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2008 MLN Matters Articles

The Medicare Learning Network

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Transmittal # Issue Date Subject Impl Date CR # MM Article # MM Article Release Date
R1550CP 07/18/2008 Clarifications to Audiology Update Transmittal 1470, Change Request 5717 08/19/2008 6061 MM6061 07/21/2008
R1571CP 08/07/2008 Transition of Responsibility for Medical Review From Quality Improvement Organizations (OIOs) 08/15/2008 5849 MM5849 08/11/2008
R1564CP 07/25/2008 New Hemophilia Clotting Factor and HCPCS Code 01/05/2009 6006 MM6006 07/28/2008
R1565CP 07/25/2008 Clarification on the Correct Condition Code to Report on Provider Adjustment Requests to Indicate a Health Insurance Prospective Payment System (HIPPS) Code Change 01/05/2009 6002 MM6002 07/28/2008
R85BP 02/29/2008 Psychological and Neuropsychological Tests 12/28/2006 5204 MM5204 02/25/2008
R1470CP 02/29/2008 Update to Audiology Policies 04/07/2008 5717 MM5717 03/04/2008
R90NCD 07/25/2008 Prothrombin Time (PT/INR) Monitoring for Home Anticoagulation Management 08/25/2008 6138 MM6138 07/29/2008
R1582CP 08/29/2008 2009 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments 01/05/2009 6150 MM6150 09/03/2008
R93NCD 08/29/2008 Artificial Hearts 10/06/2008 6185 MM6185 09/04/2008
SE0833 N/A Medicare Part B Drug Competitive Acquisition Program (CAP) Postponed for 2009 N/A N/A SE0833 09/18/2008
R94BP 08/29/2008 Physician Signature Requirements for Diagnostic Tests 09/30/2008 6100 MM6100 09/03/2008
R1590CP 09/08/2008 October 2008 Integrated Outpatient Code Editor (I/OCE) Specifications Version 9.3 10/06/2008 6186 MM6186 09/11/2008
R1588CP 09/05/2008 Beneficiary Submitted Claims 08/18/2008 5683 MM5683 07/29/2008
R1510CP 05/20/2008 Revision to the Inpatient Prospective Payment System (IPPS) Post Acute Transfer Policy for Discharges/Transfers to Home Under Care of an Organized Home Health Service Organization in Anticipation of Covered Skilled Care 10/06/2008 6012 N/A N/A
R1595CP 09/12/2008 October 2008 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 10/06/2008 6175 MM6175 09/15/2008
R141FM 09/12/2008 Limitation on Recoupment (935) for Providers, Physicians, and Suppliers Overpayments 09/29/2008 6183 MM6183 09/15/2008
R1592CP 09/10/2008 Artificial Hearts 12/01/2008 6185 MM6185 09/04/2008
R1535CP 06/13/2008 July 2008 Quarterly Update for the DMEPOS Competitive Bidding Program 07/07/2008 6101 MM6101 06/16/2008
R269PI 09/19/2008 Incorporation of Recent Regulatory Revisions into Chapter 10 of the Program Integrity Manual 10/20/2008 6178 MM6178 09/23/2008
R1598CP 09/19/2008 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 14.3, Effective October 1, 2008 10/06/2008 6169 MM6169 09/23/2008
R1600CP 09/19/2008 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2009 10/06/2008 6193 MM6193 09/23/2008
R1599CP 09/19/2008 October 2008 Update of the Hospital Outpatient Prospective Payment System (OPPS 10/06/2008 6196 MM6196 09/23/2008
R1493CP 04/18/2008 Establish Pre-Payment Auto-denial Edit in Applicable States for DMEPOS Suppliers of Oxygen and Oxygen Equipment (DME MACs Only). 04/07/2008 5929 MM5929 04/21/2008
R1572CP 08/08/2008 New Requirement for Ordering/Referring Information on Ambulatory Surgical Center (ASC) Claims for Diagnostic Services 01/05/2009 6129 MM6129 08/11/2008
R1492CP 04/18/2008 New HCPCS Codes for April 2008 Update 04/07/2008 5981 MM5981 04/21/2008
R1413CP 01/14/2008 Erythropoiesis Stimulating Agents (ESAs) in Cancer and Related Neoplastic Conditions 04/07/2008 5818 MM5818 02/19/2008
R22COM 08/08/2008 Implementation of New Provider Authentication Requirements for Medicare Contractor Provider Telephone and Written Inquiries 01/05/2009 6139 MM6139 08/12/2008
R138FM 04/11/2008 Notice of New Interest Rate for Medicare Overpayments and Underpayments-3rd Notification for FY 2008 04/18/2008 5752 N/A N/A
R1491CP 04/11/2008 New Process for Accessing MSN Messages and MSN Message File 05/12/2008 5964 N/A N/A
R252PI 04/11/2008 Flagging Health Insurance Claim Numbers (HICN) in the Medicare Carrier System (MCS) for Pre-Payment Review/Audit 07/07/2008 5644 N/A N/A
R1591CP 09/09/2008 ZIP Code Files by Date of Service N/A 5881 N/A N/A
R1596CP 09/12/2008 Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes 01/05/2009 6197 N/A N/A
R1488CP 04/09/2008 April 2008 Update to the ASC Payment System; Summary of Payment Policy Changes 04/07/2008 5994 N/A N/A
R82NCD 04/18/2008 Removal of VIPS Medicare System (VMS) and Common Working File (CWF) Edits That Deny Claims for Parenteral or Enteral Services and/or Supplies if a Provider Has Not Recertified the Beneficiary's Need for Parenteral or Enteral Services and/or Supplies 10/06/2008 5914 N/A N/A
R9ESRD 04/18/2008 ESRD Network Organizations: Sanctions and Referrals 05/19/2008 5967 N/A N/A
R86BP 04/18/2008 Payment for Medicare Part B Services Furnished by Certain Indian Health Service (IHS) Hospitals and Clinics 05/19/2008 5807 N/A N/A
R60MSP 09/19/2008 Expanding the Mandatory Insurer Reporting (MIR) Coordination of Benefits (COB) Contractor Numbers for the Common Working File (CWF) 01/05/2009 6182 N/A N/A
R1601CP 09/19/2008 Update to Chapter 24 of the Claims Processing Manua 10/20/2008 5974 N/A N/A
R253PI 04/25/2008 Local Coverage Determinations (LCDs) Responsibility Transition From Durable Medical Equipment (DME) Program Safeguard Contractor (PSC) to DME Medicare Administrative Contractors (MAC) 05/27/2008 5953 N/A N/A
SE0822 N/A Clarification of Medicare Payment for Routine Costs in a Clinical Trial N/A N/A SE0822 09/29/2008
R1431CP 02/01/2008 Update to the Implementation Date for Home Health Agencies (HHAs) Providing Durable Medical Equipment (DME) in Competitive Bidding Areas 07/07/2008 5868 MM5868 02/25/2008
R83BP 02/15/2008 Clinical Lab: New Automated Test for the AMCC Panel Payment Algorithm 07/07/2008 5874 MM5874 02/20/2008
R1450CP 02/15/2008 Update to the Common Working File CWF to Allow the Posting of Skilled Nursing Facility SNF and Swing Bed SB Claims to the Beneficiarys Spell of Illness When Qualifying Stay Criteria are Not Met 07/07/2008 5872 MM5872 02/20/2008
R1558CP 07/18/2008 Hospice Discharge for Cause 07/05/2009 6115 MM6115 07/21/2008
R1557CP 07/18/2008 Beneficiary Submitted Claims 08/18/2008 5683 MM5683 07/29/2008
R1554CP 07/18/2008 Revision to Skilled Nursing Facility (SNF) Common Working File (CWF) Editing 01/05/2009 6128 MM6128 07/21/2008
