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2015 MLN Matters Articles

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Transmittal # Issue Date Subject Implementation Date CR # MM Article # MM Article Release Date
SE1501 FAQs – International Classification of Diseases, 10th Edition (ICD-10) Acknowledgement Testing and End-to-End Testing SE1501 2015-01-06
R566PI 2015-01-07 New Timeframe for Response to Additional Documentation Requests 2015-04-06 8583 MM8583 2015-01-08
R3160CP 2015-01-07 Preventive and Screening Services — Update - Intensive Behavioral Therapy for Obesity, Screening Digital Tomosynthesis Mammography, and Anesthesia Associated with Screening Colonoscopy 2015-01-05 8874 MM8874 2015-01-08
R3162CP 2015-01-08 Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for Solid Tumors (This CR rescinds and fully replaces CR8468/TR2873 dated February 6, 2014) N/A 8739
R1450OTN 2015-01-09 Moratorium on Classification of Long-Term Care Hospitals (LTCH) or Satellites/Increase in Certified LTCH Beds 2015-02-10 9025
R3161CP 2015-01-09 Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update 2015-04-06 9004 MM9004 2015-01-13
R3163CP 2015-01-09 January 2015 Update of the Ambulatory Surgical Center (ASC) Payment System 2015-01-05 9021 MM9021 2015-01-13
R249FM 2015-01-14 Notice of New Interest Rate for Medicare Overpayments and Underpayments - 2nd Qtr Notification for FY 2015 2015-01-21 9089
R3167CP 2015-01-15 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 2015-04-06 8878
R120MCM 2015-01-16 Chapter 4, Quality Improvement Program 2015-01-01 N/A
R131SOMA 2015-01-16 New to State Operations Manual (SOM), Appendix N- Psychiatric Residential Treatment Facilities (PRTF) Interpretive Guidance 2015-01-16 N/A
R132SOMA 2015-01-16 New Additions to State Medicaid Manual (SOM) Psychiatric Residential Treatment Facility (PRTF) Chapter 2 2015-01-16 N/A
R3166CP 2015-01-16 Emergency Update to the CY 2015 Medicare Physician Fee Schedule Database (MPFSDB) 2015-01-05 9081 MM9081 2015-01-20
R3164CP 2015-01-14 Medicare Shared Systems Modifications Necessary to Capture various HIPAA compliant fields 2015-04-06 8384 MM8384
R1451OTN 2015-01-20 International Classification of Diseases, Tenth Revision (ICD-10) Limited End-to-end Testing with Submitters for 2015 N/A 8867 MM8867 2015-01-21
SE1503 Continued Use of Modifier 59 after January 1, 2015 8863 SE1503 2015-01-22
R3169CP 2015-01-23 Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens 2015-04-24 9066 MM9066 2015-01-27
SE1504 Payment Codes on Home Health Claims Will Be Matched Against Patient Assessments 7760 SE1504 2015-01-30
R3180CP 2015-01-30 April 2015 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2015-04-06 9084 MM9084 2015-02-05
R3181CP 2015-01-30 Implementation of New NUBC Condition Code “53” “Initial placement of a medical device provided as part of a clinical trial or a free sample” 2015-07-06 8961 MM8961 2015-02-05
R3182CP 2015-01-30 Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits 2015-04-06 9035 MM9035 2015-02-06
R115DEMO 2015-01-30 Implementation of the Intravenous Immune Globulin (IVIG) demonstration - Processing for home health service overlap editing 2015-07-06 9032
R116DEMO 2015-01-30 Implementing Home Health Travel Reimbursement Payment Changes for FCHIP (Frontier Community Health Integration Project) Mandated by section 123 of MIPPA 2008 and as amended by section 3126 of the ACA 2010 2015-07-06 8774
R3175CP 2015-01-30 Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS)-Blinded Clinical Trial – Follow-Up CR to Implement a Second Claims Processing Procedure Code 2015-07-06 8954 MM8954 2015-02-05
R1456OTN 2015-01-30 Phase Two: Changing Fiscal Intermediary Shared System (FISS) Action on Informational Unsolicited Responses (IURs) From Canceled Claims to Adjustments 2015-07-06 8990
R1460OTN 2015-01-30 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2015 2015-07-06 9064
R1458OTN 2015-01-30 Fee for Service Beneficiary Data Streamlining (FFS BDS) Phase II Beneficiary Address Analysis and Design 2015-07-06 9029
R3177CP 2015-01-30 Updating CMS IOM 100-04, Chapter 26 with Specialty Code B1 2015-03-02 9001
R1455OTN 2015-01-30 Corrections to Processing Service Facility Information on Hospice Claims 2015-07-06 9042 MM9042 2015-02-05
R1457OTN 2015-01-30 Renaming PPS-FLX6- PAYMENT Field in the Inpatient Prospective Payment System (IPPS) Pricer Output 2015-07-06 9031 MM9031 2015-02-05
R1459OTN 2015-01-30 Continuation of Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Assessments 2015-07-06 9016 MM9016 2015-02-09
R3176CP 0215-01-30 Preventing Inappropriate Payments on Home Health Low Utilization Payment Adjustment (LUPA) Claims 2015-07-06 9027 MM9027 2016-07-28
R567PI 2015-02-04 New Timeframe for Response to Additional Documentation Requests 2015-04-06 8583 MM8583 2015-01-08
R568PI 2015-02-04 Review Timeliness Requirements for Prepay Review 2015-03-01 8443
R3189CP 2015-02-05 Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens 2015-04-24 9066 MM9066 2015-02-13
R133SOMA 2015-02-06 Revisions to the State Operations Manual (SOM) - Appendix PP – Guidance to Surveyors for Long-Term Care Facilities 2015-02-06 N/A
R3187CP 2015-02-06 Language Only Update to Pub 100-04, Chapter 30 for ASC X12 and Claim References 2015-03-06 8992
R3190CP 2015-02-06 CY 2015 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2015-01-05 8999
R1462OTN 2015-02-06 Identifying “No Documentation” Medical Necessity Denials for Claims Flagged for Recovery Auditor Review N/A 8913
R1463OTN 2015-02-06 Identification of Obsolete Shared System Maintainer (SSM) On-Request Jobs 2015-07-06 9023
R1469OTN 2015-02-13 Develop Rough Order of Magnitude (ROM) for Appeals Workload in Preparation for Implementation of International Classification of Diseases-10th Revision (ICD-10) 2015-03-16 9036
R3195CP 2015-02-13 Final MSN Redesign-Related Update to Chapter 21 of the Medicare Claims Processing Manual 2015-04-16 8626
R31COM 2015-02-13 Update of IOM Pub. 100-09, Chapter 6, section 30.2.11 to include the requirements for implementing Quality Assurance Monitoring at the Medicare Administrative Contractors. 2015-02-20 8995
R203BP 2015-02-13 Payment Repairs to Capped Rental Equipment Prior to the End of the 13-Month Cap 2015-07-06 9062 MM9062 2015-02-19
R3196CP 2015-02-13 Payment Repairs to Capped Rental Equipment Prior to the End of the 13-Month Cap 2015-07-06 9062 MM9062 2015-02-19
R1470OTN 2015-02-13 Durable Medical Equipment Prosthetics Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP): Additional Instructions for Grandfathered Items Subject to CBP 2015-07-06 9060 MM9060 2015-02-19
R90GI 2015-02-12 Rescinds/Replaces CR 7468 - Updated Instructions for the Change Request Implementation Report (CRIR) and Technical Direction Letter (TDL) Compliance Report (TCR) 2015-05-25 8598
R3194CP 2015-02-13 Update to the Federally Qualified Health Centers (FQHC) Prospective Payment System (PPS) - Recurring File Updates 2015-04-06 9083
R1468OTN 2015-02-13 Identification of Obsolete Shared System Maintainer (SSM) Reports 2015-07-06 9022
R1467OTN 2015-02-13 Reporting Force Balance Claim Payment on the Electronic Remittance Advice (ERA) 835 and Cross Over Beneficiary (COB) 837 Claim Transactions 2015-07-06 9050 MM9050 2015-02-19
R1466OTN 2015-02-13 Use of Modifiers KK, KG, KU, and KW under the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program 2015-07-06 9059 MM9059 2015-02-19
R575PI 2015-02-13 Incorporation of Revalidation Policies into Pub. 100-08, Program Integrity Manual (PIM), Chapter 15 2015-05-15 9011 MM9011 2015-02-23
R1471OTN 2015-02-18 Renaming PPS-FLX6- PAYMENT Field in the Inpatient Prospective Payment System (IPPS) Pricer Output 2015-07-06 9031 MM9031 2015-02-23
