2007 MLN Matters Articles
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Transmittal # | Issue Date | Subject | Impl Date | CR # | MM Article # | MM Article Release Date |
---|---|---|---|---|---|---|
JA0003 | 01/03/2007 | CMS 270/271 (Eligibility) Extranet Transactions | N/A | N/A | N/A | N/A |
R259OTN | 01/05/2007 | Additional Codes for Physician Voluntary Reporting Program (PVRP) | 01/02/2007 | 5409 | N/A | N/A |
R113FM | 01/11/2007 | Notice of New Interest Rate for Medicare Overpayments and Underpayments-2nd Qtr. FY 2007 | 01/19/2007 | 5298 | N/A | N/A |
R1154CP | 01/12/2007 | Healthcare Provider Taxonomy Codes (HPTC) Update | 04/02/2007 | 5436 | N/A | N/A |
R182PI | 01/12/2007 | Medicaid State Agencies | 03/01/2007 | 5284 | N/A | N/A |
R1153CP | 01/12/2007 | Claim Status Category Code and Claim Status Code Update | 04/02/2007 | 5430 | N/A | N/A |
R1156CP | 01/12/2007 | Revised Medicare Zip Code File to Download | 02/05/2007 | 5265 | N/A | N/A |
R23SOMA | 01/19/2007 | Federal Minimum Qualifications Standards | 02/20/2007 | N/A | N/A | N/A |
R64BP | 01/19/2007 | Guidelines for Payment of Diabetes Self-Management Training (DSMT | 07/02/2007 | N/A | N/A | N/A |
R183PI | 01/24/2007 | Update the MCS System to Validate National Provider Identifiers (NPIs) in Place of Unique Physician Identification Numbers (UPINs | N/A | 5318 | N/A | N/A |
R24SOMA | 01/26/2007 | Sunset of the Policies for Provider Nominations for an Intermediary and the Provider Requests for a Change of Intermediary | 01/26/2007 | N/A | N/A | N/A |
R115FM | 01/26/2007 | Clarification of the Protocol for Estimating Allowance for Uncollectible Accounts Form CMS-H/M751A/B, Status of Accounts Receivable | 04/02/2007 | 5451 | N/A | N/A |
R184PI | 01/26/2007 | Revisions for MACs and PSCs | 02/26/2007 | 5399 | N/A | N/A |
R114FM | 01/26/2007 | Reporting Requirements for Crossover Claims Transmitted to the Coordination of Benefits Contractor (COBC) under the Coordination of Benefits Agreement (COBA) Process | 02/26/2007 | 5444 | N/A | N/A |
R188PI | 01/26/2007 | Accrediation Quality Standards for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) | 04/02/2007 | 5415 | N/A | N/A |
R185PI | 01/26/2007 | Updating Financial Reporting Requirements for Workload and Cost Associated With the Return of Demand Bills. | 02/26/2007 | 4378 | N/A | N/A |
R187PI | 01/26/2007 | Implementation of New Compliance Standards for Independent Diagnostic Testing Facilities (IDTFs). | 02/26/2007 | 5449 | N/A | N/A |
R186PI | 01/26/2007 | Durable Medical Equipment Medicare Administrative Contractors (DME MACs) Adoption or Rejection of Local Coverage Determinations (LCDs) Recommended by Durable Medical Equipment Program Safeguard Contractors (DME PSCs). | N/A | 5410 | N/A | N/A |
R262OTN | 01/26/2007 | Invalid Managed Care Informational Unsolicited Responses (MCIURs) from CWF | 04/26/2007 | 5507 | MM5507 | 01/31/2007 |
R116FM | 01/31/2007 | Chapter 7, Internal Control Requirements Update | 01/29/2007 | 5429 | N/A | N/A |
R1169CP | 02/02/2007 | Revision of Editing to Ensure Demand Bills Remain Identifiable in Claims History After Processing | 07/02/2007 | 5248 | N/A | N/A |
R1171CP | 02/02/2007 | Revisions to the Medicare Physician Fee Schedule (MPFS) Disclosure Format | 07/02/2007 | 5476 | N/A | N/A |
R191PI | 03/23/2007 | Provider/Supplier Enrollment Approval Letters | 05/23/2007 | 5285 | N/A | N/A |
R266OTN | 03/23/2007 | New Contractor Number for CIGNA Government Services, LLC-Jurisdiction C DME MAC Workload | 06/01/2007 | 5548 | N/A | N/A |
R273OTN | 04/27/2007 | Discontinuing the Application of Outpatient Frequency of Billing Edits to Roster Bills | 10/01/2007 | 5580 | N/A | N/A |
R1282CP | 07/06/2007 | Medicare Contractors Use of the Coordination of Benefits Agreement (COBA) Problem Inquiry Request Form to Identify and Send COBA Related Issues to the COB Contractor | 08/06/2007 | 5656 | N/A | N/A |
R215PI | 07/06/2007 | Implementation of Durable Medical Equipment Medicare Administrative Contractor (DME MAC) Access to VIPS Medicare Shared System (VMS) Medical Review (MR) Functions at DME MACs | 10/01/2007 | 5664 | N/A | N/A |
R1184CP | 02/09/2007 | Consolidation of Data Processing for Part A | 07/02/2007 | 5458 | N/A | N/A |
R117FM | 02/13/2007 | Chapter 7, Internal Control Requirements Update | 01/29/2007 | 5429 | N/A | N/A |
R1150CP | 01/10/2007 | January 2007 Non-Outpatient Prospective Payment System (Non-OPPS) Outpatient Code Editor (OCE) Specifications Version 22.1 | 01/02/2007 | 5437 | MM5437 | 01/12/2007 |
R1155CP | 01/12/2007 | January 2007 Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) Specifications Version 8.0 | 01/02/2007 | 5425 | MM5425 | 01/16/2007 |
R1164CP | 01/26/2007 | Coding Change for Lumbar Artificial Disc Replacement (LADR) | 03/03/2007 | 5462 | MM5462 | 01/31/2007 |
R1186CP | 02/23/2007 | Changes to Chapter 30 - Updates to Amount in Controversy Requirement and Correction of Appeals Terminology | 05/23/2007 | 5348 | N/A | N/A |
R190PI | 02/23/2007 | General Background Information on Certified Providers and Certified Suppliers | 04/02/2007 | 5401 | N/A | N/A |
R1185CP | 02/23/2007 | Ambulance Fee Schedule - Medical Conditions List - Manualization Revisions | 04/02/2007 | 5442 | N/A | N/A |
R218PI | 08/10/2007 | Provider Enrollment Manual Update | 10/01/2007 | 5671 | N/A | N/A |
R65NCD | 02/23/2007 | INDEPENDENCE iBOT 4000 Mobility System | 04/02/2007 | 5372 | MM5372 | 02/27/2007 |
R66BP | 02/23/2007 | Services Not Provided Within United States | 04/02/2007 | 5427 | MM5427 | 02/27/2007 |
R26SOMA | 08/17/2007 | Revised Appendix P and Appendix PP New Tag F373 | 08/17/2007 | N/A | N/A | N/A |
R1317CP | 08/17/2007 | 2008 Annual Update of HCPCS Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) for the Common Working File (CWF), Medicare Carriers and Fiscal Intermediaries (FIs) | 01/07/2008 | 5696 | MM5696 | 08/20/2007 |
R1191CP | 03/02/2007 | Type of Service (TOS) Corrections | 04/02/2007 | 5510 | N/A | N/A |
R1182CP | 02/09/2007 | April Quarterly Update to 2007 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 04/02/2007 | 5502 | MM5502 | 02/12/2007 |
R1322CP | 08/24/2007 | Indian Health Service (IHS) Hospital Payment Rates for Calendar Year 2007 | 09/04/2007 | 5707 | N/A | N/A |
R290OTN | 08/24/2007 | New Contractor Workload Number for Trispan Missouri Part A Data | 10/01/2007 | 5650 | N/A | N/A |
R220PI | 08/24/2007 | Various Medical Review Clarifications | 09/03/2007 | 5550 | N/A | N/A |
R1147CP | 01/05/2007 | Intracranial Percutaneous Transluminal Angioplasty (PTA) With Stenting | 02/05/2007 | 5432 | MM5432 | 01/11/2007 |
