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2010 MLN Matters Articles

The Medicare Learning Network

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Transmittal #: Issue Date: Subject: Implementation Date: CR #: MM Article #: MM Article Release Date:
R171FM 05/28/2010 Expansion of Form 5 of the Contractor Reporting of Operational and Workload Data (CROWD) N/A 6969 N/A N/A
R1898CP 01/29/2010 Dialysis Adequacy, Infection and Vascular Access Reporting 07/06/2010 6782 MM6782 02/02/2010
R1976CP 05/28/2010 July 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) 07/06/2010 6996 MM6996 06/02/2010
R128BP 05/28/2010 July 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) 07/06/2010 6996 MM6996 06/02/2010
R1980CP 06/04/2010 July 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) 07/06/2010 6996 MM6996 06/07/2010
R1982CP 06/04/2010 July 2010 Integrated Outpatient Code Editor (I/OCE) Specifications Version 11.2 07/06/2010 6967 MM6967 06/07/2010
R715OTN 06/04/2010 Analysis for FISS, CWF and NCH for Physician and Non-Physician Practitioner Specialty Codes 10/04/2010 6998 N/A N/A
R619OTN 01/08/2010 Converting the BSIs for the Providers Transitioning from WPS Legacy Workload (formerly processed by Mutual of Omaha) to the J1 A/B Medicare Administrative Contractor (MAC) 04/19/2010 6773 N/A N/A
R618OTN 01/08/2010 Institutional Online Screens Changes for Version 005010 Related to ICD-10, Institutional Online Screens Changes for Additional Medical Codes, and Changes Needed to Process Additional Medical Codes - Analysis Only 04/05/2010 6797 N/A N/A
R617OTN 01/08/2010 Medically Unlikely Edits (MUEs). 04/05/2010 6712 N/A N/A
R616OTN 01/08/2010 Common Working File (CWF) Non-Base Jobs to Base Jobs N/A 6767 N/A N/A
R442PR1 06/08/2010 Prospective Payment System Hospital Input Price Index N/A N/A N/A N/A
R63GI 06/11/2010 October 2010 Update to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS) 10/04/2010 6971 N/A N/A
R700OTN 05/10/2010 Revised Payment Files for the 2010 Medicare Physician Fee Schedule Database (MPFSDB) and Retroactive Provisions under the Patient Protection and Affordable Care Act (Pub. L. 111-148) (the Affordable Care Act) 06/01/2010 6973 MM6973 05/13/2010
R706OTN 05/21/2010 Extension for the Two Percent and Three Percent Add-On for the Ground Ambulance, Air Ambulance in Rural Areas and "Super Rural" Add-0n 07/06/2010 6972 MM6972 05/21/2010
R1973CP 05/21/2010 Internet Only Manual (IOM) Chapter 25 Revisions 09/01/2010 6907 MM6907 05/21/2010
R1970CP 05/21/2010 Updated Form CMS-1500 Information 10/04/2010 6929 MM6929 05/27/2010
R1985CP 06/11/2010 Clarifications and Updates of Therapy Services Policies 07/11/2010 6980 N/A N/A
R170FM 05/21/2010 Cardiac Rehabilitation and Intensive Cardiac Rehabilitation 10/04/2010 6850 MM6850 05/21/2010
R126BP 05/21/2010 Cardiac Rehabilitation and Intensive Cardiac Rehabilitation 10/04/2010 6850 MM6850 05/21/2010
R339PI 05/21/2010 Cardiac Rehabilitation and Intensive Cardiac Rehabilitation 10/04/2010 6850 MM6850 05/21/2010
R1974CP 05/21/2010 Cardiac Rehabilitation and Intensive Cardiac Rehabilitation 10/04/2010 6850 MM6850 05/21/2010
R124BP 05/07/2010 Pulmonary Rehabilitation (PR) Services 10/04/2010 6823 MM6823 05/07/2010
R1966CP 05/07/2010 Pulmonary Rehabilitation (PR) Services 10/04/2010 6823 MM6823 05/07/2010
SE1016 N/A Re-Assignment of Certain Providers to Jurisdiction 1 and Jurisdiction 4 Medicare Administrative Contractors (MACs) N/A NA SE1016 05/18/2010
R125BP 05/14/2010 Ambulance Services - Joint Responses 06/15/2010 6949 MM6949 05/18/2010
R1984CP 06/11/2010 July 2010 Update to the Ambulatory Surgical Center (ASC) Payment System 07/06/2010 7008 MM7008 06/11/2010
R1988CP 06/14/2010 Enhancements to Home Health (HH) Consolidated Billing 10/04/2010 6911 MM6911 05/27/2010
R1983CP 06/11/2010 Clarification on Use of the SNFABN and Denial Letters 07/12/2010 6987 MM6987 06/15/2010
R1975CP 05/28/2010 Revisions and Re-issuance of Audiology Policies 07/28/2010 6447 MM6447 06/03/2010
R127BP 05/28/2010 Revisions and Re-issuance of Audiology Policies 07/28/2010 6447 MM6447 06/03/2010
R1977CP 05/28/2010 Collagen Meniscus Implant 07/06/2010 6903 MM6903 06/03/2010
R121NCD 05/28/2010 Collagen Meniscus Implant 07/06/2010 6903 MM6903 06/03/2010
SE1017 N/A Preparing for a Transition from an FI/Carrier to a Medicare Administrative Contractor (MAC) or from one Durable Medical Equipment (DME) MAC to another DME MAC N/A N/A SE1017 06/02/2010
R14P232 01/15/2010 transmittal updates Chapter 32, Home Health Agency Cost Report, (Form CMS-1728-94 N/A N/A N/A N/A
R1893CP 01/15/2010 Paying Claims Without Common Working File (CWF) Approval 04/01/2010 6764 N/A N/A
R620OTN 01/15/2010 Various OIG Reports that have Medical Review Implications 02/16/2010 6779 N/A N/A
R1894CP 01/15/2010 Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncoverage (ABNs) 04/05/2010 6563 N/A N/A
R322PI 01/15/2010 Durable Medical Equipment (DME MAC) and the National Supplier Clearinghouse (NSC MAC) Procedures for Third Party Notification of Deceased Durable Medical Equipment, Prosthetic, Orthotic and Supplies (DMEPOS) Supplier Associates 07/06/2010 6714 N/A N/A
R21P236 01/15/2010 This transmittal also reflects further clarification to existing instructions and incorporates select Federal Register provisions. N/A N/A N/A N/A
R622OTN 01/15/2010 Systematic Synchronization of Medicare Participating Physician or Supplier Agreement (PAR) Status Between the Multi Carrier System (MCS) Provider Enrollment, Chain and Ownership System (PECOS) 01/04/2010 6449 N/A N/A
R119BP 01/15/2010 Coverage of Inpatient Rehabilitation Services 01/04/2010 6699 N/A N/A
R164FM 01/15/2010 Chapter 7, Internal Control Requirements Update 11/23/2009 6659 N/A N/A
R327PI 03/16/2010 Signature Guidelines for Medical Review Purposes 04/16/2010 6698 MM6698 04/12/2010
R338PI 05/14/2010 Clinical Review Judgment (CRJ) 06/15/2010 6954 MM6954 05/14/2010
R343PI 06/18/2010 Medical Review Resolutions in the Absence of a Plan of Care (POC) and the Outcome Assessment Information Set (OASIS) 07/19/2010 6982 N/A N/A
R1891CP 01/08/2010 Correction to CR 6728 on Correct Coding Initiative (CCI) Edits, Version 16.0, Effective January 1, 2010 01/15/2010 6818 MM6818 01/12/2010
R1887CP 01/06/2010 Emergency Update to the 2010 Medicare Physician Fee Schedule Database 01/04/2010 6796 MM6796 12/29/2009
R1889CP 01/08/2010 PharmacogenomicTesting for Warfarin Response 04/05/2010 6715 MM6715 12/30/2009
R722OTN 06/18/2010 Requirement for Submission of Shared Systems Data to the Integrated Data Repository (IDR) 10/04/2010 6942 N/A N/A
R165FM 01/15/2010 Notice of New Interest Rate for Medicare Overpayments and Underpayments 2nd Notification for FY 2010 01/25/2010 6652 N/A N/A
R344PI 06/18/2010 Chapter 10 Manual Redesign 07/05/2010 6938 N/A N/A
R721OTN 06/18/2010 Durable Medical Equipment National Competitive Bidding Implementation -- Phase 10C: Exception for Medicare Beneficiaries Previously Enrolled in a Medicare Advantage Plan 10/04/2010 6918 MM6918 05/05/2010
R1989CP 06/18/2010 October Quarterly Update to 2010 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 10/04/2010 7002 MM7002 06/22/2010
R719OTN 06/11/2010 Reprocessing of Claims for Certain Replacement Parts, Accessories, or Supplies for Prosthetic Implants and Surgically Implanted Durable Medical Equipment (DME) with Dates of Service of October 27th, 2008 through December 31, 2009 10/04/2010 6970 MM6970 06/15/2010
R1987CP 06/11/2010 Correction to the Claims Processing Internet Only Manual (IOM) to Reinstate Previous Instructions Regarding Payment Jurisdiction for Reassigned Services 08/12/2010 6923 MM6923 06/14/2010
R711OTN 05/28/2010 Revised Payment Files for the 2010 Ambulatory Surgical Center Payment System 06/21/2010 7010 MM7010 06/11/2010
R1981CP 06/04/2010 Update-Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Rate Year 2011 07/06/2010 6986 MM6986 06/07/2010
R712OTN 05/28/2010 One-Time Mailing of Solicitation Letter To All Physicians And Non-Physician Practitioners Who Are Currently Enrolled In Medicare But Who Do Not Have An Enrollment Record In The Provider Enrollment, Chain And Ownership System (PECOS) 06/28/2010 6842 MM6842 06/08/2010
R709OTN 05/21/2010 Additional Instruction for Implementation of Health Insurance Portability and Accountability Act of 1996 (HIIPAA) Version 5010 for Transaction 835 - Health Care Claim Payment/Advice and Updated Standard Paper Remit (SPR) 10/04/2010 6975 MM6975 06/04/2010
R1968CP 05/28/2010 New Waived Tests 07/06/2010 6906 MM6906 06/07/2010
R1888CP 01/06/2010 Positron Emission Tomography (PET) (FDG) for Cervical Cancer 01/04/2010 6753 N/A N/A
R1992CP 06/25/2010 July Update to the 2010 Medicare Physician Fee Schedule Database 07/06/2010 6974 MM6974 06/29/2010
R1991CP 06/25/2010 July 2010 Update to the Ambulatory Surgical Center (ASC) Payment System 07/06/2010 7008 MM7008 06/11/2010
R1990CP 06/18/2010 October 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 10/04/2010 7007 MM7007 06/29/2010
SE1023 N/A Provisions in the Affordable Care Act of 2010 (ACA) N/A N/A SE1023 07/01/2010
R1994CP 07/02/2010 Billing and Claims Processing for Automatic Implantable Cardiac Defibrillator (ICD) Services 08/31/2010 7015 N/A N/A
R1986CP 06/11/2010 Guidelines to Allow Contractors to Develop and Utilize Procedures for Accepting and Processing Appeals Via Facsimile and/or Via a Secure Internet Portal/Application 10/01/2010 6958 MM6958 06/14/2010
R720OTN 06/18/2010 Additional Healthcare Common Procedure Coding System (HCPCS) Codes Subject to Clinical Laboratory Improvement Amendments (CLIA) Edits 07/19/2010 6985 MM6985 06/22/2010
SE1019 N/A ICD-10 Implementation Information N/A N/A SE1019 06/22/2010
SE1020 N/A Reminder to Inpatient Psychiatric Facilities (IPFs) to use Source of Admission Code D for Patient Transfers within the Same Facility N/A N/A SE1020 06/18/2010
R717OTN 06/08/2010 Clarification of the Date of Service for Maintenance and Servicing Payments for Certain Oxygen Equipment After July 1, 2010 07/09/2010 6990 MM6990 06/16/2010
R1993CP 07/01/2010 July Quarterly Update for 2010 Durable Medical Equipment, Prosthetics, Orthotics, and Suppliers (DMEPOS) Fee Schedule 07/06/2010 6945 MM6945 05/13/2010