R263PI 07/25/2008 The National Provider and Plan Enumeration System (NPPES) and the Unique Physician Identification Number (UPIN) Data 08/08/2008 6036 MM6036 07/29/2008
R92NCD 08/08/2008 Screening DNA Stool Test for Colorectal Cancer 08/25/2008 6145 MM6145 07/29/2008
R1570CP 08/01/2008 Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index, and the Hospice Pricer for FY 2009 10/06/2008 6155 MM6155 08/04/2008
SE0829 N/A CR 5971 Clarification - Signature Requirements N/A N/A SE0829 07/29/2008
R1566CP 07/29/2008 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/06/2008 6107 MM6107 08/01/2008
R1561CP 07/25/2008 Medicare Improvements for Patients and Providers Act of 2008- Legislative Change Concerning Independent Laboratory Billing for the Technical Component of Physician Pathology Services. 08/25/2008 6042 MM6042 07/29/2008
R54GI 10/01/2008 IDR Claims Sourcing from Shared Systems - Implementation N/A 5949 N/A N/A
R335OTN 05/02/2008 Modification of Core-Based Statistical Area (CBSA) Payment Localities for Contractors that Process Ambulatory Surgical Center (ASC) Claims 10/06/2008 6004 N/A N/A
R334OTN 05/02/2008 New Contractor Numbers for the J.12 Medicare Administrative Contractor Part A and Part B Workloads for the States of Delaware, Maryland, New Jersey, Pennsylvania, and the District of Columbia. 07/07/2008 5842 N/A N/A
R255PI 05/02/2008 Requirement That The Contractor Appeals Units Forward Reversed Appeal Information From Post Pay Overpayment Cases to Contractor Medial Review (MR) Units and Program Safeguard Contractors (PSCs) 10/06/2008 5934 N/A N/A
R18P236 05/02/2008 Updates Hospital and Hospital Health Care Complex Cost Report, (Form CMS 2552-96) N/A N/A N/A N/A
R1497CP 05/02/2008 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 07/07/2008 6037 N/A N/A
R338OTN 05/02/2008 Shared Systems Active and Non-Active Edits/Reason Codes and Audit Trail Reporting 07/07/2008 5927 N/A N/A
R336OTN 05/02/2008 Beneficiary Address Change for Shared System 10/06/2008 5962 N/A N/A
R256PI 05/02/2008 Requirement that the Multi Carrier System (MCS) Develop a PIMR Verification Report (PVR) 10/06/2008 5919 N/A N/A
R337OTN 05/02/2008 Processing Federally Qualified Health Center (FQHC) Claims for the Telehealth Originating Site Facility Fee 10/06/2008 6039 N/A N/A
R380OTN 10/03/2008 Reporting Non-Tax Withholding Due to Federal Payment Levy Program (FPLP) 01/05/2009 6228 N/A N/A
R383OTN 10/03/2008 J5 Production Region Merge of the Kansas, Missouri, Nebraska, and Iowa Part A Workloads. 02/02/2009 6152 N/A N/A
R35SOMA 04/18/2008 Revisions to Chapter 6 - Special Procedures for Laboratories 04/18/2008 N/A N/A N/A
R1604CP 09/26/2008 Physician Payment Amounts When Physicians Furnish Excluded Procedures in Ambulatory Surgical Centers (ASCs) 01/05/2009 6052 MM6052 09/30/2008
R1611CP 10/03/2008 October 2008 Update to the Ambulatory Surgical Center (ASC) Payment System; Summary of Payment Policy Changes 10/06/2008 6205 MM6205 10/06/2008
R1498CP 05/02/2008 Adjusting Inpatient Prospective Payment System (IPPS) Reimbursement for Replaced Devices Offered Without Cost or With a Credit 10/06/2008 5860 MM5860 05/05/2008
R257PI 05/09/2008 Implementation of a PIMR Edit Effectiveness Report For Program Safeguard Contractors (PSCs) N/A 5908 N/A N/A
R1501CP 05/09/2008 July Quarterly Update to 2008 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 07/07/2008 6009 MM6009 05/13/2008
R379OTN 09/26/2008 Influenza Pandemic Emergency--Policies Concerning the Medicare Prescription Drug Program (Part D) and Medicare Advantage (Part C) 10/27/2008 6164 MM6164 10/06/2008
R1412CP 01/11/2008 Reporting of Hematocrit or Hemoglobin Levels on All Claims for the Administration of Erythropoiesis Stimulating Agents (ESAs), Implementation of New Modifiers for Non-ESRD Indications, and Reporting of Hematocrit/Hemoglobin Levels on all Non-ESRD, Non-ESA Claims Requesting Payment for Anti-Anemia Drugs 04/07/2008 5699 MM5699 01/17/2008
R1606CP 10/02/2008 Laboratory National Coverage Determination (NCD) Edit Software for October 2008 10/06/2008 6213 MM6213 10/06/2008
R358OTN 07/11/2008 Instructions for Non-MSP Debts Returned to Agency (RTA) from the Department of Treasury From Inception of RTA Process to Date of Implementation of this Change Request 08/11/2008 6082 N/A N/A
R1609CP 10/03/2008 Shipboard Services Billed to the Carrier and Services Not Provided Within the United States 01/05/2009 6217 MM6217 01/26/2009
R95BP 10/03/2008 Shipboard Services Billed to the Carrier and Services Not Provided Within the United States 01/05/2009 6217 N/A N/A
R318OTN 02/08/2008 Create User Account for Next Generation Desktop (NGD) on Common Working File (CWF) 07/07/2008 5828 N/A N/A
R246PI 03/14/2008 Clarification of Items in Chapter 10 04/14/2008 5952 N/A N/A
R1579CP 08/21/2008 Modification to Existing Medicare Summary Notice (MSN) Procedures Regarding the MSN Customer Service Information Box, Beneficiary Estate Information and the Appeals Address 07/07/2008 5889 N/A N/A
R57DEMO 03/19/2008 Laboratory Competitive Bidding Demonstration (Second Phase of Implementation) 04/02/2008 5359 N/A N/A
R1478CP 03/14/2008 Additional Clarification to Chapter 17, Section 40, Regarding Processing of Drug Claims with the JW Modifier 04/14/2008 5923 MM5923 03/19/2008
R1474CP 03/07/2008 Changes to the Long Term Care Hospital Prospective Payment System (LTCH PPS) Pricer based on the Medicare, Medicaid and SCHIP Extension Act of 2007 (Recurring CR: R20812Q) 04/07/2008 5955 MM5955 03/10/2008
R1471CP 02/29/2008 Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits 04/07/2008 5926 MM5926 03/04/2008
R1477CP 03/14/2008 New Waived Tests 04/07/2008 5913 MM5913 03/19/2008
SE0804 N/A Opportunity to Participate in Third Annual Medicare Contractor Provider Satisfaction Survey (MCPSS) Ends in April N/A N/A SE0804 03/10/2008
R1473CP 03/07/2008 Payment for Inpatient Hospital Visits- General (Codes 99221-99239) 04/07/2008 5792 MM5792 03/10/2008
R1475CP 03/07/2008 Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update 04/07/2008 5942 MM5942 03/10/2008
R1448CP 02/15/2008 Adjudicating Claims for Immunosuppressive Drugs When Medicare Did Not Pay for the Original Transplant 07/07/2008 5916 MM5916 02/27/2008
R264PI 08/07/2008 Transition of Responsibility for Medical Review From Quality Improvement Organizations (QIOs) 08/15/2008 5849 MM5849 08/11/2008
R1563CP 07/25/2008 Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update 10/06/2008 6109 MM6109 08/18/2008