R64NCD | 01/05/2007 | Intracranial Percutaneous Transluminal Angioplasty (PTA) with Stenting | 02/05/2007 | 5432 | MM5432 | 01/11/2007 |
SE0680 | N/A | The New HHS National Clearinghouse for Long-Term Care Information Website | N/A | N/A | SE0680 | 01/04/2007 |
SE0702 | N/A | Annual Medicare Contractor Provider Satisfaction Survey: Make Your Voice Heard! | N/A | N/A | SE0702 | 01/10/2007 |
R1199CP | 03/09/2007 | April 2007 Non-Outpatient Prospective Payment System (Non-OPPS) Outpatient Code Editor (OCE) Specifications Version 22.2 | 04/02/2007 | 5523 | MM5523 | 03/12/2007 |
R1200CP | 03/09/2007 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2007 | 04/02/2007 | 5514 | MM5514 | 03/12/2007 |
R1201CP | 03/09/2007 | Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 13.1, Effective April 1, 2007 | 04/02/2007 | 5492 | MM5492 | 03/12/2007 |
R1160CP | 01/19/2007 | Colorectal Cancer Screening Flexible Sigmoidoscopy and Colonoscopy Coinsurance Payment Chang | 07/02/2007 | 5387 | MM5387 | 01/23/2007 |
R52DEMO | 01/10/2007 | Chiropractic Demonstration 2007 Rate Change | 01/02/2007 | 5396 | MM5396 | 01/12/2007 |
R260OTN | 01/12/2007 | Enhance MCS to Avoid Duplicate Payments When a Full Claim Adjustment is Performed. This CR rescinds and fully replaces CR 3878. | 04/02/2007 | 5424 | MM5424 | 01/16/2007 |
R1157CP | 01/19/2007 | Processing All Diagnosis Codes Reported on Claims Submitted to Carriers (Final Phase) | 07/02/2007 | 5441 | MM5441 | 01/23/2007 |
R1163CP | 01/26/2007 | Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update | 04/02/2007 | 5456 | MM5456 | 01/31/2007 |
R1148CP | 01/05/2007 | Tax Relief and Health Care Act of 2006 Changes to Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services | 02/05/2007 | 5468 | MM5468 | 01/10/2007 |
R1170CP | 02/02/2007 | Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) for Oncology Treatment Payment Adjustment | 07/02/2007 | 5470 | MM5470 | 02/06/2007 |
R1180CP | 02/02/2007 | Outpatient Clinical Laboratory Tests Furnished by Hospitals With Fewer Than 50 Beds in Qualified Rural Areas | 07/02/2007 | 5493 | MM5493 | 02/06/2007 |
R1161CP | 01/24/2007 | Additional Changes to the 2007 Medicare Physician Fee Schedule Database | 02/26/2007 | 5498 | MM5498 | 01/31/2007 |
R1168CP | 01/26/2007 | Direct Billing and Payment for Non- Physician Practitioner Services Furnished to Hospital Inpatients and Outpatients | 04/26/2007 | 5221 | MM5221 | 02/07/2007 |
R119FM | 04/20/2007 | Contractor CROWD Form 5 Completion Changes | 10/01/2007 | 4274 | N/A | N/A |
SE0707 | N/A | Overview of Medicare Podiatry Services | N/A | N/A | SE0707 | 02/22/2007 |
R123FM | 06/08/2007 | Contractor CROWD Form 5 Completion Changes | 10/01/2007 | 4274 | N/A | N/A |
R1329CP | 08/31/2007 | Modification to the Timeliness Requirements for Contractors Forwarding Reconsideration Requests Submitted to the Wrong Contractor | 10/01/2007 | 5602 | N/A | N/A |
R1327CP | 08/31/2007 | Schedule for Completing the Calendar Year (CY) 2008 Fee Schedule Updates and the Participating Physician Enrollment Process--(For Informational Purposes Only) | 10/01/2007 | 5712 | N/A | N/A |
R264OTN | 03/09/2007 | Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes | 04/02/2007 | 5515 | N/A | N/A |
R1205CP | 03/16/2007 | Instructions for Downloading the Medicare Zip Code File - July 2007 | 07/02/2007 | 5524 | N/A | N/A |
R1332CP | 08/31/2007 | Transitioning the Mandatory Medigap ("Claim-Based") Crossover Process to the Coordination of Benefits Contractor (COBC) | 10/01/2007 | 5601 | MM5601 | 2007-05-30 |
R130FM | 08/31/2007 | Revisions of the CROWD Report | 01/07/2008 | 5555 | N/A | N/A |
R1332CP | 08/31/2007 | Transitioning the Mandatory Medigap (Claim-Based) Crossover Process to the Coordination of Benefits Contractor (COBC) | 10/01/2007 | 5601 | MM5601 | 2007-05-30 |
R1203CP | 03/09/2007 | April Quarterly Update for 2007 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 04/02/2007 | 5537 | MM5537 | 03/12/2007 |
R1242CP | 05/18/2007 | Transitioning the Mandatory Medigap ("Claim-Based") Crossover Process to the Coordination of Benefits Contractor (COBC) | 10/01/2007 | 5601 | MM5601 | 05/30/2007 |
R1326CP | 08/30/2007 | October Update to the 2007 Medicare Physician Fee Schedule Database | 10/01/2007 | 5714 | MM5714 | 09/04/2007 |
R1204CP | 03/16/2007 | April 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective April 1, 2007, and Revisions to the January 2007 Quarterly ASP Medicare Part B Drug Pricing Files | 04/02/2007 | 5517 | MM5517 | 03/17/2007 |
R73NCD | 09/06/2007 | Ultrasound Diagnostic Procedures | 09/28/2007 | 5608 | MM5608 | 2007-09-13 |
R221PI | 09/06/2007 | Administrative Appeals for Provider Enrollment | 10/01/2007 | 5467 | N/A | N/A |
R1333CP | 08/17/2007 | Ambulance: New Remark Code for Denying Separately Billed Services | 10/01/2007 | 5659 | MM5659 | 2007-08-20 |
R28SOMA | 09/07/2007 | Revisions to Appendix D, Guidance to Surveyors for Portable X-ray Services | 09/07/2007 | N/A | N/A | N/A |
R1240CP | 05/11/2007 | Present On Admission Indicator | 10/01/2007 | 5499 | MM5499 | 05/15/2007 |
R77NCD | 09/12/2007 | Percutaneous Transluminal Angioplasty (PTA) | 07/30/2007 | 5660 | N/A | N/A |
R1334CP | 09/12/2007 | October 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files | 10/01/2007 | 5710 | MM5710 | 09/13/2007 |
R1292CP | 07/13/2007 | Payment for Hospice Care Based on Location Where Care is Furnished | 01/07/2008 | 5670 | N/A | N/A |
R1335CP | 09/14/2007 | Updating the Internet Only Manual (IOM) to Include Language "or NPI When Required | 10/01/2007 | 5708 | N/A | N/A |
R291OTN | 09/18/2007 | Cessation of FI-to-FI Moves for Providers that are Members of Chains | 10/18/2007 | 5720 | N/A | N/A |
R88MCM | 09/21/2007 | Revisions to Chapter 13, "Medicare Managed Care Beneficiary Grievances, Organization Determinations, and Appeals Applicable to Medicare Advantage Plans, Cost Plans, and Health Care Prepayment Plans (HCPPs)," (collectively referred to as Medicare Health Plans). | 09/21/2007 | N/A | N/A | N/A |
R207PI | 05/31/2007 | Discontinuance of the Unique Physician Identification Number (UPIN) Registry | 06/29/2007 | 5584 | MM5584 | 06/01/2007 |
R74NCD | 09/07/2007 | Medicare Clinical Trial Policy (CTP) | 10/09/2007 | 5719 | MM5719 | 09/17/2007 |
R267OTN | 03/30/2007 | RAC/Other Medicare Contractors Claims Mass Adjustments in FISS | 09/04/2007 | 5494 | N/A | N/A |
R8SS | 04/06/2007 | CMS Business Partners System Security Manual | 05/01/2007 | 5500 | N/A | N/A |
R1340CP | 09/21/2007 | Lumbar Artificial Disc Replacement (LADR) | 10/01/2007 | 5727 | N/A | N/A |