R1899CP 01/29/2010 April 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 04/05/2010 6804 MM6804 02/02/2010
R2SBI 07/07/2010 Conversion of Chapter 8, Premium Payments By States to the Internet Only Manual 07/02/2010 N/A N/A N/A
R726OTN 07/08/2010 Updates to the Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, Outpatient Prospective Payment System (OPPS), and Inpatient Rehabilitation Facility (IRF) PPS Changes due to the Affordable Care Act (ACA) 08/09/2010 7029 N/A N/A
R57SOMA 01/29/2010 Revised Chapter 2, The Certification Process, Section 2256H 01/29/2010 N/A N/A N/A
R628OTN 01/29/2010 Integrated Outpatient Code Editor (IOCE) PC (interactive and batch) Re-Write 07/06/2010 6709 N/A N/A
R623OTN 01/15/2010 Implementation of the HIPAA Version 5010 276/277 Claim Status Second Phase N/A 6721 N/A N/A
R1916CP 02/05/2010 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.1, effective April 1, 2010 04/05/2010 6819 MM6819 02/12/2010
R1998CP 07/09/2010 Magnetic Resonance Angiography (MRA) 08/09/2010 7040 MM7040 07/14/2010
R123NCD 07/09/2010 Magnetic Resonance Angiography (MRA) 08/09/2010 7040 MM7040 07/14/2010
SE1013 N/A Summary of Medicare Reporting and Payment of Services for Alcohol and/or Substance (Other than Tobacco) Abuse Structured Assessment and Brief Intervention (SBIRT) Services N/A N/A SE1013 07/07/2010
R172FM 07/14/2010 Notice of New Interest Rate for Medicare Overpayments and Underpayments-4th Notification for FY 2010 07/21/2010 6654 N/A N/A
R627OTN 01/29/2010 Carriers and Part A and Part B Medicare Administrative Contractors (A/B MACs) to Fully Populate the Provider Enrollment, Chain and Ownership System (PECOS) 03/15/2010 6755 N/A N/A
R629OTN 01/29/2010 MCS Changes Needed to Automate the Annual Update to the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 07/06/2010 6798 N/A N/A
R632OTN 01/29/2010 Claim Adjustment Reason Code (CARC) Update for Medicare Secondary Payer (MSP) Claims Processing 07/06/2010 6623 N/A N/A
R8P229 01/29/2010 This transmittal also reflects further clarification to existing instructions and incorporates select legislative and other provisions. The effective date for instructional changes will vary due to various implementation dates. N/A N/A N/A N/A
R347PI 07/15/2010 Chapter 10 Manual Redesign 07/30/2010 6938 N/A N/A
R639OTN 02/12/2010 Editing Guidance/Clarification Related to HIPAA 5010 07/06/2010 6824 N/A N/A
R60SOMA 07/16/2010 Revisions to Appendix V-Interpretive Guidelines-Responsibilities of Medicare Participating Hospitals in Emergency Cases. 07/16/2010 N/A N/A N/A
R2003CP N/A New Physician Specialty Code for Geriatric Psychiatry 07/19/2010 6533 N/A N/A
R728OTN 07/15/2010 Updates to the Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, Outpatient Prospective Payment System (OPPS), and Inpatient Rehabilitation Facility (IRF) PPS Changes due to the Affordable Care Act (ACA) 08/09/2010 7029 MM7029 07/21/2010
R2002CP 07/16/2010 Claim Status Category and Claim Status Code Update 10/04/2010 7052 MM7052 07/21/2010
R2001CP 07/16/2010 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2010 10/04/2010 7057 MM7057 07/21/2010
R630OTN 01/29/2010 FISS Integrated Outpatient Code Editor (IOCE) Control Block Changes Related to ICD-10 07/06/2010 6737 N/A N/A
R1903CP 01/29/2010 Instructions for Processing Claims Containing Anti-Markup Services but with Partial Information Completed in Item 20 of the Form CMS-150 04/05/2010 6670 N/A N/A
SE1001 N/A Additional Information Regarding the Calendar Year (CY) 2010 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment N/A N/A SE1001 01/14/2010
R624OTN 01/22/2010 Incorporation of the National Provider Identifier (NPI) into the National Supplier Clearinghouse (NSC) Enrollment System and Related Instructions N/A 6488 N/A N/A
SE1005 N/A Providers Randomly Selected to Participate in the Medicare Contractor Provider Satisfaction Survey (MCPSS) Urged to Respond N/A N/A SE1005 01/22/2010
R1892CP 01/15/2010 Payment to Physician or Other Supplier for Diagnostic Tests Subject to the Anti-Markup Payment Limitation 03/15/2010 6733 MM6733 01/20/2010
R621OTN 01/15/2010 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 5010 - MAC Jurisdiction 9 Only 03/01/2010 6745 MM6745 01/26/2010
R1900CP 01/29/2010 Correction to Processing of Non-Covered Revenue Codes 07/06/2010 6774 MM6774 02/02/2010
R1897CP 01/29/2010 Associating Hospice Visits to the Level of Care 04/29/2010 6791 MM6791 02/02/2010
R61SOMA 07/23/2010 Corrections to the Exhibits Table of Contents 07/23/2010 N/A N/A N/A
R2005CP 07/23/2010 Billing and Claims Processing for Automatic Implantable Cardiac Defibrillator (ICD)Services 08/31/2010 7015 N/A N/A
R120BP 01/29/2010 Revision of Definition of Compendia as Authoritative Source for Use in the Determination of a Medically-Accepted Indication of Drugs/Biologicals Used Off-label in Anti-Cancer Chemotherapeutic Regimens 03/01/2010 6806 MM6806 02/04/2010
R1QRI 06/11/2010 Physician Quality Reporting Initiative (PQRI) and E-Prescribing (eRx) Medicare Quality Reporting Incentive Programs Manual 09/13/2010 6935 MM6935 06/14/2010
R129BP 07/23/2010 Revisions and Re-issuance of Audiology Policies 08/11/2010 6447 MM6447 06/03/2010
R2007CP 07/23/2010 Revisions and Re-issuance of Audiology Policies 08/11/2010 6447 MM6447 06/03/2010
R2006CP 07/23/2010 October Quarterly Update for 2010 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 10/04/2010 7070 MM7070 07/27/2010
R348PI 07/27/2010 Durable Medical Equipment (DME MAC) and the National Supplier Clearinghouse (NSC MAC) Procedures for Third Party Notification of Deceased Durable Medical Equipment, Prosthetic, Orthotic and Supplies (DMEPOS) Supplier Associates 10/04/2010 6714 N/A N/A
R1896CP 01/29/2010 Healthcare Provider Taxonomy Codes (HPTC) Update April 2010 04/05/2010 6840 N/A N/A
R725OTN 07/02/2010 Mailing To All Individual Practitioners, Medical Groups and Clinics and Independent Diagnostic Testing Facilities (IDTF) Who Are Billing or Have Billed For Advanced Diagnostic Imaging Services 08/02/2010 6912 MM6912 07/07/2010
R727OTN 07/09/2010 Mailing To All Individual Practitioners, Medical Groups and Clinics and Independent Diagnostic Testing Facilities (IDTF) Who Are Billing or Have Billed For Advanced Diagnostic Imaging Services 08/13/2010 6912 MM6912 07/07/2010
R1996CP 07/02/2010 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/04/2010 7006 MM7006 07/09/2010
R1955CP 04/28/2010 New Hospice Site of Service Code 10/04/2010 6905 MM6905 07/07/2010
R626OTN 01/29/2010 One-Time Mailing of Supplier Responsibilities Letter - Individual Practitioners Only N/A 6278 MM6278 10/06/2009
R732OTN 07/29/2010 Shared System Separation of Duties Enforcement (Technical Control) 01/03/2011 7030 N/A N/A
R730OTN 07/29/2010 Allowing the Common Working File (CWF) to accept both Medicare Secondary Payer (MSP) and Non-MSP Lines on MSP Claims and MSP Adjustment Claims 04/04/2011 7026 N/A N/A
R736OTN 07/30/2010 5010: Workgroup for Pub. 100-04, Medicare Claims Processing Manual, Chapter 24 Revisions 08/30/2010 7028 N/A N/A
R62SOMA 07/30/2010 New State Code for Missouri; New CCN for Medicaid-Only Hospitals 01/03/2011 6989 N/A N/A
R740OTN 07/30/2010 Alternative Feedback Report Request Process for Quality Initiatives 01/03/2011 7031 N/A N/A
R743OTN 07/30/2010 Analysis Change Request - The Inclusion of Veterans Administration (VA) Skilled Nursing Facility (SNF) Claims to the VA Medicare Remittance Advice (eMRA) Process 01/03/2011 7047 N/A N/A
R742OTN 07/30/2010 Multi-Carrier System (MCS) Review and System Changes for IRS Reporting where Providers have been Paid under a Current and a Historic (or Multiple Historic) EIN Number in the Same Calendar Year 01/03/2011 6878 N/A N/A
R733OTN 07/30/2010 Further Instruction for Implementation of Health Insurance Portability and Accountability Act of 1996 (HIPAA) version 5010 for Transaction 835 - Health Care Claim Payment/Advice and Updated Standard Paper Remit (SPR) 01/03/2011 7032 N/A N/A
R735OTN 07/30/2010 Health Insurance Portability and Accountability Act (HIPAA) 005010 837 Institutional (837I) Edits and 005010 837 Professional (837P) Edits - January 2011 Version 01/03/2011 7059 N/A N/A
R633OTN 02/04/2010 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 5010 Acknowledgements Instructions N/A 6783 N/A N/A
R744OTN 08/02/2010 Jurisdiction 10 A/B MAC Merge of the Part B Alabama, Georgia, and Tennessee CICS Production and User Acceptance Test Regions 07/31/2010 6765 N/A N/A
R9PDB 02/05/2010 Chapter 13 of the Medicare Prescription Drug Benefit Manual, Premium and Cost-Sharing Subsidies for Low-Income Individuals 01/01/2010 N/A N/A N/A
R1908CP 02/05/2010 Clotting Factor Furnishing Fee Conforming Manual Change to Unit 03/05/2010 6811 N/A N/A
R1910CP 02/05/2010 Type of Service (TOS) Corrections 04/05/2010 6835 N/A N/A
R112NCD 02/05/2010 Outpatient Intravenous Insulin Treatment (Therapy) 03/08/2010 6775 N/A N/A
R637OTN 02/05/2010 Common Working File (CWF) Edit to Reject Claims for Durable Medical Equipment (DME) Provided to Medicare Beneficiaries During Non-Covered Stays in a Skilled Nursing Facility (SNF) 07/06/2010 6695 N/A N/A
R1913CP 02/05/2010 Outpatient Intravenous Insulin Treatment (Therapy) 03/08/2010 6775 N/A N/A
R324PI 02/05/2010 Revisions to Model Approval Letters 03/08/2010 6780 N/A N/A
R63DEMO 02/05/2010 Modification to Accommodate the Acute Care Episode (ACE) Demonstration 07/06/2010 6771 N/A N/A
R1915CP 02/05/2010 Non-systems Internet Only Manual (IOM) Chapter 25 Changes 04/14/2010 6788 N/A N/A
R2017CP 08/04/2010 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/04/2010 7006 MM7006 07/09/2010
R1901CP 01/29/2010 Billing and Processing for Healthy Control Group Volunteers in a Qualified Clinical Trial 07/06/2010 6776 MM6776 02/04/2010
R323PI 01/29/2010 MCS Changes Needed to Automate the Annual Update to the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 03/29/2010 6748 MM6748 02/02/2010
R1905CP 02/05/2010 New Waived Tests 04/05/2010 6800 MM6800 02/12/2010
R1912CP 02/05/2010 Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits 04/05/2010 6812 MM6812 02/12/2010
