CMS Program Memoranda

CMS Program Memoranda

Until October 2003, CMS (formerly HCFA) issued Program Memoranda to communicate reminder items, requests for action or information of a one-time non-recurring nature. Program Memoranda for the years 2000-2003 are available at this location.

File Name Subject CR # Implementation Date
A-02-099
Scheduled Release for January Updates to Software Programs and Pricing/Coding Files
2375
AB-02-139
Additional Guidance for Applying the Medicare Self-Administered Drug Exclusion
2311
AB-02-129
Claims Processing Requirements for Clinical Diagnostic Laboratory Services Based on the Negotiated Rulemaking
2169
AB-02-131
Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule
2297
A-02-113
Transmittal A-02-113 Has Been Rescinded
2331
AB-02-084
Additional Information Regarding Medicare Payment Allowance for Flu Vaccine
2190
AB-02-090
Medicare Secondary Payer (MSP): (1) Procedures for "Write-Off - Closed" of MSP Accounts Receivable (AR); (2) Elimination of Automated/Systems "Write-Off - Closed" Actions for MSP AR; Zero Backend Tolerance for MSP AR (Reminder); and (3) Date for Establish...
1280
A-02-044
Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases, Changes to the RHC Benefit Made by the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 and Cla...
1600
B-02-052
Implementation of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standard Version 5.1 and the Equivalent Batch Standard Version 1.1 for Retail Pharmacy Drug Transactions
2255
A-02-040
Scheduled Release for July Updates to Software Programs and Pricing/Coding Files
2172
A-01-140
This PM has been retracted
1990
AB-02-111
Implementation of Certain Initial Determination and Appeal Provisions Within Section 521 of the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000
2251
A-01-136
"Do Not Forward (DNF)” Initiative, Change Request 681, Transmittal No. AB-00-6, Dated February 2000
1449
A-01-139
This PM has been retracted
1989
A-01-143
This PM has been retracted.
1994
B-02-032
Medical Review (MR) Progressive Corrective Action (PCA)
2131
A-01-138
Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases, Changes to the Exception Criteria for the Payment Limit for RHC Based in Rural Hospitals.
1958
AB-02-055
Claims Processing Instructions to Conclude the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Demonstration
2054
A-01-126
Scheduled Release for January Updates to Software Programs and Pricing/Coding Files
1874
AB-02-013
Improve the Out-of-Service-Area (OSA) Claims Process in the Common Working File (CWF)
2023
SA-02-01
TITLE XIX OF THE SOCIAL SECURITY ACT, POST-ELIGIBILITY TREATMENT OF INCOME
AB-02-020
Revised Timelines for Health Insurance Portability and Accountability Act (HIPAA) Requirements
2039
AB-02-048
Program Management Provider/Supplier Education and Training
2125
AB-01-132
Further Guidance Concerning Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Transactions
1828
B-02-042
This transmittal number has never been used and will not be used in the future
B-01-60
Schedule for Completing the Calendar Year (CY) 2002 Fee Schedule Updates and the Participating Physician Enrollment Procedures
1826
AB-02-003
This Transmittal Has Been Rescinded
1260
B-02-001
Transmittal B-02-001 Has Been Rescinded
1993
A-02-063
Scheduled Release for October Updates to Software Programs and Pricing/Coding Files
2261
AB-02-073
Installation of a New Medicare Customer Service Center (MCSC) Next Generation Desktop (NGD) Application
2079
AB-01-39
Salary Equivalency Guidelines Update Factors NEW VERSION
1578
A-01-49
Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases, Changes to the RHC Benefit Made by the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 and Cla...
1600
AB-01-99
This Transmittal Has Been Rescinded
1681
B-01-11
This Transmittal Has Been Rescinded NEW VERSION
1300
B-01-49
Additional Information Regarding Medicare Payment Allowance for Flu Vaccine
1797
AB-01-07
CONTRACTOR TESTING REQUIREMENTS--ACTION
1462
A-01-43
This Transmittal Has Been Rescinded
1109
A-01-62
The Certification Package for Internal Controls for Fiscal Year (FY) Ending September 30, 2001
1673
A-02-029
Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry/Response Transaction (270/271) Standard
2111
AB-01-67
Program Memorandum on Written Statements of Intent (SOI) to Claim Medicare Benefits
1050
AB-01-29
Free Electronic Billing Software
1483
B-01-05
Matrix to Complete Provider/Supplier Enrollment Application (HCFA-855)
777
A-01-39
Postacute Care Transfer Policy
1565
AB-01-85
HIPAA Release Testing/Production Schedule
1718
A-01-76
Scheduled Release for October Updates to Software Programs and Pricing/Coding Files
1716
AB-01-92
Use of the American Dental Association 's (ADA)Current Dental Terminology- Third Edition (CDT-3)Codes on Medicare Contractors Web Sites
1699
A-01-58
Clarification of Provider Cost Report Filing Requirements
429
A-03-040
Clarification of Bill Types 22x and 23x Submitted by Skilled Nursing Facilities (SNFs)
2674
AB-01-68
Consolidation of Program Memorandums for Outpatient Rehabilitation Therapy Services
1155
AB-01-24
Medicare Secondary Payer (MSP): (1) Procedures for “Write-Off - Closed” of MSP Accounts Receivable (AR); (2) Elimination of Automated/Systems “Write-Off - Closed” Actions for MSP AR; Zero Backend Tolerance for MSP AR (Reminder); an...
1280
AB-01-28
Current Status of Medicare Program Memoranda Issued Before Calendar Year (CY) 2001
B-03-035
Continuation of April and July 2003 Change Requests (CRs 2427 and 2527): Process all Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Create Import/Export Functionality Between the VIPS Medicare System (VMS) ...
2645
A-03-043
Changes to Fiscal Year (FY) 2001 Nursing and Allied Health Education Payment Policies
2692
B-03-034
Continuation of April and July 2003 Change Requests (CRs 2426 and 2526): Process all Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Modify the Medicare Claims System (MCS) to Incorporate all Claim Payment a...
2644
B-03-033
Continuation of April and July 2003 Change Requests (CRs 2425 and 2525): Create Import/Export Functionality Between the Medicare Claims System (MCS) and the Provider Enrollment Chain Ownership System (PECOS)
2643
AB-01-56
Questions and Answers Regarding Payment for the Services of Therapy Students Under Part B of Medicare
1498
AB-03-022
Use of the American Medical Association's (AMA's) Physicians' Current Procedural Terminology, Fourth Edition (CPT) Codes on Contractors' Web Sites
2583
B-03-039
Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Bypass to Allow Separate Payment for Drugs
2707
AB-03-017
Scheduled Release for April Updates to Software Programs and Pricing/Coding Files
2572
AB-01-90
This Transmittal Has Been Rescinded
1214
A-01-72
Additional Problems with Processing of Non-Outpatient Prospective Payment System (OPPS) Claims Through the OPPS Outpatient Code Editor (OCE)
1722
AB-00-42.60
Rescinded
1116
AB-03-065
Scheduled Release for July Updates to Software Programs and Pricing/Coding Files
2744
AB-01-04
Implementation of the National Drug Code (NDC) to Process Claims for Prescription Drugs and Biologicals and Request for Comments -- ADVANCE NOTICE
1441
B-03-026
Standard System Acceptance of Primary Payer Information at the Line Level
1287
AB-00-67
Implementation of 4105 of the Balanced Budget Act Regarding Coverage of Diabetes Outpatient Self-Management Training Services--ACTION
606
B-03-008
Medical Review (MR) Progressive Corrective Action (PCA) Continuation of Work Begun In Compliance with Change Request (CR) 2433
2496
B-03-010
Transmittal B-03-010 has been rescinded
2501
AB-00-68
Current Status of Medicare Program Memoranda Issued Before Calendar Year (CY) 2000
AB-00-43.60
Program Memorandum on Written Statements of Intent (SOI) to Claim
1050
AB-03-063
New Common Working File (CWF) Medicare Secondary Payer (MSP) Edit to Reject MSP Records for Medicare Beneficiaries Who Are Only Entitled to Medicare Part B, and Are Covered by a Group Health Plan (GHP)
1922
AB-00-32-60
New Waived Tests -- Effective Date of Receipt
885
AB-00-85
GUIDANCE ON IMPLEMENTATION OF THE CY 2000 FOURTH QUARTER RELEASE
1308
AB-00-52.60
Assisted Suicide Funding Restriction Act of 1997 (P.L. 105-12)
851
AB-00-103
Final Rule Revising and Updating Medicare Policies Concerning Ambulance Services
905
AB-00-116
Local Medical Review Policy (LMRP) Development and Format
1021
AB-00-110
Implementation of the New Payment Limit for Drugs and Biologicals
745
AB-00-72
Medical Review Progressive Corrective Action (PCA) -- ACTION
1285
AB-00-107
Transfer of Initial Medicare Secondary Payer (MSP) Development Activities to the Coordination of Benefits (COB) Contractor
1163
AB-00-127
Reimbursement for Ambulance Services to Nonhospital-Based Dialysis Facilities
868
A-00-44
OUTPATIENT PROSPECTIVE PAYMENT SYSTEM (OPPS) CONTINGENCY PLANS AND INSTRUCTIONS
1277
AB-00-56.60
Memorandum of Understanding (MOU) between the Office of Inspector General and the Department of Justice-Sharing Fraud Referrals
1160
AB-00-64.60
Medicare Summary Notice (MSN) Implementation at Seven Contractor Sites -- ACTION
1233
AB-00-126
Use of the American Medical Associations (AMAs) Physicians Current Procedural Terminology, Fourth
1415
AB-00-96
Clarification of Fiscal Intermediary (FI) and Durable Medical Equipment Regional Carrier (DMERC) Responsibilities Concerning Home Dialysis Method Election and Claims Processing
1275
AB-00-46.60
HCFA Policy for Disclosure of Individually Identifiable Information
1156
AB-00-128
Extension of the Limitation on Payment for Services to Individuals Entitled to Benefits on the Basis of End Stage Renal Disease (ESRD) Who Are Covered by Group Health Plans (GHPs)
817
AB-00-53.60
Suspension of National Coverage Policy on Electrostimulation for Wound Healing
577
AB-00-74
Transfer of Initial Medicare Secondary Payer (MSP) Development Activities to the Coordination of Benefits (COB) Contractor
1163
AB-00-132
Clarification Regarding Release of Medicare Eligibility Data
1494
B-02-078
Medical Review (MR) Progressive Corrective Action (PCA)--ACTION
2433
A-00-31.60
Reporting a Patient's Reason for Visit on a Part A Outpatient Claim - INFORMATION
1184
A-00-91
Inpatient Rehabilitation Facility Prospective Payment System
1343
A-00-28.60
Clarification of Provider Cost Report Filing Requirements
429
A-00-11.60
Medicare Home Health Benefit - Section 4615 of the Balanced Budget Act of 1997. Clarification That No Home Health Benefits Are Authorized Based Solely on Drawing Blood.
401
B-02-061
Schedule for Completing the Calendar Year (CY) 2003 Fee Schedule Updates and the Participating Physician Enrollment Procedures
2357
A-02-105
Removal of Common Working File (CWF) Edit on Non-Covered Hospice Claims
2328
AB-03-143
Implementation of Certain Initial Determination and Appeal Provisions Within Section 521 of the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000
2251
AB-02-184
Provider Notification of Denials Based on Local Medical Review Policy (LMRP)
2305
AB-00-39.60
Consolidation of Program Memorandums for Outpatient Rehabilitation Therapy Services
1155
A-00-56
Update of Rates for Ambulatory Surgical Center (ASC) Payments
1268
A-00-39
Monitoring Process for Skilled Nursing Facility Exception Determinations
1215
B-00-06.60
This Program Memorandum re-issues Program Memorandum B-99-6, Change Request 777 dated March 1999.
777
A-00-10.60
Discarding Program Memoranda on Surety Bonds
AB-02-174
Single Drug Pricer (SDP)
2381
A-00-95
Renewal of Program Memorandum (PM) A-97-8--Instructions to Implement the New Medicare Summary Notice (MSN) Combined with Program Memorandum AB-98-31 - ACTION
651
B-00-24.60
Issues Involving Certificates of Medical Necessity (CMN) and Cover Letters for CMNs
866
B-00-61
Comprehensive Error Rate Testing (CERT) Program -- Requirements for Medicare Contractor Operations
1338
A-00-40
Further Information on the Use of Modifier -25 in Reporting Hospital Outpatient Services
1250
A-00-93
'Do Not Forward (DNF)' Initiative, Change Request 681, Transmittal No. AB-00-6, Dated February 2000
1449
B-00-01.60
Paramedic Intercept Provisions of the Balanced Budget Act (BBA) of 1997
783
AB-00-62.60
Rescinding Change Requests Numbers 1001, 1108, 1116, and 1163
B-00-02.60
Payment for Teleconsultations in Rural Health Professional Shortage Areas
545
A-00-99
Medicare Contractor Use of the Regional Home Health Intermediary (RHHI) Outcomes and Assessment Information Set Verification Protocol for Review of Home Health Agency (HHA) Prospective Payment Bills
1453
A-00-05.60
This Program Memorandum re-issues Program Memorandum A-99-5, Change Request 789 dated February 1999.
789
B-00-30.60
Clarification of Billing for G0170 and G0171
1196
B-00-37
Standard System Acceptance of Primary Payer Information at the Line Level
1287
B-00-32.60
CPT Codes 99214 and 99233
1234
A-00-01.60
Consolidated Billing for Skilled Nursing Facility (SNF) Patients When Receiving Outpatient/Emergency Care in a Medicare-Participating Hospital or Critical Access Hospital (CAH)
711
B-00-63
Medicare Payment Allowance for Flu Vaccine
1440
B-00-15.60
Change to Health Insurance Claim Form HCFA-1500 Instructions for Processing Physician Claims in Global Payment Systems
457
AB-03-123
Scheduled Release for October Updates to Software Programs and Pricing/Coding Files
2850
AB-00-66
Coverage of Diabetes Outpatient Self-Management Training Services, Effective: July 1, 1998
199
A-02-019
Scheduled Release for April Updates to Software Programs and Pricing/Coding Files
2052
AB-01-38
This Transmittal Has Been Rescinded
1556
AB-00-36.60
Rescinded
1163
AB-00-40.60
Written Statements of Intent (SOI) to Claim Medicare Benefits; 60-Day Grace Period
1165
AB-02-185
Deletion of Q codes and Reactivation of CPT codes for Hepatitis B Vaccine
2536
A-00-30.60
Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers FQHCs) Payment Rate Increases and Policy Clarifications and Guidance for Services Furnished by RHCs and FQHCs.
1133
A-00-26.60
Rescinded
1108
A-00-53
Proper Billing of Units for Intrathecal Baclofen under the Outpatient Prospective Payment System (OPPS)
1320
B-00-52
Schedule for Completing the Calendar Year (CY) 2001 Fee Schedule Updates and the Participating Physician Enrollment Procedures
1355
A-01-22
Extension of Due Date for Filing Provider Cost Reports
1501
AB-00-47.60
RELEASE TO BE IMPLEMENTED JUNE 5, 2000
1201
AB-01-17
Medicare Coverage of Epoetin Alfa (Procrit) for Preoperative Use
903
08/01/1999
AB-00-54.60
Modified Procedures for Sharing HCFA Data with the Department of Justice (DOJ)
876
08/23/1999
B-00-44
SITE VISITS AND ENROLLMENT OF INDEPENDENT DIAGNOSTIC TESTING FACILITIES (IDTFs)
935
09/15/1999
AB-01-170
Clarification to MCM Section 2130 Prosthetic Devices and CIM Section 60-9 Durable Medical Equipment Reference List--Coverage of Intermittent Catheterization
939
10/01/1999
AB-00-102
Clarification to MCM Section 2130 Prosthetic Devices and CIM Section 60-9 Durable Medical Equipment Reference List--Coverage of Intermittent Catheterization
939
10/01/1999
AB-01-117
Instruction Implementation Reporting
944
11/01/1999
A-00-67
Deactivation of Inactive Community Mental Health Center (CMHC) Medicare Numbers
900
11/01/1999
A-00-90
This Program Memorandum re-issues A-99-50, Change Request 1007 dated November 1999. The only change is the discard date; all other material remains the same.
1007
12/01/1999
AB-00-48.60
Model Acknowledgment Letters for Valid and Invalid Written Statements of Intent to Claim Medicare Benefits (As Referenced in PM Transmittal AB-99-88)
1090
12/23/1999
AB-00-49.60
Program Memorandum on Statements of Intent To File Claims For Claims Filing Periods That End On December 31, 1999
1054
12/31/1999
A-01-13
Clarification of Allowable Medicaid Days in the Medicare Disproportionate Share Hospital (DSH) Adjustment Calculation--ACTION
1052
01/01/2000
AB-00-28.60
Update of Rates for Ambulatory Surgical Center (ASC) Payments--ACTION
1145
01/01/2000
AB-00-01.60
Prospective Payment System for Outpatient Rehabilitation Services and Application of Financial Limitation
483
01/01/2000
AB-00-14.60
Questions and Answers Regarding the Prospective Payment System (PPS) for Outpatient Rehabilitation Services and Physical Medicine Current Procedural Terminology (CPT) Coding Guidance
842
01/01/2000
AB-00-17.60
Clarification of Liver Transplant Policy
1112
01/01/2000
AB-00-11.60
Medicare Secondary Payer (MSP) -- Identification and Write Off/Adjustment of MSP Settlement Related Group Health Plan (GHP) Based Accounts Receivable (AR), and Write Off of Unsupportable MSP AR
899
01/01/2000
AB-00-20.60
GUIDANCE ON APRIL RELEASE IMPLEMENTATION
1157
01/01/2000
B-00-72
Instructions to Implement the New Medicare Summary Notice (MSN)-- Program Memorandum (PM) B-98-4 and PM AB-98-31--ACTION
809
01/01/2000
B-00-03.60
Emergency Changes to the 2000 Medicare Physician Fee Schedule Database-- ACTION
1104
01/17/2000
B-00-18.60
Emergency Changes to the 2000 Medicare Physician Fee Schedule Database
1092
01/17/2000
B-00-17.60
Emergency Changes to the 2000 Medicare Physician Fee Schedule Database
1104
01/17/2000
AB-02-028
CMS Office of the Inspector General (OIG) Hotline Referrals
955
01/27/2000
AB-01-34
HCFA Office of the Inspector General (OIG) Hotline Referrals
955
01/27/2000
A-00-06.60
Instructions for an End Stage Renal Disease (ESRD) Facility to Retain Its Previously Approved Exception Payment Rate
1102
01/30/2000
A-00-02.60
Installation of the Medicare Outpatient Code Editor (OCE) Version 15.1
1096
01/31/2000
B-00-09.60
Clarification of Medicare Policies Concerning Ambulance Services
1065
01/31/2000
AB-01-15
Instructions to All Medicare Contractors for Reporting Audited Year 2000 Costs on the Final Administrative Costs Proposals
1062
02/01/2000
AB-00-16.60
Instructions to All Medicare Contractors for Reporting Audited Year 2000 Costs on the Final Administrative Costs Proposals
1062
02/01/2000
AB-00-03.60
Notice of New Interest Rate for Medicare Overpayments and Underpayments
1037
02/02/2000
B-00-04.60
Fee-for-Service Enrollment of Managed Care Organizations (MCOs) for the Indirect Payment Procedure
954
02/07/2000
AB-00-07.60
Moratorium on Data Center Movements
1089
02/11/2000
B-01-16
Clarification of Medicare Policies Concerning Ambulance Services
1065
02/29/2000
A-00-08.60
Payment Safeguard Review of Skilled Nursing Facility Prospective Payment Bills--Updated Instructions
1064
03/01/2000
B-00-11.60
Paramedic Intercept -- New Definition for Rural
1107
03/01/2000
AB-00-21.60
Self-Administered Injectable Drugs and Biologicals
1164
03/17/2000
AB-00-81
Self-Administered Injectable Drugs and Biologicals
1164
03/17/2000
AB-00-22.60
"NO FEE" POLICY FOR MEDICARE CONTRACTORS' PROVIDER EDUCATION AND TRAINING ACTIVITIES - PROGRAM MANAGEMENT AND MEDICARE INTEGRITY PROGRAM FUNDED ACTIVITIES
1146
03/23/2000
A-00-13.60
Procedures for Financial Reporting of Medicare Letter of Credit Draws and Collections between the Hospital Insurance (HI) and Supplemental Medical Insurance (SMI) Trust Funds
1152
03/31/2000
AB-00-19.60
Instructions to All Medicare Contractors for Reporting Audited Year 2000 Costs on the Final Administrative Costs Proposals
1137
03/31/2000
AB-00-05.60
Operating Instructions for Expanded Coverage of the Electrical Osteogenic Stimulator for Fracture Healing. Effective for Services Performed on or After 4/l/2000
1085
04/01/2000
AB-00-02.60
DMERCs -- Pre-Discharge Delivery of DMEPOS for Fitting and Training
901
04/01/2000
AB-00-04.60
April Quarterly Update for 2000 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
1053
04/01/2000
AB-00-15.60
Delay of Hyperbaric Oxygen Therapy Coverage Policy
1138
04/01/2000
AB-00-23.60
Medigap (Medicare supplemental insurance) Insurers Fraud Referrals
1105
04/01/2000
A-00-18.60
Fiscal Intermediary (FI) Community Mental Health Center (CMHC)Enrollment and Change of Ownership (CHOW) Site Visit Process and Coordination with National CMHC Site Visit Contractor
1109
04/01/2000
A-00-73
Clarification of Modifier Usage in Reporting Outpatient Hospital Services
973
04/01/2000
A-00-03.60
Implementation of H.R. 3426, the Medicare, Medicaid, and the State Child Health Insurance Program Balanced Budget Refinement Act of 1999 (BBRA '99), P.L. 106-113, Section 301(a)
1078
04/01/2000
B-00-12.60
Notification Process for Changes to Health Professional Shortage Area (HPSA) Designations
1100
04/01/2000
B-00-10.60
First Quarterly Update to the 2000 Medicare Physician Fee Schedule Database--INFORMATION
1134
04/01/2000
AB-00-18.60
Consolidated Billing for Skilled Nursing Facilities (SNFs)--The Balanced Budget Refinement Act of 1999
1070
04/01/2000
B-00-16.60
Provider Education Article: Role of Physicians in the Home Health Prospective Payment System
1088
04/01/2000
A-00-22.60
Instructions For Reporting Additional Detailed Information on Form HCFA-750 Contractor Financial Report (Fiscal Intermediaries Only)
1174
04/20/2000
AB-00-31.60
Sending Common Working File (CWF) Referrals for Initial Enrollment Questionnaire (IEQ) and IRS/SSA/HCFA Data Match Records to the Coordination of Benefits (COB) Contractor
1175
05/01/2000
AB-00-92
Sending Common Working File (CWF) Referrals for Initial Enrollment Questionnaire (IEQ) and RS/SSA/HCFA Data Match Records to the Coordination of Benefits (COB) Contractor
1175
05/01/2000
A-00-27.60
Permitting Reclassification of Certain Urban Hospitals as Rural Application Procedures
1180
05/01/2000
AB-00-27.60
Medicare Secondary Payer (MSP) Government Performance and Results Act (GPRA) Goal for Fiscal Year (FY) 2000
1142
05/01/2000
AB-00-37.60
Notice of New Interest Rate for Medicare Overpayments and Underpayments
1038
05/03/2000
A-00-07.60
Addition of Modifiers 25, 58, 78, and 79 to the List of Modifiers Approved for Hospital Outpatient Use and Correction to Program Memorandum (PM)A-99-41
1079
05/15/2000
AB-00-12.60
CORRECTION to Coordination of Benefits (COB) Contractor Numbers
1126
05/15/2000
A-00-17.60
Changes to FY 2000 Hospital Inpatient Prospective Payment System (PPS)Policies As Required by the Medicare, Medicaid, and State-Child Health Insurance Program Balanced Budget Refinement Act of 1999 (BBRA), P.L. 106-113
1129
05/15/2000
A-00-04.60
Provider Statistical and Reimbursement Report (PS&R) Unibill Record
1095
05/15/2000
B-00-13.60
Calculation of National Standard Format (NSF) for Electronic Remittance Advice (ERA) Amount Fields and Balancing of NSF Data; and Clarification to Claim NSF Field EAO 21 for Coordination of Benefits--Modification of Program Memorandum (PM) B-99-42 (CR1016...
