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2017 MLN Matters Articles

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Transmittal # Issue Date Subject Implementation Date CR # MM Article # MM Article Release Date
R3688CP 2017-01-03 Update to the Federally Qualified Health Centers (FQHC) Prospective Payment System (PPS) - Recurring File Updates 2017-01-03 9831 MM9831 2017-01-05
SE17002 Additional Guidance for Clinical Laboratories as Data Reporting Begins SE17002 2017-01-04
SE17004 Revised Centers for Medicare & Medicaid Services (CMS) 855S Application – Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers SE17004 2017-01-05
R3689CP 2017-01-05 2017 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List 2017-01-24 9903 MM9903 2017-01-06
R1768OTN 2017-01-06 Shared System Enhancement 2015: Reslove Operating Report (ORPT) Issues - Development and Implementation N/A 9734
R165DEMO 2017-01-06 Shared System Enhancement 2015: Archive/Remove Inactive Medicare Demonstration Projects - Common Working File Analysis Only 2017-07-01 9890
R1767OTN 2017-01-06 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for July 2017 2017-07-03 9881
R1769OTN 2017-01-06 eMSN and Alternate Format MSN Service Improvements N/A 9731
R1770OTN 2017-01-06 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 2017-04-03 9681 MM9681 2017-01-09
R1771OTN 2017-01-10 Fraud Prevention System (FPS) 2 Edit Migration Testing 2017-02-21 9920
R1772OTN 2017-01-11 Common Working File (CWF) Reorganization of Daily Beneficiary Extract Files N/A 9787
R280FM 2017-01-11 Notice of New Interest Rate for Medicare Overpayments and Underpayments -2nd Qtr Notification for FY 2017 2017-01-19 9978
R3691CP 2017-01-13 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2017 2017-04-03 9934 MM9934 2017-01-17
R3692CP 2017-01-13 April 2017 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2017-04-03 9945 MM9945 2017-01-13
R166DEMO 2017-01-13 Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 April 2017 Updates 2017-04-03 9927
R1774OTN 2017-01-12 Shared System Enhancement 2014 – Identification of Fiscal Intermediary Standard System (FISS) Obsolete Reports - Analysis Only N/A 9564
R3693CP 2017-01-13 Medicare Physician Fee Schedule Database (MPFSDB) 2017 File Layout Manual 2017-01-03 9784
R3695CP 2017-01-20 Medicare Outpatient Observation Notice (MOON) Instructions 2017-02-17 9935 MM9935 2017-01-24
R698PI 2017-01-20 The Process of Prior Authorization 2017-02-21 9940 MM9940 2017-01-23
R3696CP 2017-01-20 New Waived Tests 2017-04-03 9956 MM9956 2017-01-23
R1775OTN 2017-01-27 Updated Editing of Professional Therapy Services 2017-07-03 9933 MM9933 2017-02-21
R1776OTN 2017-01-27 Instructions to Hospitals on the Election of a Medicare-Supplemental Security Income (SSI) Component of the Disproportionate Share (DSH) Payment Adjustment for Cost Reports that Involve SSI Ratios for Fiscal Year (FY) 2004 and earlier, or SSI Ratios for Hospital Cost-reporting Periods for Patient Discharges Occurring before October 1, 2004. 2017-01-19 9896
R3698CP 2017-01-27 Medicare Outpatient Observation Notice (MOON) Instructions 2017-02-21 9935 MM9935 2017-01-24
R166SOMA 2017-02-03 Revisions to State Operations Manual (SOM), Appendix C-Survey Procedures and Interpretive Guidelines for Laboratories and Laboratory Services 2017-03-03 N/A
R3714CP 2017-02-03 Changes to the National Coordination of Benefits Agreement (COBA) Crossover Process as a Result of the Social Security Number Removal Initiative (SSNRI) 2017-07-03 9885
R3701CP 2017-02-03 Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits 2017-04-03 9946 MM9946 2017-02-14
R3702CP 2017-02-03 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - April 2017 2017-04-03 9971 MM9971 2017-02-14
R3710CP 2017-02-03 New “K” Code for Continuous Positive Airway Pressure Device Bundle 2017-04-03 9874
