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2012 MLN Matters Articles

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Transmittal # Issue Date Subject Implementation Date CR # MM Article # MM Article Release Date
R202FM 01/06/2012 Recovery Audit Program MAC-issued Demand Letters 01/03/2012 7436 N/A N/A
R1013OTN 01/06/2012 Contractor Instructions to Implement International Classification of Diseases-10th Revision (ICD-10) Plans N/A 7592 N/A N/A
R140NCD 01/06/2012 Autologous Cellular Immunotherapy Treatment of Metastatic Prostate Cancer 08/08/2011 7431 N/A N/A
R2380CP 01/06/2012 Autologous Cellular Immunotherapy Treatment of Metastatic Prostate Cancer 08/08/2011 7431 N/A N/A
R203FM 01/11/2012 Notice of New Interest Rate for Medicare Overpayments and Underpayments - 2nd Notification for FY 201 01/19/2012 7570 N/A N/A
SE1202 N/A Health Professional Shortage Area (HPSA) Bonus Payment Policy Reminders N/A N/A SE1202 01/12/2012
R2383CP 01/12/2012 FISS Claims Processing Updates for Ambulance Services. 04/02/2012 7557 N/A N/A
R2384CP 01/13/2012 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 18.1, Effective April 1, 2012 04/02/2012 7726 MM7726 01/17/2012
R402PI 01/13/2012 Advanced Diagnostic Imaging (ADI) Accreditation Enrollment Procedures (This CR Fully Rescinds and Replaces CR 7177.) 01/27/2012 7681 MM7681 01/17/2012
R76GI 01/13/2012 Allowing Physician Assistants to Perform Skilled Nursing Facility (SNF) Level of Care Certifications and Recertification's 02/13/2012 7701 MM7701 01/18/2012
R153BP 01/13/2012 Allowing Physician Assistants to Perform Skilled Nursing Facility (SNF) Level of Care Certifications and Recertification's 02/13/2012 7701 MM7701 01/18/2012
R2379CP 01/18/2012 Summary of Policies in the CY 2012 Medicare Physician Fee Schedule (MPFS) Final Rule and the Telehealth Originating Site Facility Fee Payment Amount 01/03/2012 7671 N/A N/A
SE1201 N/A Important Reminder for Providers and Suppliers Who Provide Services and Items Ordered or Referred by Other Providers and Suppliers N/A N/A SE1201 01/20/2012
R79SOMA 01/20/2012 Revised Exhibit 286, Hospital/CAH Database Worksheet 01/20/2012 N/A N/A N/A
R404PI 01/20/2012 General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part I 04/22/2012 7579 N/A N/A
R1015OTN 01/20/2012 Emergency Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB) 01/26/2012 7737 MM7737 01/24/2012
R403PI 01/20/2012 Claims against Surety Bonds for Suppliers of Durable Medicare Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) 02/21/2012 7167 MM7167 01/25/2012
R2394CP 01/25/2012 CWF Editing for Autologous Cellular Immunotherapy Treatment of Metastatic Prostate Cancer (PROVENGE) 07/02/2012 7659 N/A N/A
R1023OTN 01/26/2012 Common Edits and Enhancements Module (CEM) and Receipt, Control, and Balancing Updates - July 2012 N/A 7713 N/A N/A
R1024OTN 01/26/2012 Common Edits and Enhancements Modules (CEM) Code Set Update 07/02/2012 7665 N/A N/A
R1021OTN 01/26/2012 Automated Tracking and Reporting of Recovery Audit-Associated Reopenings and Appeals N/A 7604 N/A N/A
R1027OTN 01/26/2012 New Occurrence Span Code to Report Antepartum Days 07/02/2012 7716 N/A N/A
R1029OTN 01/26/2012 Delayed Work from CR 7589: Request to Require Hours for Research and Conference Calls with Maintainers, MACs, and EDCs and Additional Requirements for IDR Shared Systems 07/02/2012 7662 N/A N/A
R82DEMO 01/26/2012 Implementation Support and Payment Processing for the Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration- Additional Requirements 07/02/2012 7693 N/A N/A
R1031OTN 01/26/2012 Analysis and Design of Edits to Correct Recovery Auditor Identified Improper Payments in MCS. 07/02/2012 7673 N/A N/A
R1022OTN 01/26/2012 Fee for Service Common Eligibility Services Conference Calls and Research 07/02/2012 7712 N/A N/A
R1028OTN 01/26/2012 Contractor Instructions to Implement International Classification of Diseases-10th Revision (ICD-10) Plans N/A 7592 N/A N/A
R1026OTN 01/26/2012 Implementation of the HIPAA Version 5010 276/277 Claim Status Edits July 2012 Release 07/02/2012 7582 N/A N/A
R1025OTN 01/26/2012 Enterprise Electronic Change Information Management Portal (ECHIMP) 07/02/2012 7643 N/A N/A
R1033OTN 01/27/2012 Analysis of Improper Overpayments to Design Edits to Correct these Overpayments in CWF, MCS, and FISS 07/02/2012 7661 N/A N/A
R1037OTN 01/27/2012 Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes - July 2012 07/02/2012 7664 N/A N/A
R1038OTN 01/27/2012 Updates to Editing of Patient Discharge Status Codes on Hospice Claims 07/02/2012 7690 N/A N/A
R2393CP 01/25/2012 Inpatient Rehabilitation Facility (IRF) No-Pay Billing for Medicare Advantage (MA) Patients Update 07/02/2012 7674 MM7674 01/27/2012
R2396CP 01/26/2012 April 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 04/02/2012 7734 MM7734 01/30/2012
R1032OTN 01/26/2012 Revisions to the Hospice Medicare Summary Notice (MSN) 07/02/2012 7675 MM7675 01/30/2012
R1016OTN 01/25/2012 Direct Mailing to Medicare Providers About the 2012 Electronic Prescribing Payment 02/27/2012 7730 N/A N/A
R1030OTN 01/26/2012 Health Insurance Portability and Accountability Act (HIPAA) 5010 837 Institutional (837I) Edits and 5010 837 Professional (837P) Edits - July 2012 Versio4 07/02/2012 7719 N/A N/A
R2395CP 01/26/2012 Multiple Procedure Payment Reduction (MPPR) for Physician Services for Certain Diagnostic Imaging Procedures in Critical Access Hospitals (CAH) 07/02/2012 7684 MM7684 01/31/2012
R2391CP 01/25/2012 New Hospice Condition Code for Out of Service Area Discharges 07/02/2012 7677 MM7677 01/31/2012
R1019OTN 01/25/2012 Update to the Fiscal Year (FY) 2012 List of Codes Exempt from Reporting Present on Admission (POA) 07/02/2012 7680 MM7680 01/31/2012
R2390CP 01/25/2012 Revised Editing for Hepatitis B Administration Code G0010 07/02/2012 7692 MM7692 01/31/2012
R2403CP 01/26/2012 Medicare System Update to Include a Rendering Provider Field to Allow Correct Physician National Provider Identifier (NPI) Reporting for the Primary Care Incentive Program (PCIP) for Critical Access Hospitals (CAHs) Reimbursed Under the Optional Method 07/02/2012 7686 MM7686 01/30/2012
R2406CP 01/30/2012 Announcement of Medicare Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Payment Rate Increases 01/03/2012 7533 MM7533 11/14/2011
R1017OTN 01/24/2012 Instructions to Teaching Hospitals for Reporting the Internal Revenue Service (IRS) Refund of Medical Resident FICA Taxes 01/30/2012 7685 MM7685 01/04/2012
R1014OTN 01/06/2012 Instructions to Teaching Hospitals for Reporting the Internal Revenue Service (IRS) Refund of Medical Resident FICA Taxes 02/06/2012 7685 MM7685 01/04/2012
R2388CP 01/20/2012 Update to Pub 100-04, Medicare Claims Processing Manual, Chapter 3: Inpatient Hospital Billing 04/22/2012 7706 MM7706 02/02/2012
R2399CP 01/26/2012 Clarification for Skilled Nursing Facility (SNF) and Swing Bed (SB) Part A Billing - Updating System Requirements for Assessment Date Reporting and Removal of the Occurrence Code 16 Reporting Requirement 07/02/2012 7717 MM7717 01/31/2012
R83MSP 02/03/2012 Electronic Correspondence Referral System (ECRS) Web Enhancements Phase I 04/02/2012 7614 N/A N/A
R1042OTN 02/03/2012 Creation of New Indicator for Use on the Ambulatory Surgical Centers (ASCs) Payment Indicator File for Reporting Quality Measures N/A 7472 N/A N/A
R2397CP 01/26/2012 Update to Abortion Condition Codes Associated With Reason Code 32809 07/02/2012 7687 MM7687 02/01/2012
R2410CP 02/03/2012 New Hospice Condition Code for Out of Service Area Discharges 07/02/2012 7677 MM7677 01/31/2012