1130
05/15/2000
AB-00-35.60
Further Guidance on April Release Implementation
1195
05/15/2000
B-00-07.60
Changes to Correct Coding Edits, Version 6.1, Effective April 1, 2000
1004
05/15/2000
AB-00-13.60
New Waived Tests -- Effective Date of Receipt
1091
05/15/2000
A-01-64
Provider Statistical and Reimbursement Report (PS&R)
1188
05/22/2000
A-00-25.60
Provider Statistical and Reimbursement Report (PS&R)
1188
05/22/2000
A-00-29.60
Electronic Filing of Provider Cost Reports; Home Health Agencies (HHAs) and Skilled Nursing Facilities (SNFs)
1153
05/30/2000
AB-00-24.60
Development and Dissemination of a Product Classification List for HCPCS Code L0430
1083
06/01/2000
A-00-19.60
Implementation of Provider Enrollment, Chain and Ownership System (PECOS)
1120
06/12/2000
B-00-26.60
Carrier Adjustments to be Made for Payment for HCPCS Code 90669, Pneumococcal (PPV) Conjugate Vaccine, Polyvalent, for Intramuscular Use
1185
06/12/2000
AB-01-89
FUTURE SOFTWARE RELEASES
1216
07/01/2000
A-01-77
Advance Beneficiary Notices (ABNs) for Services for Which Institutional Part B Claims Will be Processed by Fiscal Intermediaries
1192
07/01/2000
AB-00-55.60
Hemodialysis Flow Study
1117
07/01/2000
AB-00-33.60
Processing of Medicare Choice Encounter Data at the HCFA Data Center
1182
07/01/2000
AB-00-30.60
Implementing Instructions for Services Provided in Religious Nonmedical Health Care Institutions (RNHCIs)
1106
07/01/2000
AB-00-63.60
Ocular Photodynamic Therapy (OPT)
1214
07/01/2000
AB-00-60.60
Future Software Releases
1216
07/01/2000
AB-00-45.60
Award of Medicare+Choice (M+C) Contract to Sterling Life Insurance Co., Inc. for M+C Private Fee-for-Service (PFFS) Plan -- INFORMATION ONLY
1197
07/01/2000
AB-00-08.60
Payment for All Comprehensive Outpatient Rehabilitation Facility (CORF) Services Under the Medicare Physician Fee Schedule (MPFS)
1113
07/01/2000
AB-00-58.60
Guidance on Implementation of the CY 2000 Third Quarter Release
1237
07/01/2000
AB-00-06.60
Do Not Forward (DNF). Initiative
681
07/01/2000
AB-00-10.60
Implementing Instructions for Services Provided in Religious Nonmedical Health Care Institutions (RNHCIs)
1106
07/01/2000
AB-00-26.60
July Quarterly Update for 2000 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
1169
07/01/2000
A-00-09.60
Hospital Outpatient Services Prospective Payment System (PPS) Background
1012
07/01/2000
A-00-15.60
Hospital Outpatient Procedures: Medicare Changes for Radiology and Other Diagnostic Coding Due to the 1998 HCPCS Update; Miscellaneous Changes
1110
07/01/2000
A-00-21.60
Revised Outpatient Code Editor (OCE) Specifications for the Outpatient Prospective Payment System (OPPS)
1140
07/01/2000
A-00-16.60
The Balanced Budget Refinement Act (BBRA) Revision to PM Trasmittal No. A-99-51: FY 2000 Prospective Payment System and Excluded Hospital Bill Processing Changes--Wage Adjust 75th Percentile Cap of the Target Amounts or Excluded Hospitals and Units
1128
07/01/2000
A-00-23.60
Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions
1141
07/01/2000
A-00-43
Advance Beneficiary Notices (ABNs) for Services for Which Institutional Part B Claims Will be Processed by Fiscal Intermediaries
1192
07/01/2000
B-00-33.60
Changes to Correct Coding Edits, Version 6.2, Effective July 1, 2000
1176
07/01/2000
B-00-19.60
DMERCs -- Report on Expansion of Immunosuppressive Drugs
1144
07/01/2000
B-00-21.60
2000 Jurisdiction List
1139
07/01/2000
B-00-20.60
Collection and Submission of Data for the Provider Enrollment and Chain Ownership System (PECOS) -- ACTION
918
07/01/2000
B-00-22.60
Durable Medical Equipment Carriers (DMERCs) - New Oral Anti-Cancer Drugs Approved for Use by Medicare
1125
07/01/2000
B-00-29
Correct Effective Date for Adjustment in Payment Amounts for New Technology Intraocular Lenses (NTIOLs) Furnished by Medicare Approved Ambulatory Surgical Centers (ASCs)- CLARIFICATION
1202
07/01/2000
A-00-12.60
Revision of Final Date to Accept Abbreviated Version of the UB-92 for Encounter Data Collection
1122
07/01/2000
B-00-29.60
Correct Effective Date for Adjustment in Payment Amounts for New Technology Intraocular Lenses (NTIOLs) Furnished by Medicare Approved Ambulatory Surgical Centers (ASCs)- CLARIFICATION
1202
07/01/2000
B-00-25.60
New Temporary K Codes for Hydrogel Impregnated Gauze
1159
07/01/2000
B-00-27.60
Durable Medical Equipment Regional Carriers (DMERCs) - Common Working File (CWF) Changes for Codes J8999, E0784, E0781, A4230-4232, E0616, and E0749
1148
07/01/2000
AB-00-59.60
Correction to July Quarterly Update for 2000 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
1212
07/01/2000
A-00-14.60
Hospital Outpatient Radiology Services
1114
07/01/2000
A-00-32.60
Effectuating Favorable Final Appellate Decisions That a Beneficiary is "Confined to Home"-- Regional Home Health Intermediaries (RHHIs) Only
1034
07/01/2000
B-00-05.60
Adjustment to Remittance Advice (RA), Explanation of Medicare Benefits (EOMB) and Medicare Summary Notice (MSN) Messages Generated by Carriers for Services Subject to the Facility/Non-Facility Payment Differential on the Medicare Physician Fee Schedule Da...
1058
07/01/2000
B-00-31.60
Use of CPT Code 33999 for Transmyocardial Revascularization (TMR)
1210
07/01/2000
AB-00-41.60
Procedures for the Benefit Integrity (BI) and Medical Review (MR) Units on Unsolicited/Voluntary Refund Checks
1024
07/01/2000
A-00-33.60
Education and Outreach to Coordination of Benefits Trading Partners
1200
07/17/2000
AB-00-69
Notice of New Interest Rate for Medicare Overpayments and Underpayments
1039
08/01/2000
A-00-34.60
Provider Statistical and Reimbursement Report (PS&R)
1242
08/01/2000
A-03-014
Further Guidance Regarding Billing Under the Outpatient Prospective Payment System (OPPS)
1585
08/01/2000
AB-00-61.60
New Waived Tests -- Effective Date of Receipt
1209
08/14/2000
A-03-066
Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions
1229
08/14/2000
AB-00-73
Proper Billing of Outpatient Pathology Services Under the Outpatient Prospective Payment System (OPPS)
1309
08/14/2000
A-00-36.60
Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions
1229
08/14/2000
A-00-52
COMMUNITY MENTAL HEALTH CENTERS (CMHCS) PAYMENT INSTRUCTIONS FOR OUTPATIENT PROSPECTIVE PAYMENT SYSTEM (OPPS) CONTINGENCY PLANS
1319
08/14/2000
A-00-51
Q Codes For Use Under the Hospital Outpatient Prospective Payment System (OPPS)
1318
08/14/2000
A-00-42
Coding Information for Hospital Outpatient Prospective Payment System
1259
08/14/2000
A-00-35.60
Revised Outpatient Code Editor (OCE) Specifications for the Outpatient Prospective Payment System (OPPS)
1220
08/14/2000
A-00-48
Drugs, Biologicals, Devices and New Technology HCFA Common Procedure Coding System (HCPCS) Codes For Use Under the Hospital Outpatient Prospective Payment System (OPPS)
1304
08/14/2000
AB-00-77
New State Code for Maryland Provider Numbers
1269
08/15/2000
A-00-55
Provider Statistical and Reimbursement Report (PS&R)
1329
08/28/2000
A-00-68
Provider Statistical and Reimbursement Report (PS&R)
1329
08/28/2000
A-00-58
Destroy Outdated Stock Of Medicare Summary Notices (MSNs) and Part A Explanation of Medicare Benefits (EOMBs) Under the Hospital Outpatient Prospective Payment System (OPPS)
1321
08/31/2000
A-00-59
HOME HEALTH PROSPECTIVE PAYMENT SYSTEM (HHPPS) PHASE IN PLAN, CONTINGENCY PLAN, AND INSTRUCTIONS
1315
08/31/2000
AB-00-79
Establishment of Contractor Numbers for Program Safeguard Contractors (PSCs)
1284
09/01/2000
AB-00-75
The Internal Control Certification Statement Required by the Budget and Performance Requirements (BPR) for the Fiscal Year (FY) Ending September 30, 2000
1239
09/01/2000
A-00-60
Standard Questions and Answers for Beneficiary Inquiries Related to the Hospital Outpatient Prospective Payment System (OPPS)
1311
09/01/2000
AB-00-83
Verteporfin (Visudyne)
1278
09/04/2000
AB-01-08
Program Safeguard Contractor for Corporate Integrity Agreements (PSC-CIA)
1143
09/05/2000
AB-00-70
Program Safeguard Contractor for Corporate Integrity Agreements (PSC-CIA)
1143
09/05/2000
B-00-46
Changes to Correct Coding Edits, Version 6.2, Effective September 5, 2000
1337
09/05/2000
AB-00-86
An Additional Source of Average Wholesale Price Data in Pricing Drugs and Biologicals Covered by the Medicare Program
1232
09/08/2000
A-00-63
Cost-to-Charge Ratios (CCRs) for Calculating Certain Payments Under the Hospital Outpatient Prospective Payment System (OPD PPS)
1310
09/08/2000
A-00-65
Release of Internal Revenue Service (IRS) Data Elements on Eligibility Queries
1316
09/12/2000
AB-00-76
Modification of Medicare Policy for Erythropoietin (EPO)
1243
09/15/2000
B-00-36
Returned Mail - Unique Physician Identification Number (UPIN)
1253
09/15/2000
AB-01-130
Claims Processing Instructions for Carriers, DMERCS, Intermediaries and Regional Home Health Intermediaries (RHHIs) for Claims Submitted for Medicare Beneficiaries Participating in Medicare Qualifying Clinical Trials
1241
09/19/2000
AB-00-89
Claims Processing Instructions for Carriers, DMERCS, Intermediaries and Regional Home Health Intermediaries (RHHIs) for Claims Submitted for Medicare Beneficiaries Participating in Medicare Qualifying Clinical Trials
1241
09/19/2000
A-00-69
Background and Documentation for Correct Coding Initiative (CCI) and Unit of Service Edits
1332
09/21/2000
AB-00-84
Provider Toll-Free Telephone Inquiry Service
1289
09/30/2000
A-02-096
Payment of Skilled Nursing Facility (SNF) Claims for Beneficiaries Disenrolling from Terminating Medicare Choice (M C) Plans Who Have Not Met the 3-Day Hospital Stay Requirement
1270
10/01/2000
A-01-121
Skilled Nursing Facility Adjustment Billing: Adjustments to HIPPS Codes Resulting From MDS Corrections
1224
10/01/2000
A-01-122
Payment of Skilled Nursing Facility (SNF) Claims for Beneficiaries Disenrolling from Terminating Medicare Choice (M C) Plans Who Have Not Met the 3-Day Hospital Stay Requirement
1270
10/01/2000
A-01-123
FY 2001 Prospective Payment System (PPS) Hospital and Other Bill Processing Changes
1331
10/01/2000
AB-01-150
Facility Requirements for Transplantation Centers -- INFORMATION ONLY
1374
10/01/2000
AB-01-139
Claims Processing Instructions for Claims Submitted with a Written Statement of Intent
1162
10/01/2000
AB-00-29.60
Comprehensive Error Rate Testing (CERT) Program -- Medicare Contractor Change Requirements and Medicare Part B/DMERC Standard System Change Requirements
1173
10/01/2000
AB-00-51.60
Claims Processing Instructions for Claims Submitted With A Written Statement of Intent
1162
10/01/2000
AB-00-44.60
Medicare Coverage of Non-Invasive Vascular Studies When Used to Monitor the Access Site of End Stage Renal Disease (ESRD) Patients
1118
10/01/2000
AB-00-50.60
Medicare Fraud Information Specialist (MFIS) Position
1172
10/01/2000
AB-00-65.60
Business and System Requirements for the Home Health Prospective Payment system (HH PPS)
514
10/01/2000
A-00-20.60
The Report of Benefit Savings
1019
10/01/2000
A-00-47
Skilled Nursing Facility (SNF) Annual Update: Prospective Payment System (PPS) Pricer and Health Insurance Prospective Payment System (HIPPS) Coding Changes
1223
10/01/2000
A-00-46
Skilled Nursing Facility Adjustment Billing: Adjustments to HIPPS Codes Resulting From MDS Corrections
1224
10/01/2000
AB-00-57.60
Contractor Updating of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
1204
10/01/2000
A-00-77
Change in Hospice Payment Rates, Update to the Hospice Cap, Revised Hospice Wage Index and Hospice Pricer
1235
10/01/2000
A-00-38.60
Change in Hospice Payment Rates, Update to the Hospice Cap, Revised Hospice Wage Index and Hospice Pricer
1235
10/01/2000
A-00-74
October OCE
1353
10/01/2000
A-00-37.60
Line Item Denials and the Reporting of Savings Generated by Claim Expansion and Line Item Processing
1203
10/01/2000
A-00-64
Terminating State Access to the Common Working File (CWF) Eligibility Data
1317
10/01/2000
A-00-61
Update 1--Coding Information for Hospital Outpatient Prospective Payment System (OPPS)
1307
10/01/2000
A-00-41
Transition to the Home Health Prospective Payment System (HHPPS)-- INFORMATION
1264
10/01/2000
A-02-121
Skilled Nursing Facility Adjustments Billing: Adjustments to HIPPS Codes Resulting From MDS Corrections
1224
10/01/2000
A-00-38
Change in Hospice Payment Rates, Update to the Hospice Cap, Revised Hospice Wage Index and Hospice Pricer
1235
10/01/2000
B-00-41
Changes to Correct Coding Edits, Version 6.3, Effective October 1, 2000
1271
10/01/2000
B-00-38
Addition of 'WW' Codes to Identify a New Source for an Oral Anti-Cancer Drug in dosages of 25mg and 100mg
1262
10/01/2000
A-00-49
Payment of Skilled Nursing Facility (SNF) Claims for Beneficiaries Disenrolling from Terminating Medicare Choice (M C) Plans Who Have Not Met the 3-Day Hospital Stay Requirement
1270
10/01/2000
AB-00-82
Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2000
1295
10/01/2000
A-00-66
FY 2001 Prospective Payment System (PPS) Hospital and Other Bill Processing Changes
1331
10/01/2000
A-00-54
The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 1999 for Prospective Payment System (PPS) Hospitals
1299
10/01/2000
B-00-14.60
Revisions to DMERC Information Form (DIF): Immunosuppressive Drugs DMERC Form 08.02 (latest revision 7/25/95).
1130
10/01/2000
B-00-62
Promoting Influenza and Pneumococcal Vaccinations
1398
10/01/2000
B-00-08.60
Instruction for Usage of the Revised Oxygen Certificate of Medical Necessity Form 484.2 (dated 11/99)-----ACTION
1082
10/01/2000
B-00-23.60
Requirements For Processing Physician Encounter Data In The HCFA Data Center
1183
10/01/2000
B-00-47
Addition of Special Processing Number 39, (Centralized Billing of Flu and Pneumococcal (PPV) Claims), to the Common Working File (CWF)
1325
10/01/2000
B-00-45
Reporting of Carrier Pricing Methodology for Influenza (flu) and Pneumococcal (PPV) Vaccinations to HCFA
1293
10/01/2000
B-00-35
Addition of Five 'WW' Codes to Identify a New Source for Methotrexate
1228
10/01/2000
AB-00-38.60
Hard Coding of Duplicate Edits in the Fiscal Intermediary Standard System (FISS) and the VIPS Medicare Systems (VMS) Standard Systems
1158
10/01/2000
B-00-42
Analysis of Services Provided in Congregate Settings
1247
10/01/2000
B-00-28.60
Billing of Influenza (Flu) and Pneumococcal (PPV) Virus Claims for Authorized Centralized Billing Providers to be Processed Through One Designated Carrier
1194
10/01/2000
A-01-12
Provider Statistical and Reimbursement Report (PS&R)
1359
10/02/2000
A-00-70
Provider Statistical and Reimbursement Report (PS&R)
1359
10/02/2000
AB-00-34.60
Program Integrity Management Reporting System
1035
10/02/2000
B-00-40
Final Update to the 2000 Medicare Physician Fee Schedule Database (MPFSDB)
1261
10/05/2000
AB-00-93
Coordination with the Y2K Program Safeguard Contractor (PSC)
1334
10/06/2000
AB-00-95
Facility Requirements for Transplantation Centers -- INFORMATION ONLY
1374
10/11/2000
A-00-75
Corrections to Calculation of Inpatient Payment Amounts
1399
10/13/2000
A-00-72
Technical Corrections to Coding Information for Hospital Outpatient Prospective Payment System (OPPS)
1376
10/17/2000
AB-00-97
Notification to Providers and Suppliers of Transaction and Code Set Rule Promulgated In Accordance With the Health Insurance Portability and Accountability Act (HIPAA)
1367
10/18/2000
A-01-96
Clarification of the Application of the Regulations at 42 CFR 413.134(l) to Mergers and Consolidations Involving Non-profit Providers
1290
10/19/2000
A-00-76
Clarification of the Application of the Regulations at 42 CFR 413.134(l) to Mergers and Consolidations Involving Non-profit Providers
1290
10/19/2000
AB-00-101
Notice of Interest Rate for Medicare Overpayments and Underpayments
1384
10/24/2000
AB-00-100
Mandatory Training on Ambulance Fee Schedule (AFS)
1414
10/24/2000
A-00-71
Medical Review (MR) of Home Health Services--For Regional Home Health Intermediaries (RHHIs) Only-Action
1356
10/30/2000
A-00-78
Provider Statistical and Reimbursement Report (PS&R)
1404
10/30/2000
B-00-50
Home Health Prospective Payment System (PPS)
1350
10/30/2000
A-00-80
Notification to Outpatient Hospital Service Providers Concerning Deductible and Coinsurance Amounts on Electronic Remittance Advice Version 3051.4a
1406
10/31/2000
AB-00-99
Glucose MOnitoring Note
1407
11/01/2000
AB-00-94
Urokinase (Abbokinase) Shortage
1335
11/01/2000
AB-00-80
Instruction Implementation Reporting
944
11/01/2000
AB-00-115
Source of Average Wholesale Price Data in Pricing Drugs and Biologicals Covered by the Medicare Program
1447
11/17/2000
B-00-53
Calendar Year (CY) 2001 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures (CORRECTED VERSION)
1373
11/17/2000
A-00-45
Interim Process for Certain 'Inpatient Only' Code Changes
1296
11/30/2000
AB-00-104
Autologous Stem Cell Transplantation (AuSCT) for Patients With Multiple Myeloma
1375
11/30/2000
AB-01-183
Appeals of Medicare Part A/Part B Coverage Determinations
1348
12/01/2000
A-00-98
Reporting of Outpatient Prospective Payment System (OPPS) and Home Health Prospective Payment System (HH PPS) Data in Provider Remittance Advice Transactions
1430
12/01/2000
A-00-92
Corrections to Calculation of Federal Fiscal Year (FY) 2001 Inpatient Payment Amounts
1435
12/01/2000
AB-00-122
Appeals of Medicare Part A/Part B Coverage Determinations
1348
12/07/2000
AB-00-106
Establishment of Provider/Supplier Information and Education Resource Directory
1352
12/09/2000
AB-00-123
Use of Beneficiary Question & Answers on cms.hhs.gov
1418
12/12/2000
AB-01-182
Use of the American Medical Association's (AMA's) Physicians' Current Procedural Terminology, Fourth Edition (CPT) Codes on Contractors' Web Sites
1415
12/15/2000
AB-01-175
Payment for Method II Home Dialysis Supplies
1288
12/15/2000
AB-00-124
Payment for Method II Home Dialysis Supplies
1288
12/15/2000
A-00-86
Changes to Fiscal Year (FY) 2000 Nursing and Allied Health Education Payment Policies as Required by the Medicare, Medicaid, and State-Child Health Insurance Program Balanced Budget Refinement Act of 1999 (BBRA), P. L. 106-113
1379
12/18/2000
B-00-73
CCI Edits Correction: Influenza (G0008), Pneumococcal (G0009), and Hepatitis B (G0010) Vaccine Codes
1459
12/18/2000
A-00-97
Partial Implementation of Change Request 1119
1396
12/19/2000
B-00-74
Claims Processing Instructions for Carriers To Make Available Claims and Medical Records for a PSC Task Order Request for Medical Record Review
1433
12/21/2000
A-00-100
Conversion to the UB-92 Version 6.0 and Continued Use of Version 5.0 - ACTION
1478
12/22/2000
AB-00-133
Coordination With Provider Educatin Program Safeguard Contractor
1428
12/26/2000
A-00-96
Clarification of C-Codes Reportable Under the Hospital Outpatient Prospective Payment System (OPPS)
1458
12/29/2000
AB-01-184
Clarifications to Implementation of the Ambulance Fee Schedule
1476
12/30/2000
AB-01-181
COB Contractor Fact Sheet for Providers
1460
12/31/2000
AB-00-129
COB Contractor Fact Sheet for Providers
1460
12/31/2000
AB-01-185
Implementation of the Ambulance Fee Schedule
1281
01/01/2001
A-02-009
Payment of SNF Claims for Beneficiaries Disenrolling From Terminating Medicare Choice (M C) Plans Who Have Not Meet the 3-Day Stay Requirements
1108
01/01/2001
B-02-017
Standard System Acceptance of Primary Payer Information at the Line Level
1287
01/01/2001
AB-00-134
Cervical or Vaginal Smear Tests (Pap Smears) in Calendar Year (CY) 2001 Clinical Diagnostic Laboratory Fee Schedule
1479
01/01/2001
AB-00-91
Mammography Screening Payment Limit for Calendar Year 2001
1276
01/01/2001
AB-00-105
New Waived Tests -- November 9, 2000
1339
01/01/2001
A-00-101
Medicare Outpatient Code Editor (OCE) Version 16.1
1465
01/01/2001
AB-00-118
Delay Implementation of the Ambulance Fee Schedule
1461
01/01/2001
AB-00-131
Clarifications to Implementation of the Ambulance Fee Schedule
1476
01/01/2001
AB-00-78
Reasonable Charge Update for 2001 for Items and Services, Other Than Ambulance Services, Still Subject to the Reasonable Charge Payment Methodology
1282
01/01/2001
AB-00-71
Claims Processing Instructions for the Medicare Coordinated Care Demonstration
1116
01/01/2001
AB-00-114
Update of Codes and Payments for Ambulatory Surgical Centers (ASCs)
1416
01/01/2001
AB-00-108
Glucose Monitoring
1362
01/01/2001
AB-00-98
Medicare Deductible and Premium Rates for Calendar Year 2001
1405
01/01/2001
AB-00-90
Year 2001 HCFA Common Procedure Coding System (HCPCS) Annual Update Reminder
1314
01/01/2001
AB-00-119
Change in the Collection of Comprehensive Encounter Data for the Medicare Choices Demonstration, Long-Term Care Demonstrations (Social Health Maintenance Organization (SHMO), Evercare), Department of Defense (DOD) Subvention Demonstration, and Dual Eligib...