R636OTN 02/05/2010 Instructions for Reprocessing Claims and Recouping Overpayments for Claims for Implanted DME and Implanted Prosthetics Submitted Under the Guidelines Established in Change Request (CR) 5917 05/05/2010 6762 MM6762 02/12/2010
R17P235 02/26/2010 Cost Report, Form CMS 2540-96, to reflect further clarification to existing instructions. N/A N/A N/A N/A
R1925CP 03/05/2010 Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting 04/05/2010 6839 N/A N/A
R645OTN 03/05/2010 Version D.0 Inbound National Council for Prescription Drug Programs (NCPDP) Flat File Implementation N/A 6845 N/A N/A
R646OTN 03/05/2010 VMS End-to-End Testing for HIPAA 5010 07/06/2010 6853 N/A N/A
R1926CP 03/05/2010 April 2010 Update to the Ambulatory Surgical Center (ASC) Payment System 04/05/2010 6866 N/A N/A
R62GI 03/05/2010 July 2010 Update to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS) 07/06/2010 6841 N/A N/A
R647OTN 03/05/2010 Implementation of Common Edits and Enhancements (CEM) Software at Part A/B MAC Local Data Centers 07/06/2010 6836 N/A N/A
R748OTN 08/06/2010 Identify All Beneficiaries in the Common Working File (CWF) With Dual Eligibility 01/03/2011 7051 N/A N/A
R746OTN 08/06/2010 Changes to the Medicare Fraud Edit Modules 09/06/2010 7067 N/A N/A
R2018CP 08/06/2010 Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2010 09/06/2010 7069 N/A N/A
R9P229 03/12/2010 This transmittal updates Chapter 29, Independent Rural Health Clinic (RHC)/Freestanding Federally Qualified Health Center (FQHC) Cost Report, (Form CMS-222-92). N/A N/A N/A N/A
R15P232 03/12/2010 Updates Chapter 32, Home Health Agency Cost Report N/A N/A N/A N/A
R650OTN 03/12/2010 DME MAC and NSC MAC Processing Do Not Forward Code Notification and Action 07/06/2010 6704 N/A N/A
R27COM 03/12/2010 Change in Provider Customer Service Program Requirements 04/12/2010 6817 N/A N/A
R749OTN 08/06/2010 Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes 01/03/2011 7036 N/A N/A
R750OTN 08/10/2010 Health Insurance Portability and Accountability Act (HIPAA) 005010 837 Institutional (837I) Edits and 005010 837 Professional (837P) Edits - January 2011 Version 01/03/2011 7059 N/A N/A
R1929CP 03/09/2010 Point of Origin for Admission or Visit Codes Update to the UB-04 (CMS-1450) Manual Code List 07/06/2010 6801 N/A N/A
R1924CP 02/26/2010 April 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) 04/05/2010 6857 MM6857 03/09/2010
R1922CP 02/19/2010 July 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 07/06/2010 6805 MM6805 03/09/2010
R1928CP 03/05/2010 Correction to Processing of Non-Covered Revenue Codes 07/06/2010 6774 MM6774 02/02/2010
R116NCD 03/05/2010 Repeal of Section 20.10, Cardiac Rehabilitation (CR) Programs 04/05/2010 6855 MM6855 03/09/2010
R1927CP 03/05/2010 April 2010 Integrated Outpatient Code Editor (I/OCE) Specifications Version 11.1 04/05/2010 6882 MM6882 03/15/2010
R1917CP 02/05/2010 Point of Origin for Admission or Visit Codes Update to the UB-04 (CMS-1450) Manual Code List 07/06/2010 6801 MM6801 02/12/2010
SE1007 01/29/2010 Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program; A Better Way for Medicare to Pay for Medical Equipment 04/29/2010 NA SE1007 02/02/2010
R751OTN 08/13/2010 Extract File Format Requirements to Fully Implement Change Request 6312 (Fiscal Intermediary Standard System (FISS) to Deactivate Billing Numbers for Non-Frequent Billers) 01/03/2011 6957 N/A N/A
R753OTN 08/13/2010 January Common Edits and Enhancements Module (CEM) Updates 01/03/2011 7053 N/A N/A
R752OTN 08/13/2010 rocessing Claims Spanning More than Ten Years with Unlimited Occurrence Span Codes (OSCs) 01/03/2011 7088 N/A N/A
R755OTN 08/13/2010 National Council for Prescription Drug Programs (NCPDP) code set updates. 01/03/2011 7075 N/A N/A
R654OTN 03/19/2010 Beta Testing of the HIPAA Version 5010 Common Edits and Enhancements Module (CEM) at Part A/B MAC Local Data Centers 04/30/2010 6872 N/A N/A
R655OTN 03/19/2010 HIPAA 5010 Activity-Testing of 5010 CRs N/A 6739 N/A N/A
R657OTN 03/19/2010 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 5010 Catch-up Phase Two - MAC Jurisdiction 9 Only 05/03/2010 6847 N/A N/A
R658OTN 03/19/2010 Jurisdiction 10 A/B MAC Merge of the Part B Alabama, Georgia, and Tennessee CICS Production and User Acceptance Test Regions 07/31/2010 6765 N/A N/A
R656OTN 03/19/2010 Health Insurance Portability and Accountability Act (HIPAA) 005010 837 Institutional (837I) Edits and 005010 837 Professional (837P) Edits - July Version 07/06/2010 6849 N/A N/A
R2026CP 08/13/2010 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2011 10/04/2010 7076 MM7076 08/17/2010
R1907CP 02/05/2010 Medicare Systems Edit Refinements Related to Hospice Services 07/06/2010 6778 MM6778 02/12/2010
R121BP 02/05/2010 Medicare Systems Edit Refinements Related to Hospice Services 07/06/2010 6778 MM6778 02/12/2010
R73MSP 02/05/2010 Instructions on How to Process Negative Claim Adjustment Reason Code (CARC) Adjustment Amounts when Certain CARCs Appear on Medicare Secondary Payer Claims 07/06/2010 6736 MM6736 02/12/2010
R634OTN 02/05/2010 Reporting the Beneficiary's Residence State Code and ZIP Code for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Claims 07/06/2010 6359 MM6359 02/18/2010
SE1014 N/A Medicare Policy Regarding Pressure Reducing Support Surfaces N/A N/A SE1014 05/07/2010
R2004CP 07/23/2010 Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index, and the Hospice Pricer for FY 2011 10/04/2010 7077 MM7077 07/27/2010
R2008CP 07/30/2010 Common Working File (CWF) Override Edit for Kidney Transplant Donor Claims When the Kidney Recipient is Deceased 01/03/2011 6978 MM6978 08/02/2010
R741OTN 07/30/2010 Home Health Agencies (HHAs)Providing Durable Medical Equipment(DME)in Competitive Bidding Areas 01/03/2011 7014 MM7014 08/02/2010
R2011CP 07/30/2010 Revised Instructions for Reporting Assessment Dates under the Inpatient Rehabilitation Facility (IRF), Skilled Nursing Facility (SNF), and Swing Bed (SB) Prospective Payment Systems (PPS) 01/03/2011 7019 MM7019 08/02/2010
R2014CP 07/30/2010 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 or Terminated N/A 6625 MM6625 08/05/2010
R734OTN 07/30/2010 Timely Claims Filing: Additional Instructions 01/03/2011 7080 MM7080 08/02/2010
R718OTN 06/10/2010 Durable Medical Equipment National Competitive Bidding Implementation Phase 10G: Paying for Oxygen Equipment when Grandfathered 10/04/2010 6934 MM6934 07/30/2010
R641OTN 02/19/2010 Common Working File (CWF) Submission of Codes to the Part A Contractors and Shared Systems and the Systems Ability to Override the Claim Level CWF Edit for Certain MSP Claims 04/05/2010 6794 N/A N/A
R1921CP 02/19/2010 Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncoverage (ABNs) 04/05/2010 6563 N/A N/A
R64DEMO 02/19/2010 Payments to Practices Participating in the Electronic Health Records (EHR) Demonstration N/A 6603 N/A N/A
R1919CP 02/19/2010 Instructions for Downloading the Medicare ZIP Code File for July 2010 07/06/2010 6815 N/A N/A
R114NCD 02/22/2010 Outpatient Intravenous Insulin Treatment (Therapy) 03/08/2010 6775 N/A N/A
R1923CP 02/22/2010 Outpatient Intravenous Insulin Treatment (Therapy) 03/08/2010 6775 N/A N/A
R1920CP 02/19/2010 Modifications to Gap-Filling Requirements for the Health Insurance Portability Accountability Act (HIPAA) 837 version 5010 Coordination of Benefits (COB) Claims Transactions and National Council for Prescription Drug Programs (NCPDP) Version D.0 Claim Files 07/06/2010 6816 N/A N/A
R350PI 08/20/2010 Notification to State Medicaid Agencies and Child Health Plans of Medicare Revocations 09/21/2010 7017 N/A N/A
R762OTN 08/20/2010 Additional Conference Call and Research Hours in Support of CR 5949 01/03/2011 7102 N/A N/A
R759OTN 08/20/2010 Deactivation Letters for the Fiscal Intermediary Standard System (FISS) 01/03/2011 6763 N/A N/A
R761OTN 08/20/2010 Revisions to Change Request (CR)5949 Integrated Data Repository (IDR) Claims Sourcing from Shared Systems Implementation Based on Conference Calls and Further Research N/A 7054 N/A N/A
R651OTN 03/16/2010 5010-D.0 Project Receipt, Control and Balancing Initial Phase for Durable Medical Equipment (DME) Only N/A 6591 N/A N/A
R652OTN 03/17/2010 Medically Unlikely Edits (MUE) 04/05/2010 6712 N/A N/A
R666OTN 03/26/2010 Update ViPS Medicare System (VMS) to Deactivate Billing Numbers for Non-Frequent Billing Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers. 10/04/2010 6360 N/A N/A
R662OTN 03/26/2010 Conference Call and Research Hours in Support of CR 5949 07/06/2010 6869 N/A N/A
R660OTN 03/22/2010 Version D.0 Inbound National Council for Prescription Drug Programs (NCPDP) Flat File Implementation N/A 6845 N/A N/A
R1937CP 03/26/2010 Positron Emission Tomography (NaF-18) to Identify Bone Metastasis of Cancer 07/06/2010 6861 N/A N/A
R1938CP 03/25/2010 April 2010 Update to the Ambulatory Surgical Center (ASC) Payment System 04/05/2010 6866 N/A N/A
R664OTN 03/26/2010 Implementation of the HIPAA Version 5010 276/277 Claim Status Multi-Carrier System (MCS) Only Transaction Pairing Fix 07/06/2010 6858 N/A N/A
R346PI 06/25/2010 Guidance on Implementing Section 3109 (a) of the Patient Protection and Affordable Care Act (PPACA) 01/03/2011 7021 MM7021 06/29/2010
R2037CP 08/27/2010 2011 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder 01/03/2011 7121 N/A N/A
R353PI 08/27/2010 Notification to State Medicaid Agencies and Child Health Plans of Medicare Terminations for Certified Providers and Suppliers 09/28/2010 7074 N/A N/A
R764OTN 08/27/2010 Health Insurance Portability and Accountability Act (HIPAA) Version 5010-D.0 Transition Reporting N/A 7096 N/A N/A
R354PI 08/27/2010 Manual Redesign 09/28/2010 7016 N/A N/A
R2036CP 08/27/2010 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.3, Effective October 1, 2010 10/04/2010 7081 MM7081 08/30/2010
R2035CP 08/27/2010 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.3, Effective October 1, 2010 01/03/2011 6890 MM6890 08/31/2010
R2038CP 08/27/2010 New Waived Tests 10/04/2010 7084 MM7084 09/01/2010
R328PI 03/19/2010 Ordering/Referring Providers Who Are not Enrolled in Medicare 04/19/2010 6696 MM6696 04/01/2010
R130BP 07/29/2010 Definition of Ambulance Services 01/03/2011 7058 MM7058 08/02/2010
