SE1039 |
N/A |
Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Billing Guide |
N/A |
N/A |
SE1039 |
12/30/2010 |
| R361PI |
12/10/2010 |
Face Validity Assessment of Advance Beneficiary Notices (ABN) for Complex Medical Record Reviews |
01/12/2011 |
6988 |
MM6988 |
12/30/2010 |
| R2113CP |
12/10/2010 |
Payment for 510k Post-Approval Extension Studies Using 510k-Cleared Embolic Protection Devices during Carotid Artery Stenting
(CAS) Procedures
|
01/12/2011 |
7249 |
MM7249 |
12/30/2010 |
| R137BP |
12/30/2010 |
January 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS) |
01/03/2011 |
7271 |
N/A |
N/A |
| R2130CP |
12/30/2010 |
January 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS) |
01/03/2011 |
7271 |
N/A |
N/A |
| R2127CP |
12/29/2010 |
Medical Nutrition Therapy (MNT) Manual Correction |
03/29/2011 |
7262 |
MM7262 |
01/04/2011 |
| R2114CP |
12/17/2010 |
January 2011 Integrated Outpatient Code Editor (I/OCE) Specifications Version 12.0 |
01/03/2011 |
7252 |
MM7252 |
01/04/2011 |
| R2115CP |
12/10/2010 |
Pharmacy Billing for Drugs Provided Incident to a Physician Service |
03/14/2011 |
7109 |
MM7109 |
01/04/2011 |
| R1P240 |
12/30/2010 |
This transmittal introduces Chapter 40, Hospital and Hospital Health Care Complex Cost Report, Form CMS-2552-10, which contains
instructions for the completion of the new cost report forms to be filed by hospitals and hospital health care complexes.
|
N/A |
N/A |
N/A |
N/A |
| R824OTN |
12/17/2010 |
Additions To and Revisions of Existing G-Codes for the Reporting of Skilled Nursing Services and Skilled Therapy Services
in the Home Health or Hospice Setting
|
01/03/2011 |
7182 |
MM7182 |
01/05/2011 |
| R2041CP |
08/31/2010 |
Revisions to Claims Processing Instructions for Services Rendered in Place of Service Home |
01/03/2011 |
6947 |
MM6947 |
08/02/2010 |
| R2058CP |
09/30/2010 |
Counseling to Prevent Tobacco Use |
01/03/2011 |
7133 |
MM7133 |
10/19/2010 |
| R2128CP |
12/29/2010 |
January 2011 Update of the Ambulatory Surgical Center (ASC) Payment System |
01/03/2011 |
7275 |
MM7275 |
01/06/2011 |
| R828OTN |
12/29/2010 |
Emergency Update to the CY 2011 Medicare Physician Fee Schedule (MPFS) Database |
N/A |
7300 |
MM7300 |
01/06/2011 |
| R2129CP |
12/29/2010 |
Summary of Policies in the CY 2011 Medicare Physician Fee Schedule (MPFS) and the Telehealth Originating Site Facility Fee
Payment Amount
|
01/03/2011 |
7264 |
MM7264 |
01/07/2011 |
| R825OTN |
12/16/2010 |
Expansion of the Current Scope of Editing for Ordering/Referring Providers for Claims Processed by Medicare Carriers and Part
B Medicare Administrative Contractors (MACs)
|
01/03/2011 |
6417 |
MM6417 |
05/05/2009 |
| R786OTN |
10/15/2010 |
Elimination of Lump Sum Purchase Payment for Standard Power Wheelchairs Furnished on or after January 1, 2011 due to the Affordable
Care Act (ACA)
|
01/03/2011 |
7116 |
MM7116 |
01/25/2011 |
| R2118CP |
12/09/2010 |
CY 2011 Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) |
01/03/2010 |
7248 |
MM7248 |
12/22/2010 |
| R2094CP |
11/17/2010 |