1400
01/01/2001
AB-00-25.60
CONTRACTOR TESTING REQUIREMENTS--ACTION
1027
01/01/2001
AB-00-88
Implementation of the Ambulance Fee Schedule
1281
01/01/2001
AB-00-113
Instructions for Implementing and Updating 2001 Payment Amounts for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
1388
01/01/2001
AB-00-125
Accelerated Referral of Non-MSP Delinquent Debts (Active and Currently Not Collectible (CNC)) to Debt
1260
01/01/2001
A-00-85
The Report of Benefit Savings (RBS)
1394
01/01/2001
A-00-50
Department of Veterans Affairs (VA) Claims Adjudication Services Project: Systems Changes Needed
1272
01/01/2001
B-00-51
Changes to Correct Coding Edits, Version 7.0, Effective January 1, 2001
1312
01/01/2001
A-00-82
January 2001 Update: Coding Information for Hospital Outpatient Prospective Payment System (OPPS)
1420
01/01/2001
B-00-60
New Temporary 'K' Codes for Augmentative and Alternative Communication (AAC) Devices
1380
01/01/2001
A-00-94
New ESRD Composite Payment Rates Effective January 1, 2001
1451
01/01/2001
B-00-39
Department of Veterans Affairs (VA) Claims Adjudication Services Project: Systems Changes Needed
1219
01/01/2001
A-00-102
Hospital Outpatient Prospective Payment System Pass-Through Payment Corrections for Two Radiopharmaceuticals
1496
01/01/2001
A-00-81
Resolution of Outpatient Prospective Payment System (OPPS) Implementation Issues
1368
01/01/2001
B-00-58
Durable Medical Equipment Regional Carriers - Change in Common Working File (CWF) for Code K0009
1366
01/01/2001
B-00-66
Durable Medical Equipment Regional Carrier (DMERC) Operating Instructions for Coverage of the Ultrasonic Osteogenic Stimulators for Fracture Healing. Effective for Services Performed on or After 1/1/2001.
1383
01/01/2001
B-00-57
Part B Outbound X12N 837 Coordination of Benefits (COB) Mapping
1327
01/01/2001
B-00-75
Emergency Changes to the 2001 Medicare Physician Fee Schedule Database
1470
01/01/2001
B-00-55
DMERCs - Common Working File to Add ICD-9 Diagnosis Code for Oral Anti-Cancer Drugs
1150
01/01/2001
B-00-65
2001 Physician Fee Schedule for Payment Policies
1438
01/01/2001
B-00-43
New Temporary 'K' Codes for Negative Pressure Wound Therapy Pumps
1273
01/01/2001
AB-00-109
2001 Clinical Laboratory Fee Schedule and Laboratory Costs Subject to Reasonable Charge Payment Methodology
1377
01/01/2001
B-00-54
Program Integrity Management Reporting (PIMR) System
1306
01/01/2001
B-00-71
Addition of a Miscellaneous 'WW' Code and National Drug Code (NDC) for Oral Anti-Cancer Drugs
1395
01/01/2001
AB-00-87
2001 Payment Limit for Ambulance Services
1326
01/01/2001
A-00-62
File Descriptions and Instructions for Retrieving the 2001 Physician, Clinical Lab, Durable Medical Equipment, Prosthetics/Orthotics and Supplies (DMEPOS) Fee Schedule Payment Amounts Through HCFA Mainframe Telecommunications Systems
1302
01/01/2001
A-00-57
Payment of Skilled Nursing Facility (SNF) Claims for Beneficiaries Disenrolling from Terminating Medicare Choice (M C) Plans Who Have Not Met the 3-day Stay Requirement
1108
01/01/2001
B-00-48
Claims Processing Instructions for the DMEPOS Competitive Bidding Demonstration
1297
01/01/2001
B-00-56
DMERCs - Common Working File (CWF) Edit #5211 - Services After the Date of Death (DOD) for Durable Medical Equipment (DME) Rental Items
1190
01/01/2001
B-00-76
Revised 2001 Anesthesia Conversion Factors -- ACTION
1477
01/01/2001
A-01-01
January Outpatient Code Editor (OCE) Specifications Version (V2.0)
1466
01/08/2001
AB-00-121
Medicare Intermediary Claims Processing Standard Systems Delay of CY 2001 First Quarter Release
1464
01/08/2001
AB-01-01
Upcoming Train the Trainer Sessions on Skilled Nursing Facility Prospective Payment System and Consolidated Billing Update
1473
01/09/2001
B-01-02
Medicare Requirements for Payment for Medicare-Covered Drugs
1426
01/09/2001
AB-02-034
Managing Medicare Appeals Workloads in FY 2001
1392
01/12/2001
AB-01-02
Managing Medicare Appeals Workloads in FY 2001
1392
01/12/2001
A-01-02
Use of Telehealth In Delivery of Home Health Services
1490
01/12/2001
AB-01-05
New Waived Tests -- Effective Date of Receipt NEW VERSION
1413
01/18/2001
AB-01-11
HCFA Has Revised Its Information Technology (IT) Security Requirements
1439
01/26/2001
AB-01-13
Pap Test for Women Aged 65 and Older: Dispelling the Myths
1452
01/29/2001
AB-01-14
Notification to Beneficiaries About Cervical Cancer Month and the Benefit of Pap Tests
1446
01/29/2001
A-01-10
Technical Corrections to the January 2001 Update: Coding Information for Hospital Outpatient Prospective Payment System (OPPS)
1495
01/30/2001
A-01-14
Clarifications to Transmittal A-01-03, Change Request 1437, Temporary 2-Month Extension of Periodic Interim Payments (PIPs) for Home Health Providers
1544
01/31/2001
A-01-03
Temporary Two-Month Extension of Periodic Interim Payments for Home Health Providers
1437
01/31/2001
A-01-16
Claims Guidance Related to Outpatient Code Editor (OCE) Edit 27
1551
01/31/2001
A-01-17
Impact of the Benefits Improvement and Protection Act on Devices Eligible for Transitional Pass-Through Payments Under the Hospital Outpatient Prospective Payment System
1541
01/31/2001
AB-02-009
Clarification of Physician Certification Requirements for Medicare Hospice
1502
02/01/2001
AB-02-008
Form CMS-1522, Monthly Contractor Financial Report, Reconciliation
1330
02/01/2001
AB-01-21
Form HCFA-1522, Monthly Contractor Financial Report, Reconciliation
1330
02/01/2001
AB-01-09
Clarification of Physician Certification Requirements for Medicare Hospice
1502
02/01/2001
AB-03-008
Clarification of Physician Certification Requirements for Medicare Hospice
1502
02/01/2001
A-00-84
Medicare CHOICE Inpatient Encounter Data---Migration of Data Processing to the HCFA Data Center (HDC)
1427
02/01/2001
AB-01-23
Medicare Summary Notices (MSNs) Programming Errors
1545
02/05/2001
A-01-21
Clarification of the Homebound Definition Under the Medicare Home Health Benefit
1503
02/06/2001
B-01-07
Apligraf (Graftskin)
1521
02/07/2001
AB-01-27
Notice of Interest Rate for Medicare Overpayments and Underpayments
1385
02/07/2001
A-01-24
Further Guidance on Handling OCE Error 13
1561
02/08/2001
B-02-007
Use of Statistical Sampling for Overpayment Estimation When Performing Administrative Reviews of Part B Claims
1363
02/09/2001
B-01-01
Use of Statistical Sampling for Overpayment Estimation When Performing Administrative Reviews of Part B Claims
1363
02/09/2001
B-03-022
Use of Statistical Sampling for Overpayment Estimation When Performing Administrative Reviews of Part B Claims
1363
02/09/2001
B-01-09
Suspension of Recently Implemented Correct Coding Initiative (CCI) Edits Bundling E&M Codes and Ophthalmologic Codes - Revision to Version 7.0
1546
02/12/2001
AB-02-022
Clarification of Transmittal AB-00-107, Change Request 1163, and Transmittal AB-00-129, Change Request 1460, Regarding the Coordination of Benefits (COB) Contractor and Medicare Secondary Payer (MSP) Prepay Work Activities for Customer Service, MSP and St...
1558
02/15/2001
A-01-25
Claims Processing Instructions for the Medicare Coordinated Care Demonstration--Correction and Enhancement
1570
02/15/2001
AB-03-020
Clarification of Transmittal AB-00-107, Change Request 1163, and Transmittal AB-00-129, Change Request 1460, Regarding the Coordination of Benefits (COB) Contractor and Medicare Secondary Payer (MSP) Prepay Work Activities for Customer Service, MSP and St...
1558
02/15/2001
AB-01-25
Clarification of Transmittal AB-00-107, Change Request 1163, and Transmittal AB-00-129, Change Request 1460, Regarding the Coordination of Benefits (COB) Contractor and Medicare Secondary Payer (MSP) Prepay Work Activities for Customer Service, MSP and St...
1558
02/15/2001
AB-01-12
Charging Fees to Providers for Medicare Education and Training Activities - Program Management
1431
02/26/2001
A-02-007
Addendum to Periodic Interim Payments (PIP) For Home Health Providers
1557
02/28/2001
A-01-28
Addendum to Periodic Interim Payments (PIP) For Home Health Providers NEW VERSION
1557
02/28/2001
A-01-26
Clarification of Exclusions to the Temporary 2-Month Extension of Periodic Interim Payments (PIP) For Home Health Providers
1579
02/28/2001
A-02-017
Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION
1596
03/01/2001
AB-02-010
Promoting Colorectal Cancer Screening as a Part of Colorectal Cancer Awareness Month
1532
03/01/2001
A-01-30
Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION
1596
03/01/2001
A-02-018
Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION
1467
03/01/2001
A-01-05
Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION
1467
03/01/2001
AB-01-32
Promoting Colorectal Cancer Screening as a Part of Colorectal Cancer Awareness Month
1532
03/01/2001
A-03-025
Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION
1596
03/01/2001
B-00-69
Blood Glucose Test Strips - Marketing to Medicare Beneficiaries
1336
03/01/2001
A-03-024
Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION
1467
03/01/2001
A-01-09
Exemption of Critical Access Hospital Swing Beds From Skilled Nursing Facility Prospective Payment System NEW VERSION
1509
03/04/2001
B-01-19
Additional Information for TrailBlazer Health Enterprises (TBHE) for Centralized Billing of Flu and Pneumococcal (PPV) Vaccinations
1586
03/08/2001
A-01-33
Fiscal Intermediary (FI) Community Mental Health Center (CMHC) Enrollment and Change of Ownership (CHOW) Site Visit Process and Coordination with National CMHC Site Visit Contractor
1597
03/14/2001
AB-01-43
Revision to Carrier/Intermediary Provider Training for Skilled Nursing Facility Prospective Payment System (SNF PPS) and Consolidated Billing
1589
03/14/2001
AB-01-31
Fraud Investigation Database (FID)
1493
03/15/2001
AB-01-44
Binding Contractor Hearing Officers to Local and Regional Medical Review Policies (L/RMRP)
1540
03/15/2001
A-01-35
Medicare Choice Inpatient Encounter Data--Migration of Data Processing to the HCFA Data Center (HDC)
1606
03/16/2001
A-01-42
Indian Health Service Hospital Payment Rates for Calendar Years 2000 and 2001.
1590
03/22/2001
AB-01-48
Remittance Advice and Medicare Summary Notice Messages for the Home Health Prospective Payment System (HH PPS)
1584
03/27/2001
AB-01-49
Follow On Instructions to HCFA Business Partners Systems Security Requirements
1605
03/30/2001
A-01-142
Clarification and HCPCs Coding Update: Part B Fee Schedule And Consolidated Billing For Skilled Nursing Facility (SNF) Services
1642
04/01/2001
B-01-66
Program Integrity Sampling Module for Part B and DME Carriers
1397
04/01/2001
A-02-025
April Outpatient Code Editor (OCE) Specifications Version (V3.0)
2103
04/01/2001
A-02-024
Off Label Use of Oral Chemotherapy Drugs Methotrexate and Cyclophosphamide
1408
04/01/2001
AB-01-35
Delay of Carrier and Intermediary Action Required in Change Request (CR) 1412, Transmittal AB-00-112 dated November 16, 2000, Consolidated Billing for Home Health Agencies
1559
04/01/2001
AB-01-10
Elimination of Time Limit for Coverage of Immunosuppressive Drugs Under Medicare
1513
04/01/2001
A-01-45
Clarification And HCPCs Coding Update: Part B Fee Schedule And Consolidated Billing For Skilled Nursing Facility (SNF) Services
1642
04/01/2001
A-01-27
Problems with Processing of Non-Outpatient Prospective Payment System (OPPS) Claims Through the Outpatient Code Editor (OCE)
1583
04/01/2001
A-01-15
mplementation of Sections 111, 401, 403, and 405 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000
1518
04/01/2001
AB-01-19
First Update to the 2001 Medicare Physician Fee Schedule Database--INFORMATION
1508
04/01/2001
AB-01-03
April Quarterly Update for 2001 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
1488
04/01/2001
AB-01-47
Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Patients
1499
04/01/2001
AB-01-20
Payment Revisions For Diagnostic and Screening Mammograms Performed With New Technologies - Effectuated By Benefits Improvement and Protection Act 2000
1520
04/01/2001
AB-01-41
Correction to April Quarterly Update for 2001 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
1580
04/01/2001
A-01-36
April Outpatient Code Editor (OCE) Specifications Version (V2.1)
1567
04/01/2001
AB-01-33
Delay of Carrier and Intermediary Actions Required in CRs 1256 and 1323, Consolidated Billing for Skilled Nursing Facility (SNF) Residents, and Fee Schedule for Part B Residents and Outpatients
1560
04/01/2001
A-01-07
Application of Wage Index for Wichita, Kansas, Metropolitan Statistical Area (MSA) Hospice Providers
1504
04/01/2001
AB-01-16
Implementation of Benefits Improvement and Protection Act of 2000 (BIPA) Requirements for Drugs and Biologicals Covered by Medicare
1514
04/01/2001
AB-01-42
Changes to 2001 Clinical Laboratory Fee Schedule Required by the Benefits Improvement and Protection Act (BIPA) of 2000
1574
04/01/2001
A-01-41
Categories for Use in Coding Devices Eligible for Transitional Pass-Through Payments Under the Hospital Outpatient Prospective Payment System
1610
04/01/2001
B-01-13
Explanation of Medicare Benefits (EOMB), Medicare Summary Notice (MSN) and Supplier Remittance Messages Durable Medical Equipment Regional Carriers (DMERCs) Must Use on Claims for Drugs and Related Equipment Supplied by a Supplier Not Licensed to Dispense...
1531
04/01/2001
A-01-34
Salary Equivalency Guidelines Update Factors
1578
04/01/2001
A-01-04
Change in Hospice Payment Rates As Required by the Benefits Improvement and Protection Act
1506
04/01/2001
A-01-40
Additional Information on Transitional Pass-Through Devices and Drugs
1601
04/01/2001
A-01-06
Restoration of Full Home Health Market Basket Update for Home Health Services for Fiscal Year 2001 and Temporary 10 Percent Payment Increase for Home Health Services Furnished in a Rural Area For 24 Months Under the Home Health Prospective Payment System ...
1489
04/01/2001
A-01-08
Adjustments to the Federal Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Rates for FY 2001
1510
04/01/2001
A-01-19
New Composite Payment Rates Effective April 1, 2001, through December 31, 2001, and the Application of Exceptions Under the End Stage Renal Disease Composite Rate System
1527
04/01/2001
A-01-18
Effective Dates for all Medicare Secondary Payer (MSP) Sub-Modules Found in the MSP Pay (MSPPAY) Module
1492
04/01/2001
A-01-47
Implementation of Updates to the Federal Fiscal Year (FY) 2001 Inpatient Hospital Payments and Disproportionate Share Hospital (DSH) Thresholds and Adjustments as Required by the Benefits Improvement and Protection Act (BIPA) of 2000 (Public Law 106-554)
1635
04/01/2001
A-01-11
Changes to Federal Fiscal Year (FY) 2001 Inpatient Hospital Payments As Required By The Benefits Improvement And Protection Act (BIPA) Of 2000 (Public Law 106-554)
1519
04/01/2001
AB-01-06
Replacement of Prosthetic Devices and Parts
1505
04/01/2001
B-01-04
New Temporary “K” Code for Insulin Lispro
1448
04/01/2001
AB-00-117
Payment of Drugs, Biologicals and Supplies in a Comprehensive Outpatient Rehabilitation Facility (CORF)
1166
04/01/2001
AB-00-112
Home Health Prospective Payment System/Consolidated Billing (PPSCB) Edits and Systems Changes; Instructions for Standard Systems, CWF, and Contractors Part II
1412
04/01/2001
AB-00-130
Intestinal Transplantation
1436
04/01/2001
AB-00-120
Operating Instructions for Coverage of Non-Implantable Pelvic Floor Electrical Stimulators
1419
04/01/2001
AB-02-177
Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Patients
1499
04/01/2001
A-00-87
Off Label Use of Oral Chemotherapy Drugs Methotrexate and Cyclophosphamide
1408
04/01/2001
B-00-59
Durable Medical Equipment Regional Carrier - Common Working File (CWF) Revision for Oxygen Certificate of Medical Necessity
1149
04/01/2001
B-00-49
Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Transaction Standards
1094
04/01/2001
A-00-83
Business Requirements for Processing Outpatient Encounter Data in the HCFA Data Center
1193
04/01/2001
A-00-88
FEE SCHEDULE AND CONSOLIDATED BILLING FOR SKILLED NURSING FACILITY (SNF) SERVICES
1323
04/01/2001
B-00-70
Changes to Correct Coding Edits, Version 7.1, Effective April 1, 2001
1422
04/01/2001
B-00-67
Consolidated Billing for SNF Residents
1256
04/01/2001
B-00-68
X12N Professional Flat File
1417
04/01/2001
B-00-64
Program Integrity Sampling Module for Part B and DME Carriers
1397
04/01/2001
A-01-29
Medical Review of Certification and Re-certifications of Residents in Skilled Nursing Facilities (SNFs)
1454
04/02/2001
AB-00-111
Revised Claims Processing Instructions for Medicare Qualifying Clinical Trial Claims for Managed Care (M C) Enrollees
1424
04/02/2001
AB-01-50
Release of Version 2.1.1 of the Electronic Correspondence Referral System (ECRS)
1654
04/09/2001
B-01-24
Notification to Providers of Centralized Influenza and Pneumococcal Vaccination Billing
1616
04/15/2001
A-01-53
Discontinuing the Recognition and Financial Reporting of Accounts Receivables Due to Unfiled Cost Reports
1645
04/18/2001
B-02-019
Accelerated Referral of Non-MSP Active Delinquent Debts to the Debt Collection Center (DCC) for Cross Servicing and Treasury Offset Program (TOP)
1683
04/26/2001
A-02-023
Accelerated Referral of Non-MSP Active Delinquent Debts to the Debt Collection Center (DCC) for Cross Servicing and Treasury Offset Program (TOP)
1683
04/26/2001
AB-01-64
Notice of Interest Rate for Medicare Overpayments and Underpayments
1386
04/26/2001
A-01-55
Accelerated Referral of Non-MSP Active Delinquent Debts to the Debt Collection Center (DCC) for Cross Servicing and Treasury Offset Program (TOP)
1683
04/26/2001
B-01-31
Accelerated Referral of Non-MSP Active Delinquent Debts to the Debt Collection Center (DCC) for Cross Servicing and Treasury Offset Program (TOP)
1683
04/26/2001
AB-01-45
Retention of HCPCS Level III Codes
1528
04/29/2001
A-01-124
Clarification to Health Insurance Prospective Payment System (HIPPS) Coding and Billing Instructions
1655
04/30/2001
AB-01-63
Change of Interest Citation in the Overpayment Sections of the Medicare Intermediary Manual (MIM) and the Medicare Carriers Manual (MCM) from 42 CFR Section 405.376 to 42 CFR Section 405.378.
1623
04/30/2001
A-01-56
Clarification to Health Insurance Prospective Payment System (HIPPS) Coding and Billing Instructions
1655
04/30/2001
AB-01-51
Clarification Related to Troponin
1627
05/01/2001
AB-01-66
Implementation of Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Requirements for Payment Allowance of Drugs and Biologicals Covered by Medicare
1653
05/03/2001
A-01-38
Changes to FY 2001 and FY 2002 Graduate Medical Education (GME) Policies as Required by the Medicare, Medicaid, and State Child Health Insurance Program Balanced Budget Refinement Act of 1999 (BBRA), P. L. 106-113, and the Medicare, Medicaid, and State Ch...
1369
05/05/2001
A-01-32
Biweekly Interim Payments for Certain Hospital Outpatient Items and Services That Are Paid on a Cost Basis, and Direct Medical Education Payments, Not Included in the Hospital Outpatient Prospective Payment System (OPPS)
1507
05/07/2001
A-01-61
Processing of 1999 Bills Under the End Stage Renal Disease (ESRD) Composite Rate System - ACTION
1651
05/08/2001
AB-01-62
Administrative Law Judge (ALJ) Case File Preparation, Requests from the Departmental Appeals Board (DAB) for Case Files, and Retrieval of Master Files for the DAB
1617
05/11/2001
B-01-33
Suspend the Transmission of Box 10 Development Inquiries to the Coordination of Benefits (COB) Contractor
1678
05/14/2001
AB-01-55
Information Collection Requirements from Medicare Contractor Call Centers NEW VERSION
1569
05/15/2001
AB-01-82
Clarification of HCFA Core Security Requirements
1705
05/17/2001
A-01-70
Frequently Asked Questions (FAQs) About Home Health Advance Beneficiary Notice (HHABN, Form HCFA-R-296) NEW VERSION
1698
05/25/2001
B-02-004
Payment for Services Furnished by Audiologists
1573
05/29/2001
B-01-34
Payment for Services Furnished by Audiologists
1573
05/29/2001
AB-01-83
Medicare Secondary Payer (MSP) Debt Collection Improvement Act of 1996 (DCIA) Activities
1538
05/31/2001
A-01-71
Medicare Transitional Pass-Through Payments Under the Hospital Outpatient Prospective Payment System (OPPS) for Pacemakers and Neurostimulators
1690
06/01/2001
AB-01-80
Data Center Management Controls and Standard System Source Code
1625
06/01/2001
A-01-60
Revised Processing and Reporting Requirement Timeframes for Resolution of Outpatient Prospective Payment System (OPPS) Implementation Issues
1662
06/08/2001
A-01-60
Revised Processing and Reporting Requirement Timeframes for Resolution of Outpatient Prospective Payment System (OPPS) Implementation Issues
1662
06/08/2001
B-01-39
Quarterly Do Not Forward (DNF) Reports
1697
06/14/2001
A-01-68
Adjusting Clinical Diagnostic Laboratory Test Claims Furnished by Critical Access Hospitals (CAHs)
1630
06/15/2001
A-01-51
Calculating Payment-to-Cost Ratios (PCR) for Purposes of Determining Transitional Corridor Payments Under the Outpatient Prospective Payment System (OPPS) and Revising the Criteria Under Which a Provider May Request a Recalculation of Its Cost-to-Charge R...
