Transmittals

2006 Transmittals

Centers for Medicare & Medicaid Services uses transmittals to communicate new or changed policies or procedures that we will incorporate into the CMS Online Manual System. The cover or transmittal page summarizes and specifies the changes.
Transmittal # Issue Date Subject Impl Date CR # MM Article # MM Article Release Date
R1143CP 12/22/2006 Emergency Update to the 2007 Medicare Physician Fee Schedule Database 01/02/2007 5459 MM5459 12/29/2006
R846CP 02/10/2006 New Skilled Nursing Facility(SNF) Consolidated Billing(CB)Website Address 03/13/2006 4297 MM4297 02/14/2006
R849CP 02/10/2006 Update to the ESRD Composite Payment Rates 02/13/2006 4291 MM4291 02/13/2006
R839CP 02/06/2006 Additional Requirements for the Competitive Acquisition Program (CAP) for Part B Drugs 07/03/2006 4309 MM4309 02/15/2006
R831CP 02/02/2006 Shared Systems Medicare Secondary Payer (MSP) Balancing Edit and Administrative Simplification Compliance Act (ASCA) Enforcement Update 07/03/2006 4261 MM4261 02/07/2006
R825CP 02/01/2006 System Edits for Respiratory Assist Devices (RADs) with Bi-Level Capability and a Back-Up Rate 04/03/2006 4223 MM4223 02/06/2006
R819CP 01/27/2006 Modification to QR Modifier Edit for Automatic Implantable Cardiac Defibrillator (ICD) Services 04/03/2006 4273 MM4273 02/09/2006
R812CP 01/13/2006 Medicare Payment for Pre-administration-Related Services Associated With Intravenous Immune Globulin Administration 02/13/2006 4244 N/A N/A
R861CP 02/17/2006 Sunset of the Policies for Provider Nominations for an Intermediary and the Provider Requests for a Change of Intermediary - Revisions to Publication 100-04, Chapter 1, Section 20 03/17/2006 4286 N/A N/A
R853CP 02/13/2006 Therapy Caps Exception Process 03/13/2006 4364 N/A N/A
R850CP 02/10/2006 Change Payment Floor Date for Paper Claims 03/13/2006 4284 MM4284 02/13/2006
R841CP 02/06/2006 MCS Screen Expansion for the Prescription Order Number for the Competitive Acquisition Program (CAP) for Part B Drugs to be Developed Over the July 2006 and October 2006 Release, With Final Implementation on October 2, 2006 07/03/2006 4306 N/A N/A
R822CP 02/01/2006 Update of Radiopharmaceutical Imaging Agents HCPCS Codes Applicable to PET Scan Services 07/03/2006 4270 MM4270 02/03/2006
R813CP 01/20/2006 Instructions for the Payment of Health Professional Shortage Area (HPSA) and Physician Scarcity Area (PSA) Bonuses When the Place of Service (POS) is "Home" 02/21/2006 4275 MM4275 02/03/2006
R857CP 02/17/2006 Medicare Part B Drug Pricing Update - Payment Limit for J7620 (Albuterol and Ipratropium Bromide, non-compounded) 03/17/2006 4333 MM4333 02/23/2006
R834CP 02/03/2006 Revision to Health Professional Shortage Area (HPSA) and Physician Scarcity Area (PSA) Bonus Billing for Some Globally Billed Services 07/03/2006 4266 N/A N/A
R817CP 01/20/2006 Update to the Inpatient Provider Specific File (IPSF) and the Outpatient Provider Specific File (OPSF) to Retain Provider Information 04/03/2006 4279 N/A N/A
R838CP 02/06/2006 Corrections to Common Working File Editing of Home Health Prospective Payment System Claims Regarding Non-covered Episodes and Prior Inpatient Stays and Fiscal Intermediary Shared System Implementation of 2006 Therapy Code Update 07/03/2006 4310 N/A N/A
R835CP 02/03/2006 New Temporary Codes for Adjustable Wheelchair Cushions 07/03/2006 4267 MM4267 02/07/2006
R826CP 02/01/2006 April Quarterly Update to the 2006 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 04/03/2006 4298 N/A N/A
R815CP 01/20/2006 Healthcare Provider Taxonomy Codes (HPTC) Update 04/03/2006 4254 MM4254 01/25/2006
R863CP 02/17/2006 Update to Chapter 20, "Billing for Oxygen and Oxygen Equipment," Section 130.6 03/17/2006 4271 N/A N/A
R851CP 02/10/2006 Revisions to Instructions for Contractors Other Than the Religious Nonmedical Health Care Institutions (RNHCI) Specialty Contractor Regarding Claims for Beneficiaries with RNCHI Elections 05/11/2006 4218 MM4218 02/23/2006
R844CP 02/10/2006 Guidelines for the Payment of Vaccines (Pneumococcal Pneumonia Virus, Influenza Virus, and Hepatitis B Virus) Administration 07/03/2006 4240 MM4240 02/14/2006
R136PI 02/01/2006 Policy Changes to Program Integrity Manual 03/01/2006 4105 N/A N/A
R860CP 02/17/2006 Remittance Advice Remark Code and Claim Adjustment Reason Code Update 05/17/2006 4326 MM4326 02/23/2006
R836CP 02/03/2006 Inpatient Admission Followed by Discharge or Death Prior to Room Assignment 07/03/2006 4202 MM4202 02/03/2006
R833CP 02/03/2006 Medicare Remit Easy Print (MREP) Enhancements, and Clarification of Check Issue/EFT Effective Date 07/03/2006 4289 MM4289 02/14/2006
R830CP 02/02/2006 Denial of Claims Not Timely Filed 07/03/2006 4041 MM4041 03/21/2006
R862CP 02/17/2006 Appeals of Claims Decisions: Administrative Law Judge; Departmental Appeals Board; U.S. District Court Review 03/17/2006 4152 MM4152 03/21/2006
R858CP 02/17/2006 Increase Remittance File Retention 03/17/2006 4302 N/A N/A
R854CP 02/13/2006 MSN Format Changes for DME MAC Transition 07/03/2006 4341 N/A N/A
R847CP 02/10/2006 Hold on Medicare Payments 07/03/2006 4349 MM4349 02/14/2006
R843CP 02/09/2006 Inpatient Admission Followed by Discharge or Death Prior to Room Assignment 07/03/2006 4202 MM4202 02/03/2006
R824CP 02/01/2006 Quarterly Update to Correct Coding Initiative (CCI) Edits, V12.1, Effective April 1, 2006 04/03/2006 4308 MM4308 04/28/2006
R818CP 01/24/2006 Smoking and Tobacco-Use Cessation Counseling Services: Common Working File (CWF) Inquiry for Providers 04/03/2006 4104 MM4104 10/26/2005
R816CP 01/20/2006 Coverage and Billing for Ultrasound Stimulation for Nonunion Fracture Healing 04/03/2006 4085 MM4085 03/08/2006
R823CP 02/01/2006 New Temporary Code for Battery for Power Mobility Devices 07/03/2006 4253 MM4253 06/02/2006
R821CP 02/01/2006 Billing and Payment of Certain Colorectal Cancer Screenings for Non-Patients Type of Bill (TOB) 14X 07/03/2006 4272 MM4272 06/02/2006
R135PI 01/06/2006 Changes to the GTL Titles 02/06/2006 4228 N/A N/A
R859CP 02/17/2006 Remittance Advice Remark Code and Claim Adjustment Reason Code Update 04/03/2006 4314 MM4314 02/23/2006
R856CP 02/15/2006 January 2006 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective January 1, 2006, and Revisions to April 2005, July 2005, and October 2005 Quarterly ASP Medicare Part B Drug Pricing Files 01/03/2006 4140 MM4140 11/18/2005
R852CP 02/10/2006 Ambulance Fee Schedule - CY 2006 Update: Correction to CR 4061 02/24/2006 4362 MM4362 02/15/2006
R840CP 02/06/2006 Hospital Billing for Take-Home Drugs 07/03/2006 4301 N/A N/A
R837CP 02/03/2006 Coordination of Benefits Agreement (COBA) Full Claim File Repair Process 07/03/2006 4277 N/A N/A
R828CP 02/02/2006 Mammography Facility Certification File - Updated Procedures and Content 07/03/2006 4303 MM4303 03/21/2006
R832CP 02/02/2006 Payment of Same Day Transfer Claims Under the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) 07/03/2006 4264 MM4264 02/10/2006
R820CP 02/01/2006 Sites of Service Revenue Codes for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) 07/03/2006 4210 MM4210 02/03/2006
R814CP 01/20/2006 Claim Status Category Code and Claim Status Code Update 04/03/2006 4256 MM4256 01/25/2006
R829CP 02/02/2006 Modification of Roster Billing for Mass Immunizers Billing for Inpatient Part B Services (Type of Bills (TOB) 12X and 22X) 07/03/2006 4242 MM4242 03/21/2006
R864CP 02/17/2006 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2006 04/03/2006 4328 MM4328 02/23/2006
R867CP 02/17/2006 Elimination of the Durable Medical Equipment Regional Carriers (DMERC) Information Form (DIF) 04/03/2006 4241 MM4241 02/23/2006
R866CP 02/17/2006 Additional Requirements for the Competitive Acquisition Program (CAP) for Part B Drugs 07/03/2006 4309 MM4309 02/24/2006
R865CP 02/17/2006 Health Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits 07/03/2006 4321 N/A N/A
R868CP 02/21/2006 Payment of Same Day Transfer Claims Under the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) 07/03/2006 4264 MM4264 02/22/2006
R137PI 02/10/2006 Provider Enrollment Workload and Timeliness Reports 04/15/2006 4214 N/A N/A
R869CP 02/24/2006 Installation of Pricing Software Containing the Customer Information Control System (CICS) Formatting Update 04/03/2006 4344 N/A N/A