R2407CP 02/03/2012 Revised and Clarified Place of Service (POS) Coding Instructions 04/02/2012 7631 MM7631 2012-02-07
R2408CP 02/03/2012 New Waived Tests 04/02/2012 7694 MM7694 02/07/2012
R1040OTN 02/03/2012 Interaction of Multiple Procedure Payment Reduction (MPPR) on Imaging Procedures and the Outpatient Prospective Payment System (OPPS) Cap on the Technical Component of Imaging Procedures 07/02/2012 7703 MM7703 02/07/2012
R1039OTN 02/03/2012 International Classification of Diseases-10th Edition (ICD-10), Inclusion of Type of Bill (TOB) 33X, Home Health, Outpatient (includes HHA visits under a Part A Plan of treatment) 07/02/2012 7704 MM7704 02/07/2012
R204FM 01/27/2012 Immediate Recoupment for Fee for Service Claims Overpayments 07/02/2012 7688 MM7688 02/09/2012
R2412CP 02/10/2012 Instructions for Downloading the Medicare ZIP Code File for July 2012 07/02/2012 7725 N/A N/A
R77GI 02/10/2012 July 2012 Quarterly Updates to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS) 07/02/2012 7652 N/A N/A
SE1205 N/A Updating Beneficiary Information with the Coordination of Benefits Contractor N/A N/A SE1205 02/10/2012
R2402CP 01/26/2012 Screening for Sexually Transmitted Infections (STIs) and High Intensity Behavioral Counseling (HIBC) to Prevent STIs (ICD-10) N/A 7610 MM7610 02/15/2012
R141NCD 01/26/2012 Screening for Sexually Transmitted Infections (STIs) and High Intensity Behavioral Counseling (HIBC) to Prevent STIs (ICD-10) N/A 7610 MM7610 02/15/2012
R407PI 02/09/2012 Advanced Diagnostic Imaging (ADI) Accreditation Enrollment Procedures (This CR Fully Rescinds and Replaces CR 7177.) 01/27/2012 7681 MM7681 02/15/2012
R205FM 02/09/2012 Immediate Recoupment for Fee for Service Claims Overpayments 07/02/2012 7688 MM7688 02/15/2012
R2416CP 02/17/2012 Healthcare Provider Taxonomy Codes (HPTC) Update April 2012 07/02/2012 7742 N/A N/A
R1047OTN 02/17/2012 Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the ViPS Medicare System (VMS) N/A 7603 N/A N/A
SE1206 N/A 2012 Electronic Prescribing (eRx) Incentive Program: Future Payment Adjustments N/A N/A SE1206 02/22/2012
SE1207 N/A 2012 Physician Quality Reporting System Claims-Based Coding and Reporting Principles N/A N/A SE1207 02/22/2012
R408PI 02/22/2012 Additional Provider and Supplier Enrollment Requirements for Fixed Wing and Helicopter Air Ambulance Operators. N/A 7363 N/A N/A
R2386CP 01/13/2012 January 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS) 01/03/2012 7672 MM7672 01/06/2012
R1049OTN 02/24/2012 Implement Fraud Prevention Predictive Modeling Prepayment Edits - Analysis and Design Only 07/02/2012 7669 N/A N/A
R1050OTN 02/29/2012 Automated Tracking and Reporting of Recovery Audit-Associated Reopenings and Appeals N/A 7604 N/A N/A
SE1210 N/A Recovery Auditors Findings Resulting from Medical Necessity Reviews of Renal and Urinary Tract Disorders N/A N/A SE1210 02/24/2012
R1046OTN 02/17/2012 Fiscal Intermediary Shared System (FISS) and Common Working File (CWF) System Enhancement for Storing Line Level Rendering Physicians/Practitioners National Provider Identifier (NPI) and Physician Specialty Code Information N/A 7578 MM7578 02/27/2012
SE1204 N/A The Role of the Zone Program Integrity Contractors (ZPICs), Formerly the Program Safeguard Contractors (PSCs) N/A N/A SE1204 02/22/2012
R1051OTN 02/29/2012 Analysis of Improper Overpayments to Design Edits to Correct these Overpayments in CWF, MCS, and FISS 07/02/2012 7661 N/A N/A
R80SOMA 03/01/2012 Revised Exhibit 286, Hospital/CAH Database Worksheet 03/01/2012 N/A N/A N/A
R1052OTN 03/01/2012 Analysis and Design of Edits to Correct Recovery Auditor Identified Improper Payments in MCS 07/02/2012 7673 N/A N/A
R1043OTN 03/01/2012 Delayed Work from CR 7589: Request to Require Hours for Research and Conference Calls with Maintainers, MACs, and EDCs and Additional Requirements for IDR Shared Systems 07/02/2012 7662 N/A N/A
SE1212 N/A Important Information Concerning Medicare Outreach Efforts to Supplemental Payers Directing Their Payments to Incorrect Addresses N/A N/A SE1212 03/07/2012
SE1208 N/A 855-O Medicare Enrollment Application Ordering and Referring Physicians or Other Eligible Professionals N/A N/A SE1208 03/08/2012
SE1209 N/A Provider Inquiry Screens Regarding Telehealth Services Eligibility Dates N/A N/A SE1209 03/08/2012
R2421CP 03/07/2012 Intensive Behavioral Therapy for Obesity N/A 7641 MM7641 02/15/2012
R2409CP 02/03/2012 Intensive Behavioral Therapy for Obesity N/A 7641 MM7641 02/15/2012
R142NCD 02/03/2012 Intensive Behavioral Therapy for Obesity N/A 7641 MM7641 02/15/2012
R1054OTN 03/07/2012 Use of Revised Remittance Advice Remark Code (RARC) N103 When Denying Services Furnished to Federally Incarcerated Beneficiaries 07/02/2012 7678 MM7678 01/10/2012
R1012OTN 01/06/2012 Use of Revised Remittance Advice Remark Code (RARC) N103 When Denying Services Furnished to Federally Incarcerated Beneficiaries 07/02/2012 7678 MM7678 01/10/2012
R410PI 03/02/2012 Instructions for Processing Form CMS-855O Submissions 06/04/2012 7723 MM7723 03/08/2012
R2418CP 03/02/2012 April 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS) 04/02/2012 7748 MM7748 03/08/2012
R1056OTN 03/09/2012 Revision of Medicare Summary Notice (MSN) for Non-Competitive Bid Claims 07/02/2012 7729 MM7729 2012-03-14
R206FM 03/09/2012 Processing of Recovery Audit Program Error Files 04/09/2012 7724 N/A N/A
R1055OTN 03/09/2012 Medicare Fiscal Intermediaries Shared System (FISS), HealthCare Integrated General Ledger Accounting System (HIGLAS), and Change of Ownership Process Revisions for IRS Form 1099 Reporting 07/02/2012 7732 N/A N/A
R1057OTN 03/09/2012 Implementation of a Correction of Initial Default Values for Medically Unlikely Edits (MUEs) N/A 7418 N/A N/A
R2423CP 2012-03-09 April 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.1 2012-04-02 7751 MM7751 2012-03-16
R1058OTN 2012-03-14 Emergency March 2012 Update (MCTRJCA) to the CY 2012 Medicare Physician Fee Schedule (MPFS) Database 2012-03-15 7767 MM7767 03/26/2012
SE1214 N/A Home Health Agencies (HHAs) Avoid Payment Reductions! Participate in HHCAHPS (Consumer Assessment of Healthcare Providers and Systems) Now! N/A N/A SE1214 2012-03-21
SE1213 N/A Questionable Billing By Suppliers of Lower Limb Prostheses N/A N/A SE1213 2012-03-26
R2424CP 03/16/2012 Influenza Virus Vaccine Annual Payment Limit Effective Date 08/01/2012 7741
R2425CP 03/16/2012 April 2012 Update of the Ambulatory Surgical Center (ASC) Payment System 04/02/2012 7754 MM7754 03/26/2012
R2427CP 03/23/2012 2012 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction 04/23/2012 7679 MM7679 03/29/2012
R2429CP 03/23/2012 April Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB) 04/02/2012 7745 MM7745 03/28/2012
R2431CP 03/23/2012 Screening for Depression in Adults N/A 7637 MM7637 03/27/2012
R2432CP 03/23/2012 Intensive Behavioral Therapy for Cardiovascular Disease N/A 7636 MM7636 12/08/2011
R2433CP 03/26/2012 Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse N/A 7633 MM7633 12/13/2011
R5QRI 03/23/2012 Medicare Quality Reporting Incentive Programs Manual Update 06/25/2012 7727 MM7727 03/28/2012
R81SOMA 03/23/2012 Revisions to State Operations Manual (SOM), Appendix A, Hospitals 03/23/2012 N/A
R2437CP 2012-04-04 Pharmacy Billing for Drugs Provided "Incident To" a Physician Service. This CR rescinds and fully replaces CR 7109. 2013-01-01 7397 MM7397 2011-05-19
R2438CP 2012-04-04 Revised Editing for Hepatitis B Administration Code G0010 2012-07-02 7692
R2436CP 2012-03-30 Claim Status Category and Claim Status Codes Update 2012-07-02 7793 MM7793 2012-04-19
R2441CP 2012-04-06 Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits 2012-07-02 7778 MM7778 2012-04-10