1664
06/15/2001
AB-02-076
Registration Process for, and Expectations for Use of, the Healthcare Integrity and Protection Data Bank (HIPDB)
1554
06/18/2001
A-01-59
Correction of Some Fiscal Year (FY) 2001 Hospice Wage Indices
1647
06/18/2001
AB-01-76
COB Contractor Fact Sheet for Providers
1460
06/18/2001
AB-01-57
Registration Process for, and Expectations for Use of, the Healthcare Integrity and Protection Data Bank (HIPDB)
1554
06/18/2001
AB-01-88
Prior Approval Requirement for Data Center and Front End Movement
1696
06/27/2001
AB-02-176
Prior Approval Requirement for Data Center and Front End Movement
1696
06/27/2001
AB-01-93
Claims Processing Instructions for the Medicare Coordinated Care Demonstration --Correction and Enhancement
1750
06/28/2001
AB-02-115
Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Changes
1603
07/01/2001
AB-02-040
Intestinal and Multi-Visceral Transplantation
1629
07/01/2001
AB-02-038
Billing for Audiologic Function Tests For Beneficiaries That Are Patients of a Skilled Nursing Facility (SNF)
1677
07/01/2001
B-02-018
Implementation of Carrier Jurisdiction Manual Instructions Based on the Medicare Carriers Manual (MCM) Part 3, Section Section 3100 - 3101 for the Multi-Carrier System (MCS) Standard System and Associated Medicare Carriers
1646
07/01/2001
AB-02-089
New Automatic Notice of Change to Medicare Secondary Payer (MSP) Auxiliary File
1529
07/01/2001
B-01-17
Durable Medical Equipment Regional Carrier (DMERC) Systems Changes to Enforce Medicare Requirements for Payment for Medicare-Covered Drugs
1484
07/01/2001
B-01-21
Durable Medical Equipment Regional Carrier (DMERC) Systems Requirements to Implement Section 114 of BIPA (Additional Requirements for Change Request (CR) 1562, Transmittal B-01-15)
1621
07/01/2001
AB-01-37
Verteporfin
1549
07/01/2001
A-01-31
Clinical Diagnostic Laboratory Tests Furnished by Critical Access Hospitals (CAHs)
1568
07/01/2001
B-01-25
Implementation of Carrier Jurisdiction Manual Instructions Based on the Medicare Carriers Manual (MCM) Part 3, Section Section 3100 - 3101 for the Multi-Carrier System (MCS) Standard System and Associated Medicare Carriers
1646
07/01/2001
AB-01-54
Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Changes
1603
07/01/2001
AB-01-52
Payment of Physician and Nonphysician Services in Certain Indian Providers
1576
07/01/2001
AB-01-58
Intestinal and Multi-Visceral Transplantation
1629
07/01/2001
AB-01-53
July Updates for 2001 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
1619
07/01/2001
A-01-52
Medicare Payment for Ambulance Services Furnished by Certain Critical Access Hospitals (CAH)
1609
07/01/2001
AB-01-18
New Automatic Notice of Change to Medicare Secondary Payer (MSP) Auxiliary File
1529
07/01/2001
AB-01-71
Billing for Audiologic Function Tests For Beneficiaries That Are Patients of a Skilled Nursing Facility (SNF)
1677
07/01/2001
AB-01-72
New Zip Code File
1663
07/01/2001
AB-01-79
Instructions for Coverage and Billing of Biofeedback Training for the Treatment of Urinary Incontinence
1535
07/01/2001
AB-01-30
Claims Processing Instructions for the Medicare Coordinated Care Demonstration--Correction and Enhancement
1548
07/01/2001
A-01-23
Modification to Home Health Prospective Payment System (HH PPS) Date Matching Edit in Medicare Standard Systems Software
1539
07/01/2001
AB-01-22
2001 Payment Limit Update for Ambulance Services
1542
07/01/2001
AB-01-60
New Temporary “Q” Codes for Splints and Casts Used for Reduction of Fractures and Dislocations
1641
07/01/2001
A-01-75
Children's Hospital Graduate Medical Education (CHGME)
1736
07/01/2001
B-01-08
Change In Effective Date For Five “WW” Codes For Methotrexate
1481
07/01/2001
AB-01-46
New Waived Tests -- Effective Date of Receipt
1575
07/01/2001
B-01-28
Physician Supervision of Diagnostic Tests
850
07/01/2001
A-01-63
Further Guidance Regarding Health Insurance Portability and Accountability Act (HIPAA) Health Care Claim and Coordination of Benefits (COB)
1611
07/01/2001
B-01-36
Corrections to the Correct Coding Edits, Version 7.2, Effective July 1, 2001
1766
07/01/2001
B-01-15
Durable Medical Equipment Regional Carrier (DMERC) Systems Requirements to Implement Section 114 of the Benefits Improvement and Protection Act of 2000 (BIPA)
1562
07/01/2001
B-01-03
Request for Carriers to Include a Message on Paper Remittance Notices-- ACTION
1445
07/01/2001
A-01-66
July Outpatient Code Editor (OCE) Specifications Version (V2.2)
1671
07/01/2001
B-01-36
Corrections to the Correct Coding Edits, Version 7.2, Effective July 1, 2001
1766
07/01/2001
AB-01-84
Correction to Second Update to the 2001 Medicare Physician Fee Schedule Database
1708
07/01/2001
B-01-29
2001 Jurisdiction List NEW VERSION
1607
07/01/2001
A-01-54
Elimination of the Initial Request for Anticipated Payment (RAP) Medicare Summary Notice (MSN)/Explanation of Medicare Benefits (EOMB)
1615
07/01/2001
B-01-41
Clarification-Durable Medical Equipment Regional Carrier (DMERC) Implementation of Mandatory Assignment for Drug Claims
1742
07/01/2001
A-01-67
July Medicare Outpatient Code Editor (OCE) Version 16.2
1709
07/01/2001
A-01-78
Special Handling of Outpatient Prospective Payment System (OPPS) Claims Containing HCPCS Code G0121 (Screening Colonoscopy)
1746
07/01/2001
AB-01-74
Claims Processing Instructions for Clinical Trials on Carotid Stenting With Category B Investigational Device Exemptions (IDEs)
1660
07/01/2001
B-01-20
Two New “K” Codes for Heavy Duty Hospital Beds
1530
07/01/2001
B-01-14
New Oral Anti-Cancer Drugs Approved for Use by Medicare
1472
07/01/2001
B-01-32
Health Insurance Portability and Accountability Act Health Care Claim and Coordination of Benefits
1656
07/01/2001
B-01-27
Durable Medical Equipment Regional Carrier (DMERC) Common Working File (CWF)
1566
07/01/2001
B-01-12
Initial VIPS Medicare System (VMS) Changes Necessary to Allow for “Full” Program Safeguard Contractor (PSC) Implementation
1450
07/01/2001
B-01-06
Health Insurance Portability and Accountability Act (HIPAA) Health Care Claim and Coordination of Benefits
1534
07/01/2001
AB-01-65
Procedures Subject to Home Health Consolidated Billing
1622
07/01/2001
A-01-73
July 2001 Update to the Hospital Outpatient Prospective Payment System (OPPS)
1707
07/01/2001
A-01-74
Replacement Therapy Abstract File
1713
07/01/2001
AB-01-40
Correction to Change Request (CR) 1500 (Transmittal AB-01-26) -- Changes to the 2001 Payment Amounts for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
1577
07/01/2001
AB-01-26
Changes to the 2001 Payment Amounts for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
1500
07/01/2001
B-01-23
New Temporary “K” Code for the Residual Limb Support System
1608
07/01/2001
A-01-50
Further Guidance Regarding Billing Under the Outpatient Prospective Payment System (OPPS)
1585
07/01/2001
A-01-20
Health Insurance Portability and Accountability Act (HIPAA) Health Care Claim and Coordination of Benefits (COB)
1533
07/01/2001
AB-01-73
Payment Instructions for Intestinal Transplants Furnished to Beneficiaries Enrolled in Medicare+Choice (M+C) Plans With Dates of Service on or After April 1, 2001, but Before January 1, 2002
1564
07/01/2001
B-01-18
Changes to Correct Coding Edits, Version 7.2, Effective July 1, 2001
1571
07/01/2001
B-01-38
Adjustment to Messages Required by Change Request (CR) 1553, Transmittal B-01-10, Systems Requirements for the Benefits Improvement and Protection Act of 2000 (BIPA) for Drugs and Biologicals Covered by Medicare, Section 114, Mandatory Submission of Assi...
1701
07/01/2001
A-01-37
Change in the Standard Paper Remittance Advice (SPR) for Home Health Agencies
1614
07/01/2001
AB-03-086
New Automatic Notice of Change to Medicare Secondary Payer (MSP) Auxiliary File
1529
07/01/2001
B-01-10
Systems Requirements for the Benefits Improvement and Protection Act of 2000 (BIPA) for Drugs and Biologicals Covered by Medicare, Section 114, Mandatory Submission of Assigned Claims for Drugs and Biologicals
1553
07/01/2001
AB-01-59
Second Update to the 2001 Medicare Physician Fee Schedule Database
1638
07/01/2001
A-00-89
Implementation of HIPAA Transaction Standards - Overview and Specific Instructions for Implementing the Inbound Claim
1391
07/01/2001
A-01-44
Standard Systems Changes Required to Incorporate Provider-Specific Payment-to-Cost Ratios into the Calculation of Interim Transitional Corridor Payments Under OPPS
1618
07/01/2001
A-01-48
Requirement for Line-Item Dates of Service for Ambulance Claims
1556
07/01/2001
A-01-84
Problems With Processing Certain Clinical Diagnostic Laboratory Claims and Other Claims Through the July Outpatient Code Editor (OCE)
1785
07/13/2001
B-01-40
Expanded Coverage of Diabetes Outpatient Self-Management Training (This change request replaces the draft change request 1423 and includes full implementation instructions.)
1455
07/17/2001
A-01-85
Notification of Access to Eligibility Vendors NEW VERSION
1749
07/19/2001
AB-01-110
Notice of Interest Rate for Medicare Overpayments and Underpayments
1387
08/01/2001
A-01-95
Workaround for Home Health Prospective Payment System (HH PPS) Transfer Claims Received Out of Sequence-Regional Home Health Intermediaries (RHHIs) Only
1757
08/02/2001
AB-01-109
Correction of Payment for Diabetes Outpatient Self-Management Training Services
1789
08/03/2001
AB-01-94
Profiling Medicare Contractor Call Centers
1747
08/06/2001
B-01-50
Attestation Option for Submission Requirement for Clinical Laboratories Billing the Technical Component of Physician Pathology Services to Hospital Patients
1781
08/08/2001
B-01-47
Comprehensive Error Rate Testing (CERT) Program -- Requirements Update for Medicare Part B Contractor Operations
1636
08/14/2001
A-01-93
Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions
1229
08/14/2001
AB-01-113
Clarification of Comprehensive Error Rate Testing (CERT) Program Requirements for Medicare Contractor Operations Regarding Prepayment Random Medical Review
1754
08/16/2001
A-01-100
Upcoming Train the Trainer Session for Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS)
1812
08/16/2001
AB-01-115
Payment Instructions for Intestinal Transplants Furnished to Beneficiaries Enrolled in Medicare+Choice (M+C) Plans With Dates of Service on or After April 1, 2001, but Before January 1, 2002.
1760
08/16/2001
A-01-97
Technical Corrections Under the Hospital Outpatient Prospective Payment System (OPPS)
1743
08/22/2001
AB-01-87
Disclosure Desk Reference for Call Centers
1706
08/29/2001
A-01-141
Center for Medicare and Medicaid Services (CMS) Audit and Cost Report Settlement Expectations
1468
09/01/2001
A-01-99
Changes in the Paid Claim Record - Notification Process
1810
09/01/2001
A-01-82
Center for Medicare and Medicaid Services (CMS) Audit and Cost Report Settlement Expectations
1468
09/01/2001
AB-01-135
Medical Review of Services for Patients with Dementia
1793
09/01/2001
B-01-43
Clarification of Payment and Place of Service Requirements for ASC Claims
1680
09/04/2001
A-01-111
Clarification of Activity Therapy (HCPC G0176) and Patient Education/Training Services (HCPC G0177) Under the Hospital Outpatient Prospective Payment System (OPPS)
1798
09/14/2001
AB-01-112
Installation of Digital Satellite Dishes at Medicare Contractors
1804
09/14/2001
AB-01-107
Customer Service Plans (CSP) Reporting Procedures
1726
09/17/2001
A-01-106
Instructions for Billing and Processing of Hospital \Outpatient Claims Containing Charges for Epoetin Alfa (EPO), Tradenames: Epogen and Procrit
1839
09/21/2001
AB-01-133
Interim Instructions - Document and Correspondence Name Transition from Health Care Financing Administration (HCFA) to Centers for Medicare & Medicaid Services (CMS)
1870
09/24/2001
AB-01-136
Supplemental Instructions on CMS Business Partners Systems Security Requirements
1844
09/25/2001
A-01-115
Bypassing Medicare Secondary Payer (MSP) Edits on Indirect Medical Education (IME) Claims for Medicare Choice Organization (M CO) Enrollees
1829
09/25/2001
A-01-120
Removal of HCPCS/Revenue Code Editing Under the Outpatient Prospective Payment System (OPPS)
1873
09/26/2001
A-01-125
Guidance Regarding a Change in Reimbursement for Part B Inpatient Ancillary Services
1838
09/28/2001
AB-02-127
Program Management Provider/Supplier Education and Training Background
2125
10/01/2001
AB-02-053
Correction to the Revision of Medicare Reimbursement for Telehealth Services
1827
10/01/2001
AB-02-052
Revision of Medicare Reimbursement for Telehealth Services
1650
10/01/2001
AB-01-125
Clarification and Update to Medicare Payment for Code Q3014 (Telehealth Facility Fee)
1846
10/01/2001
AB-01-124
Health Insurance Portability and Accountability Act (HIPAA) Budget Requests for Electronic Data Interchange Testing and Reporting
1802
10/01/2001
A-01-107
October 2001 Update to the Hospital Outpatient Prospective Payment System (OPPS)
1822
10/01/2001
AB-01-122
Procedures for Re-issuance and Stale Dating of Medicare Checks
1364
10/01/2001
B-01-26
Claims Processing Instructions for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Demonstration
1634
10/01/2001
A-01-109
The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2000 for Prospective Payment System (PPS) Hospitals
1845
10/01/2001
AB-01-96
Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange Testing and Reporting Requirements
1704
10/01/2001
A-01-91
Clarification of Provider Billing Requirements Under the Outpatient Prospective Payment System (OPPS)
1768
10/01/2001
AB-01-121
Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2001
1763
10/01/2001
AB-01-120
Correction to the Revision of Medicare Reimbursement for Telehealth Services
1827
10/01/2001
AB-01-95
New Waived Tests -- July 12, 2001 NEW VERSION
1751
10/01/2001
A-01-102
Fiscal Year (FY) 2002 Prospective Payment System (PPS) Hospital, Skilled Nursing Facility (SNF) and Other Bill Processing Changes
1817
10/01/2001
A-01-98
October Outpatient Code Editor (OCE) Specifications Version (V2.3)
1819
10/01/2001
B-01-44
Medicare TeleMedicine Demonstration Ending Date
1720
10/01/2001
B-01-45
Tracking and Reporting Requirements for Advance Determinations of Medicare Coverage
1730
10/01/2001
AB-01-119
New Zip Code File
1771
10/01/2001
AB-01-98
Durable Medical Equipment Regional Carrier (DMERC) Denial Code for Durable Medical Equipment (DME) Furnished in Skilled Nursing Facilities (SNFs)
1692
10/01/2001
A-01-89
Payment for Blood Clotting Factor Administered to Hemophilia Inpatients
1695
10/01/2001
A-01-108
The Report of Benefit Savings
1824
10/01/2001
A-01-83
Skilled Nursing Facility (SNF) Annual Update for FY 2002
1759
10/01/2001
AB-01-78
Common Working File (CWF) Beneficiary Other Insurer (BOI) Auxiliary (aux) File
1674
10/01/2001
A-01-57
Health Insurance Portability Accountability Act of 1996 (HIPAA) Administrative Simplification - Implementation of Version 4010 of the Accredited Standards Committee X12N 835 (Payment/Remittance Advice) Transaction Standard Format
1522
10/01/2001
A-01-80
Use of Modifier 25 and Modifier 27 in the Hospital Outpatient Prospective Payment System (OPPS)
1725
10/01/2001
AB-01-86
Deletion of Temporary “K” Codes K0008 and K0013
1693
10/01/2001
AB-01-69
Revision of Medicare Reimbursement for Telehealth Services
1650
10/01/2001
AB-01-75
Common Working File (CWF) Access Change
1168
10/01/2001
A-01-65
HCPCS Codes for Wheelchairs and Accessories - Instructions for Regional Home Health Intermediaries (RHHIs) NEW VERSION
1640
10/01/2001
A-01-79
Medicare Program-Update to the Prospective Payment System (PPS)for Home Health Agencies for FY 2002
1745
10/01/2001
B-01-37
Systems Changes for New Oxygen Testing Requirements
1686
10/01/2001
A-01-69
Inclusion of Medicare Paid Provider Message and Removal of the Ambulatory Payment Classification (APC) Code from Medicare Summary Notice (MSN)
1668
10/01/2001
AB-01-70
Revision of Existing Home Health Prospective Payment System (HH PPS) Consolidated Billing Edits
1644
10/01/2001
AB-01-81
Update of Codes and Payments for Ambulatory Surgical Centers (ASCs) NEW VERSION
1670
10/01/2001
AB-01-61
Fiscal Intermediary (FI), Durable Medical Equipment Regional Carrier (DMERC) and Common Working File (CWF) Changes Required for Processing Method II Home Dialysis Claims
1591
10/01/2001
B-01-22
Initial VIPS Medicare System (VMS) Changes Necessary to Allow for Full Program Safeguard Contractor (PSC) Implementation
1592
10/01/2001
B-01-35
Health Insurance Portability and Accountability Act of 1996 (HIPAA) Administrative Simplification - Implementation of Version 4010 of the Accredited Standards Committee X12 835 (Payment/Remittance Advice) Transaction Standard Format.
1523
10/01/2001
B-01-42
Changes to Correct Coding Edits, Version 7.3, Effective October 1, 2001
1712
10/01/2001
AB-01-108
Final Update to the 2001 Medicare Physician Fee Schedule Database
1790
10/01/2001
A-01-81
Change in Hospice Payment Rates, Update to the Hospice Cap, Revised Hospice Wage Index and Hospice Pricer
1755
10/01/2001
AB-01-91
Contractor Updating of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
1661
10/01/2001
AB-02-121
Provider/Supplier Plan (PSP) Quarterly Report Format
1740
10/11/2001
AB-01-116
Provider/Supplier Plan (PSP) Quarterly Report Format
1740
10/11/2001
AB-01-114
Data Center Testing - Electronic Correspondence Referral System (ECRS) Software Version 3.0
1821
10/12/2001
AB-01-147
Electronic Correspondence Referral System (ECRS) User Manual 3.0.1 and ECRS Quick Reference Card
1903
10/15/2001
AB-01-77
The Certification Package for Internal Controls for Fiscal Year (FY) Ending September 30, 2001
1652
10/15/2001
B-01-52
Changes to the Centers for Medicare & Medicaid Services (CMS) Part B Standard System Carrier (HPBSS) Responsibility (Accelerate, Claims Collection Software)
1800
10/16/2001
AB-01-131
Fiscal Intermediary (FI) Instructions on Applying Payment Bans on Skilled Nursing Facility (SNF) Admissions
1761
10/22/2001
B-01-67
Updated Correct Coding Initiative (CCI) Coding Policy Manual
1883
10/30/2001
A-01-118
Clarification of Cost Reporting Policy in Change Request (CR) 1468, Concerning Submission of Home Office Cost Statements (HOCS) for Chain Home Offices
1847
10/31/2001
A-01-113
Prospective Payment System (PPS) Patient Transfers Improperly Paid as Hospital Discharges----ACTION
1340
10/31/2001
AB-01-161
Notice of Interest Rate for Medicare Overpayments and Underpayments
1896
10/31/2001
AB-01-146
Distribution of Revised Form CMS-855s - Medicare Provider/Supplier Enrollment Applications - (Formerly Form HCFA-855) Dated November 1, 2001
1835
11/01/2001
B-01-62
Problem Resolution to Issues Raised By Implementation of CR 1646 for the Medicare Carriers Processing on the Multi-Carrier System (MCS)
1866
11/13/2001
B-02-021
Problem Resolution to Issues Raised By Implementation of CR 1646 for the Medicare Carriers Processing on the Multi-Carrier System (MCS)
1866
11/13/2001
A-01-133
Clarification of Payments Made to Hospital Outpatient Departments Under the Outpatient Prospective Payment System (OPPS)
1940
11/20/2001
B-01-71
American National Standards Institute X12N 837 Professional Health Care Claim Companion Document
1809
11/23/2001
B-01-65
Calendar Year (CY) 2002 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures
1900
11/26/2001
AB-01-169
Transaction Certification and Testing
1954
11/28/2001
A-01-103
October Medicare Outpatient Code Editor (OCE) Specifications Version 17.0 for Bills from Hospitals that are not Paid Under the Outpatient Prospective Payment System (OPPS)
1723
11/30/2001
A-01-101
Changes to Fiscal Year (FY) 2001 Hospital Inpatient and Outpatient Prospective Payment System (PPS) Policies As Required by the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act (BBRA) of 1999, P.L. 106-113
1723
11/30/2001
A-01-88
Extension of Due Date for Filing Provider Cost Reports
1770
11/30/2001
A-01-137
Modifications to Form CMS-339 Requirements, Provider Cost Report Reimbursement Questionnaire
1865
12/01/2001
A-01-117
Production Dates for the Provider Statistical and Reimbursement (PS&R) Report and Extension of Due Date for Filing Provider Cost Reports
1885
12/03/2001
AB-01-174
The Certification Package for Internal Controls for Fiscal Year (FY) Ending September 30, 2002
1942
12/06/2001
AB-01-129
Medicare Coverage of Non-Invasive Vascular Studies for End Stage Renal Disease (ESRD) Patients
1855
12/06/2001
AB-01-177
Emergency Changes to the 2002 Medicare Physician Fee Schedule Database
1971
12/14/2001
AB-01-186
Suspension of National Coverage Policy on Electrical Stimulation for Wound Healing
1963
12/18/2001
AB-01-167
Correction to 2nd Update to 2001 Medicare Physician Fee Schedule Database
1937
12/20/2001
A-01-147
Federal Fiscal Year (FY) 2003 Wage Index: Request for FY 1999 Wage Data from Hospitals Affected by the Filing Extensions Provided by Transmittal Numbers A-01-88 and A-01-117
1992
12/26/2001
A-01-150
Provider Education Article: CY2002 OUTPATIENT PROSPECTIVE PAYMENT SYSTEM RATE IMPLEMENTATION DELAY
2017
12/28/2001
A-01-149
Amended Production Dates for the Provider Statistical and Reimbursement (PS&R) Report and Extension of Due Date For Filing Provider Cost Reports
2012
12/31/2001
AB-01-166
Coverage and Billing of Sacral Nerve Stimulation
1936
01/01/2002
A-01-146
Inpatient Rehabilitation Facility Prospective Payment System (IRFPPS)--Revenue Code File Update.
