Skip to Main Content

Transmittals

2013 Transmittals

Centers for Medicare & Medicaid Services uses transmittals to communicate new or changed policies or procedures that will be incorporated into the CMS Online Manual System. The cover or transmittal page summarizes and specifies the changes.

Transmittal # Issue Date Subject Implementation Date CR # MM Article # MM Article Release Date
R1163OTN 2013-01-18 Medicare Remit Easy Print (MREP) Enhancement N/A 8149 MM8149 2013-01-24
R2627CP 2013-01-04 Fiscal Year (FY) 2013 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS Changes 2012-10-01 8041 MM8041 2012-09-05
R2628CP 2013-01-07 Transcatheter Aortic Valve Replacement (TAVR) Coding Update/Policy Clarification N/A 8168 MM8168 2013-01-11
R2629CP 2013-01-04 Updating the VMAP/4D Table with B5 Ocularist Specialty Code 2013-02-05 8123
R2630CP 2013-01-09 Calendar Year (CY) 2013 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 2013-01-07 8132 MM8132 2012-12-03
R2632CP 2013-01-11 CY 2013 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2013-01-07 8133 MM8133 2012-12-10
R2634CP 2013-01-11 Internet Only Manual (IOM) Update to Payment for Medical or Surgical Services Furnished by CRNAs. This CR rescinds and fully replaces CR 8027. 2013-02-12 8180
R2633CP 2013-01-11 Common Edits and Enhancements Modules (CEM) Code Set Update 2013-04-01 8159
R110MCM 2013-01-11 Compliance Guidelines Program 2013-01-11 N/A
R217FM 2013-01-11 Notice of New Interest Rate for Medicare Overpayments and Underpayments -2nd qtr Notfication for FY 2013 2013-01-17 8201
R2635CP 2013-01-11 Emergency Update to the CY 2013 Medicare Physician Fee Schedule Database (MPFSDB) N/A 8143
SE1301 N/A Hospice Quality Data Reporting Reminders N/A N/A SE1301 2013-01-17
R2636CP 2013-01-16 National Correct Coding Initiative (NCCI) Add-On Codes Replacement of Identical Letter, Dated December 19, 1996 with Subject Line, Correct Coding Initiative Add-On (ZZZ) Codes - ACTION 2013-04-01 7501
R2638CP 2013-01-18 Manual Updates of Clarify IRF Claims Processing 2013-04-22 8127 MM8127 2013-01-22
R447PI 2013-01-18 Medical Review Timeliness Requirements 2013-02-19 8131
R2631CP 2013-01-09 Summary of Policies in the CY 2013 Medicare Physician Fee Schedule (MPFS)Final Rule and the Telehealth Original Site Facility Fee Payment Amount 2013-01-07 8191 MM8191 2013-01-22
R1164OTN 2013-01-18 Implementation of New and Revised Medicare Summary Notice (MSN) Messages and Discontinuation of Obsolete MSN Messages 2013-02-18 8106
R1165OTN 2013-01-18 International Classification of Diseases (ICD)-10 Conversion from ICD-9 and Related Code Infrastructure of the Medicare Shared Systems as They Relate to CMS National Coverage Determinations (NCDs) 2013-04-01 8109 MM8109 2013-01-22
R2641CP 2013-01-29 Bariatric Surgery for the Treatment of Morbid Obesity National Coverage Determination, Addition of Laparoscopic Sleeve Gastrectomy (LSG) 2013-02-28 8028 MM8028 2012-11-15
R150NCD 2013-01-29 Bariatric Surgery for the Treatment of Morbid Obesity National Coverage Determination, Addition of Laparoscopic Sleeve Gastrectomy (LSG) 2013-02-28 8028 MM8028 2012-11-15
R2639CP 2013-01-25 Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA)Edits 2013-04-01 8162 MM8162 2013-02-06
R2648CP 2013-02-01 Adjustment to fiscal Intermediary Shared system (FISS) Consistency Edit to Validate Attention Physician NPI 2013-07-01 8171 MM8171 2013-02-06
R90MSP 2013-02-01 Inpatient Hospital Claims and Medicare Secondary Payer (MSP) Claims with Medicare Coinsurance Days and/or Medicare Lifetime Reserve Days Occurring in the Third or More Calendar Years 2013-07-01 8130