R872CP 02/24/2006 New Waived Tests 04/03/2006 4305 N/A N/A
R875CP 02/24/2006 Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims That Include Certain Drug HCPCS Codes 04/03/2006 4371 N/A N/A
R870CP 02/24/2006 Type of Service (TOS) Corrections 04/03/2006 4322 N/A N/A
R874CP 02/24/2006 Instructions for Downloading the Medicare Zip Code File 07/03/2006 4331 N/A N/A
R871CP 02/24/2006 2005 Revised American National Standards Institute X12N 837 Professional Health Care Claim Companion Document 03/24/2006 4260 MM4260 02/27/2006
R873CP 02/24/2006 Increase Remittance File Retention 03/24/2006 4302 N/A N/A
R880CP 03/03/2006 April Quarterly Update for 2006 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 04/03/2006 4335 MM4335 03/08/2006
R882CP 03/03/2006 Hospital Billing for Take-Home Drugs 07/03/2006 4301 MM4301 03/08/2006
R879CP 03/03/2006 Announcement of Federally Qualified Health Centers (FQHCs) Designation as Urban and Rural - Skilled Nursing Facility (SNF) Consolidated Billing (CB) as it Applies to FQHC Services Furnished to Swing-Bed Patients 04/03/2006 4077 N/A N/A
R881CP 03/03/2006 Outpatient Prospective Payment System (OPPS) Hospital Emergency Room Services Exceeding 24 Hour 04/03/2006 4252 MM4252 03/08/2006
R876CP 02/24/2006 April 2006 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File and Revisions to January 2005, April 2005, July 2005, October 2005, and January 2006 Quarterly ASP Medicare Part B Drug Pricing Files 04/03/2006 4319 MM4319 02/28/2006
R877CP 02/24/2006 Changes in Transitional Outpatient Payments (TOP) for Rural Sole Community Hospitals and Small Rural Hospitals for 2006 03/06/2006 4367 MM4367 02/27/2006
R878CP 02/24/2006 Healthcare Integrated General Ledger Accounting System (HIGLAS) and 835 Implementation Guide (IG) Provider Adjustment Code Mapping and Standard Paper Remittance (SPR) Advice Changes 07/03/2006 4288 MM4288 02/28/2006
R139PI 02/13/2006 Therapy Caps Exception Process 03/13/2006 4364 N/A N/A
R141PI 02/24/2006 Modification to the UPIN Process N/A 4191 N/A N/A
R883CP 03/10/2006 Claims Processing Requirements for Medicare Beneficiaries in State or Local Custody Under a Penal Authority - MANUALIZATION 06/12/2006 4352 N/A N/A
R890CP 03/17/2006 Guidelines for Payment of Vaccine (Pneumococcal Pneumonia Virus, Influenza Virus, and Hepatitis B Virus) Administration 07/03/2006 4240 MM4240 03/30/2006
R888CP 03/10/2006 April 2006 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 7.1 04/03/2006 4360 MM4360 03/15/2006
R886CP 03/10/2006 April 2006 Update to the Medicare Outpatient Code Editor (OCE) Version 21.2 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 04/03/2006 4359 MM4359 03/15/2006
R88FM 01/06/2006 Clarification to IOM 100-06, Sections 290.7 and 290.8 02/06/2006 4198 N/A N/A
R889CP 03/17/2006 April Update to the 2006 Medicare Physician Fee Schedule Database 04/03/2006 4399 MM4399 03/23/2006
R887CP 03/10/2006 Correction to Change Request 4282 - Application of Temporary 5 Percent Payment Increase for Home Health Services Furnished in a Rural Area for One Year Under the Home Health Prospective Payment System (HH PPS) 03/13/2006 4397 MM4397 03/15/2006
R885CP 03/10/2006 Suppression of Standard Paper Remittance Advice to Providers and Suppliers Also Receiving Electronic Remittance Advice for 45 Days or More 06/01/2006 4376 MM4376 03/21/2006
R89FM 01/13/2006 Mandated Use of Autoload Program in STAR, System Tracking for Audit and Reimbursement 02/13/2006 4172 N/A N/A
R90FM 01/19/2006 Recurring Update Notification for the Notice of New Interest Rate for Medicare Overpayments and Underpayments 01/25/2006 4067 N/A N/A
R91FM 02/17/2006 Clarification of Instructions in Pub. 100-6, Chapter 5 Financial Reporting, Section 310.4-Line 4(a) through (e), Reclassified CNC Debt (Principal & Interest) 03/17/2006 4151 N/A N/A
R92FM 03/10/2006 Clarification of the Form CMS-1522 Monthly Contractor Financial Report 04/10/2006 4248 N/A N/A
R143PI 03/17/2006 Demand Letters 04/17/2006 N/A N/A N/A
R78MCM 01/20/2006 Revisions to Chapter 5, "Quality Improvement" N/A N/A N/A N/A
R809CP 01/13/2006 Update to Payment Rates for Religious Nonmedical Health Care Institution Services Furnished in the Home, Calendar Year 2006 02/13/2006 4265 N/A N/A
R41DEMO 03/10/2006 2006 Oncology Demonstration Project---Inclusion of Gynecological Oncology (Supplement to CR 4219) 04/03/2006 4347 MM4347 03/08/2006
R46BP 02/13/2006 Therapy Caps Exception Process 03/13/2006 4364 N/A N/A
R7SS 03/17/2006 Business Partner Systems Security Manual 05/01/2006 4342 N/A N/A
R811CP 01/13/2006 Teaching Physician Services 02/13/2006 3928 N/A N/A
R40DEMO 03/10/2006 Amendments to Section 651 Chiropractic Services Demonstration-- Changes to CPT 98943 rate published in CR 4225 Due to Passage of the Deficit Reduction Act, and revisions to CPT codes for 2006 04/10/2006 4377 N/A N/A
R79MCM 02/17/2006 Changes in MCM Chapter 11, Medicare Advantage Application Procedures and Contract Requirement N/A N/A N/A N/A
R80MCM 03/03/2006 Revisions to Chapter 13, Medicare Managed Care Beneficiary Grievances, Organization Determinations, and Appeals Applicable to Medicare Advantage Plans, Cost Plans, and Health Care Prepayment Plans (HCPPs), (collectively referred to as Medicare health plans) N/A N/A N/A N/A
R39DEMO 03/03/2006 2006 Oncology Demonstration Project---Inclusion of Gynecological Oncology (Supplement to CR 4219) 04/03/2006 4347 MM4347 03/08/2006
R44BP 02/10/2006 Update to the ESRD Composite Payment Rate 02/13/2006 4291 N/A N/A
R808CP 01/06/2006 Nursing Facility Services (Codes 99304 - 99318) 01/23/2006 4246 MM4246 01/19/2006
R42DEMO 03/10/2006 2006 Oncology Demonstration Project 01/17/2006 4219 MM4219 03/08/2006
R806CP 01/06/2006 Termination of Healthcare Common Procedure Coding System (HCPCS) Codes Payable During the Transition to the Ambulance Fee Schedule 02/06/2006 4251 N/A N/A
R807CP 01/06/2006 Revision to IOM 100-4, Chapter 12, Sections 90.4.1.1 and 90.4.2 02/06/2006 4182 MM4182 01/20/2006
R47MSP 03/10/2006 MSP Debt Collection and Referral Updates 04/10/2006 4304 N/A N/A
R45BP 02/10/2006 Revisions to Instructions for Contractors Other Than the Religious Nonmedical Health Care Institution (RNHCI) Specialty Contractor Regarding Claims for Beneficiaries with RNHCI Elections 05/11/2006 4218 MM4218 02/23/2006
R48NCD 03/17/2006 Technical Corrections to the NCD Manual 06/19/2006 4278 N/A N/A
R47NCD 02/24/2006 Changes to the Covered Indications for Tumor Antigen by Immunoassay CA 125 to Add Primary Peritoneal Carcinoma 04/03/2006 4257 N/A N/A
R46NCD 01/27/2006 Cardiac Catheterization Performed in Other Than a Hospital Setting 02/27/2006 4280 MM4280 01/30/2006
R805CP 01/06/2006 Annual Update to the Therapy Code List 02/06/2006 4226 MM4226 02/28/2006
R200OTN 01/13/2006 Mandatory Transition to New Registry That Satisfies Medicare Data Reporting Requirements for Implantable Cardioverter Defibrillators (ICDs) 02/13/2006 4249 N/A N/A
R18SOMA 03/17/2006 Revisions to Chapter, "Complaint Procedures" 03/17/2006 N/A N/A N/A
R15P236 03/03/2006 Form CMS-2552-96 N/A N/A N/A N/A
R16SOMA 01/10/2006 Revisions to Chapter 2, "The Certification Process," Appendix E--"Providers of Outpatient Physical Therapy or Outpatient Speech Language Pathology (OPT/OSP) Services," and Appendix K-- "Comprehensive Outpatient Rehabilitation Facilities" 11/21/2005 N/A N/A N/A
R17SOMA 01/20/2006 Revisions to Chapter 2 The Certification Process 01/20/2006 N/A N/A N/A
SE0603 N/A Medicare Prescription Drug Coverage: Essential Information and Resources for Prescribing Health Care Professionals - The Eleventh in the Medlearn Matters Series on the New Prescription Drug Plans N/A N/A SE0603 01/27/2006
SE0605 N/A Explanation of Systems Used by Medicare to Process Your Claims N/A N/A SE0605 01/25/2006
SE0606 N/A Medicare Certified Swing Bed Hospital Services N/A N/A SE0606 02/09/2006
SE0610 N/A Collection and Verification of Ambulance Crew Member Information N/A N/A SE0610 02/21/2006
SE0611 N/A Medicare Remit Easy Print (MREP) Software N/A N/A SE0611 02/14/2006
SE0612 N/A Provider Enrollment in the Medicare Program N/A N/A SE0612 02/21/2006
R201OTN 01/19/2006 Calculation of the Interim Payment of Indirect Medical Education (IME) Through the Inpatient PPS Pricer for Hospitals That Received an INcrease to Their Full-time Equivalent Resident Caps Under Section 422 of the Medicare Modernization Act (MMA), P.L. 108-173 03/31/2006 4025 MM4025 11/05/2005