Revisions to the End Stage Renal Disease (ESRD) Medicare Benefit Policy Manual to Reflect the Implementation of the ESRD Prospective
Payment System (PPS)
|
01/03/2011 |
7064 |
MM7064 |
08/27/2010 |
| R2109CP |
12/03/2010 |
Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS) |
04/04/2011 |
7079 |
MM7079 |
12/14/2010 |
| R134BP |
12/03/2010 |
Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS) |
04/04/2011 |
7079 |
MM7079 |
12/14/2010 |
| R795OTN |
10/29/2010 |
Edit to Deny Payment to Physicians and Other Suppliers for the Technical Component (TC) of Pathology Services Furnished on
Same Date as Inpatient and Outpatient Services and Implements New Messages
|
04/04/2011 |
7061 |
MM7061 |
11/26/2010 |
| R2103CP |
11/19/2010 |
Fractional Mileage Units Submitted on Ambulance Claims |
01/03/2011 |
7065 |
MM7065 |
11/26/2010 |
| R118NCD |
03/23/2010 |
Screening for the Human Immunodeficiency Virus (HIV) Infection |
07/06/2010 |
6786 |
MM6786 |
05/14/2010 |
| R1935CP |
03/23/2010 |
Screening for the Human Immunodeficiency Virus (HIV) Infection |
07/06/2010 |
6786 |
MM6786 |
05/14/2010 |
| R1918CP |
02/19/2010 |
Screening for the Human Immunodeficiency Virus (HIV) Infection |
07/06/2010 |
6786 |
MM6786 |
05/14/2010 |
| R113NCD |
02/19/2010 |
Screening for the Human Immunodeficiency Virus (HIV) Infection |
07/06/2010 |
6786 |
MM6786 |
05/14/2010 |
| R2124CP |
12/23/2010 |
Updates to the Internet Only Manual Pub. 100-04, Chapter 1 - General Billing Requirements, Chapter 15 - Ambulance, and Chapter
26 - Completing and Processing Form CMS-1500 Data Set
|
01/25/2011 |
7018 |
MM7018 |
12/29/2010 |
| R2039CP |
08/27/2010 |
Primary Care Incentive Payment Program (PCIP), Section 5501(a) of the Affordable Care Act (ACA) |
N/A |
7060 |
MM7060 |
01/19/2011 |
| R808OTN |
11/12/2010 |
Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) |
N/A |
7073 |
MM7073 |
11/17/2010 |
| R2110CP |
12/03/2010 |
Clinical Laboratory Fee Schedule- Medicare Travel Allowance Fees for Collection of Specimens |
01/03/2011 |
7239 |
MM7239 |
12/07/2010 |
| R2122CP |
12/17/2010 |
Waiver of Coinsurance and Deductible for Preventive Services in Rural Health Clinics (RHCs), Section 4104 of Affordable Care
Act (ACA).
|
04/04/2011 |
7208 |
MM7208 |
11/19/2010 |
| R2093CP |
11/12/2010 |
Waiver of Coinsurance and Deductible for Preventive Services in Rural Health Clinics (RHCs), Section 4104 of Affordable Care
Act (ACA)
|
04/04/2011 |
7208 |
MM7208 |
11/19/2010 |
| R745OTN |
08/06/2010 |
Payment for Implantable Tissue Markers (HCPCS Code A4648) and Implantable Radiation Dosimeters (HCPCS Code A4650) |
11/06/2010 |
6968 |
MM6968 |
08/17/2010 |
| R724OTN |
07/02/2010 |
American Recovery and Reinvestment Act of 2009 Electronic Health Record (EHR) Incentive Program: Healthcare Common Procedure
Coding System (HCPCS) Modifier for the EHR Incentive Program
|
01/03/2011 |
7035 |
MM7035 |
11/08/2010 |
| SE1033 |
N/A |
Partial Code Freeze Prior to ICD-10 Implementation Provider Types |
N/A |
N/A |
SE1033 |
11/12/2010 |
| R2090CP |
11/10/2010 |
Implementation of Errata for version 5010 of Health Insurance Portability and Accountability Act (HIPAA) transactions, and
