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2005 Transmittals

Centers for Medicare & Medicaid Services uses transmittals to communicate new or changed policies or procedures that we will incorporate into the CMS Online Manual System. The cover or transmittal page summarizes and specifies the changes.
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Transmittal # Subject Implementation Date CR # MM Article # MM Article Release Date
R472CP Revisions to Payment for Services Provided Under a Contractual Arrangement - - Carrier Claims Only 03/15/2005 3628 MM3628 02/15/2005
R105PI The Medically Unbelievable Edits 07/05/2005 2987 N/A N/A
R104PI Requirement that Medicare Carrier System (MCS) Not Allow the Re-review of Previously Denied Claims 07/05/2005 3622 N/A N/A
R108PI Change in Statistical Sampling Instructions 05/31/2005 3734 N/A N/A
R110PI Revise CERT Shared Systems Modules to Retrieve Claims Files Using Only Internal Control Number as a Key 10/03/2005 3814 N/A N/A
R95PI Change in Provider Enrollment Appeals Process 02/14/2005 3601 N/A N/A
R113PI Shared System Maintainer Hours for PECOS Problems and/or Implementation Changes 07/05/2005 3874 N/A N/A
R112PI Requirement that Part B/Carriers Submit All Provider Addresses to the Comprehensive Error Rate Testing (CERT) Program Contractor 10/03/2005 3805 N/A N/A
R12COM Next Generation Desktop (NGD) Testing Requirements 08/15/2005 3493 N/A N/A
R27GI Provider Extract File 10/03/2005 3801 N/A N/A
R26GI Implement New Medicare Plan ID and Carrier Number for the Single Testing Contractor (STC) 10/03/2005 3978 N/A N/A
R25GI Next Generation Desktop (NGD) Testing Requirements 08/15/2005 3493 N/A N/A
R24GI 2005 Scheduled Release for July Updates to Software Programs and Pricing/Coding Files 06/27/2005 3865 N/A N/A
R25MSP Update Medicare Secondary Payer (MSP) Manual Publication 100-05 to reflect statutory changes included in the Medicare Modernization Act (MMA) 04/25/2005 3219 N/A N/A
R24MSP Notification to Affiliated Contractors of the establishment of Medicare Secondary Payer (MSP) Recovery Audit Contractors (RACs) and the impact to the Affiliated Contractors current MSP recovery processes 04/04/2005 3724 N/A N/A
R23MSP Modification to Online Medicare Secondary Payer Questionnaire 02/22/2005 3504 N/A N/A
R508CP April 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes 04/04/2005 3756 MM3756 04/08/2005
R507CP New Healthcare Common Procedure Coding System (HCPCS) for Intravenous Globulin (IVIG) 04/04/2005 3745 MM3745 04/08/2005
R506CP Updated Manual Instructions for Item 24G (Days or Units), Chapter 26 07/01/2005 3753 MM3753 03/21/2005
R486CP Manualization of Carrier Claims Processing Instructions for Stem Cell Transplantation N/A 3684 N/A N/A
R485CP Calculating Payment-to-Cost Ratios (PCR) for Purposes of Determining Transitional Corridor Payments under the Outpatient Prospective Payment System (OPPS) 07/25/2005 3661 N/A N/A
R484CP New Remittance Advice (RA) Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims 07/05/2005 3679 MM3679 06/13/2005
R483CP Hospital Partial Hospitalization Services Billing Requirements 10/04/2005 3297 N/A N/A
R557CP Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System (OPPS) 06/01/2005 3848 MM3848 06/06/2005
R556CP Revision to the Health Professional Shortage Area (HPSA) and Physician Scarcity Area (PSA) Payment Rules 10/03/2005 3822 MM3822 05/18/2005
R548CP New Healthcare Common Procedure Coding System (HCPCS) Codes and Systems Edits for Supplies and Accessories for Ventricular Assist Devices (VADs) 10/03/2005 3761 N/A N/A
R547CP Revision to the Health Professional Shortage Area (HPSA) and Physician Scarcity Area (PSA) Payment Rules 10/03/2005 3822 N/A N/A
R544CP Modification of FISS Edits for Colorectal Cancer Screening Services (HCPCS Codes G0104, G0106, G0107, G0120, and G0328) Furnished at Skilled Nursing Facilities (SNFs) 10/03/2005 3763 MM3763 06/29/2005
R543CP Healthcare Provider Taxonomy Code (HPTC) Update 10/03/2005 3803 MM3803 05/04/2005
R529CP Update to Current National Uniform Billing Committee (NUBC) Codes 07/05/2005 3794 MM3794 04/29/2005
R527CP New Coding for FDG PET Scans and Billing Requirements for Specific Indications of Cervical Cancer 04/18/2005 3741 MM3741 04/20/2005
R528CP July 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective July 1, 2005 07/05/2005 3783 MM3783 04/29/2005
R526CP Updated Requirements for Autologous Stem Cell Transplantation (AuSCT) 05/16/2005 3797 MM3797 05/18/2005
R481CP Updated Manual Instructions for the Medicare Claims Processing Manual, Chapter 10 03/28/2005 3691 N/A N/A
R480CP April 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective April 1, 2005, and New January 2005 Quarterly ASP File 04/04/2005 3667 MM3667 03/17/2005
R499CP 2005 Scheduled Release for April Updates to Software Programs and Pricing/Coding Files 04/11/2005 3746 N/A N/A
R479CP Update to the Healthcare Provider taxonomy Codes (HPTC) Version 5.0 04/04/2005 3716 MM3716 03/09/2005
R498CP Billing of the Diagnosis and Treatment of Peripheral Neuropathy with Loss of Protective Sensation in People with Diabetes N/A 3580 N/A N/A
R538CP New Waived Tests 07/05/2005 3804 N/A N/A
R537CP Instructions for Downloading the Medicare Zip Code File 10/03/2005 3731 N/A N/A
R536CP July Quarterly Update for 2005 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 07/05/2005 3779 MM3779 05/11/2005
R535CP Modification to Appeals Language on Medicare Summary Notice 10/03/2005 3808 N/A N/A
R534CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2005 07/05/2005 3806 MM3806 05/12/2005
R523CP Implementation of the Physician Scarcity Areas and Revision to the Health Professional Shortage (HPSA) 07/15/2005 3790 MM3790 04/22/2005
R533CP Modification to the Common Working File (CWF) Edit Process for Non-Assigned Medicaid Coordination of Benefits Agreement (COBA) Crossover Claims 07/05/2005 3842 N/A N/A
R644CP October 2005 Non-Outpatient Prospective Payment System Code Editor (Non-OPPS OCE) Specifications Version 21 10/03/2005 4009 MM4009 09/14/2005
R646CP Update to the Inpatient Provider Specific File (PSF) and the Outpatient PSF to Retain Provider Information 01/03/2006 3940 N/A N/A
R28NCD Update of Laboratory NCDs to Reference New Screening Benefits 03/11/2005 3690 N/A N/A
R32MSP Exception for Small Employers in Multi-Employer Group Health Plans (GHP) 09/06/2005 3998 N/A N/A
R31MSP Full Replacement of CR3770, Expanding the Number of Source Identifiers for Common Working File (CWF) MSP Records. CR 3770 is Rescinded 10/03/2005 3909 N/A N/A
R29NCD Implantable Automatic Defibrillators 04/04/2005 3604 MM3604 03/21/2005
R33NCD Percutaneous Transluminal Angioplasty (PTA 07/05/2005 3811 MM3811 12/02/2005
R30NCD Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials 04/18/2005 3742 N/A N/A
R569CP July 2005 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 6.2 07/05/2005 3871 MM3871 06/03/2005
R570CP Common Working File (CWF): Addition of Disease Management Auxiliary File 10/03/2005 3887 N/A N/A
R572CP July 2005 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 6.2 07/05/2005 3871 MM3871 06/03/2005
R571CP New Remittance Advice (RA) Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims 07/05/2005 3679 MM3679 06/13/2005
R574CP Mobility Assistive Equipment (MAE) 07/05/2005 3791 MM3791 10/19/2005
R580CP New Healthcare Common Procedure Coding System (HCPCS) Drug Codes 07/05/2005 3847 MM3847 07/01/2005
R581CP New Location for Contractor ID Number on Medicare Summary Notices (MSNs) 07/11/2005 3895 N/A N/A
R582CP New Remittance Advice (RA) Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims 07/05/2005 3679 MM3679 06/13/2005
R583CP Access Process for HIPAA 270/271 (Extranet Only) 08/22/2005 3883 MM3883 N/A
R584CP Update of HCPCS Codes and File Names, Descriptions and Instructions for Retrieving the 2005 ASC HCPCS Additions, Deletions and Master Listing 07/05/2005 3905 MM3905 06/23/2005
R585CP July 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS) 07/05/2005 3915 MM3915 07/06/2005
R591CP Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/03/2005 3888 MM3888 N/A
R593CP Disposition of Misdirected Claims to the Carrier N/A 3838 N/A N/A
R594CP Preliminary Instructions: Expedited Determinations/Reviews for Original Medicare 07/01/2005 3903 N/A N/A
R595CP Implementation of Carrier Guidelines for End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests (Supplemental to Change Request 2813) 07/25/2005 3890 MM3890 08/23/2005
R601CP Cochlear Implantation 07/25/2005 3796 MM3796 07/06/2005
R38NCD Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials N/A 3742 MM3742 06/23/2005
R37NCD Mobility Assistive Equipment (Mobility Assistive Equipment (MAE) ) 05/05/2005 3791 MM3791 10/19/2005
R602CP Expansion of Various Alpha and Numeric Fields with in the Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) 10/03/2005 3767 MM3767 07/13/2005
R605CP Frequency Instructions for Smoking and Tobacco-Use Cessation Counseling Services 10/03/2005 3929 N/A N/A
R610CP Guidelines for Payment of Vaccines (Pneumococcal Pneumonia Virus (PPV), Influenza Virus, and Hepatitis B Virus) and their Administration at Renal Dialysis Facilities (RDFs) 01/03/2006 3936 MM3936 08/04/2005
R611CP Payment Methodology for Rehabilitation Services in IHS/Tribally Owned and/or Operated Hospitals and Hospital-Based Facilities 01/03/2006 3934 MM3934 10/11/2005
R617CP Administration of Drugs and Biologicals in a Method II Critical Access Hospital (CAH) 10/24/2005 3911 MM3911 11/08/2005
R619CP Late IRF-PAI Data Submission Penalty Protocol Within the Inpatient Rehabilitation Facility Prospective Payment System 01/03/2006 3885 MM3885 08/04/2005
R618CP Clarification for Carriers and Durable Medical Equipment Regional Carriers (DMERCs) about Correction and Recoupment of Payments for Previously Processed Claims 01/03/2006 3772 MM3772 07/26/2005
R620CP New Fiscal Intermediary (FI) Edit to Identify Potentially Excessive Medicare Payments 01/03/2006 3925 MM3925 08/03/2005
R621CP Locality Codes for Purchased Diagnostic Tests 01/03/2006 3961 N/A N/A
R622CP Enforcement of Hospital Inpatient Bundling: Carrier Denial of Ambulance Claims during an Inpatient Stay 01/03/2006 3933 MM3933 N/A
R623CP DMERC Only--Corrections to the Billing Indicator Field for Adjusted Claims 01/03/2006 3877 N/A N/A
R629CP Certificate of Medical Necessity Claim Edits Workload Reporting 01/03/2006 3699 N/A N/A
