2005 MLN Matters Articles
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| Transmittal # | Subject | Implementation Date | CR # | MM Article # | MM Article Release Date |
|---|---|---|---|---|---|
| R472CP | Revisions to Payment for Services Provided Under a Contractual Arrangement - - Carrier Claims Only | 03/15/2005 | 3628 | MM3628 | 02/15/2005 |
| R105PI | The Medically Unbelievable Edits | 07/05/2005 | 2987 | N/A | N/A |
| R104PI | Requirement that Medicare Carrier System (MCS) Not Allow the Re-review of Previously Denied Claims | 07/05/2005 | 3622 | N/A | N/A |
| R108PI | Change in Statistical Sampling Instructions | 05/31/2005 | 3734 | N/A | N/A |
| R110PI | Revise CERT Shared Systems Modules to Retrieve Claims Files Using Only Internal Control Number as a Key | 10/03/2005 | 3814 | N/A | N/A |
| R95PI | Change in Provider Enrollment Appeals Process | 02/14/2005 | 3601 | N/A | N/A |
| R113PI | Shared System Maintainer Hours for PECOS Problems and/or Implementation Changes | 07/05/2005 | 3874 | N/A | N/A |
| R112PI | Requirement that Part B/Carriers Submit All Provider Addresses to the Comprehensive Error Rate Testing (CERT) Program Contractor | 10/03/2005 | 3805 | N/A | N/A |
| R12COM | Next Generation Desktop (NGD) Testing Requirements | 08/15/2005 | 3493 | N/A | N/A |
| R27GI | Provider Extract File | 10/03/2005 | 3801 | N/A | N/A |
| R26GI | Implement New Medicare Plan ID and Carrier Number for the Single Testing Contractor (STC) | 10/03/2005 | 3978 | N/A | N/A |
| R25GI | Next Generation Desktop (NGD) Testing Requirements | 08/15/2005 | 3493 | N/A | N/A |
| R24GI | 2005 Scheduled Release for July Updates to Software Programs and Pricing/Coding Files | 06/27/2005 | 3865 | N/A | N/A |
| R25MSP | Update Medicare Secondary Payer (MSP) Manual Publication 100-05 to reflect statutory changes included in the Medicare Modernization Act (MMA) | 04/25/2005 | 3219 | N/A | N/A |
| R24MSP | Notification to Affiliated Contractors of the establishment of Medicare Secondary Payer (MSP) Recovery Audit Contractors (RACs) and the impact to the Affiliated Contractors current MSP recovery processes | 04/04/2005 | 3724 | N/A | N/A |
| R23MSP | Modification to Online Medicare Secondary Payer Questionnaire | 02/22/2005 | 3504 | N/A | N/A |
| R508CP | April 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes | 04/04/2005 | 3756 | MM3756 | 04/08/2005 |
| R507CP | New Healthcare Common Procedure Coding System (HCPCS) for Intravenous Globulin (IVIG) | 04/04/2005 | 3745 | MM3745 | 04/08/2005 |
| R506CP | Updated Manual Instructions for Item 24G (Days or Units), Chapter 26 | 07/01/2005 | 3753 | MM3753 | 03/21/2005 |
| R486CP | Manualization of Carrier Claims Processing Instructions for Stem Cell Transplantation | N/A | 3684 | N/A | N/A |
| R485CP | Calculating Payment-to-Cost Ratios (PCR) for Purposes of Determining Transitional Corridor Payments under the Outpatient Prospective Payment System (OPPS) | 07/25/2005 | 3661 | N/A | N/A |
| R484CP | New Remittance Advice (RA) Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims | 07/05/2005 | 3679 | MM3679 | 06/13/2005 |
| R483CP | Hospital Partial Hospitalization Services Billing Requirements | 10/04/2005 | 3297 | N/A | N/A |
| R557CP | Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System (OPPS) | 06/01/2005 | 3848 | MM3848 | 06/06/2005 |
| R556CP | Revision to the Health Professional Shortage Area (HPSA) and Physician Scarcity Area (PSA) Payment Rules | 10/03/2005 | 3822 | MM3822 | 05/18/2005 |
| R548CP | New Healthcare Common Procedure Coding System (HCPCS) Codes and Systems Edits for Supplies and Accessories for Ventricular Assist Devices (VADs) | 10/03/2005 | 3761 | N/A | N/A |
| R547CP | Revision to the Health Professional Shortage Area (HPSA) and Physician Scarcity Area (PSA) Payment Rules | 10/03/2005 | 3822 | N/A | N/A |
| R544CP | Modification of FISS Edits for Colorectal Cancer Screening Services (HCPCS Codes G0104, G0106, G0107, G0120, and G0328) Furnished at Skilled Nursing Facilities (SNFs) | 10/03/2005 | 3763 | MM3763 | 06/29/2005 |
| R543CP | Healthcare Provider Taxonomy Code (HPTC) Update | 10/03/2005 | 3803 | MM3803 | 05/04/2005 |
| R529CP | Update to Current National Uniform Billing Committee (NUBC) Codes | 07/05/2005 | 3794 | MM3794 | 04/29/2005 |
| R527CP | New Coding for FDG PET Scans and Billing Requirements for Specific Indications of Cervical Cancer | 04/18/2005 | 3741 | MM3741 | 04/20/2005 |
| R528CP | July 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective July 1, 2005 | 07/05/2005 | 3783 | MM3783 | 04/29/2005 |
| R526CP | Updated Requirements for Autologous Stem Cell Transplantation (AuSCT) | 05/16/2005 | 3797 | MM3797 | 05/18/2005 |
| R481CP | Updated Manual Instructions for the Medicare Claims Processing Manual, Chapter 10 | 03/28/2005 | 3691 | N/A | N/A |
| R480CP | April 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective April 1, 2005, and New January 2005 Quarterly ASP File | 04/04/2005 | 3667 | MM3667 | 03/17/2005 |
| R499CP | 2005 Scheduled Release for April Updates to Software Programs and Pricing/Coding Files | 04/11/2005 | 3746 | N/A | N/A |
| R479CP | Update to the Healthcare Provider taxonomy Codes (HPTC) Version 5.0 | 04/04/2005 | 3716 | MM3716 | 03/09/2005 |
| R498CP | Billing of the Diagnosis and Treatment of Peripheral Neuropathy with Loss of Protective Sensation in People with Diabetes | N/A | 3580 | N/A | N/A |
| R538CP | New Waived Tests | 07/05/2005 | 3804 | N/A | N/A |
| R537CP | Instructions for Downloading the Medicare Zip Code File | 10/03/2005 | 3731 | N/A | N/A |
| R536CP | July Quarterly Update for 2005 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 07/05/2005 | 3779 | MM3779 | 05/11/2005 |
| R535CP | Modification to Appeals Language on Medicare Summary Notice | 10/03/2005 | 3808 | N/A | N/A |
| R534CP | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2005 | 07/05/2005 | 3806 | MM3806 | 05/12/2005 |
| R523CP | Implementation of the Physician Scarcity Areas and Revision to the Health Professional Shortage (HPSA) | 07/15/2005 | 3790 | MM3790 | 04/22/2005 |
| R533CP | Modification to the Common Working File (CWF) Edit Process for Non-Assigned Medicaid Coordination of Benefits Agreement (COBA) Crossover Claims | 07/05/2005 | 3842 | N/A | N/A |
| R644CP | October 2005 Non-Outpatient Prospective Payment System Code Editor (Non-OPPS OCE) Specifications Version 21 | 10/03/2005 | 4009 | MM4009 | 09/14/2005 |
| R646CP | Update to the Inpatient Provider Specific File (PSF) and the Outpatient PSF to Retain Provider Information | 01/03/2006 | 3940 | N/A | N/A |
| R28NCD | Update of Laboratory NCDs to Reference New Screening Benefits | 03/11/2005 | 3690 | N/A | N/A |
| R32MSP | Exception for Small Employers in Multi-Employer Group Health Plans (GHP) | 09/06/2005 | 3998 | N/A | N/A |
| R31MSP | Full Replacement of CR3770, Expanding the Number of Source Identifiers for Common Working File (CWF) MSP Records. CR 3770 is Rescinded | 10/03/2005 | 3909 | N/A | N/A |
| R29NCD | Implantable Automatic Defibrillators | 04/04/2005 | 3604 | MM3604 | 03/21/2005 |
| R33NCD | Percutaneous Transluminal Angioplasty (PTA | 07/05/2005 | 3811 | MM3811 | 12/02/2005 |
| R30NCD | Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials | 04/18/2005 | 3742 | N/A | N/A |
| R569CP | July 2005 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 6.2 | 07/05/2005 | 3871 | MM3871 | 06/03/2005 |
| R570CP | Common Working File (CWF): Addition of Disease Management Auxiliary File | 10/03/2005 | 3887 | N/A | N/A |
| R572CP | July 2005 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 6.2 | 07/05/2005 | 3871 | MM3871 | 06/03/2005 |
| R571CP | New Remittance Advice (RA) Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims | 07/05/2005 | 3679 | MM3679 | 06/13/2005 |
| R574CP | Mobility Assistive Equipment (MAE) | 07/05/2005 | 3791 | MM3791 | 10/19/2005 |
| R580CP | New Healthcare Common Procedure Coding System (HCPCS) Drug Codes | 07/05/2005 | 3847 | MM3847 | 07/01/2005 |
| R581CP | New Location for Contractor ID Number on Medicare Summary Notices (MSNs) | 07/11/2005 | 3895 | N/A | N/A |
| R582CP | New Remittance Advice (RA) Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims | 07/05/2005 | 3679 | MM3679 | 06/13/2005 |
| R583CP | Access Process for HIPAA 270/271 (Extranet Only) | 08/22/2005 | 3883 | MM3883 | N/A |
| R584CP | Update of HCPCS Codes and File Names, Descriptions and Instructions for Retrieving the 2005 ASC HCPCS Additions, Deletions and Master Listing | 07/05/2005 | 3905 | MM3905 | 06/23/2005 |
| R585CP | July 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 07/05/2005 | 3915 | MM3915 | 07/06/2005 |
| R591CP | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/03/2005 | 3888 | MM3888 | N/A |
| R593CP | Disposition of Misdirected Claims to the Carrier | N/A | 3838 | N/A | N/A |
| R595CP | Implementation of Carrier Guidelines for End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests (Supplemental to Change Request 2813) | 07/25/2005 | 3890 | MM3890 | 08/23/2005 |
| R601CP | Cochlear Implantation | 07/25/2005 | 3796 | MM3796 | 07/06/2005 |
| R38NCD | Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials | N/A | 3742 | MM3742 | 06/23/2005 |
| R37NCD | Mobility Assistive Equipment (Mobility Assistive Equipment (MAE) ) | 05/05/2005 | 3791 | MM3791 | 10/19/2005 |
| R602CP | Expansion of Various Alpha and Numeric Fields with in the Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) | 10/03/2005 | 3767 | MM3767 | 07/13/2005 |
| R605CP | Frequency Instructions for Smoking and Tobacco-Use Cessation Counseling Services | 10/03/2005 | 3929 | N/A | N/A |