updates in 837I, 837P, and 835 flat files
|
04/04/2011 |
7202 |
MM7202 |
11/12/2010 |
| R2087CP |
11/05/2010 |
Implementation of Errata for Version 5010 of Health Insurance Portability and Accountability Act (HIPAA) Transactions, and
Updates in 837I, 837P, and 835 Flat Files
|
04/04/2011 |
7202 |
MM7202 |
11/12/2010 |
| R2073CP |
10/22/2010 |
Therapy Cap Values for Calendar Year (CY) 2011 |
01/03/2011 |
7107 |
MM7107 |
11/12/2010 |
| SE1027 |
N/A |
Recovery Audit Contractor (RAC) Demonstration High-Risk Medical Necessity Vulnerabilities for Inpatient Hospitals |
N/A |
N/A |
SE1027 |
09/23/2010 |
| R807OTN |
11/12/2010 |
Expansion of Inpatient Prospective Payment System Transfer Policy to Include Critical Access Hospitals (CAHs) and Non-Participating
Hospitals
|
04/04/2011 |
7141 |
MM7141 |
11/12/2010 |
| R2091CP |
11/12/2010 |
Correct Reporting of Modifiers and Revenue Codes on Claims for Therapy Services |
04/04/2011 |
7170 |
MM7170 |
11/16/2010 |
| R809OTN |
11/12/2010 |
Additional Editing for Disaster Related Claims |
04/04/2011 |
7156 |
MM7156 |
11/16/2010 |
| R2089CP |
11/12/2010 |
Implementation of edits for the Emergency Department (ED) adjustment policy under the Inpatient Psychiatric Facility Prospective
Payment System (IPF PPS)
|
04/04/2011 |
7072 |
MM7072 |
11/16/2010 |
| R2024CP |
08/06/2010 |
Payment for Certified Nurse-Midwife Services |
01/03/2011 |
7005 |
MM7005 |
11/16/2010 |
| R2088CP |
11/05/2010 |
January 2011 Quarterly Update for the DMEPOS Competitive Bidding Program. |
01/03/2011 |
7181 |
MM7181 |
11/16/2010 |
| R799OTN |
11/05/2010 |
Provider Education for Handling National Provider Identifier (NPI) Issues Related to Deceased Providers Who Had an NPI |
04/04/2011 |
6984 |
MM6984 |
11/16/2010 |
| R2078CP |
N/A |
Incentive Payment Program for Major Surgical Procedures Furnished in Health Professional Shortage Areas, Section 5501(b) of
the Patient Protection and Affordable Care Act (the ACA), and Payments to a Critical Access Hospital (CAH) Paid under the
Optional Method
|
04/04/2011 |
7146 |
MM7146 |
11/18/2010 |
| R2034CP |
10/24/2010 |
Affordable Care Act (ACA) Mandated Collection of Federally Qualified Health Center (FQHC) Data and Updates to Preventive Services
Provided by FQHCs
|
04/04/2011 |
7038 |
MM7038 |
11/18/2010 |
| R800OTN |
11/03/2010 |
Multiple Procedure Payment Reduction (MPPR) for Selected Therapy Services |
01/03/2011 |
7050 |
MM7050 |
11/18/2010 |
| R2033CP |
08/20/2010 |
End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Consolidated Billing for Limited Part B Services |
01/03/2011 |
7064 |
MM7064 |
08/27/2010 |
| R738OTN |
07/30/2010 |
Multiple Procedure Payment Reduction (MPPR) on the Technical Component (TC) of Certain Diagnostic Imaging Procedures |
01/03/2011 |
6993 |
MM6993 |
11/19/2010 |
| R133BP |
10/22/2010 |
Air Ambulance Services |
01/03/2011 |
7161 |
MM7161 |
11/01/2010 |
| R2072CP |
10/22/2010 |
Annual Type of Service (TOS) Update |
01/03/2011 |
7185 |
N/A |
N/A |
| R2084CP |
11/05/2010 |
New Waived Tests |
01/03/2011 |
7184 |
N/A |
N/A |
| R1932CP |
03/17/2010 |