R1578CP 08/15/2008 I Implementation of a New Claim Adjustment Reason Code (CARC) No.213. "Non-compliance with the Physician Self-referral Prohibition Legislation or Payer Policy" 01/05/2009 6131 MM6131 08/18/2008
R1589CP 09/08/2008 Indicator for the Technical Component of Purchased Diagnostic Services 12/08/2008 6122 MM6122 09/11/2008
R372OTN 08/29/2008 Update to the Intern to Bed Ratio for Method II Teaching Critical Access Hospitals (CAHs) 01/05/2009 6176 MM6176 09/03/2008
R366OTN 08/15/2008 2008 Reminder For Roster Billing and Centralized Billing For Influenza and Pneumococcal Vaccinations 08/15/2008 6121 MM6121 08/18/2008
R1585CP 09/05/2008 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2009 10/06/2008 6166 MM6166 09/09/2008
R1586CP 09/05/2008 Pneumococcal Pneumonia, Influenza Virus, and Hepatitis B Vaccines 10/06/2008 6079 MM6079 09/09/2008
R94NCD 08/29/2008 Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea (OSA) 08/04/2008 6048 MM6048 09/03/2008
R1584CP 09/05/2008 Clinical Laboratory Fee Schedule - Medicare Travel Allowance Fees for Collection of Specimens 10/06/2008 6195 MM6195 09/09/2008
R375OTN 09/05/2008 Delay of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program 09/12/2008 6203 MM6203 09/09/2008
R1517CP 05/23/2008 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 14.2, Effective July 1, 2008 07/07/2008 6045 MM6045 05/27/2008
SE0805 N/A Overview of New Medicare Competitive Bidding Program for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) - The first in a series of articles on the implementation of this program. N/A N/A SE0805 04/02/2008
R1523CP 05/30/2008 July 2008 Integrated Outpatient Code Editor (I/OCE) Specifications Version 9.2 07/07/2008 6080 MM6080 06/05/2008
R1516CP 05/23/2008 July Quarterly Update for 2008 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 07/07/2008 6022 MM6022 05/27/2008
R1520CP 05/30/2008 Part B Drug Competitive Acquisition Program (CAP) Quarterly Drug List Update 07/07/2008 6053 MM6053 06/02/2008
R1433CP 02/01/2008 Smoking and Tobacco Use Cessation Counseling Billing Code Update 07/07/2008 5878 MM5878 02/05/2008
R308OTN 01/04/2008 SPLIT OF HI/NV/AZ Part B Workloads and Merge of AZ/Ut/Mt 04/01/2008 5733 N/A N/A
R1507CP 05/16/2008 Coordination of Benefits Agreement (COBA) and Affiliate National Provider Identifier (NPI) Process Modifications 06/06/2008 6024 N/A N/A
R327OTN 03/07/2008 Production region split for CIGNA Idaho Part B Data. 04/07/2008 5796 N/A N/A
R51GI 05/16/2008 IDR Claims Sourcing from Shared Systems - Implementation 10/06/2008 5949 N/A N/A
R340OTN 05/16/2008 National Competitive Bidding (NCB) for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Phase VII Correction of Common Working File (CWF) Category for Portable Oxygen 10/06/2008 6055 N/A N/A
R342OTN 05/16/2008 Medicare Fraud Edit Module Phase 2 10/06/2008 6035 N/A N/A
R1508CP 05/16/2008 Physician Fee Schedule Payment Policy Indicator File Record Layout for Use in Processing Method II Critical Access Hospital (CAH) Claims for Professional Services 06/06/2008 6013 N/A N/A
R1409CP 01/11/2008 Correction to Pub. 100-04, Chapter 17, Section 100.2.1 02/11/2008 5857 N/A N/A
R339OTN 05/16/2008 Implementation of the 2007-2008 update to the Medicare Wage Index Occupational Mix Survey (Form CMS-10079 (2008)) 06/09/2008 5992 N/A N/A
R1500CP 05/02/2008 Modification to Existing Medicare Summary Notice (MSN) Procedures Regarding the MSN Customer Service Information Box, Beneficiary Estate Information and the Appeals Address 07/07/2008 5889 N/A N/A
R1506CP 05/16/2008 Competitive Acquisition Program (CAP): Updating Submission Deadlines for Quarterly Drug List Updates 10/06/2008 6010 N/A N/A
R1511CP 05/23/2008 Indian Health Service (IHS) Hospital Payment Rates for Calendar Year 2008 06/23/2008 6063 N/A N/A
R1514CP 05/23/2008 ASC Manualization 06/23/2008 6031 N/A N/A
R343OTN 05/23/2008 Production Region Split and New Contractor Workload Number for the National Government Services (NGS) Part A Delaware Workload and New Contractor Numbers for the Jurisdiction 13 Medicare Administrative Contractor Part A and Part B Connecticut and New York Workloads 07/07/2008 5843 N/A N/A
R341OTN 05/16/2008 Update the Medicare Secondary Payer Payment (MSPPAY) Module to Accommodate the Medicare Part A Claims Expansion 09/08/2008 5975 N/A N/A
R1526CP 05/30/2008 Institutional Services Paid on the Medicare Physician Fee Schedule (MPFS) 07/07/2008 5990 N/A N/A
R1521CP 05/30/2008 Instructions for Downloading the Medicare ZIP Code File for October 2008 10/06/2008 6041 N/A N/A
R95NCD 09/10/2008 Artificial Hearts 12/01/2008 6185 MM6185 09/04/2008
R1587CP 09/05/2008 Revised Form CMS-R-131 Advance Beneficiary Notice of Noncoverage 03/01/2009 6136 MM6136 09/09/2008
SE0811 N/A Pre-Bidding Activities for the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program N/A N/A SE0811 04/04/2008
R325OTN 03/07/2008 New Contractor Numbers for the States of California, Hawaii and Nevada and American Samoa, Guam and Northern Marianna Islands Jurisdiction 1 Part A Medicare Administrative Contractor (MAC) Workload 07/07/2008 5901 MM5901 03/24/2008
R1480CP 03/21/2008 Website for Additions and Deletions of ZIP Codes Requiring a Plus Four ZIP Code Extension 04/21/2008 5970 MM5970 03/24/2008
R323OTN 03/07/2008 New Contractor Numbers for the State of California Jurisdiction 1 Part B Medicare Administrative Contractor (MAC) Workload 07/07/2008 5905 MM5905 03/24/2008
SE0812 N/A Use of Professional Society Practice Parameters in Properly Providing Allergen Immunotherapy to Medicare Beneficiaries N/A N/A SE0812 04/11/2008
R324OTN 03/07/2008 New Contractor Numbers for the States of Hawaii and Nevada and American Samoa, Guam and Northern Marianna Islands Jurisdiction 1 Part B Medicare Administrative Contractor (MAC) Workload 07/07/2008 5904 MM5904 03/24/2008
SE0810 N/A Announcing the Release of the Revised CMS-855 Medicare Enrollment Applications N/A N/A SE0810 04/01/2008
R248PI 03/28/2008 Signature Requirements Clarification 04/28/2008 5971 MM5971 04/11/2008
R1486CP 04/04/2008 Exception to 60-Day Limit on Substitute Physician Billing Arrangements for Physicians Called to Active Duty in the Armed Forces Reserves 05/05/2008 5985 MM5985 04/16/2008
R1489CP 04/11/2008 Nursing Facility Services (Codes 99304 -99318) 07/07/2008 5968 MM5968 04/17/2008
R331OTN 04/11/2008 Clinical Laboratory Fee Schedule - Implementation of Section 113 of the Medicare, Medicaid and State Children's Health Insurance Program (MMSCHIP) Extension Act of 2007 05/12/2008 5987 MM5987 04/15/2008
R1594CP 09/12/2008 New Waived Tests 10/06/2008 6179 MM6179 09/16/2008