| R610CP | Guidelines for Payment of Vaccines (Pneumococcal Pneumonia Virus (PPV), Influenza Virus, and Hepatitis B Virus) and their Administration at Renal Dialysis Facilities (RDFs) | 01/03/2006 | 3936 | MM3936 | 08/04/2005 |
| R611CP | Payment Methodology for Rehabilitation Services in IHS/Tribally Owned and/or Operated Hospitals and Hospital-Based Facilities | 01/03/2006 | 3934 | MM3934 | 10/11/2005 |
| R617CP | Administration of Drugs and Biologicals in a Method II Critical Access Hospital (CAH) | 10/24/2005 | 3911 | MM3911 | 11/08/2005 |
| R619CP | Late IRF-PAI Data Submission Penalty Protocol Within the Inpatient Rehabilitation Facility Prospective Payment System | 01/03/2006 | 3885 | MM3885 | 08/04/2005 |
| R618CP | Clarification for Carriers and Durable Medical Equipment Regional Carriers (DMERCs) about Correction and Recoupment of Payments for Previously Processed Claims | 01/03/2006 | 3772 | MM3772 | 07/26/2005 |
| R620CP | New Fiscal Intermediary (FI) Edit to Identify Potentially Excessive Medicare Payments | 01/03/2006 | 3925 | MM3925 | 08/03/2005 |
| R621CP | Locality Codes for Purchased Diagnostic Tests | 01/03/2006 | 3961 | N/A | N/A |
| R622CP | Enforcement of Hospital Inpatient Bundling: Carrier Denial of Ambulance Claims during an Inpatient Stay | 01/03/2006 | 3933 | MM3933 | N/A |
| R623CP | DMERC Only--Corrections to the Billing Indicator Field for Adjusted Claims | 01/03/2006 | 3877 | N/A | N/A |
| R629CP | Certificate of Medical Necessity Claim Edits Workload Reporting | 01/03/2006 | 3699 | N/A | N/A |
| R630CP | Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update and Health Insurance Prospective Payment System (HIPPS) Coding Update Effective January 1, 2006 | 01/03/2006 | 3962 | MM3962 | 08/03/2005 |
| R631CP | Claim Status Category Code and Claim Status Code Update | 01/03/2006 | 3960 | MM3960 | 08/03/2005 |
| R632CP | Billing and Claims Processing Instructions for Claims Subject to Expedited Determinations | 01/03/2006 | 3949 | MM3949 | 10/07/2005 |
| R639CP | Cessation of Additional $50 Payment for New Technology Intraocular Lenses (NTIOLs) | 10/03/2005 | 3901 | MM3901 | 09/13/2005 |
| R640CP | Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2006 | 10/03/2005 | 3972 | MM3972 | 08/11/2005 |
| R641CP | October 2005 Quarterly Update to Skilled Nursing Facility (SNF) Consolidated Billing | 10/03/2005 | 4010 | MM4010 | 08/16/2005 |
| R7P234 | Cost Reporting Forms and Instructions, Form CMS-265-94 | N/A | N/A | N/A | N/A |
| R40NCD | Coverage of Aprepitant for Chemotherapy-Induced Emesis | 07/05/2005 | 3831 | MM3831 | 07/05/2005 |
| R39NCD | Cochlear Implantation | 07/05/2005 | 3796 | MM3796 | 07/06/2005 |
| R35BP | Automated Multi-Channel Chemistry (AMCC) for Continuous Ambulatory Peritoneal Dialysis (CAPD) and Non-CAPD Patients | 07/05/2005 | 3802 | N/A | N/A |
| R34BP | Pub. 100-02, Chapter 15, Sections 220 and 230 Therapy Services | 06/06/2005 | 3648 | MM3648 | 06/24/2005 |
| R31BP | List of Medicare Telehealth Services | 05/02/2005 | 3747 | MM3747 | 05/17/2005 |
| R30BP | Policy for Repair and Replacement of Durable Medical Equipment (DME) | N/A | 3693 | N/A | N/A |
| R42NCD | Cochlear Implantation | 07/25/2005 | 3736 | MM3796 | 07/06/2005 |
| R66MCM | Beneficiary Enrollment and Disenrollment Requirements for Medicare Advantage Plans | N/A | N/A | N/A | N/A |
| R65MCM | Surveys, Contracting Strategy and Appeals | N/A | N/A | N/A | N/A |
| R65FM | Revised Reporting Requirements for Contractor Reporting of Operational Workload Data (CROWD) Physician Scarcity Area (PSA) Quarterly Report (CMS Form-1565F, CROWD Form 6) | 07/05/2005 | 3673 | N/A | N/A |
| R64FM | For Fiscal Intermediaries (FIs), a new Provider Type 80, Status Code CH, and Method of Recoupment codes. For Carriers and Durable Medical Equipment Regional Carriers (DMERCs) Status Code 2 | 03/14/2005 | 3641 | N/A | N/A |
| R74FM | Discovery Code Indication for Recovery Audit Contractor (RAC) Non-MSP Identified Overpayments | 01/03/2006 | 3938 | N/A | N/A |
| R72FM | Claims Accounts Receivable Update | 01/03/2006 | 3963 | N/A | N/A |
| R73FM | New Thresholds for 2nd Demand Letter for Physicians/Suppliers | 09/06/2005 | 3932 | N/A | N/A |
| R71FM | Notice of New Interest Rate for Medicare Overpayment and Underpayments | N/A | 3456 | N/A | N/A |
| R144OTN | Debt Collection Improvement Act Backlog Non-MSP Collections from February 1998 to September 2004 | 04/04/2005 | 3612 | N/A | N/A |
| R137OTN | Instructions to contractors regarding aged, pre-settlement cases and Inter-Contractor Notices (ICN)s | 02/28/2005 | 3598 | N/A | N/A |
| R136OTN | Medlearn Matters Article Related to the Flu Demonstration | 01/28/2005 | 3696 | MM3696 | 01/21/2005 |
| R135OTN | Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing | 07/05/2005 | 3597 | N/A | N/A |
| R134OTN | Revisions to January 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File | 01/18/2005 | 3695 | MM3695 | 01/24/2005 |
| R145OTN | Frequent Hemodialysis Network Payment Changes for Approved Clinical Trial Costs | 07/05/2005 | 3730 | N/A | N/A |
| R155OTN | Payment to Ambulatory Surgery Centers (ASCs) for New CPT Code 66711 | 07/05/2005 | 3817 | MM3817 | 05/11/2005 |
| R154OTN | Correction 2005 Clinical Laboratory Travel Fee (P9603 P9604) | 07/05/2005 | 3785 | MM3785 | 05/10/2005 |
| R169OTN | Analysis of Systems Improvements to Streamline POS Code Set Updates | 01/03/2006 | 3976 | N/A | N/A |
| R168OTN | Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction January 2006 Release Testing | 01/03/2006 | 3974 | N/A | N/A |
| R166OTN | Overnight Oximetery Testing | 08/22/2005 | 3751 | N/A | N/A |
| R164OTN | Medicare HIPAA Electronic Claims Report - Third Reporting Timeframe Extension | 08/15/2005 | 3926 | N/A | N/A |
| R156OTN | New Patient Status Code to Define Discharges or Transfers to a Critical Access Hospital (CAH) | 10/03/2005 | 3829 | MM3829 | 05/18/2005 |
| R30PR1 | Reimbursement for ESRD and Transplant Services | N/A | N/A | N/A | N/A |
| R430CP | Mandatory Assignment for MMA S630 Claims | 07/05/2005 | 3587 | MM3587 | 01/20/2005 |
| R652CP | October Update to the 2005 Medicare Physician Fee Schedule Database | 10/03/2005 | 4031 | N/A | N/A |
| R651CP | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2005 | 10/03/2005 | 4005 | MM4005 | 08/23/2005 |
| R432CP | Adding an Indicator to the National Claims History (NCH) to Indicate that DMERCs, Carriers, and FIs have Reviewed a Potentially Duplicate Clai | 07/05/2005 | 2965 | N/A | N/A |
| R448CP | Timeframe for Continued Execution of Crossover Agreements and Updated on the Transition to the National Coordination of Benefits Agreement (COBA) Program | 02/22/2005 | 3658 | N/A | N/A |
| R650CP | Manual Update on Medical Nutrition Therapy Services - Manualization | N/A | 3955 | N/A | N/A |
| R446CP | Diabetes Screening Tests | 01/03/2005 | 3637 | MM3637 | 01/24/2005 |
| R653CP | October 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective October 1, 2005 and Revisions to April 2005 and July 2005 Quarterly ASP Medicare Part B Drug Pricing File | 10/03/2005 | 3992 | MM3992 | 09/19/2005 |
| R444CP | Further Information Related to Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) | 04/04/2005 | 3678 | MM3678 | 03/17/2005 |
| R442CP | Hospital Outpatient Prospective Payment System (OPPS): Use of Modifiers -52, -73 and -74 for Reduced or Discontinued Services | 02/22/2005 | 3507 | MM3507 | 01/28/2005 |
| R441CP | VMS Changes to DMERC Processing of Method II Home Dialysis Claims | 07/05/2005 | 3546 | N/A | N/A |
| R440CP | Updating the Common Working File Editing for Pap Smear (Q0091) and Adding a New Low Risk Diagnosis Code (V72.31) for Pap Smear and Pelvic Examination | 07/05/2005 | 3659 | MM3659 | 01/25/2005 |
| R439CP | Modification to the Fiscal Intermediary Standard System (FISS) Regarding Ambulance Services Billed on 18x and 21x Types of Bill (TOBs) | 07/05/2005 | 3564 | MM3564 | 03/28/2005 |
| R438CP | Fiscal Intermediary Standard Paper Remittance Advice Changes | 07/05/2005 | 3645 | MM3645 | 01/25/2005 |
| R437CP | Revisions and Corrections to the Medicare Claims Processing Manual, Chapter 6, Section 30 and Various Sections in Chapter 15 | 02/22/2005 | 3664 | MM3664 | 01/25/2005 |
| R436CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 04/04/2005 | 3636 | MM3636 | 01/25/2005 |
| R457CP | Diabetes Screening Tests | 04/04/2005 | 3677 | MM3677 | 03/10/2005 |
| R456CP | Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services Furnished to Hospital Patients (Supplemental to Change Request 3467) | 07/05/2005 | 3675 | N/A | N/A |
| R450CP | Enforcement of Mandatory Electronic Submission of Medicare Claims. | 07/05/2005 | 3440 | MM3440 | 02/02/2005 |
| R449CP | April Quarterly Update to 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 04/04/2005 | 3683 | MM3683 | 02/10/2005 |
| R462CP | DMERC Only--Dispensing Fees for Immunosuppressive Drugs | 03/08/2005 | 3682 | N/A | N/A |
| R464CP | Implementation of the Abstract File for Purchased Diagnostic Tests/Interpretations (Supplemental to CR 3481) | 04/04/2005 | 3694 | MM3694 | 03/18/2005 |
| R8GI | Standard Terminology for Claims Processing Systems | 01/03/2005 | 3086 | N/A | N/A |
| R38BP | Services Not Provided Within United States | 11/17/2005 | 3781 | MM3781 | 09/21/2005 |
| R173OTN | Overnight Oximetery Testing | 01/01/2006 | 3751 | N/A | N/A |
| R28GI | Conforming Changes for Change Request 3648 to Pub. 100-01 | 09/12/2005 | 3912 | N/A | N/A |
| R37BP | Conforming Changes for Change Request 3648 to Pub. 100-02 | 09/12/2005 | 3912 | N/A | N/A |
| R27DEMO | The Medicare Chronic Care Improvement, "Medicare Health Support," Program | 10/20/2005 | 3953 | MM3953 | 10/28/2005 |