Dialysis Adequacy, Infection and Vascular Access Reporting |
07/06/2010 |
6782 |
MM6782 |
02/02/2010 |
| R1972CP |
05/21/2010 |
Quarterly HCPCS Code Changes - July 2010 Update |
07/06/2010 |
6809 |
MM6809 |
05/21/2010 |
| R1962CP |
04/30/2010 |
Discarded Drugs and Biologicals Updates |
07/30/2010 |
6711 |
MM6711 |
05/04/2010 |
| R669OTN |
04/09/2010 |
Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) |
N/A |
6566 |
MM6566 |
01/28/2010 |
| R710OTN |
05/21/2010 |
Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) |
N/A |
6566 |
MM6566 |
01/28/2010 |
| R625OTN |
01/25/2010 |
Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) |
N/A |
6566 |
MM6566 |
01/28/2010 |
| R93MCM |
06/04/2010 |
Chapter 3. Medicare Marketing Guidelines |
06/04/2010 |
N/A |
N/A |
N/A |
| R716OTN |
06/04/2010 |
HIPAA 5010 Activity - Testing of 5010 CRs |
N/A |
6739 |
N/A |
N/A |
| R713OTN |
06/04/2010 |
Hospital Provider Enrollment Revalidation |
07/04/2010 |
6885 |
N/A |
N/A |
| R2070CP |
10/18/2010 |
Calendar Year (CY) 2011 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures |
11/08/2010 |
7157 |
N/A |
N/A |
| R176FM |
11/12/2010 |
Clarification for Data Entry on Health Professional Shortage Area Reports |
12/13/2010 |
7223 |
N/A |
N/A |
| R810OTN |
11/12/2010 |
Integrated Data Repository (IDR) Claims Sourcing from Shared Systems -Implementation Based on Further Conference Calls and
Further Research
|
N/A |
7215 |
N/A |
N/A |
| R813OTN |
11/12/2010 |
April Common Edits and Enhancements Module (CEM) and Receipt, Control, and Balancing Updates |
04/04/2011 |
7193 |
N/A |
N/A |
| R801OTN |
11/12/2010 |
Health Insurance Portability and Accountability Act (HIPAA) 005010 837 Institutional (837I) Edits and 005010 837 Professional
(837P) Edits - April 2011 Version
|
04/04/2011 |
7196 |
N/A |
N/A |
| R806OTN |
11/10/2010 |
Implementation of the PWK (paperwork) segment for X12N Version 5010 |
N/A |
7041 |
MM7041 |
09/09/2010 |
| R763OTN |
08/27/2010 |
Implementation of the PWK (paperwork) segment for X12N Version 5010 |
N/A |
7041 |
MM7041 |
09/09/2010 |
| R2102CP |
11/19/2010 |
Systems Changes Necessary to Implement "Technical Correction Related to Critical Access Hospital Services," Section 3128 of
the Affordable Care Act, Pub. 111-148
|
04/04/2011 |
7219 |
MM7219 |
11/23/2010 |
| R128NCD |
11/19/2010 |
Ventricular Assist Devices (VAD) as Destination Therapy |
01/06/2011 |
7220 |
MM7220 |
11/23/2010 |
| R2097CP |
11/19/2010 |
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 17.0, Effective January 1, 2011 |
01/03/2011 |
7210 |
MM7210 |
11/23/2010 |
| R2021CP |
08/06/2010 |
National Modifier and Condition Code to Identify Items or Services Related to the 2010 Oil Spill in the Gulf of Mexico |
01/03/2011 |
7087 |
MM7087 |
11/23/2010 |
| R2092CP |
11/12/2010 |
Update to the Frequency Billing Requirements |
04/04/2011 |
7163 |
MM7163 |
11/16/2010 |
| R66DEMO |
11/09/2010 |
Method of Payment for Extended Stay Services under the Frontier Extended Stay Clinic Demonstration, Authorized by Section
434 of the Medicare Modernization Act. This Change Request is adds additional information to CR 6057.