R2442CP 2012-04-06 Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) and PC Print Update 2012-07-02 7775 MM7775 2012-04-11
R2443CP 2012-04-06 Clinical Laboratory Fee Schedule - New Waived Tests 2012-07-02 7766 MM7766 2012-04-10
R414PI 2012-04-06 General Update to Chapter 15 of the Program Integrity Manual (PIM) – Part IV 2012-05-07 7763
R1062OTN 2012-04-06 Health Insurance Portability and Accountability Act (HIPAA) 5010 and D.O Annual Re – Certification Program 2012-05-07 7758
R2439CP 2012-04-06 New Waived Tests 2012-07-02 7795 MM7795 2012-04-10
R2440CP 2012-04-06 July 2012 Quarterly Average Sales price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2012-07-02 7810 MM7810 2012-04-10
R17QIO 2012-04-06 QIO Manual Chapter 5 – “Quality of Care Review” 2012-05-07 N/A
SE1211 N/A Information on the Centers for Medicare & Medicaid Services (CMS) Fraud Prevention: Automated Provider Screening and National Site Visit Initiatives N/A 7669 SE1211 2012-04-10
SE1215 N/A Information for Medicare Fee-For-Service Providers About the Middle Class Tax Relief and Job Creation Act of 2012 N/A N/A SE1215 2012-04-10
SE1218 N/A Redesigned Medicare Summary Notices N/A N/A SE1218 2012-04-10
SE1217 N/A Guidance for Correct Claims Submission When Secondary Payers Are Involved N/A N/A SE1217 2012-04-11
R2435CP 2012-03-29 Revised and Clarified Place of Service (POS) Coding Instructions 2012-10-01 7631 MM7631 2012-02-07
R415PI 2012-04-13 General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part V 2012-05-14 7797 MM7797 2012-04-19
R405PI 2012-01-26 General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part III 2012-02-27 7698
R1060OTN 2012-04-13 Implementation of the Award for the Jurisdiction H Part A and Part B Medicare Administrative Contractor (JH A/B MAC) Including New Workload Numbers for Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas as well as for the J4 WPS Legacy Part A Workload 2012-07-02 7812
R416PI 2012-04-13 General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part III 2012-02-27 7698
R207FM 2012-04-12 Notice of New Interest Rate for Medicare Overpayments and Underpayments - 3rd Notification for FY 2012 2012-04-18 7571
R451PR1 2012-04-20 Section 905.6, Inflation Factor, provides for calendar year (CY) inflation factors to update previous years’ reasonable compensation ranges. N/A N/A
R418PI 04/20/2012 OMB Collection Number 04/21/2012 7750
R208FM 2012-04-20 Overpayment Recovery from Suppliers of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 2012-05-20 7744 MM7744 2012-05-01
R155BP 2012-04-20 Allowing Physician Assistants to Perform Skilled Nursing Facility (SNF) Level of Care Certifications and Recertifications 2012-02-13 7701
R1071OTN 2012-04-26 Expansion of the Laboratory National Coverage Determination (NCD) Edit Software 2012-10-01 7808
R1070OTN 2012-04-26 Request to Require Hours for Research and Conference Calls with Maintainers, MACs, and EDCs and Additional Requirements for IDR Shared Systems 2012-10-01 7756
R2454CP 2012-04-26 Contractor and Common Working File (CWF) Additional Instructions Related to Change Request (CR) 7633 - Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse 2012-10-01 7791 MM7791 2012-05-01
R2446CP 2012-04-26 New Influenza Virus Vaccine Code 2012-10-01 7794 MM7794 2012-05-01
R1073OTN 2012-04-26 American Recovery and Reinvestment Act of 2009 Electronic Health Record (EHR) Incentive Program: Financial Information File Transfer Modifications for Eligible Hospitals 2012-10-01 7776
R1072OTN 2012-04-26 Fiscal Intermediary Shared System (FISS) System Enhancement for Including Line Level Rendering Physicians/Practitioners National Provider Identifier (NPI) and Name Information in the Comprehensive Error Rate Testing (CERT) Resolution Record 2012-10-01 7807
R1076OTN 2012-04-26 Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes - October 2012 2012-10-01 7769
R1077OTN 2012-04-26 Update to the Fiscal Intermediary Shared Systems (FISS) Outpatient Provider Specific File (OPSF) for Children’s Hospitals 2012-10-01 7798 MM7798 2012-05-02
R2449CP 2012-04-26 Modification to CWF, FISS, MCS and VMS to Return Submitted Beneficiary Information when there is a CWF Name and Health Insurance Claim Number (HICN) Mismatch. 2012-10-01 7260 MM7260 2012-05-02
R2455CP 2012-04-26 Hospital Dialysis Services for Patients with and without End Stage Renal Disease (ESRD) 2012-10-01 7762 MM7762 2012-05-01
R2452CP 2012-04-26 Anesthesiologist Services with a Modifier GC in a Method II Critical Access Hospital (CAH) 2012-10-01 7764 MM7764 2012-05-01
R1079OTN 2012-04-27 New Occurrence Code to Report Date of Death 2012-10-01 7792 MM7792 2012-05-01
R1066OTN 2012-04-27 Implementation of the HIPAA Version 5010 276/277 Claim Status Edits October 2012 Release 2012-10-01 7804
R2457CP 2012-04-27 Revisions of the Financial Limitation for Outpatient Therapy Services – Section 3005 of the Middle Class Tax Relief and Job Creation Act of 2012 2012-10-01 7785 MM7785 2012-05-09
R1082OTN 2012-04-27 FISS update for Clinical Laboratory Fee Schedule upload to include Kansas Payment Locality Structure 2012-10-01 7815 MM7815 N/A
R1083OTN 2012-04-27 Temporary Direction to Accommodate Organ Donor Complication Billing on 8371 Claims 2012-10-01 7816 MM7816 2012-05-01
R2458CP 2012-04-27 Systematic Validation of Payment Group Codes for Prospective Payment Systems(PPS) Based on Patient Assessments 2012-10-01 7760 MM7760 2012-05-10
R2453CP 2012-04-26 CY 2012 OPPS Payment Adjustment for Certain Cancer Hospitals 2012-05-29 7780
R1067OTN 2012-04-26 Fee for Service Common Eligibility Services Conference Calls and Research 2012-10-01 7800
R452PR1 2012-04-27 Part 1, Chapter 14, Reasonable Cost of Therapy and Other Services Furnished by Outside Suppliers N/A N/A
R209FM 2012-04-27 New Physician Specialty Code for Sleep Medicine and Sports Medicine 2012-10-01 7600 MM7600 2012-05-07
R2462CP 2012-04-27 New Physician Specialty Code for Sleep Medicine and Sports Medicine 2012-10-01 7600 MM7600 2012-05-07
R1084OTN 2012-04-26 Common Edits and Enhancements Module (CEM) and Receipt, Control, and Balancing Updates – October 2012 2012-10-01 7811
R1064OTN 2012-04-26 Health Insurance Portability and Accountability Act (HIPAA) 5010 837 Institutional (837I) Edits and 5010 837 Professional (837P) Edits - October 2012 2012-10-01 7817
R2450CP 2012-04-26 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2012 Update 2012-04-26 7831 MM7831 2012-05-02
R2447CP 2012-04-26 Additional fields added to the Outlier Reconciliation Lump Sum Utility 2012-10-01 7789
R2448CP 2012-04-26 Ensuring Hospice Certifying Physician Identifiers Are Fully Processed 2012-10-01 7755 MM7755 2012-05-02
R1065OTN 2012-04-26 Addition of a New Common Working File (CWF) Medicare Secondary Payer (MSP) Error Code for CWF to Send the Shared Systems When the Trauma Diagnosis Code on the Claim is Considered a Match with the Family of DX Codes in CWF for Non-Group Health Plan (NGHP) MSP Claims. N/A 7605
R1085OTN 2012-05-02 Establish an Automated Process between ViPS Medicare System (VMS) and the Provider Enrollment Chain and Ownership System (PECOS) to Post Payment Suspension Alert Codes and Related Data to All Four Durable Medical Equipment Medicare Administrator Contractors (DME MAC) Jurisdictions N/A 7355
R84MSP 2012-03-30 Electronic Correspondence Referral System (ECRS) Web Enhancements Phase I 2012-04-02 7614
R1061OTN 2012-03-30 Implementation of the Award for the Jurisdiction 8 Part and B Medicare Administrative Contractor (J8 A/B MAC) including New Workload Numbers for Indiana and Michigan 2012-07-02 7752