SE0613 N/A Colorectal Cancer: Preventable, Treatable, and Beatable: Medicare Coverage and Billing for Colorectal Cancer Screening N/A N/A SE0613 02/24/2006
SE0614 N/A Access to the Part D Drug Benefit in Long Term Care Settings N/A N/A SE0614 03/22/2006
SE0618 N/A 2006 Standard Medicare Prescription Drug Coverage: Understanding Costs to Beneficiaries - The Twelfth in the Medlearn Matters Series on Drug Plans N/A N/A SE0618 03/01/2006
SE0619 N/A Instructions for Provider Notification Regarding Streamlined Drug Coverage Materials for Health Care Professionals, a New Fact Sheet and Script for Recent Audio Conference N/A N/A SE0619 03/15/2006
SE0620 N/A Announcing a New Name for Medicare's Provider Education Articles - MLN Matters N/A N/A SE0620 03/21/2006
R205OTN 02/01/2006 Beneficiary Change of Address 07/03/2006 4224 N/A N/A
R207OTN 02/01/2006 New 2006 Payment Rate for Services Paid Under the Medicare Physician Fee Schedule 02/13/2006 4313 MM4313 02/13/2006
R206OTN 02/01/2006 Modifications/Additions to CR 3730, Frequent Hemodialysis Network (FHN) Payments for Approved Clinical Trial Costs 03/03/2006 4138 N/A N/A
R208OTN 02/06/2006 Analysis of Systems Changes Needed to Generate Unsolicited Responses to the Veterans Administration (VA) 07/03/2006 4318 N/A N/A
R43DEMO 03/24/2006 Physician Voluntary Reporting Program (PVRP) Specification (Correction to CR 4183) 04/03/2006 5036 MM5036 03/24/2006
R211OTN 02/10/2006 Temporary 5 Percent Payment Increase for Home Health Services Furnished in a Rural Area for One Year Under the Home Health Prospective Payment System (HH PPS), Change of the HH PPS Calendar Year (CY) 2006 Update from that of 2.8 Percent Update (Home Health Market Basket Update of 3.6 Minus 0.8 Percentage Point) to that of a Zero Percent Update 02/13/2006 4282 MM4282 02/14/2006
R210OTN 02/10/2006 Creation of a Second Participation Enrollment Period for 2006 02/15/2006 4346 MM4346 02/13/2006
R209OTN 03/13/2006 Q4080-Change in HCPCS Code Descriptor 03/13/2006 4324 MM4324 02/15/2006
R212OTN 02/10/2006 Full Replacement of CR 3980, Termination of Existing Crossover Agreements as Trading Partners Transition to the National Coordination of Benefits Agreement (COBA) Program (CR 3980 is rescinded.) 03/13/2006 4325 N/A N/A
R215OTN 03/10/2006 Payment for Power Mobility Device (PMD) Claims 03/24/2006 4372 MM4372 03/16/2006
R892CP 03/24/2006 Eligibility Transaction URL update 06/26/2006 4366 N/A N/A
R36GI 02/24/2006 Scheduled Release for April 2006 Software Programs and Pricing/Coding Files 03/27/2006 4343 N/A N/A
R896CP 03/24/2006 April 2006 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes 04/03/2006 5011 MM5011 03/30/2006
R34GI 01/06/2006 Change Management Process -- Electronic Change Information Management Portal (eChimp) 01/03/2006 4092 N/A N/A
R893CP 03/24/2006 2006 Jurisdiction List 06/26/2006 4363 MM4363 03/30/2006
R49NCD 03/24/2006 Microvolt T-Wave Alternans (MTWA) Diagnostic Testing 04/03/2006 4351 N/A N/A
R891CP 03/24/2006 Redesignate HCPCS Codes J8597 and E1239 to Their Proper CWF Category 07/03/2006 5008 N/A N/A
R214OTN 02/17/2006 Procedures for Preventing Duplicate Crossover File Submissions to the Coordination of Benefits Contractor 03/17/2006 4285 N/A N/A
R35GI 02/10/2006 Revisions to Instructions for Contractors Other Than the Religious Nonmedical Health Care Institution (RNHCI) Specialty Contractor Regarding Claims for Beneficiaries with RNHCI Elections 05/11/2006 4218 MM4218 02/23/2006
R894CP 03/24/2006 Microvolt T-Wave Alternans (MTWA) Diagnostic Testing 04/03/2006 4351 MM4351 03/30/2006
R216OTN 03/24/2006 Contractor Number Change for Noridian Administrative Services' Idaho and Oregon Part A Workloads 05/01/2006 4391 N/A N/A
R48BP 03/24/2006 Expansion of Glaucoma Screening Services 04/03/2006 4365 MM4365 03/30/2006
R37DEMO 01/20/2006 Revisions to CR 3816 - Low Vision Rehabilitation Demonstration 04/03/2006 4294 N/A N/A
R895CP 03/24/2006 Expansion of Glaucoma Screening Services 04/03/2006 4365 MM4365 03/30/2006
SE0580 N/A Influenza/Flu Season and Available Resources for Providers N/A N/A SE0580 11/23/2005
SE0582 N/A MMA - Sunset of the Provider Nomination Provision and the Policy to Assign Providers to the Local Fiscal Intermediary (FI) N/A N/A SE0582 02/02/2006
R145PI 03/31/2006 Eliminate the Use of Surrogate UPINs (OTH000) on Medicare Claims 04/03/2006 5019 MM5019 04/05/2006
R217OTN 03/31/2006 2006 Revised American National Standards Institute X12N 837 Institutional Health Care Claim Companion Document 06/29/2006 4379 MM4379 04/05/2006
R50NCD 03/31/2006 External Counterpulsation Therapy 04/03/2006 4350 N/A N/A
R144PI 03/31/2006 Various Benefit Integrity (BI) Revisions 05/01/2006 4247 N/A N/A
R48MSP 03/31/2006 Request for Claims Detail in Support of Medicare's Debt 05/01/2006 4387 N/A N/A
R49BP 03/31/2006 Payment of Federally Qualified Health Centers (FQHCs) for Diabetes Self-Management Training Services (DSMT) and Medical Nutrition Therapy (MNT) Services 06/29/2006 4385 MM4385 04/05/2006
R898CP 03/31/2006 External Counterpulsation (ECP) Therapy 04/03/2006 4350 MM4350 04/05/2006
R897CP 03/29/2006 April Update to the 2006 Medicare Physician Fee Schedule Database 04/03/2006 4399 N/A N/A
R899CP 03/31/2006 Revised Health Insurance Claim Form CMS-1500 10/02/2006 4293 MM4293 04/05/2006
R93FM 04/04/2006 Clarification of the Form CMS-1522 Monthly Contractor Financial Report 06/01/2006 4248 N/A N/A
R14QIO 04/07/2006 Revisions to Chapter 8, "Data Management." 04/07/2006 N/A N/A N/A
R900CP 04/07/2006 Update to Chapter 24 CMS Website URL References 07/07/2006 4398 MM4398 04/10/2006
R44DEMO 04/07/2006 Additional Billing Guidance for HHA Sites in the Demonstration Project for Medical Adult Day-Care Services (MMA Section 703) 05/08/2006 4381 N/A N/A
R218OTN 04/07/2006 Nesiritide for Treatment of Heart Failure Patients 05/22/2006 4312 MM4312 04/25/2006
R901CP 04/07/2006 New National Uniform Billing Committee (NUBC) Codes and Other Chapter 25 Revisions -- Revision to the Internet-Only Manual 05/08/2006 4384 N/A N/A
R49MSP 04/07/2006 Manualizing Long-Standing Medicare Secondary Payer (MSP) Policy in Chapter 2 of the MSP Internet Only Manual (IOM) 05/08/2006 4024 N/A N/A
R51NCD 04/07/2006 Nesiritide for Treatment of Heart Failure Patients 05/22/2006 4312 MM4312 04/25/2006
SE0621 N/A Cultural Competency: A National Health Concern N/A N/A SE0621 04/10/2006
SE0617 N/A MMA - The Centers for Medicare & Medicaid Services (CMS) Recovery Audit Contractor (RAC) Initiative N/A N/A SE0617 04/10/2006
SE0623 N/A Holding of Epoetin (EPO) Claims on 72x Bill Types for Dates of Service Prior to January 1, 2005 N/A N/A SE0623 04/10/2006
R14P235 04/07/2006 Cost Reporting Forms and Instructions N/A N/A N/A N/A
R903CP 04/14/2006 Payment for Blood Clotting Factors Administered to Hemophilia Inpatients 07/14/2006 4229 MM4229 04/21/2006
R45DEMO 04/14/2006 Method of Cost Settlement for Inpatient Services for Rural Hospitals Participating Under Demonstration Authorized by Section 410A of the Medicare Modernization Act 07/14/2006 5020 N/A N/A
R6P211 04/14/2006 Chapter 11, Form CMS-339 N/A N/A N/A N/A
R905CP 04/14/2006 Mammography Quality Standard Act (MQSA) File 05/15/2006 4396 N/A N/A
R906CP 04/14/2006 Full Replacement for Change Request 4266, Revision for Health Professional Shortage Area (HPSA) and Physician Scarcity Area (PSA) Bonus Billing for Some Globally Billed Services. Change Request 4266 is rescinded. 07/03/2006 5015 MM5015 04/21/2006
R94FM 04/17/2006 Notice of New Interest Rate for Medicare Overpayments and Underpayments 04/24/2006 4071 N/A N/A
R907CP 04/19/2006 Modify Common Working File (CWF) Edit 51#L 05/15/2006 4382 MM4382 04/28/2006
SE0624 N/A MMA - Assignment of Physicians, Providers, and Suppliers to the Medicare Administrative Contractors (MACs) N/A N/A SE0624 04/21/2006
SE0627 N/A Options for Providers/Suppliers Affected by CR4376: Suppression of Standard Paper Remittance Advice (SPR) to Providers and Suppliers Also Receiving Electronic Remittance Advice (ERA) for 45 Days or More N/A N/A SE0627 04/21/2006
R220OTN 04/21/2006 Addition of Data Elements to Common Working File (CWF) Database Extract into Next Generation Desktop (NGD) Datamart 10/02/2006 5014 N/A N/A