R756OTN 08/13/2010 5010 Implementation-Changes to Present on Admission (POA) Indicator "1" and the K3 Segment 01/03/2011 7024 MM7024 08/17/2010
R2019CP 08/06/2010 Identify All Beneficiaries in the Common Working File (CWF) With Dual Eligibility 10/04/2010 7089 MM7089 08/20/2010
R2020CP 08/06/2010 Clarification of Billing Requirement for Ancillary Services Performed in the Ambulatory Surgical Center (ASC) by Entities Other Than ASCs 09/07/2010 7078 MM7078 08/12/2010
R2009CP 07/29/2010 Implementation of the Interrupted Stay Policy under the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) 01/03/2011 7044 MM7044 08/04/2010
R2023CP 08/06/2010 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2011 10/04/2010 7034 MM7034 08/12/2010
SE1022 N/A Medical Record Retention and Media Formats for Medical Records N/A N/A SE1022 08/10/2010
R1961CP 04/30/2010 Payment for Replacement of Oxygen Equipment In Bankruptcy Situations 10/04/2010 6838 MM6838 08/24/2010
R2015CP 07/30/2010 Revisions to Claims Processing Instructions for Services Rendered in Place of Service Home 01/03/2011 6947 MM6947 08/02/2010
R766OTN 09/03/2010 Enhancements to the Healthcare Integrated General Ledger Accounting System (HIGLAS) System to Eliminate Unnecessary Demand Letters 10/04/2010 7033 N/A N/A
R64GI 09/03/2010 January 2011 Update to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS) 01/03/2011 7099 N/A N/A
R2043CP 09/03/2010 Calendar Year 2011 Payments to Home Health Agencies That Do Not Submit Required Quality Data 10/05/2010 7114 N/A N/A
R642OTN 02/26/2010 Expansion of the Current Scope of Editing for Ordering/Referring Providers for Claims Processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs) 01/03/2010 6417 MM6417 05/05/2009
R643OTN 02/26/2010 Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplier (DMEPOS) Suppliers Claims Process by Durable Medical Equipment Medicare Administrative Contractors (DMEMACs) N/A 6421 MM6421 08/25/2009
R22P236 08/20/2010 Chapter 36, Hospital and Hospital Health Care Complex Cost Report, (Form CMS-2552-96). This transmittal also reflects further clarification to existing instructions and incorporates select Federal Register provisions. N/A N/A N/A N/A
SE1025 N/A Consumer Assessment of Health Providers and Systems (CAHPS) Update for Home Health Agencies (HHA) N/A N/A SE1025 08/25/2010
R2031CP 08/20/2010 Beneficiary-Submitted Claims 11/29/2010 6874 MM6874 08/26/2010
R2030CP 08/20/2010 New Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Specialty Code for Ocularists N/A 6891 MM6891 08/24/2010
R2016CP 07/30/2010 5010 Implementation--Processing Additional International Classification of Diseases, 9th Revision-Clinical Modification (ICD-9-CM) Diagnosis and Procedure Codes in Pricer, Grouper, and the Medicare Code Editor (MCE) 01/03/2011 7004 MM7004 08/02/2010
R2028CP 08/13/2010 5010 Implementation--Processing Additional International Classification of Diseases, 9th Revision-Clinical Modification (ICD-9-CM) Diagnosis and Procedure Codes in Pricer, Grouper, and the Medicare Code Editor (MCE) 01/03/2011 7004 MM7004 08/02/2010
R758OTN 08/20/2010 Discarded Drugs and Biological Policy at Contractor Discretion 09/21/2010 7095 MM7095 08/25/2010
R18P235 09/08/2010 his transmittal introduces 23 additional RUGs (RUG-IV) required for reimbursement for services on and after October 1, 2010. Worksheet S-7 is included in this Transmittal to provide a sample of the subscripted lines needed to implement RUG-IV. Line 45 will be subscripted as lines 45.01 through 45.23 to accommodate the 23 additional RUGs. N/A N/A N/A N/A
R2042CP 09/03/2010 October 2010 Integrated Outpatient Code Editor (I/OCE) Specifications Version 11.3 10/04/2010 7111 MM7111 09/09/2010
R638OTN 02/12/2010 Revised Clinical Laboratory Fee Schedule and ZIP Code File to include Kansas Payment Locality Structure 07/06/2010 6787 MM6787 02/23/2010
R326PI 03/12/2010 Revision of the Internet Only Manual (IOM) to Remove References to Purchased Diagnostic Test and Replace With Language Consistent With the Anti-Markup Rule 06/14/2010 6627 MM6627 03/16/2010
R1931CP 03/12/2010 Revision of the Internet Only Manual (IOM) to Remove References to Purchased Diagnostic Test and Replace With Language Consistent With the Anti-Markup Rule 06/14/2010 6627 MM6627 03/16/2010
R644OTN 02/26/2010 Accumulation of Claims with Condition Code 04 on the Provider Statistical and Reimbursement Report (PS&R) 07/06/2010 6784 MM6784 03/09/2010
R115NCD 03/05/2010 Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting 04/05/2010 6839 MM6839 03/09/2010
R648OTN 03/05/2010 Additional ICD-9 Codes Analysis and Processing direction (Institutional Claims Only) N/A 6851 MM6851 03/09/2010
SE1009 N/A Medicare Quality Standards and Beneficiary Protections for Respiratory Equipment, Power Mobility Devices, and Other Related Durable Medical Equipment N/A N/A SE1009 03/23/2010
R1933CP 03/19/2010 Clinical Laboratory Fee Schedule (CLFS) - Medicare Travel Allowance Fees for Collection of Specimens 04/05/2010 6864 MM6864 03/23/2010
R661OTN 03/23/2010 Validating the Billing of End Stage Renal Disease (ESRD) 50/50 Rule Modifier 04/05/2010 6683 N/A N/A
R1930CP 03/09/2010 Outpatient Intravenous Insulin Treatment (Therapy) 04/05/2010 6775 MM6775 03/25/2010
R117NCD 03/09/2010 Outpatient Intravenous Insulin Treatment (Therapy) 04/05/2010 6775 MM6775 03/25/2010
R329PI 03/19/2010 Change in Provider Enrollment Timeliness Standards for Certain Paper Applications 06/21/2010 6807 MM6807 03/23/2010
R653OTN 03/19/2010 Clinical Laboratory Fee Schedule (CLFS) - Special Instructions for Specific Test Codes (CPT Code 80100, CPT Code 80101, CPT Code 80101QW, G0430, G0430QW, and G0431QW) 04/05/2010 6852 MM6852 03/23/2010
R332PI 03/26/2010 Reporting Changes in Surety Bonds 06/28/2010 6854 MM6854 03/29/2010
R2047CP 09/10/2010 Instructions for Downloading the Medicare ZIP Code File for January 2011 01/03/2011 7131 N/A N/A
R2046CP 09/10/2010 Healthcare Provider Taxonomy Codes (HPTC) Update October 2010 01/03/2011 7130 N/A N/A
R63SOMA 09/10/2010 Chapter 7 - Survey and Enforcement Process for Skilled Nursing Facilities and Nursing Facilities 09/10/2010 N/A N/A N/A
R58SOMA 04/09/2010 Revision of Exhibit 63, List of Documents in Certification Packet (Initial Certifications Include Initial Denials) 04/09/2010 N/A N/A N/A
R670OTN 04/12/2010 Allow Zoned Program Integrity Contractors (ZPICs) to Access Medicare Administrative Contractors (MACs) by ZPIC Zone N/A 6550 N/A N/A
R2045CP 09/10/2010 October 2010 Update of the Ambulatory Surgical Center (ASC) Payment System 10/04/2010 7147 MM7147 09/14/2010
SE1026 N/A Important News about Flu Shot Frequency for Medicare Beneficiaries N/A N/A SE1026 09/15/2010
R767OTN 09/10/2010 Expansion of the Current Scope of Editing for Attending, Operating, or Other Physician or Non-Physician Practitioner Providers for Critical Access Hospital (CAH) Claims Processed by Medicare Fiscal Intermediaries and Part A Medicare Administrative Contractors (A/B MAC) 01/03/2011 7046 MM7046 09/20/2010
R771OTN 09/17/2010 J11 Part A and Part B Medicare Administrative Contractor (A/B MAC) New Part A Workload Number for the State of North Carolina 09/30/2010 7000 N/A N/A
R2051CP 09/17/2010 October Update to the 2010 Medicare Physician Fee Schedule Database (MPFSDB) 10/04/2010 7112 MM7112 09/12/2010
R2054CP 09/17/2010 2011 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments 01/03/2011 7139 MM7139 09/21/2010
R2049CP 09/17/2010 Claim Status Category and Claim Status Codes Update 01/03/2011 7158 MM7158 09/21/2010
R2050CP 09/17/2010 October 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/04/2010 7117 MM7117 09/21/2010
R2056CP 09/17/2010 2010 Durable Medical Equipment Prosthetics, Orthotics, and Supply Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List 12/22/2010 7110 MM7110 09/21/2010
R768OTN 09/13/2010 Further Instruction for Implementation of Health Insurance Portability and Accountability Act of 1996 (HIPAA) version 5010 for Transaction 835 - Health Care Claim Payment/Advice and Updated Standard Paper Remit (SPR) 01/03/2011 7032 N/A N/A
R773OTN 09/22/2010 Health Insurance Portability and Accountability Act (HIPAA) 5010 and D.0 Certification Program October to December 2010 10/04/2010 7091 N/A N/A
R770OTN 09/17/2010 Suspension of Automatic Denial of Institutional Claims Reporting Modifier -GA 10/17/2010 7106 MM7106 09/23/2010
R1943CP 04/06/2010 April 2010 Update to the Ambulatory Surgical Center (ASC) Payment System 04/05/2010 6866 MM6866 04/13/2010
R1934CP 03/19/2010 Billing and Processing Claims with Unlimited Occurrence Span Codes (OSCs) N/A 6777 MM6777 03/23/2010
SE1029 N/A 5010 Requirement for Ambulance Suppliers N/A N/A SE1029 09/24/2010
R772OTN 09/21/2010 Medicare Fee-For-Service Emergency Policies and Procedures: Questions and Answers For All Types of Emergencies and Disasters; Rescission of Change Requests (CRs) 5099, 6146, 6164, 6174, 6209, 6256, 6280, 6284, and 6378 11/22/2010 6837 MM6837 09/24/2010
R775OTN 09/24/2010 Revised Mailing To All Individual Practitioners, Medical Groups and Clinics and Independent Diagnostic Testing Facilities (IDTF) Who Are Billing or Have Billed For Advanced Diagnostic Imaging Services 10/24/2010 7108 N/A N/A
R132BP 09/03/2010 Revisions and Re-issuance of Audiology Policies 09/30/2010 6447 MM6447 06/03/2010
R2044CP 09/03/2010 Revisions and Re-issuance of Audiology Policies 09/30/2010 6447 MM6447 06/03/2010
R777OTN 09/24/2010 Durable Medical Equipment (DME) National Competitive Bidding (NCB) Implementation- Phase 11E: Remittance Advice (RA) and Medicare Summary Notice (MSN) Messages for Round One 01/03/2011 7066 MM7066 09/27/2010
R125NCD 09/24/2010 Intensive Cardiac Rehabilitation (ICR) Programs - Dr. Ornish's Program for Reversing Heart Disease and the Pritikin Program 10/25/2010 7113 MM7113 09/27/2010
R774OTN 09/24/2010 2010 Reminder for Roster Billing and Centralized Billing for Influenza and Pneumococcal Vaccinations 10/25/2010 7124 MM7124 09/27/2010
R776OTN 09/24/2010 Clarification on the Effective Date on the Procedure Status Indicator for Common Procedural Terminology (CPT) Code 80101 10/26/2010 7140 MM7140 09/27/2010
R124NCD 09/24/2010 Positron Emission Tomography (FDG PET) for Initial Treatment Strategy (PI) in Solid Tumors and Myeloma 10/25/2010 7148 MM7148 09/27/2010