R3199CP 2015-02-20 Revisions to Medicare Claims Processing Manual for Foreign, Emergency and Shipboard Claims 2015-04-21 8940
R3201CP 2015-02-20 Healthcare Provider Taxonomy Codes (HPTCs) April 2015 Code Set Update 2015-07-06 8993 MM8993 2015-02-23
R3202CP 2015-02-20 Common Edits and Enhancements Modules (CEM) Code Set Update 2015-07-06 9026
R134SOMA 2015-02-20 Revisions to State Operations Manual (SOM) Exhibit 138 EMTALA Physician Review Worksheet revisions 2015-02-13 N/A
R3198CP 2015-02-20 Instructions for Downloading the Medicare ZIP Code File for July 2015 2015-07-06 9058
R467PR1 2015-02-20 Part 1, Chapter 14, Reasonable Cost of Therapy and Other Services Furnished by Outside Suppliers N/A N/A
R3203CP 2015-02-20 Automation of the Request for Reopening Claims Process 2015-10-06 8581
R3204CP 2015-02-20 National Coverage Determination (NCD) for Single Chamber and Dual Chamber Permanent Cardiac Pacemakers 2015-07-06 9078 MM9078 2015-03-02
R179NCD 2015-02-20 National Coverage Determination (NCD) for Single Chamber and Dual Chamber Permanent Cardiac Pacemakers 2015-07-06 9078 MM9078
R1472OTN 2015-02-24 International Classification of Diseases, 10th Revision (ICD-10) Testing - Acknowledgement Testing with Providers N/A 8858
R578PI 2015-02-25 Incorporation of Revalidation Policies into Pub. 100-08, Program Integrity Manual (PIM), Chapter 15 2015-05-15 9011
R1476OTN 2015-02-26 International Classification of Diseases, Tenth Revision (ICD-10) Limited End-to-end Testing with Submitters for 2015 2015-08-10 8867
R135SOMA 2015-02-27 Revisions to State Operations Manual (SOM) Appendix J, Part II – Interpretive Guidelines – Responsibilities of Intermediate Care Facilities for Individuals with Intellectual Disabilities revisions. An addition of a New Exhibit to the State Operations Manual (SOM) for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID), Probes and Procedures for Appendix J, Part II – Interpretive Guidelines- Responsibilities of Intermediate Care Facilities for Individuals with Intellectual Disabilities 2015-04-27 N/A
R581PI 2015-02-27 Incorporation of Certain Provider Enrollment Policies in CMS-6045-F into Pub. 100-08, Program Integrity Manual (PIM), Chapter 15 2015-05-28 9065 MM9065 2015-03-04
R3207CP 2015-02-27 New Waived Tests 2015-04-06 9072 MM9072 2015-03-04
R3205CP 2015-02-27 Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April CY 2015 Update 2015-04-06 9104 MM9104 2015-03-04
SE1507 Physician Feedback, Quality and Resource Use Reports (QRURs) and Value-Based Modifier Program – Overview & Implementation SE1507 2015-02-27
R1475OTN 2015-02-27 2015-04-06 8851
R1473OTN 2015-02-27 Correction of the Maintenance of the Medicare Status Code 2015-07-06 9080
R3210CP 2015-03-03 Final MSN Redesign-Related Update to Chapter 21 of the Medicare Claims Processing Manual 2015-04-16 8626
R582PI 2015-03-04 Incorporation of Certain Provider Enrollment Policies in CMS-6045-F into Pub. 100-08, Program Integrity Manual (PIM), Chapter 15 2015-05-28 9065 MM9065
R3212CP 2015-03-06 April 2015 Update of the Ambulatory Surgical Center(ASC) Payment System 2015-04-06 9100 MM9100 2015-03-10
R180NCD 2015-03-06 Removal of Multiple National Coverage Determinations Using Expedited Process 2015-04-06 9095 MM9095 2015-03-10
R39QRI 2015-03-06 Payments to Hospice Agencies That Do Not Submit Required Quality Data 2015-06-08 9091 MM9091 2015-03-09
R1478OTN 2015-03-06 ICD-10 Conversion/Coding Infrastructure Revisions/ICD-9 Updates to National Coverage Determinations (NCDs)--2nd Maintenance CR N/A 9087 MM9087 2015-03-10
SE1508 Guidance on the Physician Quality Reporting System (PQRS) 2013 Reporting Year and 2015 Payment Adjustment for Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), and Critical Access Hospitals (CAHs) SE1508 2015-03-06
R3214CP 2015-03-11 April 2015 Update of the Ambulatory Surgical Center (ASC) Payment System 2015-04-06 9100 MM9100 2015-03-10
R3215CP 2015-03-11 Screening for Hepatitis C Virus (HCV) in Adults 2015-04-06 8871 MM8871 2015-03-13
R204BP 2015-03-13 Updates to the Medicare Internet-Only Manual Chapters for Skilled Nursing Facility (SNF) Providers 2015-06-15 8997 MM8997
R3216CP 2015-03-13 Updates to the Medicare Internet-Only Manual Chapters for Skilled Nursing Facility (SNF) Providers 2015-06-15 8997 MM8997 2015-03-17
R3217CP 2015-03-13 April 2015 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2015-04-06 9097 MM9097 2015-03-17
R7P240 2015-03-13 This transmittal updates Chapter 40, Hospital and Hospital Health Care Complex Cost Report, (Form CMS-2552-10) to clarify and correct the existing instructions and incorporate statutory and regulatory changes. Effective dates will vary. N/A N/A
R3218CP 2015-03-13 April 2015 Integrated Outpatient Code Editor (I/OCE) Specifications Version 16.1 2015-04-15 9107 MM9107 2015-03-17
R3220CP 2015-03-16 Update to Pub. 100-04, Chapters 5 and 6 to Provide Language-Only Changes for Updating ICD-10, ASC X12, and Medicare Administrative Contractor (MAC) Implementation 2014-10-01 8524
R3219CP 2015-03-16 Automation of the Request for Reopening Claims Process 2015-10-05 8581 MM8581 Revised 2014-08-14
R1480OTN 2015-03-26 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2015 2015-03-26 9064
R3222CP 2015-03-27 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 21.2, Effective July 1, 2015 2015-07-06 9108 MM9108 2015-03-30
R181NCD 2015-03-27 Removal of Multiple National Coverage Determinations Using Expedited Process 2015-04-06 9095 MM9095
R136SOMA 2015-03-27 Revisions to State Operations Manual (SOM) Appendices A, G, L and T related to Hospitals, Rural Health Clinics, Ambulatory Surgical Centers and Swing Beds 2015-03-27 N/A
SE1509 Food and Drug Administration Approval of First Biosimilar Product 2015-03-30 SE1509
SE1511 Discontinued Coverage of Vacuum Erection Systems (VES) Prosthetic Devices in Accordance with the Achieving a Better Life Experience Act of 2014 SE1511 2015-03-30
SE1512 Partial Hospitalization Program (PHP) Claims Coding & CY2015 per Diem Payment Rates SE1512 2015-03-30
R1483OTN 2015-03-30 Identifying “No Documentation” Medical Necessity Denials for Claims Flagged for Recovery Auditor Review N/A 8913
R1482OTN 2015-03-27 Use of Modifiers KK, KG, KU, and KW under the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program 2015-07-06 9059 MM9059
R137SOMA 2015-04-01 Revisions to State Operations Manual (SOM) Appendices A, G, L and T related to Hospitals, Rural Health Clinics, Ambulatory Surgical Centers and Swing Beds 2015-03-27 N/A
R3225CP 2015-04-01 April 2015 Update of the Ambulatory Surgical Center (ASC) Payment System 2015-04-06 9100 MM9100 2015-03-10
R3227CP 2015-04-02 Update to Pub. 100-04 Chapter 13 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 N/A 8614
R3230CP 2015-04-03 Updates to the Medicare Internet-Only Manual Chapters for Skilled Nursing Facility (SNF) Providers 2015-06-15 8997 MM8997
R585PI 2015-04-03 Coding Determinations 2015-05-04 8937
R205BP 2015-04-03 Updates on Hospice Election Form, Revocation, and Attending Physician 2015-05-11 9114 MM9114 2015-04-08
R3228CP 2015-04-03 Changes to the Laboratory National Coverage Determination (NCD) Software for July 2015 2015-07-06 9124 MM9124 2015-04-08
R3232CP 2015-04-03 Preventive and Screening Services — Update - Intensive Behavioral Therapy for Obesity, Screening Digital Tomosynthesis Mammography, and Anesthesia Associated with Screening Colonoscopy 2015-01-05 8874 MM8874
R138SOMA 2015-04-07 Revisions to State Operations Manual (SOM), Appendix W for Critical Access Hospitals 2015-04-07 N/A
R91GI 2015-04-10 Manual Updates to Clarify Requirements for Physician Certification and Recertification of Patient Eligibility for Home Health Services 2015-05-11 9119 MM9119 2015-04-13