R1597CP 09/12/2008 Payment for Implanted Prosthetic Devices for Part B Inpatients in Hospitals that are Paid Under the Medicare Hospital Outpatient Prospective Payment System (OPPS) 01/05/2009 6050 MM6050 09/18/2008
SE0820 N/A Marketing Rules Reminders for DME Suppliers Including Contract Suppliers under the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program N/A N/A SE0820 06/04/2008
R267PI 09/12/2008 Reporting National Provider Identifiers (NPIs) for Secondary Providers 09/26/2008 6093 MM6093 09/16/2008
R1593CP 09/12/2008 Smoking and Tobacco Use Cessation Counseling Billing Code Update for Comprehensive Outpatient Rehabilitation Facilities (CORFs) and Outpatient Physical Therapy Providers (OPTs) 12/12/2008 6163 MM6163 09/15/2008
R352OTN 06/13/2008 Notification of New Quarterly Updates to the Ambulance Fee Schedule Public Use File (PUF) 07/28/2008 6091 MM6091 06/16/2008
SE0807 N/A Important Exceptions and Special Circumstances that Occur under the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program: - The third in a series of articles on the new DMEPOS competitive bidding program. N/A N/A SE0807 04/17/2008
SE0806 04/03/2008 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program: Grandfathering, Repair and Replacement, Mail Order Diabetic Supplies, and Advanced Beneficiary Notices (ABNs) -- The second in a series of articles on the new DMEPOS Competitive Bidding Program. N/A N/A SE0806 04/03/2008
R348OTN 06/06/2008 Modify the CWF Feed to Limit the Amount of Preventive Data Rows Being Loaded 10/06/2008 5819 N/A N/A
R347OTN 06/06/2008 Analysis and Design Only ---Systems Improvements to Streamline Updates to the Place of Service (POS) Code Set 10/06/2008 6066 N/A N/A
SE0816 N/A Medicare Payments for Part B Mental Health Services N/A N/A SE0816 07/29/2008
R1406CP 01/08/2008 January 2008 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 01/07/2008 5852 MM5852 01/10/2008
R1405CP 01/04/2008 Reprocessing of Certain Hospital Inpatient Prospective Payment System (IPPS) Claims 02/05/2008 5845 MM5845 01/10/2008
R87BP 05/02/2008 Incident To Policy Update 06/02/2008 5288 MM5288 05/09/2008
R1528CP 05/30/2008 July Update to the 2008 Medicare Physician Fee Schedule Database (MPFSDB) 07/07/2008 6087 MM6087 06/02/2008
R1529CP 06/06/2008 July 2008 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 07/07/2008 6049 MM6049 06/09/2008
R1407CP 01/10/2008 Outpatient Therapy Caps without KX Modifier Exceptions Start January 1, 2008 01/07/2008 5871 MM5871 01/17/2008
R1411CP 01/11/2008 April 2008 Update to the Medicare Code Editor (MCE) and Grouper 04/07/2008 5876 MM5876 01/17/2008
R1494CP 04/29/2008 REPORTING OF ADDITIONAL DATA TO DESCRIBE SERVICES ON HOSPICE CLAIMS 01/07/2008 5567 MM5567 08/22/2008
R90BP 06/19/2008 July 2008 Update of the Hospital Outpatient Prospective Payment System (OPPS) 07/07/2008 6094 MM6094 06/23/2008
R1537CP 06/20/2008 October Quarterly Update to 2008 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 10/06/2008 6111 MM6111 06/23/2008
SE0831 N/A Steps for Organizations to Access Their 2007 Physician Quality Reporting Initiative (PQRI) Feedback Reports N/A N/A SE0831 08/04/2008
R1545CP 06/27/2008 Payment for Inpatient Hospital Visits (Codes 99221 - 99239) 04/07/2008 5792 MM5792 06/30/2008
R1603CP 09/26/2008 Claims Jurisdiction and Enrollment Procedures for Suppliers of Certain Prosthetics, Durable Medical Equipment (DME) and Replacement Parts, Accessories and Supplies 10/27/2008 5917 MM5917 10/09/2008
R1531CP 06/06/2008 Laboratory National Coverage Determination (NCD) Edit Software Changes for July 2008 07/07/2008 6084 MM6084 06/09/2008
R58DEMO 06/27/2008 Medicare Acute Care Episode Demonstration - Rescinds and fully replaces CR 5767 N/A 6001 MM6001 06/30/2008
R1610CP 10/03/2008 Fiscal Year (FY) 2009 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes 10/06/2008 6189 MM6189 10/07/2008
R1417CP 01/18/2008 January 2008 Update of the Hospital Outpatient Prospective Payment System (OPPS 01/07/2008 5912 MM5912 01/28/2008
R135FM 01/25/2008 Clarification Regarding the Coordination of Benefits Agreement (COBA) Medigap Claim-Based Crossover Process 02/01/2008 5837 MM5837 01/28/2008
R311OTN 01/25/2008 Support Income Tax Reporting 01/30/2008 5816 MM5816 02/05/2008
R1547CP 07/03/2008 Update-Long Term Care Hospital (LTCH) Prospective Payment System (PPS) Rate Year 2009 07/07/2008 6114 MM6114 07/09/2008
R1495CP 05/02/2008 Billing Blood and Blood Products 10/06/2008 5867 MM5867 05/05/2008
SE0814 N/A Provider Authentication by Medicare Provider Contact Centers N/A 5089, 5277 SE0814 05/02/2008
R83NCD 05/02/2008 Blood-Derived Products for Chronic, Non-Healing Wounds 06/02/2008 6043 MM6043 05/05/2008
R1490CP 04/11/2008 Prolonged Services (Codes 99354 - 99359) 07/07/2008 5972 MM5972 04/30/2008
R1499CP 05/02/2008 Ambulance Fee Schedule - Conversion Factor File for CY 2009 Ambulance Inflation Factor. 10/06/2008 6000 MM6000 05/05/2008
R1607CP 10/03/2008 Ambulance Inflation Factor for CY 2009 01/05/2009 6113 MM6113 10/06/2008
R88BP 05/07/2008 Therapy Personnel Qualifications and Policies Effective January 1, 2008 06/09/2008 5921 MM5921 05/09/2008
R1509CP 05/16/2008 Adjusting Inpatient Prospective Payment System (IPPS) Reimbursement for Replaced Devices Offered Without Cost or With a Credit 10/06/2008 5860 MM5860 05/05/2008
R1496CP 05/02/2008 Medicare Shared Systems Modifications Necessary to Capture and Crossover Medicaid Drug Rebate Data Submitted on Form UB 04 Paper Claims and Direct Data Entry (DDE) Claims. 10/06/2008 5950 MM5950 05/13/2008
R381OTN 10/03/2008 Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals Vendor Identification Number, Iron Dextran Payment Update, and Physician Election N/A 6210 MM6210 10/06/2008
SE0832 N/A The ICD-10 Clinical Modification/Procedure Coding System (CM/PCS)-The Next Generation of Coding N/A N/A SE0832 09/30/2008
SE0821 N/A Reminder - Medicare Provides Coverage of Diabetes Screening Tests N/A N/A SE0821 06/18/2008
R354OTN 06/13/2008 Hospitals Exempt from Present on Admission (POA) Reporting (i.e. non Inpatient Prospective Payment System or IPPS Hospitals) and the Affects on Grouper 10/06/2008 6086 MM6086 06/16/2008
R1524CP 05/30/2008 Clinical Laboratory Fee Schedule-Medicare Travel Allowance Fees for Collection of Specimens 06/30/2008 5996 MM5996 06/05/2008
SE0824 N/A Clarification of Medicare Bad Debt Policy Related to Accounts at a Collection Agency N/A N/A SE0824 06/30/2008