R356PI 09/24/2010 Manual Redesign 10/26/2010 7083 N/A N/A
R671OTN 04/16/2010 Implementation of a File-Based Recovery Audit Contractor (RAC) Mass Adjustment Process in VMS (This CR Rescinds and Fully Replaces CR 6549) 07/06/2010 6943 N/A N/A
R649OTN 03/12/2010 Health Insurance Portability and Accountability Act (HIPAA) 5010 Error Corrections N/A 6846 N/A N/A
R2048CP 09/10/2010 2011 Annual Update of Healthcare Common Procedure Code System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update 01/03/2011 7159 MM7159 09/14/2010
R119NCD 03/26/2010 Positron Emission Tomography (NaF-18) to Identify Bone Metastasis of Cancer 07/06/2010 6861 MM6861 03/29/2010
R167FM 04/23/2010 Recovery Audit Contractors (RACs) 05/24/2010 6871 N/A N/A
R334PI 04/23/2010 Update to Site Verification Process 05/24/2010 6895 N/A N/A
R166FM 04/16/2010 Notice of New Interest Rate for Medicare Overpayments and Underpayments 3rd Notification for FY 2010 04/23/2010 6653 N/A N/A
R673OTN 04/16/2010 Modification of the File-Based RAC Mass Adjustment Process in FISS (This CR Rescinds and Fully Replaces CR 6555) 07/06/2010 6928 N/A N/A
R2052CP 09/17/2010 Billing and Processing for Healthy Control Group Volunteers in a Qualified Clinical Trial 07/06/2010 6776 MM6776 02/04/2010
R780OTN 10/01/2010 Health insurance Portability and Accountability Act (HIPAA) 5010 and D.0 Certification Program October to December 2010 N/A 7091 N/A N/A
R506OTN 06/19/2009 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Medicare Administrative Contractors Requirements 10/05/2009 6472 MM6472 04/08/2010
R1942CP 04/02/2010 Update to the Medical Conditions List and Instructions 05/03/2010 6896 MM6896 04/08/2010
R122BP 04/09/2010 Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority and Examples of Application of Government Entity Exclusion. This CR rescinds and fully replaces CR 6544. 07/09/2010 6880 MM6880 04/13/2010
R1944CP 04/09/2010 Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority and Examples of Application of Government Entity Exclusion. This CR rescinds and fully replaces CR 6544. 07/09/2010 6880 MM6880 04/13/2010
R1945CP 04/09/2010 New Legislation to Allow Independent Laboratory Billing for the Technical Component of Physician Pathology Services for Hospital Inpatients and Outpatients 07/09/2010 6813 MM6813 04/13/2010
R1940CP 04/02/2010 Extension of Reasonable Cost Payment for Clinical Lab Tests Furnished by Hospitals with Fewer Than 50 Beds in Qualified Rural Areas 07/06/2010 6873 MM6873 04/13/2010
R357PI 10/01/2010 Durable Medical Equipment (DME MAC) and the National Supplier Clearinghouse (NSC MAC) Procedures for Third Party Notification of Deceased Durable Medical Equipment, Prosthetic, Orthotic and Supplies (DMEPOS) Supplier Associates 10/04/2010 6714 N/A N/A
R66SOMA 10/01/2010 Revisions to Appendix PP, State Operations Manual SOM Guidance to Surveyors for Long Term Care Facilities LTC for Minimum Data Set MDS 3.0 Implementation October 1, 2010 10/01/2010 N/A N/A N/A
R443PR1 10/01/2010 Section 2231, Regional Medicare Swing-Bed-Rates N/A N/A N/A N/A
R2059CP 10/01/2010 Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes 01/03/2011 7180 N/A N/A
R779OTN 10/01/2010 Allow Zoned Program Integrity Contractors (ZPICs) to Access Medicare Administrative Contractors (MACs) by ZPIC Zone N/A 6550 N/A N/A
R2061CP 10/01/2010 October 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/04/2010 7117 MM7117 09/21/2010
R2060CP 10/01/2010 Fiscal Year (FY) 2011 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes 10/04/2010 7134 MM7134 09/21/2010
SE1030 N/A Results of the 2010 Medicare Contractor Provider Satisfaction Survey (MCPSS) N/A N/A SE1030 10/06/2010
R663OTN 03/26/2010 Update to List of ICD-9-CM Diagnosis Codes Not Requiring the Q0 Healthcare Common Procedure Coding System (HCPCS) Modifier for Automatic Implantable Cardiac Defibrillator (ICD) Services Provided in a Clinical Study 07/06/2010 6867 MM6867 03/29/2010
SE1008 N/A Medicare Coverage of Blood Glucose Monitors and Testing Supplies N/A N/A SE1008 04/16/2010
R1963CP 04/30/2010 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2010 07/06/2010 6964 MM6964 05/05/2010
R698OTN 05/07/2010 Phase 2 Base System Changes for Implementation of the Next Version of the Health Insurance Portability and Accountability Act (HIPAA)-Multi Carrier System (MCS) Only N/A 6576 N/A N/A
R782OTN 10/08/2010 The Transition of a Segment of the Wisconsin Physicians Service (WPS) Legacy Workload (Formerly Processed by Mutual of Omaha) for the States of Delaware, Maryland, New Jersey, Pennsylvania and the District of Columbia to the J12 A/B Medicare Administrative Contractor (MAC) 02/21/2011 7135 N/A N/A
R64SOMA 10/08/2010 Revision of Various Exhibits and the Table of Contents 10/08/2010 N/A N/A N/A
R1946CP 04/15/2010 Billing and Processing Claims with Unlimited Occurrence Span Codes (OSCs) N/A 6777 N/A N/A
R682OTN 04/28/2010 Sending DMEPOS Medicare Summary Notices on a Monthly Schedule to all beneficiaries in Miami-Dade, Broward and Palm Beach County Zip Codes in Florida 10/04/2010 6877 N/A N/A
R683OTN 04/28/2010 Analysis of the Expansion of the Legal Business Name (LBN), Practice Location and Special Payment Address Fields in the Viable Medicare System (VMS) 10/04/2010 6790 N/A N/A
R681OTN 04/28/2010 Requirement for Submission of Shared Systems Data to the Integrated Data Repository (IDR) 10/04/2010 6942 N/A N/A
R680OTN 04/28/2010 Deactivation Letters for the Fiscal Intermediary Standard System (FISS) 10/04/2010 6763 N/A N/A
R679OTN 04/28/2010 Carrier and Part A and Part B Medicare Administrative Contractors (A/B MACs) Implementation of Title 42 Code of Federal Regulations (CFR) Section 424.535 10/04/2010 6770 N/A N/A
R1967CP 05/07/2010 July Quarterly Update for 2010 Durable Medical Equipment, Prosthetics, Orthotics, and Suppliers (DMEPOS) Fee Schedule 07/06/2010 6945 MM6945 05/13/2010
R675OTN 04/23/2010 Customer Information Control System (CICS) Production Region Merge of the Part A Arkansas, Louisiana and Mississippi Workloads in Preparation for the J7 A/B Medicare Administrative Contractor (MAC) Implementation. 08/02/2010 6919 N/A N/A
R65DEMO 04/23/2010 Clarification of Unsolicited Response and Auto Adjustment of Claims under CR 6001 for the Medicare Acute Care Episode (ACE) Demonstration. 07/06/2010 6932 N/A N/A
SE1024 N/A Recovery Audit Contractor (RAC) Demonstration High-Risk Vulnerabilities - No Documentation or Insufficient Documentation Submitted N/A N/A SE1024 07/12/2010
R701OTN 05/14/2010 October Common Edits and Enhancements Module (CEM) Updates 10/04/2010 6977 N/A N/A
R704OTN 05/14/2010 Implementation of the HIPAA Version 5010 276/277 Claim Status Edit October 2010 Release 10/04/2010 6940 N/A N/A
R784OTN 10/15/2010 Version 005010 Inbound 837 Institutional (837I) Flat File Update 12/17/2010 7162 N/A N/A
R173FM 10/15/2010 Update to the Quarterly Opt Out Reporting Form (Form 8) in the Contractor Reporting of Operational Workload Data (CROWD) 11/16/2010 7165 N/A N/A
R127NCD 10/08/2010 Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndrome (MDS) 11/10/2010 7137 MM7137 10/15/2010
R2062CP 10/08/2010 Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndrome (MDS) 11/10/2010 7137 MM7137 10/15/2010
R174FM 10/18/2010 Notice of New Interest Rate for Medicare Overpayments and Underpayments - 1st Notification for FY 2011 10/22/2010 7155 N/A N/A
R67SOMA 10/18/2010 Revision of Various Exhibits and the Table of Contents 10/18/2010 N/A N/A N/A
R2067CP 10/15/2010 January 2011 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 01/03/2011 7188 MM7188 10/19/2010
R783OTN 10/15/2010 Revenue Codes Update 01/19/2011 7100 MM7100 10/19/2010
R126NCD 09/30/2010 Counseling to Prevent Tobacco Use 01/03/2011 7133 MM7133 10/19/2010
R1956CP 04/28/2010 Remittance Advice Coding to Identify Claims Subject to the Limitation on Home Health Prospective Payment System (HH PPS) Outlier Payments 10/04/2010 6897 MM6897 04/30/2010
R1951CP 04/27/2010 Removal of the Provider Reporting Requirement for Total Number of Therapy Visits using Value Codes 50-53 10/04/2010 CR 6899 MM6899 04/30/2010
R1957CP 04/28/2010 Update to the HCPCS Codes for Payment of Surgical Dressings in Indian Health Service (IHS) Providers 10/04/2010 6909 MM6909 04/30/2010
R674OTN 04/23/2010 Temporary 3 Percent Rural Add-On for the Home Health Prospective Payment System (HH PPS) 05/24/2010 6955 MM6955 04/27/2010
R1958CP 04/28/2010 Skilled Nursing Facility (SNF) Health Insurance Prospective Payment System (HIPPS) Coding Updates Effective October 1, 2010 10/04/2010 6916 MM6916 04/30/2010
R693OTN 04/29/2010 Instructions Regarding the Processing of Inpatient Claims for Gender/Procedure Conflict 10/04/2010 6917 MM6917 05/04/2010
R2066CP 10/15/2010 Submission of Informational Only Claims by Maryland Waiver Hospitals and Critical Access Hospitals (CAHs) for Electronic Health Records (EHR) Purposes 01/03/2011 7172 MM7172 10/19/2010
R74MSP 04/28/2010 New Medicare Secondary Payer Insurer Type Codes 10/04/2010 6768 N/A N/A
R685OTN 04/28/2010 Provide Mapping of Shared Systems Data to the HIPAA835 and 837 Formats 10/04/2010 6893 N/A N/A
R785OTN 10/15/2010 Version D.0 National Council for Prescription Drug Programs (NCPDP) Integration Testing 01/03/2011 6976 N/A N/A
SE1010 N/A Questions and Answers on Reporting Physician Consultation Services N/A N/A SE1010 02/23/2010
R122NCD 06/04/2010 Dermal Injections for Treatment of Facial Lipodystrophy Syndrome (LDS) 07/06/2010 6953 MM6953 07/01/2010
R1978CP 06/04/2010 Dermal Injections for Treatment of Facial Lipodystrophy Syndrome (LDS) 07/06/2010 6953 MM6953 07/01/2010
R687OTN 04/29/2010 Additional Medicare Secondary Payer (MSP) Claims Processing Instructions for the Common Working File, Medicare Part B, and Durable Medical Equipment (DME) Shared Systems Regarding Medicare Secondary Payer Claims that Contain a Claim Adjustment Reason Code (CARC) 19, 20 or 21 10/04/2010 6795 N/A N/A
R688OTN 04/29/2010 Durable Medical Equipment National Competitive Bidding Implementation; Phase 10G: Paying for Oxygen Equipment when Grandfathered 04/29/2010 6934 N/A N/A