R206BP 2015-04-10 Private Contracting: Definition of Emergency Care Services and Appeals of Opt Out Determinations 2015-07-13 9116 MM9116 2015-04-14
R1486OTN 2015-04-10 Increasing Tax Withholding to 30% for IRS Federal Payment Levy Program (FPLP) 2015-06-19 9154 MM9154 2015-04-14
R207BP 2015-04-10 Manual Updates to Clarify Requirements for Physician Certification and Recertification of Patient Eligibility for Home Health Services 2015-05-11 9119 MM9119 2015-04-13
R1485OTN 2015-04-10 Continuation of Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Assessments 2015-07-06 9132
R250FM 2015-04-13 Notice of New Interest Rate for Medicare Overpayments and Underpayments - 3rd Qtr Notfication for FY 2015 2015-04-17 9175
R3235CP 2015-04-14 April 2015 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2015-04-06 9097
R3234CP 2015-04-15 April 2015 Update of the Ambulatory Surgical Center (ASC) Payment System 2015-04-06 9100 MM9100 2015-03-11
R3236CP 2015-04-17 Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update 2015-07-06 9125 MM9125 2015-04-20
R587PI 2015-04-17 Clarification of Ordering and Certifying Documentation Maintenance Requirements 2015-07-20 9112 MM9112 2015-04-20
R1488OTN 2015-04-17 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2012 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCH) 2015-05-18 8835 MM8835 2015-04-20
R1481OTN 2015-03-27 Tester Resolution Reports for International Classification of Diseases, Tenth Revision (ICD-10) Limited End to End Testing with Submitters N/A 9137
SE1505 Physicians and Non-Physician Practitioners Reported on Part A Critical Access Hospital (CAH) Claims SE1505 2015-04-21
SE1513 Accreditation for Ventilators SE1513 2015-04-22
R92GI 2015-04-22 Manual Updates to Clarify Requirements for Physician Certification and Recertification of Patient Eligibility for Home Health Services 2015-05-11 9119 MM9119
R208BP 2015-04-22 Manual Updates to Clarify Requirements for Physician Certification and Recertification of Patient Eligibility for Home Health Services 2015-05-11 9119 MM9119
R3238CP 2015-04-22 April 2015 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2015-04-06 9097 MM9097
R139SOMA 2015-04-24 Revisions to the Medicare State Operations Manual (SOM), Chapter 2, Rural Health Clinic Certification 2015-04-24
R590PI 2015-04-24 Update of CMS-855A, Physician-Owned Hospital Reporting Via the CMS-855POH and Indirect Payment Procedure Registration Via the CMS-855C in Chapter 15 of Pub. 100-08 2015-05-25 9120
R3240CP 2015-04-24 Medicare Claims Processing Manual - Chapter 15, Section 40, Ambulance - Medical Conditions List 2015-07-27 9142 MM9142 2015-04-29
R3241CP 2015-04-24 Transcatheter Mitral Valve Repair (TMVR)-National Coverage Determination (NCD) 2015-04-06 9002 MM9002 2014-12-23
R3242CP 2015-04-27 Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update 2015-07-06 9125 MM9125 2015-04-20
R468PR1 2015-05-01 Provider Reimbursement Manual Part 1, Chapter 9, Compensation of Owners N/A N/A
R117DEMO 2015-05-01 Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 July 2015 Updates 2015-07-06 9122
R19QIO 2015-05-01 QIO Manual Chapter 1 – “Background, Eligibility and Responsibilities” 2015-05-01 NA
R42QRI 2015-05-01 Payments to Long Term Care Hospitals that Do Not Submit Required Quality Data 2015-09-02 9105 MM9105 2015-05-07
R1489OTN 2015-05-01 Analysis and Design for Part B Detail Line Expansion 2015-10-05 9096
R1490OTN 2015-05-01 Identification of Obsolete Shared System Maintainer (SSM) Reports - FISS and VMS 2015-10-05 9103
R1491OTN 2015-05-01 Identification of Obsolete Shared System Maintainer (SSM) On-Request Jobs - FISS and VMS 2016-01-04 9102
SE1514 Overview of the Repetitive Scheduled Non-emergent Ambulance Prior Authorization Model SE1514 2015-05-04
R1492OTN 2015-05-05 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2015 2015-07-06 9064
R44QR1 2015-05-07 Payments to Inpatient Rehabilitation Facilities That Do Not Submit Required Quality Data 2015-08-11 9106 MM9106 2015-05-12
R591PI 2015-05-07 Revisions to Surety Bond Collection Policies 2015-06-08 9123
R592PI 2015-05-08 Update of Provider Enrollment Instructions in Chapter 15 of Pub. 100-08 2015-06-08 9139
R118DEMO 2015-05-08 Updates to the Model 4 Bundled Payments for Care Improvement (BPCI) Initiative to Clarify the Payment Calculation to Include New Technology Add-On Payments, Validate Only Claims with Medicare as Primary Payer, Allowing Medical Necessity Denial Claims to Process Effectively, and Correct Processing of Claims Submitted as Model 4 for Beneficiaries Determined to be Ineligible. 2015-10-05 8926
R1499OTN 2015-05-08 Section 504: Implement National Medicare Summary Notices (MSNs) in Alternate Formats 2015-10-05 9153 MM9153 2015-05-11
R1496OTN 2015-05-08 Modification to Telehealth Originating Site Facility Fee Billing Requirements for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) 2015-10-05 9144
R1498OTN 2015-05-08 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process N/A 9054
R1497OTN 2015-05-08 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for October 2015 2015-10-01 9145
R1500OTN 2015-05-08 IDR Shared Systems Daily Claims Feeds Expansion to Accommodate Medical Review Data Elements 2015-10-01 9126
R3254CP 2015-05-08 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2015 Update 2015-07-06 9167 MM9167 2015-05-11
R3255CP 2015-05-08 Correction to the Multi-Carrier System (MCS) Editing on the Service Location National Provider Identifier (NPI) Reported for Anti-Markup and Reference Laboratory Claims 2015-10-05 9150 MM9150 2015-05-11
R469PR1 2015-05-08 Provider Reimbursement Manual Part 1, Chapter 14, Reasonable Cost of Therapy and Other Services Furnished by Outside Suppliers NA NA
R209BP 2015-05-08 Updates on Hospice Election Form, Revocation, and Attending Physician 2015-05-04 9114 MM9114 2015-04-08
SE1516 Chronic Care Management (CCM) Services Frequently Asked Questions (FAQs) SE1516 2015-05-11
R3256CP 2015-05-08 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - July 2015 2015-07-06 9140 MM9140 2015-05-14
R1502OTN 2015-05-15 Analysis - Procedures for Undeliverable Medicare Summary Notices (MSNs) 2015-10-05 9047
R3257CP 2015-05-15 July Quarterly Update for 2015 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2015-07-06 9177 MM9177 2015-05-18
R3259CP 2015-05-15 Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July CY 2015 Update 2015-07-06 9152 MM9152 2015-05-20
R3258CP 2015-05-15 July 2015 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2015-07-06 9159 MM9159 2015-05-18
R1503OTN 2015-05-15 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2015 2015-07-06 9064
R3262CP 2015-05-15 Manual Update to Pub. 100-04, Chapter 1, to include Claims Submitted by Multiple DMEPOS Suppliers 2015-07-06 9079 MM9079 2015-05-26
R1504OTN 2015-05-20 ICD-10 Conversion/Coding Infrastructure Revisions/ICD-9 Updates to National Coverage Determinations (NCDs)--2nd Maintenance CR 2015-06-22 9087 MM9087 2015-05-22
R182NCD 2015-05-22 NCD20.30 Microvolt T-wave Alternans (MTWA) 2015-06-23 9162 MM9162 2015-06-01
R3265CP 2015-05-22 NCD20.30 Microvolt T-wave Alternans (MTWA) 2015-06-23 9162 MM9162 2015-06-01
R3267CP 2015-05-22 New Waived Tests 2015-07-06 9164 MM9164 2015-06-01
R3264CP 2015-05-22 July 2015 Integrated Outpatient Code Editor (I/OCE) Specifications Version 16.2 2015-07-06 9190 MM9190 2015-05-26
R1507OTN 2015-05-22 HIGLAS Release 12 (R12) Upgrade and Organizational Transitions for A/B MACs - R12 Upgrade 2015-09-30 9135
R3263CP 2015-05-22 Inpatient Prospective Payment System (IPPS) Hospital Extensions per the Medicare Access and CHIP Reauthorization Act of 2015 2015-07-06 9197 MM9197 2015-05-27