R131FM | 09/21/2007 | Participating Physicians Report - Deletion of Requirement to Forward a Memorandum to CMS Detailing Adjustments to Form F Column 1 (PAR Prior) (from previous enrollment period). | 01/07/2008 | 5697 | N/A | N/A |
R131FM | 09/21/2007 | Participating Physicians Report - Deletion of Requirement to Forward a Memorandum to CMS Detailing Adjustments to Form F Column 1 (PAR Prior) (from previous enrollment period). | 01/07/2008 | 5697 | N/A | N/A |
R1343CP | 09/21/2007 | Stage 3 NPI Changes for Transaction 835 and Standard Paper Remittance Advice | N/A | 5452 | N/A | N/A |
R75NCD | 09/11/2007 | Lumbar Artificial Disc Replacement (LADR) | 10/01/2007 | 5727 | MM5727 | 09/19/2007 |
R1241CP | 05/18/2007 | Stage 3 NPI Changes for Transaction 835 and Standard Paper Remittance Advice | N/A | 5452 | MM5452 | 06/01/2007 |
R1341CP | 09/21/2007 | New Web Site for Approved Transplant Centers | 10/22/2007 | 5724 | MM5724 | 09/25/2007 |
R1342CP | 09/21/2007 | October 2007 Integrated Outpatient Code Editor (I/OCE) Specifications Version 8.3 | 10/01/2007 | 5723 | MM5723 | 09/25/2007 |
R1337CP | 09/21/2007 | Revisions to 9-Digit ZIP Code List Provided in Change Request 5208 | 10/22/2007 | 5730 | MM5730 | 09/25/2007 |
R1339CP | 09/21/2007 | Magnetic Resonance Imaging (MRI) Procedures | 10/22/2007 | 5677 | MM5677 | 09/26/2007 |
R43GI | 03/30/2007 | Clarification in Testing Instructions for Definition of "Local Components | 07/02/2007 | 5395 | N/A | N/A |
R195PI | 03/30/2007 | General Background Information on Individual Practitioners and Certain Part B Services | 04/30/2007 | 5503 | N/A | N/A |
R1213CP | 03/30/2007 | EDI Enrollment and Electronic Claim Record Retention | 07/02/2007 | 5491 | N/A | N/A |
R1214CP | 03/30/2007 | Discontinuance of ASCA Excel spreadsheet maintenance | 07/02/2007 | 5509 | N/A | N/A |
R1295CP | 07/13/2007 | Laboratory and Radiology: Adjustment to Common Working File (CWF) Duplicate Claim Edit for the Technical Component (TC) of Radiology and Pathology Laboratory Services Provided to Hospital Patients | 10/01/2007 | 5675 | MM5675 | 08/02/2007 |
R268OTN | 03/30/2007 | Recovery Audit Contractors (RAC)/Other Medicare Contractors Claims Mass Adjustments in MCS- Analysis and Design | 07/01/2007 | 5496 | N/A | N/A |
R196PI | 03/30/2007 | Medical Review of Skilled Nursing Facility (SNF) Claims Using the MDS QC System Software | 04/30/2007 | 5418 | N/A | N/A |
R299OTN | 11/02/2007 | NCPDP Inbound Claim and COB Companion Documents Updated for NPI Reporting | 04/07/2008 | 5716 | MM5716 | 11/06/2007 |
R1364CP | 11/02/2007 | Common Working File (CWF) Informational Unsolicited Responses for RDF Claims Overlapping Inpatient Hospital Stays | 04/07/2008 | 5768 | MM5768 | 11/05/2007 |
R1369CP | 11/02/2007 | Crossover of Assignment of Benefits Indicator (CLM08) From Paper Claim Input | 04/07/2008 | 5780 | MM5780 | 11/05/2007 |
R277OTN | 05/18/2007 | Physician Quality Reporting Initiative (PQRI) Coding & Reporting Principles | 05/18/2007 | 5640 | MM5640 | 05/23/2007 |
R226PI | 11/02/2007 | Items and Services Having Special DME Review Considerations | 04/01/2008 | 5765 | MM5765 | 11/05/2007 |
R54DEMO | 11/02/2007 | Revisions to Change Request (CR) 4294 - Low Vision Rehabilitation Demonstration | 04/07/2008 | 5756 | MM5756 | 11/05/2007 |
R1243CP | 05/18/2007 | Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 13.2, Effective July 1, 2007. | 07/02/2007 | 5604 | MM5604 | 05/23/2007 |
R1361CP | 11/02/2007 | New Patient Status Discharge Code 70 to Define Discharges or Transfers to Other Types of Health Care Institutions not Defined Elsewhere in the UB-04 (CMS-1450) Manual Code List | 04/07/2008 | 5764 | MM5764 | 11/05/2007 |
R77BP | 08/29/2007 | Testing and Implementation of 2008 Ambulatory Surgical Center (ASC) Payment System Changes | 01/07/2008 | 5680 | MM5680 | 11/13/2007 |
R1362CP | 11/02/2007 | Correction to Calculation of Coinsurance for Indian Health Service Critical Access Hospitals (IHS CAHs) | 04/07/2008 | 5769 | MM5769 | 11/13/2007 |
R1158CP | 01/19/2007 | Guidelines for Payment of Diabetes Self-Management Training (DSMT) | 07/02/2007 | 5433 | MM5433 | 02/06/2007 |
R1325CP | 08/29/2007 | Testing and Implementation of 2008 Ambulatory Surgical Center (ASC) Payment System Changes | 01/07/2008 | 5680 | MM5680 | 11/13/2007 |
SE0747 | N/A | Individuals Authorized Access to CMS Computer Services - Provider Community (IACS-PC): THE FIRST IN A SERIES OF ARTICLES | N/A | N/A | SE0747 | 11/19/2007 |
R1375CP | 11/09/2007 | Ambulance Inflation Factor for CY 2008 | 01/07/2008 | 5801 | MM5801 | 11/19/2007 |
R1224CP | 04/20/2007 | Home Health Agencies (HHAs) Providing Durable Medical Equipment (DME) in Competitive Bidding Areas | 10/01/2007 | 5551 | MM5551 | 04/25/2007 |
R1260CP | 06/01/2007 | July 2007 Quarterly Update to the HCPCS Codes for Albuterol, Levalbuterol, and Reclast | 07/02/2007 | 5645 | MM5645 | 06/05/2007 |
R1371CP | 11/02/2007 | Validation of Non-Routine Supply Reporting on Home Health Prospective Payment System (HH PPS) Claims | 04/07/2008 | 5776 | MM5776 | 11/05/2007 |
R1377CP | 11/23/2007 | 2008 Annual Update to the Therapy Code List | 01/07/2008 | 5810 | MM5810 | 11/26/2007 |
R302OTN | 11/02/2007 | Rejection of X12 276 Claim Status Requests That Lack National Provider Identifiers (NPIs) | N/A | 5726 | MM5726 | 11/06/2007 |
R1192CP | 03/02/2007 | Payment and Billing for Islet Isolation Add-On in National Institutes of Health (NIH) Clinical Trial | 04/02/2007 | 5505 | MM5505 | 03/05/2007 |
R298OTN | 11/02/2007 | Update Multi-Carrier System (MCS) to Deactivate Billing Numbers for Non-Frequent Billers (Note, this instruction supersedes CR 5296 dated 9/29/2006) | 04/07/2008 | 5676 | N/A | N/A |
R1360CP | 11/02/2007 | Modifications to the Coordination of Benefits Agreement (COBA) Common Working File (CWF) Logic | 04/07/2008 | 5766 | N/A | N/A |
R301OTN | 11/02/2007 | Automate Adjustments to Home Health Agency (HHA) and Managed Care (MC) Common Working File (CWF) Informational Unsolicited Responses (IURs) | 04/07/2008 | 5782 | N/A | N/A |
R300OTN | 11/02/2007 | Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes for Implementation of Stage 3 of National Provider Identifier (NPI) | 04/07/2008 | 5590 | N/A | N/A |
R89MCM | 11/02/2007 | Chapter 8, Payment to Medicare Advantage Organizations | 11/02/2007 | N/A | N/A | N/A |
R278OTN | 05/25/2007 | Department of Veterans Affairs Medicare-equivalent Remittance Advice (MRA) Project: Continued Use of Part A Legacy Provider Numbers After National Provider Identifiers (NPIs) Are Fully Implemented | 10/01/2007 | 5615 | N/A | N/A |
R278OTN | 05/25/2007 | Department of Veterans Affairs Medicare-equivalent Remittance Advice (MRA) Project: Continued Use of Part A Legacy Provider Numbers After National Provider Identifiers (NPIs) Are Fully Implemented | 10/01/2007 | 5615 | N/A | N/A |