R1176OTN 2013-02-01 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2013 2013-07-01 8177
R2650CP 2013-02-01 Data Reporting on Home Health Prospective Payment System (HH PPS) Claims 2013-07-01 8136 MM8136 2013-02-06
R1171OTN 2013-01-31 Instructions to Contractors for Implementing Section 5506 of the Affordable Care Act (ACA)-Preservation of Resident Cap Positions from Closed Teaching Hospitals - Round 1 and Round 2 Only 2013-03-04 7746
R448PI 2013-01-31 Deletion of MR Operations mailbox 2013-03-04 8187
R1167OTN 2013-01-31 Correction to Common Working File (CWF) A/B Crossover Edit 7272 for Transfer to Home for Home Health Services 2013-07-01 8139
R1169OTN 2013-01-31 Modification of Payment Window Edit in the Common Working File (CWF) to Modify Diagnostic Service List 2013-07-01 8046 MM8046 2013-02-06
R2642CP 2013-01-31 Hospice Monthly Billing Requirement 2013-07-01 8142 MM8142 2013-02-06
R215FM 2013-01-31 Update MCS HVSRPARC - Participating Physicians/Suppliers Report - Group Codes 2013-07-01 8104
R166BP 2013-01-31 Reorganization of Chapter 13 2013-03-01 7824 MM7824 2013-03-01
R1170OTN 2013-01-31 Common Working File (CWF) Informational Unsolicited Response (IUR) or Reject for place of service billed by physician office and either ambulatory surgical center or inpatient hospital, for the same beneficiary, same date of service, and same procedure, based on sequence received of the Part B claim. 2013-07-01 7892 MM7892 2013-02-06
R2643CP 2013-01-31 Streamlining the Process for Updating the Abstract Files Used to Price Institutional Claims 2013-07-01 8128
R1173OTN 2013-02-01 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program: Correction to the Medicare Summary Notice Message for PEN Items Furnished to Traveling Beneficiaries 2013-07-01 8189
R2651CP 2013-02-01 Emergency Update to the CY 2013 Medicare Physician Fee Schedule Database (MPFSDB) N/A 8143 MM8143 2013-02-06
R87DEMO 2013-02-04 Implementation Support and Payment Processing for the Multi-payer Advanced Primary Care Practice (MAPCP) Demonstration- Processing of Shared Savings Payments for Practices in Pennsylvania 2013-07-01 8167
R1174OTN 2013-02-01 Changes to the Laboratory National Coverage Determination (NCD) Software for ICD-10 2013-07-01 8202
R167BP 2013-02-06 Expansion of Medicare Telehealth Services for CY 2013 2013-01-25 7900 MM7900 2012-12-10
R2652CP 2013-02-06 Expansion of Medicare Telehealth Services for CY 2013 2013-01-25 7900 MM7900 2012-12-10
R2653CP 2013-02-06 Summary of Policies in the CY 2013 Medicare Physician Fee Schedule (MPFS) Final Rule and the Telehealth Originating Site Facility Fee Payment Amount 2013-01-25 8191 MM8191 2013-01-22
R2656CP 2013-02-07 Update To Publication 100-04, Claims Processing Instructions For Chapter 12, Non-Physician Practitioners (NPPs) 2013-02-19 8010 MM8010 2012-12-18
R1186OTN 2013-02-08 FISS Prepayment Review Report 2013-07-01 8175
R1183OTN 2013-02-08 Revision to CWF and VMS: Reject or Informational Unsolicited Response (IUR) Edit for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Provided During an Inpatient Stay 2013-07-01 8172 MM8172 2013-02-13
R1184OTN 2013-02-08 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) National Competitive Bidding (NCB): Using the “KY” modifier to bill for accessories for non-CB wheelchair base units 2013-07-01 8181 MM8181 2013-02-22
R2654CP 2013-02-08 Updates to Claims Processing Instructions Regarding Religious Nonmedical Health Care Institutions (RNHCI) 2013-05-09 8186 MM8186 2013-02-13
R1187OTN 2013-02-08 Standardizing the standard – Operating Rules for code usage in Remittance Advice N/A 8182 MM8182 2013-02-13