R3708CP 2017-02-03 Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) Edits, Version 23.1, Effective April 1, 2017 2017-04-03 9970 MM9970 2017-02-14
R3709CP 2017-02-03 Internet Only Manual (IOM) Chapter 25 Revision 2017-04-04 9964
R1785OTN 2017-02-03 Payment for Oxygen Volume Adjustments and Portable Oxygen Equipment- FISS 2017-07-03 9928 MM9928 2017-02-14
R3711CP 2017-02-03 Implementation of New Influenza Virus Vaccine Code 2017-07-03 9876 MM9876 2017-02-21
R1791OTN 2017-02-03 Change to Beneficiary Liability and Cost Report Days for Subclause (II) Long Term Care Hospitals (LTCHs) 2017-07-03 9912 MM9912 2017-02-14
R1787OTN 2017-02-03 New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) N/A 9893 MM9893 2017-02-21
R3715CP 2017-02-03 Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System N/A 9911 MM9911 2017-02-14
R1790OTN 2017-02-03 Shared System Enhancement 2016: Complete Disablement of Health Maintenance Organization (HMO) Inquiry Transaction, HIHO, and Related Vestige Within Common Working File (CWF) 2017-07-03 9974
R1786OTN 2017-02-03 Update for Additional International Classification of Diseases (ICD)-10 Codes for the System Changes to Implement Section 231 of the Consolidated Appropriations Act, 2016, Temporary Exception for Certain Severe Wound Discharges From Certain Long-Term Care Hospitals (LTCHs) 2017-02-03 9872 MM9872 2017-02-14
R3712CP 2017-02-03 New Fields in the Fiscal Intermediary Shared System (FISS) Inpatient and Outpatient Provider Specific Files (PSF) 2017-07-03 9926
R1789OTN 2017-02-03 Shared System Enhancement 2016: Common Working File (CWF) to Show Date for Informational Unsolicited Response (IUR) Indicator on Claim History 2017-07-03 9965
R1788OTN 2017-02-03 Combined Common Edits/Enhancements (CCEM) Proxool and Apache Software Upgrades 2017-07-03 9929
R3713CP 2017-02-03 Extension of Payment Change for Group 3 Complex Rehabilitative Power Wheelchairs Accessories and Seat and Back Cushions under Section 16005 of the 21st Century Cures Act 2017-07-03 9966 MM9966 2017-02-14
R1792OTN 2017-02-03 ICD-10 Coding Revisions to National Coverage Determination (NCDs) N/A 9861 MM9861 2017-02-21
R1793OTN 2017-02-08 Analysis Only - Modification of Process for Handling the Provider Enrollment Chain Ownership System (PECOS) Extract File 2017-04-03 9560
R3716CP 2017-02-10 Extension of the Transition to the Fully Adjusted Durable Medical Equipment, Prosthetics, Orthotics and Supplies Payment Rates under Section 16007 of the 21st Century Cures Act 2017-07-03 9968 MM9968 2017-02-27
R1794OTN 2017-02-10 Provider Enrollment, Chain and Ownership System (PECOS) Extract File - Analysis 2017-07-03 9949
R1796OTN 2017-02-10 Processing Updates for VMS From Provider Enrollment, Chain and Ownership System (PECOS) Extract File 2017-07-03 9962
R167SOMA 2017-02-10 Revision to State Operations Manual (SOM) Appendix PP - Incorporate revised Requirements of Participation for Medicare and Medicaid certified nursing facilities 2017-02-10 N/A
R1797OTN 2017-02-10 Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) N/A 9904 MM9904 2017-02-17
R3717CP 2017-02-10 Clinical Laboratory Fee Schedule - Medicare Travel Allowance Fees for Collection of Specimens 2017-05-12 9960 MM9960 2017-02-21
R125MCM 2017-02-10 Update of Chapter 1 2017-02-10 N/A
R1795OTN 2017-02-10 Advance Care Planning (ACP) Implementation for Outpatient Prospective Payment System (OPPS) Claims 2017-07-03 9862 MM9862 2017-02-21
R3718CP 2017-02-14 Instructions to Process Services Not Authorized by the Veterans Administration (VA) in a Non-VA Facility Reported With Value Code (VC) 42 2017-04-03 9818 MM9818 2016-10-31
R3719CP 2017-02-15 Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April CY 2017 Update 2017-04-03 9977 MM9977 2017-02-21