R432PR1 | 05/04/2007 | Inflation factors to update previous years reasonable compensation ranges. | N/A | N/A | N/A | N/A |
R433PR1 | 11/16/2007 | This transmittal updates Chapter 1 | N/A | N/A | N/A | N/A |
R1376CP | 11/16/2007 | Instructions for Downloading the Medicare ZIP Code File for April 2008 | 04/07/2008 | 5736 | N/A | N/A |
R208PI | 06/01/2007 | Expand PSC Data Transfer Files to Include a National Provider Identifier (NPI) for Each Legacy Provider Identifier | N/A | 5393 | N/A | N/A |
R27SOMA | 08/17/2007 | Revisions to Appendix PP Guidance to Surveyors for Long Term Care Facilities | 08/06/2007 | N/A | N/A | N/A |
R229PI | 11/23/2007 | Medical Review Strategy and Strategy Analysis Report | 04/07/2008 | 5760 | N/A | N/A |
R1380CP | 11/23/2007 | Modification to Update the Medicare Summary Notice (MSN) Messages and the MSN Customer Service Information Box | 01/07/2008 | 5799 | N/A | N/A |
R1381CP | 11/23/2007 | File Descriptions for Retrieving the 2008 Pricing and HCPCS Data Files through CMS Mainframe Telecommunications System | 01/07/2008 | 5814 | N/A | N/A |
R303OTN | 11/23/2007 | Addition of Data Elements to the Common Working File Database Extract into the Next Generation Desktop Data Repository | 01/07/2008 | 5709 | N/A | N/A |
R123FM | 06/08/2007 | Contractor CROWD Form 5 Completion Changes | 10/01/2007 | 4274 | N/A | N/A |
R17P236 | 05/01/2007 | Changes to the electronic reporting specifications are effective for cost reporting periods ending on or after December 31, 2006. | N/A | N/A | N/A | N/A |
R118FM | 04/13/2007 | Recurring Update Notification for the Notice of New Interest Rate for Medicare Overpayments and Underpayments - 3rd Qtr. FY 2007 | 04/20/2007 | 5299 | N/A | N/A |
R1262CP | 06/08/2007 | Medicare Fee For Service (FFS) National Provider Identifier (NPI) Crosswalk Status Review | 06/22/2007 | 5649 | N/A | N/A |
R304OTN | 11/30/2007 | Medicare Exclusion Database (MED) Addition of National Provider Identifier (NPI) | 01/07/2008 | 5750 | N/A | N/A |
R1383CP | 11/26/2007 | Adjustment to Payment under Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for Partial Device Credit | 01/07/2008 | 5668 | N/A | N/A |
R1385CP | 11/30/2007 | Shared System Participation in Claim Adjustment Reason Code and Remittance Advice Remark Code Maintenance | 04/07/2008 | 5806 | N/A | N/A |
R1304CP | 07/20/2007 | Reporting of Additional Data to Describe Services on Hospice Claims | 01/07/2008 | 5567 | MM5567 | 08/23/2007 |
R1259CP | 06/01/2007 | July 2007 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes | 07/02/2007 | 5623 | MM5623 | 06/12/2007 |
R1253CP | 05/25/2007 | Quarterly Update to Medically Unlikely Edits (MUEs), Version 1.2, Effective July 1, 2007 | 07/02/2007 | 5603 | MM5603 | 05/30/2007 |
R1264CP | 06/08/2007 | July 2007 Integrated Outpatient Code Editor (I/OCE) Specifications Version 8.2 | 07/02/2007 | 5617 | MM5617 | 06/13/2007 |
R1366CP | 11/02/2007 | Update to Place of Service (POS) Code Set: New Code for Temporary Lodging | 04/07/2008 | 5777 | MM5777 | 11/29/2007 |
R227PI | 11/02/2007 | Update to Requirement to Submit National Provider Identifier (NPI) Notification | 01/07/2008 | 5795 | MM5795 | 11/29/2007 |
R1374CP | 11/07/2007 | Fiscal Year (FY) 2008 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes | 10/18/2007 | 5748 | MM5748 | 12/03/2007 |
R1368CP | 11/02/2007 | Reporting an NPI and the 'EY' Modifier on Claims for DMEPOS Items Dispensed Without a Physician's Order to Obtain a Medicare Denial for Coordination of Benefits (COB) | 04/07/2008 | 5771 | MM5771 | 12/03/2007 |
SE0732 | N/A | Adjustment to Payment Under Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for Partial Device Credit | N/A | N/A | SE0732 | 12/03/2007 |
R1263CP | 06/08/2007 | July Quarterly Update for 2007 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 07/02/2007 | 5641 | MM5641 | 06/12/2007 |
R1266CP | 06/15/2007 | October Quarterly Update to 2007 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 10/01/2007 | 5636 | MM5636 | 06/20/2007 |
R1384CP | 11/30/2007 | Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update | 01/07/2008 | 5800 | MM5800 | 12/04/2007 |
R1386CP | 11/30/2007 | Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 14.0, Effective January 1, 2008 | 01/07/2008 | 5824 | MM5824 | 12/04/2007 |
R87MCM | 06/08/2007 | Update of Chapter 4, Benefits and Beneficiary Protections. | 06/08/2007 | N/A | N/A | N/A |
R209PI | 06/12/2007 | Revise the VIPS Medicare System (VMS) and Medicare Contractor System (MCS) to Expand Files to Include a National Provider Identifier for Each Legacy Provider Identifier | N/A | 5044 | N/A | N/A |
R211PI | 06/22/2007 | Medicare Benefit Vulnerability Reporting | 07/23/2007 | 5581 | N/A | N/A |
R1265CP | 06/12/2007 | Quarterly Update to Medically Unlikely Edits (MUEs), Version 1.2, Effective July 1, 2007 | 07/02/2007 | 5603 | MM5603 | 2007-05-30 |
R1389CP | 12/07/2007 | Implementation of Changes in End Stage Renal Disease (ESRD) Payment for Calendar Year 2008 | 01/07/2008 | 5827 | MM5827 | 12/10/2007 |
R1270CP | 06/15/2007 | July 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective July 1, 2007, and Revisions to the January 2007 and April 2007 Quarterly ASP Medicare Part B Drug Pricing Files | 07/02/2007 | 5646 | MM5646 | 06/20/2007 |
SE0751 | N/A | Clarification on the National Provider Identifier (NPI) Enumerator's Responsibilities | N/A | N/A | SE0751 | 12/10/2007 |
R1216CP | 03/30/2007 | Provider Education for Handling NPI Issues Related to Deceased Providers | 04/30/2007 | 5508 | MM5508 | 04/10/2007 |
SE0724 | N/A | Medicare Payments for Ambulance Transports | N/A | N/A | SE0724 | 06/12/2007 |
R1229CP | 04/27/2007 | Modification to the Model Medicare Redetermination Notice (for partly or fully unfavorable redeterminations) and the ALJ Filing Locations Where the Place of Service Was in Delaware, Kentucky, Puerto Rico, Virginia, &/or the US Virgin Islands. | 07/02/2007 | 5554 | MM5554 | 05/07/2007 |
R225PI | 10/26/2007 | How to Handle the National Provider Identifier (NPI) for Ordering/Referring and Attending/Operating/Other/Service Facility for Medicare Claims | 04/07/2008 | 5674 | MM5674 | 10/30/2007 |
R119FM | 04/20/2007 | Contractor CROWD Form 5 Completion Changes | 10/01/2007 | 4274 | N/A | N/A |
R25SOMA | 04/20/2007 | New Number Series and State Codes for CMS Certification Numbers (formerly OSCAR Provider Numbers) | 10/01/2007 | 5490 | N/A | N/A |
R271OTN | 04/20/2007 | Recovery Audit Contractor (RAC)/Other Medicare Contractors Claims Mass Adjustments in VIPS Medicare System (VMS)-Analysis and Design | 10/01/2007 | 5497 | N/A | N/A |