|
10/01/2009 |
6452 |
MM6452 |
11/16/2010 |
| R815OTN |
11/19/2010 |
New HCPCS Q-codes for 2010-2011 Seasonal Influenza Vaccines |
01/03/2011 |
7234 |
MM7234 |
11/26/2010 |
| R2032CP |
08/20/2010 |
Expansion of Medicare Telehealth Services for CY 2011 |
01/03/2011 |
7049 |
MM7049 |
11/26/2010 |
| R131BP |
08/20/2010 |
Expansion of Medicare Telehealth Services for CY 2011 |
01/03/2011 |
7049 |
MM7049 |
11/26/2010 |
| R2100CP |
11/19/2010 |
Reasonable Charge Update for 2011 for Splints, Casts, and Certain Intraocular Lenses |
01/03/2011 |
7225 |
MM7225 |
11/26/2010 |
| R2098CP |
11/19/2010 |
New Physician Specialty Codes for Cardiac Electrophysiology and Sports Medicine |
04/04/2011 |
7209 |
MM7209 |
11/26/2010 |
| R65GI |
11/19/2010 |
Update to Medicare Deductible, Coinsurance and Premium Rates for 2011 |
01/03/2011 |
7224 |
MM7224 |
11/26/2010 |
| R2075CP |
10/28/2010 |
Implementation of Section 2902 of the Patient Protection and Affordable Care Act (the Affordable Care Act) for Indian Health
Service (IHS) Part B Services and All Inclusive Rate (AIR) Billing for Return Visits
|
01/28/2011 |
6908 |
MM6908 |
11/26/2010 |
| R2071CP |
10/22/2010 |
Influenza Vaccine Payment Allowances - Annual Update for 2010-2011 Season |
11/24/2010 |
7120 |
MM7120 |
10/25/2010 |
| R2105CP |
11/24/2010 |
Dermal Injections for Treatment of Facial Lipodystrophy Syndrome (LDS) |
N/A |
6953 |
MM6953 |
07/01/2010 |
| R812OTN |
11/12/2010 |
Instructions for PLB Code Reporting on Remittance Advice and a Crosswalk Between the HIGLAS PLB Codes and ASC X12 Transaction
835 PLB Codes, and RAC Recoupment Reporting on Remittance Advice for VMS
|
11/12/2010 |
7068 |
MM7068 |
11/29/2010 |
| R816OTN |
11/24/2010 |
Implementing the Re-competition Award for the Jurisdiction B DME Medicare Administrative Contractor (MAC) Workload |
12/30/2010 |
7238 |
N/A |
N/A |
| R2107CP |
11/24/2010 |
Instructions for Retrieving the 2011 Pricing and HCPCS Data Files through CMS Mainframe Telecommunications Systems |
01/03/2011 |
7227 |
N/A |
N/A |
| R819OTN |
12/03/2010 |
Currently Not Collectable (CNC) Type Development for 93 Appealed Claims |
01/04/2011 |
6926 |
N/A |
N/A |
| R820OTN |
12/03/2010 |
Request for Common Working File (CWF) System to Support the Automated Edit Project Field Test |
07/05/2011 |
6725 |
N/A |
N/A |
| R177FM |
12/03/2010 |
Add Supplier Specialty Code 95 (Advanced Diagnostic Imaging (ADI) Accreditation) to CROWD Form F (Participating Physician/Supplier
Report)
|
12/03/2010 |
7226 |
N/A |
N/A |
| R178FM |
12/03/2010 |
Add Physician Specialty Codes for Cardiac Electrophysiology (21) and Sports Medicine (23) to CROWD Form "F" (ParDoc) and "8"
(Output).