R87NCD 07/11/2008 Percutaneous Transluminal Angioplasty (PTA) With Stenting 08/11/2008 6137 MM6137 07/14/2008
R1534CP 06/13/2008 New 'K' Code for Replacement Interface Material 06/27/2008 6075 MM6075 06/16/2008
R349OTN 06/06/2008 Inappropriate Denials of Claims for Percutaneous Transluminal Angioplasty (PTA) of Carotid Arteries Concurrent with Stenting Based on Facility Recertification Due Dates 07/07/2008 6046 MM6046 06/12/2008
R357OTN 07/07/2008 Pathology Services: Notification of the Sunset for the Payment of Physician Pathology Services for Independent Laboratories 07/07/2008 6088 MM6088 07/14/2008
SE0815 N/A Reminder that Exceptions to Therapy Caps are Restricted as of July 1, 2008 N/A N/A SE0815 06/02/2008
R1555CP 07/18/2008 Revision of the Requirements for Denial of Payment for New Admissions (DPNA) for Skilled Nursing Facility (SNF) Billing 01/05/2009 6116 MM6116 07/21/2008
R1560CP 07/18/2008 July 2008 Integrated Outpatient Code Editor (I/OCE) Specifications Version 9.2 07/07/2008 6080 MM6080 06/05/2008
R80NCD 01/14/2008 Erythropoiesis Stimulating Agents (ESAs) in Cancer and Related Neoplastic Conditions 04/07/2008 5818 MM5818 02/19/2008
R1505CP 05/16/2008 Correction to Determinations of Early vs. Later Episodes Under the Home Health Prospective Payment System (HH PPS) 10/06/2008 6027 MM6027 05/21/2008
R1503CP 05/16/2008 Revisions to the Billing Requirements for ESRD-Related Epotein Alfa (EPO) and Darbepoetin Alfa (Aranesp) Administrations Provided During Unscheduled or Emergency Dialysis Treatments in the Outpatient Hospital Setting 10/06/2008 6047 MM6047 05/21/2008
R89BP 05/16/2008 Medical and Other Health Services Furnished to SNF Patients 06/16/2008 5991 MM5991 05/21/2008
R1504CP 05/16/2008 New Chapter for Independent Diagnostic Testing Facilities (IDTF) 06/16/2008 5815 MM5815 05/21/2008
R333OTN 04/18/2008 Assignment of Providers to MACs 05/19/2008 5979 MM5979 05/13/2008
R93BP 07/25/2008 Screening DNA Stool Test for Colorectal CancerServices. 08/25/2008 6145 MM6145 N/A
R89NCD 07/25/2008 Screening DNA Stool Test for Colorectal Cancer 08/25/2008 6145 N/A 07/29/2008
SE0830 N/A Steps for Individual Eligible Professionals to Access Their 2007 Physician Quality Reporting Initiative (PQRI) Feedback Reports Personally N/A N/A SE0830 08/04/2008
R1608CP 10/03/2008 2009 Annual Update of HCPCS Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) for the Common Working File (CWF), A/B MACs, Medicare Carriers and Fiscal Intermediaries (FIs) 01/05/2009 6220 MM6220 10/06/2008
R1612CP 10/03/2008 Revision of Interim Payment Methodology for Religious Nonmedical Health Care Institution (RNHCI), Clarifying Existing Policy on Training of Religious Nonmedical Nursing Personnel, Claims Not Billed to the RNHCI Specialty Contractor, and Statutory End of Coverage for RNHCI Items and Services Furnished in the Home 01/05/2009 5383 MM5383 10/09/2008
R376OTN 09/26/2008 Limitation on Recoupment - MCS Recoupment and Claims Adjustment Process 01/05/2009 5986 N/A N/A
R53GI 09/26/2008 Medicare Contractor Testing with Future Dates in the EDC 10/27/2008 6110 N/A N/A
R1481CP 03/21/2008 Type of Service (TOS) Corrections 04/07/2008 5977 N/A N/A
R1421CP 01/25/2008 Update of Institutional Claims References 04/07/2008 5893 N/A N/A
R55DEMO 01/25/2008 Medicare Acute Care Episode (ACE) Demonstration 10/06/2008 5767 N/A N/A
R1536CP 06/19/2008 July 2008 Update of the Hospital Outpatient Prospective Payment System (OPPS) 07/07/2008 6094 N/A N/A
R356OTN 06/20/2008 National Competitive Bidding (NCB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) - Phase VIIB of Implementation 07/07/2008 6069 N/A N/A
R260PI 06/20/2008 Clarification of Chapter 10 07/22/2008 6065 N/A N/A
R1539CP 06/20/2008 Self-Administered Drug Exclusion Lists 07/21/2008 5988 N/A N/A
R1542CP 06/20/2008 National Competitive Bidding (NCB) for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS), Medicare Summary Notice (MSN), and Remittance Advice (RA) Messages 09/23/2008 6159 N/A N/A
R139FM 07/11/2008 Interaction with Recovery Audit Contractors (RACs) 08/11/2008 6089 N/A N/A
R52GI 07/11/2008 Change to CR Implementation Report Due Dates 08/11/2008 6102 N/A N/A
SE0801 N/A Clarification of Patient Discharge Status Codes and Hospital Transfer Policies N/A N/A SE0801 01/23/2008
R1540CP 06/20/2008 July 2008 Update to the ASC Payment System; Summary of Payment Policy Changes 07/07/2008 6095 N/A N/A
R1581CP 08/29/2008 Discarded Erythropoietin Stimulating Agents for Home Dialysis 12/01/2008 6133 MM6133 11/13/2008
R1513CP 05/23/2008 Average Sales Price Updates 06/23/2008 5798 MM5798 05/29/2008
R344OTN 05/23/2008 VMS Modifications to Implement the Common Electronic Data Interchange (CEDI) System, Part II 10/06/2008 6026 MM6026 05/27/2008
R1515CP 05/23/2008 Date of Service (DOS) for Clinical Laboratory and Pathology Specimens 01/05/2009 6018 MM6018 05/29/2008
R1527CP 05/30/2008 Clinical Laboratory Fee Schedule - New Waived Tests 07/07/2008 6021 MM6021 06/02/2008
R1519CP 05/30/2008 Instructions for Institutional Providers and Suppliers Billing Self-Referred Mammography Claims Regarding the Attending/Referring Physician National Provider Identifier (NPI) 06/30/2008 6023 MM6023 06/05/2008
R1522CP 05/30/2008 Charges to Hold A Bed During SNF Absence 06/30/2008 6030 MM6030 06/05/2008
R1457CP 02/22/2008 Redeterminations of Overpayments 03/24/2008 5859 N/A N/A
R243PI 02/22/2008 Implementation of A PIMR Edit Effectiveness Report For Program Safeguard Contractors (PSCs) 07/07/2008 5908 N/A N/A
R59MSP 02/22/2008 Treasury Collections on MSP Debt 04/07/2008 5823 N/A N/A
R1462CP 02/22/2008 Healthcare Provider Taxonomy Codes (HPTC) Update April 2008 04/07/2008 5951 N/A N/A
R359OTN 07/18/2008 Composite Ambulatory Payment Classification (APC) Processing under the Outpatient Prospective Payment System (OPPS) 01/05/2009 6056 N/A N/A
R140FM 07/17/2008 Notice of New Interest Rate for Medicare Overpayments and Underpayments - 4th Notification for FY 2008. 07/24/2008 5751 N/A N/A
R360OTN 07/18/2008 Implementation - Processing All Diagnosis Codes Reported on Claims Submitted to Durable Medical Equipment Medicare Administrative Contractors (DME MACs) 07/06/2009 6068 N/A N/A
R1552CP 07/18/2008 VMS Recognition of New Specialty Codes for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) With Pedorthic Personnel, Medical Supply Companies With Pedorthic Personnel, and Rehabilitation Agencies. (DME MACs Only) 01/05/2009 5930 N/A N/A
R1435CP 02/05/2008 Emergency Update to the 2008 Medicare Physician Fee Schedule Database 01/07/2008 5902 N/A N/A