R81MCM | 04/25/2007 | Updates to Chapter 1, General Provisions | N/A | N/A | N/A | N/A |
R82MCM | 04/25/2007 | Revision to Chapter 6 Relationships with Providers | N/A | N/A | N/A | N/A |
R85MCM | 04/27/2007 | Revisions to Chapter 18 Subpart B Section 110, Determining Deductibles and Coinsurance | 04/27/2007 | N/A | N/A | N/A |
R120FM | 04/27/2007 | Accounts Receivable Trending Analysis Procedures | 07/02/2007 | 5506 | N/A | N/A |
R86MCM | 04/27/2007 | Revisions to Chapter 17, Subpart B, Section 220, Determining Deductibles and Coinsurance | 04/27/2007 | N/A | N/A | N/A |
R294OTN | 10/15/2007 | New Contractor Workload Number for Cahaba Part A Iowa Data | 11/01/2007 | 5566 | N/A | N/A |
R296OTN | 10/19/2007 | New Numbers for All MAC Jurisdictions | N/A | 5651 | N/A | N/A |
R223PI | 10/16/2007 | Instructions for the Implementation and Execution of the Medicare Provider Enrollment Demonstration for Home Health Agencies (HHAs) in High-Risk Areas | 10/19/2007 | 5738 | N/A | N/A |
R224PI | 10/16/2007 | Revise the Fiscal Intermediary Shared System (FISS) to Expand Files to Include a National Provider Identifier (NPI) for Each Legacy Provider Identifier | 12/03/2007 | 5043 | N/A | N/A |
R1252CP | 05/25/2007 | Clarification of Skilled Nursing Facility (SNF) No Pay Billing | 08/27/2007 | 5583 | MM5583 | 05/29/2007 |
R1258CP | 05/29/2007 | July Update to the 2007 Medicare Physician Fee Schedule Database | 07/02/2007 | 5614 | MM5614 | 06/18/2007 |
SE0714 | N/A | Pre-Bidding Activities for the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program | N/A | N/A | SE0714 | 05/15/2007 |
R261OTN | 01/19/2007 | Institutional Value Code Changes | 07/02/2007 | 5411 | MM5411 | 01/23/2007 |
R79BP | 10/19/2007 | Requirements for Ordering and Following Orders for Diagnostic Tests | 11/19/2007 | 5743 | N/A | N/A |
R1188CP | 02/26/2007 | April Update to the 2007 Medicare Physician Fee Schedule Database | 04/02/2007 | 5528 | MM5528 | 03/02/2007 |
R210PI | 06/15/2007 | High Risk Areas | 07/16/2007 | 5626 | N/A | N/A |
SE0734 | N/A | Limitation on Charges for Services Furnished by Medicare Participating Hospitals to Individuals Eligible for Care through Indian Health Service (IHS) Programs | N/A | N/A | SE0734 | 08/15/2007 |
SE0737 | N/A | Notification of the 2008 Physician Election Period for the Part B Drug Competitive Acquisition Program (CAP) | N/A | N/A | SE0737 | 09/27/2007 |
SE0738 | N/A | An Overview of Medicare Covered Diabetes Supplies and Services | N/A | N/A | SE0738 | 11/19/2007 |
SE0744 | N/A | IMPORTANT NPI AND ENROLLMENT INFORMATION FOR PHYSICIANS AND NON - PHYSICIAN PRACTITIONERS | N/A | N/A | SE0744 | 10/11/2007 |
SE0745 | N/A | Special "Skilled Nursing Facility" (SNF) Definition Used in Determining Durable Medical Equipment (DME) Coverage, and in Ending a Benefit Period or "Spell of Illness" | N/A | N/A | SE0745 | 10/25/2007 |
SE0746 | N/A | Coding for Polypectomy Performed During Screening Colonoscopy or Flexible Sigmoidoscsopy | N/A | N/A | SE0746 | 11/08/2007 |
SE0748 | N/A | 2007 - 2008 Influenza (Flu) Season Resources for Health Care Professionals | N/A | N/A | SE0748 | 11/13/2007 |
SE0749 | N/A | Addressing Misinformation Regarding Chiropractic Services and Medicare | N/A | N/A | SE0749 | 12/14/2007 |
SE0750 | N/A | Centers for Medicare & Medicaid Services (CMS) Seeks Provider Input on Satisfaction with Medicare Fee-for-Service Contractor Services | N/A | N/A | SE0750 | 12/07/2007 |
R1288CP | 07/13/2007 | Update to the Place of Service (POS) Code Set to Add a Code for Prison/Correctional Facility - VMS Only | 01/07/2008 | 5331 | MM5331 | 07/26/2007 |
R19COM | 06/29/2007 | IOM Pub 100-09, Chapters 3, Provider Inquiries and Chapter 6 - Provider Customer Service Program Updates | 07/30/2007 | 5597 | MM5597 | 07/05/2007 |
R20COM | 07/13/2007 | IOM Pub. 100-09, Chapters 3- Provider Inquiries and Chapter6- Provider Customer Service Program Updates | 07/30/2007 | 5597 | MM5597 | 2007-07-05 |
R1284CP | 07/09/2007 | Chapter 24 Update and EFT Format Standardization | 10/01/2007 | 5586 | MM5586 | 07/19/2007 |
R1296CP | 07/18/2007 | Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process | 10/01/2007 | 5569 | N/A | N/A |
R1232CP | 04/27/2007 | Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process | 10/01/2007 | 5563 | N/A | N/A |
R46GI | 07/20/2007 | Implement New Contractor ID for Single Testing Contractor (STC) | 01/07/2008 | 5648 | N/A | N/A |
R1303CP | 07/20/2007 | Modification of Part B Flat File for Electronic Remittance Advice Transaction 835 | 01/07/2008 | 5695 | N/A | N/A |
R1301CP | 07/20/2007 | Revised Information on PET Scan Coding | 01/07/2008 | 5665 | MM5665 | 07/31/2007 |
R1300CP | 07/20/2007 | Healthcare Provider Taxonomy Codes (HPTC) Update October 2007 | 10/01/2007 | 5673 | N/A | N/A |
R1166CP | 01/26/2007 | Correction to the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) Pricer | 04/02/2007 | 5455 | MM5455 | 01/31/2007 |
SE0723 | N/A | Important Notice Regarding Vaccine Administrations in 2008 | N/A | N/A | SE0723 | 05/30/2007 |
R1234CP | 04/27/2007 | Update of HCPCS Codes for Hemophilia Clotting Factors | 10/02/2007 | 5466 | MM5466 | 04/30/2007 |
R1387CP | 12/07/2007 | Mammography: Change Certification-Based Action from Return to Provider (RTP)/Return as Unprocessable to Reject/Denial | 04/07/2008 | 5577 | MM5577 | 12/14/2007 |
R1372CP | 11/02/2007 | Reporting of Additional Data to Describe Services on Hospice Claims | 01/07/2008 | 5567 | MM5567 | 08/22/2007 |
R198PI | 04/13/2007 | New DMEPOS Certificates of Medical Necessity (CMNs) and DME Information Forms (DIFS) for Claims Processing. | 07/02/2007 | 5571 | MM5571 | 05/04/2007 |
R1316CP | 08/17/2007 | Anesthesia Services Furnished by the Same Physician Providing the Medical and Surgical Service | 10/01/2007 | 5618 | MM5618 | 08/22/2007 |
R1324CP | 08/27/2007 | Anesthesia Services Furnished by the Same Physician Providing the Medical and Surgical Service | 10/01/2007 | 5618 | MM5618 | 08/22/2007 |
R75BP | 08/17/2007 | Nurse Practitioner (NP) Services and Clinical Nurse Specialist (CNS) Services | 11/19/2007 | 5639 | MM5639 | 08/20/2007 |
R219PI | 08/17/2007 | Nurse Practitioner (NP) Services and Clinical Nurse Specialist (CNS) Service | 11/19/2007 | 5639 | MM5639 | 08/20/2007 |
R71NCD | 06/29/2007 | Percutaneous Transluminal Angioplasty (PTA) | 07/30/2007 | 5660 | MM5660 | 07/09/2007 |
R1318CP | 08/17/2007 | Ambulance: New Remark Code for Denying Separately Billed Services | 10/01/2007 | 5659 | MM5659 | 08/20/2007 |
R69BP | 05/04/2007 | Change to the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) Discharge Bill | 12/03/2007 | 5474 | MM5474 | 05/07/2007 |