R169DEMO 2017-02-17 Episode Payment Model Operations 2017-07-03 9916 MM9916 2017-02-27
R1799OTN 2017-02-17 Preventing Hospice Notices of Election with Future Dates 2017-07-03 9932 MM9932 2017-02-21
R1798OTN 2017-02-17 ICD-10 Coding Revisions to National Coverage Determinations (NCDs) 2017-07-03 9982 MM9982 2017-02-23
R13P229 2017-02-17 Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 29, Form CMS-222-92 2017-02-17 N/A
R1803OTN 2017-02-17 Innovation Payment Contractor (IPC) for D1 D4 File Exchange 2017-07-03 9899
R3722CP 2017-02-24 Instructions for Downloading the Medicare ZIP Code File for July 2017 2017-07-03 9969
R233BP 2017-02-24 Clarification of Payment Policy Changes for Negative Pressure Wound Therapy (NPWT) Using a Disposable Device and the Outlier Payment Methodology for Home Health Services 2017-03-27 9898 MM9898 2017-02-27
R3721CP 2017-02-24 Updates to Pub. 100-04, Chapters 12, 17 and 23 to Correct Remittance Advice Messages 2017-05-25 9906 MM9906 2017-02-27
R3723CP 2017-02-24 Healthcare Provider Taxonomy Codes (HPTCs) April 2017 Code Set Update 2017-07-03 9869 MM9869 2017-02-27
R3724CP 2017-02-24 Common Edits and Enhancements Modules (CEM) Code Set Update 2017-07-03 9870
R3725CP 2017-02-24 Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update 2017-07-03 9878 MM9878 2017-02-27
R3726CP 2017-03-03 April 2017 Update of the Ambulatory Surgical Center (ASC) Payment System 2017-04-03 9998 MM9998 2017-03-06
R194NCD 2017-03-03 Gender Dysphoria and Gender Reassignment Surgery 2017-04-04 9981 MM9981 2017-03-06
R14P229 2017-03-03 To reflect clarifications and corrections to existing instructions. The effective dates for changes vary. For cost reporting periods beginning on or after October 1, 2014, Freestanding FQHCs are required to file using the Freestanding FQHC Cost Report (Form CMS 224 14), not the Independent (RHC)/Freestanding FQHC Cost Report (Form CMS-222-92). N/A N/A
R3729CP 2017-03-03 April Quarterly Update for 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 2017-04-03 9988 MM9988 2017-03-06
R170DEMO 2017-03-03 Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 July 2017 Updates 2017-07-03 9996
R3728CP 2017-03-03 April 2017 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2017-04-03 10005 MM10005 2017-03-10
R3730CP 2017-03-03 Payment for Oxygen Volume Adjustments and Portable Oxygen Equipment 2017-04-03 9848 MM9848 2017-03-06
R168SOMA 2017-03-08 Revision to State Operations Manual (SOM) Appendix PP - Incorporate revised Requirements of Participation for Medicare and Medicaid certified nursing facilities. 2017-03-08 N/A
R234BP 2017-03-10 Clarification of Admission Order and Medical Review Requirements 2017-06-12 9979 MM9979 2017-03-13
R3732CP 2017-03-10 Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2017 2017-04-10 9991
R3733CP 2017-03-10 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - July 2017 2017-07-03 10004 MM10004 2017-03-15
R3734CP 2017-03-10 Federally Qualified Health Centers (FQHC) Prospective Payment System (PPS) - Recurring File Updates 2017-07-03 10021 MM10021 2017-03-15
R3735CP 2017-03-10 April 2017 Integrated Outpatient Code Editor (I/OCE) Specifications Version 18.1 2017-04-03 10002 MM10002 2017-03-13
R1806OTN 2017-03-14 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for July 2017 2017-07-03 9881
R3737CP 2017-03-17 Quarterly Updates to ESRD PRICER 2017-07-03 10037
R3738CP 2017-03-17 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2017 2017-07-03 10036 MM10036 2017-03-20
R3739CP 2017-03-17 Billing for Advance Care Planning (ACP) Claims 2017-06-19 10000 MM10000 2017-03-20
R1807OTN 2017-03-17 Intern and Resident Information System (IRIS) Data Upload into STAR 2017-04-17 9984
R704PI 2017-03-17 Home Health (HH) Language in Pub. 100-8 2017-04-17 10006