R630CP Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update and Health Insurance Prospective Payment System (HIPPS) Coding Update Effective January 1, 2006 01/03/2006 3962 MM3962 08/03/2005
R631CP Claim Status Category Code and Claim Status Code Update 01/03/2006 3960 MM3960 08/03/2005
R632CP Billing and Claims Processing Instructions for Claims Subject to Expedited Determinations 01/03/2006 3949 MM3949 10/07/2005
R639CP Cessation of Additional $50 Payment for New Technology Intraocular Lenses (NTIOLs) 10/03/2005 3901 MM3901 09/13/2005
R640CP Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2006 10/03/2005 3972 MM3972 08/11/2005
R641CP October 2005 Quarterly Update to Skilled Nursing Facility (SNF) Consolidated Billing 10/03/2005 4010 MM4010 08/16/2005
R7P234 Cost Reporting Forms and Instructions, Form CMS-265-94 N/A N/A N/A N/A
R40NCD Coverage of Aprepitant for Chemotherapy-Induced Emesis 07/05/2005 3831 MM3831 07/05/2005
R39NCD Cochlear Implantation 07/05/2005 3796 MM3796 07/06/2005
R35BP Automated Multi-Channel Chemistry (AMCC) for Continuous Ambulatory Peritoneal Dialysis (CAPD) and Non-CAPD Patients 07/05/2005 3802 N/A N/A
R34BP Pub. 100-02, Chapter 15, Sections 220 and 230 Therapy Services 06/06/2005 3648 MM3648 06/24/2005
R31BP List of Medicare Telehealth Services 05/02/2005 3747 MM3747 05/17/2005
R30BP Policy for Repair and Replacement of Durable Medical Equipment (DME) N/A 3693 N/A N/A
R42NCD Cochlear Implantation 07/25/2005 3736 MM3796 07/06/2005
R66MCM Beneficiary Enrollment and Disenrollment Requirements for Medicare Advantage Plans N/A N/A N/A N/A
R65MCM Surveys, Contracting Strategy and Appeals N/A N/A N/A N/A
R65FM Revised Reporting Requirements for Contractor Reporting of Operational Workload Data (CROWD) Physician Scarcity Area (PSA) Quarterly Report (CMS Form-1565F, CROWD Form 6) 07/05/2005 3673 N/A N/A
R64FM For Fiscal Intermediaries (FIs), a new Provider Type 80, Status Code CH, and Method of Recoupment codes. For Carriers and Durable Medical Equipment Regional Carriers (DMERCs) Status Code 2 03/14/2005 3641 N/A N/A
R74FM Discovery Code Indication for Recovery Audit Contractor (RAC) Non-MSP Identified Overpayments 01/03/2006 3938 N/A N/A
R72FM Claims Accounts Receivable Update 01/03/2006 3963 N/A N/A
R73FM New Thresholds for 2nd Demand Letter for Physicians/Suppliers 09/06/2005 3932 N/A N/A
R71FM Notice of New Interest Rate for Medicare Overpayment and Underpayments N/A 3456 N/A N/A
R144OTN Debt Collection Improvement Act Backlog Non-MSP Collections from February 1998 to September 2004 04/04/2005 3612 N/A N/A
R137OTN Instructions to contractors regarding aged, pre-settlement cases and Inter-Contractor Notices (ICN)s 02/28/2005 3598 N/A N/A
R136OTN Medlearn Matters Article Related to the Flu Demonstration 01/28/2005 3696 MM3696 01/21/2005
R135OTN Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing 07/05/2005 3597 N/A N/A
R134OTN Revisions to January 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File 01/18/2005 3695 MM3695 01/24/2005
R145OTN Frequent Hemodialysis Network Payment Changes for Approved Clinical Trial Costs 07/05/2005 3730 N/A N/A
R155OTN Payment to Ambulatory Surgery Centers (ASCs) for New CPT Code 66711 07/05/2005 3817 MM3817 05/11/2005
R154OTN Correction 2005 Clinical Laboratory Travel Fee (P9603 P9604) 07/05/2005 3785 MM3785 05/10/2005
R169OTN Analysis of Systems Improvements to Streamline POS Code Set Updates 01/03/2006 3976 N/A N/A
R168OTN Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction January 2006 Release Testing 01/03/2006 3974 N/A N/A
R166OTN Overnight Oximetery Testing 08/22/2005 3751 N/A N/A
R164OTN Medicare HIPAA Electronic Claims Report - Third Reporting Timeframe Extension 08/15/2005 3926 N/A N/A
R156OTN New Patient Status Code to Define Discharges or Transfers to a Critical Access Hospital (CAH) 10/03/2005 3829 MM3829 05/18/2005
R30PR1 Reimbursement for ESRD and Transplant Services N/A N/A N/A N/A
R430CP Mandatory Assignment for MMA S630 Claims 07/05/2005 3587 MM3587 01/20/2005
R652CP October Update to the 2005 Medicare Physician Fee Schedule Database 10/03/2005 4031 N/A N/A
R651CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2005 10/03/2005 4005 MM4005 08/23/2005
R432CP Adding an Indicator to the National Claims History (NCH) to Indicate that DMERCs, Carriers, and FIs have Reviewed a Potentially Duplicate Clai 07/05/2005 2965 N/A N/A
R448CP Timeframe for Continued Execution of Crossover Agreements and Updated on the Transition to the National Coordination of Benefits Agreement (COBA) Program 02/22/2005 3658 N/A N/A
R650CP Manual Update on Medical Nutrition Therapy Services - Manualization N/A 3955 N/A N/A
R446CP Diabetes Screening Tests 01/03/2005 3637 MM3637 01/24/2005
R653CP October 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective October 1, 2005 and Revisions to April 2005 and July 2005 Quarterly ASP Medicare Part B Drug Pricing File 10/03/2005 3992 MM3992 09/19/2005
R444CP Further Information Related to Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) 04/04/2005 3678 MM3678 03/17/2005
R442CP Hospital Outpatient Prospective Payment System (OPPS): Use of Modifiers -52, -73 and -74 for Reduced or Discontinued Services 02/22/2005 3507 MM3507 01/28/2005
R441CP VMS Changes to DMERC Processing of Method II Home Dialysis Claims 07/05/2005 3546 N/A N/A
R440CP Updating the Common Working File Editing for Pap Smear (Q0091) and Adding a New Low Risk Diagnosis Code (V72.31) for Pap Smear and Pelvic Examination 07/05/2005 3659 MM3659 01/25/2005
R439CP Modification to the Fiscal Intermediary Standard System (FISS) Regarding Ambulance Services Billed on 18x and 21x Types of Bill (TOBs) 07/05/2005 3564 MM3564 03/28/2005
R438CP Fiscal Intermediary Standard Paper Remittance Advice Changes 07/05/2005 3645 MM3645 01/25/2005
R437CP Revisions and Corrections to the Medicare Claims Processing Manual, Chapter 6, Section 30 and Various Sections in Chapter 15 02/22/2005 3664 MM3664 01/25/2005
R436CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 04/04/2005 3636 MM3636 01/25/2005
R457CP Diabetes Screening Tests 04/04/2005 3677 MM3677 03/10/2005
R456CP Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services Furnished to Hospital Patients (Supplemental to Change Request 3467) 07/05/2005 3675 N/A N/A
R450CP Enforcement of Mandatory Electronic Submission of Medicare Claims. 07/05/2005 3440 MM3440 02/02/2005
R449CP April Quarterly Update to 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 04/04/2005 3683 MM3683 02/10/2005
R462CP DMERC Only--Dispensing Fees for Immunosuppressive Drugs 03/08/2005 3682 N/A N/A
R464CP Implementation of the Abstract File for Purchased Diagnostic Tests/Interpretations (Supplemental to CR 3481) 04/04/2005 3694 MM3694 03/18/2005
R8GI Standard Terminology for Claims Processing Systems 01/03/2005 3086 N/A N/A
R38BP Services Not Provided Within United States 11/17/2005 3781 MM3781 09/21/2005
R173OTN Overnight Oximetery Testing 01/01/2006 3751 N/A N/A
R28GI Conforming Changes for Change Request 3648 to Pub. 100-01 09/12/2005 3912 N/A N/A
R37BP Conforming Changes for Change Request 3648 to Pub. 100-02 09/12/2005 3912 N/A N/A
R27DEMO The Medicare Chronic Care Improvement, "Medicare Health Support," Program 10/20/2005 3953 MM3953 10/28/2005
R664CP October 2005 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 6.3 10/03/2005 4007 N/A N/A
R120PI Correction to Change Request (CR) 3222: Local Medical Review Policy/ Local Coverage Determination Medicare Summary Notice (MSN) Message Revision N/A 3880 N/A N/A
R659CP Instructions for Downloading the Medicare Zip Code File 01/03/2006 3986 N/A N/A
R658CP Billing for Devices Under the Hospital Outpatient Prospective Payment System (OPPS) 10/03/2005 4017 MM4017 09/08/2005
R657CP Quarterly Update to Correct Coding Initiative (CCI) Edits, Version V11.3, Effective October 1, 2005 10/03/2005 3995 MM3995 09/01/2005
R176OTN Change of the CareFirst Part A Plan to Highmark in the State of Maryland and Washington, DC 10/03/2005 4043 N/A N/A
R667CP Home Care and Domiciliary Care Visits (Codes 99321 - 99350) 12/05/2005 3922 MM3922 09/14/2005
R666CP Updates to the Coordination of Benefits Contractor (COBC) Detailed Error Report File Layouts 10/03/2005 4042 N/A N/A
R671CP Updated Manual Instructions for the Medicare Claims Processing Manual, Regarding Smoking and Tobacco-Use Cessation Counseling Services 10/03/2005 4045 N/A N/A
R665CP October Quarterly Update for 2005 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 10/03/2005 4026 MM4026 09/07/2005
R670CP Realignment of States and Medicare Claims Processing Workload from DMERC Regions A, B, C and D to the DME MAC Jurisdictions A, B, C, and D 07/03/2005 4002 N/A N/A
R668CP Enforcement of Hospital Inpatient Bundling: Carrier Denial of Ambulance Claims during an Inpatient Stay 01/03/2006 3933 MM3933 N/A
R177OTN Termination of Existing Crossover Agreements As Trading Partners Transition to the National Coordination of Benefits Agreement (COBA) Program 10/03/2005 3980 N/A N/A
R672CP October Update to the 2005 Medicare Physician Fee Schedule Database 10/03/2005 4031 N/A N/A
R673CP Manual Update on Medical Nutrition Therapy (MNT) Services - Manualization N/A 3955 N/A N/A
R675CP Changes to Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Date October 1, 2005) 10/03/2005 3943 N/A N/A
R676CP 2006 Healthcare Common Procedure Coding System (HCPCS) Annual Update Remind 01/03/2006 4057 N/A N/A
R674CP Fiscal Year (FY) 2006 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH PPS) Changes 10/03/2005 4046 N/A N/A
R179OTN Calculation of the Interim Payment of Indirect Medical Education (IME) Through the Inpatient PPS PRICER for Hospitals That Received an Increase to Their Full-time Equivalent Resident Caps Under Section 422 of the Medicare Modernization Act (MMA), P.L. 108-173 N/A 4025 MM4025 11/07/2005
R122PI Medical Review Collection Number Requirements 10/17/2005 4091 N/A N/A
R683CP October 2005 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 6.3 10/03/2005 4007 MM4007 09/23/2005
R35MSP Updates to the Group Health Plan Identification and Recovery Processes 10/26/2005 4015 N/A N/A
R687CP Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Dates for FI Initial Determinations Issued on or After May 1, 2005 and Carrier Initial Determinations Issued on or After January 1, 2006) N/A 3939 N/A N/A