R1231CP | 05/04/2007 | The Use of Benefit's Exhaust (BE) Day as the Day of Discharge for Payment Purposes for the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) and Clarification of Discharge for Long Term Care Hospitals (LTCH) and the Allowance of No-Pay Benefits Exhaust Bills (TOB 110) | 12/03/2007 | 5474 | MM5474 | 05/07/2007 |
R1206CP | 03/16/2007 | Extracorporeal Photopheresis | 04/02/2007 | 5464 | MM5464 | 03/21/2007 |
R1221CP | 04/18/2004 | Common Working File (CWF) Duplicate Claim Edit for the Technical Component (TC) of Radiology and Pathology Laboratory Services Provided to Hospital Patients | 04/02/2007 | 5347 | MM5347 | 04/16/2007 |
R1151CP | 01/11/2007 | Skilled Nursing Facility (SNF) Consolidated Billing (CB) Common Working File (CWF) Edit Bypass Instructons for Hospital Emergency Room Services Spanning Multiple Service Dates | 04/02/2007 | 5389 | MM5389 | 01/12/2007 |
R1149CP | 01/05/2007 | Revision of Chapter 31 Eligibility Rules of Behavior | 04/02/2007 | 5431 | MM5431 | 01/10/2007 |
SE0726 | N/A | Clarification About the Medical Privacy of Protected Health Information | N/A | N/A | SE0726 | 07/19/2007 |
R1330CP | 08/31/2007 | Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 13.3, Effective October 1, 2007 | 10/01/2007 | 5703 | MM5703 | 09/04/2007 |
R213PI | 06/29/2007 | Various Benefit Integrity Revisions | 07/30/2007 | 5630 | N/A | N/A |
SE0709 | N/A | Reminder - Medicare Provides Coverage of Prostate Cancer Screening for Eligible Medicare Beneficiaries | N/A | N/A | SE0709 | 03/02/2007 |
R69NCD | 05/11/2007 | Bone Mass Measurements (BMMs) | 07/02/2007 | 5521 | MM5521 | 05/18/2007 |
R1336CP | 09/14/2007 | October 2007 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes | 10/01/2007 | 5718 | MM5718 | 09/17/2007 |
R129FM | 07/13/2007 | Notice of New Interest Rate for Medicare Overpayments and Underpayments - 4th Qtr. FY 2007. | 07/20/2007 | 5300 | N/A | N/A |
R1294CP | 07/13/2007 | Revision of the Fiscal Intermediary Standard System (FISS) to Forward Payment Ambulatory Payment Classification (APC) to the Common Working File (CWF) | 01/07/2008 | 5599 | N/A | N/A |
R1226CP | 04/20/2007 | Medicare Program, Correction of Hospice Cap for FYs 2003 and 2004 | 07/31/2007 | 5596 | N/A | N/A |
R84MCM | 04/25/2007 | Revisions to Chapter 12-Effect of Change of Ownership | 04/25/2007 | N/A | N/A | N/A |
R83MCM | 04/25/2007 | Chapter 11, Medicare Advantage Application Procedures and Contract Requirements | 04/25/2007 | N/A | N/A | N/A |
R1285CP | 07/13/2007 | Renal Dialysis Facility Line Item Billing Requirement for Epoetin Alfa (EPO) Submitted on End Stage Renal Disease (ESRD) Claims | 01/07/2008 | 5545 | MM5545 | 07/17/2007 |
R1280CP | 06/29/2007 | Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2008 | 10/01/2007 | 5685 | MM5685 | 07/16/2007 |
R1289CP | 07/13/2007 | Additional Common Working File (CWF) Editing for Skilled Nursing Facility (SNF) Consolidated Billing (CB) | 01/02/2008 | 5624 | MM5624 | 07/16/2007 |
R73BP | 06/29/2007 | Coverage Requirements for Therapy Services Provided in a Skilled Nursing Facility | 10/01/2007 | 5532 | MM5532 | 07/19/2007 |
SE0727 | N/A | Reimbursement for Vaccines and Vaccine Administration Under Medicare Part D | N/A | N/A | SE0727 | 07/10/2007 |
SE0729 | N/A | Important Guidance on the New CMS-1500 and UB-04 Forms | N/A | N/A | SE0729 | 08/02/2007 |
R1314CP | 07/23/2007 | Claim Status Category Code and Claim Status Code Update | 01/07/2008 | 5687 | MM5687 | 08/06/2007 |
R1311CP | 07/20/2007 | Capturing Medicare Advantage (MA) Beneficiary Days in the Medicare/Supplemental Security Income (SSI) Fraction for Disproportionate Share Hospital (DSH) Data | 01/07/2008 | 5647 | MM5647 | 08/01/2007 |
R1274CP | 06/29/2007 | Appeals of Claims Decisions: Appointment of Representatives; Fraud and Abuse; Guidelines for Writing Appeals Correspondence; Disclosure of Information. | 10/01/2007 | 5460 | MM5460 | 07/02/2007 |
R1307CP | 07/20/2007 | Modification to the National Monitoring Policy for Erythropoietic Stimulating Agents (ESAs) for End-Stage Renal Disease (ESRD) Patients Treated in Renal Dialysis Facilities | 01/07/2008 | 5700 | MM5700 | 07/24/2007 |
SE0733 | N/A | The 2007 Medicare Contractor Provider Satisfaction Survey (MCPSS) Shows Positive Results for Medicare's Fee-for-Service Contractors | N/A | N/A | SE0733 | 08/07/2007 |
SE0728 | N/A | Reasons for Provider Notification of Medicare Claims Disputed/Rejected by Supplemental Payers/Insurers | N/A | N/A | SE0728 | 08/02/2007 |
R1290CP | 07/13/2007 | Clarification of Skilled Nursing Facility (SNF) Billing Requirements for Beneficiaries Enrolled in Medicare Advantage (MA) Plans | 01/07/2008 | 5653 | MM5653 | 07/16/2007 |
R1278CP | 06/29/2007 | Update to Pub. 100-04, Chapter 18, Section 10 for Part B influenza Billing | 07/30/2007 | 5511 | MM5511 | 07/12/2007 |
R1313CP | 07/23/2007 | Response to Competitive Acquisition for Part B Drugs and Biologicals (CAP) Claims When the Common Working File (CWF) 69XD Error Code is Received | 08/23/2007 | 5658 | MM5658 | 08/07/2007 |
R217PI | 07/13/2007 | Provider Enrollment Fraud Detection Program for High Risk Areas | 08/13/2007 | 5633 | N/A | N/A |
R45GI | 07/13/2007 | Cancellation of Data File Extract in CR 3801 | 01/07/2008 | 5620 | N/A | N/A |
R1287CP | 07/13/2007 | Instructions for Downloading the Medicare ZIP Code Files- January 2008 | 01/07/2008 | 5657 | N/A | N/A |
R287OTN | 07/13/2007 | FISS Recoupment and Claims Adjustment Process Changes- Limitation of Recoupment- Analysis and Design | 01/07/2008 | 5605 | N/A | N/A |
R126FM | 07/13/2007 | Manual Revision Re: MSN Workload Reporting | 01/07/2008 | 5642 | N/A | N/A |
R127FM | 07/13/2007 | Instructions for Documenting Scoping Decision of Providers Internal Controls Revisions to Continuing Education and Training and Revision Regarding Time Frame for Settling Cost Reports | 10/01/2007 | 5661 | N/A | N/A |
R125FM | 06/29/2007 | Instructions for Completion of the Contractors Monthly Bank Reconciliation Worksheet | 07/30/2007 | 5592 | N/A | N/A |
R216PI | 07/13/2007 | Implementation of New Compliance Standards for Independent Diagnostic Testing Facilities (IDTFs) | 10/01/2007 | 5672 | N/A | N/A |
R1198CP | 03/09/2007 | April 2007 Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) Specifications Version 8.1 | 04/02/2007 | 5522 | MM5522 | 03/12/2007 |
R222PI | 09/14/2007 | Discontinuance of the Unique Physician Identification Number (UPIN) Registry | 06/29/2007 | 5584 | MM5584 | 06/01/2007 |