2003
01/01/2002
AB-01-168
The Use of Gamma Cameras and Full Ring and Partial Ring Positron Emission Tomography (PET) Scanners for PET Scans
1886
01/01/2002
A-01-135
HCPCS Code Updates and Corrections for SNF Part A PPS Consolidated Billing and SNF Part B Fee Schedule for 2002
1935
01/01/2002
AB-01-176
The Medicare Exclusion Database (MED) Replaces Publication 69
1919
01/01/2002
AB-01-172
Promoting Medicare's Screening Pap Test Benefit in Support of Cervical Health Month (January)
1912
01/01/2002
B-01-77
Correction to Correct Coding Edits, Version 8.0, Effective January 1, 2002
1984
01/01/2002
A-01-119
Correction to Program Memorandum (PM) A-01-94 (CR 1689): Implementation of Fee Schedule for Additional Part B Services Furnished by a Skilled Nursing Facility (SNF) or Another Entity Under Arrangements with the SNF
1878
01/01/2002
AB-01-141
Update of Codes and Payments for Ambulatory Surgical Centers (ASCs)
1860
01/01/2002
AB-01-144
ICD-9-CM Coding for Diagnostic Tests
1724
01/01/2002
AB-01-137
CMS Policy for Disclosure of Individually Identifiable Information: Provider Telephone Inquiries for Medicare Eligibility Information
1587
01/01/2002
B-01-78
Correction to Fee Schedule File for Parenteral and Enteral Nutrition Items and Services (PEN)
1980
01/01/2002
AB-01-145
New Waived Tests - September 13, 2001
1877
01/01/2002
AB-01-140
Claims Processing Instructions for the Medicare Participating Centers of Excellence Demonstration and the Medicare Provider Partnership Demonstration
1849
01/01/2002
AB-01-143
Coverage and Billing of Sacral Nerve Stimulation
1881
01/01/2002
B-02-010
Correct Payment for Medical Nutrition Therapy (MNT) Services Rendered by Registered Dietitians or Nutrition Professionals
2046
01/01/2002
B-01-59
Clarification of Medicare Contractor Financial Reporting Instructions Outlined in Section 4923.2 of the Medicare Carriers Manual (MCM). (Issued May 2001)
1836
01/01/2002
AB-01-164
Correction to Program Memorandum (PM) AB-01-53: Elimination of DMEPOS Fee Schedules for Repair Codes E1340, L4205, L7520, and L8049
1909
01/01/2002
AB-01-138
New Zip Code File
1861
01/01/2002
B-01-61
Transmittal B-01-61 dated September 26, 2001, has been re-communicated as AB-01-144.
1724
01/01/2002
A-01-131
Additional Ins tructions for Implementing the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS)
1921
01/01/2002
AB-01-154
Medicare Deductible and Premium Rates for Calendar Year 2002
1906
01/01/2002
A-01-128
Comprehensive Error Rate Testing (CERT) Program - Requirements Update for Medicare Part A Contractor Operations
1911
01/01/2002
B-01-58
Coding for Non-Covered Services and Services Not Reasonable and Necessary
1820
01/01/2002
B-02-020
Coding for Non-Covered Services and Services Not Reasonable and Necessary
1820
01/01/2002
AB-01-152
Breakdown of the American Medical Association's (AMA) Physicians' Current Procedural Terminology, Fourth Edition (CPT) 2002 Codes
1902
01/01/2002
A-01-116
Medicare Secondary Payer (MSP) Policies Relaxed for Hospitals
1685
01/01/2002
AB-01-151
Clarification of Common Working File (CWF) Y2K Wrapper Logic Removal Changes (CR 1774)
1904
01/01/2002
A-01-114
Handling of Claims Containing HCPCS Codes G0204 and G0205
1871
01/01/2002
AB-01-128
Annual Update of Non-Routine Medical Supply and Therapy Codes for Home Health Consolidated Billing (CB)
1854
01/01/2002
A-01-104
File Descriptions and Instructions for Retrieving the 2002 Physician, Clinical Lab, Durable Medical Equipment, Prosthetics/Orthotics and Supplies (DMEPOS), and Therapy Fee Schedule Payment Amounts through Centers for Medicare & Medicaid Services Telecommu...
1811
01/01/2002
B-01-56
Payment for Home Dialysis Supplies and Equipment
1858
01/01/2002
A-01-112
Removal of Category Code C1723 from the Pass-Through Device Category List Under the Hospital Outpatient Prospective Payment System (OPPS)
1842
01/01/2002
A-01-110
Instructions for Implementing the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS)
1851
01/01/2002
AB-01-126
nstructions for Implementing and Updating 2002 Payment Amounts for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
1856
01/01/2002
A-01-105
Screening Glaucoma Services
1783
01/01/2002
AB-01-189
Medicare Coverage of Non-Invasive Vascular Studies for End Stage Renal Disease (ESRD) Patients
1855
01/01/2002
AB-01-36
Extension of Moratorium on the Application of the Financial Limitation for Outpatient Rehabilitation Services
1491
01/01/2002
AB-01-101
Harkin Grantees: Complaint Tracking System
1715
01/01/2002
AB-01-111
Completion of Home Health Prospective Payment System (HH PPS) Consolidated Billing Enforcement
1711
01/01/2002
B-01-46
Instructions for Billing for Claims for Screening Glaucoma Services
1717
01/01/2002
A-01-87
Comprehensive Error Rate Testing (CERT) Program - Requirements for Medicare Part A Contractor Operations
1588
01/01/2002
AB-01-105
Medical Review (MR) Progressive Corrective Action (PCA)--ACTION
1694
01/01/2002
B-01-54
Implementation of New Fee Schedule for Parenteral and Enteral Nutrition Items and Services
1777
01/01/2002
B-01-51
Common Working File (CWF) Changes Required for Processing Native American (NA) and Alaskan Native (AN) Railroad Retiree Claims
1805
01/01/2002
AB-01-97
Claims Processing Instructions for the Medicare Participating Centers of Excellence Demonstration and the Medicare Provider Partnership Demonstration
1525
01/01/2002
B-01-48
Medical Nutrition Therapy Services for Beneficiaries with Diabetes or Renal Disease
1776
01/01/2002
A-01-86
New Patient Status Codes
1753
01/01/2002
AB-01-104
Modifications to the Common Working File (CWF) to: (1) Suppress HUST Type TC Transactions for Medicare Choice and Adjustment Claims; and (2) Activate Coordination of Benefits Contractor #11100.
1779
01/01/2002
AB-01-102
Common Working File (CWF) Y2K Wrapper Logic Removal Changes
1774
01/01/2002
A-01-92
Instructions for Implementing the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS)
1657
01/01/2002
AB-01-118
Reasonable Charge Update for 2002 for Items and Services, Other Than Ambulance and Laboratory Services
1803
01/01/2002
A-01-94
Implementation of Fee Schedule for Additional Part B Services Furnished by a Skilled Nursing Facility (SNF) or Another Entity Under Arrangements with the SNF
1689
01/01/2002
AB-01-103
Revised Guidelines for Processing Claims for Clinical Trial Routine Care Services
1637
01/01/2002
AB-01-100
CWF Health Insurance Master Record Redesign & Beneficiary Master File Expansion
1775
01/01/2002
A-01-90
Home Health Agency (HHA) Prospective Payment System (PPS) Correction in Financial Reporting for Trust Funds
1786
01/01/2002
AB-01-106
Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Claims Status Request/Response Transaction Standard
1784
01/01/2002
AB-01-162
2002 Clinical Laboratory Fee Schedule and Laboratory Costs Subject to Reasonable Charge Payment Methodology
1887
01/01/2002
B-01-57
New Specialty Code for Pain Management
1872
01/01/2002
B-01-53
Change in Jurisdiction for Pessary Codes
1788
01/01/2002
B-01-30
Deletion of the HCFA Common Procedure Coding System (HCPCS) Codes A9160, A9170, and A9190 and the GX Modifier and Replacement with New Codes and Modifiers; Status Change to HCPCS Code A9270
1371
01/01/2002
AB-03-009
The Medicare Exclusion Database (MED) Replaces Publication 69
1919
01/01/2002
AB-03-001
Medicare Coverage of Non-Invasive Vascular Studies for End Stage Renal Disease (ESRD) Patients
1855
01/01/2002
AB-03-028
Coverage and Billing of Sacral Nerve Stimulation
2532
01/01/2002
B-01-69
2002 Anesthesia Conversion Factors
1908
01/01/2002
B-01-55
Changes to Correct Coding Edits, Version 8.0, Effective January 1, 2002
1833
01/01/2002
AB-01-127
Year 2002 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder
1852
01/01/2002
AB-01-142
Revised Guidelines for Processing Claims for Clinical Trial Routine Care Services
1637
01/01/2002
A-01-145
Delay of the 2002 Update to the Outpatient Prospective Payment System (OPPS)
2008
01/07/2002
AB-01-187
Update to Waived Tests - November 21, 2001
1976
01/07/2002
A-01-134
January Medicare Outpatient Code Editor (OCE) Specifications Version 17.1 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS)
1967
01/07/2002
A-01-144
Additional Information Related to Section 212 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 (Public Law 106-554) Affecting Medicare-Dependent, Small Rural Hospitals (MDHs). Also, Clarifications and Corrections...
1917
01/07/2002
A-02-003
Handling of Inpatient Claims Containing HCPCS Codes J7198, J7199, and Q2022 for Payment for Blood Clotting Factor Administered to Hemophilia Inpatients
2000
01/11/2002
AB-01-171
Request for Contractor's Business Contingency Plan (BCP)-January 15,2002
1929
01/15/2002
A-02-002
Discontinuance of Contract With Integriguard (Division of CMRI) to Conduct Community Mental Health Centers (CMHC) Site Visits After January 15, 2002
2001
01/15/2002
AB-02-004
Harkin Grantees: Aggregate Report Dates
1983
01/17/2002
B-02-002
Notification to Carriers and Providers of Skilled Nursing Facility (SNF) Consolidated Billing (CB) Coding Information on CMS Web site
1997
01/31/2002
AB-02-011
Notice of Interest Rate for Medicare Overpayments and Underpayments
1897
02/01/2002
AB-02-012
Revised Backup Withholding Tax Rate
1832
02/01/2002
AB-02-016
Effective Date for Q3017
2014
02/07/2002
AB-02-019
Supplemental Systems Security Information For FY 02
2010
02/08/2002
AB-02-006
Customer Service Assessment Management System (CSAMS) for Medicare Call Centers
1996
02/10/2002
A-02-015
Installation of Version 27.1 of the Provider Statistical and Reimbursement (PS&R) Report
2043
02/12/2002
A-02-014
Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim Implementation Updates
2028
02/12/2002
B-02-008
Type of Service (TOS) Corrections
2040
02/25/2002
AB-02-007
Children's Hospital Graduate Medical Education (CHGME) Amendment to Change Request 1736
2011
03/01/2002
A-02-005
Correction of Production Problem with Home Health Prospective Payment Systems (HH PPS) Claims Involving Medicare Secondary Payer (MSP)
19777
03/01/2002
A-02-006
Extended Repayment Schedules (ERSs) for Home Health Agencies (HHAs) Affected by the Interim Payment System (IPS)
975
03/02/2002
AB-02-033
Provider Education Training Activities to Implement Updates to the Ambulance Fee Schedule
2075
03/15/2002
A-02-020
Coverage and Billing of Sacral Nerve Stimulation
2098
03/21/2002
A-02-022
Clarification of PM-A-01-86, New Patient Status Codes 62 and 63
2069
03/22/2002
AB-02-039
Amplification of Annual Compliance Audit Requirements
2072
03/26/2002
AB-02-041
Correction of Remark Code Message for Home Health Consolidated Billing
2080
03/29/2002
B-02-022
Elimination of Certificate of Medical Necessity (CMN) Requirement for Continuous Positive Airway Pressure (CPAP) Device
2076
03/29/2002
AB-02-026
System Networking Electronic Correspondence Referral System (SNECRS) User Guide
2024
03/30/2002
AB-03-064
System Networking Electronic Correspondence Referral System (SNECRS) User Guide
2024
03/30/2002
A-02-021
Medicare Secondary Payer (MSP) Information Collection Policies Changed for Hospitals
2104
03/31/2002
A-03-031
Medicare Secondary Payer (MSP) Information Collection Policies Changed for Hospitals
2104
03/31/2002
AB-02-149
Update to the Mammography Quality Standard Act (MQSA) File Record Layout for the Food and Drug Administration (FDA) Certified Digital Mammography Centers
1729
04/01/2002
B-01-74
Supplier Billing for Glucose Test Strips and Supplies (Revised)
1612
04/01/2002
A-01-148
Changes to Fiscal Year (FY) 2001 Nursing and Allied Health Education Payment Policies as Required by the Benefits Improvement and Protection Act of 2000 (BIPA), P. L. 106-554
1988
04/01/2002
B-01-75
Changes to Correct Coding Edits, Version 8.1, Effective April 1, 2002
1916
04/01/2002
AB-01-179
Zip Code File on the Direct Connect
1941
04/01/2002
AB-01-178
April Quarterly Update for 2002 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
1952
04/01/2002
AB-01-188
Coverage and Billing of Ambulatory Blood Pressure Monitoring (ABPM)
1985
04/01/2002
AB-01-165
Implementation of an Ambulance Fee Schedule
1555
04/01/2002
AB-02-027
Corrections to Program Memorandum (PM) A-01-135 -- Codes Billable by SNFs and Suppliers for SNF Residents
2035
04/01/2002
AB-02-024
New Waived Tests - January 18, 2002
2033
04/01/2002
AB-01-160
Standardize Common Working File (CWF) Hosts' Processes and Procedures With Standard Software (AMEN Program)
1930
04/01/2002
B-01-72
Change in CWF Categories for Two Immunosuppressive Drugs
1867
04/01/2002
AB-01-157
New Common Working File (CWF) Medicare Secondary Payer (MSP) Edit to Reject MSP Records for Medicare Beneficiaries Who Are Only Entitled to Medicare Part B, and Are Covered by a Group Health Plan (GHP).
1922
04/01/2002
A-01-132
Screening Glaucoma Services
1914
04/01/2002
AB-01-163
Expand Standard Date Format and Remove Common Working File (CWF) Y2K Wrapper Logic for Part B Eligibility File, Part B (HUBC), and DME (HUDC) Incoming and Response Transactions
1915
04/01/2002
AB-01-159
Common Working File (CWF) Reject and Utilization Edits and Carrier Resolution for Consolidated Billing for Skilled Nursing Facility (SNF) Residents
1764
04/01/2002
AB-01-158
New Common Working File (CWF) Edits and Standard System Responses on Skilled Nursing Facility (SNF) Claims
1778
04/01/2002
AB-01-156
Expanding the Number of Source Identifiers for Common Working File (CWF) MSP Records
1923
04/01/2002
AB-01-148
Ambulance Inflation Factor for 2002
1875
04/01/2002
A-01-130
Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims
1769
04/01/2002
AB-01-149
Unsolicited Response and Auto Adjustment of Claims for the Medicare Participating Centers of Excellence Demonstration and the Medicare Provider Partnership Demonstration
1752
04/01/2002
AB-01-155
Medicare Summary Notice (MSN) Implementation for Contractors Using APASS and HPBSS - ACTION
1920
04/01/2002
AB-02-015
Clarification of Payment Responsibilities of Fee-for-Service Contractors as it Relates to Hospice Members Enrolled in Managed Care Organizations (MCOs) and Claims Processing Instructions for Processing Rejected Claims
2013
04/01/2002
B-01-63
New Modifier for Rental Items
1813
04/01/2002
AB-02-001
New Temporary "K" Codes for Ostomy Devices and Supplies
1993
04/01/2002
B-01-70
Reporting Claims Accounting Information to the Healthcare Integrated General Ledger Accounting System (HIGLAS)
1924
04/01/2002
AB-02-002
Claims Processing Instructions For The Medicare Quality Partnerships Demonstration (formerly referred to as "Centers of Excellence") and The Medicare Provider Partnership Demonstration
1995
04/01/2002
AB-01-123
Useful Lifetime Expectancy for Breast Prosthesis
1787
04/01/2002
AB-02-043
Corrections to Program Memorandum (PM) A-01-135 -- Codes Billable by SNFs and Suppliers for SNF Residents
2035
04/01/2002
A-01-127
Common Working File (CWF) Processing of Home Health Prospective Payment System (HH PPS) Transfer Episodes Received Out of Sequence
1758
04/01/2002
B-01-68
Providing Upgrades of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Without Any Extra Charge
1894
04/01/2002
AB-03-049
Clarification of Payment Responsibilities of Fee-for-Service Contractors as it Relates to Hospice Members Enrolled in Managed Care Organizations (MCOs) and Claims Processing Instructions for Processing Rejected Claims
2013
04/01/2002
AB-03-041
Common Working File (CWF) Reject and Utilization Edits and Carrier Resolution for Consolidated Billing for Skilled Nursing Facility (SNF) Residents
1764
04/01/2002
AB-03-062
New Common Working File (CWF) Edits and Standard System Responses on Skilled Nursing Facility (SNF) Claims
1778
04/01/2002
AB-03-046
Expanding the Number of Source Identifiers for Common Working File (CWF) MSP Records
1923
04/01/2002
AB-02-036
Temporary Codes for Ambulance Fee Schedule
2047
04/01/2002
B-01-73
Reviewing Deceased Physicians' Unique Physician Identification Numbers (UPINs) on DMERC Claims
1735
04/01/2002
AB-02-018
First Update to the 2002 Medicare Physician Fee Schedule Database
2036
04/01/2002
B-01-64
DMERCs - Advance Beneficiary Notices (ABNs) for "Upgrades"
1893
04/01/2002
A-02-026
2002 Update of the Hospital Outpatient Prospective Payment System (OPPS)
2102
04/08/2002
AB-02-046
Availability of Deceased Beneficiary Date of Death Files (Calendar Years 2000 and 2001)
2065
04/12/2002
AB-02-045
Clarification of the Allocation of Initial Claim Entry Activities Where the Claim is Paid Secondary by Medicare
2074
04/12/2002
AB-03-024
Clarification of the Allocation of Initial Claim Entry Activities Where the Claim is Paid Secondary by Medicare
2074
04/12/2002
AB-02-032
Data Center Testing and Production- Electronic Correspondence Referral System (ECRS) User Manual 4.0
2059
04/15/2002
A-02-027
Installation of Version 27.2 of the Provider Statistical and Reimbursement (PS&R) Report
2146
04/15/2002
A-02-028
Upcoming Train-the-Trainer Session for Hospital Swing Bed Facility Prospective Payment System (SB PPS)
2147
04/16/2002
AB-02-047
Amended Contractor Assessment Security Tool (CAST) Submission Instructions and Due Dates
2094
04/17/2002
AB-02-030
Administrative Policies Related to Processing Claims for Clinical Diagnostic Laboratory Services
1998
04/18/2002
AB-02-035
Notification of Updates to Coding Files on CMS Web Site for Skilled Nursing Facility (SNF) Consolidated Billing (CB)
2085
04/20/2002
AB-02-049
New Source of Provider Information Available on CMS Website April 22, 2002
1868
04/24/2002
AB-02-050
Program Memorandum on Written Statements of Intent (SOI) to Claim Medicare Benefits
04/24/2002
AB-03-061
Program Memorandum on Written Statements of Intent (SOI) to Claim Medicare Benefits
1050
04/24/2002
AB-02-051
Change of Interest Citation in the Overpayment Sections of the Medicare Intermediary Manual (MIM) and the Medicare Carriers Manual (MCM) from 42 CFR Section 405.376 to 42 CFR Section 405.378.
1623
04/30/2002
AB-02-141
Charging Fees to Providers for Medicare Education and Training Activities - Program Management
2129
05/01/2002
B-02-031
Cessation of Certain DMERC Activities
2101
05/01/2002
A-02-034
Submission of the Swing Bed Minimum Data Set (MDS) Data for Swing Bed Hospitals
2159
05/01/2002
AB-02-057
Charging Fees to Providers for Medicare Education and Training Activities - Program Management
2129
05/01/2002
AB-02-068
Notice of Interest Rate for Medicare Overpayments and Underpayments
1898
05/08/2002
B-02-009
Payment for Therapy Services Wrongfully Denied
2039
05/09/2002
AB-02-071
HIPAA Model Compliance Plan and Instructions
2168
05/10/2002
AB-02-075
Payment Limit for Drugs and Biologicals
2123
05/22/2002
AB-02-074
Healthcare Provider Taxonomy Codes (HPTC) Crosswalk
2105
05/22/2002
A-02-046
Clarification of Part B Medicare Payment for 18 HCPCS Codes to Skilled Nursing Facilities (SNF)
2132
05/23/2002
AB-02-078
Provider Education Article: Medicare Coverage of Rehabilitation Services for Beneficiaries With Vision Impairment
2083
05/29/2002
A-02-042
Clarification to Periodic Interim Payments (PIP) For Home Health Providers and Clarification on Extension of Due Dates for Filing Provider Cost Reports
2158
06/01/2002
A-02-048
Extension of the Deadline for Hospitals to Make Elections to Reduce Beneficiary Coinsurance for 2002 Under the Outpatient Prospective Payment System (OPPS)
2195
06/04/2002
AB-01-173
Name Transition From Health Care Financing Administration (HCFA) to Centers for Medicare & Medicaid Services (CMS) - CMS Identity Mark Guidelines
1964
06/05/2002
AB-02-079
Customer Service Representative (CSR) Response to Physician and Provider Correct Coding Initiative (CCI) Questions
2113
06/06/2002
AB-02-081
Core Security Requirements (CSR) and Associated Responsibilities
2189
06/11/2002
A-02-053
Indian Health Service (IHS) Hospital Payment Rates for Calendar Year 2002
2210
06/18/2002
A-02-051
Health Insurance Portability and Accountability Act (HIPAA) Testing and Certification Requirements and Date Changes
2128
06/18/2002
A-02-127
Indian Health Service (IHS) Hospital Payment Rates for Calendar Year 2002
2210
06/18/2002
A-02-054
Use of Medical Review Indicators for Comprehensive Error Rate Testing (CERT)
2226
06/19/2002
A-02-055
Extended Repayment Schedules (ERSs) for Home Health Providers Who Received the Special Periodic Interim Payment (PIP)
2191
06/24/2002
A-02-056
Special Handling of End Stage Renal Disease (ESRD) Claims Containing Healthcare Common Procedure Coding System (HCPCS) Code J1955 (Levocarnitine)
2208
06/28/2002
AB-02-083
Effective Date Revision for Medicare Intermediary Manual (MIM), Transmittal 1855, dated April 26, 2002, Change Request 2057, and Medicare Carriers Manual (MCM), Transmittal 1749, dated April 26, 2002, Change Request 2057
2205
07/01/2002
A-02-050
July 2002 Update to the Hospital Outpatient Prospective Payment System (OPPS)
2207
07/01/2002
A-02-052
July Outpatient Code Editor (OCE) Specifications Version (V3.1)
2221
07/01/2002
A-02-049
Installation of Version 27.3 of the Provider Statistical and Reimbursement (PS&R) Report
2201
07/01/2002
B-02-035
Elimination of Certificate of Medical Necessity (CMN) Requirement for Continuous Positive Airway Pressure (CPAP) Device - Clarification
2165
07/01/2002
A-02-039
Coverage and Billing of the Diagnosis and Treatment of Peripheral Neuropathy with Loss of Protective Sensation in People with Diabetes
2184
07/01/2002
B-01-76
Issuance of Standard Paper Remittance (SPR) Advice Notices and SPR- X12 835V4010 Crosswalk
1953
07/01/2002
AB-02-031
Payment Policy for Air Ambulance Transportation of Deceased Beneficiary
1961
07/01/2002
B-02-011
Revision and Clarification of Requirements for Quarterly Do Not Forward (DNF) Reports
1631
07/01/2002
B-02-026
Revised: New Permanent Modifier for "Specific Required Documentation on File"
2155
07/01/2002
B-02-029
Durable Medical Equipment Regional Carrier (DMERC) - New Message for Advanced Beneficiary Notice (ABNs) Denials
2084
07/01/2002
B-02-006
Receipt of Payment Data from the Healthcare Integrated General Ledger Accounting System (HIGLAS) by the Multi-Carrier System (MCS)
2032
07/01/2002
AB-02-025
Non-Contact Normothermic Wound Therapy (NNWT)
2027
07/01/2002
B-02-012
This Transmittal Has Been Rescinded
2045
07/01/2002
A-02-016
Conversion of Hospital Swing Bed Facilities to the Skilled Nursing Facility Prospective Payment System (SNF PPS) Effective for Cost Reporting Periods Starting July 1, 2002
1666
07/01/2002
AB-02-029
Electronic Medicare Provider/Supplier Enrollment Forms
2045
07/01/2002
B-02-013
Changes to Correct Coding Edits, Version 8.2, Effective July 1, 2002
2031
07/01/2002
A-02-010
Changes to Common Working File (CWF) Beneficiary Eligibility Checks for Medicare Choice Encounter Data
1926
07/01/2002
AB-02-017
Sending of HUSC files from Common Working File (CWF) to Recovery Management and Accounting System (ReMAS)
2026
07/01/2002
AB-02-023
Common Working File (CWF) Edits with Unsolicited Responses for Skilled Nursing Facility (SNF) Consolidated Billing
2034
07/01/2002
AB-02-070
New Waived Tests - April 12, 2002
2163
07/01/2002
A-02-012
"Do Not Forward" (DNF) Initiative
1970
07/01/2002
A-02-013
Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry/Response Transaction (270/271) Standard
2009
07/01/2002
A-02-011
Receipt of Payment Data from the Healthcare Integrated General Ledger Accounting System (HIGLAS) by the Fiscal Intermediary Standard System (FISS).