R151NCD 2013-02-08 Change of Address for Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting Facility approval and Recertification Letter Submission 2013-03-11 8199 MM8199 2013-02-14
R1182OTN 2013-02-08 Incentive Payment Related to Prior authorization for Power Mobility Devices (PMD) 2013-07-01 8056 MM8056 2013-02-14
R2657CP 2013-02-12 Expansion of Medicare Telehealth Services for CY 2013 2013-01-25 7900 MM7900 2012-12-10
R2637CP 2013-01-18 2013 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List 2013-02-19 8164 MM8164 2013-01-30
R450PI 2013-02-15 Update to Chapter 15 of the Program Integrity Manual (PIM) 2013-03-18 8155 MM8155 2013-02-22
R1192OTN 2013-02-15 The Inclusion of Veterans Administration (VA) Skilled Nursing Facility (SNF) claims to the VA Medicare Remittance Advice (eMRA) Process- Implementation 2013-07-01 8089 MM8089 2013-02-22
R1190OTN 2013-02-15 Recovery of Annual Wellness Visit (AWV) Overpayment 2013-07-01 8153 MM8153 2013-02-22
R2659CP 2013-02-15 Instructions for Downloading the Medicare ZIP Code File for July 2013 2013-07-01 8163
R1189OTN 2013-02-15 Bundled Payment for Care Improvement Model 4 – HI and SMI Payment Attribution and Outlier Payments 2013-07-01 8196
R1191OTN 2013-02-15 CD-10 CR--Updates to National Coverage Determination/Local Coverage Determination (NCD/LCD) Processing in the VMS Shared System 2013-10-07 8207 MM8207 2013-02-22
R2660CP 2013-02-15 Healthcare Provider Taxonomy Codes (HPTC) Update, April 2013 N/A 8211 MM8211 2013-02-22
R1193OTN 2013-02-15 Standardizing the Standard - Phase I N/A 7910
R1194OTN 2013-02-22 Multiple Procedure Payment Reduction (MPPR) for Selected theraph Services 2013-04-01 8206 MM8206 2013-02-25
R2261CP 2013-02-22 April Quarterly Update for 2013 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 2013-04-01 8204
R2661CP 2013-02-22 April Quarterly Update for 2013 Durable Medical Equipment, Prostetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 2013-04-01 8204 MM8204 2013-02-25
SE1305 N/A Full Implementation of Edits on the Ordering/Referring Providers in Medicare Part B, DME, and Part A Home Health Agency (HHA) Claims (Change Requests 6417, 6421, 6696, and 6856) N/A N/A SE1305 2013-03-01
R2663CP 2013-03-01 April Update to the CY 2013 Medicare Physician Fee Schedule Database (MPFSDB) 2013-04-01 8169 MM8169 2013-03-05
R2662CP 2013-03-01 April 2013 Update of the Ambulatory Surgical Center (ASC) Payment System 2013-04-01 8237 MM8237 2013-03-05
R451PI 2013-03-01 Minor Changes to Chapter 1 of the Program Integrity Manual 2013-04-01 8205
R1195OTN 2013-03-01 Inpatient Prospective Payment System (IPPS) Hospital Extensions per the American Taxpayer Relief Act of 2012 2013-04-01 8214 MM8214 2013-03-05
R169BP 2013-03-01 April 2013 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2013-04-01 8228 MM8228 2013-03-05
R2664CP 2013-03-01 April 2013 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2013-04-01 8228 MM8228 2013-03-05
R456PR1 2013-03-08 Provider Reimbursement Manual Part 1 - Chapter 8, Purchase Discounts; Allowances; Refunds of Expenses N/A N/A
R2668CP 2013-03-08 Internet Only Manual (IOM) Update to Payment for Medical or Surgical Services Furnished by CRNAs. This CR rescinds and fully replaces CR 8027. 2013-02-12 8180
R152NCD 2013-03-08 Autologous Platelet-Rich Plasma (PRP) for Chronic Non-Healing Wounds 2013-07-01 8213 MM8213 2013-03-13
R2666CP 2013-03-08 Autologous Platelet-Rich Plasma (PRP) for Chronic Non-Healing Wounds 2013-07-01 8213 MM8213 2013-03-13
R2667CP 2013-03-08 April 2013 Integrated Outpatient Code Editor (I/OCE) Specifications Version 14.1 2013-04-01 8242 MM8242 2013-03-12
R1196OTN 2013-03-08 Outpatient Therapy Functional Reporting Non-Compliance Alerts 2013-04-01 8166 MM8166 2013-03-19