R595PI 2015-05-22 Comprehensive Error Rate Testing (CERT) Program Treatment of Power Mobility Device (PMD) and Repetitive Scheduled Non-Emergent Ambulance Transport Claims in the Prior Authorization Model 2015-06-23 9156
R1505OTN 2015-05-22 Analysis for Inserting a Pre-printed Sheet of Paper in Medicare Summary Notice (MSN) Envelopes 2015-06-23 9161
R3272CP 2015-05-29 Claim Status Category and Claim Status Codes Update 2015-10-05 9141 MM9141 2015-06-02
R3276CP 2015-05-29 Instructions for Downloading the Medicare ZIP Code File for October 2015 2015-10-05 9131
R3277CP 2015-05-29 July Quarterly Update for 2015 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2015-07-06 9177 MM9177 2015-05-18
R3268CP 2015-05-29 Corrections to the 2015 Home Health (HH) Pricer Program 2015-10-05 9198 MM9198 2015-06-01
R3271CP 2015-05-29 Common Edits and Enhancements Modules (CEM) Code Set Update 2015-10-05 9088
R3269CP 2015-05-29 Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 2015-10-05 9192 MM9192 2015-06-01
R3275CP 2015-05-29 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 21.3, Effective October 1, 2015 2015-10-05 9111 MM9111 2015-06-01
R3270CP 2015-05-29 Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE 2015-10-05 9138 MM9138 2015-06-01
R140SOMA 2015-05-29 Revisions to Appendix C-Survey Procedures and Interpretive Guidelines for Laboratories and Laboratory Services 2015-05-29 N/A
SE1515 Transcatheter Aortic Valve Replacement (TAVR) Hospital Program Volume Requirements SE1515 2015-06-01
R3279CP 2015-06-05 July 2015 Update of the Ambulatory Surgical Center (ASC) Payment System 2015-07-06 9207 MM9207 2015-06-08
R112MSP 2015-06-04 Inpatient Hospital Claims and Medicare Secondary Payer (MSP) Claims with Medicare Coinsurance Days and/or Medicare Lifetime Reserve Days Occurring in the Seventh to Fifteenth Years 2015-04-06 8932
R3281CP 2015-06-05 Inpatient Prospective Payment System (IPPS) Hospital Extensions per the Medicare Access and CHIP Reauthorization Act of 2015 2015-07-06 9197
R1508OTN 2015-06-05 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2013 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCH) 2015-06-05 9195 MM9195 2015-06-09
R3280CP 2015-06-05 July 2015 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2015-07-06 9205 MM9205 2015-06-09
SE1518 Information and Resources for Submitting Correct ICD-10 Codes to Medicare SE1518 2015-06-08
R1509OTN 2015-06-08 Procedures for Undeliverable Medicare Summary Notices (MSNs) 2015-10-05 9047
SE1519 Using the ICD-10-PCS New Technology Section X Codes SE1519 2015-06-09
R1510OTN 2015-06-12 Award of Medicare Administrative Contractor (MAC) Contract for Jurisdiction M 2015-07-13 9171
R598PI 2015-06-12 Proof and Date of Delivery 2015-07-13 9149
R3283CP 2015-06-12 Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April CY 2015 Update 2015-04-06 9104 MM9104 2015-06-15
SE1517 Updating the Shared System and Common Working File (CWF) to no Longer Create Veteran Affairs (VA) “I” record in the Medicare Secondary Payer (MSP) Auxiliary File SE1517 2015-06-04
R3285CP 2015-06-19 Screening for Hepatitis C Virus (HCV) in Adults – Implementation of Additional Common Working File (CWF) and Shared System Maintainer (SSMs) Edits N/A 9200 MM9200 2015-06-26
R6P233 2015-06-19 Organ Procurement Organization and Tissue Typing Laboratory Cost Reports, Form CMS-216-94 to clarify and correct existing instructions. N/A N/A
R45QRI 2015-06-24 Payments to Hospice Agencies That Do Not Submit Required Quality Data 2015-06-08 9091 MM9091
R599PI 2015-06-26 Annual Improper Payment Reduction Strategy (IPRS) 2015-12-07 9172
R3286CP 2015-06-26 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2016 2015-10-05 9222 MM9222 2015-06-29
R3287CP 2015-06-30 Revisions to Medicare Claims Processing Manual for Foreign, Emergency and Shipboard Claims 2015-04-21 8940
R3289CP 2015-07-02 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2016 2015-10-05 9222 MM9222
R1516OTN 2015-07-02 Analysis and Design for Part B Detail Line Expansion 2016-01-04 9096
R3288CP 2015-07-02 Medicare Internet Only Manual Publication 100-04 Chapter 22 Remittance Advice 2015-08-03 9199
R1514OTN 2015-07-02 Award of Medicare Administrative Contractor (MAC) Contract for Jurisdiction J 2015-07-01 8960
R1517OTN 2015-07-02 Tester Resolution Reports for International Classification of Diseases, Tenth Revision (ICD-10) Limited End to End Testing with Submitters N/A 9137
R600PI 2015-07-02 Workload Reporting 2015-09-03 9215
R601PI 2015-07-02 Review of Home Health Claims 2015-08-03 9240
R3260CP 2015-05-15 Quarterly Update to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) 2015-07-06 9127 MM9127 2015-07-13
R1519OTN 2015-07-10 Medicare Appeals System (MAS) Upgrade 2015-07-27 9208
R141SOMA 2015-07-10 Revisions to the State Operations Manual (SOM), Appendix A – Survey Protocol, Regulations and Interpretive Guidelines for Hospitals 2015-07-15 N/A
R3290CP 2015-07-10 October 2015 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2015-10-15 9248 MM9248 2015-07-13
R1518OTN 2015-07-10 Contractor Reporting of Operational and Workload Data (CROWD) Form 5 Remittance Advice Reporting 2015-08-11 9181
R602PI 2015-07-10 Medical Review of Home Health Services 2015-08-11 9189
R3291CP 2015-07-10 Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2015 2015-08-11 9206
R3292CP 2015-07-10 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2015 Update 2015-07-06 9167 MM9167 2015-05-11
R251FM 2015-07-13 Notice of New Interest Rate for Medicare Overpayments and Underpayments - 4th Qtr Notfication for FY 2015 2015-07-20 9288
R120DEMO 2015-07-17 Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 October 2015 Updates 2015-10-05 9220
R142SOMA 2015-07-17 Revisions to State Operations Manual (SOM) Chapter 9 Exhibits 2015-07-17 N/A
R603PI 2015-07-21 Medical Review of Home Health Services 2015-08-11 9189
R1521OTN 2015-07-24 CMS Information Security Acceptable Risk Safeguards Update - Multifactor Authentication 2015-09-25 9277
R604PI 2015-07-24 Signature Requirements 2015-08-25 9225
R19SMM 2015-07-29 Part 11 - Management Information System N/A N/A
R74SMM 2015-07-29 State Medicaid Manual Part 4 – Services N/A N/A
R76SMM 2015-07-29 State Medicaid Manual Part 3 - Eligibility N/A N/A
R2P243 2015-07-31 Provider Reimbursement Manual - Part 2, Provider Cost Reporting Forms and Instructions, Chapter 43, Form CMS-1984-14 2015-07-31 N/A
R1523OTN 2015-07-31 Procedures for Processing Under Tolerance Part A 935, Part A-Other, Part A and B Healthcare Professional Shortage Area (HPSA), and Part A-Provider Recovery Audit Contractor (RAC) Identified debts in the Healthcare Integrated General Ledger Accounting System (HIGLAS) 2016-04-04 9221
R1522OTN 2015-07-31 Data Act Treasury Referral Timeframe and Reporting - DME MAC Changes 2015-07-31 9193
R143SOMA 2015-07-31 Revisions to State Operations Manual (SOM) Chapter 2, The Certification Process and Appendix W, Survey Protocol, Regulations and Interpretive Guidelines for Critical Access Hospitals (CAHs) and Swing-Beds in CAHs 2015-07-31 N/A
R605PI 2015-07-31 Clarification Regarding the Processing of Certain Provider Enrollment-Related Transactions 2015-11-02 9174
R1524OTN 2015-08-06 Medicare Remit Easy Print (MREP) Upgrade 2016-01-04 9203 MM9203 2015-08-11
R253FM 2015-08-06 Update the Contractor Reporting of Operational and Workload Data (CROWD) CMS-2592 Report to Indicate Requests Received in Claims and Requests Received That Are Recovery Audit Related 2016-01-04 9157
R3309CP 2015-08-06 Applying Therapy Caps to Maryland Hospitals 2016-01-04 9223 MM9223 2015-08-11
R3315CP 2015-08-06 New and Revised Place of Service Codes (POS) for Outpatient Hospital 2016-01-04 9231 MM9231 2015-08-11
R3311CP 2015-08-06 End Stage Renal Disease (ESRD) Home Dialysis Policy 2015-09-08 9265 MM9265 2015-08-12