R2PDB 07/18/2008 Chapter 6 of the Medicare Prescription Drug Benefit Manual 07/18/2008 N/A N/A N/A
R1425CP 02/01/2008 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2008 for 2 Core Based Statistical Areas (CBSAs) with New Wage Index Values --Correction 01/14/2008 5891 N/A N/A
R1546CP 07/01/2008 Modification to existing Medicare Summary Notice (MSN) Procedures regarding the MSN Customer Service Information Box, Beneficiary Estate Information and the Appeals Address. 07/07/2008 5889 N/A N/A
R86NCD 07/03/2008 Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea (OSA) 08/04/2008 6048 MM6048 07/08/2008
R1548CP 07/09/2008 Critical Care Visits and Neonatal Intensive Care (Codes 99291 - 99292) 07/07/2008 5993 MM5993 06/09/2008
R1455CP 02/22/2008 Part B Drug Competitive Acquisition Program (CAP) Quarterly Drug List Update 04/07/2008 5948 MM5948 02/25/2008
R1530CP 06/06/2008 Critical Care Visits and Neonatal Intensive Care (Codes 99291 - 99292) 07/07/2008 5993 MM5993 06/09/2008
R1459CP 02/22/2008 Comprehensive Outpatient Rehabilitation Facility (CORF) Billing Requirement Updates for Fiscal Year (FY) 2008 07/07/2008 5898 MM5898 02/25/2008
R1464CP 02/22/2008 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 14.1, Effective April 1, 2008. 04/07/2008 5936 MM5936 02/25/2008
R244PI 02/29/2008 Collapsing Medicare Provider Transaction Access Numbers (PTANs) to Ensure a One-to-One National Provider Identifier (NPI) Match 04/07/2008 5906 MM5906 03/04/2008
R235PI 01/18/2008 Additional Information on Reporting a National Provider Identifier (NPI) for Ordering/Referring and Attending/Operating/Other/Service Facility for Medicare Claims 04/07/2008 5890 MM5890 01/22/2008
R362OTN 08/01/2008 Requirement to Educate Providers Regarding CMS Use of Medicare Cost Report Data 01/05/2009 6132 MM6132 08/04/2008
R1476CP 03/07/2008 Correction to Low Utilization Payment Adjustment Add-on Payments Under the Refined Home Health Prospective Payment System (HH PPS) 07/07/2008 5877 MM5877 02/05/2008
R363OTN 08/08/2008 FY 2006 Supplementary Security Income (SSI) Data 09/08/2008 6126 MM6126 08/11/2008
R1576CP 08/15/2008 Part B Drug Competitive Acquisition Program (CAP) Quarterly Drug List Update 10/06/2008 6158 MM6158 08/18/2008
R1577CP 08/15/2008 Revisions to the Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals 01/05/2009 6124 MM6124 08/18/2008
R1479CP 03/14/2008 April 2008 Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) Pricer Changes 04/07/2008 5965 MM5965 03/19/2008
R367OTN 08/15/2008 Reporting Withholding Due to IRS Federal Payment Levy Program (FPLP) on the Remittance Advice 10/06/2008 6125 MM6125 08/18/2008
R1482CP 03/21/2008 April Update to the 2008 Medicare Physician Fee Schedule Database 04/07/2008 5980 MM5980 03/24/2008
R84NCD 06/27/2008 FDG PET for Infection and Inflammation 07/28/2008 6099 MM6099 08/29/2008
R1580CP 08/22/2008 October Update to the 2008 Medicare Physician Fee Schedule Database (MPFSDB) 10/06/2008 6180 MM6180 08/27/2008
R1484CP 03/26/2008 April 2008 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 04/07/2008 5982 MM5982 03/27/2008
R1483CP 03/25/2008 April 2008 Integrated Outpatient Code Editor (I/OCE) Specifications Version 9.1 04/07/2008 5969 MM5969 03/27/2008
R353OTN 06/13/2008 Payment for Complex Rehabilitative Power Mobility Device Services that Span the Implementation Date of DMEPOS Competitive Bidding Programs in Competitive Bidding Areas 07/07/2008 6112 MM6112 06/16/2008
R237PI 02/01/2008 PIMR Annual Update 03/03/2008 5706 N/A N/A
R238PI 02/01/2008 Correction of the Medicare Contractor System (MCS) Downcoding Problem in Program Integrity Management Reporting (PIMR) System. 07/07/2008 5920 N/A N/A
R236PI 02/01/2008 Update to Chapter 10 03/03/2008 5892 N/A N/A
R313OTN 02/01/2008 New Contractor Numbers for the States of Colorado, New Mexico, Oklahoma, and Texas in Jurisdiction 4 Part AB Medicare Administrative Services (MAC) Workload N/A 5788 N/A N/A
R9SS 06/20/2008 CMS Business Partner Systems Security Manual 07/22/2008 5976 N/A N/A
R261PI 06/27/2008 Update to Section 12 of Chapter 10 of the Program Integrity Manual 07/28/2008 6078 N/A N/A
R1PDB 07/03/2008 Chapter 5 of the Medicare Prescription Drug Benefit Manual 07/03/2008 N/A N/A N/A
R232PI 01/04/2008 Clarification of Standards for Processing CMS-855 Enrollment Applications 02/04/2008 5854 N/A N/A
R231PI 01/04/2008 NPI Number for Medical Review 04/07/2008 5761 N/A N/A
R31SOMA 01/04/2008 Revision of Appendix P--Survey Protocol for Long Term Care Facilities 01/04/2008 N/A N/A N/A
R58MSP 01/04/2008 Insertion of the Debt Collection System (DCS) User Guide into the Medicare Secondary Payer (MSP) Section of the Manual and Associated Revisions/Updates to the DCS User Guide 02/04/2008 5817 N/A N/A
R351OTN 06/13/2008 508 Compliancy for Medicare Remit Easy Print (MREP) Software 10/06/2008 6073 N/A N/A
R259PI 06/13/2008 Benefit Integrity Updates 07/07/2008 6003 N/A N/A
R1419CP 01/18/2008 January 2008 Integrated Outpatient Code Editor (I/OCE) Specifications Version 9.0 01/07/2008 5865 MM5865 01/02/2008
R1454CP 02/22/2008 Department of Veterans Affairs (VA) Claims Adjudication Services Project - New IOM Chapter - Pub. 100-04, Chapter 37 Department of Veterans Affairs (VA) Claims Adjudication Services Project 04/07/2008 5938 N/A N/A
R1452CP 02/22/2008 Instructions for Downloading the Medicare ZIP Code File for July 2008. 07/07/2008 5863 N/A N/A
R1463CP 02/22/2008 ZIP Code Files by Date of Service N/A 5881 N/A N/A
R136FM 02/14/2008 Revisions to Debt Referral Instructions 03/17/2008 5875 N/A N/A
R319OTN 02/08/2008 Fiscal Intermediary Shared System (FISS) Mid-Month Production Region Split 07/07/2008 5894 N/A N/A
R1451CP 02/15/2008 Clinical Lab: New Automated Test for the AMCC Panel Payment Algorithm 07/07/2008 5874 N/A N/A
R88NCD 07/25/2008 Microvolt T-Wave Alternans (MTWA 08/25/2008 6154 N/A N/A
R1562CP 07/25/2008 Prothrombin Time (PT/INR) Monitoring for Home Anticoagulation Management 08/25/2008 6138 N/A N/A
R361OTN 07/25/2008 Administrative Instructions for Support Income Tax Reporting 08/25/2008 6117 N/A N/A
R91NCD 07/25/2008 Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea (OSA) 08/04/2008 6048 N/A N/A
R1605CP 09/26/2008 2008 Jurisdiction List for Durable Medical Equipment Prosthetics, Orthotics, and Supply Healthcare Common Procedure Coding System (HCPCS) Codes 10/27/2008 6062 MM6062 09/29/2008
R245PI 02/29/2008 Processing Part B Therapy Claims While the Therapy Cap Exceptions Process is in Effect 03/31/2008 5945 N/A N/A