R85MSP 2012-05-03 Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers’ Compensation Medicare Secondary Payer (MSP) Claims. N/A 7355
R412PI 2012-03-30 General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part II 2012-04-30 7646
R105MCM 2012-04-20 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) 2012-04-20 N/A
R104MCM 2012-03-23 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) 2012-03-23 N/A
R2463CP 2012-05-04 New Fiscal Intermediary Shared System (FISS) Edit to Review Medicare Outpatient Prospective Payment System (OPPS) Payments Exceeding Charges. 2012-10-01 7771 MM7771 2012-05-09
R2464CP 2012-05-04 Enhance the Multi-Carrier System (MCS) and ViPS Medicare System (VMS) to maintain five full years of pricing data and to automatically price claims/adjustments at the rates in effect at the dates of service. N/A 7383
SE1219 N/A A Physician’s Guide to Medicare’s Home Health Certification, including the Face-to-Face Encounter N/A N/A SE1219 2012-05-07
R1087OTN 2012-05-04 Expand Place of Service Address to Include Full Address N/A 7786
SE1222 N/A Negative Pressure Wound Therapy Interpretive Guidelines N/A N/A SE1222 2012-05-11
R1088OTN 2012-05-10 Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number N/A 7499
R2465CP 2012-05-11 Assigned Codes for Home Oxygen Use for Cluster Headache (CH) in a Clinical Trial (ICD-10) 2012-10-01 7820 MM7820 2012-05-17
R1089OTN 2012-05-11 Implement Fraud Prevention Predictive Modeling Prepayment Edits N/A 7787
R2466CP 2012-05-11 Calendar Year 2013 and After Payments to Home Health Agencies That Do Not Submit Required Quality Data 2012-08-13 7833 MM7833 2012-05-15
R2467CP 2012-05-11 July Quarterly Update for 2012 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 2012-07-02 7822 MM7822 2012-05-15
R2468CP 2012-05-11 July 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.2 2012-07-02 7841 MM7841 2012-05-15
SE1216 N/A Examining the Difference between a National Provider Identifier (NPI) and a Provider Transaction Access Number (PTAN) N/A N/A SE1216 2012-05-17
R1091OTN 2012-05-16 Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the Fiscal Intermediary Shared System (FISS) 2012-04-02 7601
R2473CP 2012-05-18 Extracorporeal Photopheresis (ICD-10) 2012-10-01 7806 MM7806 2012-06-07
R421PI 2012-05-18 General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part VI 2012-06-19 7827
R143NCD 2012-05-18 Extracorporeal Photopheresis (ICD-10) 2012-10-01 7806 MM7806 2012-06-07
R2469CP 2012-05-18 Instruction for Downloading the Medicare ZIP Code File for October 2012 2012-10-01 7774
R1075OTN 2012-05-18 Medicare Fee – for Service (FFS) Editing and Flat File Utility N/A 7823
R78GI 2012-05-18 Quarterly Update to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS) 2012-10-01 7653
R2470CP 2012-05-18 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) – October 2012 2012-10-01 7768 MM7768 2012-05-22
R2474CP 2012-05-18 Handling Misdirected Claims for Part B Item and Services 2012-07-20 7629 MM7629 2012-05-22
R210FM 2012-05-18 Validation of Recovery Audit Program New Issues 2012-06-19 7733
R2472CP 2012-05-18 Coding Changes to Ultrasound Diagnostic for Tranesophageal Doppler Monitoring 2012-10-01 7819 MM7819 2012-05-22
R2471CP 2012-05-18 Common Edits and Enhancements Modules (CEM) Code Set Update 2012-10-01 7772
R2475CP 2012-05-18 Internet Only Manual (IOM) Update for Laboratory Services and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims Processed under the End Stage Renal Disease Prospective Payment System (ESRD PPS) 2012-06-19 7749
R1093OTN 2012-05-23 Automated Tracking and Reporting of Recovery Audit-Associated Reopenings and Appeals N/A 7604
R2476CP 2012-05-23 Screening for Sexually Transmitted Infections (STIs) and High Intensity Behavioral Counseling (HIBC) to Prevent STIs (ICD-10) N/A 7610
R2477CP 2012-05-25 Modifying the Timely Filing Exceptions on Retroactive Medicare Entitlement and Retroactive Medicare Entitlement Involving State Medicaid Agencies 2012-08-27 7834 MM7834 2012-05-31
R422PI 2012-05-25 Request Records Related to the Claim Being Reviewed 2012-06-26 7837
R2479CP 2012-05-25 July 2012 Update of the Ambulatory Surgical Center Payment System (ASC) 2012-07-02 7854 MM7854 2012-05-31
R86MSP 2012-05-25 Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers - Compensation Medicare Secondary Payer (MSP) Claims 2013-01-07 7355 MM7355 2012-05-21
R156BP 2012-06-01 Updates to Caps and Limitations on Hospice Payments 2012-07-02 7838 MM7838 2012-06-15
R423PI 2012-06-01 General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part VII 2012-07-02 7839
R2480CP 2012-06-01 Advanced Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131, Updated Manual Instructions 2012-09-04 7821 MM7821 2012-06-08
R2481CP 2012-06-01 July Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB) 2012-07-02 7844 MM7844 2012-06-07
R2482CP 2012-06-01 Updates to Caps and Limitations on Hospice Payments 2012-07-02 7838 MM7838 2012-06-15
R1095OTN 2012-06-07 Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the ViPS Medicare System (VMS) R 7603, Pub.100-20 N/A 7603
R157BP 2012-06-08 July 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2012-07-02 7847 MM7847 2012-06-12
R2483CP 2012-06-08 July 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2012-07-02 7847 MM7847 2012-06-12
R2484CP 2012-06-08 October Quarterly Update to 2012 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 2012-10-01 7856 MM7856 2012-06-12
R2485CP 2012-06-08 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 2012-10-01 7863 MM7863 2012-06-12
R2487CP 2012-06-08 Internet Only Manual (IOM) Update for Laboratory Services and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims Processed under the End Stage Renal Disease Prospective Payment System (ESRD PPS) 2012-06-19 7749
SE1223 N/A Appeals for Denied Claims Submitted by an Ordering and Referring Opt-out Physician/Non-physician Practitioners Who Are Excluded by the Office of Inspector General (OIG) N/A N/A SE1223 2012-06-12
R425PI 2012-06-15 Provider Self Audits. 2012-07-16 7851
R1097OTN 2012-06-15 Change in Creation Date for CMS Standard Edit/Audit/Reason Code Reports. 2012-10-15 7846
R426PI 2012-06-15 Process for Handling Electronic Submission of Medical Documentation (esMD). 2012-07-16 7835
SE1221 N/A Phase 2 of Ordering/Referring Requirement N/A N/A SE1221 2012-06-18
R2488CP 2012-06-21 Contractor and Common Working File (CWF) Additional Instructions Related to Change Request (CR) 7633 - Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse 2012-10-01 7791 MM7791 2012-05-01
R107MCM 2012-06-22 Chapter 4, Benefits and Beneficiary Protections 2012-06-22 N/A
R106MCM 2012-06-22 Chapter 3, “Medicare Marketing Guidelines” 2012-07-01 N/A
R2489CP 2012-06-22 Attending Provider Identifiers on Religious Nonmedical Health Care Institution Claims 2012-09-24 7862 MM7862 2012-06-26
R2491CP 2012-06-25 July 2012 Update of the Ambulatory Surgical Center Payment System (ASC) 2012-07-02 7854 MM7854 2012-06-25
R1098OTN 2012-06-22 Addition of New Common Working File (CWF) Medicare Secondary Payer (MSP) Utilization Edit Codes for CWF to Send the Shared Systems When the Diagnosis Code on the Claim is Considered a Match with the Family of DX Codes in CWF for Non-Group Health Plan (NGHP) MSP Claims. N/A 7605
R1099OTN 2012-06-28 Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number N/A 7499
R2492CP 06/27/2012 October Quarterly Update to 2012 Annual Update of Healthcare Common Procedure Coding System (HPCPS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement. 10/01/2012 7856 MM7856 2012-06-12