R686CP Common Working File (CWF) Unsolicited Response Adjustments for Certain Claims Denied Due to an Open Medicare Secondary Payer (MSP) Group Health Plan (GHP) Record Where the GHP Record was Subsequently Deleted 01/03/2006 3916 N/A N/A
R684CP Correction to Chapter 17, Section 80.2.3, MSN/ANSI X12 Denial Messages for Anti-Emetic Drugs 12/23/2005 4001 MM4001 01/19/2006
R36MSP Update to the Healthcare Provider Taxonomy Codes (HPTC) Version 5.1 11/30/2005 4072 MM4072 10/04/2005
R698CP The Supplemental Security Income (SSI) Medicare Beneficiary Data for Fiscal Year 2006 for the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) 11/05/2005 4065 MM4065 10/13/2005
R67CP Appeals of Claims Decisions: Redeterminations and Reconsiderations (implementation date May 1, 2005). 01/09/2006 3942 N/A N/A
R696CP 2006 Annual Update of HCPCS Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) for the Common Working File (CWF), Medicare Carriers and Fiscal Intermediaries (FIs) 01/03/2006 4086 MM4086 10/13/2005
R706CP Payment Methodology for Rehabilitation Services in IHS/Tribally Owned and/or Operated Hospitals and Hospital-Based Facil 01/03/2006 3934 MM3934 10/11/2005
R704CP Discontinuation of Biannual Recertification List for Certified Registered Nurse Anesthetist (CRNA) Services 11/07/2005 4062 N/A N/A
R703CP IPPS Outlier Reconciliation 11/07/2005 3966 N/A N/A
R73MCM Changes in Manual Instructions for Intermediate Sanctions N/A N/A N/A N/A
R72MCM Changes in Manual Instructions for Benefits and Beneficiary Protections N/A N/A N/A N/A
R71MCM Deletion of MCM Chapter 19 - The Enrollment and Payment User's Guide, and Chapter 20 - Managed Care and MA Systems Business Requirements. N/A N/A N/A N/A
R70MCM Beneficiary Enrollment and Disenrollment Requirements for Medicare Advantage Plans N/A N/A N/A N/A
R37MSP Manualizing Long-Standing Medicare Secondary Payer (MSP) Policy in Chapter 3 of the MSP Internet Only Manual (IOM) 01/03/2005 4028 N/A N/A
R74MCM Changes in Manual Instructions for Payment Principles for Cost Based HMO/CMPs N/A N/A N/A N/A
R717CP Disabling the Revenue/HCPCS Consistency Edit Codes in the Fiscal Intermediary Shared System (FISS) 04/03/2006 4049 N/A N/A
R713CP New G Code for Power Mobility Devices (PMDs) 10/25/2005 4121 N/A N/A
R718CP Source of Admission Code 'D' 04/03/2006 3881 MM3881 04/06/2006
R715CP New Designated Competitive Acquisition Program (CAP)Carrier Contractor ID Numbers 04/03/2006 3985 N/A N/A
R714CP Payment Window Edit Corrections within the Common Working File (CWF) 04/03/2006 4089 MM4089 10/26/2005
R469CP New Waived Tests - April 1, 2005 04/04/2005 3650 N/A N/A
R716CP Modifiers for Transportation of Portable X-rays (R0075) When Billed by Skilled Nursing Facilities (SNFs) 04/03/2006 4039 MM4039 11/02/2005
R721CP Use of Value Codes 48 and 49 on End Stage Renal Disease (ESRD) Bills 01/06/2006 4087 MM4087 11/03/2005
R473CP Use of 12X Type of Bill (TOB) for Billing Vaccines and Their Administration 07/05/2005 3618 MM3618 02/18/2005
R719CP Clarification and Update to Hospital Billing Instructions and Payment for Epoetin Alfa (EPO) and Darbepoetin Alfa (Aranesp) for Beneficiaries with End Stage Renal Disease (ESRD) 04/03/2006 4103 MM4103 11/02/2005
R725CP New ICD-9-CM Code for Beneficiaries with Chronic Kidney Disease 04/03/2006 4108 N/A N/A
R471CP Infusion Pumps: C-Peptide Levels as A Criterion for Use 02/18/2005 3705 MM3705 04/29/2005
R722CP 2006 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments 01/03/2006 4113 MM4113 10/26/2005
R726CP Smoking and Tobacco-Use Cessation Counseling Services: Common Working File (CWF) Inquiry for Providers 04/03/2006 4104 MM4104 10/26/2005
R40MSP Updates to the Group Health Plan (GHP) Demand Letters 04/03/2006 4012 N/A N/A
R39MSP Request to Change Lead Contractor 11/19/2005 4088 N/A N/A
R470CP Standardization of Fiscal Intermediary Use of Group and Claim Adjustment Reason Codes and Calculation and Balancing of TS2 and TS3 Segment Data Elements 07/05/2005 3685 MM3685 02/07/2005
R41MSP Full Replacement of and Rescinding Change Request (CR) 3504--Modification to Online Medicare Secondary Payer Questionnaire 01/21/2006 4098 MM4098 11/14/2005
R80FM Medicare Contractors' Monthly Cash Collections 11/21/2005 4074 N/A N/A
R29DEMO Notification of New Value and Condition Codes For Medicare Demonstrations 01/03/2006 4055 N/A N/A
R185OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90655, 90656, 90657, and 90658) and the Pneumoccocal Vaccine (CPT 90732) when Payment is Based on 95 Percent of the Average Wholesale Price (AWP) 11/21/2005 4109 MM4109 11/18/2005
R126PI Implementation of Program Safeguard Contractor (PSC) Access to the VIPS Medicare Shared System (VMS) at All Durable Medical Equipment Carriers (DMERCs) 04/03/2006 3994 N/A N/A
R13SOM Revisions to Chapter 2, "The Certification Process," Appendix E-- "Providers of Outpatient Physical Therapy or Outpatient Speech Language Pathology (OPT/OSP) Services," and Appendix K-- "Comprehensive Outpatient Rehabilitation Facilities" 11/21/2005 N/A N/A N/A
R81FM Recurring Update Notification for the Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/03/2005 4066 N/A N/A
R127PI Complaint Screening Revisions 11/28/2005 4118 N/A N/A
R727CP Annual Type Of Service (TOS) 01/03/2006 4145 N/A N/A
R728CP Installation of the January 2006 Inpatient Prospective Payment System Pricer and Hospice Pricer 01/03/2006 4117 N/A N/A
R30GI Initiate STC testing of the MCS for RRB and HIGLAS 04/03/2006 4150 N/A N/A
R76MCM Initial Publication of Chapter 10 - MA Organization Compliance with State Law and Preemption by Federal law N/A N/A N/A N/A
R729CP Revised October 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective October 1, 2005 11/28/2005 4160 MM4160 11/03/2005
R195OTN Change of Medicare Part A contractor in the State of Idaho, Oregon, and Utah from Regence Blue Cross and Blue Shield to Noridian Administrative Service 01/03/2006 4189 N/A N/A
R749CP Reasonable Charge Update for 2006 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, Certain Intraocular Lenses and Certain HCPCS Coding Issues 01/03/2006 4131 MM4131 11/14/2005
R731CP Payment for Office or Other Outpatient Evaluation and Management (E/M ) Visits (Codes 99201 - 99215) 01/03/2006 4032 MM4032 11/14/2005
R738CP Calendar Year 2005 Payment for Medicare Part B Radiopharmaceuticals Not Paid on a Cost or Prospective Payment Basis 12/05/2005 4053 MM4053 11/03/2005
R740CP Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Evaluation and Management (E&M) Services Billed to Fiscal Intermediaries (FIs) by Hospitals 04/03/2006 3910 MM3910 11/08/2005
R734CP Redefined Type of Bill (TOB), 14x, for Non-Patient Laboratory Specimens 04/03/2006 3835 MM3835 11/09/2005
R737CP New ICD-9-CM Codes for Beneficiaries with Chronic Kidney Disease and new HCPCS for reporting Epoetin Alfa and Darbepoetin Alfa 04/03/2006 4108 MM4108 11/08/2005
R733CP Repeat Tests for Automated Multi-Channel Chemistries for End Stage Renal Disease beneficiaries 04/03/2006 4101 MM4101 03/15/2006
R194OTN Calculation of the Interim Payment of Indirect Medical Education (IME) Through the Inpatient PPS PRICER for Hospitals That Received an Increase to Their Full-time Equivalent Resident Caps Under Section 422 of the Medicare Modernization Act (MMA), P.L. 108-1 03/31/2006 4025 N/A N/A
R191OTN Noridian North Dakota/South Dakota Carrier Number Issue 04/03/2006 4165 N/A N/A
R193OTN Change of Medicare Part B contractor in the State of Utah from Regence Blue Cross and Blue Shield of Utah to Noridian Administrative Services. 01/03/2006 4174 N/A N/A
R735CP Processing All Diagnosis Codes Reported on Claims Submitted to Carriers 04/03/2006 4097 N/A N/A
R186OTN Coverage by Medicare Advantage (MA) Plans for Implantable Automatic Cardiac Defibrillator (ICD) Services Not Previously Included in MA Capitation Rate 01/03/2006 4133 MM4133 11/08/2005
R111PI Revising the FISS Shared System 10/03/2005 3812 MM3812 05/06/2005
R129PI Replacing the Use of Unique Physician Identification Numbers (UPINs) With the National Provider Identifiers (NPIs) 04/03/2006 4166 N/A N/A
R163OTN Qualified Independent Contractor Jurisdictions 08/08/2005 3908 N/A N/A
R153OTN Payment to Ambulatory Surgery Centers (ASCs) for New CPT Code 66711 06/06/2005 3817 MM3817 05/11/2005
R30DEMO The Medicare Chronic Care Improvement , "Medicare Health Support," Program 10/20/2005 3953 MM3953 10/28/2005
R175OTN Common Working File (CWF) Calculation of Next Eligible Date for Preventive Services 10/03/2005 4011 N/A N/A
R31GI Update to Medicare Deductible, Coinsurance and Premium Rates for 2006 01/03/2006 4132 MM4132 11/14/2005
R34MSP Manualization: Long-Standing MSP Policy in Chapter 1 of the Medicare Secondary Payer (MSP) Internet Only Manual (IOM) 09/07/2005 4018 N/A N/A
R44MSP Updates to the Electronic Correspondence Referral System (ECRS) User Guide v9.0 and Quick Reference Card v9.0 12/27/2005 4162 N/A N/A
SE0582 MMA Sunset of the Provider Nomination Provision and the Policy to Assign Providers to the Local Fiscal Intermediary (FI) N/A N/A SE0582 12/05/2005
SE0579 Hurricanes Katrina and Rita-Transportation of Evacuees with Medical Needs N/A N/A SE0579 11/23/2005
SE0580 Influenza/Flu Season and Available Resources for Providers N/A N/A SE0580 11/23/2005
SE0578 Providing Medicare with Data for Certain Implantable Cardioverter Defibrillators (ICDs) N/A N/A SE0578 11/18/2005
SE0575 Important Message to Nursing Home Administrators About Medicare Prescription Drug Coverage - The Tenth in a Series in the Medlearn Matters Series N/A N/A SE0575 11/23/2005
SE0570 Important Information about Medicare Coverage of Drugs under Part B and the New Medicare Prescription Drug Coverage(Part D), and Vaccines Administered in a Physician's Office - The Ninth in the Medlearn Matters Series on the New Prescription Drug Plans N/A N/A SE0570 2005-11-08
SE0565 MMA - The Centers for Medicare & Medicaid Services (CMS) Recovery Audit Contract (RAC) Initiative N/A N/A SE0565 10/24/2005
R656CP Full Replacement of Change Request 3607, Payment Edits in Applicable States for DMEPOS Suppliers of Prosthetics and Certain Custom-Fabricated Orthotics. Change Request 3607 is rescinded (DMERC only) 10/03/2005 3959 MM3959 08/29/2005
R697CP Appeals of Claims Decisions: Redeterminations and Reconsiderations (implementation date May 1, 2005). 01/09/2006 3942 MM3942 10/13/2005