R137FM 02/29/2008 Reporting Costs Directly Associated with the RAC Program 03/31/2008 5789 N/A N/A
R321OTN 02/29/2008 Refinements in Cost Reporting Due to CMS's Revised Procedures for Recalibrating DRG Relative Weights Under the Inpatient Prospective Payment System 03/31/2008 5928 N/A N/A
R1469CP 02/29/2008 Document Control Number (DCN) Search FeatureInformation Box 07/07/2008 5958 N/A N/A
R1467CP 02/29/2008 Modification to Existing Medicare Summary Notice (MSN) Procedures Regarding the MSN Customer Service Information Box 03/31/2008 5959 N/A N/A
R36SOMA 08/01/2008 Revisions to Appendix PP-Interpretive Guidelines for Long-Term Care Facilities, Tags F325 and F371 09/01/2008 N/A N/A N/A
R1568CP 08/01/2008 Health Insurance Portability and Accountability Act (HIPAA) American National Standards Institute (ANSI) X12-N 837 version 5010 Changes Necessary for Coordination of Benefits (COB) and other Coordination of Benefits Agreement (COBA) Process Revisions 01/05/2009 6103 N/A N/A
R322OTN 03/05/2008 Limitation of Recoupment - FISS Recoupment and Claims Adjustment Process 07/07/2008 5873 N/A N/A
R1472CP 03/06/2008 Update of Institutional Claims References 04/07/2008 5893 N/A N/A
SE0826 N/A Important Information on the New Medicare Law - The Medicare Improvements for Patients and Providers Act of 2008 N/A N/A SE0826 07/18/2008
R355OTN 06/13/2008 2008 Physician Quality Reporting Initiative (PQRI) Establishment of Alternative Reporting Periods and Reporting Criteria 07/07/2008 6104 MM6104 06/18/2008
R1538CP 06/20/2008 New Waived Tests 07/07/2008 6060 MM6060 06/23/2008
R1541CP 06/20/2008 Screening Pelvic Examinations 09/23/2008 6085 MM6085 06/23/2008
R310OTN 01/18/2008 Requirements for Including an 8-Digit Clinical Trial Number on Claims 04/07/2008 5790 MM5790 01/22/2008
R1408CP 01/11/2008 Modification to the Model Medicare Redetermination Notice (for partly or fully unfavorable redeterminations) 02/11/2008 5836 MM5836 01/17/2008
R1418CP 01/18/2008 New HCPCS Modifiers when Billing for Patient Care in Clinical Research Studies 04/07/2008 5805 MM5805 01/22/2008
R326OTN 03/07/2008 Medicare Fraud Edit Module 07/07/2008 5725 N/A N/A
R265PI 08/08/2008 Medicare Fraud Edit Module Phase 3 04/06/2009 6135 N/A N/A
R365OTN 08/08/2008 CWF Automation of the Contractor Table to Support MAC Workload Renumbering 10/06/2008 6092 N/A N/A
R364OTN 08/08/2008 Modification of Part B Flat File for Electronic Remittance Advice and Standard Paper Remit 01/05/2009 6127 N/A N/A
R1447CP 02/12/2008 REPORTING OF ADDITIONAL DATA TO DESCRIBE SERVICES ON HOSPICE CLAIMS 01/07/2008 5567 MM5567 08/22/2007
R435PR1 03/07/2008 Updates Chapter 3, Bad Debts, Charity, and Courtesy Allowances and the Table of Contents reflects deleted page numbers. N/A N/A N/A N/A
R82BP 02/08/2008 January 2008 Update of the Hospital Outpatient Prospective Payment System (OPPS)-Manualization 03/10/2008 5946 N/A N/A
R239PI 02/08/2008 Additional Instructions for the Execution of the Medicare Provider Enrollment Demonstration for Home Health Agencies (HHAs) in High-Risk Areas 03/10/2008 5903 N/A N/A
R240PI 02/08/2008 Revise the Fiscal Intermediary Shared System (FISS) to Include All 11x Claims in the Nightly Universe Files Generated for the Comprehensive Error Rate Testing (CERT) Program 04/07/2008 5915 N/A N/A
R241PI 02/08/2008 Flagging Health Insurance Claim Numbers (HICN) in the Medicare Carrier System (MCS) for Pre-Payment Review/Audit 04/07/2008 5644 N/A N/A
R320OTN 02/08/2008 Jurisdiction 3 Part A Merge 04/01/2008 5733 N/A N/A
R1445CP 02/08/2008 January 2008 Update of the Hospital Outpatient Prospective Payment System (OPPS)- Manualization 03/10/2008 5946 MM5946 02/27/2008
R1444CP 02/08/2008 Modification to Existing Medicare Summary Notice (MSN) Procedures Regarding the MSN Customer Service Information Box, Beneficiary Estate Information and the Appeals Address 07/07/2008 5889 N/A N/A
R1446CP 02/08/2008 Update to Common Working File (CWF Edits) 7284 and 7548 07/07/2008 5907 MM5907 02/20/2008
R1443CP 02/07/2008 Home Health Prospective Payment System (HH PPS) Refinement and Rate Update for Calendar Year (CY) 2008 03/07/2008 5879 MM5879 02/20/2008
R81BP 02/07/2008 Process for Amending the List of Compendia for Determination of Medically-Accepted Indications for Off-Label Uses of Drugs and Biologicals in an Anti-Cancer Chemotherapeutic Regiment 03/07/2008 5870 MM5870 02/20/2008
R1440CP 02/07/2008 Medicare, Medicaid, and SCHIP Extension Act of 2007 Changes to Independent Laboratory Billing for the Technical Component of Physician Pathology Services 03/07/2008 5943 MM5943 02/20/2008
R1441CP 02/07/2008 New 'K' Code for Replacement Interface Material 04/07/2008 5900 MM5900 02/20/2008
R317OTN 02/05/2008 Production Region Split and New Contractor Number for Riverbend New Jersey Part A Workload 03/03/2008 5786 N/A N/A
R316OTN 02/05/2008 Submitting Outpatient Provider Specific Data 07/07/2008 5869 N/A N/A
R1437CP 02/05/2008 Change in the Amount in Controversy Requirement for Administrative Law Judge Hearings and Federal District Court Appeals 05/05/2008 5897 MM5897 02/25/2008
R1434CP 02/05/2008 Extension of the Dates of Service Eligible for the Physician Scarcity Area (PSA) Bonus Payment N/A 5937 MM5937 01/28/2008
R369OTN 08/15/2008 Fiscal Intermediary Shared System (FISS) Merge Program Accommodation for Duplicate Check Numbers 01/05/2009 6142 N/A N/A
R370OTN 08/15/2008 Add Provider Measures to the Program Integrity Management Reporting (PIMR) System 01/05/2009 6141 N/A N/A
R1574CP 08/12/2008 Physician Fee Schedule Payment Policy Indicator File Record Layout for Use in Processing Method II Critical Access Hospital (CAH) Claims for Professional Services 10/06/2008 6013 N/A N/A
R1436CP 02/05/2008 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 07/07/2008 5866 N/A N/A
R1439CP 02/07/2008 Removal of Outdated References to Christian Science Sanatoria from Medicare Systems 03/07/2008 5884 N/A N/A
R1487CP 04/08/2008 April 2008 Update of the Hospital Outpatient Prospective Payment System (OPPS) 04/07/2008 5999 MM5999 04/08/2008
R312OTN 02/01/2008 EMERGENCY -- Legislative Change Affecting the 2008 Medicare Physician Fee Schedule (MPFS), and Extension of the 2008 Participation Open Enrollment Period. N/A 5944 MM5944 02/05/2008
R1415CP 01/18/2008 Additional Payable C Drug Codes for January 1, 2008 in ASCs 01/30/2008 5885 MM5885 02/05/2008
R1544CP 06/26/2008 Manual Revisions to Reflect Special Billing Instructions for DMEPOS Items as a Result of the DMEPOS Competitive Bidding Program 07/07/2008 6007 MM6007 06/27/2008