R1100OTN 06/28/2012 Fiscal Intermediary Shared System (FISS) System Enhancement for Including Line Level Rendering Physicians/Practitioners National Provider Identifier (NPI) and Name Information in the Comprehensive Error Rate Testing (CERT)Resolution Record. 10/01/2012 7807
SE1225 N/A The Supplemental Security Income (SSI) Ratios for Fiscal Year (FY) 2006 through FY 2009 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs) N/A N/A SE1225 2012-06-22
SE1226 N/A Reminder of Importance of Correct Place-of-Service Coding on Medicare Part B Claims N/A N/A SE1226 2012-07-06
R2494CP 2012-07-10 Extracorporeal Photopheresis (ICD-10) 2012-10-01 7806 MM7806 2012-06-07
R211FM 2012-07-11 Notice of New Interest Rate for Medicare Overpayment and Underpayments - 4th Notificatin for FY 2011. 2012-07-18 7572
R2495CP 2012-07-18 Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Asssessment. N/A 7760 MM7760, SE1342 2012-05-10
R1101OTN 2012-07-19 Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number N/A 7499
R108MCM 2012-07-20 This is the initial release of New Chapter 21, Compliance Program Guidelines 2012-07-20 N/A
R2496CP 2012-07-20 New Waived Tests 2012-10-01 7868 MM7868 2012-07-25
R2497CP 2012-07-20 Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2013 2012-10-01 7857 MM7857 2012-07-25
R2500CP 2012-07-27 Clarification of the Use of the Electronic Claim Format to Indicate Where a Service Was Performed. 2012-08-27 7871
R109MCM 2012-07-27 This is the initial release of New Chapter 21, Compliance Program Guidelines. 2012-07-20 N/A
R82SOMA 2012-08-01 CMS Certification Numbers for Medicaid-Only Hospitals and New State Code for Foreign Countries. 2012-08-01 N/A
R1102OTN 2012-08-01 Direction to Modify Institutional Reason Code 39012 2013-01-07 7832
R1103OTN 2012-08-01 Health Insurance Portability and Accountability Act (HIPPA) 5010 and D.0 Executive of the Annual Recertification Program. 2012-09-04 7904
R2508CP 2012-08-02 Claim Status Category and Claim Status Codes Update 2012-10-01 7905 MM7905 2012-08-08
R2507CP 2012-08-02 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2013 2012-10-01 7907 MM7907 2012-08-08
R1106OTN 2012-08-02 Posting the Limiting Charge after Applying the e-Prescribing (eRx) Negative Adjustment 2013-01-07 7877 MM7877 2012-08-08
R1107OTN 2012-08-03 The Medicare Secondary Payer Payment Module (MSPPAY) to be Maintained by the Shared System Maintainers for all Future Enhancements 2013-01-07 7826
R1108OTN 2012-08-03 Fee For Service Common Eligibility Services (FFS CES) - Common Working File (CWF) Detail Analysis, Design and Requirements 2013-01-07 7895
R87MSP 2012-08-03 Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers’ Compensation Medicare Secondary Payer (MSP) Claims. N/A 7355 MM7355 2012-05-21
R2510CP 2012-08-03 Payment of Global Surgical Split Care in a Method II Critical Access Hospital (CAH) Submitted with Modifier 54 and/or 55 2013-01-07 7872 MM7872 2012-08-08
R2514CP 2012-08-03 October 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2012-10-01 7885 MM7885 2012-08-08
R144NCD 2012-08-03 Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP) 2013-01-07 7836 MM7836 2012-08-10
R2511CP 2012-08-03 Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP) 2013-01-07 7836 MM7836 2012-08-10
R145NCD 2012-08-03 National Coverage Determination (NCD) for Transcatheter Aortic Valve Replacement (TAVR) 2013-01-07 7897 MM7897 2012-08-10
R146NCD 2012-08-03 Liver Transplantation for Patients with Malignancies 2012-09-04 7908 MM7908 2012-08-10
R2512CP 2012-08-03 National Coverage Determination (NCD) for Transcatheter Aortic Valve Replacement (TAVR) 2013-01-07 7897 MM7897 2012-08-10
R2513CP 2012-08-03 Liver Transplantation for Patients with Malignancies 2012-09-04 7908 MM7908 2012-08-10
R2506CP 2012-08-03 Extracorporeal Photopheresis (ICD-10) 2012-10-01 7806
R1110OTN 2012-08-03 Revision of Medicare Summary Notice (MSN) for Non- Competitive Bid Claims 2012-07-02 7729 MM7729 2012-03-14
R1111OTN 2012-08-06 Expand Place of Service Address to Include Full Address 2013-04-01 7786
R2515CP 2012-08-08 Handling Form CMS-1500 Hard Copy Claims Where an ICD-9-CM "E" Code or Where an ICD-10 V00-Y99 Code is Reported as the First Diagnosis on the Claim N/A 7700 MM7700 2012-08-14
R2516CP 2012-08-10 New Non-Physician Specialty Code for Centralized Flu 2013-01-07 7884 MM7884 2012-08-14
R212FM 2012-08-10 New Non-Physician Sppeciality Code for Centralized Flu. 2013-01-07 7884
R1112OTN 2012-08-10 Health Insurance Portability and Accountability Act (HIPAA) 5010 837 Institutional (837I) Edits and 5010 837 Professional (837P) Edits January 2013 2013-01-07 7880
R2517CP 2012-08-10 Medicare Claims Processing Pub. 100-04 Chapter 24 Update for Security Requirements. 2012-09-10 8004
SE1230 N/A Addition of Digital Document Repository to Provider Enrollment Chain and Ownership System (PECOS) N/A N/A SE1230 2012-08-14
R2518CP 2012-08-10 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2013. 2012-10-01 7901 MM7901 2012-08-16
R10QRI 2012-07-27 Physician Quality Reporting System and Electronic Prescribing (eRx) Incentive Program Pub. 100-22 Medicare Quality reporting Incentive Programs Manual Update 2012-10-29 7879 MM7879 2012-08-16
R2519CP 2012-08-17 New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician NPI. 2013-01-07 7902 MM7902 2012-08-29
R2520CP 2012-08-17 Update-Inpatien Psychiatric Facilities Prospective Payment System (IPF PPS) Fiscal Year (FY) 2013. 2012-10-01 8000 MM8000 2012-08-21
R1114OTN 2012-08-17 New Field Established within FISS and MCS 2013-01-07 8012
R84DEMO 2012-08-17 Revisions to the Method of Cost Settlement for Inpatient Services for Rural Hospitals Participating Under Demostration Authorized by Section 410A of the Medicare Modernization Act. Sections 3123 and 10313 of the Affordable Care Act authorizes and expansion of the demostration and an extension for an additional 5-year period. This CR makes revisions fo CR 7505, which gives instructions for the additional 5-year period. 2012-09-18 7898
R88MSP 2012-08-17 Expanding the Coordination of Benefits (COB) Contractor Numbers to Include 11139 and 11142 for the Common Working File (CWF). 2012-08-17 7906
R2521CP 2012-08-17 Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) and PC Print Update. 2012-10-01 8029 MM8029 2012-08-24
R2525CP 2012-08-24 October 2012 Update of the Ambulatory Surgical Center Payment System (ASC) 2012-10-01 8032 MM8032 2012-08-31
R2531CP 2012-08-24 October 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2012-10-01 8031 MM8031 2012-08-29
R2526CP 2012-08-24 2013 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments 2013-01-07 7883 MM7883 2012-08-24
R1116OTN 2012-08-24 Standardizing the Standard - Phase I N/A 7910
R79GI 2012-08-24 January 2013 Quarterly Updates to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS) 2013-01-07 7655
R2529CP 2012-08-24 2013 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder 2013-01-07 7909
R2528CP 2012-08-24 Instructions for Downloading the Medicare ZIP Code File for January 2013 2013-01-07 7859
R2523CP 2012-08-24 Revised Medicare Summary Notice (MSN) Message Regarding Outpatient Therapy Caps 2012-10-01 7891
R1115OTN 2012-08-24 Implement Fraud Prevention Predictive Modeling Prepayment Edits for Shared Systems (xref CR7787) N/A 7861
SE1227 N/A Important Reminder About Medicare Secondary Payer Laws N/A N/A SE1227 2012-08-28
SE1231 N/A Medicare Demonstration Allows for Prior Authorization for Certain Power Mobility Devices (PMDs) N/A N/A SE1231 2012-08-28
R89MSP 2012-08-30 Expanding the Coordination of Benefits (COB) Contractor Numbers to include 11139 and 11142 for the Common Working File (CWF) 2013-01-07 7906