R751CP National Monitoring Policy for EPO and Aranesp for End Stage Renal Disease (ESRD) Patients Treated in Renal Dialysis Facilities 04/03/2006 4135 MM4135 11/14/2005
R742CP Quarterly Update to Correct Coding Initiative (CCI) Edits, V12.0, Effective January 1, 2006 01/03/2006 4168 MM4168 11/14/2005
R93PI Medical Review of Rural Air Ambulance Services 02/14/2005 3571 N/A N/A
R749CP Reasonable Charge Update for 2006 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, Certain Intraocular Lenses and Certain HCPCS Coding Issues 01/03/2006 4131 MM4131 11/14/2005
R720CP Update of HCPCS Codes and File Names, Descriptions and Instructions for Retrieving the 2006 ASC HCPCS Deletions, Additions, and Master Listing 01/03/2006 4082 MM4082 11/14/2005
R748CP New G Code for Power Mobility Devices (PMDs) 10/25/2005 4121 MM4121 11/06/2005
R741CP New Condition Codes 49 and 50 04/03/2006 4058 MM4058 11/14/2005
R744CP File Descriptions and instructions for retrieving the 2006 fee schedules and HCPCS through CMS 's Mainframe Telecommunications system 01/03/2006 4084 N/A N/A
R75MCM Deletion of MCM Chapter 3 - Marketing N/A N/A N/A N/A
R746CP January 2006 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective January 1, 2006, and Revisions to January 2005, April 2005, July 2005, and October 2005 Quarterly ASP Medicare Part B Drug Pricing Files 01/03/2006 4140 MM4140 11/17/2005
R757CP Resubmission of Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) Claims with Chronic Renal Failure Comorbid Condition 04/03/2006 4164 N/A N/A
R743CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2006 4123 MM4123 11/14/2005
R753CP Update of Contact Information for the Do Not Forward Reports 12/27/2005 4122 N/A N/A
R745CP Elimination of the DMERC Information Form (DIF) 04/03/2006 4040 N/A N/A
R31DEMO Physician's Voluntary Reporting Program (PVRP) 01/03/2006 4183 N/A N/A
R750CP 2006 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 01/03/2006 4144 MM4144 11/18/2005
SE0564 Temporary Hold of Claims with HCPCS Codes G0369 or G0370 Received on or after October 1, 2005, from Maryland Hospitals and Non-OPPS Hospitals and Dialysis Facilities N/A N/A SE0564 11/08/2005
SE0561 Provider Notification Regarding Adjustments for Home Health Prospective Payment System (HH PPS) Claims Failing to Report Prior Inpatient Discharges N/A N/A SE0561 09/28/2005
SE0563 Hurricanes Katrina and Rita - Frequently Asked Questions - Medicare Issues N/A N/A SE0563 10/06/2005
SE0559 New Educational Products Available on Medicare Prescription Drug Coverage - The Eighth in the Medlearn Matters Series N/A N/A SE0559 10/26/2005
SE0557 Clarification on Part D and Fee-For-Service (FFS) Providers, New Web-based Educational Products, and the Latest Information on Medicare Prescription Drug Coverage - The Seventh in the Medlearn Matters Series N/A N/A SE0557 08/23/2005
SE0556 Informational and Educational Materials for the New Preventive Services N/A N/A SE0556 10/12/2005
SE0536 Reminder Regarding Medicare Billing Rules for Ambulance Services Rendered to Medicare Patients During an Inpatient Hospital Stay N/A N/A SE0536 06/15/2005
SE0539 Mass Adjustment of Certain Transplant Claims N/A N/A SE0539 06/20/2005
SE0547 The Comprehensive Error Rate Testing (CERT) Process for Handling a Provider's Allegation of Medical Record Destruction N/A N/A SE0547 08/10/2005
SE0469 MMA - The Centers for Medicare & Medicaid Services (CMS) Recovery Audit Contract (RAC) Initiative N/A N/A SE0469 01/10/2005
SE0521 MMA - Expansion of Coverage for Chiropractic Services Demonstration - Information Relevant to Outpatient Hospitals and Independent Clinical Laboratories N/A N/A SE0521 03/11/2005
SE0535 MMA - CMS' Implementation of Section 1011 of the Medicare Modernization Act - Federal Funding of Emergency Health Services Furnished to Undocumented Aliens N/A N/A SE0535 05/20/2005
SE0537 New Educational Products Available N/A N/A SE0537 06/03/2005
SE0540 CMS Releases New Educational Guide on Remittance Advice (RA) Notices N/A N/A SE0540 06/24/2005
SE0438 MMA - Medicare Prescription Drug, Improvement, and Modernization Act - Skilled Nursing Facility Consolidated Billing and Services of Rural Health Clinics and Federally Qualified Health Centers N/A N/A SE0438 02/18/2004
SE0553 New Guidance Regarding Healthcare Common Procedure Coding System (HCPCS) Code G0297 N/A N/A SE0553 08/12/2005
SE0504 The Centers for Medicare & Medicaid Services (CMS) Consolidation of the Claims Crossover Process N/A N/A SE0504 02/02/2005
SE0511 MMA - End Stage Renal Disease (ESRD) Composite Payment Rate System Changes N/A N/A SE0511 03/21/2005
SE0449 MMA - Proposed Implementation of the Physician Scarcity Bonus and Revision to the Health Professional Shortage Area (HPSA) N/A N/A SE0449 09/02/2004
SE0502 MMA - The Facts for Providers Regarding the Medicare Prescription Drug Plans That Will Become Available in 2006 N/A N/A SE0502 02/25/2005
SE0507 Prosthetics and Orthotics Ordered in a Hospital or Home Prior to a Skilled Nursing Facility Admission N/A N/A SE0507 02/02/2005
SE0524 Electronically Requesting and Receiving Information Regarding Claims Using the ASC X12N276/277 Claims Status Inquiry/Response Transactions N/A N/A SE0524 04/29/2005
SE0538 New Expedited Review Process for Disputed Terminations of Medicare Covered Services in SNFs, HHAs, CORFs and Hospices N/A N/A SE0538 06/29/2005
SE0506 How to Locate Specific Transmittals/Change Requests (CRs) of Interest That Are Posted on Centers for Medicare & Medicaid Services (CMS) Web Sites N/A N/A SE0506 01/25/2005
SE0543 Key Medicare News for 2006 for Physicians and Other Health Care Professionals N/A N/A SE0543 11/14/2005
SE0505 The Centers for Medicare & Medicaid Services (CMS) Doctors' Office Quality Information Technology Demonstrations: Providing Leadership in the Adoption of Electronic Health Records N/A N/A SE0505 01/12/2005
SE0520 MMA - Your Important Role N/A N/A SE0520 03/28/2005
SE0522 MMA - Expansion of Coverage for Chiropractic Services Demonstration - Information for Outpatient Hospitals and Radiologists N/A N/A SE0522 03/14/2005
SE0526 Centers for Medicare & Medicaid Services (CMS) Comprehensive Error Rate Testing (CERT) Program - The Importance of Complying with Requests for Claim Documentation N/A N/A SE0526 04/29/2005
SE0501 MMA - Coming Soon - The New Medicare Prescription Drug Program N/A N/A SE0501 02/26/2005
SE0514 MMA - Expansion of Coverage for Chiropractic Services Demonstration N/A N/A SE0514 03/11/2005
SE0523 Resubmission of Outpatient Prospective Payment System (OPPS) Services for Eligible Outlier Payment N/A N/A SE0523 03/21/2005
SE0541 More Web-based Educational Products Available on Medicare Prescription Drug Coverage - The Fifth in the Medlearn Matters Series N/A N/A SE0541 07/01/2005
SE0463 Update of Healthcare Common Procedure Coding System (HCPCS) Codes and File Names, Descriptions, and Instruction for Retrieving the 2005 Ambulatory Surgical/Surgery Center (ASC) HCPCS Deletions and Master Listing N/A N/A SE0463 11/04/2004
SE0453 MMA - Proposed Implementation of the Physician Scarcity Bonus and Revision to the Health Professional Shortage Area (HPSA) N/A N/A SE0453 10/04/2004
SE0513 CMS Seeks Provider Input on Satisfaction with Medicare Fee for Service Contractor Services N/A N/A SE0513 02/07/2005
R771CP Revisions to Pub. 100-04, Medicare Claims Processing Manual in Preparation for the National Provider Identifier (NPI) 01/03/2006 4181 N/A N/A
SE0519 Population - Based Disease Management - Use of Group Health Plan Payment System for Medicare Disease Management Demonstration Serving Medicare Fee For Service Beneficiaries N/A N/A SE0519 03/18/2005
SE0545 Correct Coding Initiative (CCI) Edits to Apply to ALL Therapy Providers N/A N/A SE0545 08/08/2005
SE0532 Announcing the New Booklet: Physician's Guide to Medicare Coverage of Kidney Dialysis and Kidney Transplant Services N/A N/A SE0532 08/03/2005
SE0531 Medicare Announces Delay in Processing Certain Claims No Later Than April 18, 2005 N/A N/A SE0531 04/07/2005
SE0527 Billing for Syringes Used in the Treatment of End Stage Renal Disease (ESRD) Patients N/A N/A SE0527 04/22/2005
SE0518 Skilled Nursing Facility (SNF) Consolidated Billing (CB) as It Relates to Therapy Services N/A N/A SE0518 03/14/2005
SE0544 Message to Nursing Home Administrators on Medicare Prescription Drug Coverage-The Sixth in the Series of Medlearn Matters Articles on the New Prescription Drug Coverage N/A N/A SE0544 07/21/2005
SE0517 Tool Available for Registering Patients with Implantable Cardioverter Defibrillators N/A N/A SE0517 02/18/2005
R100PI Review of Documentation During Medical Review 02/22/2005 3644 N/A N/A
R101PI Benefit Integrity (BI) PIM Revisions 02/28/2005 3579 N/A N/A
R102PI Medical Review of Rural Air Ambulance Services 02/14/2005 3571 N/A N/A
R109PI Updated Standard System Changes for Provider Enrollment Chain Ownership System (PECOS) and MCS 10/03/2005 3725 N/A N/A
R451CP April 2005 Quarterly Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 04/04/2005 3669 MM3669 02/01/2005
R458CP Hospice Physician Recertification Requirements 07/05/2005 3686 MM3686 01/04/2005
R434CP Addition of CLIA Edits to Certain Health Care Procedure Coding System (HCPCS) Codes for Mohs Surgery 07/05/2005 3458 MM3458 01/20/2005
R431CP Updated Skilled Nursing Facility (SNF) No Pay File for April 2005 04/04/2005 3642 MM3642 01/20/2005
R539CP Expansion of Various Alpha and Numeric Fields with in the Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) 10/03/2005 3767 MM3767 07/13/2005
R701CP New Diagnosis Code Requirements for Method II Home Dialysis Claims 11/07/2005 4095 N/A N/A
R77FM Non-Medicare Secondary Payer (Non-MSP) Debt Referral and Debt Collection Improvement Act of 1996 (DCIA) Activities 10/17/2005 3964 N/A N/A
R465CP Billing Requirements for Physician Services in Method II Critical Access Hospitals (CAHs) 07/05/2005 3559 N/A N/A
R452CP New Remittance Advice (RA) Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims 07/05/2005 3679 MM3679 06/13/2005
R118PI Various Benefit Integrity (BI) Clarifications 09/12/2005 3896 N/A N/A
R158OTN Instructions for Fiscal Intermediaries (FIs) to Process Payment Adjustments Resulting from Data Assessment and Verification (DAVE) Program Safeguard Contractor (PSC) Medical Review 07/18/2005 3799 N/A N/A
R138OTN Production of Provider Flat Files, including Taxpayer Identification Numbers (TIN), from the Fiscal Intermediary Standard System (FISS), Financial Master Files 07/05/2005 3553 N/A N/A