R92BP 06/27/2008 Private Contracting/Opting out of Medicare 09/29/2008 6081 MM6081 06/30/2008
R1543CP 06/27/2008 Update-Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Rate Year 2009 07/07/2008 6077 MM6077 06/30/2008
R85NCD 06/27/2008 Cardiac Computed Tomographic Angiography (CTA) 07/28/2008 6098 MM6098 06/30/2008
R1533CP 06/13/2008 Claim Status Category Code and Claim Status Code Update 10/06/2008 6090 MM6090 06/24/2008
R1420CP 01/25/2008 Clarification Regarding the Coordination of Benefits Agreement (COBA) Medigap Claim-Based Crossover Process 02/01/2008 5837 MM5837 01/28/2008
R234PI 01/18/2008 Revision to Instructions Relating to Compliance Standards for Independent Diagnostic Testing Facilities (IDTFs) 04/22/2008 5856 MM5856 02/05/2008
R1429CP 02/01/2008 Modification of Payment Window Edits in the Common Working File (CWF) to Look at Line Item Dates of Service (LIDOS) on Outpatient Claims 07/07/2008 5880 MM5880 02/05/2008
R1423CP 02/01/2008 Summary of Policies in the 2008 Medicare Physician Fee Schedule and the Telehealth Originating Site Facility Fee Payment Amount 01/07/2008 5895 MM5895 02/05/2008
R1432CP 02/01/2008 Medicare Fee For Service Legacy Provider IDs Prohibited on Form CMS-1500 and Form CMS-1450 (UB-04) Claims 04/07/2008 5858 MM5858 02/05/2008
R56DEMO 02/01/2008 Implementation of Laboratory Competitive Bidding Demonstration 07/07/2008 5772 MM5772 02/20/2008
R1551CP 07/18/2008 New Hemophilia Clotting Factor and HCPCS Code 01/05/2009 6006 MM6006 07/29/2008
R1553CP 07/18/2008 Clarification on the Correct Condition Code to Report on Provider Adjustment Requests to Indicate a Health Insurance Prospective Payment System (HIPPS) Code Change 01/05/2009 6002 MM6002 07/29/2008
R1465CP 02/22/2008 Payment for Initial Hospital Care Services (Codes 99221 - 99233) and Observation or Inpatient Care Services (Including Admission and Discharge Services) (Codes 99234 - 99236) 04/07/2008 5793 MM5793 02/25/2008
R1466CP 02/22/2008 Payment for Hospital Observation Services (Codes 99217 - 99220) and Observation or Inpatient Care Services (Including Admission and Discharge Services - Codes 99234 - 99236) 04/07/2008 5791 MM5791 02/25/2008
R1456CP 02/22/2008 MANUALIZATION of Payment for Outpatient ESRD-Related Services 03/24/2008 5931 MM5931 02/25/2008
R1453CP 02/22/2008 Systems Changes for Prescription Order Numbers for the Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals 07/07/2008 5855 MM5855 02/25/2008
R242PI 02/22/2008 Items and Special Services Having Special DME Review Considerations 03/01/2008 5909 MM5909 02/25/2008
R1416CP 01/18/2008 Clarification of Bone Mass Measurement (BMM) Billing Requirements 02/20/2008 5847 MM5847 02/25/2008
R1426CP 02/01/2008 Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases 02/01/2008 5896 MM5896 02/05/2008
R84BP 02/29/2008 Update to Audiology Policies 04/07/2008 5717 MM5717 03/04/2008
R1461CP 02/22/2008 Clarification to CR 5744 - Payment Allowance Update for the Influenza Virus Vaccine CPT 90660 and Further Instruction Regarding the Pneumococcal Vaccine CPT 90669 03/24/2008 5910 MM5910 02/25/2008
R1458CP 02/22/2008 Teaching Physician Requirements For ESRD Monthly Capitation Payment (MCP) 03/24/2008 5932 MM5932 02/25/2008
R1468CP 02/29/2008 Claim Status Category Code and Claim Status Code Update 04/07/2008 5947 MM5947 03/04/2008
R1460CP 02/22/2008 Subsequent Hospital Visits and Hospital Discharge Day Management Services Codes (99231 - 99239) 04/07/2008 5794 MM5794 02/25/2008
R1427CP 02/01/2008 New Value Code to Report Patient Prior Payments 07/07/2008 5882 MM5882 02/05/2008
SE0802 N/A Upcoming Critical Dates for Medicare's Fee-for-Service (FFS)Implementation of the National Provider Identifier (NPI) N/A N/A SE0802 02/08/2008
R249PI 03/28/2008 Carrier Assignment of Provider Identification Numbers (PINs). 04/04/2008 5995 N/A N/A
R81NCD 04/04/2008 Percutaneous Transluminal Angioplasty (PTA) 05/05/2008 5984 N/A N/A
R34SOMA 04/04/2008 Revision to Appendix W, Survey Protocol, Regulations and Interpretive Guidelines for Critical Access Hospitals (CAHs) 04/04/2008 N/A N/A N/A
R330OTN 04/04/2008 Extension of Reasonable Cost Payment for Clinical Lab Tests Furnished by Hospitals with Fewer Than 50 Beds in Qualified Rural Areas 07/07/2008 5961 N/A N/A
R250PI 04/04/2008 Instructions on the Processing of CMS-855 Enrollment Applications Submitted Via the Web 05/05/2008 5954 N/A N/A
R436PR1 03/28/2008 The GAAP terms have been replaced with the ERISA terms to prevent confusion with the pension costs N/A N/A N/A N/A
R1485CP 03/28/2008 Chapter 29 Clean-Up 07/07/2008 5899 N/A N/A
R3280TN 03/26/2008 SPLIT OF HI/NV/AZ Part B Workloads and Merge of AZ/Ut/Mt 04/01/2008 5733 N/A N/A
R266PI 09/05/2008 Model Letters 10/06/2008 6051 N/A N/A
R374OTN 09/05/2008 Expansion of the Legal Business Name (LBN) Field in VMS (DME MACs Only) 01/05/2009 5933 N/A N/A
R329OTN 04/04/2008 Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes 04/07/2008 5956 N/A N/A
R251PI 04/11/2008 Administrative Appeals for Provider Enrollment 05/12/2008 5826 N/A N/A
R332OTN 04/11/2008 Instructions for Fiscal Intermediary Standard System (FISS), Multi-Carrier System (MCS) and Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes 07/07/2008 5957 N/A N/A
R254PI 04/29/2008 Implementation of a PIMR Edit Effectiveness Report For Program Safeguard Contractors (PSCs) 10/06/2008 5908 N/A N/A
R1583CP 08/29/2008 Artificial Hearts 10/06/2008 6185 N/A N/A
R373OTN 09/05/2008 Schedule for Completing the Calendar Year (CY) 2009 Fee Schedule Updates and the Participating Physician Enrollment Procedures 10/06/2008 6156 N/A N/A
R1430CP 02/01/2008 Use of HCPCS V2787 When Billing Approved Astigmatism-Correcting Intraocular Lens (A-CIOLs) in Ambulatory Surgery Centers (ASCs), Physician Offices, and Hospital Outpatient Departments (HOPDs) 03/03/2008 5853 MM5853 02/06/2008
R1424CP 02/01/2008 Correction to Low Utilization Payment Adjustment Add-on Payments Under the Refined Home Health Prospective Payment System (HH PPS) 07/07/2008 5877 MM5877 02/05/2008
R1502CP 05/09/2008 Phase 1 of Manual Revisions to Reflect Payment Changes for DMEPOS Items as a Result of the DMEPOS Competitive Bidding Program and the Deficit Reduction Act (DRA) of 2005 06/09/2008 5978 MM5978 05/30/2008
R1532CP 06/11/2008 Phase 2 of Manual Revisions to Reflect Payment Changes for DMEPOS Items as a Result of the DMEPOS Competitive Bidding Program and the Deficit Reduction Act of 2005 07/07/2008 6119 MM6119 06/12/2008