R3740CP 2017-03-23 FISS Implementation of the Restructured Clinical Lab Fee Schedule N/A 9837 MM9837 2017-03-23
R705PI 2017-03-24 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Order Requirements for Changing Suppliers 2017-04-24 9886 MM9886 2017-03-28
R1808OTN 2017-03-24 Advanced Provider Screening (APS) Phase 1 Go-Live 2017-05-15 9983
R1809OTN 2017-03-24 Client Letter v5.2 Upgrade - DME MAC Training and Testing 2017-04-24 10027
SE17009 Denial of Home Health Payments When Required Patient Assessment Is Not Received – Additional Information SE17009 2017-03-24
R1811OTN 2017-03-29 Shared System Enhancement 2014 – Identification of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Analysis Only N/A 9566
R1812OTN 2017-03-31 HIGLAS Connectivity Updates and Testing 2017-05-30 10042
R1813OTN 2017-03-31 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF) 2018-01-02 10017
R1814OTN 2017-03-30 Shared System Enhancement 2014 – Identification of Fiscal Intermediary Standard System (FISS) Obsolete Reports - Analysis Only 2018-01-02 9564
R3741CP 2017-03-30 New Waived Tests 2017-04-03 9956 MM9956 2017-04-03
R1815OTN 2017-04-07 Common Working File (CWF) to Archive Inactive Part B Consistency Edits 2017-10-02 9975
R1818OTN 2017-04-07 Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for Generating Reports 2017-10-02 9995
R1819OTN 2017-04-07 Update to Common Working File (CWF) Blood Editing on Medicare Advantage (MA) Enrollees' Inpatient Claims for Indirect Medical Education (IME) Payment 2017-10-02 10012 MM10012 2017-04-10
R1817OTN 2017-04-07 Enrollment Data Base (EDB) and Common Working File (CWF) Data Resync - Analysis and Design 2017-10-02 9994
R3746CP 2017-04-07 July 2017 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2017-07-03 10016 MM10016 2017-04-10
R119MSP 2017-04-07 Implement the International Classification of Diseases, Tenth Revision (ICD-10) 2018 General Equivalence Mappings (GEMs) Tables in the Common Working File (CWF) for Purposes of Processing Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) Records and Claims 2017-10-02 9947
R282FM 2017-04-11 Notice of New Interest Rate for Medicare Overpayments and Underpayments -3rd Qtr Notification for FY 2017 2017-04-18 10099
R3747CP 2017-04-14 Payment for Moderate Sedation Services 2017-05-15 10001 MM10001 2017-04-17
R3748CP 2017-04-14 Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) Edits, Version 23.2, Effective July 1, 2017 2017-07-03 10082 MM10082 2017-04-17
R710PI 2017-04-14 Update to Pub. 100-08, Chapter 15 2017-05-15 9953
R3750CP 2017-04-19 New Fields in the Fiscal Intermediary Shared System (FISS) Inpatient and Outpatient Provider Specific Files (PSF) 2017-07-03 9926
SE17011 Next Generation Accountable Care Organization (NG ACO) – All Inclusive Population Based Payment (AIPBP) Implementation SE17011 2017-04-20
R30QIO 2017-04-21 QIO Manual Chapter 16 – “Healthcare Quality Improvement Program” 2017-04-21 N/A
R3751CP 2017-04-21 Two New “K” Codes for Therapeutic Continuous Glucose Monitors 2017-07-10 10013 MM10013 2017-05-01
R1782OTN 2017-02-02 OPPS Pricer Interface Update 2017-07-03 9882
R3754CP 2017-04-21 Implementation of New Influenza Virus Vaccine Code 2017-07-03 9876 MM9876 2017-04-26
R711PI 2017-04-25 Update to Pub. 100-08, Chapter 15 2017-05-15 9953
SE17010 Improvements to the Adjudication Process of Serial Claims SE17010 2017-04-27
R3760CP 2017-04-28 July Quarterly Update for 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule N/A 10071 MM10071 2017-05-03
R3761CP 2017-04-28 Screening for Hepatitis B Virus (HBV) Infection N/A 9859 MM9859 2017-05-04
R1831OTN 2017-04-28 Introductory Letters for Suppliers and Providers Related to the Prior Authorization for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items 2017-05-30 10068