R1528OTN 2015-08-06 Reporting of Anti-Cancer and Anti-Emetic Drugs 2016-01-04 9255 MM9255 2015-08-11
R3301CP 2015-08-06 Claims Processing Instructions for Diagnostic Digital Breast Tomosynthesis 2016-01-04 9191 MM9191 2015-08-11
R3308CP 2015-08-06 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2015 2015-10-05 9244 MM9244 2015-08-11
R1525OTN 2015-08-06 Add Original Common Working Files (CWF) Occurrence Number to the CWF Feed to MBD
R1527OTN 2015-08-06 Update for Paper Claims Processing Under the Administrative Simplification Compliance Act (ASCA) 2015-09-08 9210
R3304CP 2015-08-06 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - October 2015 Update 2015-10-05 9273 MM9273 2015-08-11
R3298CP 2015-08-06 Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update 2015-10-05 9278 MM9278 2015-08-13
R113MSP 2015-08-06 Instructions for the Shared Systems and Medicare Administrative Contractors (MACs) to follow when a Medicare Residual Payment must be Paid on Workers’ Compensation Medicare Set-aside Arrangement (WCMSA) or for Ongoing Responsibility of Medicals (ORM) Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) Claims. 2016-01-04 9009
R3317CP 2015-08-06 Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October CY 2015 Update 2015-10-05 9266 MM9266 2015-08-11
R183NCD 2015-08-28 National Coverage Determination (NCD) for Screening for Colorectal Cancer Using Cologuard™ - A Multitarget Stool DNA Test N/A 9115 MM9115 2015-09-04
R3319CP 2015-08-28 National Coverage Determination (NCD) for Screening for Colorectal Cancer Using Cologuard™ - A Multitarget Stool DNA Test N/A 9115 MM9115 2015-09-04
R1533OTN 2015-08-07 Update Hard Coded Audit 205A MSP Return Code 3925 and Edit 152D 2016-01-04 9237
R1511OTN 2015-06-12 Classification of Speech Generating Devices (SGD) and Accessories under the Payment Category for Inexpensive or Routinely Purchased Durable Medical Equipment 2015-10-05 9179 MM9179 2015-08-11
R1534OTN 2015-08-07 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for January 2016 2016-01-04 9259
R20QIO 2015-08-07 QIO Manual Chapter 14 – “Hospital-Generated Data Reporting” 2015-08-07
R21QIO 2015-08-07 QIO Manual Chapter 6 – “Medicare + Choice Organizations (M+COs)” 2015-08-07
SE1520 National Site Visit Verification (NSV) Initiative SE1520 2015-08-11
R607PI 2015-08-12 Workload Reporting 2015-09-03 9215
SE1521 Limiting the Scope of Review on Redeterminations and Reconsiderations of Certain Claims SE1521 2015-08-13
R3323CP 2015-08-14 October Quarterly Update for 2015 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 2015-10-05 9279 MM9279 2015-08-17
R1535OTN 2015-08-14 International Classification of Diseases, 10th Revision (ICD-10) Additional Acknowledgement Testing Reporting 2015-09-15 9256
R144SOMA 2015-08-14 Revisions to State Operations Manual (SOM) Appendix J, Part II – Interpretive Guidelines – Responsibilities of Intermediate Care Facilities for Individuals with Intellectual Disabilities 2015-08-14 N/A
R3329CP 2015-08-14 Update to Pub. 100-04, Chapter 18 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2015-09-14 8628
R608PI 2015-08-14 Update to Pub. 100-08 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2015-09-14 8747
R3327CP 2015-08-14 New Waived Tests 2015-10-05 9261 MM9261 2015-08-17
R3328CP 2015-08-14 October 2015 Integrated Outpatient Code Editor (I/OCE) Specifications Version 16.3 2015-10-05 9290 MM9290 2015-08-17
R3324CP 2015-08-14 Clarification of the Policy for Competitively-Bid Wheelchair Accessories Furnished with Non-Competitively Bid Wheelchair Base Equipment 2016-01-04 9272 MM9272 2015-08-17
R609PI 2015-08-14 Clarification Regarding the Processing of Certain Provider Enrollment-Related Transactions 2015-11-02 9174
R3326CP 2015-08-14 Implementation of the Hospice Payment Reforms 2016-01-04 9201 MM9201 2015-08-20
R1495OTN 2015-08-19 Revision to Medicare Code Editor (MCE) Edit, Procedure Inconsistent with Length of Stay (LOS) for International Classification of Diseases, Tenth Revision, Procedure Classification System (ICD-10-PCS) Respiratory Ventilation, Greater than 96 Consecutive Hours 2015-10-05 9117 MM9117 2015-08-27
R1494OTN 2015-08-19 Updates of Medicare Severity Diagnosis Related Groups (MS-DRGs) to the List Subject to Inpatient Prospective Payment System (IPPS) Replaced Devices Offered without Cost or with a Credit Policy 2015-10-05 9121 MM9121 2015-08-24
R1536OTN 2015-08-21 Increasing Tax Withholding to 100 Percent for Internal Revenue Service (IRS) Federal Payment Levy Program (FPLP) 2015-10-16 9285 MM9285 2015-08-24
R145SOMA 2015-08-21 Revisions to Medicare State Operations Manual (SOM), Chapter 9 - Exhibits 2015-08-21 N/A
R1537OTN 2015-08-21 ICD-10 Conversion/Coding Infrastructure Revisions to National Coverage Determinations (NCDs)--3rd Maintenance CR 2016-01-04 9252 MM9252 2015-09-29
R3331CP 2015-08-21 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2016 2015-10-05 9236 MM9236 2015-09-02
R3332CP 2015-08-21 Update-Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Fiscal Year (FY) 2016 2015-10-05 9305 MM9305 2015-08-24
R3333CP 2015-08-21 October 2015 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2015-10-05 9298 MM9298 2015-08-27
R3335CP 2015-08-21 Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE 2016-01-04 9270 MM9270 2015-08-27
R3337CP 2015-08-21 Instructions for Downloading the Medicare ZIP Code File for January 2016 2016-01-04 9216
R3340CP 2015-08-21 Annual Clotting Factor Furnishing Fee Update 2016 2016-01-04 9295 MM9295 2015-08-24
R93GI 2015-08-21 Internet Only Manual (IOM) Publication 100-01 - General Information, Eligibility, and Entitlement, Chapter 7 - Contract Administrative Requirements, Section 40 – Shared System Maintainer Responsibilities for Systems Releases 2015-08-21 9219
R3336CP 2015-08-21 Healthcare Provider Taxonomy Codes (HPTCs) October 2015 Code Set Update 2016-01-04 9260 MM9260 2015-08-24
R184NCD 2015-08-21 Update to Pub. 100-03, National Coverage Determination Manual, Chapter 1, Part 1, Section 50.1 Speech Generating Device 2015-09-21 9281 MM9281 2015-08-27
R254FM 2015-08-21 Update the Contractor Reporting of Operational and Workload Data (CROWD) CMS-2592 Report to Indicate Requests Received in Claims and Requests Received That Are Recovery Audit Related 2016-01-04 9157
R3342CP 2015-08-28 Common Edits and Enhancements Modules (CEM) Code Set Update 2016-01-04 9314
R3344CP 2015-08-28 Claim Status Category and Claim Status Codes Update 2016-01-04 9276 MM9276 2015-08-31
R611PI 2015-08-28 Changes to Supplier Documentation and Evidence of Medical Necessity for Oxygen Claims 2015-09-29 9063
R1538OTN 2015-08-28 Medicare Prior Authorization of Power Mobility Devices (PMDs) Demonstration: Advance Determination of Medicare Coverage (ADMC)Reviews for Beneficiaries Who Have Representative Payees 2015-09-29 9286
R1540OTN 2015-08-28 Modification to the Telehealth Originating Site Facility Fee Billing Requirements for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) 2015-10-05 9144
R3341CP 2015-08-28 Influenza Vaccine Payment Allowances - Annual Update for 2015-2016 Season 2015-11-24 9299 MM9299 2015-09-02
R1539OTN 2015-08-28 Implementing the Insertion of a Sheet of Paper Promoting the Electronic Medicare Summary Notices (eMSNs) into Mailed Medicare Summary Notices (MSNs) N/A 9275
R1541OTN 2015-08-28 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for October 2015 2015-10-01 9145
R121DEMO 2015-09-02 Medicare Care Choices Model (MCCM) - Per Beneficiary per Month Payment (PBPM) - Implementation N/A 9136
R146SOMA 2015-09-04 State Operations Manual (SOM), Section 2185- Home Health Agencies (HHAs), Change of Address to a Medical Administrative Contractor (MAC) within 90 Days 2015-09-04 NA