R689OTN 04/30/2010 Analysis and Design to Ensure That Coordination of Benefits Agreement (COBA) Trading Partners Can Accept and Process Acute Care Episodic (ACE) Demonstration Claims For Crossover Purposes 10/04/2010 6881 N/A N/A
R691OTN 04/30/2010 The Transition of a Segment of the Wisconsin Physicians Service (WPS) Legacy Workload (Formerly Processed by Mutual of Omaha) for the States of Colorado, New Mexico, Oklahoma, and Texas to the J4 A/B Medicare Administrative Contractor (MAC) 10/18/2010 6902 N/A N/A
R168FM 04/30/2010 Recovery Audit Contractors (RACs) 06/01/2010 6936 N/A N/A
R169FM 04/30/2010 Recovery Audit Contractors (RACs) 06/01/2010 6951 N/A N/A
R120NCD 05/06/2010 FDG PET for Solid Tumors and Myeloma 10/30/2010 6632 N/A N/A
R1964CP 05/07/2010 Instructions for Downloading the Medicare ZIP Code File for October 2010 10/04/2010 6922 N/A N/A
R702OTN 05/14/2010 Common Edits and Enhancements Module (CEM) October Release Update for Test/Production Indicator Activity and Outbound Data Scrubbing N/A 6946 N/A N/A
R2057CP 09/17/2010 Fiscal Year (FY) 2011 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes 10/04/2010 7134 MM7134 09/21/2010
R1911CP 02/05/2010 Implementation of a New Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edit for Facility Services Billed by Ambulatory Surgical Centers (ASCs) 07/06/2010 6702 MM6702 02/12/2010
R1895CP 01/15/2010 Processing of Non-Covered International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Procedure Codes on Inpatient Hospital Claims 04/05/2010 6547 N/A N/A
R1890CP 01/08/2010 Processing of Non-Covered International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Procedure codes on Inpatient Hospital Claims 04/05/2010 6547 N/A N/A
R1936CP 03/26/2010 Claim Status Category and Claim Status Code Update 07/06/2010 6859 MM6859 03/29/2010
R1969CP 05/14/2010 July 2010 Integrated Outpatient Code Editor (I/OCE) Specifications Version 11.2 07/06/2010 6967 MM6967 05/14/2010
R123BP 04/30/2010 Determining Self-Administration of Drug or Biological 07/30/2010 6950 MM6950 05/04/2010
R1953CP 04/28/2010 Use of 12X Type of Bill (TOB) for Billing Colorectal Screening Services 10/04/2010 6760 MM6760 04/30/2010
R684OTN 04/28/2010 New Medicare Summary Notice (MSN) Message for Higher than Expected (PPS) Payments 10/04/2010 6910 MM6910 05/05/2010
R1950CP 04/23/2010 Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update 07/06/2010 6901 MM6901 05/05/2010
R690OTN 04/30/2010 Durable Medical Equipment National Competitive Bidding Implementation -- Phase 10C: Exception for Medicare Beneficiaries Previously Enrolled in a Medicare Advantage Plan 10/04/2010 6918 MM6918 05/05/2010
R696OTN 05/05/2010 Requirements for Hospital Attestation and Billing of Fiscal Year 2007 and 2008 Informational Only Inpatient Claims for Medicare Advantage Beneficiaries 06/07/2010 6821 MM6821 05/07/2010
R694OTN 05/07/2010 Multiple Procedure Payment Reduction (MPPR) on the Technical Component (TC) of Certain Diagnostic Imaging Procedures 07/06/2010 6965 MM6965 05/11/2010
R1952CP 04/28/2010 Enhancements to Home Health (HH) Consolidated Billing 10/04/2010 6911 MM6911 05/06/2010
R697OTN 05/07/2010 Systems Changes Necessary to Implement the Patient Protection and Affordable Care Act (PPACA) Section 6404 - Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months 10/04/2010 6960 MM6960 05/07/2010
R1965CP 05/07/2010 Appeals Revisions - AIC Requirements 08/09/2010 6894 MM6894 05/11/2010
R686OTN 04/29/2010 Change in Claims Filing Jurisdiction for Tracheo-Esophageal Voice Prosthesis Healthcare Common Procedure Coding System (HCPCS) Code 10/04/2010 6743 MM6743 05/11/2010
R175FM 10/28/2010 Change the Name of Physician Specialty Code 12 from Osteopathic Manipulative Therapy to Osteopathic Manipulative Medicine 04/04/2011 7093 N/A N/A
R788OTN 10/28/2010 Processing Claims Spanning More than Ten Years with Unlimited Occurrences Span Codes (OSCs): Phase II 04/04/2011 7122 N/A N/A
R1971CP 05/21/2010 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.2, Effective July 1, 2010 07/06/2010 6930 MM6930 05/21/2010
R75MSP 10/29/2010 Process 5010 Professional Medicare Secondary Payer (MSP) and Paper Claims Where Claim Adjustment Reason Code (CARC) Amounts Appear at the Claim Level and Not at the Detail Line 04/04/2011 7027 N/A N/A
R794OTN 10/29/2010 Accumulation of Informational Only Claims with Condition Code 04 from Critical Access Hospitals (CAH) and Maryland Waiver Hospitals on the Provider Statistical and Reimbursement Report (PS and R) 04/04/2011 7145 N/A N/A
R2068CP 10/15/2010 Annual Clotting Factor Furnishing Fee Update 2011 01/03/2011 7168 MM7168 10/29/2010
SE1028 N/A Recovery Audit Contractor (RAC) Demonstration High-Risk Diagnosis Related Group (DRG) Coding Vulnerabilities for Inpatient Hospitals N/A N/A SE1028 09/23/2010
R792OTN 10/29/2010 Move the Physician Specialty Code to the FISS Claim Record and Forward to the Common Working File (CWF) and National Claims History (NCH) 04/04/2011 7132 N/A N/A
R358PI 10/28/2010 Indian Health Service (IHS)Facilities and Tribal Provider's Use of Internet-based Provider Enrollment, Chain and Ownership System (PECOS) 11/29/2010 7174 MM7174 11/01/2010
R2076CP 10/28/2010 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process Stemming Principally From the Affordable Care Act (ACA) 04/04/2011 7136 N/A N/A
R789OTN 10/28/2010 Revision to Common Working File (CWF) Edit 729K to Deny Claims for Durable Medical Equipment (DME) Furnished to Beneficiaries in a Non-Part A Skilled Nursing Facility (SNF) Stay 04/04/2011 7164 N/A N/A
R705OTN 05/21/2010 Version D.0 Inbound National Council for Prescription Drug Programs (NCPDP) Medicare Secondary Payer (MSP) Claims Processing 10/04/2010 6983 N/A N/A
R707OTN 05/21/2010 Health Insurance Portability and Accountability Act (HIPAA) 005010 837 Institutional (837I) Edits and 005010 837 Professional (837P) Edits - October 2010 Version 10/04/2010 6979 N/A N/A
R59SOMA 05/21/2010 Clarification of the Interpretive Guidelines for the Anesthesia Services Condition of Participation 05/21/2010 N/A N/A N/A
R2064CP 10/08/2010 Medicare Remit Easy Print (MREP) Enhancement 01/03/2011 7178 MM7178 11/03/2010
R803OTN 11/05/2010 National Council for Prescription Drug Programs (NCPDP) code set updates. N/A 7075 N/A N/A
R798OTN 11/05/2010 Merge of the Daily CMS-1522 PULSE Report for Reporting Transitioned Wisconsin Physicians Service (WPS) Legacy Workloads. 02/21/2011 7229 N/A N/A
R804OTN 11/05/2010 Common Working File (CWF) Informational Unsolicited Response (IUR)for claims that have line item dates of service after the date of death of a beneficiary 04/04/2011 7123 N/A N/A
R797OTN 11/05/2010 J11 Part A and Part B Medicare Administrative Contractor (A/B MAC) New Workload Numbers for the South Carolina, Virginia and West Virginia Part A and Part B Workloads, the North Carolina Part B Workload and the Regional Home Health Intermediary (RHHI) Region C Workload, as well as the Split of the Customer Information Control System (CICS) Production and UAT Regions for the Ohio and West Virginia Part B Workloads 01/24/2011 7203 N/A N/A
R2079CP 10/29/2010 New Specialty Code for Advanced Diagnostic Imaging Accreditation 04/04/2011 7175 MM7175 11/02/2010
R2080CP 10/29/2010 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2011 01/03/2011 7204 MM7204 11/05/2010
R793OTN 10/29/2010 National Uniform Billing Committee NUBC) Point of Origin Code Updates 04/04/2011 7144 MM7144 11/05/2010
R2083CP 10/29/2010 Implementation of the Interrupted Stay Policy under the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) 01/03/2011 7044 MM7044 08/04/2010
R802OTN 11/05/2010 Health Insurance Portability and Acccountability (HIPPA) 501/D.0 Fixes. 04/04/2011 7195 N/A N/A
R817OTN 11/30/2010 J11 Part A and Part B Medicare Administrative Contractor (A/B MAC) New Workload Numbers for the South Carolina, Virginia and West Virginia Part A and Part B Workloads, the North Carolina Part B Workload and the Regional Home Health Intermediary (RHHI) Region C Workload, as well as the Split of the Customer Information Control System (CICS) Production and UAT Regions for the Ohio and West Virginia Part B Workloads 01/24/2011 7203 N/A N/A
R818OTN 12/01/2010 Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes 01/03/2011 7036 N/A N/A
R94MCM 12/03/2010 Chapter 4, Benefits and Beneficiary Protections 12/03/2010 N/A N/A N/A
R821OTN 12/10/2010 Revision to Common Working File (CWF) Edit for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Provided During an Inpatient Stay 04/04/2011 7189 N/A N/A
R360PI 12/10/2010 Corrective Action Reporting 01/12/2011 7241 N/A N/A
R2081CP 12/03/2010 Primary Care Incentive Payment Program (PCIP), Section 5501(a) of the Patient Protection and Affordable Care Act (the ACA), Payment to a CAH Paid Under the Optional Method 04/04/2011 7115 MM7115 12/07/2010
R65SOMA 10/01/2010 Revisions to Chapter 2,The Certification Process,Sections 2080-2089-Hospices, and Appendix M, Guidance to Surveyors, Hospices 10/01/2010 N/A N/A N/A
R69SOMA 12/15/2010 Revisions to Chapter 2, The Certification Process, Sections 2080 - 2089- Hospices, and Appendix M, Guidance to Surveyors, Hospices 10/01/2010 N/A N/A N/A
R2120CP 12/17/2010 Claim Status Category and Claim Status Codes Update 04/04/2011 7259 MM7259 12/22/2010
R822OTN 12/14/2010 NPI Verification for Physician and Non-Physician Practitioner Providers for Critical Access Hospital (CAH) Claims Processed by Medicare Fiscal Intermediaries and Part A Medicare Administrative Contractors (A/B MAC). 01/03/2011 7046 MM7046 09/21/2010
R826OTN 12/21/2010 Multiple Procedure Payment Reduction (MPPR) for Selected Therapy Services 01/03/2011 7050 MM7050 11/18/2010
R2125CP 12/23/2010 Instructions for Downloading the Medicare ZIP Code File for April 2011 04/04/2011 7258 N/A N/A
R179FM 12/23/2010 Medicare Financial Management Manual, Chapter 7 - Internal Control Requirements 01/25/2011 7230 N/A N/A
R827OTN 12/23/2010 Medicare Fee-For-Service (FFS) National Council for Prescription Drug Programs (NCPDP) Version D.0 Companion Guide 01/25/2011 7255 N/A N/A
R2126CP 12/23/2010 Annual Type of Service (TOS) Update 01/03/2011 7185 N/A N/A
R362PI 12/17/2010 Implementation of Home Health Agency (HHA) Payment Safeguard Provisions 01/01/2011 7256 MM7256 12/23/2010