| R664CP | October 2005 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 6.3 | 10/03/2005 | 4007 | N/A | N/A |
| R120PI | Correction to Change Request (CR) 3222: Local Medical Review Policy/ Local Coverage Determination Medicare Summary Notice (MSN) Message Revision | N/A | 3880 | N/A | N/A |
| R659CP | Instructions for Downloading the Medicare Zip Code File | 01/03/2006 | 3986 | N/A | N/A |
| R658CP | Billing for Devices Under the Hospital Outpatient Prospective Payment System (OPPS) | 10/03/2005 | 4017 | MM4017 | 09/08/2005 |
| R657CP | Quarterly Update to Correct Coding Initiative (CCI) Edits, Version V11.3, Effective October 1, 2005 | 10/03/2005 | 3995 | MM3995 | 09/01/2005 |
| R176OTN | Change of the CareFirst Part A Plan to Highmark in the State of Maryland and Washington, DC | 10/03/2005 | 4043 | N/A | N/A |
| R667CP | Home Care and Domiciliary Care Visits (Codes 99321 - 99350) | 12/05/2005 | 3922 | MM3922 | 09/14/2005 |
| R666CP | Updates to the Coordination of Benefits Contractor (COBC) Detailed Error Report File Layouts | 10/03/2005 | 4042 | N/A | N/A |
| R671CP | Updated Manual Instructions for the Medicare Claims Processing Manual, Regarding Smoking and Tobacco-Use Cessation Counseling Services | 10/03/2005 | 4045 | N/A | N/A |
| R665CP | October Quarterly Update for 2005 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 10/03/2005 | 4026 | MM4026 | 09/07/2005 |
| R670CP | Realignment of States and Medicare Claims Processing Workload from DMERC Regions A, B, C and D to the DME MAC Jurisdictions A, B, C, and D | 07/03/2005 | 4002 | N/A | N/A |
| R668CP | Enforcement of Hospital Inpatient Bundling: Carrier Denial of Ambulance Claims during an Inpatient Stay | 01/03/2006 | 3933 | MM3933 | N/A |
| R177OTN | Termination of Existing Crossover Agreements As Trading Partners Transition to the National Coordination of Benefits Agreement (COBA) Program | 10/03/2005 | 3980 | N/A | N/A |
| R672CP | October Update to the 2005 Medicare Physician Fee Schedule Database | 10/03/2005 | 4031 | N/A | N/A |
| R673CP | Manual Update on Medical Nutrition Therapy (MNT) Services - Manualization | N/A | 3955 | N/A | N/A |
| R675CP | Changes to Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Date October 1, 2005) | 10/03/2005 | 3943 | N/A | N/A |
| R676CP | 2006 Healthcare Common Procedure Coding System (HCPCS) Annual Update Remind | 01/03/2006 | 4057 | N/A | N/A |
| R674CP | Fiscal Year (FY) 2006 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH PPS) Changes | 10/03/2005 | 4046 | N/A | N/A |
| R179OTN | 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 | N/A | 4025 | MM4025 | 11/07/2005 |
| R122PI | Medical Review Collection Number Requirements | 10/17/2005 | 4091 | N/A | N/A |
| R683CP | October 2005 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 6.3 | 10/03/2005 | 4007 | MM4007 | 09/23/2005 |
| R35MSP | Updates to the Group Health Plan Identification and Recovery Processes | 10/26/2005 | 4015 | N/A | N/A |
| R687CP | Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Dates for FI Initial Determinations Issued on or After May 1, 2005 and Carrier Initial Determinations Issued on or After January 1, 2006) | N/A | 3939 | N/A | N/A |
| R686CP | 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 | 01/03/2006 | 3916 | N/A | N/A |
| R684CP | Correction to Chapter 17, Section 80.2.3, MSN/ANSI X12 Denial Messages for Anti-Emetic Drugs | 12/23/2005 | 4001 | MM4001 | 01/19/2006 |
| R36MSP | Update to the Healthcare Provider Taxonomy Codes (HPTC) Version 5.1 | 11/30/2005 | 4072 | MM4072 | 10/04/2005 |
| R698CP | The Supplemental Security Income (SSI) Medicare Beneficiary Data for Fiscal Year 2006 for the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) | 11/05/2005 | 4065 | MM4065 | 10/13/2005 |
| R67CP | Appeals of Claims Decisions: Redeterminations and Reconsiderations (implementation date May 1, 2005). | 01/09/2006 | 3942 | N/A | N/A |
| R696CP | 2006 Annual Update of HCPCS Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) for the Common Working File (CWF), Medicare Carriers and Fiscal Intermediaries (FIs) | 01/03/2006 | 4086 | MM4086 | 10/13/2005 |
| R706CP | Payment Methodology for Rehabilitation Services in IHS/Tribally Owned and/or Operated Hospitals and Hospital-Based Facil | 01/03/2006 | 3934 | MM3934 | 10/11/2005 |
| R704CP | Discontinuation of Biannual Recertification List for Certified Registered Nurse Anesthetist (CRNA) Services | 11/07/2005 | 4062 | N/A | N/A |
| R703CP | IPPS Outlier Reconciliation | 11/07/2005 | 3966 | N/A | N/A |
| R73MCM | Changes in Manual Instructions for Intermediate Sanctions | N/A | N/A | N/A | N/A |
| R72MCM | Changes in Manual Instructions for Benefits and Beneficiary Protections | N/A | N/A | N/A | N/A |
| R71MCM | Deletion of MCM Chapter 19 - The Enrollment and Payment User's Guide, and Chapter 20 - Managed Care and MA Systems Business Requirements. | N/A | N/A | N/A | N/A |
| R70MCM | Beneficiary Enrollment and Disenrollment Requirements for Medicare Advantage Plans | N/A | N/A | N/A | N/A |
| R37MSP | Manualizing Long-Standing Medicare Secondary Payer (MSP) Policy in Chapter 3 of the MSP Internet Only Manual (IOM) | 01/03/2005 | 4028 | N/A | N/A |
| R74MCM | Changes in Manual Instructions for Payment Principles for Cost Based HMO/CMPs | N/A | N/A | N/A | N/A |
| R717CP | Disabling the Revenue/HCPCS Consistency Edit Codes in the Fiscal Intermediary Shared System (FISS) | 04/03/2006 | 4049 | N/A | N/A |
| R713CP | New G Code for Power Mobility Devices (PMDs) | 10/25/2005 | 4121 | N/A | N/A |
| R718CP | Source of Admission Code 'D' | 04/03/2006 | 3881 | MM3881 | 04/06/2006 |
| R715CP | New Designated Competitive Acquisition Program (CAP)Carrier Contractor ID Numbers | 04/03/2006 | 3985 | N/A | N/A |
| R714CP | Payment Window Edit Corrections within the Common Working File (CWF) | 04/03/2006 | 4089 | MM4089 | 10/26/2005 |
| R469CP | New Waived Tests - April 1, 2005 | 04/04/2005 | 3650 | N/A | N/A |
| R716CP | Modifiers for Transportation of Portable X-rays (R0075) When Billed by Skilled Nursing Facilities (SNFs) | 04/03/2006 | 4039 | MM4039 | 11/02/2005 |
| R721CP | Use of Value Codes 48 and 49 on End Stage Renal Disease (ESRD) Bills | 01/06/2006 | 4087 | MM4087 | 11/03/2005 |
| R473CP | Use of 12X Type of Bill (TOB) for Billing Vaccines and Their Administration | 07/05/2005 | 3618 | MM3618 | 02/18/2005 |
| R719CP | Clarification and Update to Hospital Billing Instructions and Payment for Epoetin Alfa (EPO) and Darbepoetin Alfa (Aranesp) for Beneficiaries with End Stage Renal Disease (ESRD) | 04/03/2006 | 4103 | MM4103 | 11/02/2005 |
| R725CP | New ICD-9-CM Code for Beneficiaries with Chronic Kidney Disease | 04/03/2006 | 4108 | N/A | N/A |
| R471CP | Infusion Pumps: C-Peptide Levels as A Criterion for Use | 02/18/2005 | 3705 | MM3705 | 04/29/2005 |
| R722CP | 2006 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments | 01/03/2006 | 4113 | MM4113 | 10/26/2005 |
| R726CP | Smoking and Tobacco-Use Cessation Counseling Services: Common Working File (CWF) Inquiry for Providers | 04/03/2006 | 4104 | MM4104 | 10/26/2005 |
| R40MSP | Updates to the Group Health Plan (GHP) Demand Letters | 04/03/2006 | 4012 | N/A | N/A |
| R39MSP | Request to Change Lead Contractor | 11/19/2005 | 4088 | N/A | N/A |
| R470CP | Standardization of Fiscal Intermediary Use of Group and Claim Adjustment Reason Codes and Calculation and Balancing of TS2 and TS3 Segment Data Elements | 07/05/2005 | 3685 | MM3685 | 02/07/2005 |
| R41MSP | Full Replacement of and Rescinding Change Request (CR) 3504--Modification to Online Medicare Secondary Payer Questionnaire | 01/21/2006 | 4098 | MM4098 | 11/14/2005 |
| R80FM | Medicare Contractors' Monthly Cash Collections | 11/21/2005 | 4074 | N/A | N/A |
| R29DEMO | Notification of New Value and Condition Codes For Medicare Demonstrations | 01/03/2006 | 4055 | N/A | N/A |
| R185OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90655, 90656, 90657, and 90658) and the Pneumoccocal Vaccine (CPT 90732) when Payment is Based on 95 Percent of the Average Wholesale Price (AWP) | 11/21/2005 | 4109 | MM4109 | 11/18/2005 |
| R126PI | Implementation of Program Safeguard Contractor (PSC) Access to the VIPS Medicare Shared System (VMS) at All Durable Medical Equipment Carriers (DMERCs) | 04/03/2006 | 3994 | N/A | N/A |
| R13SOM | 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 |
| R81FM | Recurring Update Notification for the Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/03/2005 | 4066 | N/A | N/A |
| R127PI | Complaint Screening Revisions | 11/28/2005 | 4118 | N/A | N/A |
| R727CP | Annual Type Of Service (TOS) | 01/03/2006 | 4145 | N/A | N/A |
| R728CP | Installation of the January 2006 Inpatient Prospective Payment System Pricer and Hospice Pricer | 01/03/2006 | 4117 | N/A | N/A |
| R30GI | Initiate STC testing of the MCS for RRB and HIGLAS | 04/03/2006 | 4150 | N/A | N/A |
| R76MCM | Initial Publication of Chapter 10 - MA Organization Compliance with State Law and Preemption by Federal law | N/A | N/A | N/A | N/A |
| R729CP | Revised October 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective October 1, 2005 | 11/28/2005 | 4160 | MM4160 | 11/03/2005 |
| R195OTN | Change of Medicare Part A contractor in the State of Idaho, Oregon, and Utah from Regence Blue Cross and Blue Shield to Noridian Administrative Service | 01/03/2006 | 4189 | N/A | N/A |
| R749CP | Reasonable Charge Update for 2006 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, Certain Intraocular Lenses and Certain HCPCS Coding Issues | 01/03/2006 | 4131 | MM4131 | 11/14/2005 |
| R731CP | Payment for Office or Other Outpatient Evaluation and Management (E/M ) Visits (Codes 99201 - 99215) | 01/03/2006 | 4032 | MM4032 | 11/14/2005 |