R911CP 04/21/2006 Clarification on Billing Requirements for Percutaneous Transluminal Angioplasty (PTA) Concurrent With the Placement of an Investigational or FDA-Approved Carotid Stent 10/02/2006 5022 MM5022 04/27/2006
R910CP 04/21/2006 New Current Procedural Terminology CPT) Codes 10/02/2006 4222 MM4222 06/22/2006
R909CP 04/21/2006 Cardiac Rehabilitation Programs 06/21/2006 4401 MM4401 04/25/2006
R52NCD 04/21/2006 Cardiac Rehabilitation Programs 06/21/2006 4401 MM4401 04/25/2006
R53NCD 04/21/2006 Clarification on Billing Requirements for Percutaneous Transluminal Angioplasty (PTA) Concurrent With the Placement of an Investigational or FDA-Approved Carotid Stent N/A 5022 MM5022 04/27/2006
R221OTN 04/21/2006 Beneficiary Change of Address- Phase 2 10/02/2006 5021 N/A N/A
R908CP 04/21/2006 Common Working File (CWF) to the Medicare Beneficiary Database (MBD) Data Exchange Changes 10/02/2006 4300 N/A N/A
R913CP 04/21/2006 Mammography Quality Standard Act (MQSA) File 07/07/2006 4396 N/A N/A
R914CP 04/21/2006 Additional $50 Payment for New Technology Intraocular Lenses (NTIOLs) Furnished in Ambulatory Surgical Centers (ASCs) 05/22/2006 4361 MM4361 05/02/2006
SE0622 N/A Clarification of Medicare Payment Policy When Inpatient Admission Is Determined Not To Be Medically Necessary, Including the Use of Condition Code 44: "Inpatient Admission Changed to Outpatient" N/A N/A SE0622 03/22/2006
SE0630 N/A Medicare Provides Coverage for Many Preventive Services and Screenings N/A N/A SE0630 04/28/2006
R146PI 04/28/2006 Provider Enrollment Update 05/30/2006 4340 N/A N/A
R915CP 04/28/2006 CWF, VMS and FISS Analysis-Changes in Payment for Oxygen Equipment due to the Deficit Reduction Act of 2005 10/02/2006 4392 N/A N/A
R917CP 04/28/2006 Update of ICD-9 Codes Used in CWF Editing of Oral Anti-Cancer and Oral Anti-Emetic Drugs 10/02/2006 4353 N/A N/A
R923CP 04/28/2006 Update of Radiopharmaceutical Imaging Agents HCPCS Codes Applicable to PET Scan Services for Carriers 08/01/2006 5054 MM5054 08/03/2006
R921CP 04/28/2006 Reporting of Diagnosis Code V06.6 on Influenza Virus and/or Pneumococcal Pneumonia Virus (PPV) Vaccine Claims and Acceptance of Current Procedural Terminology (CPT) Code 90660 For The Reporting of The Influenza Virus Vaccine 10/02/2006 5037 MM5037 05/11/2006
R95FM 04/28/2006 Chapter 7, Internal Control Requirements Update 05/30/2006 4334 N/A N/A
R922CP 04/28/2006 MSN Format Changes for DMERCs and the DME MAC Transition 07/03/2006 5071 N/A N/A
R926CP 04/28/2006 Common Working File (CWF) File Change for Skilled Nursing Facility (SNF) Consolidated Billing (CB) 10/02/2006 4390 N/A N/A
R927CP 04/28/2006 Medicare Remit Easy Print (MREP) Update 10/02/2006 5032 MM5032 05/05/2006
R224OTN 04/28/2006 Part A and Part B Medicare Administrative Contractor Jurisdiction Implementation 10/02/2006 5033 N/A N/A
R223OTN 04/28/2006 Contractor Number Changes for National Heritage Insurance Company - Jurisdiction A DME MAC Workload and AdminaStar Federal, Inc. - Jurisdiction B DME MAC Workload. 07/03/2006 5053 N/A N/A
R930CP 04/28/2006 Benefits Exhaust and No-Payment Billing Instructions for Medicare Fiscal Intermediaries (FIs) and Skilled Nursing Facilities (SNFs) 10/02/2006 4292 MM4292 06/02/2006
R925CP 04/28/2006 Installation of July Pricing Software Containing the Customer Information Control System (CICS) Formatting Update 07/03/2006 5046 N/A N/A
R929CP 04/28/2006 VMS and FISS Analysis - Changes in Capped Rentals for DME Due to the Deficit Reduction Act of 2005 10/02/2006 4386 N/A N/A
R924CP 04/28/2006 Adjustment to Health Professional Shortage Area (HPSA) Contractor Zip Code File Indicators 10/02/2006 4330 N/A N/A
SE0628 N/A DME MAC News 1 - DME Medicare Administrative Contractors' Implementation--Information for Suppliers N/A N/A SE0628 04/28/2006
R54NCD 04/28/2006 Bariatric Surgery for Treatment of Morbid Obesity N/A 5013 MM5013 05/18/2006
R931CP 04/28/2006 Billing Requirements for Bariatric Surgery for Treatment of Morbid Obesity N/A 5013 MM5013 05/18/2006
R932CP 04/28/2006 Competitive Acquisition Program (CAP) for Part B Drugs Physician Election 05/30/2006 4404 MM4404 05/10/2006
SE0632 N/A Announcing the Release of the Revised CMS-855 Medicare Enrollment Applications N/A N/A SE0632 05/03/2006
SE0626 N/A Coverage of Prescription Niacin Products Under Part D for 2006 N/A N/A SE0626 05/03/2006
R46DEMO 04/28/2006 Additional Clarification of CR 3816 Business Requirements 07/28/2006 5023 MM5023 05/03/2006
R55NCD 05/05/2006 Changes Conforming to CR 3648 Instructions for Therapy Services 10/02/2006 4014 N/A N/A
R225OTN 05/05/2006 Requirements for Systems Changes Needed to Generate Unsolicited Responses to the VA 10/02/2006 5077 N/A N/A
R940CP 05/05/2006 Full Replacement of CR 4349, Hold on Medicare Payments. CR4349 is rescinded 07/03/2006 5047 MM5047 05/10/2006
R941CP 05/05/2006 Changes Conforming to CR 3648 Instructions for Therapy Services 10/02/2006 4014 MM4014 05/10/2006
R938CP 05/05/2006 The Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS 08/07/2006 5016 MM5016 05/10/2005
R943CP 05/05/2006 Deported Medicare Beneficiaries 08/07/2006 5051 N/A N/A
SE0633 N/A Section 1011: Federal Reimbursement of Emergency Health Services Furnished to Undocumented Aliens - An Update N/A N/A SE0633 05/10/2006
SE0634 N/A Facilitating Your Medicare Enrollment N/A N/A SE0634 05/10/2006
SE0631 N/A Critical Access Hospital (CAH) Claims N/A N/A SE0631 05/11/2006
R944CP 05/10/2006 Full Replacement of CR 4349, Hold on Medicare Payments. CR4349 is rescinded 07/03/2006 5047 N/A N/A
R945CP 05/12/2006 Quarterly Medicare Summary Notice (MSN) Printing Cycle N/A 5062 MM5062 05/18/2006
R949CP 05/12/2006 Billing Clarification for J2505, Pegfilgrastim 08/14/2006 4380 MM4380 05/22/2006
R950CP 05/12/2006 Realignment of States and Medicare Claims Processing Workload from the Current DMERC Regions A and B to the DME MAC Jurisdictions A and B. This Change Request Rescinds and Replaces Change Request 4002. 07/03/2006 5082 N/A N/A
R50MSP 05/12/2006 Clarification of Exhaustible Benefits and HIGLAS' Role within Transmittal 20 06/12/2006 4190 N/A N/A
R948CP 05/12/2006 Stage 2 NPI Changes for Transaction 835, and Standard Paper Remittance Advice, and Changes in Medicare Claims Processing Manual, Chapter 22 - Remittance Advice 10/02/2006 5081 N/A N/A
R946CP 05/12/2006 Instructions for Downloading the Medicare Zip Code File 10/02/2006 5074 N/A N/A
R947CP 05/12/2006 New Waived Tests 06/12/2006 5083 N/A N/A
SE0635 N/A Processing of Outpatient Prospective Payment System (OPPS) Claims with Certain Drug Administration Code Pairs N/A N/A SE0635 05/17/2006
R918CP 04/28/2006 General Provider Education for Changes in the Payment for Oxygen Equipment and Capped Rentals for Durable Medical Equipment (DME) Based on the Deficit Reduction Act of 2005. 05/30/2006 5010 MM5010 05/18/2006
R951CP 05/12/2006 Payment for Carotid Artery Stenting (CAS) Post-Approval Extension Studies 06/12/2006 5088 MM5088 05/22/2006
R952CP 05/19/2006 Administrative Simplification Compliance Act (ASCA) Review Revisions 10/02/2006 5068 N/A N/A
R37GI 05/19/2006 Scheduled Release for July 2006 Software Programs and Pricing/Coding Files 06/19/2006 5078 N/A N/A
R147PI 05/19/2006 Evaluation of LCD Topics for NCD Consideration 06/19/2006 4233 N/A N/A
R957CP 05/19/2006 Pancreas Transplants Alone (PA) N/A 5093 MM5093 05/31/2006
R955CP 05/19/2006 Quarterly Medicare Summary Notice (MSN) Printing Cycle N/A 5062 N/A N/A
R954CP 05/19/2006 Payment for Evaluation and Management Services Provided During Global Period of Surgery 08/20/2006 5025 MM5025 05/24/2006
R956CP 05/19/2006 Payment for Positron Emission Tomography Scans in CMS-Approved Clinical Trials and Coverage With Evidence Development - Use of QR and QV Modifiers 06/19/2006 5124 MM5124 05/31/2006
R56NCD 05/19/2006 Pancreas Transplants Alone N/A 5093 MM5093 05/31/2006
R902CP 04/07/2006 Hospital Outpatient Prospective Payment System (OPPS) Manual Revision: Clarification of Coding and Payment for Drug Administration 05/08/2006 4388 MM4388 05/23/2006
SE0602 N/A Centers for Medicare and Medicaid Services (CMS) Seeks Provider Input on Satisfaction with Medicare Fee-for-Service Contractor Services 04/03/2006 N/A SE0602 01/06/2006
R226OTN 05/24/2006 Allowing Adjustments to Part A and Part B Veterans Administration (VA) Medicare Remittance Advice (MRA) Claims 10/02/2006 4370 N/A N/A