R2123CP 12/21/2010 Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases 01/03/2011 7101 MM7101 12/15/2010
R811OTN 11/12/2010 Medicare Remit Easy Print (MREP) Compatibility Enhancement N/A 7218 MM7218 12/29/2010
R180FM 12/29/2010 Updated Appeal Reporting Recovery Audit Contractors (RACs) 01/28/2011 7160 N/A N/A
R2116CP 12/10/2010 Home Health Prospective Payment System Rate (HH PPS) Update for Calendar Year (CY) 2011 01/03/2011 7253 MM7253 12/30/2010
SE1039 N/A Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Billing Guide N/A N/A SE1039 12/30/2010
R361PI 12/10/2010 Face Validity Assessment of Advance Beneficiary Notices (ABN) for Complex Medical Record Reviews 01/12/2011 6988 MM6988 12/30/2010
R2113CP 12/10/2010 Payment for 510k Post-Approval Extension Studies Using 510k-Cleared Embolic Protection Devices during Carotid Artery Stenting (CAS) Procedures 01/12/2011 7249 MM7249 12/30/2010
R137BP 12/30/2010 January 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS) 01/03/2011 7271 N/A N/A
R2130CP 12/30/2010 January 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS) 01/03/2011 7271 N/A N/A
R2127CP 12/29/2010 Medical Nutrition Therapy (MNT) Manual Correction 03/29/2011 7262 MM7262 01/04/2011
R2114CP 12/17/2010 January 2011 Integrated Outpatient Code Editor (I/OCE) Specifications Version 12.0 01/03/2011 7252 MM7252 01/04/2011
R2115CP 12/10/2010 Pharmacy Billing for Drugs Provided Incident to a Physician Service 03/14/2011 7109 MM7109 01/04/2011
R1P240 12/30/2010 This transmittal introduces Chapter 40, Hospital and Hospital Health Care Complex Cost Report, Form CMS-2552-10, which contains instructions for the completion of the new cost report forms to be filed by hospitals and hospital health care complexes. N/A N/A N/A N/A
R824OTN 12/17/2010 Additions To and Revisions of Existing G-Codes for the Reporting of Skilled Nursing Services and Skilled Therapy Services in the Home Health or Hospice Setting 01/03/2011 7182 MM7182 01/05/2011
R2041CP 08/31/2010 Revisions to Claims Processing Instructions for Services Rendered in Place of Service Home 01/03/2011 6947 MM6947 08/02/2010
R2058CP 09/30/2010 Counseling to Prevent Tobacco Use 01/03/2011 7133 MM7133 10/19/2010
R2128CP 12/29/2010 January 2011 Update of the Ambulatory Surgical Center (ASC) Payment System 01/03/2011 7275 MM7275 01/06/2011
R828OTN 12/29/2010 Emergency Update to the CY 2011 Medicare Physician Fee Schedule (MPFS) Database N/A 7300 MM7300 01/06/2011
R2129CP 12/29/2010 Summary of Policies in the CY 2011 Medicare Physician Fee Schedule (MPFS) and the Telehealth Originating Site Facility Fee Payment Amount 01/03/2011 7264 MM7264 01/07/2011
R825OTN 12/16/2010 Expansion of the Current Scope of Editing for Ordering/Referring Providers for Claims Processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs) 01/03/2011 6417 MM6417 05/05/2009
R786OTN 10/15/2010 Elimination of Lump Sum Purchase Payment for Standard Power Wheelchairs Furnished on or after January 1, 2011 due to the Affordable Care Act (ACA) 01/03/2011 7116 MM7116 01/25/2011
R2118CP 12/09/2010 CY 2011 Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) 01/03/2010 7248 MM7248 12/22/2010
R2094CP 11/17/2010 Revisions to the End Stage Renal Disease (ESRD) Medicare Benefit Policy Manual to Reflect the Implementation of the ESRD Prospective Payment System (PPS) 01/03/2011 7064 MM7064 08/27/2010
R2109CP 12/03/2010 Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS) 04/04/2011 7079 MM7079 12/14/2010
R134BP 12/03/2010 Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS) 04/04/2011 7079 MM7079 12/14/2010
R795OTN 10/29/2010 Edit to Deny Payment to Physicians and Other Suppliers for the Technical Component (TC) of Pathology Services Furnished on Same Date as Inpatient and Outpatient Services and Implements New Messages 04/04/2011 7061 MM7061 11/26/2010
R2103CP 11/19/2010 Fractional Mileage Units Submitted on Ambulance Claims 01/03/2011 7065 MM7065 11/26/2010
R118NCD 03/23/2010 Screening for the Human Immunodeficiency Virus (HIV) Infection 07/06/2010 6786 MM6786 05/14/2010
R1935CP 03/23/2010 Screening for the Human Immunodeficiency Virus (HIV) Infection 07/06/2010 6786 MM6786 05/14/2010
R1918CP 02/19/2010 Screening for the Human Immunodeficiency Virus (HIV) Infection 07/06/2010 6786 MM6786 05/14/2010
R113NCD 02/19/2010 Screening for the Human Immunodeficiency Virus (HIV) Infection 07/06/2010 6786 MM6786 05/14/2010
R2124CP 12/23/2010 Updates to the Internet Only Manual Pub. 100-04, Chapter 1 - General Billing Requirements, Chapter 15 - Ambulance, and Chapter 26 - Completing and Processing Form CMS-1500 Data Set 01/25/2011 7018 MM7018 12/29/2010
R2039CP 08/27/2010 Primary Care Incentive Payment Program (PCIP), Section 5501(a) of the Affordable Care Act (ACA) N/A 7060 MM7060 01/19/2011
R808OTN 11/12/2010 Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) N/A 7073 MM7073 11/17/2010
R2110CP 12/03/2010 Clinical Laboratory Fee Schedule- Medicare Travel Allowance Fees for Collection of Specimens 01/03/2011 7239 MM7239 12/07/2010
R2122CP 12/17/2010 Waiver of Coinsurance and Deductible for Preventive Services in Rural Health Clinics (RHCs), Section 4104 of Affordable Care Act (ACA). 04/04/2011 7208 MM7208 11/19/2010
R2093CP 11/12/2010 Waiver of Coinsurance and Deductible for Preventive Services in Rural Health Clinics (RHCs), Section 4104 of Affordable Care Act (ACA) 04/04/2011 7208 MM7208 11/19/2010
R745OTN 08/06/2010 Payment for Implantable Tissue Markers (HCPCS Code A4648) and Implantable Radiation Dosimeters (HCPCS Code A4650) 11/06/2010 6968 MM6968 08/17/2010
R724OTN 07/02/2010 American Recovery and Reinvestment Act of 2009 Electronic Health Record (EHR) Incentive Program: Healthcare Common Procedure Coding System (HCPCS) Modifier for the EHR Incentive Program 01/03/2011 7035 MM7035 11/08/2010
SE1033 N/A Partial Code Freeze Prior to ICD-10 Implementation Provider Types N/A N/A SE1033 11/12/2010
R2090CP 11/10/2010 Implementation of Errata for version 5010 of Health Insurance Portability and Accountability Act (HIPAA) transactions, and updates in 837I, 837P, and 835 flat files 04/04/2011 7202 MM7202 11/12/2010
R2087CP 11/05/2010 Implementation of Errata for Version 5010 of Health Insurance Portability and Accountability Act (HIPAA) Transactions, and Updates in 837I, 837P, and 835 Flat Files 04/04/2011 7202 MM7202 11/12/2010
R2073CP 10/22/2010 Therapy Cap Values for Calendar Year (CY) 2011 01/03/2011 7107 MM7107 11/12/2010
SE1027 N/A Recovery Audit Contractor (RAC) Demonstration High-Risk Medical Necessity Vulnerabilities for Inpatient Hospitals N/A N/A SE1027 09/23/2010
R807OTN 11/12/2010 Expansion of Inpatient Prospective Payment System Transfer Policy to Include Critical Access Hospitals (CAHs) and Non-Participating Hospitals 04/04/2011 7141 MM7141 11/12/2010
R2091CP 11/12/2010 Correct Reporting of Modifiers and Revenue Codes on Claims for Therapy Services 04/04/2011 7170 MM7170 11/16/2010
R809OTN 11/12/2010 Additional Editing for Disaster Related Claims 04/04/2011 7156 MM7156 11/16/2010
R2089CP 11/12/2010 Implementation of edits for the Emergency Department (ED) adjustment policy under the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) 04/04/2011 7072 MM7072 11/16/2010
R2024CP 08/06/2010 Payment for Certified Nurse-Midwife Services 01/03/2011 7005 MM7005 11/16/2010
R2088CP 11/05/2010 January 2011 Quarterly Update for the DMEPOS Competitive Bidding Program. 01/03/2011 7181 MM7181 11/16/2010
R799OTN 11/05/2010 Provider Education for Handling National Provider Identifier (NPI) Issues Related to Deceased Providers Who Had an NPI 04/04/2011 6984 MM6984 11/16/2010
R2078CP N/A Incentive Payment Program for Major Surgical Procedures Furnished in Health Professional Shortage Areas, Section 5501(b) of the Patient Protection and Affordable Care Act (the ACA), and Payments to a Critical Access Hospital (CAH) Paid under the Optional Method 04/04/2011 7146 MM7146 11/18/2010
R2034CP 10/24/2010 Affordable Care Act (ACA) Mandated Collection of Federally Qualified Health Center (FQHC) Data and Updates to Preventive Services Provided by FQHCs 04/04/2011 7038 MM7038 11/18/2010
R800OTN 11/03/2010 Multiple Procedure Payment Reduction (MPPR) for Selected Therapy Services 01/03/2011 7050 MM7050 11/18/2010
R2033CP 08/20/2010 End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Consolidated Billing for Limited Part B Services 01/03/2011 7064 MM7064 08/27/2010
R738OTN 07/30/2010 Multiple Procedure Payment Reduction (MPPR) on the Technical Component (TC) of Certain Diagnostic Imaging Procedures 01/03/2011 6993 MM6993 11/19/2010
R133BP 10/22/2010 Air Ambulance Services 01/03/2011 7161 MM7161 11/01/2010
R2072CP 10/22/2010 Annual Type of Service (TOS) Update 01/03/2011 7185 N/A N/A
R2084CP 11/05/2010 New Waived Tests 01/03/2011 7184 N/A N/A
R1932CP 03/17/2010 Dialysis Adequacy, Infection and Vascular Access Reporting 07/06/2010 6782 MM6782 02/02/2010
R1972CP 05/21/2010 Quarterly HCPCS Code Changes - July 2010 Update 07/06/2010 6809 MM6809 05/21/2010
R1962CP 04/30/2010 Discarded Drugs and Biologicals Updates 07/30/2010 6711 MM6711 05/04/2010
R669OTN 04/09/2010 Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) N/A 6566 MM6566 01/28/2010
R710OTN 05/21/2010 Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) N/A 6566 MM6566 01/28/2010
R625OTN 01/25/2010 Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) N/A 6566 MM6566 01/28/2010
R93MCM 06/04/2010 Chapter 3. Medicare Marketing Guidelines 06/04/2010 N/A N/A N/A
R716OTN 06/04/2010 HIPAA 5010 Activity - Testing of 5010 CRs N/A 6739 N/A N/A
R713OTN 06/04/2010 Hospital Provider Enrollment Revalidation 07/04/2010 6885 N/A N/A
R2070CP 10/18/2010 Calendar Year (CY) 2011 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures 11/08/2010 7157 N/A N/A
R176FM 11/12/2010 Clarification for Data Entry on Health Professional Shortage Area Reports 12/13/2010 7223 N/A N/A
R810OTN 11/12/2010 Integrated Data Repository (IDR) Claims Sourcing from Shared Systems -Implementation Based on Further Conference Calls and Further Research N/A 7215 N/A N/A
R813OTN 11/12/2010 April Common Edits and Enhancements Module (CEM) and Receipt, Control, and Balancing Updates 04/04/2011 7193 N/A N/A