R1328CP | 08/31/2007 | Delete References to Reporting of the National Provider Identifier (NPI) on or after May 23, 2007, and Revise References to a 'When Required' Date. | 10/01/2007 | 5678 | MM5678 | 09/04/2007 |
R1321CP | 08/24/2007 | Sunset of the Physician Scarcity Area (PSA) Bonus Payment | 01/07/2008 | 5711 | MM5711 | 09/13/2007 |
R1323CP | 08/24/2007 | Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2008 | 10/01/2007 | 5694 | MM5694 | 08/27/2007 |
R1346CP | 09/28/2007 | New Waived Tests | 10/01/2007 | 5715 | MM5715 | 10/02/2007 |
R1357CP | 10/26/2007 | Payment: Allowances for the Influenza Virus Vaccine and the Pneumococcal Vaccine When Payment is Based on 95 Percent of the Average Wholesale Price (AWP) | 11/26/2007 | 5744 | MM5744 | 10/30/2007 |
R72NCD | 08/28/2007 | Ultrasound Diagnostic Procedures | 09/28/2007 | 5608 | MM5608 | 2007-09-13 |
R133FM | 10/12/2007 | Notice of New Interest Rate for Medicare Overpayments and Underpayments - 1st Notification for FY 2008 | 10/19/2007 | 5754 | N/A | N/A |
R1347CP | 09/28/2007 | MSN Message: Revised 38.13 | 10/29/2007 | 5722 | MM5722 | 10/15/2007 |
R1349CP | 10/05/2007 | Medicare Fee For Service (FFS) National Provider Identifier (NPI) Final Implementation | N/A | 5728 | MM5728 | 10/09/2007 |
R1365CP | 11/02/2007 | Additional Common Working File (CWF) Editing for Skilled Nursing Facility (SNF) Consolidated Billing (CB) - Part II | 04/07/2008 | 5757 | MM5757 | 11/05/2007 |
R1344CP | 09/28/2007 | Reasonable Charge Update for 2008 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, and Certain Intraocular Lenses | 01/07/2008 | 5740 | MM5740 | 10/02/2007 |
R1350CP | 10/05/2007 | Correction to CR 5635 Revised HCPCS Codes Relating to Immune Globulin | 11/05/2007 | 5741 | MM5741 | 10/09/2007 |
R1348CP | 10/05/2007 | Billing Instructions for the Home Health Prospective Payment System (HH PPS) Case Mix Refinement | 11/05/2007 | 5746 | MM5746 | 10/09/2007 |
R1399CP | 12/19/2007 | Handling Personally Identifiable Information on the Medicare Summary Notice | 01/07/2008 | 5770 | MM5770 | 12/27/2007 |
R1388CP | 12/07/2007 | Fee Schedule Update for 2008 for Durable Medical Equipment, Prosthetics, Orthotics and Supplies | 01/07/2008 | 5803 | MM5803 | 12/10/2007 |
R78NCD | 12/05/2007 | Pulmonary Rehabilitation Services | 01/07/2008 | 5834 | MM5834 | 12/10/2007 |
SE0730 | N/A | Key Medicare News for 2008 for Physicians and Other Health Care Professionals | N/A | N/A | SE0730 | 10/19/2007 |
SE0736 | N/A | Required Use of Tamper-Resistant Prescription Pads for Outpatient Drugs Prescribed to Medicaid Recipients on or After October 1, 2007 | N/A | N/A | SE0736 | 08/20/2007 |
R1345CP | 09/28/2007 | Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update | 10/01/2007 | 5721 | MM5721 | 10/02/2007 |
SE0713 | N/A | Accreditation Information for Suppliers of Durable Medical Equipment, Orthotics, Prosthetics, and Supplies (DMEPOS) | N/A | N/A | SE0713 | 04/03/2007 |
R1351CP | 10/05/2007 | Correction to CR5645 -July 2007 Quarterly Update to the HCPCS Codes for Albuterol, Levalbuterol, and Reclast | 11/05/2007 | 5735 | MM5735 | 10/09/2007 |
R76NCD | 09/12/2007 | Ultrasound Diagnostic Procedures | 09/28/2007 | 5608 | MM5608 | 09/13/2007 |
R295OTN | 10/15/2007 | Durable Medical Equipment Medicare Administrative Contractors (DME MACs) - Discontinuance/Cancellation of the Use of a WL Modifier on Claims for the DeWall Posture Protector Orthotic Body Jacket HCPCS Code (L0430) | 11/16/2007 | 5758 | MM5758 | 10/17/2007 |
R78BP | 09/21/2007 | Unlabeled Use for Anti-Cancer Drugs: Medical Literature Used to Determine Medically Accepted Indications for Drugs and Biologicals Used in Anti-Cancer Treatment | 10/22/2007 | 5729 | MM5729 | 09/25/2007 |
R1353CP | 10/15/2007 | Application of ASCA Enforcement Review Decisions Made by Other Medicare Contractors to the Same Providers When Selected for ASCA Review by the Railroad Medicare Carrier, Elimination of References to Claim Status and COB Medicare HIPAA Contingency Plans and Changes to Reflect Transfer of Responsibility for Medigap Claims to the COBC Contractor | 01/07/2008 | 5606 | MM5606 | 10/17/2007 |
R1187CP | 02/23/2007 | Revisions to Incomplete or Invalid Claims Instructions Necessary to Implement the Revised Health Insurance Form CMS-1500(8/05) | 05/23/2007 | 5391 | MM5391 | 02/27/2007 |
R1208CP | 03/19/2007 | Extension for Acceptance of Form CMS - 1500 (12-90) | 04/02/2007 | 5568 | MM5568 | 03/21/2007 |
R1320CP | 08/20/2007 | 2008 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payment | 01/07/2008 | 5698 | MM5698 | 09/25/2007 |
R285OTN | 06/22/2007 | Implement Changes to the VMS DME Standard System to include SAFE Audit Records | 10/01/2007 | 5565 | N/A | N/A |
R284OTN | 06/22/2007 | Limiting Numbers of Letters Automatically Generated For Claims Suspended When There is No One-to-One Match of National Provider Identifier (NPI) to Legacy Provider Number | 10/01/2007 | 5621 | N/A | N/A |
R214PI | 06/29/2007 | Clarification of Provider Enrollment Revocations | 07/30/2007 | 5504 | N/A | N/A |
R286OTN | 06/29/2007 | Adding a CMS Specialty Code for Suppliers of Oxygen and/or Oxygen Related Equipment | 01/02/2008 | 5563 | N/A | N/A |
R212PI | 06/29/2007 | Administrative Appeals for Provider Enrollment | 10/01/2007 | 5467 | N/A | N/A |
R1276CP | 06/29/2007 | Waiving Medicare Fee-for-Service Appeals Requirements | 07/30/2007 | 5322 | N/A | N/A |
R1355CP | 10/19/2007 | National Uniform Billing Committee (NUBC) Update on Revenue Codes and Corrected Skilled Nursing Facility (SNF) Spell of Illness Chart | 01/22/2007 | 5734 | MM5734 | 10/25/2007 |
R70BP | 05/11/2007 | Bone Mass Measurements (BMMs) | 07/02/2007 | 5521 | MM5521 | 05/18/2007 |
R1236CP | 05/11/2007 | Bone Mass Measurements (BMMs) | 07/02/2007 | 5521 | MM5521 | 05/18/2007 |
R1352CP | 10/15/2007 | Billing Instructions Regarding Payment for Hospice Care Based on Location Where Care is Furnished | 01/07/2008 | 5745 | MM5745 | 10/17/2007 |
R1319CP | 08/17/2007 | Date of Service for Laboratory Specimens | 01/01/2008 | 5573 | MM5573 | 08/20/2007 |
R124FM | 06/29/2007 | Treasury Collections on Non-Medicare Secondary Payer (Non-MSP) Debts | 07/30/2007 | 5631 | N/A | N/A |
R276OTN | 05/01/2007 | New Contractor Number for Jurisdiction 3 Arizona Part A Workload | 10/01/2007 | 5589 | N/A | N/A |
R1228CP | 04/27/2007 | Instructions for Implementation of CMS 1536-R; Astigmatism-Correcting Intraocular Lens (A-C IOLs) | 05/29/2007 | 5527 | MM5527 | 04/30/2007 |
R1312CP | 07/20/2007 | Timeliness Standards for Processing Other-Than-Clean Claims | 01/07/2008 | 5513 | MM5513 | 08/13/2007 |
R1335CP | 09/14/2007 | Updating the Internet Only Manual (IOM) to Include Language "or NPI When Required" | 10/01/2007 | 5708 | N/A | N/A |