| R738CP | Calendar Year 2005 Payment for Medicare Part B Radiopharmaceuticals Not Paid on a Cost or Prospective Payment Basis | 12/05/2005 | 4053 | MM4053 | 11/03/2005 |
| R740CP | Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Evaluation and Management (E&M) Services Billed to Fiscal Intermediaries (FIs) by Hospitals | 04/03/2006 | 3910 | MM3910 | 11/08/2005 |
| R734CP | Redefined Type of Bill (TOB), 14x, for Non-Patient Laboratory Specimens | 04/03/2006 | 3835 | MM3835 | 11/09/2005 |
| R737CP | New ICD-9-CM Codes for Beneficiaries with Chronic Kidney Disease and new HCPCS for reporting Epoetin Alfa and Darbepoetin Alfa | 04/03/2006 | 4108 | MM4108 | 11/08/2005 |
| R733CP | Repeat Tests for Automated Multi-Channel Chemistries for End Stage Renal Disease beneficiaries | 04/03/2006 | 4101 | MM4101 | 03/15/2006 |
| R194OTN | 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. 108-1 | 03/31/2006 | 4025 | N/A | N/A |
| R191OTN | Noridian North Dakota/South Dakota Carrier Number Issue | 04/03/2006 | 4165 | N/A | N/A |
| R193OTN | Change of Medicare Part B contractor in the State of Utah from Regence Blue Cross and Blue Shield of Utah to Noridian Administrative Services. | 01/03/2006 | 4174 | N/A | N/A |
| R735CP | Processing All Diagnosis Codes Reported on Claims Submitted to Carriers | 04/03/2006 | 4097 | N/A | N/A |
| R186OTN | Coverage by Medicare Advantage (MA) Plans for Implantable Automatic Cardiac Defibrillator (ICD) Services Not Previously Included in MA Capitation Rate | 01/03/2006 | 4133 | MM4133 | 11/08/2005 |
| R111PI | Revising the FISS Shared System | 10/03/2005 | 3812 | MM3812 | 05/06/2005 |
| R129PI | Replacing the Use of Unique Physician Identification Numbers (UPINs) With the National Provider Identifiers (NPIs) | 04/03/2006 | 4166 | N/A | N/A |
| R163OTN | Qualified Independent Contractor Jurisdictions | 08/08/2005 | 3908 | N/A | N/A |
| R153OTN | Payment to Ambulatory Surgery Centers (ASCs) for New CPT Code 66711 | 06/06/2005 | 3817 | MM3817 | 05/11/2005 |
| R30DEMO | The Medicare Chronic Care Improvement , "Medicare Health Support," Program | 10/20/2005 | 3953 | MM3953 | 10/28/2005 |
| R175OTN | Common Working File (CWF) Calculation of Next Eligible Date for Preventive Services | 10/03/2005 | 4011 | N/A | N/A |
| R31GI | Update to Medicare Deductible, Coinsurance and Premium Rates for 2006 | 01/03/2006 | 4132 | MM4132 | 11/14/2005 |
| R34MSP | Manualization: Long-Standing MSP Policy in Chapter 1 of the Medicare Secondary Payer (MSP) Internet Only Manual (IOM) | 09/07/2005 | 4018 | N/A | N/A |
| R44MSP | Updates to the Electronic Correspondence Referral System (ECRS) User Guide v9.0 and Quick Reference Card v9.0 | 12/27/2005 | 4162 | N/A | N/A |
| SE0582 | MMA Sunset of the Provider Nomination Provision and the Policy to Assign Providers to the Local Fiscal Intermediary (FI) | N/A | N/A | SE0582 | 12/05/2005 |
| SE0579 | Hurricanes Katrina and Rita-Transportation of Evacuees with Medical Needs | N/A | N/A | SE0579 | 11/23/2005 |
| SE0580 | Influenza/Flu Season and Available Resources for Providers | N/A | N/A | SE0580 | 11/23/2005 |
| SE0578 | Providing Medicare with Data for Certain Implantable Cardioverter Defibrillators (ICDs) | N/A | N/A | SE0578 | 11/18/2005 |
| SE0575 | Important Message to Nursing Home Administrators About Medicare Prescription Drug Coverage - The Tenth in a Series in the Medlearn Matters Series | N/A | N/A | SE0575 | 11/23/2005 |
| SE0570 | Important Information about Medicare Coverage of Drugs under Part B and the New Medicare Prescription Drug Coverage(Part D), and Vaccines Administered in a Physician's Office - The Ninth in the Medlearn Matters Series on the New Prescription Drug Plans | N/A | N/A | SE0570 | 2005-11-08 |
| SE0565 | MMA - The Centers for Medicare & Medicaid Services (CMS) Recovery Audit Contract (RAC) Initiative | N/A | N/A | SE0565 | 10/24/2005 |
| R656CP | Full Replacement of Change Request 3607, Payment Edits in Applicable States for DMEPOS Suppliers of Prosthetics and Certain Custom-Fabricated Orthotics. Change Request 3607 is rescinded (DMERC only) | 10/03/2005 | 3959 | MM3959 | 08/29/2005 |
| R697CP | Appeals of Claims Decisions: Redeterminations and Reconsiderations (implementation date May 1, 2005). | 01/09/2006 | 3942 | MM3942 | 10/13/2005 |
| R751CP | National Monitoring Policy for EPO and Aranesp for End Stage Renal Disease (ESRD) Patients Treated in Renal Dialysis Facilities | 04/03/2006 | 4135 | MM4135 | 11/14/2005 |
| R742CP | Quarterly Update to Correct Coding Initiative (CCI) Edits, V12.0, Effective January 1, 2006 | 01/03/2006 | 4168 | MM4168 | 11/14/2005 |
| R93PI | Medical Review of Rural Air Ambulance Services | 02/14/2005 | 3571 | N/A | N/A |
| R749CP | Reasonable Charge Update for 2006 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, Certain Intraocular Lenses and Certain HCPCS Coding Issues | 01/03/2006 | 4131 | MM4131 | 11/14/2005 |
| R720CP | Update of HCPCS Codes and File Names, Descriptions and Instructions for Retrieving the 2006 ASC HCPCS Deletions, Additions, and Master Listing | 01/03/2006 | 4082 | MM4082 | 11/14/2005 |
| R748CP | New G Code for Power Mobility Devices (PMDs) | 10/25/2005 | 4121 | MM4121 | 11/06/2005 |
| R741CP | New Condition Codes 49 and 50 | 04/03/2006 | 4058 | MM4058 | 11/14/2005 |
| R744CP | File Descriptions and instructions for retrieving the 2006 fee schedules and HCPCS through CMS 's Mainframe Telecommunications system | 01/03/2006 | 4084 | N/A | N/A |
| R75MCM | Deletion of MCM Chapter 3 - Marketing | N/A | N/A | N/A | N/A |
| R746CP | January 2006 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective January 1, 2006, and Revisions to January 2005, April 2005, July 2005, and October 2005 Quarterly ASP Medicare Part B Drug Pricing Files | 01/03/2006 | 4140 | MM4140 | 11/17/2005 |
| R757CP | Resubmission of Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) Claims with Chronic Renal Failure Comorbid Condition | 04/03/2006 | 4164 | N/A | N/A |
| R743CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2006 | 4123 | MM4123 | 11/14/2005 |
| R753CP | Update of Contact Information for the Do Not Forward Reports | 12/27/2005 | 4122 | N/A | N/A |
| R745CP | Elimination of the DMERC Information Form (DIF) | 04/03/2006 | 4040 | N/A | N/A |
| R31DEMO | Physician's Voluntary Reporting Program (PVRP) | 01/03/2006 | 4183 | N/A | N/A |
| R750CP | 2006 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment | 01/03/2006 | 4144 | MM4144 | 11/18/2005 |
| SE0564 | Temporary Hold of Claims with HCPCS Codes G0369 or G0370 Received on or after October 1, 2005, from Maryland Hospitals and Non-OPPS Hospitals and Dialysis Facilities | N/A | N/A | SE0564 | 11/08/2005 |
| SE0561 | Provider Notification Regarding Adjustments for Home Health Prospective Payment System (HH PPS) Claims Failing to Report Prior Inpatient Discharges | N/A | N/A | SE0561 | 09/28/2005 |
| SE0563 | Hurricanes Katrina and Rita - Frequently Asked Questions - Medicare Issues | N/A | N/A | SE0563 | 10/06/2005 |
| SE0559 | New Educational Products Available on Medicare Prescription Drug Coverage - The Eighth in the Medlearn Matters Series | N/A | N/A | SE0559 | 10/26/2005 |
| SE0557 | Clarification on Part D and Fee-For-Service (FFS) Providers, New Web-based Educational Products, and the Latest Information on Medicare Prescription Drug Coverage - The Seventh in the Medlearn Matters Series | N/A | N/A | SE0557 | 08/23/2005 |
| SE0556 | Informational and Educational Materials for the New Preventive Services | N/A | N/A | SE0556 | 10/12/2005 |
| SE0536 | Reminder Regarding Medicare Billing Rules for Ambulance Services Rendered to Medicare Patients During an Inpatient Hospital Stay | N/A | N/A | SE0536 | 06/15/2005 |
| SE0539 | Mass Adjustment of Certain Transplant Claims | N/A | N/A | SE0539 | 06/20/2005 |
| SE0547 | The Comprehensive Error Rate Testing (CERT) Process for Handling a Provider's Allegation of Medical Record Destruction | N/A | N/A | SE0547 | 08/10/2005 |
| SE0521 | MMA - Expansion of Coverage for Chiropractic Services Demonstration - Information Relevant to Outpatient Hospitals and Independent Clinical Laboratories | N/A | N/A | SE0521 | 03/11/2005 |
| SE0535 | MMA - CMS' Implementation of Section 1011 of the Medicare Modernization Act - Federal Funding of Emergency Health Services Furnished to Undocumented Aliens | N/A | N/A | SE0535 | 05/20/2005 |
| SE0537 | New Educational Products Available | N/A | N/A | SE0537 | 06/03/2005 |
| SE0540 | CMS Releases New Educational Guide on Remittance Advice (RA) Notices | N/A | N/A | SE0540 | 06/24/2005 |
| SE0553 | New Guidance Regarding Healthcare Common Procedure Coding System (HCPCS) Code G0297 | N/A | N/A | SE0553 | 08/12/2005 |
| SE0524 | Electronically Requesting and Receiving Information Regarding Claims Using the ASC X12N276/277 Claims Status Inquiry/Response Transactions | N/A | N/A | SE0524 | 04/29/2005 |
| SE0538 | New Expedited Review Process for Disputed Terminations of Medicare Covered Services in SNFs, HHAs, CORFs and Hospices | N/A | N/A | SE0538 | 06/29/2005 |
| SE0543 | Key Medicare News for 2006 for Physicians and Other Health Care Professionals | N/A | N/A | SE0543 | 11/14/2005 |
| SE0520 | MMA - Your Important Role | N/A | N/A | SE0520 | 03/28/2005 |
| SE0522 | MMA - Expansion of Coverage for Chiropractic Services Demonstration - Information for Outpatient Hospitals and Radiologists | N/A | N/A | SE0522 | 03/14/2005 |
| SE0526 | Centers for Medicare & Medicaid Services (CMS) Comprehensive Error Rate Testing (CERT) Program - The Importance of Complying with Requests for Claim Documentation | N/A | N/A | SE0526 | 04/29/2005 |