R3346CP 2015-09-04 Removing References to Network Service Vendors from Chapter 24 of the Medicare Claims Processing Manual, Pub. 100-04 2015-10-06 9280
R3345CP 2015-09-04 Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2016 2015-10-05 9301 MM9301 2015-09-08
SE1523 2015-2016 Influenza (Flu) Resources for Health Care Professionals SE1523 2015-09-08
R612PI 2015-09-10 Changes to Supplier Documentation and Evidence of Medical Necessity for Oxygen Claims 2015-09-29 9063
R3349CP 2015-09-11 2016 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update 2016-01-04 9340 MM9340 2015-09-14
R3351CP 2015-09-15 Additional Fields Added to the Outlier Reconciliation Lump Sum Utility 2016-04-04 9204
R3352CP 2015-09-15 October 2015 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2015-10-05 9298 MM9298 2015-09-21
R3353CP 2015-09-18 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 22.0, Effective January 1, 2016 2016-01-04 9326 MM9326 2015-09-21
R3354CP 2015-09-18 January 2016 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2016-01-04 9351 MM9351 2015-09-21
R8P240 2015-09-18 Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10 2015-06-30 N/A
R3355CP 2015-09-18 Annual Medicare Physician Fee Schedule (MPFS) Files Delivery and Implementation 2016-01-04 9343
R3356CP 2015-09-18 Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes 2016-01-04 9319
R110MSP 2015-03-06 Claims Processing Medicare Secondary Payer (MSP) Policy and Procedures Regarding Ongoing Responsibility for Medicals (ORM) 2015-07-06 8984
R12P229 2015-09-18 Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 29, Form CMS 222-92 2015-09-18 N/A
R3213CP 2015-03-06 Claims Processing Medicare Secondary Payer (MSP) Policy and Procedures Regarding Ongoing Responsibility for Medicals (ORM) 2015-10-05 8984
R114MSP 2015-09-18 Claims Processing Medicare Secondary Payer (MSP) Policy and Procedures Regarding Ongoing Responsibility for Medicals (ORM) N/A 8984 MM8984 2015-09-28
R3358CP 2015-09-18 Claims Processing Medicare Secondary Payer (MSP) Policy and Procedures Regarding Ongoing Responsibility for Medicals (ORM) N/A 8984 MM8984 2015-09-28
R1544OTN 2015-09-22 Implementation of Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Based on Specific Clinical Criteria N/A 9015 MM9015 2015-09-24
R3359CP 2015-09-23 October 2015 Integrated Outpatient Code Editor (I/OCE) Specifications Version 16.3 2015-10-05 9290 MM9290 2015-09-24
R613PI 2015-09-25 Postpayment Review Requirements 2015-10-26 9323
R3361CP 2015-09-25 October 2015 Update of the Ambulatory Surgical Center (ASC) Payment System 2015-10-05 9310 MM9310 2015-09-29
R470P122 2015-09-25 Chapter 22, Determination of Cost of Services to Beneficiaries N/A N/A
R3364CP 2015-09-29 Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October CY 2015 Update 2015-10-05 9266 MM9266 2015-10-01
R1545OTN 2015-09-30 Procedures for Processing Under Tolerance Part A 935, Part A-Other, Part A and B Healthcare Professional Shortage Area (HPSA), and Part A-Provider Recovery Audit Contractor (RAC) Identified debts in the Healthcare Integrated General Ledger Accounting System (HIGLAS) 2016-07-05 9221
R3365CP 2015-10-02 2016 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder 2016-01-04 9353
R615PI 2015-10-02 Signature Requirements 2015-11-02 9332
R33COM 2015-10-02 Medicare Contractor Beneficiary and Provider Communications Manual Beneficiary Customer Services Pub. 100-09 Chapter 2- Update 2015-11-02 9000
R3366CP 2015-10-02 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2016 2016-01-04 9352 MM9352 2015-10-06
R122DEMO 2015-10-02 Termination of the Rural Community Hospital Demonstration, Mandated by Section 410A of the Medicare Modernization Act and Extended by Sections 3123 and 10313 of the Affordable Care Act 2015-11-03 9318
R1547OTN 2015-10-05 ICD-10 Conversion/Coding Infrastructure Revisions to National Coverage Determinations (NCDs)--3rd Maintenance CR N/A 9252 MM9252 2015-10-06
R147SOMA 2015-10-06 Revisions to State Operation Manual (SOM), Appendix C-Survey Procedures and Interpretive Guidelines for Laboratories and Laboratory Services 2016-01-04 N/A
R3367CP 2015-10-07 Applying Therapy Caps to Maryland Hospitals 2016-01-04 9223 MM9223 2015-10-08
R148SOMA 2015-10-09 Revisions and Deletion to the State Operations Manual (SOM) Chapter 9 Exhibits 2015-10-09 N/A
R149SOMA 2015-10-09 State Operations Manual (SOM) for All Types of Providers and Suppliers Subject to Certification 2015-10-09 N/A
R3370CP 2015-10-09 2016 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments 2016-01-04 9342 MM9342 2015-10-13
R124DEMO 2015-10-09 Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 January 2016 Updates 2016-01-04 9361
R123DEMO 2015-10-09 Implementing Payment Changes for FCHIP (Frontier Community Health Integration Project), Mandated by Section 123 of MIPPA 2008 and as Amended by Section 3126 of the ACA of 2010 (This CR Rescinds and Replaces CR 8683) 2016-01-01 9165
R618PI 2015-10-09 Written Orders Prior to Delivery (WOPD) 2015-11-10 9364
R617PI 2015-10-09 Update to Chapter 3 of Pub. 100-08 2015-11-10 9303
R255FM 2015-10-13 Notice of New Interest Rate for Medicare Overpayments and Underpayments - 1st Qtr Notfication for FY 2016 2015-10-13 9437
R3373CP 2015-10-05 Fiscal Year (FY) 2016 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes 2015-10-05 9253 MM9253 2015-10-19
R3360CP 2015-09-24 Fiscal Year (FY) 2016 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes 2015-10-05 9253
R125DEMO 2015-10-15 Medicare Care Choices Model (MCCM) - Per Beneficiary per Month Payment (PBPM) - Implementation N/A 9136
R620PI 2015-10-16 Program Integrity Manual Chapter 3 Updates - Section 3.2.3.2 Timeframes for Submission and Section 3.2.3.8 - No Response or Insufficient Response to Additional Documentation Requests 2015-11-17 9226
R256FM 2015-10-16 Medicare Financial Management Manual, Chapter 7, Internal Controls 2015-11-17 9320
R3378CP 2015-10-16 Additional G-Codes Differentiating RNs and LPNs in the Home Health and Hospice Settings 2016-01-01 9369 MM9369 2015-10-19
R3377CP 2015-10-16 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - January 2016 2016-01-04 9383
R3379CP 2015-10-16 Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (2015) 2015-10-16 9336 MM9336 2015-11-02
R211BP 2015-10-16 Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (2015) 2015-11-16 9336 MM9336 2015-11-02
R94GI 2015-10-16 Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (2015) 2015-11-16 9336 MM9336 2015-11-02
R95GI 2015-10-16 Internet Only Manual (IOM) Publication 100-01 - General Information, Eligibility, and Entitlement, Chapter 7 - Contract Administrative Requirements, Section 40 – Shared System Maintainer Responsibilities for Systems Releases 2015-09-21 9219
R3381CP 2015-10-23 Instructions for Retrieving the 2015 Pricing and HCPCS Data Files through CMS' Mainframe Telecommunications Systems 2016-01-04 9411
R3382CP 2015-10-23 Off-Cycle Update to the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2016 Pricer 2016-01-04 9408
R3384CP 2015-10-26 National Coverage Determination (NCD) for Single Chamber and Dual Chamber Permanent Cardiac Pacemakers - This CR rescinds and fully replaces CR 8525 2015-07-06 9078 MM9078 2015-10-28
R186NCD 2015-10-26 National Coverage Determination (NCD) for Single Chamber and Dual Chamber Permanent Cardiac Pacemakers - This CR rescinds and fully replaces CR 8525 2015-07-06 9078 MM9078 2015-10-28
SE1525 ICD-10-CM Diagnosis Codes for Bone Mass Measurement SE1525 2015-10-28
R1548OTN 2015-10-30 Analysis Only: To Obtain the Level of Effort (LOE) from Medicare Administrative Contractors (MACs) to Implement Multifactor Authentication (MFA) as an Option for Non-Organization Users and to also Obtain the Level of Effort (LOE) from Medicare Administrative Contractors (MACs) to Implement Multifactor Authentication (MFA) as a Requirement for Non-Organization Users 2015-12-02 9309