|
07/05/2011 |
7233 |
N/A |
N/A |
| SE1031 |
N/A |
2010 - 2011 Seasonal Influenza (Flu) Resources for Health Care Professionals |
N/A |
N/A |
SE1031 |
10/06/2010 |
| R2106CP |
11/24/2010 |
Calendar Year (CY) 2011 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge
Payment
|
01/03/2011 |
6991 |
MM6991 |
11/29/2010 |
| R2040CP |
08/27/2010 |
Section 5501(b) Incentive Payment Program for Major Surgical Procedures Furnished in Health Professional Shortage Areas of
the Affordable Care Act (ACA)
|
N/A |
7063 |
MM7063 |
12/02/2010 |
| SE1036 |
N/A |
Recovery Audit Contractor (RAC) Demonstration High-Risk Vulnerabilities for Physicians |
N/A |
N/A |
SE1036 |
12/02/2010 |
| R2096CP |
11/19/2010 |
Billing Clarification for Positron Emission Tomography (Sodium Fluoride -18) (NaF-18) PET for Identify Bone Metastasis of
Cancer in Context of a Clinical Trial
|
02/22/2011 |
7125 |
MM7125 |
12/06/2010 |
| R2112CP |
12/03/2010 |
Common Working File (CWF) Unsolicited Response Adjustments for Certain Claims Denied Due to an Open Medicare Secondary Payer
(MSP) Group Health Plan (GHP) Record Where the GHP Record was Subsequently Deleted or Terminated
|
N/A |
6625 |
MM6625 |
08/05/2010 |
| R2104CP |
11/19/2010 |
Ambulance Inflation Factor for CY 2011 and Productivity Adjustment |
01/03/2011 |
7042 |
MM7042 |
12/07/2010 |
| R739OTN |
07/30/2010 |
Waiver of Coinsurance and Deductible for Preventive Services, Section 4104 of the Patient Protection and Affordable Health
Care Act (the Affordable Care Act), Removal of Barriers to Preventive Services in Medicare
|
01/03/2011 |
7012 |
MM7012 |
12/07/2010 |
| SE1034 |
N/A |
Physicians and Non-Physician Practitioners (NPPs) Excluded from Deactivation in Medicare Due to Inactivity with Medicare |
N/A |
N/A |
SE1034 |
12/07/2010 |
| R2108CP |
11/24/2010 |
CY 2011 Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule |
01/03/2011 |
7248 |
N/A |
N/A |
| R1999CP |
07/09/2010 |
End Stage Renal Disease (ESRD) Home Dialysis Monthly Capitation Payment (MCP) |
01/03/2011 |
7003 |
MM7003 |
11/29/2010 |
| R814OTN |
11/19/2010 |
Analyze, Design, Maintain and Provide Implementation Instructions for a Modification of the Part A and Part B Common Edits
and Enhancement Modules (CEMs), to Allow 277C Edits to be Turned On/Off by the Encounter Data Front-End System (EDFES) Contractor
Only
|
04/04/2011 |
7201 |
N/A |
N/A |
| R2101CP |
11/19/2010 |
Medicare Physician Fee Schedule Database (MPFSDB) 2011 File Layout Manual |
01/03/2011 |
7243 |
N/A |
N/A |
| R76MSP |
11/19/2010 |
Common Working File (CWF) Medicare Secondary Payer ( MSP) Coordination of Benefits Contractor (COBC) Number Update and Implementation
of MSP Group Health Plan (GHP) COBC Hierarchy Rules as related to Mandatory Insurer Reporting.
|
04/04/2011 |
7216 |
N/A |
N/A |
| R129NCD |
12/08/2010 |
Ventricular Assist Devices (VAD) as Destination Therapy |
12/09/2011 |
7220 |
MM7220 |
11/23/2010 |
| R135BP |
12/10/2010 |
Implementation of Changes in End Stage Renal Disease (ESRD) Payment for Calendar Year (CY) 2011 |
01/03/2011 |
7237 |
MM7237 |
12/14/2010 |
| R2063CP |
10/08/2010 |
Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases. |
01/03/2011 |
7101 |
MM7101 |
12/15/2010 |
| SE1038 |
N/A |
Home Health Face-to-Face Encounter - A New Home Health Certification Requirement |
N/A |
N/A |
SE1038 |
12/16/2010 |
| R796OTN |
10/29/2010 |
Clarification of Payment Window for Outpatient Services Treated as Inpatient Services |
04/04/2011 |
7142 |
MM7142 |
11/05/2010 |
| R2121CP |
12/17/2010 |
Reporting of Service Units With HCPCS |
03/21/2011 |
7247 |
MM7247 |
12/20/2010 |
| R2111CP |
12/03/2010 |