R195NCD 2017-04-28 Screening for Hepatitis B Virus (HBV) Infection N/A 9859 MM9859 2017-05-04
R1833OTN 2017-04-28 Implementing the remittance advice messaging for the 20-hour weekly minimum for Partial Hospitalization Program services. 2017-10-02 9880 MM9880 2017-05-01
R1839OTN 2017-04-28 Implementation of Section 1557 for Medicare Redetermination Notices (MRNs) by Adding a Notice and Tagline Sheet 2017-10-02 9938
R1837OTN 2017-04-28 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System (Analysis Only) 2017-10-02 10019
R3763CP 2017-04-28 Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests 2017-10-02 10075 MM10075 2017-05-01
R1832OTN 2017-04-28 Update FISS Editing to Include the Admitting Diagnosis Code Field 2017-10-02 9753 MM9753 2017-05-01
R283FM 2017-04-28 New Physician Specialty Code for Advanced Heart Failure and Transplant Cardiology, Medical Toxicology, and Hematopoietic Cell Transplantation and Cellular Therapy 2017-10-02 9957 MM9957 2017-05-01
R1834OTN 2017-04-28 Analysis and Design Working Sessions for the Development of a Pre-Payment Common Additional Documentation Request (ADR) Letter 2017-10-02 9936
R3762CP 2017-04-28 New Physician Specialty Code for Advanced Heart Failure and Transplant Cardiology, Medical Toxicology, and Hematopoietic Cell Transplantation and Cellular Therapy 2017-10-02 9957 MM9957 2017-05-01
R1835OTN 2017-04-28 Reason Codes 36233 and 36330 Bypass for Claims Submitted on the 72x Type of Bill for Services Provided to Beneficiaries with Acute Kidney Injury (AKI) and edits related to not separately payable drugs 2017-10-02 9987
R1836OTN 2017-04-28 Analysis Only-Provider Number Validation Update for the Shared Systems Maintainer (SSM) 2017-10-02 100-20
R1838OTN 2017-04-28 Part B Detail Line Expansion - Common Working File (CWF) N/A 10031
R3764CP 2017-04-28 Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System N/A 9911 MM9911 2017-02-14
R1840OTN 2017-05-05 Update FISS Editing to Include All Three Patient Reason for Visit Code Fields N/A 9672 MM9672 2017-05-05
R1841OTN 2017-05-05 Medicare Fee-for-Service Recovery Audit Contractor (RAC) Data Centers 2017-06-06 10051
R1842OTN 2017-05-05 Remove HSQLDB from the Combined Common Edits/Enhancements Module (CCEM) 2017-10-02 10088
R3765CP 2017-05-05 Modifications to the Common Working File (CWF) In Support of the Coordination of Benefits Agreement (COBA) Crossover Process 2017-10-02 9967
R1843OTN 2017-05-05 Analysis for Common Working File (CWF) to Medicare Beneficiary Database (MBD) Extract File Changes for Detailed Skilled Nursing Facility Data to Support HIPAA Eligibility Transaction System (HETS) 1002 2017-10-02 10050
R1844OTN 2017-05-05 Modification to Two Fiscal Intermediary Shared System (FISS) Edits Created Through Change Request (CR) 9681 2017-08-07 10103
R713PI 2017-05-05 Scribe Services Signature Requirements 2017-06-06 10076
R1705OTN 2017-05-05 Outlier Limitation on Outpatient Prospective Payment System (OPPS) Community Mental Health Centers (CMHC) Services N/A 9671 MM9671 2017-05-12
R3766CP 2017-05-05 Screening for the Human Immunodeficiency Virus (HIV) Infection 2017-10-02 9980
R3768CP 2017-05-05 April Quarterly Update for 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 2017-04-03 9988 MM9988 2017-05-08
R1845OTN 2017-05-10 New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) N/A 9893 MM9893 2017-05-10
R715PI 2017-05-11 Update to Pub. 100-08, Chapter 15 2017-06-13 9953 SE17012 2017-05-16
R716PI 2017-05-12 Clarifying Medical Review of Hospital Claims for Part A Payment 2017-06-13 10080 MM10080 2017-05-16
R172DEMO 2017-05-12 Suppression of G9678 (Oncology Care Model Monthly Enhanced Oncology Services) Claims OCM Beneficiary Medicare Summary Notice 2017-10-02 10054
R1847OTN 2017-05-12 Common Working File (CWF) to reject CWF Provider Queries containing Health Insurance Claim Numbers (HICNs) starting with '9' 2017-10-02 10097