R150SOMA 2015-10-30 Revisions to State Operations Manual (SOM), Chapter 2, Clarification of Requirements for Off-Premises Activities and Approval of Extension Locations for Providers of Outpatient Physical Therapy and Speech-Language Pathology Services 2015-10-30 NA
R622PI 2015-10-30 Program Integrity Manual Chapter 12 Revision 2015-12-07 9391
R3386CP 2015-10-30 Medicare Internet Only Manual (IOM) Publication 100-04 Chapter 27 Contractor Instructions for CWF 2015-12-02 9293
R3389CP 2015-10-30 Outpatient Mental Health Treatment Limitation Split Claims Fix 2016-04-06 9306
R1549OTN 2015-10-30 Shared System Enhancement 2014 - Removal of Railroad Board (RRB) obsolete reports identified by Multi-Carrier System (MCS) Shared System Maintainer (SSM) 2016-04-04 9294
R3388CP 2015-10-30 Manual Updates to Clarify IRF Claims Processing 2015-12-02 9362 MM9362 2015-11-02
R3390CP 2015-10-02 Off-Cycle Update to the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2016 Pricer 2016-01-04 9408
R185NCD 2015-08-21 Medicare Coverage of Screening for Lung Cancer with Low Dose Computed Tomography (LDCT) 2016-01-04 9246 MM9246 2015-11-16
R623PI 2015-11-03 Written Orders Prior to Delivery (WOPD) 2015-10-15 9364
R3374CP 2015-10-15 Medicare Coverage of Screening for Lung Cancer with Low Dose Computed Tomography (LDCT) 2016-01-04 9246 MM9246 2015-11-16
R115MSP 2015-11-05 Electronic Correspondence Referral System (ECRS) Web Updates to Claims Processing Medicare Secondary Payer (MSP) Policy and Procedures Regarding Ongoing Responsibility for Medicals (ORM) 2015-12-07 9382
R1551OTN 2015-11-05 System Specific Enhancements 2014: Move PAP smear Risk Indicator (PAPRI) and Technical (TECH)/Professional (PROF) Dates to Screening Auxiliary file N/A 9188 MM9188 2016-05-05
R1554OTN 2015-11-05 System Specific Enhancements 2014: Retaining most recent update for Auxiliary (Aux) file data in Common Working File (CWF) 2016-04-04 9337
R3394CP 2015-11-05 Implementation Instructions to Operationally Process the Claims of a Subclause (II) Long Term Care Hospital (LTCH) in a Manner that is Generally Consistent with the Claims Processing of Non-Prospective Payment System (PPS) Hospitals 2016-04-04 9401
R127DEMO 2015-11-05 Oncology Care Model (OCM) Monthly Enhanced Oncology Services (MEOS) Payment Implementation 2016-04-04 9341
R1559OTN 2015-11-05 Shared System Enhancement 2015: Modify Purged Claim History to Improve Efficiency 2016-04-04 9422
R1556OTN 2015-11-05 Shared System Enhancement 2015: Eliminate Remaining Uses of AREAFILE and CUSTCHRG Virtual Storage Access Method Files 2016-04-04 9373
R1552OTN 2015-11-05 Medicare Remit Easy Print (MREP) Upgrade 2016-04-04 9291 MM9291 2015-11-09
R3393CP 2015-11-05 Reporting of Type of Bill (TOB) 014x for Billing Screening of Hepatitis C Virus (HCV) in Adults 2016-04-04 9360 MM9360 2015-11-09
R3396CP 2015-11-05 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2016 2016-01-04 9352 MM9352 2015-11-12
R3397CP 2015-11-05 Calendar Year (CY) 2016 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures 2015-11-09 9368
R3383CP 2015-11-06 Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2016 2016-01-04 9406 MM9406 2015-11-12
R1560OTN 2015-11-05 Instruction to Apply the Part A Deductible on a Medicare Secondary Payer (MSP) Inpatient Same Day Transfer Claim 2016-04-04 9394
R1557OTN 2015-11-05 System Specific Enhancement 2015: Archive Competitive Bidding Demonstration Logic in ViPS Medicare System (VMS) 2016-04-04 9376
R1553OTN 2015-11-05 New State Code for CT, MA, NJ, PR, GA, NC, SC, TN, AR, OK, CO, CA, OR, LA, NM, TX and WA 2016-04-04 9300
R1550OTN 2015-11-05 System Specific Enhancement 2014: Process Health Maintenance Organization (HMO) edits in a single module in Common Working File (CWF) 2016-04-04 9185
R1561OTN 2015-11-06 Part B Detail Line Expansion - Trailer 08 Update 2016-04-04 9379
R3398CP 2015-11-06 Processing Hospice Denials When Face-to-Face Encounter is Not Received Timely 2016-04-04 9385
R1565OTN 2015-11-06 System Specific Enhancement 2015: Fiscal Intermediary Standard System (FISS) Extend Hard Segregation of Security 2016-04-04 9402
R1569OTN 2015-11-06 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for April 2016 2016-04-04 9425
R1570OTN 2015-11-06 Reporting principal and interest amounts when refunding previously recouped money on the Remittance Advice (RA) N/A 9168 MM9168 2015-11-12
SE1524 2015-11-09 Selecting Home Health Claims for Probe and Educate Review: Episodes that Begin on or After August 1, 2015 SE1524 2015-11-09
R1572OTN 2015-11-06 Removal of Device Portion from Certain Discontinued Device-Intensive Ambulatory Surgical Center (ASC) Procedures Prior to the Administration of Anesthesia 2016-04-04 9297 9297 2015-11-10
R3402CP 2015-11-06 Payment Reduction for Computed Tomography (CT) Diagnostic Imaging Services 2016-01-04 9250 9250 2015-11-10
R212BP 2015-11-06 Update to the List of Compendia as Authoritative Sources for Use in the Determination of a “Medically-Accepted Indication” of Drugs and Biologicals Used Off-label in an Anti-Cancer Chemotherapeutic Regimen 2016-02-10 9386 MM9386 2015-11-12
R1564OTN 2015-11-06 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for April 2016 2016-04-04 9405
R1567OTN 2015-11-06 System Specific Enhancements 2014: Retaining most recent update for Auxiliary (Aux) file data in Common Working File (CWF) Analysis Only 2016-04-04 9186
R1568OTN 2015-11-06 Implementation of Procedures for Undeliverable Medicare Summary Notices (uMSNs) 2016-07-05 9372
R3380CP 2015-10-23 Ambulance Inflation Factor for CY 2016 and Productivity Adjustment 2016-01-04 9412 MM9412 2015-11-16
R3368CP 2015-10-09 New Values for Incomplete Colonoscopies Billed with Modifier 53 2016-01-01 9317 MM9317 2015-11-17
R3313CP 2015-08-06 Payment for Grandfathered Tribal Federally Qualified Health Centers (FQHCs) that were Provider-Based Clinics on or Before April 7, 2000 2016-01-04 9267
R3375CP 2015-10-16 Announcement of Payment Rate Increases for Rural Health Clinics (RHCs) for Calendar Year (CY) 2016 2016-01-04 9347 MM9347 2015-11-16
R1542OTN 2015-09-04 Implementation of Biosimilar Claim Modifiers 2016-01-04 9284
R626PI 2015-11-13 Update to Surety Bond Collection Requirements 2015-12-14 9296
R1573OTN 2015-11-13 Shared System Enhancement 2014 - Removal of Obsolete Reports and On-Request Jobs from the ViPS Medicare System (VMS) -- Implementation 2016-04-04 9421
R1574OTN 2015-11-13 Shared System Enhancement 2015: Technical Improvements to the Redesigned Medicare Summary Notice (MSN) process 2016-04-04 9381
R3406CP 2015-11-13 New Waived Tests 2016-01-04 9416 MM9416 2015-11-16
R1575OTN 2015-11-13 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects (Analysis Only) N/A 9325
R3369CP 2015-10-09 Update to the Federally Qualified Health Centers (FQHC) Prospective Payment System (PPS) - Recurring File Updates 2016-01-04 9348 MM9348 2015-11-17
R3387CP 2015-10-30 Billing of the Transportation Fee by Portable X-ray Suppliers 2016-01-01 9354 MM9354 2015-11-16
R1576OTN 2015-11-18 Chronic Care Management (CCM) services for Rural Health Clinics (RHCs) and Federal Qualified Health Centers (FQHCs) 2016-01-04 9234 MM9234 2015-12-02
R3403CP 2015-11-09 New Influenza Virus Vaccine Code N/A 9357 MM9357 2015-11-25
R3407CP 2015-11-18 Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October CY 2015 Update 2015-10-05 9266 MM9266 2015-11-25
R1578OTN 2015-11-19 System Specific Enhancement 2014: Process Health Maintenance Organization (HMO) edits in a single module in Common Working File (CWF) Analysis Only 2016-04-04 9185