R2534CP 2012-08-31 Healthcare Provider Taxonomy Codes (HPTC) Update, October 2012 2013-01-07 8021 MM8021 2012-08-31
R2535CP 2012-08-31 Update to Remove Outdated Information 2012-10-01 8018
R2537CP 2012-08-31 Expiration of 2012 Therapy Cap Revisions and User-Controlled Mechanism to Identify Legislative Effective Dates 2013-01-07 7881 MM7881 2012-08-31
R2539CP 2012-08-31 Fiscal Year (FY) 2013 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital 2012-10-01 8041 MM8041 2012-09-05
R1117OTN 2012-08-31 Manual Medical Review of Therapy Services 2012-10-01 8036 MM8036 2012-09-06
R2536CP 2012-08-31 Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2012 2012-10-01 8011
R431PI 2012-08-31 Ordering and Certifying Documentation - Maintenance Requirements 2012-10-01 7890 MM7890 2012-09-06
R432PI 2012-08-31 Timeframe for Handling OIG Hotline Complaints Uploaded into the OIG Hotline Database; Requirements for the Transfer and Closing of Cases in the OIG Hotline Complaint Database System 2012-08-01 7852
R2543CP 2012-09-07 Extracorporeal Photopheresis (ICD-10) 2012-10-01 7806 MM7806 2012-09-10
R433PI 2012-09-07 Review of Debarment List and Processing of Tie-in Notices 2012-10-09 8020
R2542CP 2012-09-07 2013 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consoliadated Billing (CB) Update 2013-01-07 8037 MM8037 2012-09-11
SE1234 Important Information Concerning the Medicare Crossover Process and State Medicaid Agency Requirements for National Drug Codes (NDCs) Associated with Physician-Administered Part B Drugs 2012-09-05 SE1234 2012-09-11
SE1233 N/A Clarification of the Quality Standards and Accreditation Requirements for Ultra Lightweight Manual Wheelchairs N/A N/A SE1233 2012-09-10
R2544CP 2012-09-13 Contractor and Common Working File (CWF) Additional Instructions Related to Change Request (CR) 7633 - Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse 2012-10-01 7791
R2547CP 2012-09-14 Claim Status Category and Claim Status Codes Update 2013-01-07 8045 MM8045 2012-09-18
R2546CP 2012-09-14 Instructions for Retrieving the 2013 Pricing and HCPCS Data Files through CMS' Mainframe Telecommunications Systems 2013-01-07 8061
SE1236 N/A Documenting Medical Necessity for Major Joint Replacement (Hip and Knee) N/A N/A SE1236 2012-09-17
R1119OTN 2012-09-14 Implementation of the Award for the Jurisdiction 5 Part A and Part B Medicare Administrative Contractor (J5 A/B MAC) Reprocurement Including a New Workload Number for the Remaining WPS Legacy Workload 2012-10-22 8059
R1122OTN 2012-09-14 International Classification of Diseases (ICD)-10 Conversion from ICD-9 of the Medicare Shared Systems as They Relate to CMS National Coverage Determinations (NCDs) (CR 1 of 3) (ICD-10) 2013-01-07 7818 MM7818 2012-09-21
SE1238 N/A Claim Modifier Did Not Prevent Medicare from Paying Millions in Unallowable Claims for Selected Durable Medical Equipment N/A SE1238 2012-09-20
R147NCD 2012-09-24 National Coverage Determination (NCD) for Transcatheter Aortic Valve Replacement (TAVR) 2013-01-07 7897 MM7897 2012-09-24
R2552CP 2012-09-24 National Coverage Determination (NCD) for Transcatheter Aortic Valve Replacement (TAVR) 2013-01-07 7897 MM7897 2012-09-24
R2551CP 2012-09-24 Extracorporeal Photopheresis (ICD-10) 2012-10-01 7806 MM7806 2012-06-07
R1124OTN 2012-09-25 Manual Medical Review of Therapy Services 2012-10-01 8036 MM8036 2012-09-06
R2548CP 2012-09-21 Common Edits and Enhancements Modules (CEM) Code Set Update 2013-01-07 8069
R2549CP 2012-09-21 Medicare Physician Fee Schedule Database (MPFSDB) 2013 File Layout Manual 2013-01-07 8064
R2553CP 2012-09-28 New Waived Tests 2013-01-07 8054 MM8054 2012-10-02
R2554CP 2012-09-28 Annual Clotting Factor Furnishing Fee Update 2013 2013-01-07 8049 MM8049 2012-10-02
R2555CP 2012-09-28 Influenza Vaccine Payment Allowances - Annual Update for 2012-2013 Season 2012-12-28 8047 MM8047 2012-10-02
R2556CP 2012-09-28 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - January 2013 2013-01-07 7899
R2557CP 2012-08-28 Annual Medicare Physician Fee Schedule (MPFS) Files Delivery and Implementation 2013-01-07 8058
R2558CP 2012-09-28 Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes 2013-01-07 8065
R430PI 2012-09-28 General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part VIII 2012-10-29 7889
R2560CP 2012-09-28 New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician NPI 2013-01-07 7902 MM7902 2012-08-29
R453PR1 2012-09-28 Adds material to conform to the current regulations; revises terminology to reflect current usage; revises text to clarify its meaning or to eliminate obsolete policy; and adds, deletes, or corrects cross references. N/A N/A
R454PR1 2012-09-28 Donations to a Provider of Produce, Supplies, Space, Etc., has been added to contain the policy previously contained in §§ 608 and 610 of Chapter 6. N/A N/A
R2559CP 2012-09-28 October Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB) 2012-10-01 8017 MM8017 2012-08-28
R2561CP 2012-09-28 Revised and Clarified Place of Service (POS) Coding Instructions 2013-04-01 7631 MM7631 2012-02-07
R2540CP 2012-09-28 October 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.3 2012-10-01 8035 MM8035 2012-10-02
R2562CP 2012-10-03 Influenza Vaccine Payment Allowances - Annual Update for 2012-2013 Season N/A 8047 MM8047 2012-10-02
R1128OTN 2012-10-05 Recompiling of Application Data Structure Descriptors N/A 8099
SE1241 2012-10-11 Correct Provider Billing of Line Item Rendering Physician on the Paper UB-04 Claims Form N/A N/A SE1241 2012-10-11
R2563CP 2012-10-11 Revised and Clarified Place of Service (POS) Coding Instructions 2013-04-01 7631 MM7631 2012-02-07
R213FM 2012-10-11 Notice of New Interest Rate for Medicare Overpayments and Underpayments -1st qtr Notfication for FY 2013 2012-10-18 8118
SE1242 N/A 2012-2013 Seasonal Influenza (Flu) Resources for Health Care Professionals N/A N/A SE1242 2012-10-12
SE1229 N/A A Physician’s Guide to Medicare Part D Medication Therapy Management (MTM) Programs N/A N/A SE1229 2012-10-12
R1129OTN 2012-10-12 Elimination of the Fiscal Intermediary Shared System (FISS) Off Quarter User Releases 2013-01-07 8022
R2565CP 2012-10-12 Reasonable Charge Update for 2013 for Splints, Casts, and Certain Intraocular Lenses 2013-01-07 8051 MM8051 2012-10-16
R2566CP 2012-10-12 Medicare Physician Fee Schedule Database (MPFSDB)2013 File Layout Manual 2013-01-07 8064
R2530CP 2012-08-24 October Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB) 2012-10-01 8017
R435PI 2012-10-19 General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part IX 2012-11-20 8019 MM8019 2012-10-22
R214FM 2012-10-19 Medicare Financial Management Manual, Chapter 7, Internal Control Requirements 2012-11-20 8040
R3P240 2012-10-19 Incorporates select Federal Register provisions as well as select legislative provisions N/A N/A
SE1246 N/A Medicare Guidance Regarding Meningitis Outbreak N/A N/A SE1246 2012-10-26
R161BP 2012-10-26 Manual Updates to Clarify SNF Claims Processing 2013-04-01 8044 MM8044 2012-11-01
R2573CP 2012-10-26 Manual Updates to Clarify SNF Claims Processing 2013-04-01 8044 MM8044 2012-11-01
R80GI 2012-10-26 Manual Updates to Clarify SNF Claims Processing 2013-04-01 8044 MM8044 2012-11-01
R2575CP 2012-10-26 Editing Update for Annual Wellness Visit (AWV) 2013-04-01 8107 MM8107 2012-11-01
R2574CP 2012-10-26 Payment of Global Surgical Split Care in a Method II Critical Access Hospital (CAH) Submitted with Modifier 54 and/or 55 2013-01-07 7872 MM7872 2012-08-08