| SE0514 | MMA - Expansion of Coverage for Chiropractic Services Demonstration | N/A | N/A | SE0514 | 03/11/2005 |
| SE0523 | Resubmission of Outpatient Prospective Payment System (OPPS) Services for Eligible Outlier Payment | N/A | N/A | SE0523 | 03/21/2005 |
| SE0541 | More Web-based Educational Products Available on Medicare Prescription Drug Coverage - The Fifth in the Medlearn Matters Series | N/A | N/A | SE0541 | 07/01/2005 |
| SE0519 | Population - Based Disease Management - Use of Group Health Plan Payment System for Medicare Disease Management Demonstration Serving Medicare Fee For Service Beneficiaries | N/A | N/A | SE0519 | 03/18/2005 |
| SE0545 | Correct Coding Initiative (CCI) Edits to Apply to ALL Therapy Providers | N/A | N/A | SE0545 | 08/08/2005 |
| SE0532 | Announcing the New Booklet: Physician's Guide to Medicare Coverage of Kidney Dialysis and Kidney Transplant Services | N/A | N/A | SE0532 | 08/03/2005 |
| SE0531 | Medicare Announces Delay in Processing Certain Claims No Later Than April 18, 2005 | N/A | N/A | SE0531 | 04/07/2005 |
| SE0527 | Billing for Syringes Used in the Treatment of End Stage Renal Disease (ESRD) Patients | N/A | N/A | SE0527 | 04/22/2005 |
| SE0518 | Skilled Nursing Facility (SNF) Consolidated Billing (CB) as It Relates to Therapy Services | N/A | N/A | SE0518 | 03/14/2005 |
| SE0544 | Message to Nursing Home Administrators on Medicare Prescription Drug Coverage-The Sixth in the Series of Medlearn Matters Articles on the New Prescription Drug Coverage | N/A | N/A | SE0544 | 07/21/2005 |
| SE0517 | Tool Available for Registering Patients with Implantable Cardioverter Defibrillators | N/A | N/A | SE0517 | 02/18/2005 |
| R100PI | Review of Documentation During Medical Review | 02/22/2005 | 3644 | N/A | N/A |
| R101PI | Benefit Integrity (BI) PIM Revisions | 02/28/2005 | 3579 | N/A | N/A |
| R102PI | Medical Review of Rural Air Ambulance Services | 02/14/2005 | 3571 | N/A | N/A |
| R109PI | Updated Standard System Changes for Provider Enrollment Chain Ownership System (PECOS) and MCS | 10/03/2005 | 3725 | N/A | N/A |
| R451CP | April 2005 Quarterly Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) | 04/04/2005 | 3669 | MM3669 | 02/01/2005 |
| R458CP | Hospice Physician Recertification Requirements | 07/05/2005 | 3686 | MM3686 | 01/04/2005 |
| R434CP | Addition of CLIA Edits to Certain Health Care Procedure Coding System (HCPCS) Codes for Mohs Surgery | 07/05/2005 | 3458 | MM3458 | 01/20/2005 |
| R431CP | Updated Skilled Nursing Facility (SNF) No Pay File for April 2005 | 04/04/2005 | 3642 | MM3642 | 01/20/2005 |
| R539CP | Expansion of Various Alpha and Numeric Fields with in the Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) | 10/03/2005 | 3767 | MM3767 | 07/13/2005 |
| R701CP | New Diagnosis Code Requirements for Method II Home Dialysis Claims | 11/07/2005 | 4095 | N/A | N/A |
| R77FM | Non-Medicare Secondary Payer (Non-MSP) Debt Referral and Debt Collection Improvement Act of 1996 (DCIA) Activities | 10/17/2005 | 3964 | N/A | N/A |
| R465CP | Billing Requirements for Physician Services in Method II Critical Access Hospitals (CAHs) | 07/05/2005 | 3559 | N/A | N/A |
| R452CP | New Remittance Advice (RA) Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims | 07/05/2005 | 3679 | MM3679 | 06/13/2005 |
| R118PI | Various Benefit Integrity (BI) Clarifications | 09/12/2005 | 3896 | N/A | N/A |
| R158OTN | Instructions for Fiscal Intermediaries (FIs) to Process Payment Adjustments Resulting from Data Assessment and Verification (DAVE) Program Safeguard Contractor (PSC) Medical Review | 07/18/2005 | 3799 | N/A | N/A |
| R138OTN | Production of Provider Flat Files, including Taxpayer Identification Numbers (TIN), from the Fiscal Intermediary Standard System (FISS), Financial Master Files | 07/05/2005 | 3553 | N/A | N/A |
| R69FM | Update to Debt Collection System (DCS) User Guide | 06/27/2005 | 3868 | N/A | N/A |
| R67MCM | Changes in Requirements for Periodic Surveys of Current and Former Enrollees, and in the CMS Method for Calculating Interest on Overpayments and Underpayments to HMOs, CMPs and HCPPS. | N/A | N/A | N/A | N/A |
| R428PR1 | Inflation Factor | N/A | N/A | N/A | N/A |
| R638CP | New Medicare Summary Notice (MSN) Messages | 01/03/2006 | 3957 | N/A | N/A |
| R596CP | Indian Health Service (IHS) or Tribal Hospitals Including Critical Access Hospital (CAH) Payment Methodology for Inpatient Social Admissions and Outpatient Services Occurring During Concurrent Stays | 04/04/2005 | 3452 | MM3452 | 02/02/2005 |
| R30MSP | Process to Address Freedom of Information and Subpoena Requests | 06/20/2005 | 3869 | N/A | N/A |
| R505CP | Unprocessable Unassigned Form CMS-1500 Claims | 07/05/2005 | 3500 | MM3500 | 03/21/2005 |
| R516CP | Clarification for OPPS Hospitals Billing Initial Preventive Physical Exam (IPPE) | 10/03/2005 | 3771 | MM3771 | 04/08/2005 |
| R7SOM | Revision of Appendix PP - Section 483.25(d) - Urinary Incontinence, Tags F315 and F316 | 06/27/2005 | N/A | N/A | N/A |
| R94PI | Informing Beneficiaries About Which Local Medical Review Policy (LMRP) and/or Local Coverage Determination (LCD) and/or National Coverage Determination (NCD) is Associated with Their Claim Denial | 01/05/2005 | 3602 | N/A | N/A |
| R681CP | Guidelines For Payment of Vaccines (Pneumococcal Pneumonia Virus (PPV), Influenza Virus, And Hepatitis B Virus) and Their Administration Provided by Indian Health Service (IHS)/Tribally Owned and/or Operated Hospitals and Hospital Based Facilities | 01/03/2006 | 3967 | MM3967 | 09/21/2005 |
| R707CP | IPPS Outlier Reconciliation | 11/07/2005 | 3966 | MM3966 | 10/13/2005 |
| R702CP | Manualization for Physician/Practitioner/Supplier Participation Agreement and Assignment Carrier Claims and Carrier Rules for Limiting Charge | N/A | 4030 | N/A | N/A |
| R693CP | Updates to the IRF and SNF Provider Specific File and Changes in Inpatient Rehabilitation Facility Prospective Payment System For FY 2006 | 10/31/2005 | 4099 | MM4099 | 10/18/2005 |
| R461CP | Processing Durable Medical Equipment (DME), Orthotics, Prosthetics, Drugs, and Surgical Dressings Claims for Indian Health Services (IHS) and Tribally Owned and Operated Hospitals or Hospital Based Facilities including Critical Access Hospitals (CAHs) | 07/05/2005 | 3674 | MM3674 | 02/10/2005 |
| R429CP | Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Critical Access Hospitals (CAHs) that have Elected Method II Payment Option and Bill Physician Services to their Fiscal Intermediaries (FIs) | 07/05/2005 | 3561 | MM3561 | 01/26/2005 |
| R161OTN | Kansas Blue Cross Blue Shield Carrier Numbering Issue | 08/03/2005 | 3876 | N/A | N/A |
| R150OTN | Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing | 10/03/2005 | 3821 | N/A | N/A |
| R635CP | Financial Liability for Services Subject to Home Health Consolidated Billing | 11/03/2005 | 3948 | MM3948 | 09/13/2005 |
| R590CP | Aprepitant for Chemotherapy-Induced Emesis | 07/05/2005 | 3831 | MM3831 | 07/05/2005 |
| R578CP | Update-Long Term Care Hospital Prospective Payment System (LTCH PPS) Rate Year 2006 | 07/05/2005 | 3884 | MM3884 | 06/15/2005 |
| R565CP | Access Process for HIPAA 270/271 (Extranet Only) | 08/22/2005 | 3883 | MM3883 | N/A |
| R541CP | Correction to the use of Group Codes for The Enforcement of Mandatory Electronic Submission of Medicare Claims | 07/05/2005 | 3815 | MM3815 | 05/04/2005 |
| R497CP | Implantable Automatic Defibrillators | 04/04/2005 | 3604 | MM3604 | 2005-03-21 |
| R545CP | The Teaching Adjustment for Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) | 10/03/2005 | 3809 | MM3809 | 05/06/2005 |
| R502CP | New Contrast Agents Healthcare Common Procedure Coding System (HCPCS) Codes | 04/04/2005 | 3748 | MM3748 | 03/24/2005 |
| R504CP | Update to Pub 100-04, Chapter 12, Section 200 of the Internet Only Manual | N/A | 3732 | N/A | N/A |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/03/2005 | 3560 | N/A | N/A |
| R477CP | New Case-Mix Adjusted End Stage Renal Disease (ESRD) Composite Payment Rates and New Composite Rate Exceptions Window for Pediatric ESRD Facilities | 04/04/2005 | 3720 | MM3720 | 03/10/2005 |
| R18GI | Billing for Blood and Blood Products Under the Hospital Outpatient Prospective Payment System (OPPS) | 07/05/2005 | 3681 | MM3681 | 03/14/2005 |
| R20DEMO | Full Replacement of CR 3220, Method of Reimbursement for Inpatient Services for Rural Hospitals Participating Under Demonstration Authorized by Section 410A of the Medicare Modernization Act. CR 3220 is rescinded. | 03/18/2005 | 3707 | N/A | N/A |
| R117PI | Revise the Medicare Contractor System (MCS) and the VIPS Medicare System (VMS) to Allow Update of the Comprehensive Error Rate Testing (CERT) Program Resolution File Within Five Business Days of a CERT Request | 01/03/2005 | 3996 | N/A | N/A |
| R115PI | PIM Revision | 08/22/2005 | 3786 | N/A | N/A |
| R103PI | Discontinuation of Medical Review Reports -The Medicare Status Report MRS-1), the Report of Benefit Savings (RBS), the Medicare Focused Medical Review Status Report (MFSR), and the Focused Medical Review (FMR) Report | 03/07/2005 | 3701 | N/A | N/A |
| R692CP | Fiscal Year (FY) 2006 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH PPS) Changes | 10/03/2005 | 4046 | MM4046 | 10/03/2005 |
| R124PI | Evidence of Medical Necessity: Wheelchair and Power Operated Vehicle (POV) Claim | N/A | 3952 | N/A | N/A |
| R679CP | Medicare Redetermination Notice and Effect of the Redetermination | N/A | 4006 | N/A | N/A |
| R1P239 | Chapter 39, Form CMS 287-05 | N/A | N/A | N/A | N/A |
| R662CP | October 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/03/2005 | 4035 | N/A | N/A |