R69FM Update to Debt Collection System (DCS) User Guide 06/27/2005 3868 N/A N/A
R67MCM Changes in Requirements for Periodic Surveys of Current and Former Enrollees, and in the CMS Method for Calculating Interest on Overpayments and Underpayments to HMOs, CMPs and HCPPS. N/A N/A N/A N/A
R428PR1 Inflation Factor N/A N/A N/A N/A
R638CP New Medicare Summary Notice (MSN) Messages 01/03/2006 3957 N/A N/A
R596CP Indian Health Service (IHS) or Tribal Hospitals Including Critical Access Hospital (CAH) Payment Methodology for Inpatient Social Admissions and Outpatient Services Occurring During Concurrent Stays 04/04/2005 3452 MM3452 02/02/2005
R30MSP Process to Address Freedom of Information and Subpoena Requests 06/20/2005 3869 N/A N/A
R505CP Unprocessable Unassigned Form CMS-1500 Claims 07/05/2005 3500 MM3500 03/21/2005
R516CP Clarification for OPPS Hospitals Billing Initial Preventive Physical Exam (IPPE) 10/03/2005 3771 MM3771 04/08/2005
R7SOM Revision of Appendix PP - Section 483.25(d) - Urinary Incontinence, Tags F315 and F316 06/27/2005 N/A N/A N/A
R94PI Informing Beneficiaries About Which Local Medical Review Policy (LMRP) and/or Local Coverage Determination (LCD) and/or National Coverage Determination (NCD) is Associated with Their Claim Denial 01/05/2005 3602 N/A N/A
R681CP Guidelines For Payment of Vaccines (Pneumococcal Pneumonia Virus (PPV), Influenza Virus, And Hepatitis B Virus) and Their Administration Provided by Indian Health Service (IHS)/Tribally Owned and/or Operated Hospitals and Hospital Based Facilities 01/03/2006 3967 MM3967 09/21/2005
R707CP IPPS Outlier Reconciliation 11/07/2005 3966 MM3966 10/13/2005
R702CP Manualization for Physician/Practitioner/Supplier Participation Agreement and Assignment Carrier Claims and Carrier Rules for Limiting Charge N/A 4030 N/A N/A
R693CP Updates to the IRF and SNF Provider Specific File and Changes in Inpatient Rehabilitation Facility Prospective Payment System For FY 2006 10/31/2005 4099 MM4099 10/18/2005
R461CP Processing Durable Medical Equipment (DME), Orthotics, Prosthetics, Drugs, and Surgical Dressings Claims for Indian Health Services (IHS) and Tribally Owned and Operated Hospitals or Hospital Based Facilities including Critical Access Hospitals (CAHs) 07/05/2005 3674 MM3674 02/10/2005
R429CP Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Critical Access Hospitals (CAHs) that have Elected Method II Payment Option and Bill Physician Services to their Fiscal Intermediaries (FIs) 07/05/2005 3561 MM3561 01/26/2005
R161OTN Kansas Blue Cross Blue Shield Carrier Numbering Issue 08/03/2005 3876 N/A N/A
R150OTN Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing 10/03/2005 3821 N/A N/A
R635CP Financial Liability for Services Subject to Home Health Consolidated Billing 11/03/2005 3948 MM3948 09/13/2005
R590CP Aprepitant for Chemotherapy-Induced Emesis 07/05/2005 3831 MM3831 07/05/2005
R578CP Update-Long Term Care Hospital Prospective Payment System (LTCH PPS) Rate Year 2006 07/05/2005 3884 MM3884 06/15/2005
R565CP Access Process for HIPAA 270/271 (Extranet Only) 08/22/2005 3883 MM3883 N/A
R541CP Correction to the use of Group Codes for The Enforcement of Mandatory Electronic Submission of Medicare Claims 07/05/2005 3815 MM3815 05/04/2005
R497CP Implantable Automatic Defibrillators 04/04/2005 3604 MM3604 N/A
R545CP The Teaching Adjustment for Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) 10/03/2005 3809 MM3809 05/06/2005
R502CP New Contrast Agents Healthcare Common Procedure Coding System (HCPCS) Codes 04/04/2005 3748 MM3748 03/24/2005
R504CP Update to Pub 100-04, Chapter 12, Section 200 of the Internet Only Manual N/A 3732 N/A N/A
R90PI Prepayment Review of Claims for MR Purposes 01/03/2005 3560 N/A N/A
R477CP New Case-Mix Adjusted End Stage Renal Disease (ESRD) Composite Payment Rates and New Composite Rate Exceptions Window for Pediatric ESRD Facilities 04/04/2005 3720 MM3720 03/10/2005
R18GI Billing for Blood and Blood Products Under the Hospital Outpatient Prospective Payment System (OPPS) 07/05/2005 3681 MM3681 03/14/2005
R20DEMO Full Replacement of CR 3220, Method of Reimbursement for Inpatient Services for Rural Hospitals Participating Under Demonstration Authorized by Section 410A of the Medicare Modernization Act. CR 3220 is rescinded. 03/18/2005 3707 N/A N/A
R117PI Revise the Medicare Contractor System (MCS) and the VIPS Medicare System (VMS) to Allow Update of the Comprehensive Error Rate Testing (CERT) Program Resolution File Within Five Business Days of a CERT Request 01/03/2005 3996 N/A N/A
R115PI PIM Revision 08/22/2005 3786 N/A N/A
R103PI Discontinuation of Medical Review Reports -The Medicare Status Report MRS-1), the Report of Benefit Savings (RBS), the Medicare Focused Medical Review Status Report (MFSR), and the Focused Medical Review (FMR) Report 03/07/2005 3701 N/A N/A
R692CP Fiscal Year (FY) 2006 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH PPS) Changes 10/03/2005 4046 MM4046 10/03/2005
R124PI Evidence of Medical Necessity: Wheelchair and Power Operated Vehicle (POV) Claim N/A 3952 N/A N/A
R679CP Medicare Redetermination Notice and Effect of the Redetermination N/A 4006 N/A N/A
R1P239 Chapter 39, Form CMS 287-05 N/A N/A N/A N/A
R662CP October 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/03/2005 4035 N/A N/A
R11SOM Revised Chapter 2--"The Certification Process," Sections 2180E thru 2200F, and Appendix B--"Interpretive Guidelines: Home Health Agencies" 08/12/2005 N/A N/A N/A
R453CP Instructions for Downloading the Medicare Zip Code File 07/05/2005 3593 N/A N/A
R443CP Unprocessable Unassigned Form CMS-1500 Claim 07/05/2005 3500 N/A N/A
R647CP The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2004 for Inpatient Prospective Payment System (IPPS) Hospitals 10/03/2005 4003 N/A N/A
R62FM Timeframe for Continued Execution of Crossover Agreements and Updated on the Transition to the National Coordination of Benefits Agreement (COBA) Program 02/22/2005 3658 N/A N/A
R627CP New Low Osmolar Contrast Material (LOCM) HCPCS Codes/Payment Criteria/Payment Level 10/31/2005 3902 MM3902 08/03/2005
R625CP Competitive Acquisition Program for Part B Drugs - Coding, Testing, and Implementation 01/03/2006 4000 N/A N/A
R616CP Certified Registered Nurse Anesthetist (CRNA) Pass-Through Payments 01/03/2006 3833 MM3833 08/03/2005
R609CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 10/03/2005 3923 MM3923 07/26/2005
R27NCD Infusion Pumps: C-Peptide Levels as A Criterion for Use 02/18/2005 3705 MM3705 04/29/2005
R598CP Implementation of Carrier Guidelines for End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests (Supplemental to Change Request 2813) 07/05/2005 3890 MM3890 08/23/2005
R567CP Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials 04/18/2005 3742 N/A N/A
R32NCD Autologous Stem Cell Transplantation (AuSCT) 05/16/2005 3797 MM3797 05/18/2005
R530CP Billing Requirements for Physician Services Rendered in Method II Critical Access Hospitals (CAHs) 07/05/2005 3800 MM3800 04/29/2005
R555CP Fiscal Intermediary (FI) Reporting of Add-on-Payments that do not Result in a Specific Increase or Decrease in the Amount Reported as Payable for a Claim or a Service on a Remittance Advice 10/03/2005 3866 MM3866 05/06/2005
R488CP Implantable Automatic Defibrillators 04/04/2005 3604 MM3604 03/21/2005
R490CP Claims Status Code/Claims Status Category Code Update 07/05/2005 3715 MM3715 03/08/2005
R494CP April 2005 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 6.1 04/04/2005 3743 MM3743 03/08/2005
R496CP Billing for Blood and Blood Products Under the Hospital Outpatient Prospective Payment System (OPPS) 07/05/2005 3681 MM3681 03/14/2005
R512CP Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials 04/18/2005 3742 MM3742 06/23/2005
R514CP April 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes 04/04/2005 3756 MM3756 04/08/2005
R27MSP Updates to the Electronic Correspondence Referral System (ECRS) User Guide v8.0 and Quick Reference Card v8.0 04/25/2005 3787 N/A N/A
R15GI Review of Contractor Implementation of Change Requests (Replacement for expired CR 944). 03/01/2005 2884 N/A N/A
R21GI Removal of Medicare Number from Reimbursement Checks 10/03/2005 3760 N/A N/A
R8COM Medicare Beneficiary Call Centers Will Begin Offering Preventive Services Information 03/14/2005 3706 N/A N/A
R38MSP Hospital Audit Workload Updates 01/14/2006 4056 MM4056 10/18/2005
R708CP 2006 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments 01/03/2006 4113 N/A N/A
R123PI Chapter 3, MMA Section 935 10/24/2005 3703 N/A N/A
R181OTN National Modifier and Condition Code To Be Used To Identify Disaster Related Claims N/A 4106 N/A N/A
R660CP October 2005 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 6.3 10/03/2005 4007 N/A N/A
R10SOM Revision - Appendix J - Interpretive Guidelines Intermediate Care Facilities With Mental Retardation 08/12/2005 N/A N/A N/A
R157OTN CD-ROM Initiative for Distribution of the Annual Disclosure, "Dear Doctor" Letter and Participation Enrollment Material 07/05/2005 3891 N/A N/A
R147OTN Medicare HIPAA Electronic Claims Report - Second Reporting Timeframe Extension 05/06/2005 3780 N/A N/A
R68FM Instructions for Affiliated Contractors Involved in the Recovery Audit Contractor (RAC) Demonstrations 06/20/2005 3773 N/A N/A
R14P236 Cost Reporting Forms and Instructions, Form CMS-2552-96 N/A N/A N/A N/A
R600CP New Healthcare Common Procedure Coding System (HCPCS) Drug Codes 07/05/2005 3847 MM3847 07/01/2005
R588CP Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials N/A 3742 MM3742 06/23/2005
R579CP Update to the National Council for Prescription Drug Program (NCPDP) Batch Standard 1.1 Billing Request Companion Document 09/12/2005 3882 MM3882 06/20/2005
R575CP New Remittance Advice (RA) Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims 07/05/2005 3679 MM3679 N/A
R520CP Payment Policy Clarification Regarding the Healthcare Common Procedure Coding System (HCPCS) Q3001 Performed in an Ambulatory Surgery Center (ASC) 05/09/2005 3789 MM3789 04/22/2005
R551CP Dispensing/Supply Fee Code, Payment, and Common Working File (CWF) Editing for Immunosuppressive Drugs 10/03/2005 3830 MM3830 05/06/2005
R487CP Medicare Qualifying Clinical Trials N/A 3625 N/A N/A
R493CP Revision to Chapter 1, and Removal of Section 70 from Chapter 25 of the Medicare Claims Processing Manual 04/04/2005 3671 N/A N/A