R801OTN 11/12/2010 Health Insurance Portability and Accountability Act (HIPAA) 005010 837 Institutional (837I) Edits and 005010 837 Professional (837P) Edits - April 2011 Version 04/04/2011 7196 N/A N/A
R806OTN 11/10/2010 Implementation of the PWK (paperwork) segment for X12N Version 5010 N/A 7041 MM7041 09/09/2010
R763OTN 08/27/2010 Implementation of the PWK (paperwork) segment for X12N Version 5010 N/A 7041 MM7041 09/09/2010
R2102CP 11/19/2010 Systems Changes Necessary to Implement "Technical Correction Related to Critical Access Hospital Services," Section 3128 of the Affordable Care Act, Pub. 111-148 04/04/2011 7219 MM7219 11/23/2010
R128NCD 11/19/2010 Ventricular Assist Devices (VAD) as Destination Therapy 01/06/2011 7220 MM7220 11/23/2010
R2097CP 11/19/2010 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 17.0, Effective January 1, 2011 01/03/2011 7210 MM7210 11/23/2010
R2021CP 08/06/2010 National Modifier and Condition Code to Identify Items or Services Related to the 2010 Oil Spill in the Gulf of Mexico 01/03/2011 7087 MM7087 11/23/2010
R2092CP 11/12/2010 Update to the Frequency Billing Requirements 04/04/2011 7163 MM7163 11/16/2010
R66DEMO 11/09/2010 Method of Payment for Extended Stay Services under the Frontier Extended Stay Clinic Demonstration, Authorized by Section 434 of the Medicare Modernization Act. This Change Request is adds additional information to CR 6057. 10/01/2009 6452 MM6452 11/16/2010
R815OTN 11/19/2010 New HCPCS Q-codes for 2010-2011 Seasonal Influenza Vaccines 01/03/2011 7234 MM7234 11/26/2010
R2032CP 08/20/2010 Expansion of Medicare Telehealth Services for CY 2011 01/03/2011 7049 MM7049 11/26/2010
R131BP 08/20/2010 Expansion of Medicare Telehealth Services for CY 2011 01/03/2011 7049 MM7049 11/26/2010
R2100CP 11/19/2010 Reasonable Charge Update for 2011 for Splints, Casts, and Certain Intraocular Lenses 01/03/2011 7225 MM7225 11/26/2010
R2098CP 11/19/2010 New Physician Specialty Codes for Cardiac Electrophysiology and Sports Medicine 04/04/2011 7209 MM7209 11/26/2010
R65GI 11/19/2010 Update to Medicare Deductible, Coinsurance and Premium Rates for 2011 01/03/2011 7224 MM7224 11/26/2010
R2075CP 10/28/2010 Implementation of Section 2902 of the Patient Protection and Affordable Care Act (the Affordable Care Act) for Indian Health Service (IHS) Part B Services and All Inclusive Rate (AIR) Billing for Return Visits 01/28/2011 6908 MM6908 11/26/2010
R2071CP 10/22/2010 Influenza Vaccine Payment Allowances - Annual Update for 2010-2011 Season 11/24/2010 7120 MM7120 10/25/2010
R2105CP 11/24/2010 Dermal Injections for Treatment of Facial Lipodystrophy Syndrome (LDS) N/A 6953 MM6953 07/01/2010
R812OTN 11/12/2010 Instructions for PLB Code Reporting on Remittance Advice and a Crosswalk Between the HIGLAS PLB Codes and ASC X12 Transaction 835 PLB Codes, and RAC Recoupment Reporting on Remittance Advice for VMS 11/12/2010 7068 MM7068 11/29/2010
R816OTN 11/24/2010 Implementing the Re-competition Award for the Jurisdiction B DME Medicare Administrative Contractor (MAC) Workload 12/30/2010 7238 N/A N/A
R2107CP 11/24/2010 Instructions for Retrieving the 2011 Pricing and HCPCS Data Files through CMS Mainframe Telecommunications Systems 01/03/2011 7227 N/A N/A
R819OTN 12/03/2010 Currently Not Collectable (CNC) Type Development for 93 Appealed Claims 01/04/2011 6926 N/A N/A
R820OTN 12/03/2010 Request for Common Working File (CWF) System to Support the Automated Edit Project Field Test 07/05/2011 6725 N/A N/A
R177FM 12/03/2010 Add Supplier Specialty Code 95 (Advanced Diagnostic Imaging (ADI) Accreditation) to CROWD Form F (Participating Physician/Supplier Report) 12/03/2010 7226 N/A N/A
R178FM 12/03/2010 Add Physician Specialty Codes for Cardiac Electrophysiology (21) and Sports Medicine (23) to CROWD Form "F" (ParDoc) and "8" (Output). 07/05/2011 7233 N/A N/A
SE1031 N/A 2010 - 2011 Seasonal Influenza (Flu) Resources for Health Care Professionals N/A N/A SE1031 10/06/2010
R2106CP 11/24/2010 Calendar Year (CY) 2011 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 01/03/2011 6991 MM6991 11/29/2010
R2040CP 08/27/2010 Section 5501(b) Incentive Payment Program for Major Surgical Procedures Furnished in Health Professional Shortage Areas of the Affordable Care Act (ACA) N/A 7063 MM7063 12/02/2010
SE1036 N/A Recovery Audit Contractor (RAC) Demonstration High-Risk Vulnerabilities for Physicians N/A N/A SE1036 12/02/2010
R2096CP 11/19/2010 Billing Clarification for Positron Emission Tomography (Sodium Fluoride -18) (NaF-18) PET for Identify Bone Metastasis of Cancer in Context of a Clinical Trial 02/22/2011 7125 MM7125 12/06/2010
R2112CP 12/03/2010 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 or Terminated N/A 6625 MM6625 08/05/2010
R2104CP 11/19/2010 Ambulance Inflation Factor for CY 2011 and Productivity Adjustment 01/03/2011 7042 MM7042 12/07/2010
R739OTN 07/30/2010 Waiver of Coinsurance and Deductible for Preventive Services, Section 4104 of the Patient Protection and Affordable Health Care Act (the Affordable Care Act), Removal of Barriers to Preventive Services in Medicare 01/03/2011 7012 MM7012 12/07/2010
SE1034 N/A Physicians and Non-Physician Practitioners (NPPs) Excluded from Deactivation in Medicare Due to Inactivity with Medicare N/A N/A SE1034 12/07/2010
R2108CP 11/24/2010 CY 2011 Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 01/03/2011 7248 N/A N/A
R1999CP 07/09/2010 End Stage Renal Disease (ESRD) Home Dialysis Monthly Capitation Payment (MCP) 01/03/2011 7003 MM7003 11/29/2010
R814OTN 11/19/2010 Analyze, Design, Maintain and Provide Implementation Instructions for a Modification of the Part A and Part B Common Edits and Enhancement Modules (CEMs), to Allow 277C Edits to be Turned On/Off by the Encounter Data Front-End System (EDFES) Contractor Only 04/04/2011 7201 N/A N/A
R2101CP 11/19/2010 Medicare Physician Fee Schedule Database (MPFSDB) 2011 File Layout Manual 01/03/2011 7243 N/A N/A
R76MSP 11/19/2010 Common Working File (CWF) Medicare Secondary Payer ( MSP) Coordination of Benefits Contractor (COBC) Number Update and Implementation of MSP Group Health Plan (GHP) COBC Hierarchy Rules as related to Mandatory Insurer Reporting. 04/04/2011 7216 N/A N/A
R129NCD 12/08/2010 Ventricular Assist Devices (VAD) as Destination Therapy 12/09/2011 7220 MM7220 11/23/2010
R135BP 12/10/2010 Implementation of Changes in End Stage Renal Disease (ESRD) Payment for Calendar Year (CY) 2011 01/03/2011 7237 MM7237 12/14/2010
R2063CP 10/08/2010 Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases. 01/03/2011 7101 MM7101 12/15/2010
SE1038 N/A Home Health Face-to-Face Encounter - A New Home Health Certification Requirement N/A N/A SE1038 12/16/2010
R796OTN 10/29/2010 Clarification of Payment Window for Outpatient Services Treated as Inpatient Services 04/04/2011 7142 MM7142 11/05/2010
R2121CP 12/17/2010 Reporting of Service Units With HCPCS 03/21/2011 7247 MM7247 12/20/2010
R2111CP 12/03/2010 Outlier Reconciliation and other Outlier Manual Updates for the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), Inpatient Rehabilitation Facility (IRF) PPS, Inpatient Psychiatric Facility (IPF) PPS and Long Term Care Hospital (LTCH) PPS 04/04/2011 7192 N/A N/A
R2117CP 12/10/2010 Revisions to the Medicare Code Editor (MCE) and Integrated Outpatient Code Editor (IOCE) Reporting Requirements 01/12/2011 7246 N/A N/A
R2119CP 12/14/2010 Medicare Physician Fee Schedule Database (MPFSDB) 2011 File Layout Manual 01/03/2011 7243 N/A N/A
R823OTN 12/16/2010 Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplier (DMEPOS) Suppliers Claims Process by Durable Medical Equipment Medicare Administrative Contractors (DMEMACs) N/A 6421 MM6421 08/25/2009
R781OTN 10/08/2010 Expansion of the Current Scope of Editing for Attending Physician Providers for Free-Standing and Provider-Based Home Health Agency (HHA) Claims Processed by Medicare Regional Home Health Intermediaries (RHHIs) N/A 6856 MM6856 04/30/2010
R778OTN 09/28/2010 Expansion of the Current Scope of Editing for Attending Physician Providers for Free-Standing and Provider-Based Home Health Agency(HHA) Claims Processed by Medicare Regional Home Health Intermediaries (RHHIs) N/A 6856 MM6856 04/30/2010
R765OTN 08/27/2010 Expansion of the Current Scope of Editing for Attending Physician Providers for Free-Standing and Provider-Based Home Health Agency(HHA) Claims Processed by Medicare Regional Home Health Intermediaries (RHHIs) N/A 6856 MM6856 04/30/2010
R677OTN 04/28/2010 Expansion of the Current Scope of Editing for Attending Physician Providers for Free-Standing and Provider-Based Home Health Agency(HHA) Claims Processed by Medicare Regional Home Health Intermediaries (RHHIs) 10/04/2010 6856 MM6856 04/30/2010
R68SOMA 11/24/2010 Chapter 9, Exhibits and Table of Contents 11/24/2010 N/A N/A N/A
R635OTN 02/05/2010 Maintenance and Servicing Payments for Certain Oxygen Equipment on or After July 1, 2010 07/06/2010 6792 MM6792 02/12/2010
SE1035 N/A Claims Modifiers for Use in the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program N/A N/A SE1035 12/22/2010
R659OTN 03/19/2010 Reporting of Recoupment for Overpayment on the Remittance Advice (RA) N/A 6870 MM6870 04/08/2010
SE1021 N/A Electronic Prescribing (eRx) Incentive Program 2010 Updates N/A N/A SE1021 07/15/2010
R695OTN 04/30/2010 Addition of Repair Codes to the List of Healthcare Common Procedure Coding System (HCPCS) Codes Payable Under the Instructions Provided in Change Requests (CRs) 6573 and 5917 10/04/2010 6914 MM6914 05/04/2010
R1904CP 02/05/2010 Coding Patient Transfers Under the Home Health Prospective Payment System (HH PPS) 07/06/2010 6757 MM6757 02/16/2010
R676OTN 04/27/2010 Payment of Oxygen Contents to Suppliers After the 36th Month Rental Cap under the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program 10/04/2010 6939 MM6939 05/04/2010
SE1011 N/A Edits on the Ordering/Referring Providers in Medicare Part B Claims (Change Requests 6417, 6421, and 6696) N/A N/A SE1011 2010-04-01
R355PI 09/17/2010 Eligible Physicians and Practitioners Who Need to Enroll in the Medicare Program for the Sole Purpose of Ordering and Referring Services for Medicare Beneficiaries 10/18/2010 7097 MM7097 09/21/2010