| R11SOM | Revised Chapter 2--"The Certification Process," Sections 2180E thru 2200F, and Appendix B--"Interpretive Guidelines: Home Health Agencies" | 08/12/2005 | N/A | N/A | N/A |
| R453CP | Instructions for Downloading the Medicare Zip Code File | 07/05/2005 | 3593 | N/A | N/A |
| R443CP | Unprocessable Unassigned Form CMS-1500 Claim | 07/05/2005 | 3500 | N/A | N/A |
| R647CP | The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2004 for Inpatient Prospective Payment System (IPPS) Hospitals | 10/03/2005 | 4003 | N/A | N/A |
| R62FM | Timeframe for Continued Execution of Crossover Agreements and Updated on the Transition to the National Coordination of Benefits Agreement (COBA) Program | 02/22/2005 | 3658 | N/A | N/A |
| R627CP | New Low Osmolar Contrast Material (LOCM) HCPCS Codes/Payment Criteria/Payment Level | 10/31/2005 | 3902 | MM3902 | 08/03/2005 |
| R625CP | Competitive Acquisition Program for Part B Drugs - Coding, Testing, and Implementation | 01/03/2006 | 4000 | N/A | N/A |
| R616CP | Certified Registered Nurse Anesthetist (CRNA) Pass-Through Payments | 01/03/2006 | 3833 | MM3833 | 08/03/2005 |
| R609CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 10/03/2005 | 3923 | MM3923 | 07/26/2005 |
| R27NCD | Infusion Pumps: C-Peptide Levels as A Criterion for Use | 02/18/2005 | 3705 | MM3705 | 04/29/2005 |
| R598CP | Implementation of Carrier Guidelines for End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests (Supplemental to Change Request 2813) | 07/05/2005 | 3890 | MM3890 | 08/23/2005 |
| R567CP | Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials | 04/18/2005 | 3742 | N/A | N/A |
| R32NCD | Autologous Stem Cell Transplantation (AuSCT) | 05/16/2005 | 3797 | MM3797 | 05/18/2005 |
| R530CP | Billing Requirements for Physician Services Rendered in Method II Critical Access Hospitals (CAHs) | 07/05/2005 | 3800 | MM3800 | 04/29/2005 |
| R555CP | Fiscal Intermediary (FI) Reporting of Add-on-Payments that do not Result in a Specific Increase or Decrease in the Amount Reported as Payable for a Claim or a Service on a Remittance Advice | 10/03/2005 | 3866 | MM3866 | 05/06/2005 |
| R488CP | Implantable Automatic Defibrillators | 04/04/2005 | 3604 | MM3604 | 03/21/2005 |
| R490CP | Claims Status Code/Claims Status Category Code Update | 07/05/2005 | 3715 | MM3715 | 03/08/2005 |
| R494CP | April 2005 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 6.1 | 04/04/2005 | 3743 | MM3743 | 03/08/2005 |
| R496CP | Billing for Blood and Blood Products Under the Hospital Outpatient Prospective Payment System (OPPS) | 07/05/2005 | 3681 | MM3681 | 03/14/2005 |
| R512CP | Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials | 04/18/2005 | 3742 | MM3742 | 06/23/2005 |
| R514CP | April 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes | 04/04/2005 | 3756 | MM3756 | 04/08/2005 |
| R27MSP | Updates to the Electronic Correspondence Referral System (ECRS) User Guide v8.0 and Quick Reference Card v8.0 | 04/25/2005 | 3787 | N/A | N/A |
| R15GI | Review of Contractor Implementation of Change Requests (Replacement for expired CR 944). | 03/01/2005 | 2884 | N/A | N/A |
| R21GI | Removal of Medicare Number from Reimbursement Checks | 10/03/2005 | 3760 | N/A | N/A |
| R8COM | Medicare Beneficiary Call Centers Will Begin Offering Preventive Services Information | 03/14/2005 | 3706 | N/A | N/A |
| R38MSP | Hospital Audit Workload Updates | 01/14/2006 | 4056 | MM4056 | 10/18/2005 |
| R708CP | 2006 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments | 01/03/2006 | 4113 | N/A | N/A |
| R123PI | Chapter 3, MMA Section 935 | 10/24/2005 | 3703 | N/A | N/A |
| R181OTN | National Modifier and Condition Code To Be Used To Identify Disaster Related Claims | N/A | 4106 | N/A | N/A |
| R660CP | October 2005 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 6.3 | 10/03/2005 | 4007 | N/A | N/A |
| R10SOM | Revision - Appendix J - Interpretive Guidelines Intermediate Care Facilities With Mental Retardation | 08/12/2005 | N/A | N/A | N/A |
| R157OTN | CD-ROM Initiative for Distribution of the Annual Disclosure, "Dear Doctor" Letter and Participation Enrollment Material | 07/05/2005 | 3891 | N/A | N/A |
| R147OTN | Medicare HIPAA Electronic Claims Report - Second Reporting Timeframe Extension | 05/06/2005 | 3780 | N/A | N/A |
| R68FM | Instructions for Affiliated Contractors Involved in the Recovery Audit Contractor (RAC) Demonstrations | 06/20/2005 | 3773 | N/A | N/A |
| R14P236 | Cost Reporting Forms and Instructions, Form CMS-2552-96 | N/A | N/A | N/A | N/A |
| R600CP | New Healthcare Common Procedure Coding System (HCPCS) Drug Codes | 07/05/2005 | 3847 | MM3847 | 07/01/2005 |
| R588CP | Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials | N/A | 3742 | MM3742 | 06/23/2005 |
| R579CP | Update to the National Council for Prescription Drug Program (NCPDP) Batch Standard 1.1 Billing Request Companion Document | 09/12/2005 | 3882 | MM3882 | 06/20/2005 |
| R575CP | New Remittance Advice (RA) Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims | 07/05/2005 | 3679 | MM3679 | N/A |
| R520CP | Payment Policy Clarification Regarding the Healthcare Common Procedure Coding System (HCPCS) Q3001 Performed in an Ambulatory Surgery Center (ASC) | 05/09/2005 | 3789 | MM3789 | 04/22/2005 |
| R551CP | Dispensing/Supply Fee Code, Payment, and Common Working File (CWF) Editing for Immunosuppressive Drugs | 10/03/2005 | 3830 | MM3830 | 05/06/2005 |
| R487CP | Medicare Qualifying Clinical Trials | N/A | 3625 | N/A | N/A |
| R493CP | Revision to Chapter 1, and Removal of Section 70 from Chapter 25 of the Medicare Claims Processing Manual | 04/04/2005 | 3671 | N/A | N/A |
| R511CP | Type of Service (TOS) Corrections | 04/18/2005 | 3788 | N/A | N/A |
| R6SOM | Expansion of State Codes for OSCAR Provider Numbers | 10/03/2005 | 3844 | N/A | N/A |
| R633CP | Guidelines For Payment of Vaccines (Pneumococcal Pneumonia Virus (PPV), Influenza Virus, And Hepatitis B Virus) and Their Administration Provided by Indian Health Service (IHS)/Tribally Owned and/or Operated Hospitals and Hospital Based Facilities | 01/03/2006 | 3967 | MM3967 | 09/21/2005 |
| R459CP | Full Replacement of Change Request (CR) 3427, Transmittal 342, Issued on October 29, 2004- Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Ambulance Transports to or from a Diagnostic or Therapeutic Site | 04/05/2005 | 3676 | MM3676 | 02/07/2005 |
| R654CP | Services Not Provided Within United States | 11/17/2005 | 3781 | MM3781 | 09/21/2005 |
| R447CP | CWF Editing for Method Selection on DMERC Claims for EPO and Aranesp | 07/05/2005 | 3547 | MM3547 | 01/25/2005 |
| R162OTN | Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes | 08/08/2005 | 3757 | N/A | N/A |
| R148OTN | Revised Coding Guidelines for Drug Administration Codes | 05/16/2005 | 3818 | MM3818 | N/A |
| R151OTN | Common Working File (CWF) Calculation of Next Eligible Date for Preventive Services | 10/03/2005 | 3776 | N/A | N/A |
| R141OTN | Shared System and CWF Renovation of Override Code Process (Phase 3) | 07/05/2005 | 3718 | N/A | N/A |
| R142OTN | Frequent Hemodialysis Network Payment Changes for Approved Clinical Trial Co | 07/05/2005 | 3730 | N/A | N/A |
| R66FM | Chapter 7, Internal Control Requirements Update | 04/04/2005 | 3655 | N/A | N/A |
| R67FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 04/25/2005 | 3455 | N/A | N/A |
| R41NCD | Osteogenic Stimulators | 08/01/2005 | 3836 | MM3836 | 07/20/2005 |
| R626CP | Common Working File Expansion of Duplicate Claim Edit for Clinical Diagnostic Services | 01/03/2006 | 3946 | MM3946 | N/A |
| R613CP | New HCPCS Codes and Systems Edits for Supplies and Accessories for Ventricular Assist Devices - Full Replacement of CR 3761 | 10/03/2005 | 3931 | MM3931 | 07/26/2005 |
| R608CP | New Health Professional Shortage Area (HPSA) Modifier | 01/03/2006 | 3935 | MM3935 | 07/29/2005 |
| R599CP | July 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 07/05/2005 | 3915 | MM3915 | 07/06/2005 |
| R597CP | Coverage and Billing for Ultrasound Stimulation for Nounion Fracture Healing | 08/01/2005 | 3836 | MM3836 | 07/20/2005 |
| R589CP | Cochlear Implantation | 07/05/2005 | 3796 | MM3796 | 07/06/2005 |
| R576CP | Correction to Chapter 17, Section 80.2.3, MSN/ANSI X12N Denial Messages for Anti-Emetic Drugs | N/A | 3918 | N/A | N/A |
| R568CP | July Quarterly Update to 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 07/05/2005 | 3873 | MM3873 | 06/01/2005 |
| R31NCD | PET for Brain, Cervical, Ovarian, Pancreatic, Small Cell Lung, and Testicular Cancers | 04/18/2005 | 3741 | MM3741 | 04/20/2005 |
| R35NCD | Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea (OSA) | 06/06/2005 | 3843 | MM3843 | 05/12/2005 |
| R561CP | New April 2005 Quarterly ASP Medicare Part B Drug Pricing File and Revisions to January 2005 Quarterly ASP Medicare Part B Drug Pricing File | 07/05/2005 | 3846 | MM3846 | 05/18/2005 |
| R521CP | Hemophilia Blood Clotting Fact | 05/09/2005 | 3755 | MM3755 | 04/12/2005 |
| R540CP | Addition to Chapter 6 of the Claims Processing Manual - Skilled Nursing Facility (SNF) Inpatient Part A Billing: SNF Prospective Payment System (PPS) Pricer Software | 08/01/2005 | 3774 | MM3774 | 05/04/2005 |
| R559CP | Override of Automated Health Professional Shortage Area (HRSA) and/or Physician Scarcity Area (PSA) Bonus Payments for Globally Billed Services | 06/13/2005 | 3827 | MM3827 | 05/18/2005 |
| R525CP | Flu/PPV Revision | N/A | 3733 | N/A | N/A |
| R546CP | Number of DMEPOS Pricing Files That Must Be Maintained Online for Medicare - DMERC, FI, and RHHI Only | 10/03/2005 | 3792 | MM3792 | 06/29/2005 |
| R549CP | Update to the Place of Service (POS) Code Set to Add a Code for Pharmacy | 10/03/2005 | 3819 | MM3819 | 07/06/2005 |