R1849OTN 2017-05-12 Implementation of Modifier CG for Type of Bill 72x 2017-10-02 9989 MM9989 2017-05-15
R3772CP 2017-05-12 Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July CY 2017 Update 2017-07-03 10104 MM10104 2017-05-15
R3774CP 2017-05-12 Changes to the Payment Policies for Reciprocal Billing Arrangements and Fee-For-Time Compensation Arrangements (formerly referred to as Locum Tenens Arrangements) 2017-06-13 10090 MM10090 2017-05-15
R1846OTN 2017-05-12 MCS Implementation of the Restructured Clinical Lab Fee Schedule N/A 10057 MM10057 2017-05-15
R3771CP 2017-05-12 New Waived Tests 2017-07-03 10055 MM10055 2017-05-15
R714PI 2017-05-12 Comprehensive Error Rate Testing (CERT) File Layout for Social Security Number Removal Initiative (SSNRI) N/A 9835
R717PI 2017-05-12 Update to Pub. 100-08, Chapter 15 2017-05-15 9953
R1850OTN 2017-05-16 Common Working File (CWF) to Archive Inactive Part B Consistency Edits 2017-05-16 9975
SE17022 Hurricane Irma and Medicare Disaster Related United States Virgin Islands, Commonwealth of Puerto Rico and State of Florida Claims SE17022 2017-09-08
R1851OTN 2017-05-17 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF) N/A 10017
R1852OTN 2017-05-17 Update FISS Editing to Include All Three Patient Reason for Visit Code Fields 2017-10-02 9672 MM9672 2017-05-18
R3775CP 2017-05-18 Two New “K” Codes for Therapeutic Continuous Glucose Monitors 2017-07-03 10013 MM10013 2017-05-01
R718PI 2017-05-19 Reviewing for Adverse Legal Actions (ALA) 2017-06-20 9879
R174DEMO 2017-05-19 Payment of G9678 (Oncology Care Model Monthly Enhanced Oncology Services) Claims for Beneficiaries Receiving Care in an Inpatient Setting 2017-10-02 10053
R3776CP 2017-05-19 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2017 Update 2017-07-03 10107 MM10107 2017-05-18
R173DEMO 2017-05-19 Medicare Care Choices Model - Per Beneficiary per Month Payment (PBPM) - Implementation (eligibility updates and clarification) 2017-10-02 10094 MM10094 2017-05-18
R3777CP 2017-05-19 July 2017 Integrated Outpatient Code Editor (I/OCE) Specifications Version 18.2 2017-07-03 10115 MM10115 2017-05-18
R3778CP 2017-05-24 Screening for the Human Immunodeficiency Virus (HIV) Infection 2017-10-02 9980 MM9980 2017-06-06
R3779CP 2017-05-24 Instructions to Process Services Not Authorized by the Veterans Administration (VA) in a Non-VA Facility Reported With Value Code (VC) 42 2017-04-03 9818 MM9818 2016-10-31
SE17014 Required Workaround for Hospices Submitting Routine Home Care (RHC) and Service Intensity Add-On (SIA) Payments at the End of Life SE17014 2017-05-24
SE17008 Scheduled End of the Intravenous Immune Globulin (IVIG) Demonstration SE17008 2017-05-30
R3782CP 2017-05-26 Claim Status Category and Claim Status Codes Update 2017-10-02 10043 MM10043 2017-05-30
R3781CP 2017-05-26 Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE) 2017-10-02 10041 MM10041 2017-05-30
R3780CP 2017-05-26 Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update 2017-10-02 10040 MM10040 2017-05-30
R719PI 2017-05-25 Update to Reporting Requirements 2017-06-27 9924
R722PI 2017-05-26 Clarifying Date and Timing Requirements for Certain Durable Medical Equipment Prosthetics Orthotics and Supplies (DMEPOS) 2017-06-27 10106
R1854OTN 2017-05-26 ICD-10 Coding Revisions to National Coverage Determinations (NCDs) N/A 10086 MM10086 2017-06-13
R196NCD 2017-05-26 Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS) 2017-06-27 10089 MM10089 2017-06-05
R3783CP 2017-05-26 July 2017 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2017-07-03 10122 MM10122 2017-05-30
R3784CP 2017-05-26 Instructions for Downloading the Medicare ZIP Code File for October Files 2017-10-02 10052
R3786CP 2017-05-26 Common Edits and Enhancements Modules (CEM) Code Set Update 2017-10-02 10039