2029
07/01/2002
A-02-004
Critical Access Hospitals (CAH) Exempt From the Ambulance Fee Schedule
1951
07/01/2002
A-02-008
Processing of Home Health Prospective Payment System (HH PPS) Mass Adjustments -- Regional Home Health Intermediaries (RHHIs) Only
1973
07/01/2002
B-02-005
This PM has been retracted. It has not been printed and the transmittal number will not be used in the future. The new transmittal number for Change Request 1691 is AB-02-014. Implementation of Common Working File (CWF) Edits for Flu and Pneumonia Claims
1691
07/01/2002
AB-02-042
Coverage and Billing of the Diagnosis and Treatment of Peripheral Neuropathy with Loss of Protective Sensation in People with Diabetes
2060
07/01/2002
B-02-015
2002 Jurisdiction List
2051
07/01/2002
B-02-016
Addition of Four "WW" Codes to Identify a New Source for Methotrexate
2064
07/01/2002
AB-02-037
Reissue of information in CR 1955, Transmittal AB-02-021, Common Working File (CWF) Unsolicited Response Edit and Carrier Resolution for Consolidated Billing for Skilled Nursing Facility (SNF) Residents
2082
07/01/2002
AB-02-058
Second Update to the 2002 Medicare Physician Fee Schedule Database
2161
07/01/2002
AB-02-064
Coverage and Billing for Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management
2071
07/01/2002
AB-02-069
July 2002 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule Files
2162
07/01/2002
AB-02-021
Common Working File (CWF) Unsolicited Response Edit and Carrier Resolution for Consolidated Billing for Skilled Nursing Facility (SNF) Residents
1955
07/01/2002
AB-02-014
Implementation of Common Working File (CWF) Edits for Flu and Pneumonia Claims
1691
07/01/2002
B-02-003
New Permanent Modifier for "Specific Required Documentation on File"
1948
07/01/2002
AB-02-044
July Quarterly Update for 2002 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
2090
07/01/2002
AB-03-087
Common Working File (CWF) Edits with Unsolicited Responses for Skilled Nursing Facility (SNF) Consolidated Billing
2034
07/01/2002
AB-03-098
Medicare Summary Notice (MSN) Implementation for Contractors Using APASS and HPBSS - ACTION
1920
07/01/2002
A-02-047
July Medicare Outpatient Code Editor (OCE) Specifications Version 17.2 for Bills from Hospitals that are not Paid Under the Outpatient Prospective Payment System (OPPS)
2188
07/01/2002
AB-02-095
Prohibition on New Trading Partner Agreements (TPAs) with Certain Entities for the Purpose of Coordination of Benefits (COB)
2216
07/05/2002
AB-02-080
Payment for Services Furnished by Audiologists
2073
07/07/2002
A-02-060
Revision to Billing for Swing Bed Services Under Skilled Nursing Facility Prospective Payment System (SNF PPS)
2257
07/12/2002
A-03-052
Revision to Billing for Swing Bed Services Under Skilled Nursing Facility Prospective Payment System (SNF PPS)
2257
07/12/2002
AB-02-088
System Networking Electronic Correspondence Referral System (SNECRS) 1.2 User and Installation Guides
2217
07/15/2002
B-02-038
HIPAA Testing and Certification Requirements and Date Changes
2127
07/18/2002
AB-02-096
Coverage and Billing of the Diagnosis and Treatment of Peripheral Neuropathy With Loss of Protective Sensation in People With Diabetes
2269
07/19/2002
AB-02-086
Change in Procedure for State Requests for Retrospective Medicare Claims
2218
07/26/2002
AB-02-098
Process for Entering Local Medical Review Policies (LMRP) and certain articles and Frequently Asked Questions (FAQs) into the Medicare Coverage Database
2238
07/26/2002
AB-02-102
Medicare Secondary Payer (MSP) Debt Referral and Write Off Closed Instructions: 1) Expansion and Clarification of MSP Debt Collection Improvement Act of 1996 (DCIA) Activities; 2) Additional "Write-Off -- Closed" Instructions (Supplemental Instructions fo...
2145
07/26/2002
B-02-041
October Quarterly Update for 2002 Billing for Implanted Durable Medical Equipment (DME), Prosthetic Devices, Replacement Parts, Accessories and Supplies
2227
07/26/2002
A-02-072
Implementation of the Provider Enrollment, Chain and Ownership System (PECOS)
2119
07/29/2002
AB-02-072
Medicare Payment for Drugs and Biologicals Furnished Incident to a Physician's Service
2200
08/01/2002
B-02-053
Implementation of the ASC X12N 278 Version 4010 Implementation Guide for Electronic Referral Certification and Authorization
2276
08/01/2002
AB-02-118
Notice of Interest Rate for Medicare Overpayments and Underpayments
1899
08/08/2002
A-02-074
Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions
1229
08/14/2002
A-02-079
Data fields that the Fiscal Intermediaries are required to enter into the Provider Enrollment, Chain and Ownership System (PECOS)
2296
08/23/2002
B-02-056
Furlong Lawsuit Settlement Payments
2214
08/28/2002
AB-02-123
Information on Medicare Choice (M C) Private Fee-for-Service Plans - INFORMATION ONLY
2206
08/28/2002
AB-02-100
Modification of Medicare Policy for Erythropoietin (EPO)
2266
08/31/2002
AB-02-094
Disclosure Desk Reference for Call Centers
2237
09/03/2002
AB-02-120
Coding Instructions for IN-111 Zevalin and Y-90 Zevalin
2273
09/04/2002
AB-02-125
Provider Education Article: Durable Medical Equipment Ordered With Surrogate Unique Physician Identification Numbers (UPIN)
2268
09/11/2002
AB-02-105
Medical Review of Medicare Payments for Nail Debridement Services
2272
09/14/2002
B-02-059
Activation of the Automated Unsolicited Response for Skilled Nursing Facility (SNF) Consolidated Billing and Global Payment Demonstrations
2391
09/19/2002
AB-02-130
Definitions of Ambulance Services
2295
09/27/2002
A-02-059
Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2003
2248
10/01/2002
A-02-058
Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2003
2250
10/01/2002
B-02-063
Annual Updating of ICD-9-CM Codes Must Be Date of Service Driven
2108
10/01/2002
A-02-092
Corrections to: Changes to the Hospital Inpatient Prospective Payment Systems and Rates and Costs of Graduate Medical Education, etc.; as Published in the Federal Register, FY 2002 (66 FR 39828, August 1, 2001) and FY 2003 (67 FR 49982, August 1, 2002).
2400
10/01/2002
A-02-057
Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Update
2220
10/01/2002
AB-02-104
October Quarterly Update for 2002 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
2245
10/01/2002
A-02-080
October Medicare Outpatient Code Editor (OCE) Specifications Version 18.0 for Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS)
2310
10/01/2002
A-02-061
Medicare Program- Update to the Prospective Payment System (PPS) for Home Health Agencies for FY 2003
2239
10/01/2002
B-02-037
New Medicare Medical Review Guidelines for Claims for Diabetic Testing Supplies
2133
10/01/2002
B-02-036
Changes to Correct Coding Edits, Version 8.3, Effective October 1, 2002
2187
10/01/2002
A-02-082
October Outpatient Code Editor (OCE) Specifications Version (V3.2)
2322
10/01/2002
AB-02-077
Common Working File (CWF) Beneficiary Other Insurer (BOI) Auxiliary (aux) File
1674
10/01/2002
AB-02-085
Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
2194
10/01/2002
AB-02-124
Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2002
2316
10/01/2002
AB-02-082
Coding Changes for Sodium Hyaluronate
2230
10/01/2002
AB-02-091
New Waived Tests - June 17, 2002
2263
10/01/2002
AB-02-092
Procedures Subject to Home Health Consolidated Billing
2247
10/01/2002
AB-02-093
Coverage and Billing for Intravenous Immune Globulin (IVIg) for the Treatment of Autoimmune Mucocutaneous Blistering Diseases
2192
10/01/2002
A-02-043
Audit Guidance Pertaining to Write-offs of Small Debit Balances in Patients' Accounts Receivable
2174
10/01/2002
B-02-057
Addition of Two "WW" Codes to Identify a New Source for Etoposide
2283
10/01/2002
A-02-041
New Patient Status Code 64
2093
10/01/2002
B-02-039
Common Working File (CWF) Category Changes
2229
10/01/2002
A-02-081
Modification of Audit and Cost Report Settlement Expectations in Change Request (CR) 1468
2300
10/01/2002
AB-02-122
Appeals Quality Improvement and Data Analysis Activities
2170
10/01/2002
AB-02-114
ABNs and DMEPOS Refund Requirements - Implementation of Form CMS-R-131, Advance Beneficiary Notice (ABN), and of Limits on Beneficiary Liability for Medical Equipment and Supplies
2219
10/01/2002
A-02-086
The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2001 for Inpatient Prospective Payment System (PPS) Hospitals
2344
10/01/2002
A-02-087
Clarification of Provider Billing Requirements Under the Outpatient Prospective Payment System (OPPS)
1768
10/01/2002
AB-02-126
Establishing a Uniform Process for the Preparation and Mailing of Case Files From the Contractor to the Office of Hearings and Appeals (OHA) of the Social Security Administration (SSA)
2304
10/01/2002
A-02-038
Modification of Common Working File (CWF) A/B Crossover Edit 7111 and "Alert" 7531
2143
10/01/2002
A-02-076
October 2002 Update to the Hospital Outpatient Prospective Payment System (OPPS)
2298
10/01/2002
A-02-084
Fiscal Year (FY) 2003 Prospective Payment System (PPS) Hospital, Skilled Nursing Facility (SNF) and Other Bill Processing Changes
2306
10/01/2002
AB-02-063
Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Testing of 835 Interface with the Healthcare Integrated General Ledger Accounting System (HIGLAS)
2180
10/01/2002
AB-02-061
CWF Editing of Claims for Medicare Beneficiaries in State or Local Custody Under a Penal Authority
2139
10/01/2002
A-02-031
Updates to Common Working File (CWF) Editing of Intermediary Claims for Durable Medical Equipment (DME) and Prosthetic/Orthotic Devices
2092
10/01/2002
AB-02-066
Non-coverage of Perception Sensory Threshold/Nerve Conduction Threshold Test (sNCT)
2153
10/01/2002
A-02-036
Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim - Outpatient Hospice Implementation Direction
2135
10/01/2002
A-02-037
Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim - Home Health Implementation Direction
2137
10/01/2002
B-02-033
Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry/Response Transaction (270/271) Standard
2182
10/01/2002
AB-02-056
Expand Standard Date Format and Remove CWF (Common Working File) Y2K Wrapper Logic for Fiscal Intermediary Claims/Trailers and Carrier/DMERC Trailers - Incoming and Response Transactions
2148
10/01/2002
AB-02-060
Coverage and Billing for Intravenous Immune Globulin (IVIg) for the Treatment of Autoimmune Mucocutaneous Blistering Diseases
2149
10/01/2002
A-02-035
Revision to the 837 Interface Format for Sending Claims Accounting Information from Fiscal Intermediary Standard System (FISS) to the Healthcare Integrated General Ledger Accounting System (HIGLAS)
2086
10/01/2002
B-02-028
Sending Payee Information From Multi-Carrier System (MCS) to the Healthcare Integrated General Ledger Accounting System (HIGLAS)
2089
10/01/2002
AB-02-059
Additional Clarification for Medical Nutrition Therapy (MNT) Services
2142
10/01/2002
AB-02-054
Generating an Outbound Coordination of Benefits (COB) X12N 837 (4010) When Required Data is Missing or Invalid
2021
10/01/2002
A-02-030
Revisions to the Home Health Prospective Payment System (HH PPS) Pricer Software -- Regional Home Health Intermediaries (RHHIs) Only
2070
10/01/2002
A-02-033
Sending Payee Information From Fiscal Intermediary Standard System (FISS) to the Healthcare Integrated General Ledger Accounting System (HIGLAS)
2088
10/01/2002
AB-02-065
Coverage and Related Claims Processing Requirements for Positron Emission Tomography (PET) Scans - for Breast Cancer and Revised Coverage Conditions for Myocardial Viability
2138
10/01/2002
B-02-030
Reporting Claims Accounting Information to the Healthcare Integrated General Ledger Accounting System (HIGLAS) for the Durable Medical Equipment Regional Carriers (DMERC)
2087
10/01/2002
A-02-032
Diabetes Self Management Training (DSMT) Payment
2049
10/01/2002
B-02-040
Updating the Deceased Physicians' Unique Physician Identification Numbers (UPINs) List at the Common Working File (CWF)
2199
10/01/2002
B-02-024
Deceased Physician UPIN Information - (Transmittal B-01-73)
2042
10/01/2002
A-02-083
System Tracking for Audit and Reimbursement (STAR) Instructions: End Stage Renal Disease (ESRD) Audits and Hospice Cost Reports
2285
10/01/2002
B-02-023
Revision-The Do Not Forward (DNF) Initiative-Using "Return Service Requested" Envelopes for Remittance Advice
2038
10/01/2002
B-02-025
Reporting the Obligated to Accept as Payment in Full (OTAF) Amount on the ANSI X12N 837 Version 4010 as Adopted Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) for Medicare Secondary Payer (MSP) Claims.
2007
10/01/2002
AB-02-067
Remittance Advice Coding and Health Insurance Portability and Accountability Act (HIPAA) Transaction 835v4010 Completion Update
1959
10/01/2002
B-02-027
Annual Updating of ICD-9-CM Codes Must Be Date of Service Driven
2108
10/01/2002
A-03-044
Audit Guidance Pertaining to Write-offs of Small Debit Balances in Patients' Accounts Receivable
2174
10/01/2002
B-02-014
Common Working File (CWF) Changes for Emergency Home Dialysis Supplies For Method II Beneficiaries
2044
10/01/2002
A-02-114
Revisions to the Outpatient Prospective Payment System (OPPS) Pricer Software and OCE for Blood Deductble and Technical Charges
2112
10/01/2002
A-02-095
Production Dates for the Provider Statistical and Reimbursement (PS&R) Report and Extension of Due Date for Filing Provider Cost Reports for Providers Having Their Claims Processed by the Arkansas Part A Standard System (APASS) and Request for Wage Data f...
2389
10/04/2002
B-02-062
Payment to Registered Dietitians for Diabetes Outpatient Self-Management Training (DSMT) Services
2386
10/04/2002
A-02-094
Annual Desk Review Program for Hospital Wage Data: Cost Reporting Periods Beginning on or after October 1, 1999, through September 30, 2000 (For FY 2004 Wage Index)
2394
10/04/2002
AB-02-140
Data Center Testing and Production - Electronic Correspondence Referral System (ECRS) User Manual 5.1 and Quick Reference Guide Replacement
2441
10/07/2002
AB-02-116
Data Center Testing and Production - Electronic Correspondence Referral System (ECRS) User Manual 5.0
2293
10/07/2002
AB-02-112
Final Update to the 2002 Medicare Physician Fee Schedule Database (MPFSDB)
2282
10/07/2002
AB-03-050
Data Center Testing and Production - Electronic Correspondence Referral System (ECRS) User Manual 5.1 and Quick Reference Guide Replacement
2441
10/07/2002
AB-02-135
System Networking Electronic Correspondence Referral System (SNECRS) 1.3 User and Installation Guides for Testing and Production
2359
10/08/2002
AB-03-025
System Networking Electronic Correspondence Referral System (SNECRS) 1.3 User and Installation Guides for Testing and Production
2359
10/08/2002
A-02-101
Corrections to: Changes to the Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities - Update as published in the Federal Register, FY 2001 (66 FR 39572, July 31, 2001), and Transmittal A-01-144, December 20, 2001; Hospice Wag...
2428
10/10/2002
AB-02-137
Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement
2402
10/11/2002
A-02-089
Temporary Procedures for Cost-Based Payments for Certified Registered Nurse Anesthetists (CRNA) Services Furnished by Outpatient Prospective Payment System (OPPS) Hospitals
2326
10/15/2002
AB-02-005
Elimination of Official Level III Healthcare Common Procedure Coding System (HCPCS) Codes/Modifiers and Unapproved Local Codes/Modifiers
1957
10/16/2002
A-02-077
Intermediaries Must Adjust Their Translators for Reporting Line Item Dates, and HCPCS Codes for Part A Outpatient Claims
2279
10/16/2002
AB-02-150
Payment of Physician and Nonphysician Services for Certain Indian Providers
2055
10/25/2002
AB-02-145
Electronic Patient Records Via Non-Internet Means
2264
10/25/2002
A-02-106
Provider Education Article: Hospitals' Responsibilities re: Patient Notification at Discharge Planning and Home Health Consolidated Billing
2319
10/25/2002
A-02-104
Provider Education Article: Home Health Agencies' (HHAs) Responsibilities Regarding Patient Notification
2320
10/25/2002
AB-02-143
Provider Education Article: Psychotropic Drug Use in Skilled Nursing Facilities (SNF)
2318
10/25/2002
B-02-060
Payment Policy When More Than One Patient Is Onboard An Ambulance
1945
10/30/2002
A-02-097
Special Handling of New "K" Codes K0556, K0557, K0558, and K0559
2409
10/31/2002
B-02-075
Carrier Review of Payment Amounts for Portable X-Ray Transportation Services (HCPCS code R0070)--REQUEST
2421
11/01/2002
A-02-111
October 2002 Update to the Hospital Outpatient Prospective Payment System (OPPS) -Correction - This instruction replaces PM A-02-076 (CR 2298) issued on August 7, 2002.