R511CP Type of Service (TOS) Corrections 04/18/2005 3788 N/A N/A
R6SOM Expansion of State Codes for OSCAR Provider Numbers 10/03/2005 3844 N/A N/A
R633CP Guidelines For Payment of Vaccines (Pneumococcal Pneumonia Virus (PPV), Influenza Virus, And Hepatitis B Virus) and Their Administration Provided by Indian Health Service (IHS)/Tribally Owned and/or Operated Hospitals and Hospital Based Facilities 01/03/2006 3967 MM3967 09/21/2005
R459CP Full Replacement of Change Request (CR) 3427, Transmittal 342, Issued on October 29, 2004- Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Ambulance Transports to or from a Diagnostic or Therapeutic Site 04/05/2005 3676 MM3676 02/07/2005
R654CP Services Not Provided Within United States 11/17/2005 3781 MM3781 09/21/2005
R447CP CWF Editing for Method Selection on DMERC Claims for EPO and Aranesp 07/05/2005 3547 MM3547 01/25/2005
R162OTN Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes 08/08/2005 3757 N/A N/A
R148OTN Revised Coding Guidelines for Drug Administration Codes 05/16/2005 3818 MM3818 N/A
R151OTN Common Working File (CWF) Calculation of Next Eligible Date for Preventive Services 10/03/2005 3776 N/A N/A
R141OTN Shared System and CWF Renovation of Override Code Process (Phase 3) 07/05/2005 3718 N/A N/A
R142OTN Frequent Hemodialysis Network Payment Changes for Approved Clinical Trial Co 07/05/2005 3730 N/A N/A
R66FM Chapter 7, Internal Control Requirements Update 04/04/2005 3655 N/A N/A
R67FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 04/25/2005 3455 N/A N/A
R41NCD Osteogenic Stimulators 08/01/2005 3836 MM3836 07/20/2005
R626CP Common Working File Expansion of Duplicate Claim Edit for Clinical Diagnostic Services 01/03/2006 3946 MM3946 N/A
R613CP New HCPCS Codes and Systems Edits for Supplies and Accessories for Ventricular Assist Devices - Full Replacement of CR 3761 10/03/2005 3931 MM3931 07/26/2005
R608CP New Health Professional Shortage Area (HPSA) Modifier 01/03/2006 3935 MM3935 07/29/2005
R599CP July 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS) 07/05/2005 3915 MM3915 07/06/2005
R597CP Coverage and Billing for Ultrasound Stimulation for Nounion Fracture Healing 08/01/2005 3836 MM3836 07/20/2005
R589CP Cochlear Implantation 07/05/2005 3796 MM3796 07/06/2005
R576CP Correction to Chapter 17, Section 80.2.3, MSN/ANSI X12N Denial Messages for Anti-Emetic Drugs N/A 3918 N/A N/A
R568CP July Quarterly Update to 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 07/05/2005 3873 MM3873 06/01/2005
R31NCD PET for Brain, Cervical, Ovarian, Pancreatic, Small Cell Lung, and Testicular Cancers 04/18/2005 3741 MM3741 04/20/2005
R35NCD Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea (OSA) 06/06/2005 3843 MM3843 05/12/2005
R561CP New April 2005 Quarterly ASP Medicare Part B Drug Pricing File and Revisions to January 2005 Quarterly ASP Medicare Part B Drug Pricing File 07/05/2005 3846 MM3846 05/18/2005
R521CP Hemophilia Blood Clotting Fact 05/09/2005 3755 MM3755 04/12/2005
R540CP Addition to Chapter 6 of the Claims Processing Manual - Skilled Nursing Facility (SNF) Inpatient Part A Billing: SNF Prospective Payment System (PPS) Pricer Software 08/01/2005 3774 MM3774 05/04/2005
R559CP Override of Automated Health Professional Shortage Area (HRSA) and/or Physician Scarcity Area (PSA) Bonus Payments for Globally Billed Services 06/13/2005 3827 MM3827 05/18/2005
R525CP Flu/PPV Revision N/A 3733 N/A N/A
R546CP Number of DMEPOS Pricing Files That Must Be Maintained Online for Medicare - DMERC, FI, and RHHI Only 10/03/2005 3792 MM3792 06/29/2005
R549CP Update to the Place of Service (POS) Code Set to Add a Code for Pharmacy 10/03/2005 3819 MM3819 07/06/2005
R489CP Correction to Healthcare Common Procedure Coding System (HCPCS) Code A4217 07/05/2005 3714 MM3714 03/08/2005
R492CP Adding an Indicator to the National Claims History (NCH) to Indicate that DMERCs, Carriers, and FIs have Reviewed a Potentially Duplicate Claim 07/05/2005 2965 N/A N/A
R495CP Inpatient Psychiatric Facility Prospective Payment System (IPF PPS)--Further Clarifications 04/04/2005 3752 MM3752 03/17/2005
R500CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2005 04/04/2005 3722 N/A N/A
R513CP Infusion Pumps: C-Peptide Levels as A Criterion for Use 02/18/2005 3705 MM3705 04/29/2005
R515CP Update to 100-04 and Therapy Code Lists 07/05/2005 3647 MM3647 02/07/2005
R476CP Type of Service (TOS) Correctionss 04/04/2005 3717 N/A N/A
R26MSP Clarification for Change Request (CR) 3267 for Change Request (CR) 3267 06/06/2005 3729 MM3729 03/08/2005
R26DEMO The Medicare Chronic Care improvement, "Medicare Health Support," Program 10/20/2005 3953 MM3953 10/28/2005
R21DEMO Full Replacement of CR 3639, Expansion of Coverage for Chiropractic Services Demonstration 04/04/2005 3758 N/A N/A
R22DEMO Assignment of Non-Payment/Denial Code specific to the Recovery Audit Contractor (RAC) Created Group Health Plan (GHP) Occurrences 10/03/2005 3770 N/A N/A
R97PI Provider Enrollment and Inpatient Rehabilitation Facility (IRF) Compliance Reviews 02/22/2005 3582 N/A N/A
R114PI Change in Statistical Sampling Instructions 05/31/2005 3734 N/A N/A
R183OTN National Modifier and Condition Code To Be Used To Identify Disaster Related Claims N/A 4106 N/A N/A
R712CP Correction to Change Request 3949, Section 50.3.3 in IOM to Add 23x Type of Bill 01/03/2005 4116 MM4116 10/19/2005
R79FM Discovery Code Indication for Recovery Audit Contractor (RAC) Non-MSP Identified Overpayments 01/03/2006 3938 N/A N/A
R685CP Discontinuation of the Skilled Nursing Facility (SNF) HCPCS Help File and Notification to Fiscal Intermediaries (FIs) and Providers of the Redesigned SNF Consolidated Billing (CB) Annual Update File Posted on CMS Web Site 12/27/2005 4044 MM4044 09/28/2005
R678CP Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Dates for All Requests for Redetermination Received by FIs on or After May 1, 2005, And All Requests for Redetermination Received by Carriers on or After January 1, 2006) N/A 3944 MM3944 11/25/2005
R663CP Update To The Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer For FY 2006 10/03/2005 3977 MM3977 09/15/2005
R33MSP Working Aged Exception for Small Employers in Multi-Employer Group Health Plans (GHPs) 05/20/2005 3768 N/A N/A
R467CP Modifications to Duplicate Editing for Dispensing/Supply Fee Codes for Oral Anti-Cancer, Oral Anti-Emetic, Immunosuppressive and Inhalation Drugs 07/05/2005 3666 MM3666 02/10/2005
R468CP Appeals Transition- BIPA Section 521 Appeals 07/05/2005 3635 N/A N/A
R694CP Update to the Healthcare Provider Taxonomy Codes (HPTC) Version 5.1 10/31/2005 4072 MM4082 10/04/2005
R690CP Fiscal Year (FY) 2006 Payment for Services Furnished in Ambulatory Surgical Centers (ASCs) 10/03/2005 4075 MM4075 10/04/2005
R689CP One Time Update To The NCPDP Companion Document Regarding Crossover Claims To Medicaid 01/03/2006 3975 N/A N/A
R28DEMO The Medicare Care Management for High Cost Beneficiaries (CMHCB) Demonstration 10/03/2005 4100 MM4100 09/28/2005
R68MCM Initial Publication of Chapter 1 - General Provisions N/A N/A N/A N/A
R661CP October Update to the 2005 Medicare Physician Fee Schedule Database 10/03/2005 4031 MM4031 09/09/2005
R454CP Definitions of Electronic and Paper Claims 04/04/2005 3653 N/A N/A
R649CP Competitive Acquisition Program for Part B Drugs - Coding, Testing, and Implementation 01/03/2006 4000 N/A N/A
R427CP Revision of Change Request 2928: Implementation of Payment Safeguards for Home Health Prospective Payment System (HH PPS) Claims Failing to Report Prior Hospitalizations 07/05/2005 3616 MM3616 01/21/2005
R428CP Update to Billing Requirements for FDG-PET Scans for Use in the Differential Diagnosis of Alzheimer's Disease (AD) and Fronto-Temporal Dementia (FTD) and Update to the FI Billing Requirements for Special Payment Procedures for ALL PET Scan Claims for Services Performed in a Critical Access Hospital (CAH) 04/04/2005 3640 MM3640 01/20/2005
R159OTN Requirements for Voided, Canceled, and Deleted Claims 10/03/2005 3627 MM3627 10/04/2005
R146OTN Appeals Transition- BIPA Section 521 App 04/25/2005 3530 MM3530 04/12/2005
R63FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 02/08/2005 3454 N/A N/A
R624CP Common Working File (CWF) Unsolicited Response Adjustments for Certain Claims Denied Due to an Open Medicare Secondary Payer (MSP) Group Health Plan (GHP) Record Where the GHP Record was Subsequently Deleted 01/03/2006 3916 N/A N/A
R566CP Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System (OPPS) 06/01/2005 3848 MM3848 06/06/2005
R29BP Telehealth Originating Site Facility Fee Payment Amount Update 03/14/2005 3713 N/A N/A
R563CP Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 11.2, Effective July 1, 2005 07/05/2005 3823 MM3823 05/26/2005
R564CP July Update to the Medicare Outpatient Code Editor (OCE) Version 20.3 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 07/05/2005 3867 MM3867 06/29/2005
R558CP July Update to the 2005 Medicare Physician Fee Schedule Database 07/05/2005 3870 MM3870 05/11/2005
R532CP Abarelix for the Treatment of Prostate Cancer 07/05/2005 3775 MM3775 07/26/2005
R510CP Update to Fiscal Year 2005 Pricer for IPPS Hospitals 04/04/2005 3784 MM3784 03/28/2005
R28MSP Working Aged Exception for Small Employers in Multi-Employer Group Health Plans (GHPs) 05/20/2005 3768 N/A N/A
R16GI Standard Terminology for Claims Processing Systems 04/04/2005 3596 N/A N/A
R22GI Provider Extract File 10/03/2005 3801 N/A N/A
R18DEMO Demonstration Project to Clarify the Definition of Homebound, the Home Health Independence Demonstration 07/05/2005 3665 N/A N/A
R9COM Additions and Corrections to Provider Inquiry and Provider Communications Program Requirements 06/06/2005 3777 N/A N/A
R99PI Program Integrity Manual Modification - Changes Waivers Approved by the Regional Office (RO) by Replacing Regional Office with Central Office (CO) 02/22/2005 3646 N/A N/A
R184OTN National Modifier and Condition Code To Be Used To Identify Disaster Related Claims N/A 4106 MM4106 10/18/2005
R680CP Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2006 10/03/2005 4037 MM4037 10/18/2005
R121PI Evidence of Medical Necesity: Wheelchair and Power Operated Vehicle (POV) Claims N/A 3952 N/A N/A
R29GI 2005 Scheduled Release for October Updates to Software Programs and Pricing/Coding Files 09/26/2005 3999 N/A N/A
R75FM New Thresholds for 2nd Demand Letter for Physicians/Suppliers 09/06/2005 3932 N/A N/A