R3409CP 2015-11-20 Instructions for Downloading the Medicare ZIP Code File for April 2016 2016-04-04 9334
R3408CP 2015-11-20 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 22.1, Effective April 1, 2016 2016-04-04 9377 MM9377 2015-11-23
R1577OTN 2015-11-20 System Specific Enhancement 2015: Remove Direct Claim Updates within the Daily Batch Cycle Analysis and Design CR 2016-04-04 9400
R3412CP 2015-11-20 Common Edits and Enhancements Modules (CEM) Code Set Update 2016-04-04 9432
R3411CP 2015-11-20 Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE 2016-04-04 9350 MM9350 2015-11-23
R3413CP 2015-11-20 Claim Status Category and Claim Status Codes Update 2016-04-04 9427 MM9427 2015-11-25
R151SOMA 2015-11-20 Revisions to State Operations Manual (SOM), Appendix A -Survey Protocol, Regulations and Interpretive Guidelines for Hospitals 2015-11-20 N/A
R3416CP 2015-11-23 CY 2016 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2016-01-04 9431 MM9431 2015-11-27
R3415CP 2015-11-23 2016-01-04 9267 MM9267 12/01/2015
R3418CP 2015-11-25 Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update 2016-04-04 9374 MM9374
R3417CP 2015-11-25 Therapy Cap Values for Calendar Year (CY) 2016 2016-01-04 9448 MM9448 2015-11-27
R129DEMO 2015-11-25 Oncology Care Model (OCM) Monthly Enhanced Oncology Services (MEOS) Payment Implementation 2016-04-04 9341
R3350CP 2015-11-25 Implementation of Adjusted Durable Medical Equipment Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule Amounts Using Information from the National Competitive Bidding Program (CBP) 2016-01-04 9239 MM9239 2015-11-30
R213BP 2015-11-25 Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for Calendar Year (CY) 2016 2016-01-04 9367 MM9367 2015-12-02
R96GI 2015-11-25 Update to Medicare Deductible, Coinsurance and Premium Rates for 2016 2016-01-04 9410 MM9410 2015-12-01
R22QIO 2015-12-02 2015-12-02 N/A
R111MSP 2015-11-24 Instructions on Using the Claim Adjustment Segment (CAS) for Medicare Secondary Payer (MSP) Part A CMS-1450 Paper Claims, Direct Data Entry (DDE), and 837 Institutional Claims Transactions 2016-01-04 8486
R116MSP 2015-11-24 Instructions on Using the Claim Adjustment Segment (CAS) for Medicare Secondary Payer (MSP) Part A CMS-1450 Paper Claims, Direct Data Entry (DDE), and 837 Institutional Claims Transactions N/A 8486 MM8486 2015-12-04
R23QIO 2015-12-03 QIO Manual Chaper 13 - "Management" 2015-12-03 N/A
R1580OTN 2015-12-03 ICD-10 Conversion/Coding Infrastructure Revisions to National Coverage Determinations (NCDs)--3rd Maintenance CR N/A 9252 MM9252 2015-12-09
R130DEMO 2015-12-04 IVIG Demonstration: Payment Update for 2016 2016-01-04 9254 MM9254 2015-12-09
R628PI 2015-12-04 Update to CMS Publication 100-08, Chapter 3, Section 3.2.3.2 (Time Frames for Submission) 2016-01-06 9438
R131DEMO 2015-12-04 Implementing Payment Changes for FCHIP (Frontier Community Health Integration Project), Mandated by Section 123 of MIPPA 2008 and as Amended by Section 3126 of the ACA of 2010 (This CR Rescinds and Replaces CR 8683) 2016-07-01 9165
R3421CP 2015-12-10 National Coverage Determination (NCD) for Single Chamber and Dual Chamber Permanent Cardiac Pacemakers 2016-01-13 9078
R187NCD 2015-12-10 National Coverage Determination (NCD) for Single Chamber and Dual Chamber Permanent Cardiac Pacemakers 2016-01-13 9078
R132DEMO 2015-12-10 Oncology Care Model (OCM) Monthly Enhanced Oncology Services (MEOS) Payment Implementation 2016-04-04 9341
R1583OTN 2015-12-11 Settlement Effectuation Instructions for the Department of Health and Human Services' (DHHS) Office of Medicare Hearings and Appeals (OMHA) Settlement Conference Facilitation (SCF) Pilot 2016-01-13 9217
R3420CP 2015-12-11 Calendar Year (CY) 2016 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 2016-01-04 9465 MM9465 2015-12-15
R214BP 2015-12-15 Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) for Calendar Year (CY) 2016 2016-01-04 9367
R134DEMO 2015-12-15 Medicare Care Choices Model (MCCM) - Per Beneficiary per Month Payment (PBPM) - Implementation N/A 9136
R1587OTN 2015-12-17 Instruction to Apply the Part A Deductible on a Medicare Secondary Payer (MSP) Inpatient Same Day Transfer Claim 2016-04-04 9394
R1586OTN 2015-12-17 Eliminate Two Case-mix Payment Adjustments (Monoclonal Gammopathy and Bacterial Pneumonia) Available Under the End State Renal Disease (ESRD) Prospective Payment System (PPS) in Accordance With Section 632 of the American Taxpayer Relief Act (ATRA) 2016-01-04 9268
R52QRI 2015-12-18 Fiscal Year 2017 and After Payments to Hospice Agencies That Do Not Submit Required Quality Data - This CR Rescinds and Fully Replaces CR9091 2016-04-01 9460 MM9460 2015-12-23
R3423CP 2015-12-18 Summary of Policies in the Calendar Year (CY) 2016 Medicare Physician Fee Schedule (MPFS) Final Rule and Telehealth Originating Site Facility Fee Payment Amount 2016-01-04 9476 MM9476 2015-12-23
R3424CP 2015-12-18 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - April 2016 2016-04-04 9477 MM9477 2015-12-23
R3425CP 2015-12-18 January 2016 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2016-01-04 9486 MM9486 2015-12-23
R1526OTN 2015-08-06 Eliminate Two Case-mix Payment Adjustments (Monoclonal Gammopathy and Bacterial Pneumonia) Available Under the End Stage Renal Disease (ESRD) Prospective Payment System (PPS) in Accordance With Section 632 of the American Taxpayer Relief Act (ATRA) N/A 9268
R215BP 2015-12-18 January 2016 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2016-01-04 9486
R3427CP 2015-12-18 January 2016 Integrated Outpatient Code Editor (I/OCE) Specifications Version 17.0 2014-01-04 9459
R1585OTN 2015-12-16 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process N/A 9054
R3428CP 2016-12-22 Advance Care Planning (ACP) as an Optional Element of an Annual Wellness Visit (AWV) 2016-01-04 9271 MM9271 2015-12-29
R216BP 2015-12-22 Advance Care Planning (ACP) as an Optional Element of an Annual Wellness Visit (AWV) 2016-01-04 9271 MM9271 2015-12-29
R210BP 2016-08-07 Advance Care Planning (ACP) as an Optional Element of an Annual Wellness Visit (AWV) N/A 9271
R3429CP 2015-12-22 New Influenza Virus Vaccine Code N/A 9357 MM9357 2015-12-28
R1588OTN 2015-12-24 Settlement Effectuation Instructions for the Department of Health and Human Services' (DHHS) Office of Medicare Hearings and Appeals (OMHA) Settlement Conference Facilitation (SCF) Pilot 2016-01-13 9217
R3430CP 2015-12-29 January 2016 Update of the Ambulatory Surgical Center (ASC) Payment System 2016-01-04 9484 MM9484 2016-01-04
R3431CP 2015-12-29 Fiscal Year (FY) 2016 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes 2015-10-05 9253 MM9253 2016-01-05
R3432CP 2015-12-31 2016 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List 2016-02-01 9481 MM9481 2016-01-05
R135DEMO 2015-12-31 Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 April 2016 Updates 2016-04-04 9499
R3433CP 2015-12-31 Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens 2016-02-01 9485 MM9485 2016-01-05
R188NCD 2015-12-30 National Coverage Determination (NCD) for Screening for Colorectal Cancer Using Cologuard - A Multitarget Stool DNA Test N/A 9115 MM9115
R3434CP 2015-12-31 Reorganization of Chapter 9 2016-03-31 9397 MM9397 2016-01-06
R217BP 2015-12-31 Rural Health Clinic and Federally Qualified Health Center - Medicare Benefit Policy Manual Update 2016-02-01 9442 MM9442 2016-01-05
R1589OTN 2015-12-31 Updating Scanning for the Information Security and Privacy Group (ISPG) Enterprise Vulnerability Management Program (EVMP) 2016-02-01 9445
R3435CP 2015-12-31 Clarification on Patient’s Reason for Visit Necessary to Capture HIPAA Compliant Fields 2016-03-31 9450 MM9450 2016-01-05
R630PI 2015-12-31 Medicare Program Integrity Data Analysis--Update 2016-02-01 9176
R3436CP 2015-12-30 2016-01-04 9115