R2669CP 2013-03-11 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 19.1, Effective April 1, 2013 2013-04-01 8147 MM8147 2012-12-11
R453PI 2013-03-13 Progress Notes and Forms 2012-12-10 8033
R2670CP 2013-03-14 Modification to CWF, FISS, MCS and VMS to Return Submitted Information when there is a CWF Name and HIC Number Mismatch. N/A 7260 MM7260 2012-05-02
R454PI 2013-03-14 Minor Changes to Chapter 1 of the Program Integrity Manual 2013-04-01 8205
SE1306 N/A Update on the Medicare Hospice Quality Reporting Program (HQRP) N/A N/A SE1306 2013-03-14
R2674CP 2013-03-14 Changes to Contractor Designation in Processing Foreign, Emergency and Shipboard Claims 2013-01-29 8103
R2671CP 2013-03-15 New Waived Test 2013-07-01 8212 MM8212 2013-03-19
R1197OTN 2013-03-15 Implementation of the Award for Jurisdiction 6 Part A/ Part B Medicare Administrative Contractor (J6 A/B MAC) 2013-07-01 8227
R2672CP 2013-03-15 Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 2013-07-01 8246 MM8246 2013-03-19
R2673CP 2013-03-14 Manual Updates to Clarify IRF Claims Processing 2013-04-22 8127 MM8127 2013-01-22
R1199OTN 2013-03-15 International Classification of Diseases (ICD)-10 Conversion from ICD-9 and Related Code Infrastructure of the Medicare Shared Systems as They Relate to CMS National Coverage Determinations (NCDs) N/A 8197 MM8197 2013-03-22
R83SOM 2013-03-15 Revisions to Appendix E and Chapter 2 sections 2290-2308 of the State Operations Manual (SOM) 2013-03-15 N/A
R455PI 2013-03-15 Progress Notes and Forms 2013-03-21 8033
R2675CP 2013-03-15 Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens 2013-06-17 8203 MM8203 2013-03-19
R2676CP 2013-03-15 July 2013 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2013-07-01 8247 MM8247 2013-03-19
R1200OTN 2013-03-21 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2010 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs) 2012-12-03 8078 MM8078 2012-11-07
R1202OTN 2013-03-22 Transition to New Centers for Medicare and Medicaid Services (CMS) Identity Mark N/A 8113
R456PI 2013-03-22 Model Letter Revisions 2013-04-22 8117
R1203OTN 2013-03-22 CMS Administrator’s Ruling: Part A to B Rebilling of Denied Hospital Inpatient Claims 2013-07-01 8185 MM8185 2013-03-25
R1201OTN 2013-03-22 Implementation of the Award for Jurisdiction E Part A/Part B Medicare Administrative Contractor (JE A/B MAC) 2013-07-01 8226
R11QR1 2013-03-26 Medicare Quality Reporting Incentive Programs Manual Update 2012-06-25 7727 MM7727 2012-03-28
R2677CP 2013-03-26 April Update to the CY 2013 Medicare Physician Fee Schedule Database (MPFSDB) 2013-04-01 8169 MM8169 2013-03-05
R2678CP 2013-03-29 Clarification of Detection of Duplicate Claims Section of the CMS Internet Only Manual 2013-04-29 8121 MM8121 2013-04-02
R2679CP 2013-03-29 Revised and Clarified Place of Service (POS) Coding Instructions 2013-04-01 7631 MM7631 2012-12-18
SE1308 N/A Physician Delegation of Tasks in Skilled Nursing Facilities (SNFs) and Nursing Facilities (NFs) N/A N/A SE1308 2013-04-02
R2680CP 2013-04-02 Data Reporting on Home Health Prospective Payment System (HH PPS) Claims 2013-07-01 8136 MM8136 2013-02-13
R457PI 2013-04-02 Model Letter Revisions 2013-04-22 8117
R2683CP 2013-04-05 Non–systems Internet Only Manual (IOM) Changes 2013-06-05 8220
R2684CP 2013-04-05 Common Edits and Enhancements Modules (CEM) Code Set Update 2013-07-01 8264
R2681CP 2013-04-05 Claims Status Category and Claim Status Codes Update 2013-07-01 8265
R2682CP 2013-04-05 Quarterly Update for the Durable Medical Equipment Prosthetics , Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) – July 2013 2013-07-01 8232