R463CP Update to 100-04 and Therapy Code Lists 07/05/2005 3647 MM3647 02/07/2005
R171OTN Preliminary system updates in preparation for ending the Medicare contingency plan in October 2005 10/03/2005 3956 MM3956 08/08/2005
R139OTN Update to the Evaluation Plan for the CD-ROM Initiative Used in the Mailing of the 2005 Annual Participation Enrollment Material 02/15/2005 3700 N/A N/A
R70FM Revision to the Beneficiary Notification Process when Recovery is Sought from the Provider 06/27/2005 3795 N/A N/A
R36BP Pub. 100-02, Chapter 15, Sections 220 and 230 Therapy Services 06/06/2005 3648 MM3648 06/30/2005
R7P229 Cost Reporting Forms and Instructions, Form CMS-222-92 N/A N/A N/A N/A
R642CP New Waived Tests 10/03/2005 3984 MM3984 08/23/2005
R636CP Instructions for Implementation of CMS Ruling 05-01; Presbyopia-Correcting Intraocular Lens (P-C IOLs) 09/06/2005 3927 MM3927 08/08/2005
R634CP Guidelines for Payment of Vaccines (Pneumococcal Pneumonia Virus (PPV), Influenza Virus, and Hepatitis B Virus) and their Administration at Renal Dialysis Facilities (RDFs) 01/03/2006 3936 MM3936 08/04/2005
R603CP Modification to the Appeals Language on the Medicare Summary Notice; Full Replacement of Change Request 3808 10/03/2005 3924 N/A N/A
R586CP Modifications to the National Coordination of Benefits Agreement (COBA) File Transfer and Financial Reporting Processes 10/03/2005 3906 N/A N/A
R542CP Modification of Roster Billing for Mass Immunizers Billing for Inpatient Part B Services (Type of Bills 12x and 22x) 10/03/2005 3735 MM3735 05/05/2005
R524CP Clarification to the Health Professional Shortage Area Language in the Medicare Claims Processing Manual 05/16/2005 3736 MM3736 04/20/2005
R552CP Changing the Order of Medicare System Edits Affecting Hospice Claims 10/03/2005 3825 N/A N/A
R503CP April Update to the Medicare Non-OPPS Outpatient Code Editor (OCE) Specifications Version 20.2 04/04/2005 3750 MM3750 03/15/2005
R475CP 1st Update to the 2005 Medicare Physician Fee Schedule Database 04/04/2005 3726 MM3726 02/25/2005
R19GI Revisions to Chapter 5, Section 50 of Publication 100-01 in the IOM to Clarify Current Policy N/A 3698 N/A N/A
R8SOM Revision of Appendix PP - Section 483.25(d) - Urinary Incontinence, Tags F315 and F316 06/28/2005 N/A N/A N/A
R606CP Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2005 10/04/2005 3386 MM3386 07/20/2005
R435CP Enforcement of Mandatory Electronic Submission of Medicare Claims. 07/05/2005 3440 N/A N/A
R615CP Revision of Chapter 24, EDI Support Requirements 10/03/2005 3875 N/A N/A
R587CP New Location for Contractor ID Number on Medicare Summary Notices (MSNs) 07/11/2005 3895 N/A N/A
R577CP Preliminary Instructions: Expedited Determinations/Reviews for Original Medicare 07/01/2005 3903 N/A N/A
R34NCD Abarelix for the Treatment of Abarelix for the Treatment of Prostate Cancer Cancer 05/25/2005 3775 MM3775 N/A
R29MSP Assignment of Non-Payment/Denial Code specific to the Recovery Audit Contractor (RAC) Created Group Health Plan (GHP) Occurrences 10/03/2005 3770 N/A N/A
R518CP New Coding for FDG PET Scans and Billing Requirements for Specific Indications of Cervical Cancer 04/18/2005 3741 MM3741 04/20/2005
R519CP Flu/PPV Revisions N/A 3733 N/A N/A
R531CP Percutaneous Transluminal Angioplasty (PTA) 07/05/2005 3811 MM3811 12/02/2005
R478CP Clarification of the Verification Process to be Used to Determine if the Inpatient Rehabilitation Facility (IRF) Meets The IRF Classification Criteria 03/21/2005 3704 MM3704 04/20/2005
R24DEMO Instructions for Affiliated Contractors Involved in the Recovery Audit Contractor (RAC) Demonstrations 06/20/2005 3773 N/A N/A
R17GI Review of Contractor Implementation of Change Requests (Replacement for expired CR 944). 03/01/2005 2884 N/A N/A
R23GI Procedures for Modifying Shared Systems Edits and Capturing Audit Trail Data 10/03/2005 3862 N/A N/A
R19DEMO Notification to Affiliated Contractors of the establishment of Medicare Secondary Payer (MSP) Recovery Audit Contractors (RACs) and the impact to the Affiliated Contractors current MSP recovery processes 04/04/2005 3724 N/A N/A
R116PI Revise the Fiscal Intermediary Shared System (FISS) to Allow Reporting of Data for the Comprehensive Error Rate Testing (CERT) Program Resolution File at a Line Level 01/03/2006 3997 N/A N/A
R98PI Psychotherapy Notes 02/22/2005 3457 MM3457 01/25/2005
R96PI Consent Settlements 02/14/2005 3626 N/A N/A
R78FM Coordination of Benefits Agreement (COBA) Process for Contractor Financial Staff Notification 10/31/2005 4016 N/A N/A
R699CP Competitive Acquisition Program (CAP) for Part B Drugs 04/03/2006 4064 N/A N/A
R125PI Medical Review Additional Documentation Requests 12/30/2005 4022 MM4022 10/04/2005
R677CP Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Dates for FI Initial Determinations Issued on or After May 1, 2005 and Carrier Initial Determinations Issued on or After January 1, 2006) N/A 3939 MM3939 11/25/2005
R76FM Development of New Report to Capture BIPA and MMA Appeals Data 04/03/2006 3837 N/A N/A
R711CP Update to Repetitive Billing -- Manualization N/A 4047 MM4047 12/08/2005
R695CP General Appeals Process in Initial Determinations (Implementation Dates for FI Initial Determinations Issued on or After May 1, 2005, and Carrier Initial Determinations Issued on or After January 1, 2006). 01/09/2006 4019 MM4019 10/13/2005
R691CP October 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/03/2005 4035 MM4035 10/03/2005
R69MCM Revisions to Chapter 12, "Effect of Change of Ownership," and Chapter 14, "Contract Determination and Appeals N/A N/A N/A N/A
R466CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.1, Effective April 1, 2005 04/04/2005 3688 MM3688 02/10/2005
R455CP Number of Drug Pricing Files That Must Be Maintained Online for Medicare - DMERC Only 07/05/2005 3584 N/A N/A
R140OTN Revisions to January 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File 02/04/2005 3728 MM3728 02/11/2005
R6P238 Cost Reporting Forms and Instructions, Form CMS-1984-99 N/A N/A N/A N/A
R628CP Radiopharmaceutical Diagnostic Imaging Agents Codes Applicable to PET Scan Services Performed on or After January 28, 2005 10/31/2005 3945 N/A N/A
R612CP Abarelix for Treatment of Prostrate Cancer 05/25/2005 3775 MM3775 07/26/2005
R517CP List of Medicare Telehealth Services 05/02/2005 3747 MM3747 05/17/2005
R482CP Manualization of Payment Change for Diagnostic Mammography and Diagnostic Computer Aided Detection N/A 3662 N/A N/A
R553CP Expansion of State Codes for OSCAR Provider Numbers 10/03/2005 3844 N/A N/A
R501CP Bone Mass Measurements - Procedure Coding 04/11/2005 3719 N/A N/A
R20GI Medicare Authorization to Disclose Personal Health Information" form and "Information to Help You Fill Out the Medicare Authorization to Disclose Personal Health Information Form 05/31/2005 3485 N/A N/A
R17DEMO Demonstration Project for Medical Adult Day-Care Services 07/05/2005 3660 MM3660 02/04/2005
R9SOM Revision of Appendix P and certain Exhibits of the State Operations Manual 08/05/2005 N/A N/A N/A
R106PI Inclusion of Interventional Pain Management Specialists on Carrier Advisory Committee (CAC) Membership 04/04/2005 3721 N/A N/A
R761CP Competitive Acquisition Program (CAP) for Part B Drugs. This CR rescinds and fully replaces CR 4000 07/03/2006 4173 N/A N/A
R764CP Update to the Prospective Payment System (PPS) for Home Health Agencies for Calendar Year (CY) 2006 01/03/2006 4186 MM4186 12/02/2005
R763CP Update to Repetitive Billing -- Manualization N/A 4047 N/A N/A
R758CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2006 01/03/2006 4161 MM4161 11/23/2005
R765CP Instructions for Downloading the Medicare Zip Code File 04/03/2006 4180 N/A N/A
R759CP Therapy Caps to be Effective January 1, 2006 01/03/2006 4115 MM4115 12/08/2005
R6SS Business Partners Systems Security Manual (BPSSM) 01/09/2006 4111 N/A N/A
R762CP Ambulance Inflation Factor for CY 2006 01/03/2006 4061 MM4061 12/02/2005
R777CP Competitive Acquisition Program (CAP) for Part B Drugs 07/03/2006 4064 MM4064 02/10/2006
R769CP Surrogate UPINs Reported on IDTF Claims 01/03/2006 4096 MM4096 12/28/2005
R44NCD Lung Volume Reduction Surgery 03/02/2006 4149 N/A N/A
R15COM Provider Customer Service Program 12/19/2005 4137 N/A N/A
R755CP CWF Updates for Carrying National Provider Identifier (NPI) 04/03/2006 4175 N/A N/A
R131PI Medical Review Matching of Electronic Claims and Additional Documentation in the Medical Review Proces 02/10/2006 4052 MM4052 11/25/2005
R132PI New Process for Web Maintenance of Provider Enrollment Contractor Contact Information 12/19/2005 4141 N/A N/A
R42MSP Updates to MSP Accounts Receivable (AR) Write Off Procedures 11/28/2005 4027 N/A N/A
R130PI Correction/Clarification of Chapter 11 Medicare Auditors. 12/12/2005 4020 N/A N/A
R83FM Revised Instructions on Contractor Procedures for Provider Audit, and Clarification of CET Requirements for Medicare Auditors. 12/05/2005 4060 N/A N/A
R82FM Expansion of Form 5 of the Contractor Reporting of Operational and Workload Data (CROWD) Report 04/03/2006 3864 N/A N/A
R40BP Skilled Nursing Facility Prospective Payment System 02/16/2006 4079 MM4079 02/10/2006
R752CP Eliminate the Use of Surrogate UPINs OTH000) on Medicare Claims 04/03/2006 4177 MM4177 12/02/2005
R77MCM Changes in MCM Chapter 17, Subchapter F - Benefits and Beneficiary Protections N/A N/A N/A N/A
R32GI Scheduled Release for January 2006 Software Programs and Pricing/Coding Files 12/19/2005 4179 N/A N/A
R86FM Development of New Report to Capture BIPA and MMA Appeals Data. 07/03/2006 4148 N/A N/A
R43MSP Expanding the Voluntary Data Sharing Agreement (VDSA) Coordination of Benefit (COB) Contractor Numbers for the Common Working File (CWF). 04/03/2006 3826 N/A N/A
R128PI Evidence of Medical Necessity: Wheelchair and Power Operated Vehicle (POV) Claims N/A 3952 MM3952 11/03/2005
R4P233 Organ Procurement Organization and Tissue Typing Laboratory Cost Report N/A N/A N/A N/A
R774CP Implementation of Changes in End Stage Renal Disease (ESRD) Payment for Calendar Year 2006 01/03/2006 4196 MM4196 01/19/2006
SE0509 Fact Sheet Available on "Inpatient Rehabilitation Facility Classification Requirements" N/A N/A SE0509 01/25/2005
R423CP January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes 01/14/2005 3632 MM3632 01/12/2005
R767CP SNF PPS Revisions to IOM 100-4--Manualization 01/03/2006 4080 MM4164 11/28/2005