| R489CP | Correction to Healthcare Common Procedure Coding System (HCPCS) Code A4217 | 07/05/2005 | 3714 | MM3714 | 03/08/2005 |
| R492CP | Adding an Indicator to the National Claims History (NCH) to Indicate that DMERCs, Carriers, and FIs have Reviewed a Potentially Duplicate Claim | 07/05/2005 | 2965 | N/A | N/A |
| R495CP | Inpatient Psychiatric Facility Prospective Payment System (IPF PPS)--Further Clarifications | 04/04/2005 | 3752 | MM3752 | 03/17/2005 |
| R500CP | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2005 | 04/04/2005 | 3722 | N/A | N/A |
| R513CP | Infusion Pumps: C-Peptide Levels as A Criterion for Use | 02/18/2005 | 3705 | MM3705 | 04/29/2005 |
| R515CP | Update to 100-04 and Therapy Code Lists | 07/05/2005 | 3647 | MM3647 | 02/07/2005 |
| R476CP | Type of Service (TOS) Correctionss | 04/04/2005 | 3717 | N/A | N/A |
| R26MSP | Clarification for Change Request (CR) 3267 for Change Request (CR) 3267 | 06/06/2005 | 3729 | MM3729 | 03/08/2005 |
| R26DEMO | The Medicare Chronic Care improvement, "Medicare Health Support," Program | 10/20/2005 | 3953 | MM3953 | 10/28/2005 |
| R21DEMO | Full Replacement of CR 3639, Expansion of Coverage for Chiropractic Services Demonstration | 04/04/2005 | 3758 | N/A | N/A |
| R22DEMO | Assignment of Non-Payment/Denial Code specific to the Recovery Audit Contractor (RAC) Created Group Health Plan (GHP) Occurrences | 10/03/2005 | 3770 | N/A | N/A |
| R97PI | Provider Enrollment and Inpatient Rehabilitation Facility (IRF) Compliance Reviews | 02/22/2005 | 3582 | N/A | N/A |
| R114PI | Change in Statistical Sampling Instructions | 05/31/2005 | 3734 | N/A | N/A |
| R183OTN | National Modifier and Condition Code To Be Used To Identify Disaster Related Claims | N/A | 4106 | N/A | N/A |
| R712CP | Correction to Change Request 3949, Section 50.3.3 in IOM to Add 23x Type of Bill | 01/03/2005 | 4116 | MM4116 | 10/19/2005 |
| R79FM | Discovery Code Indication for Recovery Audit Contractor (RAC) Non-MSP Identified Overpayments | 01/03/2006 | 3938 | N/A | N/A |
| R685CP | Discontinuation of the Skilled Nursing Facility (SNF) HCPCS Help File and Notification to Fiscal Intermediaries (FIs) and Providers of the Redesigned SNF Consolidated Billing (CB) Annual Update File Posted on CMS Web Site | 12/27/2005 | 4044 | MM4044 | 09/28/2005 |
| R678CP | Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Dates for All Requests for Redetermination Received by FIs on or After May 1, 2005, And All Requests for Redetermination Received by Carriers on or After January 1, 2006) | N/A | 3944 | MM3944 | 11/25/2005 |
| R663CP | Update To The Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer For FY 2006 | 10/03/2005 | 3977 | MM3977 | 09/15/2005 |
| R33MSP | Working Aged Exception for Small Employers in Multi-Employer Group Health Plans (GHPs) | 05/20/2005 | 3768 | N/A | N/A |
| R467CP | Modifications to Duplicate Editing for Dispensing/Supply Fee Codes for Oral Anti-Cancer, Oral Anti-Emetic, Immunosuppressive and Inhalation Drugs | 07/05/2005 | 3666 | MM3666 | 02/10/2005 |
| R468CP | Appeals Transition- BIPA Section 521 Appeals | 07/05/2005 | 3635 | N/A | N/A |
| R694CP | Update to the Healthcare Provider Taxonomy Codes (HPTC) Version 5.1 | 10/31/2005 | 4072 | MM4082 | 10/04/2005 |
| R690CP | Fiscal Year (FY) 2006 Payment for Services Furnished in Ambulatory Surgical Centers (ASCs) | 10/03/2005 | 4075 | MM4075 | 10/04/2005 |
| R689CP | One Time Update To The NCPDP Companion Document Regarding Crossover Claims To Medicaid | 01/03/2006 | 3975 | N/A | N/A |
| R28DEMO | The Medicare Care Management for High Cost Beneficiaries (CMHCB) Demonstration | 10/03/2005 | 4100 | MM4100 | 09/28/2005 |
| R68MCM | Initial Publication of Chapter 1 - General Provisions | N/A | N/A | N/A | N/A |
| R661CP | October Update to the 2005 Medicare Physician Fee Schedule Database | 10/03/2005 | 4031 | MM4031 | 09/09/2005 |
| R454CP | Definitions of Electronic and Paper Claims | 04/04/2005 | 3653 | N/A | N/A |
| R649CP | Competitive Acquisition Program for Part B Drugs - Coding, Testing, and Implementation | 01/03/2006 | 4000 | N/A | N/A |
| R427CP | Revision of Change Request 2928: Implementation of Payment Safeguards for Home Health Prospective Payment System (HH PPS) Claims Failing to Report Prior Hospitalizations | 07/05/2005 | 3616 | MM3616 | 01/21/2005 |
| R428CP | Update to Billing Requirements for FDG-PET Scans for Use in the Differential Diagnosis of Alzheimer's Disease (AD) and Fronto-Temporal Dementia (FTD) and Update to the FI Billing Requirements for Special Payment Procedures for ALL PET Scan Claims for Services Performed in a Critical Access Hospital (CAH) | 04/04/2005 | 3640 | MM3640 | 01/20/2005 |
| R159OTN | Requirements for Voided, Canceled, and Deleted Claims | 10/03/2005 | 3627 | MM3627 | 10/04/2005 |
| R146OTN | Appeals Transition- BIPA Section 521 App | 04/25/2005 | 3530 | MM3530 | 04/12/2005 |
| R63FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 02/08/2005 | 3454 | N/A | N/A |
| R624CP | 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 | 01/03/2006 | 3916 | N/A | N/A |
| R566CP | Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System (OPPS) | 06/01/2005 | 3848 | MM3848 | 06/06/2005 |
| R29BP | Telehealth Originating Site Facility Fee Payment Amount Update | 03/14/2005 | 3713 | N/A | N/A |
| R563CP | Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 11.2, Effective July 1, 2005 | 07/05/2005 | 3823 | MM3823 | 05/26/2005 |
| R564CP | July Update to the Medicare Outpatient Code Editor (OCE) Version 20.3 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 07/05/2005 | 3867 | MM3867 | 06/29/2005 |
| R558CP | July Update to the 2005 Medicare Physician Fee Schedule Database | 07/05/2005 | 3870 | MM3870 | 05/11/2005 |
| R532CP | Abarelix for the Treatment of Prostate Cancer | 07/05/2005 | 3775 | MM3775 | 07/26/2005 |
| R510CP | Update to Fiscal Year 2005 Pricer for IPPS Hospitals | 04/04/2005 | 3784 | MM3784 | 03/28/2005 |
| R28MSP | Working Aged Exception for Small Employers in Multi-Employer Group Health Plans (GHPs) | 05/20/2005 | 3768 | N/A | N/A |
| R16GI | Standard Terminology for Claims Processing Systems | 04/04/2005 | 3596 | N/A | N/A |
| R22GI | Provider Extract File | 10/03/2005 | 3801 | N/A | N/A |
| R18DEMO | Demonstration Project to Clarify the Definition of Homebound, the Home Health Independence Demonstration | 07/05/2005 | 3665 | N/A | N/A |
| R9COM | Additions and Corrections to Provider Inquiry and Provider Communications Program Requirements | 06/06/2005 | 3777 | N/A | N/A |
| R99PI | Program Integrity Manual Modification - Changes Waivers Approved by the Regional Office (RO) by Replacing Regional Office with Central Office (CO) | 02/22/2005 | 3646 | N/A | N/A |
| R184OTN | National Modifier and Condition Code To Be Used To Identify Disaster Related Claims | N/A | 4106 | MM4106 | 10/18/2005 |
| R680CP | Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2006 | 10/03/2005 | 4037 | MM4037 | 10/18/2005 |
| R121PI | Evidence of Medical Necesity: Wheelchair and Power Operated Vehicle (POV) Claims | N/A | 3952 | N/A | N/A |
| R29GI | 2005 Scheduled Release for October Updates to Software Programs and Pricing/Coding Files | 09/26/2005 | 3999 | N/A | N/A |
| R75FM | New Thresholds for 2nd Demand Letter for Physicians/Suppliers | 09/06/2005 | 3932 | N/A | N/A |
| R463CP | Update to 100-04 and Therapy Code Lists | 07/05/2005 | 3647 | MM3647 | 02/07/2005 |
| R171OTN | Preliminary system updates in preparation for ending the Medicare contingency plan in October 2005 | 10/03/2005 | 3956 | MM3956 | 08/08/2005 |
| R139OTN | Update to the Evaluation Plan for the CD-ROM Initiative Used in the Mailing of the 2005 Annual Participation Enrollment Material | 02/15/2005 | 3700 | N/A | N/A |
| R70FM | Revision to the Beneficiary Notification Process when Recovery is Sought from the Provider | 06/27/2005 | 3795 | N/A | N/A |
| R36BP | Pub. 100-02, Chapter 15, Sections 220 and 230 Therapy Services | 06/06/2005 | 3648 | MM3648 | 06/30/2005 |
| R7P229 | Cost Reporting Forms and Instructions, Form CMS-222-92 | N/A | N/A | N/A | N/A |
| R642CP | New Waived Tests | 10/03/2005 | 3984 | MM3984 | 08/23/2005 |
| R636CP | Instructions for Implementation of CMS Ruling 05-01; Presbyopia-Correcting Intraocular Lens (P-C IOLs) | 09/06/2005 | 3927 | MM3927 | 08/08/2005 |
| R634CP | Guidelines for Payment of Vaccines (Pneumococcal Pneumonia Virus (PPV), Influenza Virus, and Hepatitis B Virus) and their Administration at Renal Dialysis Facilities (RDFs) | 01/03/2006 | 3936 | MM3936 | 08/04/2005 |
| R603CP | Modification to the Appeals Language on the Medicare Summary Notice; Full Replacement of Change Request 3808 | 10/03/2005 | 3924 | N/A | N/A |
| R586CP | Modifications to the National Coordination of Benefits Agreement (COBA) File Transfer and Financial Reporting Processes | 10/03/2005 | 3906 | N/A | N/A |
| R542CP | Modification of Roster Billing for Mass Immunizers Billing for Inpatient Part B Services (Type of Bills 12x and 22x) | 10/03/2005 | 3735 | MM3735 | 05/05/2005 |
| R524CP | Clarification to the Health Professional Shortage Area Language in the Medicare Claims Processing Manual | 05/16/2005 | 3736 | MM3736 | 04/20/2005 |
| R552CP | Changing the Order of Medicare System Edits Affecting Hospice Claims | 10/03/2005 | 3825 | N/A | N/A |
| R503CP | April Update to the Medicare Non-OPPS Outpatient Code Editor (OCE) Specifications Version 20.2 | 04/04/2005 | 3750 | MM3750 | 03/15/2005 |
| R475CP | 1st Update to the 2005 Medicare Physician Fee Schedule Database | 04/04/2005 | 3726 | MM3726 | 02/25/2005 |
| R19GI | Revisions to Chapter 5, Section 50 of Publication 100-01 in the IOM to Clarify Current Policy | N/A | 3698 | N/A | N/A |