R965CP 05/26/2006 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 12.2, Effective July 1, 2006 07/03/2006 5064 MM5064 05/31/2006
R963CP 05/26/2006 July Update to the 2006 Medicare Physician Fee Schedule Database 07/03/2006 5102 MM5102 05/31/2006
R962CP 05/26/2006 July 2006 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 7.2 07/03/2006 5065 MM5065 06/02/2006
R52MSP 05/26/2006 Medicare Secondary Payer (MSP) Bankruptcy/Liquidation Notices 06/26/2006 4393 N/A N/A
R961CP 05/26/2006 Home Use of Oxygen in Approved Clinical Trials 10/03/2006 4389 MM4389 06/15/2006
R57NCD 05/26/2006 Home Use of Oxygen in Approved Clinical Trials 10/03/2006 4389 MM4389 06/15/2006
R968CP 05/26/2006 Chemotherapy Administration and Nonchemotherapy Injection and Infusion Coding and Payment Policy - Update to Pub. 100-04 Medicare Claims Processing Manual 06/26/2006 5028 MM5028 06/02/2006
R959CP 05/26/2006 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2006 07/03/2006 5108 MM5108 05/31/2006
R958CP 05/26/2006 Chapter 24 Update to the National Council for Prescription Drug Program (NCPDP) Narrative Portion of Prior Authorization Segment 08/28/2006 5092 MM5092 05/31/2006
R967CP 05/26/2006 Modification to the Coordination of Benefits Agreement (COBA) Claims Selection Criteria and File Transfer Protocols 10/02/2006 5094 N/A N/A
R51MSP 05/26/2006 Medicare Secondary Payer Recovery Contractor (MSPRC) New Contractor Number 10/02/2006 5049 N/A N/A
R430P19 05/26/2006 The Factors Are Applied On A Calendar Year Basis. N/A n/a N/A N/A
R15P235 05/26/2006 Chapter 35, Form CMS-2540-96 N/A N/A N/A N/A
R960CP 05/26/2006 July 2006 Non-Outpatient Prospective Payment System Outpatient Code Editor (Non-OPPS OCE) Specifications Version 21.3 07/03/2006 5066 MM5066 05/31/2006
R96FM 05/26/2006 Development of New Report to Capture BIPA and MMA Appeals Data 07/03/2006 5056 N/A N/A
R58NCD 05/26/2006 Intestinal and Multi-Visceral Transplantation 06/26/2006 5090 N/A N/A
R38GI 05/26/2006 Files Maintenance Program Update to the Internet-Only Manual (IOM) 06/26/2006 5055 N/A N/A
R97FM 05/26/2006 Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 06/26/2006 5105 MM5105 05/31/2006
R966CP 05/26/2006 Intestinal and Multi-Visceral Transplantation 06/26/2006 5090 N/A N/A
R148PI 05/26/2006 Medicare Claims System (MCS) Changes to Accept Opt Out Actions From the PECOS Daily Extract File 10/02/2006 5063 N/A N/A
R227OTN 05/26/2006 National Council of Prescription Drug Programs Coordination of Benefits (COB) Companion Document Update 08/28/2006 5080 MM5080 08/24/2006
R969CP 05/30/2006 July 2006 Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes 07/03/2006 5125 N/A N/A
R970CP 05/30/2006 July 2006 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes 07/03/2006 5121 MM5121 06/22/2006
SE0638 N/A Medicare Policy Regarding Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment N/A N/A SE0638 05/31/2006
R19SOMA 06/01/2006 Revisions to Appendix PP, Guidance to Surveyors for Long Term Care Facilities 06/01/2006 N/A N/A N/A
R50BP 06/02/2006 Immunosuppressive Therapy For Kidney Transplant 07/03/2006 4143 N/A N/A
R972CP 06/02/2006 October 2006 Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes 10/02/2006 5126 N/A N/A
R971CP 06/02/2006 Clarification Regarding Effective Dates for Carrier Claim Adjustments: Denied Replacement Defibrillator Claims Lacking a QR Modifier 09/05/2006 5104 MM5104 08/03/2006
R977CP 06/09/2006 Non-Autologous Blood Derived Products for Chronic Non-Healing Wounds 07/10/2006 5123 MM5123 06/28/2006
R59NCD 06/09/2006 Non-Autologous Blood Derived Products for Chronic Non-Healing Wounds 07/10/2006 5123 MM5123 06/28/2006
R229OTN 06/09/2006 Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes for Stage 2 National Provider Identifier (NPI) 10/02/2006 5034 N/A N/A
R976CP 06/09/2006 Billing of Temporary "C" HCPCS Codes by Non-Outpatient Prospective Payment System (Non-OPPS) Providers 10/02/2006 5027 N/A N/A
R974CP 06/09/2006 July 2006 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective July 1, 2006, and Revisions to January 2006 and April 2006 Quarterly ASP Medicare Part B Drug Pricing Files 07/03/2006 5110 MM5110 06/28/2006
R53MSP 06/09/2006 Modifications to Online Medicare Secondary Payer Questionnaire. This CR Rescinds and Replaces CR 4098 09/11/2006 5087 MM5087 06/15/2006
SE0639 N/A MMA - Extension of the Competitive Acquisition Program (CAP) Physician Election Period N/A N/A SE0639 08/01/2006
R978CP 06/09/2006 Update-Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Rate Year 2007 07/03/2006 5129 MM5129 06/22/2006
R39GI 06/09/2006 Update-Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Rate Year 2007 07/03/2006 5129 MM5129 06/22/2006
R20SOMA 06/09/2006 Revisions to Appendix P "Survey protocol for Long Term Care Facilities Part I" 06/08/2006 N/A N/A N/A
R979CP 06/09/2006 Cardiovascular System (Codes 92950-93799 07/10/2006 5048 N/A N/A
R980CP 06/14/2006 Changes Conforming to CR 3648 Instructions for Therapy Services 10/02/2006 4014 N/A N/A
SE0637 N/A Use of the KX Modifier on Claims Submitted to the Fiscal Intermediary When Some Services Exceed the Therapy Caps N/A N/A SE0637 06/15/2006
SE0640 N/A VMS Standard System Unavailability for Durable Medical Equipment Regional Carriers (DMERCs) N/A N/A SE0640 06/15/2006
R928CP 04/28/2006 July Quarterly Update for 2006 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 07/03/2006 5017 MM5017 05/03/2006
R981CP 06/15/2006 Update-Long Term Care Hospital Prospective Payment System (LTCH PPS) Rate Year 2007 07/03/2006 5202 MM5202 06/22/2006
R983CP 06/16/2006 Healthcare Provider Taxonomy Codes (HPTC) Update 10/02/2006 5132 N/A N/A
R98FM 06/16/2006 Correction of CROWD Form 5 Reporting for Internet Pilot Carriers 07/17/2006 5120 N/A N/A
R984CP 06/16/2006 Healthcare Common Procedure Coding System (HCPCS) Correction for the Caffeine Halothane Contracture Test for Malignant Hyperthermia Susceptibility 10/02/2006 5113 MM5113 06/22/2006
R985CP 06/16/2006 Appeals Updates 06/01/2006 5058 N/A N/A
R230OTN 06/16/2006 New Remittance Advice Remark Code Message Used for the Physician's Voluntary Reporting Program (PVRP) 07/17/2006 5091 N/A N/A
R982CP 06/16/2006 New Use of Hospital Issued Notices of Noncoverage (HINNs) 09/18/2006 5070 MM5070 06/29/2006
R986CP 06/16/2006 Payment for Islet Cell Transplantation in NIH-Sponsored Clinical Trials 07/31/2006 5140 MM5140 06/22/2006
R60NCD 06/23/2006 Lumbar Artificial Disc Replacement (LADR) N/A 5057 MM5057 06/30/2006
R993CP 06/23/2006 Non-Physician Practitioner (NPP) Payment for Care Plan Oversight 10/02/2006 4374 MM4374 06/29/2006
R990CP 06/23/2006 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/02/2006 5142 MM5142 06/28/2006
R51BP 06/23/2006 Requirements for Diagnostic X-Ray, Diagnostic Laboratory, and Other Diagnostic Tests; Clinical Psychologist Services 09/21/2006 4400 MM4400 06/29/2006
R992CP 06/23/2006 Lumbar Artificial Disc Replacement (LADR) N/A 5057 MM5057 06/30/2006
R991CP 06/23/2006 Eligibility Rules of Behavior 07/24/2006 5138 MM5138 06/29/2006
R987CP 06/23/2006 Claim Status Category Code and Claim Status Code Update 10/02/2006 5137 MM5137 06/29/2006
R989CP 06/23/2006 Correction to CR 4122: Correction of Typographical Error in the Do Not Forward (DNF) Reports 10/02/2006 4394 N/A N/A
SE0643 N/A Submitting Home Health Requests for Anticipated Payment Under Revised OASIS Reporting Requirements N/A N/A SE0643 06/20/2006
SE0646 N/A Ending the HIPAA Contingency for Remittance Advice N/A N/A SE0646 06/29/2006
R994CP 06/30/2006 Special Issues Associated with the Advance Beneficiary Notice (ABN) for Hospice Providers and Comprehensive Outpatient Rehabilitation Facilities (CORFs) 09/29/2006 5117 MM5117 07/05/2006
R99FM 06/30/2006 Instructions for Medicare Credit Balance Reporting Activities. 10/02/2006 5084 MM5084 07/05/2006
R149PI 06/30/2006 Notification to Provider(s) or Supplier(s) Regarding Postpayment Review Results 07/31/2006 5115 N/A N/A
R52BP 06/30/2006 Therapy Caps Exception Process 03/13/2006 4364 N/A N/A
R15QIO 06/30/2006 Revisions to Chapter 10, "Confidentiality and Disclosure" 06/30/2006 n/a N/A N/A
R150PI 06/30/2006 Re-issuance of Chapter 10, Introduction of Provider Enrollment 07/03/2006 5139 N/A N/A
R16QIO 06/30/2006 Revisions to Chapter 1, "Background and Responsibilities" 06/30/2006 n/a N/A N/A