R780CP Common Working File (CWF) Database Extract into Next Generation Desktop (NGD) Data Mart 04/03/2006 4207 N/A N/A
R45MSP Interest on MSP Debts 01/17/2006 4125 N/A N/A
R107PI Updated Chapter 1 to Reflect Changes in Program Requirements 05/09/2005 3754 N/A N/A
R170OTN Updates to the Coordination of Benefits Agreement Insurance File (COIF) For Use in the National Claims Crossover Program 01/03/2006 3976 N/A N/A
R174OTN Fiscal Intermediary Shared System (FISS) Modification 01/03/2006 3970 MM3970 01/12/2006
R782CP Consultation Services (Codes 99241 - 99255) 01/17/2006 4215 MM4215 01/06/2006
R754CP Supplying Fee and Inhalation Drug Dispensing Fee Revisions and Clarifications 01/03/2006 3990 MM3990 12/08/2005
R722CP 2006 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments 01/03/2006 4113 MM4113 10/26/2005
R768CP Lung Volume Reduction Surgery 03/02/2006 4149 MM4149 12/22/2005
R766CP Stem Cell Transplantation 01/03/2006 4173 MM4173 12/21/2005
R710CP Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 01/03/2006 4114 MM4114 12/22/2005
R775CP Home Care and Domiciliary Care Visits Codes 99324 - 99350) 01/03/2006 4212 MM4212 12/22/2005
SE0587 Multiple Procedure Reduction of the Technical Component (TC) of Certain Diagnostic Imaging Procedures 01/03/2006 N/A SE0587 12/22/2005
R18NCD Islet Cell Transplantation 10/04/2004 3385 N/A N/A
R770CP Fee Schedule Update for 2006 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 01/03/2006 4194 MM4194 12/21/2005
R787CP January 2006 Update of the Hospital Outpatient Prospective Payment System (OPPS) Manual Instruction: Changes to Coding and Payment for Observation 01/03/2006 4259 MM4259 01/20/2006
R785CP January 2006 Update of the Hospital Outpatient Prospective Payment System (OPPS) Manual Instruction: Changes to Coding and Payment for Drug Administration -- MANUALIZATION 01/03/2006 4258 N/A N/A
R784CP January 2006 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 7.0 01/03/2006 4238 MM4238 01/23/2006
R788CP Consultation Services (Codes 99241 - 99255) 01/03/2006 4215 MM4215 01/05/2006
R786CP January 2006 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes, OPPS PRICER Logic Changes, and Instructions for Updating the Outpatient Provider Specific File (OPSF 01/03/2006 4250 N/A N/A
R42BP January 2006 Update of the Hospital Outpatient Prospective Payment System (OPPS) Manual Instruction: Changes to Coding and Payment for Observation 01/03/2006 4259 N/A N/A
R46MSP Updates to the Electronic Correspondence Referral System (ECRS) User Guide v9.0 and Quick Reference Card v9.0 01/03/2006 4162 N/A N/A
R789CP Ambulance Fee Schedule - Medical Conditions List: Manualization 03/27/2006 4221 N/A N/A
R792CP Nursing Facility Services (Codes 99304 - 99318) 01/23/2006 4246 N/A N/A
R429PR1 PRM, Provider Reimbursement Manual - Part 1, Rev. 429 Section 2231, Regional Swing Bed Rates N/A N/A N/A N/A
R35DEMO Physician's Voluntary Reporting Program (PVRP) 01/03/2006 4183 MM4183 11/02/2005
R772CP Fiscal Intermediary Shared System (FISS) Edit Updates for Epoetin Alfa and Darbepoetin Alfa HCPCS Changes Effective January 1, 2006 01/03/2006 4206 MM4206 12/22/2005
R779CP New Waived Tests 01/03/2006 4136 MM4136 12/22/2005
r34demo 2006 Oncology Demonstration Project 01/17/2006 4219 N/A N/A
R781CP Revised Manual Instructions for Processing End Stage Renal Disease (ESRD) Exceptions Under the Composite Rate Reimbursement System 01/17/2006 4188 MM4188 01/19/2006
SE0588 Documentation and Coding Guidelines for Medicare's 2006 Oncology Demonstration N/A 4219 SE0588 12/29/2005
SE0589 2006 Oncology Demonstration Project 01/03/2006 N/A SE0589 12/29/2005
R783CP January 2006 Non-Outpatient Prospective Payment System Outpatient Code Editor (Non-OPPS OCE) Specifications Version 21.1 01/03/2006 4236 MM4236 12/22/2005
R795CP Redefined Type of Bill (TOB) 14X for Non-Patient Laboratory Specimens-CR 3835 Manualization 04/03/2006 4208 N/A N/A
R794cp Announcement of Medicare Supplemental Payments to Federally Qualified Health Centers (FQHCs) Under Contract with Medicare Advantage (MA) Plans 04/03/2006 3886 MM3886 01/11/2006
R8P234 Renal Dialysis Facility for Cost Reporting Form CMS-265-94 N/A N/A N/A N/A
R199OTN New Medicare Summary Notice (MSN) Message Used for the Physician's Voluntary Reporting Program (PVRP) N/A 4230 N/A N/A
R800CP Clinical Diagnostic Laboratory Date of Service (DOS) for Archived Specimens 04/03/2006 4156 MM4156 01/05/2006
R798CP Emergency Update to the 2006 Medicare Physician Fee Schedule Database 01/03/2006 4268 MM4268 01/06/2006
R87FM Update to Carrier Demand Letter Appeals Language 01/03/2006 4211 N/A N/A
R802CP.pdf Termination of the Medicare HIPAA Incoming Claim Contingency Plan, Addition of a Self-Assessable Unusual Circumstance, Modification of the OTAF Exception, and Modification of ASCA Exhibit Letters A, B and C 04/03/2006 4119 MM4119 01/04/2006
R33GI Change Management Process -- Electronic Change Information Management Portal (eChimp) 01/03/2006 4092 N/A N/A
R804CP January 2006 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes, OPPS PRICER Logic Changes, and Instructions for Updating the Outpatient Provider Specific File (OPSF) 01/03/2006 4250 MM4250 01/25/2006
R803CP Administration of Drugs and Biologicals in a Method II Critical Access Hospital (CAH) - RESCINDS AND REPLACES Change Request (CR) 3911 04/03/2006 4234 MM4234 01/18/2006
R791CP Revision to Chapter 31 - Addition of Hospice Data HIPAA 270/271 Eligibility 01/23/2006 4193 MM4193 01/04/2006
R796CP Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increase 04/03/2006 4232 MM4232 01/04/2006
R25DEMO Low Vision Rehabilitation Demonstration 10/03/2005 3816 MM3816 01/04/2006
R799CP Reminder Notice of the Implementation of Ambulance Transition Schedule 01/03/2006 4217 MM4217 01/04/2006
R793CP Revision to Chapter 31 - Addition of Hospice Data HIPAA 270/271 Eligibility 01/23/2006 4193 MM4193 01/04/2006
R736CP Clarification and Update to Hospital Billing Instructions and Payment for Epoetin Alfa (EPO) and Darbepoetin Alfa (Aranesp) for Beneficiaries with End Stage Renal Disease (ESRD) 04/03/2006 4103 MM4103 11/02/2005
R23DEMO Low Vision Rehabilitation Demonstration 10/03/2005 3816 MM3816 06/21/2005
R39BP Auditory Osseointegrated and Auditory Brainstem Devices 12/12/2005 4038 MM4038 11/18/2005
R763CP Update to Repetitive Billing -- Manualization N/A 4047 N/A N/A
R790CP List of Medicare Telehealth Services 04/03/2006 4204 MM4204 01/12/2006
R43BP List of Medicare Telehealth Services 04/03/2006 4204 MM4204 01/12/2006
R776CP Stem Cell Transplantation 01/03/2006 4173 MM4173 12/21/2005
R45NCD Stem Cell Transplantation 01/03/2006 4173 MM4173 12/21/2005
R801CP Instructions for Reporting New HCPCS Code V2788 for Presbyopia-Correcting Intraocular Lenses (P-C IOLs) 01/03/2006 4184 MM4184 01/12/2006
R9P234 Renal Dialysis Facility for Cost Reporting Form CMS-265-94 N/A N/A N/A N/A
R797CP Full Replacement of CR 4095, Diagnosis Code Requirements for Method II Home Dialysis Claims. CR 4095 is Rescinded. 01/30/2006 4227 N/A N/A
R15SOMA Medical Director Guidance 11/25/2005 N/A N/A N/A
R84FM Revised Instructions on Contractor Procedures for Provider Audit, and Clarification of CET Requirements for Medicare Auditors. 12/05/2005 4060 N/A N/A
R85FM Expansion of Form 5 of the Contractor Reporting of Operational and Workload Data (CROWD) 04/03/2006 3864 N/A N/A
R12SOM SOM Appendix PP - Guidance to Surveyors for Long Term Care Facilities N/A N/A N/A N/A
R509CP Number of Drug Pricing Files That Must Be Maintained Online for Medicare - DMERC Only 07/05/2005 3584 MM3584 03/28/2005
R133PI Enrolling Indian Health Service (IHS) Facilities as Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers 04/03/2006 3845 MM3845 11/23/2005
R739CP Erroneous Guidance - Basis to Waive Penalty 01/19/2006 3898 MM3898 11/08/2005
R426CP Modification to Reporting of Diagnosis Codes for Screening Mammography Claims 07/05/2005 3562 MM3562 10/13/2005
R705CP Modification to Reporting of Diagnosis Codes for Screening Mammography Claims 07/05/2005 3562 N/A N/A
R134PI Change in Provider Enrollment Timeliness Standards 03/01/2006 4213 N/A N/A
R13COM Provider Contact Centers Training Program 09/01/2005 3951 N/A N/A
R14COM Provider Inquiry Reporting Standardization N/A 4048 N/A N/A
R730CP Calendar Year (CY) 2006 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures 11/09/2005 4051 MM4051 08/11/2005
R573CP Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System (OPPS) 06/01/2005 3848 MM3848 06/06/2005
SE0528 CMS Announces the National Provider Identifier (NPI) Enumerator Contractor and Information on Obtaining NPIs N/A N/A SE0528 05/12/2005
SE0555 Medicare's Implementation of the National Provider Identifier (NPI): The Second in the Series of Special Edition Medlearn Matters Articles on NPI- Related Activities N/A N/A SE0555 10/03/2005
R669CP Schedule for Completing the Calendar Year 2006 Fee Updates and the Participating Physician Enrollment Procedures. 09/02/2005 4013 N/A N/A
SE0529 Importance of Supplying Correct Provider Identification Information Required in Items 17, 17a, 24K, and 33 of the Form CMS-1500, and the Electronic Equivalent N/A N/A SE0529 04/12/2005
R190OTN Stage 2 Requirements for Use and Editing of National Provider Identifier (NPI) Numbers Received in Electronic Data Interchange (EDI) Transactions, via Direct Data Entry (DDE) Screens, or Paper Claim Forms 04/03/2006 4023 MM4023 11/29/2005
R724CP Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Dates for FI Initial Determinations Issued on or After May 1, 2005 and Carrier Initial Determinations Issued on or After January 1, 2006). 01/01/2006 3939 MM3939 11/25/2005
R688CP Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Dates for All Requests for Redetermination Received by FIs on or After May 1, 2005, And All Requests for Redetermination Received by Carriers on or After January 1, 2006) N/A 3944 MM3944 11/25/2005
R655CP Update To The Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer For FY 2006 10/03/2005 3977 N/A N/A
R562CP Smoking and Tobacco-Use Cessation Counseling 07/05/2005 3834 MM3834 07/20/2005
R36NCD Smoking and Tobacco-Use Cessation Counseling 07/05/2005 3834 MM3834 07/20/2005
R474CP Coordination of Benefits Agreement (COBA) Detailed Error Report Notification Process 07/05/2005 3709 MM3709 02/24/2005
R614CP Medicare Physician Fee Schedule Database (MPFSDB) 2006 File Layout 01/03/2006 3889 N/A N/A