2399
11/08/2002
AB-02-147
Promoting Influenza Vaccinations
2396
11/08/2002
B-02-072
Calendar Year (CY) 2003 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures
2380
11/15/2002
AB-02-167
Notice of Interest Rate for Medicare Overpayments and Underpayments
2429
11/19/2002
AB-02-169
Notice Requirement Related to Local Medical Review Policies (LMRP)
2472
11/22/2002
AB-02-146
Revision to the Healthcare Provider Taxonomy Codes (HPTCs) Crosswalk
2398
11/25/2002
AB-02-133
Publication and Maintenance of a Directory of Electronic Billing Vendors
2364
12/01/2002
AB-02-168
Advance Beneficiary Notice and DMEPOS Refund Requirements - Corrections to PM AB-02-114
2415
12/02/2002
A-02-122
Notice Regarding Cost-to-Charge Ratios and Inpatient Outlier Payments
2500
12/03/2002
AB-02-172
Next Generation Desktop Data Center Connectivity - Security Information Clarification to Change Request 2079 (AB-02-073) Dated May 16, 2002
2390
12/13/2002
A-02-126
Instructions Regarding Hospital Outlier Payments
2528
12/20/2002
AB-02-181
Medicare Physician Fee Schedule (MPFS) Update and the 2003 Participation Enrollment Process
2486
12/23/2002
AB-03-089
Coverage and Billing for Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management
2323
12/27/2002
AB-02-180
Coverage and Billing for Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management
2323
12/27/2002
AB-02-178
Clarification of the Comprehensive Error Rate Testing (CERT) Program Contractor Resolution Process (CCRP)
2002
12/27/2002
B-02-091
Provider Education Article: Requirements for Payment of Medicare Claims for Foot and Nail Care Services
2374
12/27/2002
AB-02-179
Complaint Screening
2406
12/27/2002
B-02-064
ViPS Medicare System (VMS) Implementation to Process ICD-9-CM Codes Using Date of Service and Not Date of Receipt
2209
01/01/2003
AB-02-155
Beneficiary Notification of Denials Based on Local Medical Review Policy (LMRP)
2081
01/01/2003
A-02-098
Changes in Transitional Outpatient Payment (TOP) for 2003
2356
01/01/2003
B-02-069
Messages for Use With Drug Claims
2376
01/01/2003
AB-02-160
Medicare Telehealth Update
2403
01/01/2003
AB-02-159
Medicare Deductible and Premium Rates for Calendar Year 2003
2451
01/01/2003
AB-02-165
Levocarnitine for use in the treatment of Carnitine Deficiency in ESRD Patients
2438
01/01/2003
B-02-074
Clarification on Systems Changes in CR 2299
2412
01/01/2003
B-02-076
Annual Update for Skilled Nursing Facility (SNF) Consolidated Billing for the Common Working File (CWF) and Medicare Carriers
2446
01/01/2003
AB-02-134
Questions and Answers Related to Implementation of National Coverage Determinations (NCDs) for Clinical Diagnostic Laboratory Services
2383
01/01/2003
A-02-102
Medicare Certified Hospices - Clarification of Acceptable Parameters for Some Contractual Arrangements
2345
01/01/2003
AB-02-136
Reasonable Charge Update for 2003 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, Therapeutic Shoes, and Certain Intraocular Lenses
2371
01/01/2003
A-02-066
Department of Veterans Affairs Claims Adjudication Services Project: Systems Changes Needed
2109
01/01/2003
B-02-048
Reasonable Charge Data Disclosure Requirements for Ambulance Services
2212
01/01/2003
A-02-100
Installation of Version 27.4 of the Provider Statistical and Reimbursement (PS&R) Report
2401
01/01/2003
AB-02-142
Remittance Advice Coding Update
2395
01/01/2003
A-02-067
Production of Flat Files to Enable CMS to Populate the Online Survey, Certification and Reporting (OSCAR) System with the Provider Taxpayer Identification Number (TIN)
2097
01/01/2003
AB-02-128
Coverage and Billing for Percutaneous Image-Guided Breast Biopsy
2232
01/01/2003
B-02-045
ViPS Medicare System (VMS) Implementation to Process ICD-9-CM Codes Using Date of Service and Not Date of Receipt
2209
01/01/2003
AB-02-101
Changes to Common Working File (CWF) Edits for Skilled Nursing Facility (SNF) Consolidated Billing (CB)
2270
01/01/2003
AB-02-099
Standardize the CICS Level, CICS Transaction Server 1.3 to be Utilized by All Medicare Contractors
2173
01/01/2003
AB-02-138
Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes
2348
01/01/2003
A-02-064
Excluding Hospitals that Provide Part B Only Services to Their Inpatients from the Outpatient Prospective Payment System (OPPS)
2204
01/01/2003
B-02-051
Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry/Response Transaction (270/271) Standard
2223
01/01/2003
B-02-049
CWF Change for Billing for Glucose Test Strips and Supplies - Follow-up to Change Request 1612
2156
01/01/2003
A-02-068
Enhancements to Home Health Prospective Payment System (HH PPS) Claims Processing
2095
01/01/2003
A-02-062
Applicable Bill Types for Ambulance Services (Revenue Code 540)
2175
01/01/2003
B-02-043
Acceptance of Special Characters in the Common Working File (CWF) and the Durable Medical Equipment Regional Carrier (DMERC) Standard System
2096
01/01/2003
AB-02-087
Delay in Enforcement of National Coverage Determinations (NCDs) for Clinical Diagnostic Laboratory Services
2203
01/01/2003
AB-02-110
Implementation of National Coverage Determinations Regarding Clinical Diagnostic Laboratory Services
2130
01/01/2003
AB-02-107
Modify Application of "I" Validity MSP Records to the Common Working File (CWF) by Medicare Contractors
2240
01/01/2003
B-02-044
Change in Jurisdiction for Topical Hyperbaric Oxygen Chamber
2177
01/01/2003
AB-02-106
Medicare Summary Notice (MSN) - Inclusion of Appeals Information, Removal of Fraud References and Office of Inspector General's (OIG) Hotline Number - ACTION
2241
01/01/2003
B-02-055
Updates to the Place of Service (POS) Code Set
2259
01/01/2003
A-02-070
Health Insurance Portability and Accountability Act (HIPAA) Transaction 835v4010 Completion Update
2233
01/01/2003
AB-02-108
Clarification of Medicare Contractor Financial Reporting Instructions Outlined in Section 1900 - Section 1960.21 of the Medicare Intermediary Manual (MIM) and Section 4900 - Section 4960.14 of the Medicare Carriers Manual (MCM). (Issued May 2001)
2278
01/01/2003
A-02-069
Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim Additional Implementation Direction
2134
01/01/2003
B-02-054
Sending Copies of Appeal Notices to Appointed Representatives, Including the Amount in Controversy Remaining in Review Determination Letters, and Using Bullets in Appeals Correspondence
2299
01/01/2003
B-02-050
Additional Remark Code for Claims of Therapy Services Possibly Subject to Home Health Consolidated Billing
2258
01/01/2003
AB-02-109
Common Working File (CWF), Fiscal Intermediary (FI), and Carrier Edits and Policy Clarification for Peripheral Neuropathy With Loss of Protective Sensation (LOPS) in People with Diabetes
2150
01/01/2003
A-02-091
Modifications to the Health Care Eligibility Benefit Response (271) and Direct Data Entry (DDE) Screens for Home Health Agencies and Hospice Providers
2367
01/01/2003
AB-02-117
Transition Schedule for Implementation of the Ambulance Fee Schedule
2303
01/01/2003
AB-02-113
Elimination of Official Level III Healthcare Common Procedure Coding System (HCPCS) Codes/Modifiers and Unapproved Local Codes/Modifiers
2215
01/01/2003
AB-02-103
Expand Standard Date Format and Remove CWF (Common Working File) Y2K Wrapper Logic for Beneficiary Cross Reference Internal Files (XREF) and Satellite File Header and Response Records
2244
01/01/2003
A-02-090
File Descriptions and Instructions for Retrieving the 2003 Physician, Clinical Lab, Durable Medical Equipment, Prosthetics/Orthotics and Supplies (DMEPOS), and Therapy Fee Schedule Payment Amounts through CMS's Mainframe Telecommunications System
2346
01/01/2003
B-02-058
Changes to Correct Coding Edits, Version 9.0, Effective January 1, 2003
2309
01/01/2003
AB-02-132
Year 2003 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder
2358
01/01/2003
A-02-085
Applicable Bill Types for Ambulance Services (Revenue Code 540)
2324
01/01/2003
A-02-075
Admitting Diagnosis for Observation Services for the Outpatient Prospective Payment System (OPPS)
2289
01/01/2003
A-02-071
Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims
2154
01/01/2003
A-02-073
Financial Reporting Instructions for the Fiscal Intermediary Shared System (FISS)/Recovery Tracking System (RTS)
2275
01/01/2003
B-03-068
2004 Annual Update for Skilled Nursing Facility (SNF) Consolidated Billing for the Common Working File (CWF) and Medicare Carriers
2858
01/01/2003
A-03-079
Installation of Version 31 of the Provider Statistical and Reimbursement (PS&R) Reporting System
2899
01/01/2003
AB-03-140
2004 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder
2896
01/01/2003
AB-02-182
Coverage and Billing of Sacral Nerve Stimulation
2532
01/01/2003
A-02-118
Annual Update of HCPCS Codes Used for Skilled Nursing Facility Consolidated Billing Enforcement, Updated SNF Help File
2459
01/01/2003
AB-02-154
New Waived Tests - September 27, 2002
2413
01/01/2003
A-02-123
Hospital Billing for Immunosuppressive Drugs Furnished to Transplant Patients--ACTION
2488
01/01/2003
AB-02-173
Ambulance Fee Schedule Updates for 2003
2489
01/01/2003
AB-02-163
2003 Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment Method
2420
01/01/2003
AB-02-152
Fee Schedule Update for 2003 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
2378
01/01/2003
A-02-128
Revision to 42CFR 405.371 Suspension, Offset and Recoupment of Medicare Payments to Providers and Suppliers of Services
2508
01/01/2003
A-02-117
Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittal A-02-071)
2336
01/01/2003
AB-02-170
File Descriptions and Instructions for Retrieving the 2003 Ambulatory Surgical Center (ASC) HCPC Code Additions and Deletions
2454
01/01/2003
AB-02-158
Common Working File (CWF), Fiscal Intermediary (FI), and Carrier Edits and Policy Clarification for Peripheral Neuropathy With Loss of Protective Sensation (LOPS) in People With Diabetes
2444
01/01/2003
B-02-089
Further Instructions Regarding the Reasonable Charge Update for 2003 for Splints and Casts
2510
01/01/2003
B-02-047
DMERCs - Appeal Messages on Medicare Summary Notice (MSN) and Medicare Remit Notice
1986
01/01/2003
A-03-001
January Medicare Outpatient Code Editor (OCE) Specifications Version 18.1 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS)
2522
01/01/2003
AB-02-119
Medicare Coordinated Care Demonstration (MCCD) Payment for Railroad Retirement Beneficiaries
2334
01/02/2003
A-02-065
Implementation of the Transmission Control Protocol/Internet Protocol (TCP/IP) for the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry and Response Transaction (270/271) Standard
2234
01/02/2003
A-02-078
Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim - Direct Data Entry (DDE) Updates
2211
01/06/2003
A-02-088
Installation of Version 28.0 of the Provider Statistical and Reimbursement (PS&R) Report
2368
01/06/2003
A-02-093
Instructions for Implementing the Long-Term Care Hospital Prospective Payment System
2288
01/06/2003
A-02-129
2003 Update of the Hospital Outpatient Prospective Payment System (OPPS)
2503
01/06/2003
A-03-003
January Outpatient Code Editor (OCE) Specifications Version (V4.0)
2521
01/17/2003
AB-03-004
Installation of a Security Firewall for Deceased Beneficiary Files (Options B & C)
2516
01/24/2003
A-03-002
Installation of Version 28.0 Add-On of the Provider Statistical and Reimbursement (PS&R) Report
2529
01/24/2003
AB-03-016
CR 2240 Question and Answer Document and Claims Processing Instructions for Processing Rejected Claims
2552
02/07/2003
AB-03-019
Notice of Interest Rate for Medicare Overpayments and Underpayments
2430
02/11/2003
AB-03-014
Single Drug Pricer(SDP)
2544
02/14/2003
AB-03-005
FY 2003 Systems Security Activities and Due Dates
2518
02/24/2003
AB-03-007
Second Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule
2470
02/24/2003
AB-03-027
Payment Change for the 2003 Medicare Physician Fee Schedule (MPFS) and Further Extension of the 2003 Participation Enrollment Process
2601
03/01/2003
AB-03-035
Emergency Changes to the 2003 Medicare Physician Fee Schedule Database
2609
03/03/2003
B-03-001
Emergency Update to the 2003 Medicare Physician Fee Schedule DatabaseB-03-001
2530
03/10/2003
AB-03-033
Promoting Colorectal Cancer Screening as a Part of National Colorectal Cancer Awareness Month
2580
03/10/2003
B-03-021
Provider Education Regarding Home Health Consolidated Billing (HH CB) and Provider Liability
2619
03/13/2003
A-03-017
Payment for Services To Be Paid on a Fee Schedule But For Which There Is No Price--ACTION
2541
03/14/2003
AB-03-037
Provider Education Article: Medicare Payments for Part B Mental Health Services
2520
03/28/2003
AB-03-029
Health Care Claims Status Category Codes and Health Care Claim Status Codes for Use with the Health Care Claim Status Request and Response ASC X12N 276/277
2555
03/28/2003
A-03-012
The Report of Benefit Savings (RBS)
2557
03/31/2003
A-03-018
Installation of Version 28.0 Second Add-On of the Provider Statistical and Reimbursement (PS&R) Report
2605
03/31/2003
A-02-103
New Electronic Remittance Advice Coding for Home Health Prospective Payment System (HH PPS) Adjustments
2327
04/01/2003
B-02-082
Migrate Medicare Carrier Provider/Supplier Enrollment Data From the Existing Carrier Provider Enrollment System (PENS) into the Provider Enrollment Chain Ownership System (PECOS) and Shut Down All Provider Enrollment Functions in PENS
2423
04/01/2003
A-02-110
Financially Required Changes for the Fiscal Intermediary Standard System (FISS) Paid Claim File
2291
04/01/2003
B-02-086
Create Import/Export Functionality Between the Viable Medicare System (VMS) and the Provider Enrollment Chain Ownership System (PECOS)
2427
04/01/2003
B-02-073
This Program Memorandum corrects Program Memorandum B-02-065, Change Request 2281, dated October 25, 2002. Durable Medical Equipment Regional Carriers (DMERCs)-Establishment Common Working File (CWF) Override for Legitimate Duplicate Claims
2281
04/01/2003
B-02-068
Revised X12N 4010 837 Professional Flat File
2265
04/01/2003
B-02-067
Revision to Messages for Skilled Nursing Facility (SNF) Consolidated Billing and Implementation of Common Working File (CWF) Edits for Clinical Social Workers (CSWs) for SNF Consolidated Billing
2360
04/01/2003
A-02-107
Revisions to Common Working File Editing to Accommodate Home Health Partial Episode Payment Claims and Rescheduling of Payment Adjustment Utility
2315
04/01/2003
B-02-066
Ambulance Services: Maintaining Point-of-Pickup Zip Code
2242
04/01/2003
AB-02-153
Claims Processing Instructions for the Medicare Disease Management Demonstration
2414
04/01/2003
AB-02-162
Deported Medicare Beneficiaries
2377
04/01/2003
AB-02-144
Virginia Cardiac Surgery Initiative Demonstration
2382
04/01/2003
B-02-071
Use of the National Drug Code (NDC) for Drug Claims at the Durable Medical Equipment Regional Carriers (DMERCs)
2339
04/01/2003
AB-02-144
Virginia Cardiac Surgery Initiative Demonstration
2382
04/01/2003
A-02-108
Multiple Patient Ambulance Transport
2186
04/01/2003
B-02-087
Skilled Nursing Facility (SNF) Consolidated Billing - NewRequirements for Claims for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
2453
04/01/2003
B-02-081
Migrate Medicare Carrier Provider/Supplier Enrollment Data From the Existing Carrier Provider Enrollment System (PES) into the Provider Enrollment Chain Ownership System (PECOS)
2422
04/01/2003
AB-03-013
New Waived Tests - December 17, 2002
2533
04/01/2003
AB-03-023
Deep Brain Stimulation for Essential Tremor and Parkinson's Disease
2553
04/01/2003
AB-03-026
Implementation of the Modifications (4010A1) to Transactions and Code Set Standards for Electronic Transactions Adopted Under the Health Insurance Portability and Accountability Act (HIPAA)
2385
04/01/2003
AB-03-003
Noncoverage of Multiple Electroconvulsive Therapy (MECT)
2499
04/01/2003
B-03-002
DMERCs - VIPS Medicare System (VMS) Implementation to Process ICD-9 CM Codes Using Date of Service and Not Date of Receipt.
2558
04/01/2003
AB-03-031
Addition or Modification of Temporary "K" Codes and Change in Status for Code A4232
2584
04/01/2003
AB-03-030
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 1, 2003
2578
04/01/2003
B-03-020
2003 DMEPOS Jurisdiction List
2567
04/01/2003
AB-02-157
Codes Billable by SNFs and Suppliers for SNF Residents-Notice of New File Available via CMS Mainframe Telecommunication System (DMSMTS)
2393
04/01/2003
B-02-088
Changes to Correct Coding Edits, Version 9.1, Effective April 1, 2003
2477
04/01/2003
AB-02-175
Revisions to Common Working File Edits for Skilled Nursing Facility (SNF) Consolidated Billing (CB) to Permit Payments for Certain Diagnostic Services Furnished to Beneficiaries Receiving Treatment for End Stage Renal Disease (ESRD) at an Independent or P...
2475
04/01/2003
AB-03-012
Remittance Advice Remark and Reason Code Update
2546
04/01/2003
A-02-109
Cost Based Payment for Certified Registered Nurse Anesthetists (CRNA) Services Furnished by Outpatient Prospective Payment System (OPPS) Hospitals
2325
04/01/2003
AB-03-006
April Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
2535
04/01/2003
AB-03-002
Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement
2515
04/01/2003
A-02-119
0001 Revenue Line Direction for the Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim
2387
04/01/2003
B-02-065
Durable Medical Equipment Regional Carriers (DMERCs)-Establishment Common Working File (CWF) Override for Legitimate Duplicate Claims
2281
04/01/2003
AB-02-156
Coverage and Billing for Neuromuscular Electrical Stimulation (NMES)
2314
04/01/2003
B-02-080
MCS Standard System Financial Data Report Requirements for the Production Performance Monitoring System, Pulse System
2317
04/01/2003
B-02-070
Reporting of Admission Date and Additional Edit Requirements for the X12N 837 (version 4010) Coordination of Benefits (COB) Transaction
2361
04/01/2003
B-02-090
Implementation of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standard Version 5.1 and the Equivalent Batch Standard Version 1.1 for Retail Pharmacy Drug Transactions -- CORRECTION
2455
04/01/2003
AB-02-183
Coverage of Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities
2388
04/01/2003
B-02-092
Electromagnetic Stimulation
2447
04/01/2003
A-02-125
Installation of Version 29.0 of the Provider Statistical and Reimbursement (PS&R) Reporting System
2506
04/01/2003
A-02-115
Medical Nutrition Therapy (MNT) Services for Beneficiaries With Diabetes or Renal Disease - POLICY CHANGE
2404
04/01/2003
B-02-077
Program Integrity Management Reporting (PIMR) System for Part B
2307
04/01/2003
B-02-079
Contractor Reporting of Operational and Workload Data (CROWD) for Electronic Data Interchange (EDI and Manual Transactions
2249
04/01/2003
B-02-083
Create Import/Export Functionality Between the Unique Provider Identification Number System (UPIN) and the Provider Enrollment Chain Ownership System (PECOS)
2424
04/01/2003
AB-02-148
Remittance Advice Message for Ambulance Services
2262
04/01/2003
AB-02-166
Editing of the Healthcare Provider Taxonomy Codes (HPTCs) and Use of the HPTC Crosswalk
2437
04/01/2003
A-02-120
Change in Requirements for Medicare Payment for Low Osmolar Contrast Material (LOCM) Under the Outpatient Prospective Payment System (OPPS)
2185
04/01/2003
AB-02-161
Coverage and Billing Requirements for Electrical Stimulation for the Treatment of Wounds
2313
04/01/2003
AB-02-171
X12N Health Care Eligibility Benefit Inquiry/Response (270/271) Transaction Security and Connectivity Instructions
2452
04/01/2003
A-02-112
Program Integrity Management Reporting (PIMR) System for Part A -- Phase 1
2308
04/01/2003
A-03-023
Implementation of the Temporary Equalization of Urban and Rural Standardized Payment Amounts Under the Medicare Inpatient Hospital Prospective Payment System (IPPS) as Required By Section 402(b) of Public Law 108-7
2661
04/01/2003
A-03-016
Continuous Home Care Under Medicare Hospice
2556
04/01/2003
A-03-019
Reactivation of Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) Edit 15, "Service Unit Out Of Range" and Guidance on Editing for Low Osmolar Contrast Media (LOCM) Procedures
2612
04/01/2003
A-03-015
Electromagnetic Stimulation
2559
04/01/2003
A-03-009
Medical Nutrition Therapy (MNT) Services for Beneficiaries with Diabetes or Renal Disease - CORRECTION
2550
04/01/2003
A-03-020
April 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS)
2671
04/01/2003
A-03-029
Corrections to: Changes to the Hospital Inpatient Prospective Payment Systems and Rates and Costs of Graduate Medical Education, etc.; as Published in the Federal Register, FY 2003 (67 FR 49982, August 1, 2002)
2665
04/01/2003
AB-02-151
Clarification Regarding Non-physician Practitioners Billing on Behalf of a Diabetes Outpatient Self-Management Training Services (DSMT) Program and the Common Working File Edits for DSMT & Medical Nutrition Therapy (MNT). (NOTE: APASS has received a waive...
2373
04/01/2003
AB-02-164
Carrier, DMERC, Intermediary and RHHI Processing Requirements for Claims Edited by CWF for Medicare Beneficiaries in State or Local Custody Under a Penal Authority
2022
04/01/2003
A-02-124
Necessary Changes to Implement Special Add-On Payments for New Technologies
2301
04/01/2003
AB-03-038
Reporting Benefit Integrity (BI) Workload in CROWD
2588
04/11/2003
B-03-025
Durable Medical Equipment Regional Carriers (DMERCs) - DeWall Posture Protector Orthotic Body Jacket (L0430)
2711
04/11/2003
AB-03-040
Provider Education Article: "Hospice Care Enhances Dignity and Peace As Life Nears Its End"
2570
04/11/2003
AB-03-034
Medicare Fee for Service Contractor Guidance on the HIPAA Privacy Rule
2484
04/14/2003
AB-03-039
Procedure for Granting Extensions to File Requests for Appeal Under the New 120-day Timeframe Created by Section 521 of the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000
2492
04/15/2003
A-03-028
January Medicare Outpatient Code Editor (OCE) Specifications Version 18.1R1 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS)
2676
04/15/2003
A-03-026
April Outpatient Code Editor (OCE) Specifications Version (V4.1)
2675
04/15/2003
AB-03-042
Coverage and Billing for Percutaneous Image-Guided Breast Biopsy
2575
04/18/2003
AB-03-047
Single Drug Pricer (SDP) Clarifications
2659
04/18/2003
A-03-027
Updated Outpatient Prospective Payment System (OPPS): Requirements for Provider Education and Training
2607
04/25/2003
AB-03-051
Notice of Interest Rate for Medicare Overpayments and Underpayments
2431
04/28/2003
A-03-004
Calculating Provider-Specific Medicare Outpatient Cost-to-Charge Ratios (CCRs) and Instructions on Cost Report Treatment of Hospital Outpatient Services Paid on a Reasonable Cost Basis
2197
04/30/2003
B-03-028
Durable Medical Equipment Regional Carriers (DMERC) - ICD-9-CM Coding
2672
05/01/2003
A-03-030
Provider-based Status On or After October 1, 2002
2411
05/01/2003
A-03-022
Installation of Version 29.0 of the Provider Statistical and Reimbursement (PS&R) Reporting System-Modification
2660
05/05/2003
B-03-029
Managed Care Reasonable Charge Data Disclosure Requirements for Ambulance Services
2561
05/09/2003
AB-03-048
End Stage Renal Disease (ESRD) Coordination Period
2543
05/09/2003
AB-03-052
Managing Medicare Appeals Workloads in FY 2003
2330
05/15/2003
A-02-045
Frequently Asked Questions (FAQs) About Home Health Advance Beneficiary Notice (HHABN, Form CMS-R-296)
1698
05/23/2003
AB-03-069
Clarification of the Criteria for a Valid Written Statement of Intent (SOI) To File a Medicare Claim
2596
05/23/2003
AB-03-075
Provider Education Article: Quarterly Provider Update
2686
05/23/2003
AB-03-066
Issuance of the Eligibility File-Based Standard Trading Partner Agreement (TPA) for the Purpose of Coordination of Benefits (COB)
2542
05/23/2003
AB-03-074
Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes
2618
05/23/2003
A-03-041
Health Insurance Portability and Accountability Act (HIPAA) Version 4010A1 Institutional 837 Health Care Claim Additional Implementation Direction
2706
05/27/2003
AB-03-078
Medicare Fee-for-Service (FFS) Contractor Guidance on the HIPAA Privacy Rule Business Associate Provisions
2712
05/31/2003
AB-03-072
Mammography Computer Aided Detection (CAD) Equipment
2743
05/31/2003
B-03-043
Diabetes Outpatient Self-Management Training (DSMT) and the "Incident to" Provision
2157
06/06/2003
B-03-041
National Council for Prescription Drug Programs (NCPDP) Batch Transaction Standard 1.1 Billing Request Companion Documen
2713
06/06/2003
AB-03-080
Single Drug Pricer (SDP) Clarification for Code J7342l
2772
06/06/2003
AB-03-073
Provider Education Article: Financial Limitation of Claims for Outpatient Rehabilitation Services
2603
06/06/2003
A-03-046
Demonstration--Settlement of Payments for Home Health Services to Beneficiaries Eligible for both Medicare and Medicaid in Connecticut, and Massachusetts. Regional Home Health Intermediaries (RHHIs) Only.
2710
06/13/2003
AB-03-083
Screening of Complaints Alleging Fraud and Abuse
2719
06/13/2003
B-03-042
Bi-Annual Updates to the Health Care Provider Taxonomy Code (HPTC)
2698
06/16/2003
A-03-047
Medicare's Coordination of Benefits Contractor (COBC) Shall Discontinue the Dissemination of the Right of Recovery Letter to Intermediaries
2752
06/20/2003
A-03-049
Fiscal Intermediaries (FIs) Must Install and Use SuperOp with the Fiscal Intermediary Standard System (FISS)
2718
06/20/2003
AB-03-077
Revised Disclosure Desk Reference for Call Centers
2566
06/23/2003
B-03-046
Provider Education: Establishing New Requirements for ICD-9-CM Coding on Claims Submitted to Medicare Carriers - Increased Role for Physicians/Practitioners
2784
06/24/2003
B-02-085
Process All Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Modify the Medicare Claims System (MCS) to Incorporate All Claim Payment and Provider Correspondence Functionality That is Included in the Provider...