R995CP 06/30/2006 Common Working File (CWF) Part C Data Exchange and Data Display Changes 10/02/2006 5118 MM5118 07/05/2006
SE0636 N/A Issue with Correct Coding Initiative Code Pair 92526/G0283 N/A N/A SE0636 06/30/2006
R100FM 07/03/2006 Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 06/26/2006 5105 N/A N/A
SE0642 N/A A/B MAC NEWS #1 - First Contract for a Part A/Part B Medicare Administrative Contractor (MAC) To Be Awarded in Near Future N/A N/A SE0642 07/05/2006
R53BP 07/07/2006 Medicare Telehealth Services Update 08/07/2006 5122 MM5122 07/17/2006
R997CP 07/07/2006 Medicare Telehealth Services Update 08/07/2006 5122 MM5122 07/17/2006
R988CP 06/23/2006 Correction to CR 4136: New Waived Tests 07/24/2006 5131 MM5131 06/28/2006
R845CP 02/10/2006 National Council for Prescription Drug Program (NCPDP)Coordination of Benefits (COB)Workaround Instructions 07/03/2006 4290 MM4290 02/14/2006
R101FM 07/12/2006 Notice of New Interest Rate for Medicare Overpayments and Underpayments 07/19/2006 4076 N/A N/A
R151PI 07/14/2006 Provider Enrollment Appeals Process 08/14/2006 4354 N/A N/A
R102FM 07/14/2006 Notice of New Interest Rate for Medicare Overpayments and Underpayments. 07/19/2006 4076 N/A N/A
R999CP 07/14/2006 Non-Physician Practitioner (NPP) Payment for Care Plan Oversight 10/02/2006 4374 MM4374 06/29/2006
SE0647 N/A Inpatient Rehabilitation Facility (IRF) Interrupted Stays N/A N/A SE0647 07/17/2006
R1000CP 07/19/2006 Common Working File (CWF) to the Medicare Beneficiary Database (MBD) Data Exchange Changes 10/02/2006 4300 N/A N/A
R1001CP 07/21/2006 Modifications to the Common Working File (CWF) Interrupted Stay Edits for Long Term Care Hospital (LTCH) Claims for Discharges to an Acute Care Hospital 01/02/2007 5073 MM5073 07/26/2006
R1005CP 07/21/2006 Medicare Physician Fee Schedule Database (MPFSDB) 2007 File Layout 01/02/2007 5206 N/A N/A
R1004CP 07/21/2006 Non-Application of Deductible for Colorectal Cancer Screening Tests 01/02/2007 5127 MM5127 07/26/2006
R55MSP 07/21/2006 Update the Fiscal Intermediary Shared System (FISS) on Processing Medicare Secondary Payer (MSP) Fully Paid Claims When Condition Code 77 is Not Present on Outpatient and Home Health Claims 10/02/2006 4355 N/A N/A
R152PI 07/21/2006 Correction of Common Working File (CWF) Edit D903 for Wheelchair and Power Operated Vehicle (POV) Codes 01/02/2007 5136 N/A N/A
R54MSP 07/21/2006 Revision to the contents of the Intent to Refer Demand Packages 10/02/2006 5134 N/A N/A
R103FM 07/21/2006 Internal Control Requirement Update 07/24/2006 5234 N/A N/A
R1006CP 07/21/2006 Modification to the Coordination of Benefits Agreement (COBA) Claims Selection Criteria and File Transfer Protocols 10/02/2006 5094 N/A N/A
SE0650 N/A Revised 2006 Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule Files - Correction N/A N/A SE0650 07/24/2006
R154PI 07/28/2006 Coding Change to MCS to Accept NPI From PECOS Extract File 01/02/2007 5059 N/A N/A
R48DEMO 07/28/2006 Laboratory Competitive Bidding Demonstration 01/02/2007 5205 N/A N/A
R1009CP 07/28/2006 Correction to Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement if SNF Inpatient Claims are Partially Non-Covered 01/02/2007 5220 MM5220 08/01/2006
R153PI 07/28/2006 The Medicare Claims System (MCS) and The Provider Enrollment System (PES) Changes for the National Provider Identifier (NPI) 01/02/2007 5218 N/A N/A
R1016CP 07/28/2006 Outpatient Therapy - Additional DRA Mandated Service Edit 01/02/2007 5253 N/A N/A
R1019CP 08/03/2006 Outpatient Therapy - Additional DRA Mandated Service Edits 01/02/2007 5253 N/A N/A
R1021CP 08/03/2006 2007 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payment 01/02/2007 5237 MM5237 08/15/2006
SE0655 N/A New Site for Medicare Provider Service Toll Free Numbers N/A N/A SE0655 08/03/2006
R232OTN 08/04/2006 Allowing Veterans Administration (VA) Claims with Various OSCAR Numbers 01/02/2007 5240 N/A N/A
R155PI 08/04/2006 Medically Unlikely Edits (MUE) 01/02/2007 4209 N/A N/A
R233OTN 08/04/2006 Enhance the Multi Carrier System (MCS) to avoid duplicate payments when a full claim adjustment is performed: Analysis and Design Phase N/A 3878 N/A N/A
R1008CP 07/28/2006 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update for FY 2007 10/02/2006 5209 MM5209 08/01/2006
R16P236 08/11/2006 Provider Cost Reporting Forms and Instructions, Chapter 36, Form CMS-2552-96 N/A N/A N/A N/A
R1025CP 08/11/2006 Revised Home Health Advance Beneficiary Notice 09/01/2006 5009 MM5009 08/23/2006
R1027CP 08/11/2006 Clarifications and Additions to Chapter 19, Indian Health Services (IHS) 09/11/2006 5230 N/A N/A
R1026CP 08/11/2006 Medicare Telehealth Services 01/02/2007 5201 MM5201 09/08/2006
R1028CP 08/11/2006 Downloading the Medicare Zip Code File 01/02/2007 5219 N/A N/A
R1029CP 08/11/2006 Schedule for Completing the Calendar Year 2007 Fee Schedule Updates and the Participating Physician Enrollment Procedures 08/25/2006 5241 N/A N/A
R104FM 08/11/2006 Updated Procedures for AC Communication with RAC 09/11/2006 5226 N/A N/A
R1023CP 08/04/2006 Update To The Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer For FY 2007 10/02/2006 5254 MM5254 08/15/2006
SE0656 N/A End of Contingency for Electronic Remittance Advice (ERA) - Action N/A N/A SE0656 08/15/2006
SE0652 N/A Medicare Part B versus Part D Drug Coverage Determinations N/A N/A SE0652 08/15/2006
R1036CP 08/18/2006 Updates to Chapter 10 of the Medicare Claims Processing Manual 10/09/2006 5242 N/A N/A
R1035CP 08/18/2006 Updating Publication 100-04, Chapter 30 Regarding the CD ROM Initiative for the Annual "Dear Doctor" Mailing 09/18/2006 5214 N/A N/A
R1033CP 08/18/2006 Revise Chapters 22 and 24 to delete references to free downloads of X12 implementation guides adopted as HIPAA standards from Washington Publishing Company (WPC) 11/20/2006 5247 N/A N/A
R1032CP 08/18/2006 Correction to Skilled Nursing Facility (SNF) Consolidated Billing (CB) Coding File 09/18/2006 5103 MM5103 08/21/2006
SE0657 N/A Transitional Use of Medicare Part B Drug Competitive Acquisition Program (CAP) Resupply Option and the J2 Modifier N/A N/A SE0657 08/21/2006
SE0660 N/A Reminder - Medicare Provides Coverage for Diabetes Screening Tests for Eligible Medicare Beneficiaries N/A N/A SE0660 N/A
R1031CP 08/18/2006 Remittance Advice Remark Code and Claim Adjustment Reason Code Update 10/02/2006 5212 MM5212 08/23/2006
SE0661 N/A Mass Adjustment of 22x & 23x Bill Types Containing Healthcare Common Procedure Coding System (HCPCS) G0008, G0009 & G0010 with Dates of Service July 1, 2006, and Greater N/A N/A SE0661 08/24/2006
R1040CP 08/25/2006 Clarifications and Additions to Chapter 19, Indian Health Services (IHS) 09/11/2006 5230 N/A N/A
R1037CP 08/25/2006 October Quarterly Update for 2006 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 10/02/2006 5255 MM5255 09/06/2006
R1038CP 08/25/2006 The Coordination of Benefits Agreement (COBA) Eligibility File Claims Recovery Process 01/02/2007 5250 N/A N/A
R105FM 08/25/2006 Benefits Payable Survey and Trending Analysis Procedures 09/30/2006 5130 N/A N/A
R106FM 08/25/2006 Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 06/26/2006 5105 N/A N/A
R1041CP 08/25/2006 Change in Healthcare Common Procedure Coding System (HCPCS) for Renal Dialysis Facilities and Hospitals Billing for End Stage Renal Disease (ESRD) Related Epoetin Alfa (EPO) Effective January 1, 2007 01/02/2007 5216 N/A N/A
R157PI 08/25/2006 Evidence of Medical Necessity: Wheelchair and Power-Operated Vehicle (POV) Claims (Clarification of CR 3952, Transmittal 128, Dated October 28, 2005) 10/16/2006 5128 N/A N/A
R1042CP 08/25/2006 Clarification on Billing Requirements for Percutaneous Transluminal Angioplasty (PTA) Concurrent With the Placement of an Investigational or FDA-Approved Carotid Stent 10/02/2006 5022 N/A N/A
R1043CP 08/25/2006 Revisions to the EPO/ Aranesp Monitoring Policy 10/02/2006 5251 MM5251 08/31/2006
SE0662 N/A CMS Announces Outreach Conferences for Section 1011 (of the Medicare Modernization Act of 2003): Federal Reimbursement of Emergency Health Services Furnished to Undocumented Aliens N/A N/A SE0662 08/30/2006
SE0658 N/A Medicare Part B Drug Competitive Acquisition Program (CAP) Additions to Approved CAP Vendor's Drug List Effective October 1, 2006; Information On Price File Updates N/A N/A SE0658 08/31/2006