| R8SOM | Revision of Appendix PP - Section 483.25(d) - Urinary Incontinence, Tags F315 and F316 | 06/28/2005 | N/A | N/A | N/A |
| R606CP | Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2005 | 10/04/2005 | 3386 | MM3386 | 07/20/2005 |
| R435CP | Enforcement of Mandatory Electronic Submission of Medicare Claims. | 07/05/2005 | 3440 | N/A | N/A |
| R615CP | Revision of Chapter 24, EDI Support Requirements | 10/03/2005 | 3875 | N/A | N/A |
| R587CP | New Location for Contractor ID Number on Medicare Summary Notices (MSNs) | 07/11/2005 | 3895 | N/A | N/A |
| R577CP | Preliminary Instructions: Expedited Determinations/Reviews for Original Medicare | 07/01/2005 | 3903 | N/A | N/A |
| R34NCD | Abarelix for the Treatment of Abarelix for the Treatment of Prostate Cancer Cancer | 05/25/2005 | 3775 | MM3775 | N/A |
| R29MSP | Assignment of Non-Payment/Denial Code specific to the Recovery Audit Contractor (RAC) Created Group Health Plan (GHP) Occurrences | 10/03/2005 | 3770 | N/A | N/A |
| R518CP | New Coding for FDG PET Scans and Billing Requirements for Specific Indications of Cervical Cancer | 04/18/2005 | 3741 | MM3741 | 04/20/2005 |
| R519CP | Flu/PPV Revisions | N/A | 3733 | N/A | N/A |
| R531CP | Percutaneous Transluminal Angioplasty (PTA) | 07/05/2005 | 3811 | MM3811 | 12/02/2005 |
| R478CP | Clarification of the Verification Process to be Used to Determine if the Inpatient Rehabilitation Facility (IRF) Meets The IRF Classification Criteria | 03/21/2005 | 3704 | MM3704 | 04/20/2005 |
| R24DEMO | Instructions for Affiliated Contractors Involved in the Recovery Audit Contractor (RAC) Demonstrations | 06/20/2005 | 3773 | N/A | N/A |
| R17GI | Review of Contractor Implementation of Change Requests (Replacement for expired CR 944). | 03/01/2005 | 2884 | N/A | N/A |
| R23GI | Procedures for Modifying Shared Systems Edits and Capturing Audit Trail Data | 10/03/2005 | 3862 | N/A | N/A |
| R19DEMO | Notification to Affiliated Contractors of the establishment of Medicare Secondary Payer (MSP) Recovery Audit Contractors (RACs) and the impact to the Affiliated Contractors current MSP recovery processes | 04/04/2005 | 3724 | N/A | N/A |
| R116PI | Revise the Fiscal Intermediary Shared System (FISS) to Allow Reporting of Data for the Comprehensive Error Rate Testing (CERT) Program Resolution File at a Line Level | 01/03/2006 | 3997 | N/A | N/A |
| R98PI | Psychotherapy Notes | 02/22/2005 | 3457 | MM3457 | 01/25/2005 |
| R96PI | Consent Settlements | 02/14/2005 | 3626 | N/A | N/A |
| R78FM | Coordination of Benefits Agreement (COBA) Process for Contractor Financial Staff Notification | 10/31/2005 | 4016 | N/A | N/A |
| R699CP | Competitive Acquisition Program (CAP) for Part B Drugs | 04/03/2006 | 4064 | N/A | N/A |
| R125PI | Medical Review Additional Documentation Requests | 12/30/2005 | 4022 | MM4022 | 10/04/2005 |
| R677CP | Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Dates for FI Initial Determinations Issued on or After May 1, 2005 and Carrier Initial Determinations Issued on or After January 1, 2006) | N/A | 3939 | MM3939 | 11/25/2005 |
| R76FM | Development of New Report to Capture BIPA and MMA Appeals Data | 04/03/2006 | 3837 | N/A | N/A |
| R711CP | Update to Repetitive Billing -- Manualization | N/A | 4047 | MM4047 | 12/08/2005 |
| R695CP | General Appeals Process in Initial Determinations (Implementation Dates for FI Initial Determinations Issued on or After May 1, 2005, and Carrier Initial Determinations Issued on or After January 1, 2006). | 01/09/2006 | 4019 | MM4019 | 10/13/2005 |
| R691CP | October 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/03/2005 | 4035 | MM4035 | 10/03/2005 |
| R69MCM | Revisions to Chapter 12, "Effect of Change of Ownership," and Chapter 14, "Contract Determination and Appeals | N/A | N/A | N/A | N/A |
| R466CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.1, Effective April 1, 2005 | 04/04/2005 | 3688 | MM3688 | 02/10/2005 |
| R455CP | Number of Drug Pricing Files That Must Be Maintained Online for Medicare - DMERC Only | 07/05/2005 | 3584 | N/A | N/A |
| R140OTN | Revisions to January 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File | 02/04/2005 | 3728 | MM3728 | 02/11/2005 |
| R6P238 | Cost Reporting Forms and Instructions, Form CMS-1984-99 | N/A | N/A | N/A | N/A |
| R628CP | Radiopharmaceutical Diagnostic Imaging Agents Codes Applicable to PET Scan Services Performed on or After January 28, 2005 | 10/31/2005 | 3945 | N/A | N/A |
| R612CP | Abarelix for Treatment of Prostrate Cancer | 05/25/2005 | 3775 | MM3775 | 07/26/2005 |
| R517CP | List of Medicare Telehealth Services | 05/02/2005 | 3747 | MM3747 | 05/17/2005 |
| R482CP | Manualization of Payment Change for Diagnostic Mammography and Diagnostic Computer Aided Detection | N/A | 3662 | N/A | N/A |
| R553CP | Expansion of State Codes for OSCAR Provider Numbers | 10/03/2005 | 3844 | N/A | N/A |
| R501CP | Bone Mass Measurements - Procedure Coding | 04/11/2005 | 3719 | N/A | N/A |
| R20GI | Medicare Authorization to Disclose Personal Health Information" form and "Information to Help You Fill Out the Medicare Authorization to Disclose Personal Health Information Form | 05/31/2005 | 3485 | N/A | N/A |
| R17DEMO | Demonstration Project for Medical Adult Day-Care Services | 07/05/2005 | 3660 | MM3660 | 02/04/2005 |
| R9SOM | Revision of Appendix P and certain Exhibits of the State Operations Manual | 08/05/2005 | N/A | N/A | N/A |
| R106PI | Inclusion of Interventional Pain Management Specialists on Carrier Advisory Committee (CAC) Membership | 04/04/2005 | 3721 | N/A | N/A |
| R423CP | January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes | 01/14/2005 | 3632 | MM3632 | 01/12/2005 |
| R754CP | Supplying Fee and Inhalation Drug Dispensing Fee Revisions and Clarifications | 01/03/2006 | 3990 | MM3990 | 12/08/2005 |
| R710CP | Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement | 01/03/2006 | 4114 | MM4114 | 12/22/2005 |
| R25DEMO | Low Vision Rehabilitation Demonstration | 10/03/2005 | 3816 | MM3816 | 01/04/2006 |
| R736CP | Clarification and Update to Hospital Billing Instructions and Payment for Epoetin Alfa (EPO) and Darbepoetin Alfa (Aranesp) for Beneficiaries with End Stage Renal Disease (ESRD) | 04/03/2006 | 4103 | MM4103 | 11/02/2005 |
| R23DEMO | Low Vision Rehabilitation Demonstration | 10/03/2005 | 3816 | MM3816 | 06/21/2005 |
| R39BP | Auditory Osseointegrated and Auditory Brainstem Devices | 12/12/2005 | 4038 | MM4038 | 11/18/2005 |
| R12SOM | SOM Appendix PP - Guidance to Surveyors for Long Term Care Facilities | N/A | N/A | N/A | N/A |
| R509CP | Number of Drug Pricing Files That Must Be Maintained Online for Medicare - DMERC Only | 07/05/2005 | 3584 | MM3584 | 03/28/2005 |
| R739CP | Erroneous Guidance - Basis to Waive Penalty | 01/19/2006 | 3898 | MM3898 | 11/08/2005 |
| R426CP | Modification to Reporting of Diagnosis Codes for Screening Mammography Claims | 07/05/2005 | 3562 | MM3562 | 10/13/2005 |
| R705CP | Modification to Reporting of Diagnosis Codes for Screening Mammography Claims | 07/05/2005 | 3562 | N/A | N/A |
| R13COM | Provider Contact Centers Training Program | 09/01/2005 | 3951 | N/A | N/A |
| R14COM | Provider Inquiry Reporting Standardization | N/A | 4048 | N/A | N/A |
| R730CP | Calendar Year (CY) 2006 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures | 11/09/2005 | 4051 | MM4051 | 08/11/2005 |
| R573CP | Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System (OPPS) | 06/01/2005 | 3848 | MM3848 | 06/06/2005 |
| SE0528 | CMS Announces the National Provider Identifier (NPI) Enumerator Contractor and Information on Obtaining NPIs | N/A | N/A | SE0528 | 05/12/2005 |
| SE0555 | Medicare's Implementation of the National Provider Identifier (NPI): The Second in the Series of Special Edition Medlearn Matters Articles on NPI- Related Activities | N/A | N/A | SE0555 | 10/03/2005 |
| R669CP | Schedule for Completing the Calendar Year 2006 Fee Updates and the Participating Physician Enrollment Procedures. | 09/02/2005 | 4013 | N/A | N/A |
| SE0529 | Importance of Supplying Correct Provider Identification Information Required in Items 17, 17a, 24K, and 33 of the Form CMS-1500, and the Electronic Equivalent | N/A | N/A | SE0529 | 04/12/2005 |
| R190OTN | Stage 2 Requirements for Use and Editing of National Provider Identifier (NPI) Numbers Received in Electronic Data Interchange (EDI) Transactions, via Direct Data Entry (DDE) Screens, or Paper Claim Forms | 04/03/2006 | 4023 | MM4023 | 11/29/2005 |
| R724CP | Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Dates for FI Initial Determinations Issued on or After May 1, 2005 and Carrier Initial Determinations Issued on or After January 1, 2006). | 01/01/2006 | 3939 | MM3939 | 11/25/2005 |
| R688CP | Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Dates for All Requests for Redetermination Received by FIs on or After May 1, 2005, And All Requests for Redetermination Received by Carriers on or After January 1, 2006) | N/A | 3944 | MM3944 | 11/25/2005 |
| R655CP | Update To The Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer For FY 2006 | 10/03/2005 | 3977 | N/A | N/A |
| R562CP | Smoking and Tobacco-Use Cessation Counseling | 07/05/2005 | 3834 | MM3834 | 07/20/2005 |
| R36NCD | Smoking and Tobacco-Use Cessation Counseling | 07/05/2005 | 3834 | MM3834 | 07/20/2005 |
| R474CP | Coordination of Benefits Agreement (COBA) Detailed Error Report Notification Process | 07/05/2005 | 3709 | MM3709 | 02/24/2005 |
| R614CP | Medicare Physician Fee Schedule Database (MPFSDB) 2006 File Layout | 01/03/2006 | 3889 | N/A | N/A |
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