2426
07/01/2003
A-03-056
Payment Update for Long-term Care Hospital Prospective Payment System Rate Year 2004
2807
07/01/2003
A-03-061
Tentative Settlement Requirements for Cost Reports from Home Health Agencies (HHAs) and Skilled Nursing Facilities (SNFs) that have No Reimbursement Impact
2714
07/01/2003
A-03-053
Nurse Practitioner Services Under Medicare Hospice
2750
07/01/2003
B-03-048
Addition of Temporary Codes Q4052 and Q4053
2798
07/01/2003
A-03-051
July 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS)
2771
07/01/2003
A-03-054
Revision to CR 2573, Transmittal A-03-013, dated February 14, 2003: 3-Day Payment Window Refinements Under the Short-Term Hospital Inpatient Prospective Payment System
2803
07/01/2003
AB-03-071
July Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
2702
07/01/2003
AB-03-021
Additional Documentation Requests (ADR) Requirements for Ordering Providers of Laboratory Services
2504
07/01/2003
B-03-017
Add-On-Codes for Anesthesia
2539
07/01/2003
AB-03-018
Implementation of the Financial Limitation for Outpatient Rehabilitation Services
2183
07/01/2003
B-03-032
Continuation of April and July 2003 Change Requests (CRs 2424 and 2524): Create Import/Export Functionality Between the Unique Provider Identification Number System (UPIN) and the Provider Enrollment Chain Ownership System (PECOS)
2642
07/01/2003
AB-03-015
Shared Systems Changes for Name Change from HCFA to CMS (MCS and CWF external changes only)
2280
07/01/2003
AB-03-070
Second Update to the 2003 Medicare Physician Fee Schedule Database
2734
07/01/2003
A-03-048
July Outpatient Code Editor (OCE) Specifications Version (V4.2)
2762
07/01/2003
AB-03-010
Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing
2523
07/01/2003
AB-03-011
Identifying the Primary Payer Amounts to Send to the Medicare Secondary Payer Pay Module (MSPPAY) and the Shared Systems When There Are Multiple Primary Payers on Electronic and Hardcopy Claims
2050
07/01/2003
B-03-016
Continuation of April 2003 Change Request 2427: Process all Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Shut Down All Provider Enrollment Functions in the Carrier Enrollment System (PENS). Create Import/...
2527
07/01/2003
B-03-018
Changes to Correct Coding Edits, Version 9.2, Effective July 1, 2003
2565
07/01/2003
B-03-007
Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Physician Fee Schedule (MPFS) Services
2460
07/01/2003
AB-03-056
New Waived Tests - March 21, 2003
2685
07/01/2003
AB-03-084
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 1, 2003
2737
07/01/2003
B-03-014
Continuation of April 2003 Change Request 2425: Create Import/Export Functionality Between the Medicare Claims System (MCS) and the Provider Enrollment Chain Ownership System (PECOS)
2525
07/01/2003
B-03-004
CWF Change for Billing for Glucose Test Strips and Supplies - Follow-up to CR 2156
2363
07/01/2003
B-03-003
Section II.8, Processing Initial Denials, of the DMEPOS Refund Requirements - Implementation of Limits on Beneficiary Liability for Medical Equipment and Supplies - Change
2416
07/01/2003
AB-03-044
Addition of Temporary "K" Codes
2611
07/01/2003
B-03-024
Follow up to Implementation of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standard Version 5.1 and the Equivalent Batch Standard Version 1.1 for Retail Pharmacy Drug Transactions
2581
07/01/2003
B-03-012
Use of the National Drug Code (NDC) for Drug Claims at the Durable Medical Equipment Regional Carriers (DMERCs)
2339
07/01/2003
B-03-009
Durable Medical Equipment Regional Carriers (DMERCs)-New Modifier Needed to Invoke Advanced Beneficiary Notice (ABN) Logic for Hard Copy and Electronic Claims
2048
07/01/2003
AB-03-043
Addition of "K" Codes for Surgical Dressings
2678
07/01/2003
B-03-013
Continuation of April 2003 Change Request 2424: Create Import/Export Functionality Between the Unique Provider Identification Number System (UPIN) and the Provider Enrollment Chain Ownership System (PECOS)
2524
07/01/2003
B-03-027
Implementation of Carrier Jurisdiction Manual Instructions Based on the Medicare Carriers Manual (MCM) Part 3, Section Section 3100 - 3101 for the Multi-Carrier System (MCS) Standard System and Associated Medicare Carriers
1646
07/01/2003
B-03-015
Continuation of April 2003 Change Request 2426: Process all Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Modify the Medicare Claims System (MCS) to Incorporate All Claim Payment and Provider Correspondenc...
2526
07/01/2003
AB-03-036
270/271 Implementation and Direct Date Entry (DDE) Eligibility
2576
07/01/2003
AB-03-045
Addition of Temporary "K" Codes
2623
07/01/2003
B-03-019
Durable Medical Equipment Regional Carriers (DMERCs) and Part B Carriers on the VMS Standard System-Short Descriptions of National Modifiers on the Healthcare Common Procedure Coding System (HCPCS) Tape
2343
07/01/2003
B-03-023
Correct Payment of January and February 2003 Physician Services
2669
07/01/2003
B-03-005
Reporting of Accident Date and Ambulance Certification Information on the X12N 837 (version 4010) Coordination of Benefits (COB) Transaction
2449
07/01/2003
A-03-050
July Medicare Outpatient Code Editor (OCE) Specifications Version 18.2 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS)
2768
07/01/2003
B-03-030
Type of Service (TOS) Corrections
2703
07/01/2003
B-03-011
Correct Payment of January and February 2003 Physician Services
2549
07/01/2003
B-03-006
Program Integrity Management Reporting (PIMR) System for Part B - Correction of Multiple Reports of Savings By VIPS Standard Systems (i.e., VIPS Medicare System (VMS) and Durable Medical Equipment Regional Contractor (DMERC) System)
2493
07/01/2003
AB-03-032
File Names, Descriptions and Instructions for Retrieving the 2003 Ambulatory Surgical Center (ASC) HCPCS Additions, Deletions and Master Listing
2574
07/01/2003
AB-03-085
Beneficiary Notice of Implementation of Outpatient Therapy Service Limitations
2792
07/01/2003
B-02-084
Create Import/Export Functionality Between the Medicare Claims System (MCS) and the Provider Enrollment Chain Ownership System (PECOS)
2425
07/01/2003
A-03-006
Update the Medicare Secondary Payment Module (MSPPAY) to Apportion Prospective Payment System (PPS) Outlier Amounts to all Service Lines With Medicare Reimbursement That are PRICER Related and Potential Outlier Service Lines
2053
07/01/2003
A-03-021
Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases, Clarification on Coverage and Payment of Diabetes Self-Management Training Services and Medical Nutrition Therapy Services
2511
07/01/2003
A-03-005
Health Insurance Portability and Accountability Act (HIPAA) Transaction 835v4010 Companion Document Update for Intermediaries.
2498
07/01/2003
A-03-013
3-Day Payment Window Refinements Under the Short-Term Hospital Inpatient Prospective Payment System
2573
07/01/2003
A-03-007
Payment to Hospitals and Units Excluded from the Acute Inpatient Prospective Payment System (IPPS) for Direct Graduate Medical Education (DGME) and Nursing and Allied Health (N&AH) Education for Medicare Choice (M C) Enrollees
2476
07/01/2003
A-03-008
Clarification of 3-Day Payment Window vs. 1-Day Payment Window for Hospitals Excluded from Inpatient Prospective Payment System (IPPS)
2537
07/01/2003
A-03-010
Manual Medical Review Indicator for the Comprehensive Error Rate Testing (CERT) Program
2434
07/01/2003
A-03-011
Changes in Payment for Certain Services Provided by Outpatient Physical Therapy (OPT) Providers Under the Medicare Physician Fee Schedule (MPFS)
2366
07/01/2003
B-03-049
Additional Instructions to Assist in the Implementation of Program Memorandum B-02-75 - Carrier Review of Payment Amounts for Portable X-Ray Transportation Services (HCPCS Code R0070)
2741
07/07/2003
A-03-036
This Program Memorandum has been rescinded and the number will be used in the future.
2680
07/07/2003
A-03-058
Change in Methodology for Determining Payment for Outliers Under the Acute Care Hospital Inpatient and Long-Term Care Hospital Prospective Payment Systems
2785
07/10/2003
A-03-055
Disclosure of Information Requirements Related to Hospice Claims
2732
07/11/2003
AB-03-093
Correction: Coverage and Billing Requirements for Electrical Stimulation for the Treatment of Wounds
2733
07/11/2003
AB-03-100
October Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
2802
07/17/2003
B-03-050
Multiple Primary Payers on Part B Claims - REVISION TO Change Request 2050
2758
07/18/2003
AB-03-097
Delay in Implementation of Outpatient Therapy Caps to September 1, 2003
2837
07/21/2003
AB-03-067
Revision to CR 2170: Appeals Quality Improvement and Data Analysis Activities
2740
07/24/2003
B-03-063
Healthcare Provider Taxonomy Codes (HPTC) Crosswalk
2766
07/25/2003
A-03-064
X12N 837 Institutional Health Care Claim Companion Document
2505
07/25/2003
AB-03-081
Data Center Testing and Production - Electronic Correspondence Referral System (ECRS) User Manual 6.0
2748
08/04/2003
A-03-062
Department of Veterans Affairs (VA) Claims Adjudication Services Project:Systems Changes Needed
2783
08/06/2003
B-03-054
Establishing and Maintaining Provider and Supplier Enrollment Data in Provider Enrollment, Chain and Ownership System (PECOS) as Needed for Use by the Railroad Medicare Carrier (RMC) to Pay Claims
2777
08/08/2003
AB-03-102
Clarification Regarding Coverage of Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities
2769
08/08/2003
A-03-072
Instructions for Provider Credit Balance Reporting Activities
2810
08/08/2003
AB-03-105
Harkin Grantees: Complaint Tracking System and Aggregate Reports
2787
08/08/2003
AB-03-106
Third Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule
2770
08/08/2003
AB-03-103
Medicare Secondary Payer (MSP) Debt Referral and Write Off Closed Instructions
2749
08/08/2003
AB-03-118
Cease Further Work on the Eligibility File-Based Standard Trading Partner Agreement (STPA) for the Purpose of Coordination of Benefits (COB)
2864
08/08/2003
AB-03-108
Medicare Secondary Payer (MSP) - 1) Use of Inter-Contractor Notices (ICNs) and the Common Working File (CWF) for the Development of the MSP Conditional Payment Amount for Liability, No-Fault, Workers' Compensation, and Federal Tort Claims Act (FTCA) Cases...
2715
08/09/2003
AB-03-122
Notice of Interest Rate for Medicare Overpayments and Underpayments
2432
08/11/2003
AB-03-109
Discontinue Use of the Healthcare Integrity and Protection Data Bank (HIPDB) for Provider Enrollment Only
2808
08/15/2003
AB-03-117
Contractor Guidance For Connection to the Medicare Data Communication Network (MDCN) for Real-time Eligibility Inquiries (270/271) via a Route Other Than IVANS
2845
08/22/2003
A-03-070
Inclusion of the State of New York in Demonstration for Settlement of Payments for Home Health Services to Dual Eligibles and Instructions for Processing Fiscal Year 2000 Claims Under the Demonstration. Regional Home Health Intermediaries (RHHIs) Only.
2804
08/28/2003
AB-03-138
Modification of Medicare Policy for Erythropoietin (EPO)
2266
08/31/2003
B-03-065
Changes to Code List for Therapy Services
2821
09/01/2003
B-03-051
Therapy Modifier Bypass for Ambulance Claims
2849
09/01/2003
AB-03-131
Update to Health Care Claims Status Category Codes and Health Care Claim Status Codes for Use with the Health Care Claim Status Request and Response ASC X12N 276/277
2786
09/01/2003
AB-03-107
Federal Bankruptcy/State Insurer Liquidation Actions and Medicare Secondary Payer (MSP) Debt
2697
09/02/2003
AB-03-132
Provider Education Article: Guidelines for Medicare Part B Laboratory Testing
2841
09/05/2003
B-03-067
National Council for Prescription Drug Programs (NCPDP) Batch Transaction Standard 1.1 Billing Request Companion Document
2839
09/08/2003
A-03-038
Program Integrity Management Reporting (PIMR) System for Part A -Phase 2
2495
10/01/2003
B-03-064
CLARIFICATION-ICD-9 Coding
2857
10/01/2003
A-03-059
Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65
2638
10/01/2003
B-03-047
Changes to Correct Coding Edits, Version 9.3, Effective October 1, 2003
2756
10/01/2003
B-03-066
Durable Medical Equipment Regional Carriers (DMERCs) - Eliminate Combined Working File (CWF) Edit for Cancer Diagnosis for National Drug Codes (NDCs)
2904
10/01/2003
A-03-039
Clarification to Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittals A-02-071, A-02-117) - CHANGE IN EFFECTIVE AND IMPLEMENTATION DATE ONLY
2590
10/01/2003
A-03-060
Medicare Program - Update to the Prospective Payment System (PPS) for Home Health Agencies for FY 2004
2832
10/01/2003
B-03-052
Addition of Temporary "Q" Codes for Drugs Used in Infusion Pumps
2805
10/01/2003
AB-03-116
Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2003
2871
10/01/2003
A-03-045
Payment to Hospitals and Units Excluded from the Acute Inpatient Prospective Payment System (IPPS) for Direct Graduate Medical Education (DGME) and Nursing and Allied Health (N&AH) Education for Medicare Choice (M C) Enrollees
2754
10/01/2003
B-03-038
Oral Anti-Cancer Drugs
2705
10/01/2003
B-03-037
Excluding from Home Health Consolidated Billing Edits Claims for Therapy Services Rendered by Physicians
2705
10/01/2003
AB-03-120
Medicare Secondary Payer (MSP) - (1) Copy of Recovery Demand Packages Resulting From A Data Match or Non-Data Match Group Health Plan (GHP) Recovery Action to Insurers/Third Party Administrators (TPAs) of Employers; (2) Documentation Required When an Insu...
2729
10/01/2003
B-03-031
Multi-Carrier System (MCS) Reporting of 2003 Participating Data to the Contractor Reporting of Operational & Workload Data (CROWD) System
2629
10/01/2003
B-03-040
Update of the Place of Service (POS) Code Set
2730
10/01/2003
AB-03-119
Final Update to the 2003 Medicare Physician Fee Schedule Database
2853
10/01/2003
AB-03-127
Payment for the Fecal Leukocyte Examination Under a Clinical Laboratory Improvement Amendments of 1988 (CLIA) Certificate for Provider-Performed Microscopy (PPM) Procedures During CY 2003
2843
10/01/2003
A-03-073
Fiscal Year (FY) 2004 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH), and Other Bill Processing Changes
2891
10/01/2003
AB-03-144
Establishing a Uniform Process for the Preparation and Mailing of Case Files From the Contractor to the Office of Hearings and Appeals (OHA) of the Social Security Administration (SSA)
2304
10/01/2003
AB-03-136
Correction to Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement
2892
10/01/2003
AB-03-101
Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment
2801
10/01/2003
A-03-069
October Outpatient Code Editor (OCE) Specifications Version (V4.3)
2861
10/01/2003
A-03-067
The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2002 for Inpatient Prospective Payment System (IPPS) Hospitals
2868
10/01/2003
AB-03-060
Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions
2657
10/01/2003
A-03-074
Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2004
2894
10/01/2003
AB-03-055
Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing
2654
10/01/2003
AB-03-054
Diagnosis Code for Screening Pap Smear and Pelvic Examination Services
2637
10/01/2003
AB-03-129
Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update.
2842
10/01/2003
AB-03-053
Availability of Online Screens for the Laboratory National Coverage Determinations (NCDs)
2615
10/01/2003
AB-03-099
Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes
2773
10/01/2003
AB-03-096
Quarterly Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement
2776
10/01/2003
AB-03-095
Remittance Advice Remark and Reason Code Update
2788
10/01/2003
A-03-077
October Medicare Outpatient Code Editor (OCE) Specifications Version 19.0 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS)
2897
10/01/2003
AB-03-059
Shared Systems Changes for Name Change from HCFA to CMS (FISS and VMS external changes only)
2633
10/01/2003
A-03-071
Retroactive Correction of Provider Statistical and Reimbursement (PS&R) System Report Data Related to Mammography and Outpatient Therapy Services
2827
10/01/2003
AB-03-104
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 1, 2003
2814
10/01/2003
AB-03-094
October 2003 Quarterly Update for Skilled Nursing Facility (SNF) Consolidated Billing
2781
10/01/2003
A-03-080
End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests
2277
10/01/2003
AB-03-057
Implementation of the Financial Limitation for Outpatient Rehabilitation Services
2709
10/01/2003
A-03-076
October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS)
2887
10/01/2003
A-03-075
Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Update
2893
10/01/2003
AB-03-058
Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment
2562
10/01/2003
AB-03-090
Coverage of Compression Garments in the Treatment of Venous Stasis Ulcers
2739
10/01/2003
AB-03-092
Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements-for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13
2687
10/01/2003
AB-03-091
Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
2763
10/01/2003
B-03-044
CORRECTION TO BUSINESS REQUIREMENT # 2
See PM
10/01/2003
AB-03-133
Managing Medicare Appeals Workloads in FY 2004
2811
10/01/2003
AB-03-076
Remittance Advice Message for Denial of Clinical Diagnostic Laboratory Services Denied Due to Frequency Edits
2701
10/01/2003
B-03-045
ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers
2725
10/01/2003
B-03-036
Expansion of Beneficiary History and Claims In Process (CIP) Files in the VIPS Medicare System (VMS). Phase 1 - Beneficiary History File Expansion
2656
10/01/2003
A-03-033
End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests
2277
10/01/2003
A-03-032
Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65
2638
10/01/2003
A-03-035
Reporting of Revenue Codes Under the Outpatient Prospective Payment System (OPPS)
2614
10/01/2003
A-03-034
Modification to Medicare Timely Filing Edit for Claims Paid Under Certain Prospective Payment Systems
2593
10/01/2003
AB-03-082
Medicare Secondary Payer (MSP) Prepayment and Post Payment Workload Reporting -Activity Code (AC) Definitions
2548
10/01/2003
A-03-063
Installation of Version 30 of the Provider Statistical and Reimbursement (PS&R) Reporting System.
2833
10/01/2003
A-03-057
Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2004
2797
10/01/2003
AB-03-139
Appeals Quality Improvement and Data Analysis Activities
2854
10/01/2003
A-03-037
Contractor Reporting of Operational and Workload Data (CROWD) for Electronic Data Interchange (EDI) and Manual Transactions
2547
10/01/2003
AB-03-068
CWF Change For The 270/271 Eligibility Transaction
2699
10/06/2003
A-03-081
Conflicting Policies with Provider Reimbursement Manual 15-1, Section 2771
2847
10/10/2003
AB-03-147
Core Elements and Required Statements for a Valid Privacy Authorization
2816
10/10/2003
AB-03-142
The Coordination of Benefits Contractor (COBC) Will Post the Lead Medicare Contractor in the Group Name Field on the Common Working File (CWF) and Expansion of Lead Contractor Viewing in the Electronic Correspondence Referral System (ECRS)
2867
10/10/2003
B-02-034
Implementation of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standard Version 5.1 and the equivalent Batch Standard Version 1.1 for Retail Pharmacy Drug Transactions
2181
10/16/2003
AB-03-141
CMS Companion Document for the Accredited Standards Committee (ASC) X12N 276/277 Health Care Claim Status Request And Response
2742
10/27/2003
B-03-062
Procedures for Non-MSP Overpayments with Original Balances Less than $10.00
2292
01/01/2004
B-03-055
Common Working File (CWF) Crossover Editing for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims During an Inpatient Stay
2613
01/01/2004
B-03-059
Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP)
2755
01/01/2004
B-03-056
Durable Medical Equipment Regional Carriers (DMERCs -- Additional Instructions for Health Insurance Portability and Accountability Act (HIPAA) Implementation of National Drug Codes (NDCs) and the NCPDP Format
2760
01/01/2004
B-03-057
Additional Guidelines for Implementing the National Council for Prescription Drug Program (NCPDP) Format
2844
01/01/2004
B-03-058
Procedures for the Reconciliation of Total Funds Expended for Multi-Carrier System (MCS) Medicare Contractors Used in the Preparation of Form CMS-1522, Monthly Contractor Financial Report
2795
01/01/2004
AB-03-114
Claims Processing and Payment of Incomplete Screening Colonoscopies
2822
01/01/2004
AB-03-121
Requirement to Cross Claims Over to Multiple Supplemental Insurers
2534
01/01/2004
AB-03-113
Update of Codes in the Program Integrity Management Reporting System (PIMR) and the Contractor Administrative Cost and Financial Management System (CAFM II)
2704
01/01/2004
AB-03-125
Consolidation of Claims Cross-over Process
2836
01/01/2004
AB-03-124
REMINDER -- Standard System Automation of the "Notice of Change to Medicare Secondary Payer (MSP) Auxiliary File" Process
2608
01/01/2004
AB-03-128
Clarification to Transmittal AB-03-044 (CR 2611), Addition of New Temporary "K" Codes
2818
01/01/2004
AB-03-110
Adjustment to the Rural Mileage Payment Rate for Ground Ambulance Services
2767
01/01/2004
AB-03-111
Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing
2789
01/01/2004
A-03-065
New Common Working File (CWF) Edits to Ensure Accurate Coding and Payments for Discharge and/or Transfer Policies Under the Inpatient Prospective Payment System (IPPS)
2716
01/01/2004
A-03-082
Clarification for billing under the 2300 Provider Number by Hospital-Based Renal Dialysis Facilities (RDF)
2877
01/01/2004
AB-03-145
Instructions for Contractors Other Than the Religious Nonmedical Health Care Institution (RNHCI) Specialty Intermediary Regarding Claims For Beneficiaries With RNHCI Elections
2881
01/01/2004
A-03-068
Informing Beneficiaries About Which Local Medical Review Policy (LMRP) and/or National Coverage Determination (NCD) is Associated with Their Claim Denial
2342
01/01/2004
AB-03-134
Modifier and Condition Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan
2880
01/01/2004
B-03-060
Expansion of Beneficiary History and Claims In Process (CIP) Files in the VIPS Medicare System (VMS). Phase 2 - Pre-Adjudication CIP File Expansion
2666
01/01/2004
B-03-061
DMERCs - NCPDP Crosswalk Requirements
2806
01/01/2004
AB-03-146
Reminder Notice of the Implementation of the Ambulance Transition Schedule
2834
01/01/2004
AB-03-112
Informing Beneficiaries About Which Local Medical Review Policy (LMRP) and/or National Coverage Determination (NCD) is Associated with Their Claim Denial
2342
01/01/2004
AB-03-126
SUBJECT: Change in Type of Service for L0480
2736
01/01/2004
AB-03-115
Payment Denial for Medicare Services furnished to Alien Beneficiaries Who are Not Lawfully Present in the United States
2825
01/01/2004
AB-03-137
Update of HCPCS Codes and Payments for Ambulatory Surgical Centers (ASCs) and File Names, Descriptions and Instructions for Retrieving the 2004 ASC HCPCS Additions, Deletions and Master Listing
2890
01/01/2004
AB-03-130
Levocarnitine for Use in the Treatment of Carnitine Deficiency in ESRD Patients
2554
01/01/2004
A-03-042
Updated Revision to Change Request (CR) 2508, Suspension, Offset, and Recoupment of Medicare Payments to Providers and Suppliers of Services
2677
06/01/2005
AB-03-088
Prohibition on New Trading Partner Agreements (TPAs) with Certain Entities for the Purpose of Coordination of Benefits (COB)
2216
07/05/2005
Physician Quality Reporting System and Electronic Presenting )eRx) Incentitive Program Pub. 100-22 Medicare Quality reporting Incentitive Programs Manual Update.
7879
10/29/2012
A-01-46
Further Guidance on Handling the Outpatient Code Editor (OCE) Edit 43
1648
03/30/3001
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09/10/2024 06:06 PM
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