R7P238 09/01/2006 Chapter 38, Hospice Cost Report, Form CMS 1984-99 to capture and identify continuous care costs N/A N/A N/A N/A
R1047CP 09/01/2006 October Update to the 2006 Medicare Physician Fee Schedule Database 10/02/2006 5272 MM5272 10/11/2006
R1045CP 09/01/2006 October 2006 Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) Specifications Version 7.3 10/02/2006 5244 MM5244 09/06/2006
R1046CP 09/01/2006 Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services 12/01/2006 5210 MM5210 09/06/2006
R1048CP 09/01/2006 New Waived Tests 10/02/2006 5231 N/A N/A
R1050CP 09/07/2006 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2006 10/02/2006 5293 MM5293 09/14/2006
R1054CP 09/08/2006 Reporting of Taxonomy Codes to Identify Provider Subparts on Institutional Claims 01/02/2007 5243 N/A N/A
R1052CP 09/08/2006 Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes 01/02/2007 5264 N/A N/A
R1053CP 09/08/2006 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2007 10/02/2006 5273 MM5273 10/05/2006
R18COM 09/08/2006 Provider Customer Service Program 10/02/2006 5277 N/A N/A
R236OTN 09/11/2006 New Contractor Numbers for Jurisdiction 3 Part AB Medicare Administrative Services (MAC) Workload 10/02/2006 5291 N/A N/A
R1055CP 09/11/2006 Competitive Acquisition Program (CAP) - Creation of Automated Tables for Provider Information, Expansion of CAP Fee Schedule File Layout, and Additional Instructions for Claims Received from Railroad Retirement Board (RRB) Beneficiaries 10/02/2006 5079 N/A N/A
R953CP 05/19/2006 Competitive Acquisition Program (CAP) - Creation of Automated Tables for Provider Information, Expansion of CAP Fee Schedule File Layout, and Additional Instructions for Claims Received from Railroad Retirement Board (RRB) Beneficiaries 10/02/2006 5079 MM5079 05/24/2006
R54BP 09/15/2006 Clarification/Update to Chapter 8, Pub. 100-02 12/14/2006 4220 N/A N/A
R1056CP 09/15/2006 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 12.3, Effective October 1, 2006 10/02/2006 5258 MM5258 09/18/2006
R1057CP 09/15/2006 Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes 01/02/2007 5264 N/A N/A
R237OTN 09/15/2006 New Contractor Number for the Jurisdiction D DME MAC Workload for Noridian Administrative Services, LLC 10/02/2006 5279 N/A N/A
R40GI 09/15/2006 Scheduled Release for October 2006 Software Programs and Pricing/Coding Files 10/16/2006 5257 N/A N/A
SE0666 N/A Medicare Provider Feedback Town Hall Meeting N/A N/A SE0666 09/18/2006
R1060CP 09/18/2006 October 2006 Update of the Hospital Outpatient Prospective Payment System: Summary of Payment Policy Changes 10/02/2006 5304 MM5304 10/06/2006
R1061CP 09/18/2006 October 2006 Non-Outpatient Prospective Payment System Outpatient Code Editor Specifications Version 22.0 10/02/2006 5256 MM5256 10/11/2006
R1007CP 07/28/2006 Change in Healthcare Common Procedure Coding System (HCPCS) for Renal Dialysis Facilities and Hospitals Billing for End Stage Renal Disease (ESRD) Related Epoetin Alfa (EPO) Effective January 1, 2007 01/02/2007 5216 MM5216 08/01/2006
SE0667 N/A 2006 - 2007 INFLUENZA (FLU) SEASON RESOURCES FOR HEALTH CARE PROFESSIONALS N/A N/A SE0667 09/20/2006
R1065CP 09/22/2006 Disabling the Revenue/HCPCS Consistency Edit Codes in the Fiscal Intermediary Shared System (FISS) 04/03/2006 4049 N/A N/A
R1063CP 09/22/2006 Ending the Contingency Plan for Remittance Advice and Charging for PC Print, Medicare Remit Easy Print, and Duplicate Remittance Advice 10/23/2006 5308 MM5308 10/06/2006
R1062CP 09/22/2006 Termination of Healthcare Common Procedure Coding System (HCPCS) Code G0107, Colorectal Cancer Screening, Fecal Occult Blood Test (FOBT), 1-3 Simultaneous Determinations 01/02/2007 5292 MM5292 09/26/2006
R107FM 09/22/2006 Instructions for Conducting In-House Audits and Revision to Part II Acceptability Checklist Requirements 10/02/2006 5262 N/A N/A
R1066CP 09/22/2006 October 2006 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective October 1, 2006, and Revisions to April 2006 and July 2006 Quarterly ASP Medicare Part B Drug Pricing Files 10/02/2006 5270 N/A N/A
R1059CP 09/15/2006 October 2006 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective October 1, 2006, and Revisions to January 2006, April 2006 and July 2006 Quarterly ASP Medicare Part B Drug Pricing Files 10/02/2006 5270 MM5270 09/25/2006
SE0668 N/A CMS Announces Part D Low Income Subsidy (LIS) Redetermination Information N/A N/A SE0668 09/26/2006
R160PI 09/26/2006 Complaint Screening 10/02/2006 5335 N/A N/A
R1049CP 09/01/2006 Update to the Place of Service (POS) Code Set to Add a Code for Prison/Correctional Facility 01/02/2007 4316 MM4316 10/12/2006
R156PI 08/18/2006 Evidence of Medical Necessity: Wheelchair and Power-Operated Vehicle (POV) Claims (Clarification of CR 3952, Transmittal 128, Dated October 28, 2005) 09/18/2006 5128 MM5128 08/25/2006
R57BP 11/08/2006 Clarification/Update to Chapter 8, Pub. 100-02 12/14/2006 4220 N/A N/A
R42GI 11/09/2006 Swing Bed Hospital Updates 12/11/2006 5114 N/A N/A
R1105CP 11/09/2006 Swing Bed Hospital Updates 12/11/2006 5114 N/A N/A
R58BP 11/09/2006 Swing Bed Hospital Updates 12/11/2006 5114 N/A N/A
R59BP 11/09/2006 Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) 12/04/2006 5287 N/A N/A
R1083CP 10/27/2006 Release of a Separate File Containing the Payment Cap for the Technical Component (TC) of Imaging Procedures for Disclosure 11/08/2006 5357 N/A N/A
R1110CP 11/09/2006 Excluding Sanctioned Provider Claims from the Coordination of Benefits Agreement (COBA) Crossover Process 04/02/2007 5353 N/A N/A
R1111CP 11/09/2006 Clarification on Billing for Cryosurgery of the Prostate Gland 04/02/2007 5376 MM5376 11/14/2006
R173PI 11/13/2006 Update to Chapter 10 Medicare Provider/Supplier Enrollment 11/15/2006 5338 N/A N/A
R1107CP 11/09/2006 Notification and Testing of an Integrated Outpatient Code Editor (OCE) for the July 2007 Release 07/02/2007 5344 MM5344 11/16/2006
SE0665 N/A Multiple Procedure Reduction on the Technical Component (TC) of Certain Diagnostic Imaging Procedures and Cap on the TC of Imaging Procedures N/A N/A SE0665 11/16/2006
R174PI 11/17/2006 Transition of Medical Review Educational Activities 10/06/2006 5275 N/A N/A
R250OTN 11/17/2006 PECOS to FISS Interface Via Extract File 04/02/2007 4094 N/A N/A
R1113CP 11/17/2006 Implementation of an Ultrasound Screening for Abdominal Aortic Aneurysms (AAA) 01/02/2007 5235 MM5235 11/20/2006
R49DEMO 08/01/2006 Laboratory Competitive Bidding Demonstration 01/02/2007 5205 MM5205 08/24/2006
R1070CP 09/29/2006 New 2007 Current Procedural Terminology Mammography Codes 01/02/2007 5327 MM5327 11/30/2006
R176PI 11/24/2006 Various Benefit Integrity (BI) Revisions to Chapter 4 12/26/2006 5386 N/A N/A
R175PI 11/24/2006 Division of Provider and Supplier Enrollment Issued Revocations 12/26/2006 5340 N/A N/A
R1118CP 11/24/2006 Reasonable Charge Update for 2007 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, and Certain Intraocular Lenses 01/02/2007 5382 MM5382 11/30/2006
R61BP 11/24/2006 Implementation of Changes in End Stage Renal Disease (ESRD) Payment for Calendar Year (CY) 2007 01/02/2007 5407 MM5407 12/07/2006
R1119CP 11/24/2006 Installation of the January Inpatient Psychiatric Facility (IPF) Prospective Payment System (PPS) Pricer Software Containing Customer Information Control System (CICS) Formatting 01/02/2007 5408 N/A N/A
R1120CP 11/24/2006 Additional Provider Education for Upcoming Changes in Payment for Oxygen Equipment and Capped Rentals for Durable Medical Equipment (DME) Based on the Deficit Reduction Act (DRA)of 2005 01/02/2007 5370 MM5370 11/30/2006
SE0677 N/A Medicare Part B Drug Competitive Acquisition Program (CAP): Do Not Bill a Prescription Order More Than Once N/A N/A SE0677 11/24/2006
R177PI 12/01/2006 Update the VMS System to Validate National Provider Identifiers (NPIs) in Place of Unique Physician Identification Numbers (UPINs). 01/02/2007 5326 N/A N/A
R252OTN 12/08/2006 Additional Codes for Physician Voluntary Reporting Program (PVRP) 01/02/2007 5409 N/A N/A
R431PR1 12/08/2006 Section 2231, Regional Medicare Swing-Bed-Rates N/A N/A N/A N/A
R1122CP 12/08/2006 2007 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 01/02/2007 5362 MM5362 12/11/2006