R160BP 2012-10-26 Effect of Beneficiary Agreements Not to Use Medicare Coverage and When Payment May be Made to a Beneficiary for Service of an Opt-Out Physician/Practitioner 2013-01-28 8100 MM8100 2012-11-01
R2571CP 2012-10-26 Updated Billing Requirements for Outpatient Therapy Services --Middle Class Tax Relief and Jobs Creation Act (MCTRJCA) of 2012 2012-11-27 8097
R2570CP 2012-10-26 Annual Type of Service (TOS) Update 2013-01-07 8082
R2568CP 2012-10-26 January 2013 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2013-01-07 8116 MM8116 2012-11-01
R1130OTN 2012-10-26 Implementation of the Redesigned MSN N/A 8081
R85DEMO 2012-10-26 Revisions to the Method of Cost Settlement for Inpatient Services for Rural Hospitals Participating Under Demonstration Authorized by Section 410A of the Medicare Modernization Act. Sections 3123 and 10313 of the Affordable Care Act authirizes and expansion of the demonstration and an extension for an additional 5-year period. This CR makes revisions to CR 7505, which gives instructins for the additional 5-year period. 2012-10-31 7898
R2486CP 2012-06-08 Quarterly Update to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) 2012-10-01 7858 MM7858 2012-11-07
R1134OTN 2012-11-01 New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Incarcerated Medicare Beneficiaries 2013-04-01 8007 MM8007 2012-11-02
R2579CP 2012-11-01 Medicare System Update to Include Rendering Line Level National Provider Identifiers (NPIs) for Primary Care Incentive Program (PCIP) Payments to Critical Access Hospitals (CAHs) 2013-04-01 8030 MM8030 2012-11-02
R1136OTN 2012-11-01 National Correct Coding Initiative (NCCI) Associated Modifier Changes (Additions) 2013-01-07 8111
R1137OTN 2012-11-01 PWK System Modifications for Processing Days 2013-04-01 8014
R1138OTN 2012-11-01 Adding Bankruptcy Status Field to the Recovery Audit Contractor Daily and Weekly Reports 2013-04-01 8083
R1139OTN 2012-11-01 Durable Medical Equipment (DME) National Competitive Bidding (NCB): National Mail Order (NMO) Program Implementation for Diabetic Supplies N/A 8080 MM8080 2012-11-05
R2576CP 2012-11-01 Affordable Care Act (ACA) Section 3025 expansion of a field in the Inpatient Provider Specific File (PSF) 2013-04-01 8067 MM8067 2012-11-07
R1133OTN 2012-11-01 New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Medicare Beneficiaries Classified as "Unlawfully Present" in the United States 2013-04-01 8009 MM8009 2012-11-02
R2577CP 2012-11-01 Update to the Fiscal Intermediary Shared Systems (FISS) for the End Stage Renal Disease (ESRD) Quality Incentive Program (QIP) Adjustments for Children’s Hospitals 2013-04-01 8066
R2578CP 2012-11-01 Enforcing Interim Billing for Partial Hospitalization Services 2013-04-01 8048 MM8048 2012-11-02
R2582CP 2012-11-02 New Erythropoietin Stimulating Agent(ESA)Peginesatide Requirements for End Stage Renal Disease (ESRD) 2013-04-01 8050 MM8050 2012-11-05
R2583CP 2012-11-02 Erroneous Partial Episode Payment Adjustments on Certain Home Health Dual-Eligible Claims 2013-04-01 7865 MM7865 2012-11-05
R1147OTN 2012-11-02 Implementation of the Revised Health Insurance Claim Form CMS-1500 (02/12) (Analysis Only) 2013-04-01 8015
R1148OTN 2012-11-02 Fee for Service Beneficiary Data Streamlining (FFS BDS) N/A 8901
R1141OTN 2012-11-02 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2010 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs) 2012-12-03 8078 MM8078 2012-11-07
R1140OTN 2012-11-02 Termination of the Common Working File ELGB Provider Query 2013-04-01 8086 MM8086 2012-11-05
R1142OTN 2012-11-02 Payment System (IPPS) Hospital Admission 2013-04-01 7849
R2588CP 2012-11-05 Implementation of Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) Consolidated Billing Requirements and a Clarification of Outlier Services for Calendar Year 2013 2013-01-07 7869 MM7869 2012-11-07
R2504CP 2012-08-02 Implementation of Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) Consolidated Billing Requirements and a Clarification of Outlier Services for Calendar Year 2013 N/A 7869
R1145OTN 2012-11-02 Health Insurance Portability and Accountability Act (HIPPAA)EDI Front End Updates for April 2013 2013-04-01 8073
R2567CP 2012-10-19 Calendar Year (CY) 2013 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures 2012-11-09 8055
R437PI 2012-11-02 Revision to Section 15.5.20 of Chapter 15 of the Program Integrity Manual (PIM) 2013-02-01 7864 MM7864 2012-11-13
SE1245 N/A Alert Concerning Impacts Arising from Having Non-Compliant Physical or Practice Address Information on File with Medicare N/A N/A SE1245 2012-11-07
R1149OTN 2012-11-06 Multiple Procedure Payment Reduction (MPPR) on the Technical Component (TC) of Diagnostic Cardiovascular and Ophthalmology Procudures 2013-01-07 7848 MM7848 2012-11-15
R1144OTN 2012-11-02 MCS/TACs System Edits 2013-04-01 8053
R162BP 2012-11-02 Implementation of Changes in the End-Stage Renal Disease Prospective Payment System (ESRD PPS) for Calendar Year (CY) 2013 2013-01-07 8120 MM8120 2012-11-13
SE1247 N/A Hurricane Sandy and Medicare Disaster Related Claims N/A N/A SE1247 2012-11-08
SE1232 N/A Frequently Asked Questions (FAQs) on the 3-Day Payment Window for Services Provided to Outpatients Who Later Are Admitted as Inpatients N/A N/A SE1232 2012-11-08
R2590CP 2012-11-09 Bariatric Surgery for the Treatment for the Treatment of Morbid Obesity National Coverage Determination, Addition of Laparoscopic Sleeve Gastrostomy (LSG) 2012-12-10 8028 MM8028 2012-11-15
R148NCD 2012-11-09 Bariatric Surgery for the Treatment for the Treatment of Morbid Obesity National Coverage Determination, Addition of Laparoscopic Sleeve Gastrostomy (LSG) 2012-12-10 8028 MM8028 2012-11-15
R438PI 2012-11-09 Progress Notes and Forms 2012-12-10 8033
SE1248 N/A Special Report for Ambulatory Surgical Center (ASC) Quality Reporting N/A N/A SE1248 2012-11-15
R4PR241 2012-11-16 Part 2, Provider Cost Reporting Forms and Instructions, Chapter 41, Form CMS-2540-10 N/A N/A
R2591CP 2012-11-16 Instructions for Downloading the Medicare ZIP Code File for April 2013 2013-04-01 8063
R2592CP 2012-11-16 Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2013 2013-01-07 8122 MM8122 2012-11-19
R1152OTN 2012-11-16 New Screens and Processes for ICD-9/ICD-10, ICD-10/ICD-9 Diagnosis and Procedure codes Conversions for Medicare Secondary (MSP) Claims Using the General Equivalence Mappings (GEMS) 2012 Table in CWF N/A 8034
R2594CP 2012-11-16 Testing HIPAA Transactions following a system change 2013-04-01 8094
R1151OTN 2012-11-16 Use of Q6 Modifier for Locum Tenens by Providing Performing Provider NPI - Analysis only CR 2013-04-01 8124
SE1244 N/A Medicare DMEPOS Competitive Bidding Program: Quick Reference Article N/A N/A SE1244 2012-11-21
R2598CP 2012-11-23 Annual Type of Service (TOS) Update 2013-01-07 8082
R441PI 2012-11-23 Retirement of the Program Integrity Management Reporting (PIMR) System N/A 8093
R440PI 2012-11-23 Revision to Appeals Section of Chapter 15 of the Program Integrity Manual (PIM) 2012-12-24 8110
R2595CP 2012-11-23 Announcement of Medicare Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Payment Rates Increases 2013-01-07 8119 MM8119 2012-11-27
R2596CP 2012-11-23 Annual Update to the Therapy Code List 2013-01-07 8126 MM8126 2012-11-29
R2522CP 2012-08-21 Redesign of the Medicare Summary Notice (MSN) – Final Implementation – And Major Update to Chapter 21 of the Claims Process Manual N/A 7676 MM7676 2012-11-29
R2498CP 2012-07-27 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 18.3, Effective October 1, 2012 2012-10-01 8006 MM8006 2012-12-07
R2601CP 2012-11-30 Calendar Year (CY) 2013 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 2013-01-07 8132 MM8132 2012-12-03