Outlier Reconciliation and other Outlier Manual Updates for the Inpatient Prospective Payment System (IPPS), Outpatient Prospective
Payment System (OPPS), Inpatient Rehabilitation Facility (IRF) PPS, Inpatient Psychiatric Facility (IPF) PPS and Long Term
Care Hospital (LTCH) PPS
|
04/04/2011 |
7192 |
N/A |
N/A |
| R2117CP |
12/10/2010 |
Revisions to the Medicare Code Editor (MCE) and Integrated Outpatient Code Editor (IOCE) Reporting Requirements |
01/12/2011 |
7246 |
N/A |
N/A |
| R2119CP |
12/14/2010 |
Medicare Physician Fee Schedule Database (MPFSDB) 2011 File Layout Manual |
01/03/2011 |
7243 |
N/A |
N/A |
| R823OTN |
12/16/2010 |
Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics,
and Supplier (DMEPOS) Suppliers Claims Process by Durable Medical Equipment Medicare Administrative Contractors (DMEMACs)
|
N/A |
6421 |
MM6421 |
08/25/2009 |
| R781OTN |
10/08/2010 |
Expansion of the Current Scope of Editing for Attending Physician Providers for Free-Standing and Provider-Based Home Health
Agency (HHA) Claims Processed by Medicare Regional Home Health Intermediaries (RHHIs)
|
N/A |
6856 |
MM6856 |
04/30/2010 |
| R778OTN |
09/28/2010 |
Expansion of the Current Scope of Editing for Attending Physician Providers for Free-Standing and Provider-Based Home Health
Agency(HHA) Claims Processed by Medicare Regional Home Health Intermediaries (RHHIs)
|
N/A |
6856 |
MM6856 |
04/30/2010 |
| R765OTN |
08/27/2010 |
Expansion of the Current Scope of Editing for Attending Physician Providers for Free-Standing and Provider-Based Home Health
Agency(HHA) Claims Processed by Medicare Regional Home Health Intermediaries (RHHIs)
|
N/A |
6856 |
MM6856 |
04/30/2010 |
| R677OTN |
04/28/2010 |
Expansion of the Current Scope of Editing for Attending Physician Providers for Free-Standing and Provider-Based Home Health
Agency(HHA) Claims Processed by Medicare Regional Home Health Intermediaries (RHHIs)
|
10/04/2010 |
6856 |
MM6856 |
04/30/2010 |
| R68SOMA |
11/24/2010 |
Chapter 9, Exhibits and Table of Contents |
11/24/2010 |
N/A |
N/A |
N/A |
| R635OTN |
02/05/2010 |
Maintenance and Servicing Payments for Certain Oxygen Equipment on or After July 1, 2010 |
07/06/2010 |
6792 |
MM6792 |
02/12/2010 |
| SE1035 |
N/A |
Claims Modifiers for Use in the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding
Program
|
N/A |
N/A |
SE1035 |
12/22/2010 |
| R659OTN |
03/19/2010 |
Reporting of Recoupment for Overpayment on the Remittance Advice (RA) |
N/A |
6870 |
MM6870 |
04/08/2010 |
| SE1021 |
N/A |
Electronic Prescribing (eRx) Incentive Program 2010 Updates |
N/A |
N/A |
SE1021 |
07/15/2010 |
| R695OTN |
04/30/2010 |
Addition of Repair Codes to the List of Healthcare Common Procedure Coding System (HCPCS) Codes Payable Under the Instructions
Provided in Change Requests (CRs) 6573 and 5917
|
10/04/2010 |
6914 |
MM6914 |
05/04/2010 |
| R1904CP |
02/05/2010 |
Coding Patient Transfers Under the Home Health Prospective Payment System (HH PPS) |
07/06/2010 |
6757 |
MM6757 |
02/16/2010 |
| R676OTN |
04/27/2010 |
Payment of Oxygen Contents to Suppliers After the 36th Month Rental Cap under the Medicare Durable Medical Equipment, Prosthetics,
Orthotics, and Supplies (DMEPOS) Competitive Bidding Program
|
10/04/2010 |
6939 |
MM6939 |
05/04/2010 |
| SE1011 |
N/A |
Edits on the Ordering/Referring Providers in Medicare Part B Claims (Change Requests 6417, 6421, and 6696) |
N/A |
N/A |
SE1011 |
2010-04-01 |
| R355PI |
09/17/2010 |
Eligible Physicians and Practitioners Who Need to Enroll in the Medicare Program for the Sole Purpose of Ordering and Referring
Services for Medicare Beneficiaries
|
10/18/2010 |
7097 |
MM7097 |
09/21/2010 |