R1123CP 12/08/2006 Instructions for Downloading the Medicare Zip Code File 04/02/2007 5394 N/A N/A
R1125CP 12/08/2006 Fee Schedule Update for 2007 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies 01/02/2007 5417 MM5417 12/11/2006
R61NCD 11/24/2006 Cavernous Nerves Electrical Stimulation with Penile Plethysmography 01/08/2007 5294 MM5294 12/04/2006
R1124CP 12/08/2006 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 13.0, Effective January 1, 2007 01/02/2007 5422 MM5422 12/11/2006
R1126CP 12/08/2006 Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases 01/02/2007 5435 MM5435 12/12/2006
R178PI 12/08/2006 Medically Unlikely Edits (MUEs) 01/02/2007 5402 MM5402 12/15/2006
R179PI 12/15/2006 Revised Medical Review Timeliness and Reopening Requirements for Medical Review 01/16/2007 5252 N/A N/A
R1129CP 12/15/2006 January 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective January 1, 2007, and Revisions to April 2006, July 2006, and October 2006 Quarterly ASP Medicare Part B Drug Pricing Files 01/02/2007 5413 MM5413 12/18/2006
R22SOMA 12/15/2006 Revisions to Appendix P and PP 12/18/2006 N/A N/A N/A
R253OTN 12/15/2006 Home Health Prospective Payment System (HH PPS) Update for Calendar Year (CY) 2007 01/02/2007 5423 MM5423 12/19/2006
R1133CP 12/19/2006 Reporting of Taxonomy Codes to Identify Provider Subparts on Institutional Claims 01/02/2006 5243 N/A N/A
R180PI 12/22/2006 Sources of Data for PSCs 01/22/2007 5412 N/A N/A
R255OTN 12/22/2006 Provider Migration 02/01/2007 5419 N/A N/A
R254OTN 12/22/2006 Provision of Data for the Care Management for High Cost Beneficiaries Demonstration from Selected FIs, Carriers, and DME MAC Contractors 01/22/2007 5398 N/A N/A
R1142CP 12/22/2006 DMERC Claim Modifiers for Upgrades 04/02/2007 5367 N/A N/A
R1128CP 12/15/2006 January 2007 Non-Outpatient Prospective Payment System (Non-OPPS) Outpatient Code Editor (OCE) Specifications Version 22.1 01/02/2007 5437 MM5437 12/27/2006
R1135CP 12/22/2006 Correction of Instructions for Calculating IRF Compliance Percentage Threshold 03/22/2007 5303 MM5303 12/27/2006
R112FM 12/29/2006 Chapter 7, Internal Control Requirements Update 01/29/2007 5429 N/A N/A
R1139CP 12/22/2006 January 2007 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes and OPPS PRICER Logic Changes and Instructions for Updating the Outpatient Provider Specific File (OPSF) 01/02/2007 5438 MM5438 01/10/2007
R1145CP 12/29/2006 Outpatient Therapy Cap Exceptions Process for Calendar Year (CY) 2007 01/29/2007 5478 MM5478 01/08/2007
R181PI 12/29/2006 Outpatient Therapy Cap Exceptions Process for Calendar Year (CY) 2007 01/29/2007 5478 MM5478 01/08/2007
R171PI 11/09/2006 Outpatient Therapy Cap Clarifications 01/02/2007 5271 MM5271 11/14/2006
R1106CP 11/09/2006 Therapy Cap Clarifications 01/02/2007 5271 MM5271 11/14/2006
R47BP 02/15/2006 Therapy Caps Exception Process 03/13/2006 4364 MM4364 02/16/2006
R140PI 02/15/2006 Therapy Caps Exception Process 03/13/2006 4364 MM4364 02/16/2006
R855CP 02/15/2006 Therapy Caps Exception Process 03/13/2006 4364 MM4364 02/16/2006
R60BP 11/09/2006 Outpatient Therapy Cap Clarifications 01/02/2007 5271 MM5271 11/14/2006
R1109CP 11/09/2006 Skilled Nursing Facility (SNF) Consolidated Billing (CB) Common Working File (CWF) Edit Bypass Instructons for Hospital Emergency Room (ER) Services Spanning Multiple Service Dates 04/02/2007 5389 MM5389 12/21/2006
R63BP 12/29/2006 Outpatient Therapy Cap Exceptions Process for Calendar Year (CY) 2007 01/29/2007 5478 MM5478 01/08/2007
R1034CP 08/18/2006 Competitive Acquisition Program (CAP) - Claim Processing for Not Otherwise Classified (NOC) Drugs 01/02/2007 5259 MM5259 12/11/2006
R1137CP 12/22/2006 Inpatient Rehabilitation Facility (IRF) Teaching Status Adjustment 01/22/2007 5325 MM5325 12/27/2006
R63NCD 12/15/2006 Cardiac Output Monitoring by Thoracic Electrical Bioimpedance (TEB) 01/16/2007 5414 MM5414 12/18/2006
R1130CP 12/15/2006 anuary 2007 Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) Specifications Version 8.0 01/02/2007 5425 MM5425 12/27/2006
R203OTN 02/01/2006 Revision for PPS Payment for Blood Clotting Factor Administered to Hemophilia Inpatients 03/06/2006 4311 MM4311 02/06/2006
SE0678 N/A Payment for Part D Vaccines under the Medicare Drug Benefit (Part D) N/A N/A SE0678 12/06/2006
SE0678 N/A Payment for Part D Vaccines under the Medicare Drug Benefit (Part D) N/A N/A SE0678 12/06/2006
R159PI 09/22/2006 New DMEPOS Certificates of Medical Necessity (CMNs) and DME Information Forms (DIFS) for Claims Processing. 10/02/2006 4296 N/A N/A
R204OTN 02/01/2006 Stage 1 Use and Editing of National Provider Identifier Numbers Received in Electronic Data Interchange Transactions, via Direct Data Entry Screens, or on Paper Claim Forms 01/03/2006 4320 MM4320 02/23/2006
R996CP 06/30/2006 Stage 2 NPI Changes for Transaction 835, and Standard Paper Remittance Advice, and Changes in Medicare Claims Processing Manual, Chapter 22 - Remittance Advice 10/02/2006 5081 MM5081 07/20/2006
R827CP 02/01/2006 Use of 12X Type of Bill (TOB) for Billing Screening Mammography, Screening Pelvic Examinations, and Screening Pap Smears 07/03/2006 4243 MM4243 03/23/2006
R1140CP 12/22/2006 Medicare Payment for Preadministration-Related Services Associated with IVIG Administration-Payment Extended through CY 2007 01/02/2007 5428 MM5428 12/29/2006
R916CP 04/28/2006 Correct Reporting of Diagnosis Codes on Screening Mammography Claims 10/02/2006 5050 MM5050 05/03/2006
R1011CP 07/28/2006 Instructions for Reporting Hospice Services in Greater Line Item Detail 01/02/2007 5245 MM5245 09/08/2006
R975CP 06/09/2006 Ambulatory Surgical Center (ASC) Claims Processing Manual Clarification 06/05/2006 5026 MM5026 05/09/2006
R942CP 05/05/2006 Ambulatory Surgical Center (ASC) Claims Processing Manual Clarification 06/05/2006 5026 MM5026 05/10/2006
R1013CP 07/28/2006 Update of HCPCS Codes and Payments for Ambulatory Surgical Centers (ASCs) and File Names, Descriptions and Instructions for Retrieving the 2007 ASC HCPCS Additions, Deletions and Master Listing 01/02/2007 5211 MM5211 12/04/2006
R1134CP 12/20/2006 Update of HCPCS Codes and Payments for Ambulatory Surgical Centers (ASCs) and File Names, Descriptions and Instructions for Retrieving the 2007 ASC HCPCS Additions, Deletions and Master Listing 01/02/2007 5211 MM5211 12/04/2006
R142PI 03/02/2006 New DMEPOS Certificates of Medical Necessity (CMNs) and DME MAC Information Forms (DIFS) for Claims Processing 10/02/2006 4296 MM4296 02/17/2006
R138PI 02/10/2006 New DMEPOS Certificates of Medical Necessity (CMNs) and DME MAC Information Forms (DIFS) for Claims Processing. 10/03/2006 4296 MM4296 02/17/2006
R1018CP 07/28/2006 Uniform Billing (UB-04) Implementation 03/01/2007 5072 MM5072 08/03/2006
R1024CP 08/04/2006 Reporting of Taxonomy Codes to Identify Provider Subparts on Institutional Claims 01/02/2007 5243 MM5243 08/17/2006
R1116CP 11/24/2006 Revised American National Standards Institute X12N 837 Institutional Health Care Claim Companion Document 01/02/2007 5334 MM5334 11/30/2006
SE0659 N/A Important Guidance Regarding National Provider Identifier (NPI) Usage in Medicare Claims N/A N/A SE0659 08/21/2006
R1010CP 07/28/2006 Additional Requirements Necessary to Implement the Revised Health Insurance Claim Form CMS-1500 (08/05) 01/02/2007 5060 MM5060 08/01/2006
R1114CP 11/22/2006 Reporting of Taxonomy Codes to Identify Provider Subparts on Institutional Claims 01/02/2007 5243 MM5243 12/20/2006
R1108CP 11/09/2006 Reporting of Taxonomy Codes to Identify Provider Subparts on Institutional Claims 01/02/2007 5243 MM5243 11/14/2006
R1051CP 09/08/2006 Claims Submission Instructions for Institutional Providers Billing Vaccine Claims In Cases Where a National Provider Identifier (NPI) is Not Available 05/23/2007 4239 MM4239 09/22/2006
R1058CP 09/15/2006 Additional Requirements Necessary to Implement the Revised Health Insurance Claim Form CMS-1500 (08/05) 01/02/2007 5060 MM5060 08/01/2006
SE0608 N/A NPI - Medicare Policy on Subpart Designation N/A N/A SE0608 02/24/2006
SE0681 N/A Medicare Fee-for-Service (FFS) and Medicare Advantage (MA) Eligibility System Issues N/A N/A SE0681 12/29/2006
R1099CP 2006-11-02 New Edits Established to Enforce Proper Transfer Coding and Payment in Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) Claims 2007-04-02 5354 MM5354 2006-11-06