R29SOMA | 10/12/2007 | New Number Series and State Codes for CMS Certification Numbers (formerly OSCAR Provider Numbers | 10/01/2007 | 5490 | N/A | N/A |
R132FM | 10/05/2007 | Chapter 7, Internal Control Requirement Update | 11/05/2007 | 5701 | N/A | N/A |
R293OTN | 10/05/2007 | Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Change | 10/01/2007 | 5705 | N/A | N/A |
R1363CP | 11/02/2007 | Analysis and Design Only - Processing All Diagnosis Codes Reported on Claims Submitted to Durable Medical Equipment Medicare Administrative Contractors (DME MACs) | 04/07/2008 | 5030 | N/A | N/A |
R200PI | 04/27/2007 | Update Program Integrity Management Reporting (PIMR) System for Multi Carrier System (MCS) to Recognize New "T" and "F" Codes and to Expand the MCS Contractor Bill Type Code Table to Accommodate the New "T" and "F" Codes | 10/01/2007 | 5236 | N/A | N/A |
R1239CP | 05/11/2007 | Enhancements to Claims Processing Requirements for the Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals for the October 2007 Release | 10/01/2007 | 5579 | N/A | N/A |
R297OTN | 10/26/2007 | Instructions for Fiscal Intermediary Standard System (FISS), Multi-Carrier System (MCS) and Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes | 01/07/2008 | 5773 | N/A | N/A |
R1359CP | 10/26/2007 | Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes | 01/07/2008 | 5762 | N/A | N/A |
R23P21 | 10/19/2007 | Provider Cost Reporting Forms and Instructions, Chapter 1, General | N/A | N/A | N/A | N/A |
R74BP | 06/29/2007 | Medicare Telehealth Services | 01/07/2008 | 5628 | MM5628 | 12/03/2007 |
R1277CP | 06/29/2007 | Medicare Telehealth Services | 01/07/2008 | 5628 | MM5628 | 12/03/2007 |
SE0743 | N/A | Clarification Concerning Provider Billing Procedures Related to the Transition of the Medigap claim-based Crossover Process to the Coordination of Benefits Contractor on October 1, 2007 | N/A | N/A | SE0743 | 09/25/2007 |
SE0742 | N/A | Revised Payment System for Ambulatory Surgical Centers (ASC) in Calendar Year (CY) 2008 | N/A | N/A | SE0742 | 09/19/2007 |
R283OTN | 06/15/2007 | Notifying Affected Parties Regarding Changes to the Mandatory Medigap ("Claim-Based") Crossover Process | 07/16/2007 | 5662 | MM5662 | 06/25/2007 |
R1218CP | 04/02/2007 | Program Instructions Designating the Competitive Bidding Areas and Product Categories Included in the CY 2007 DMEPOS Competitive Bid Program | 04/02/2007 | 5574 | MM5574 | 04/05/2007 |
SE0717 | N/A | Initial Supplier Registration for Competitive Bidding Program for DMEPOS is Now Open | N/A | N/A | SE0717 | 04/10/2007 |
R1358CP | 10/26/2007 | Medicare Physician Fee Schedule Database (MPFSDB) 2008 File | 01/07/2008 | 5774 | N/A | N/A |
R1354CP | 10/18/2007 | Fiscal Year (FY) 2008 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes | 10/18/2007 | 5748 | N/A | N/A |
R275OTN | 05/01/2007 | New Contractor Workload Number for Cahaba Part A Iowa Data | 11/01/2007 | 5566 | N/A | N/A |
R121FM | 05/02/2007 | Contractor CROWD Form 5 Completion Changes | 10/01/2007 | 4274 | N/A | N/A |
R1356CP | 10/19/2007 | Calendar Year (CY) 2008 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures | 11/09/2007 | 5732 | N/A | N/A |
R1370CP | 11/02/2007 | 2008 Healthcare Common Procedure Coding System (HCPCS) Annual Update | 04/07/2008 | 5775 | N/A | N/A |
R1193CP | 03/09/2007 | Use of 9-Digit ZIP codes for Determining the Correct Payment Locality for Services Paid Under the Medicare Physician Fee Schedule (MPFS) and Anesthesia Services | 10/01/2007 | 5208 | MM5208 | N/A |
R202PI | 05/18/2007 | Medical Review Re-openings | 10/01/2007 | 5246 | N/A | N/A |
R1244CP | 05/18/2007 | New Waived Tests | 07/02/2007 | 5600 | N/A | N/A |
R203PI | 05/25/2007 | Strategy Analysis Report (SAR) | 07/02/2007 | 5519 | N/A | N/A |
R1246CP | 05/22/2007 | Home Health Agencies (HHAs) Providing Durable Medical Equipment (DME) in Competitive Bidding Areas | 04/01/2008 | 5551 | N/A | N/A |
R279OTN | 05/25/2007 | Continuation of Legacy Number Reporting on Outbound Claims for COBA Process | 07/02/2007 | 5549 | N/A | N/A |
R122FM | 05/25/2007 | CMS Reporting Requirements With the Exception of MSP for Unsolicited/Voluntary Refunds | 06/25/2007 | 5570 | N/A | N/A |
R204PI | 05/25/2007 | Comprehensive Error Rate Testing (CERT) Program Changes | 06/25/2007 | 4120 | N/A | N/A |
R72BP | 05/25/2007 | Guidelines for Payment of Diabetes Self-Management Training (DSMT) | 07/02/2007 | 5433 | N/A | N/A |
R281OTN | 05/25/2007 | Revision on the Medicare Summary Notice (MSN) Printing Cycle | 10/01/2007 | 5588 | N/A | N/A |
R1254CP | 05/25/2007 | National Uniform Billing Committee (NUBC) Update to Chapter 25 | 06/11/2007 | 5593 | N/A | N/A |
R282OTN | 05/25/2007 | Common Working File Informational Unsolicited Response--Analysis Only | 10/01/2007 | 5611 | N/A | N/A |
R1237CP | 05/11/2007 | Instructions for Downloading the Medicare ZIP Code Files - October 2007 | 10/01/2007 | 5575 | N/A | N/A |
R53DEMO | 04/27/2007 | Method of Payment for Extended Stay Services under the Frontier Extended Stay Clinic Demonstration, Authorized by Section 434 of the Medicare Modernization Act | 10/01/2007 | 5454 | MM5454 | 05/07/2007 |
R128FM | 07/13/2007 | Revisions to Instructions On Chapter 1-Budget Preparation-Intermediaries and Carriers and Chapter 2-Budget Execution of the Medicare Financial Management (Pub.100-06) | 08/13/2007 | 5682 | N/A | N/A |
R13P232 | 05/18/2007 | To reflect further clarification to existing instructions and incorporates | N/A | N/A | N/A | N/A |
R1249CP | 05/25/2007 | Update to Publication 100-4, Chapters 1 & 15 for ZIP5 and ZIP9 Medicare ZIP Code Files. | 10/01/2007 | 5578 | N/A | N/A |
R44GI | 05/25/2007 | Fee-for-Service Contractor Transition Handbooks | 07/02/2007 | 5446 | N/A | N/A |
R280OTN | 05/25/2007 | Adding Three CMS Specialty Codes for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) | 01/02/2008 | 5576 | N/A | N/A |
R1255CP | 05/25/2007 | Guidelines for Payment of Diabetes Self-Management Training (DSMT | 07/02/2007 | 5433 | N/A | N/A |
R201PI | 05/11/2007 | Revise the Fiscal Intermediary Shared System (FISS) to Expand Files to Include a National Provider Identifier (NPI) for Each Legacy Provider Identifier | 12/03/2007 | 5043 | N/A | N/A |
R197PI | 04/06/2007 | Revise the VIPS Medicare System (VMS) and Medicare Contractor System (MCS) to Expand Files to Include a National Provider Identifier (NPI) for Each Legacy Provider Identifier | 07/02/2007 | 5044 | N/A | N/A |
R1173CP | 02/02/2007 | Timeliness Standards for Processing Other-Than-Clean Claims | 07/02/2007 | 5355 | MM5355 | 02/06/2007 |
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