R2600CP 2012-11-30 Therapy Cap Values for Calendar Year (CY) 2013 2013-01-07 8129 MM8129 2012-12-03
R2602CP 2012-11-30 New Place of Service (POS) Code for Place of Employment/ Worksite 2013-04-01 8125 MM8125 2012-12-03
R163BP 2012-11-30 Implementing the Claims-Based Data Collection Requirement for Outpatient Therapy Services -- Section 3005(g) of the Middle Class Tax Relief and Jobs Creation Act (MCTRJCA) of 2012 2013-01-07 8005
R2603CP 2012-11-30 Implementing the Claims-Based Data Collection Requirement for Outpatient Therapy Services -- Section 3005(g) of the Middle Class Tax Relief and Jobs Creation Act (MCTRJCA) of 2012 2013-01-07 8005 MM8005 2012-12-03
R149NCD 2012-11-30 Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP) 2013-01-07 7836 MM7836 2012-08-10
R2605CP 2012-11-30 Transcutaneous Electrical Nerve Stimulation (TENS) for Chronic Low Back Pain (CLBP) 2013-01-07 7836 MM7836 2012-08-10
R164BP 2012-11-30 Expansion of Medicare Telehealth Services for CY 2013 2013-01-07 7900 MM7900 2012-12-11
R2606CP 2012-11-30 Expansion of Medicare Telehealth Services for CY 2013 2013-01-07 7900 MM7900 2012-12-11
R2609CP 2012-12-07 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 19.1, Effective April, 1, 2013 2013-04-01 8147 MM8147 2012-12-11
R2607CP 2012-12-07 National Correct Coding Initiative Add-On Codes – Replacement of "Identical Letter" Dated December 19, 1996 with Subject Line "Correct Coding Initiative Add-On (ZZZ) Codes - ACTION" 2013-04-01 7501
R442PI 2012-12-07 Update for Amendments, Corrections and Delayed Entries in Medical Documentation 2013-01-08 8105
R2608CP 2012-12-07 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2013-01-07 8133 MM8133 2012-12-11
R81GI 2012-12-07 Update to Medicare Deductible, Coinsurance and Premium Rates for 2013 2013-01-07 8052 MM8052 2012-12-11
SE1249 N/A HIPAA Eligibility Transaction System (HETS) to Replace Common Working File (CWF) Medicare Beneficiary Health Insurance Eligibility Queries N/A N/A SE1249 2012-12-11
R1104OTN 2012-08-02 Application of the Multiple Procedure Payment Reduction (MPPR) on the Professional Component (PC) and Technical Component (TC) of Certain Diagnostic Imaging Procedures to Physicians in the Same Group Practice 2013-01-07 7747 MM7747 2012-12-19
R1156OTN 2012-12-13 Addition of New Common Working File (CWF) Medicare Secondary Payer (MSP) Utilization Edit Codes for CWF to Send the Shared Systems When the Diagnosis Code on the Claim is Considered a Match with the Family of DX Codes in CWF for Non-Group Health Plan (NGHP) MSP Claims N/A 7605
R443PI 2012-12-14 Update to Pub. 100-08, Program Integrity Manual, Chapter 13 2013-01-15 7829
R2610CP 2012-12-14 Update To Publication 100-04, Claims Processing Instructions For Chapter 12, Non-Physician Practitioners (NPPs) 2013-02-19 8010 MM8010 2012-12-18
R216FM 2012-12-14 Modification/Addition of Group Codes/Specialty Codes 2013-01-15 8090
R2611CP 2012-12-14 January 2013 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2013-01-07 8141 MM8141 2012-12-18
R2612CP 2012-12-14 Calendar Year (CY) 2013 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 2013-01-07 8132 MM8132 2012-12-03
R1157OTN 2012-12-14 Standardizing the Standard - Phase I N/A 7910
R444PI 2012-12-14 Retirement of the Program Integrity Management Reporting (PIMR) System N/A 8093
R455PR1 2012-12-14 Provider Reimbursement Manual Part 1, Chapter 6, Grants, Gifts,and Income from Endowments N/A N/A
R445PI 2012-12-14 Revision to Section 15.5.20 of Chapter 15 of the Program Integrity Manual (PIM) 2014-01-01 7864 MM7864
R2615CP 2012-12-14 Revisions of the Financial Limitation for Outpatient Therapy Services – Section 3005 of the Middle Class Tax Relief and Job Creation Act of 2012 2012-10-01 7785 MM7785 2012-12-18
R2614CP 2012-12-14 Updated Billing Requirements for Outpatient Therapy Services -- Middle Class Tax Relief and Jobs Creation Act (MCTRJCA) of 2012 2012-11-27 8097
R2613CP 2012-12-14 Revised and Clarified Place of Service (POS) Coding Instructions 2013-04-01 7631 MM7631
SE1250 N/A Prescription Drug Monitoring Programs: A Resource to Help Address Prescription Drug Abuse and Diversion N/A N/A SE1250 2012-12-17
R1158OTN 2012-12-18 Use of Q6 Modifier for Locum Tenens by Providing the Substitute Physician’s Unique Identifier 2012-04-01 8124
SE1237 2012-11-23 Importance of Preparing/Maintaining Legible Medical Records SE1237 2012-11-23
SE1239 2012-09-25 Updated ICD-10 Implementation Information SE1239 2012-09-25
SE1240 2012-09-25 Partial Code Freeze Prior to ICD-10 Implementation SE1240 2012-09-25
R2620CP 2012-12-21 Ambulance Inflation Factor for CY 2013 and Productivity Adjustment 2013-01-07 8156 MM8156 2012-12-21
R2619CP 2012-12-21 New Waived Tests 2013-04-01 8146 MM8146 2012-12-21
R2618CP 2012-12-21 Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update 2013-04-01 8154 MM8154 2012-12-28
R86DEMO 2012-12-21 Implementation of the Hospital Value-Based Purchasing Program and Hospital Readmission Reduction Program for the Rural Community Hospital Demonstration for FY 2013 2013-01-22 8076 MM8076 2012-12-28
R2617CP 2012-12-21 Quarterly Update to the Correct Coding Initiative (CCI) Edits 2013-01-07 8135 MM8135 2012-12-26
R2616CP 2012-12-21 January 2013 Integrated Outpatient Code Editor (I/OCE) Specifications Version 14.0 2013-01-07 8137 MM8137 2012-12-26
R1159OTN 2012-12-21 New Healthcare Common Procedure Coding System (HCPCS) Codes for Replacement Accessories and Supplies for External Ventricular Assist Devices or Any Ventricular Assist Device (VAD) for Which Payment Was Not Made Under Medicare Part A 2013-04-01 7888 MM7888 2012-12-27
R2622CP 2012-12-21 Implementing the Claims-Based Data Collection Requirement for Outpatient Therapy Services -- Section 3005(g) of the Middle Class Tax Relief and Jobs Creation Act (MCTRJCA) of 2012 2013-01-07 8005 MM8005 2012-12-04
R1160OTN 2012-12-21 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - April 2013 2013-04-01 8144
R165BP 2012-12-21 Implementing the Claims-Based Data Collection Requirement for Outpatient Therapy Services -- Section 3005(g) of the Middle Class Tax Relief and Jobs Creation Act (MCTRJCA) of 2012 2013-01-07 8005 MM8005 2012-12-04
R1161OTN 2012-12-28 Implementation of New and Revised Medicare Summary Notice (MSN) Messages and Discontinuation of Obsolete MSN Messages. 2013-02-18 8106
R2626CP 2012-12-28 January 2013 Update of the Ambulatory Surgery Center (ASC) Payment System. 2013-01-07 8148 MM8148 2013-01-04
R446PI 2012-12-28 Program Safeguard Contractor (PSC) and Zone Program Integrity Contractor (ZPIC) Provider Notification 2013-01-29 8079
R2625CP 2012-12-28 Changes to Contractor Designation in Processing Foreign, emergency and Shipboard Claims 2013-01-29 8103
R1135OTN 2012-11-01 New Healthcare Common Procedure Coding System (HCPCS) Codes for Replacement Accessories and Supplies for External Ventricular Assist Devices or Any Ventricular Assist Device (VAD) For Which Payment Was Not Made Under Medicare Part A 2013-04-01 7888
R2624CP 2012-12-28 April 2013 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2013-04-01 8161 MM8161 2013-02-06
R2527CP 2012-09-07 Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 2013-01-07 8043 MM8043 2013-02-06
R2581CP 2012-11-02 Outpatient Laboratory Services Rendered in a Critical Access Hospital (CAH) 2013-04-01 8025 MM8025 2013-04-22
R1155OTN 2012-11-23 Affordable Care Act (ACA) Model 4 Bundled Payments for Care Improvement - Episode of Care - Implementation Phase 3 N/A 8070 MM8070 2013-07-25
R2569CP 2012-10-26 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 2013-04-01 8071