R3787CP 2017-05-26 Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS) 2017-06-27 10089 MM10089 2017-06-05
R104GI 2017-05-26 Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 October 2017 Updates 2017-10-02 10123
R3788CP 2017-06-02 July 2017 Update of the Ambulatory Surgical Center (ASC) Payment System 2017-07-03 10138 MM10138 2017-06-06
R285FM 2017-06-02 Pub. 100-6, Chapter 3 and 4 Revisions 2017-07-01 10079
R105GI 2017-06-02 Update to General Information, Eligibility, and Entitlement, Chapter 7 - Contract Administrative Requirements, Section 40 – Shared System Maintainer Responsibilities for Systems Releases 2017-07-03 10062
R1855OTN 2017-06-02 Targeted Probe and Educate Pilot 2017-07-03 10073
SE17015 Guidance to Providers that Submit Outpatient Facility Claims and Those That Enter Claims Data via Direct Data Entry (DDE) Screens to Reduce Incidence of Claims Not Crossing Over SE17015 2017-06-07
SE17031 Updates to Medicare’s Cost Report Worksheet S-10 to Capture Uncompensated Care Data SE17031 2017-09-29
R287FM 2017-06-09 Removal of Contractor Requirement to Submit Opt Out Data into the Contractor Reporting of Operational and Workload Data (CROWD) System (Form 8) 2017-07-11 10121
R286FM 2017-06-09 Medicare Financial Management Manual Chapter 4, Section 20 Demand Letter Updates 2017-07-03 10023
R169SOMA 2017-06-09 New to State Operations Manual (SOM) Appendix Z, Emergency Preparedness for All Provider and Certified Supplier Types 2017-06-09 N/A
R235BP 2017-06-09 Removal of Contractor Requirement to Submit Opt Out Data into the Contractor Reporting of Operational and Workload Data (CROWD) System (Form 8) 2017-07-11 10121
R1857OTN 2017-06-08 New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) N/A 9893 MM9893 2017-06-09
R3792CP 2017-06-09 July 2017 Update of the Ambulatory Surgical Center (ASC) Payment System 2017-07-03 10138 MM10138 2017-06-09
R721PI 2017-06-09 Elimination of Routine Reviews Including Documentation Compliance Reviews and Instituting Three Medical Reviews7 2017-07-11 9809
R3793CP 2017-06-09 Screening for Hepatitis B Virus (HBV) Infection 2018-01-02 9859 MM9859 2017-06-12
R197NCD 2017-06-09 Screening for Hepatitis B Virus (HBV) Infection 2018-01-02 9859 MM9859 2017-06-12
R3797CP 2017-06-16 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2017 2017-10-02 10156 MM10156 2017-06-21
R236BP 2017-06-16 Medicare Benefit Policy Manual - Chapter 10, Ambulance Locality and Advanced Life Support (ALS) Assessment 2017-09-18 10110 MM10110 2017-06-16
R3798CP 2017-06-16 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2017 2017-10-02 10128 MM10128 2017-06-16
R3799CP 2017-06-16 Annual Update of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) 2017-10-02 10153
R3795CP 2017-06-16 Updates in the Fiscal Intermediary Shared System (FISS) Inpatient and Outpatient Provider Specific Files (PSF) 2018-01-02 10165
R3796CP 2017-06-16 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2018 2017-10-02 10118 MM10118 2017-06-19
R726PI 2017-06-16 Comprehensive Error Rate Testing (CERT) File Layout for Social Security Number Removal Initiative (SSNRI) N/A 9835
R3800CP 2017-06-23 Internet Only Manual Update to Pub. 100-04, Chapter 15 2017-07-25 10143 MM10143 2017-07-18
R1859OTN 2017-06-22 Common Working File (CWF) to Archive Inactive Part B Consistency Edits 2017-10-02 9975
R1860OTN 2017-06-23 Updates to the CMS-855R Processing Guide 2017-07-25 10114
R1783OTN 2017-06-23 Implementing FISS Updates to Accommodate Section 603 Bipartisan Budget Act of 2015 - Phase 2 2017-07-03 9907 MM9907 2017-06-27
SE17016 Modernized National Plan and Provider Enumeration System SE17016 2017-06-27
R3801CP 2017-06-28 Extension of the Transition to the Fully Adjusted Durable Medical Equipment, Prosthetics, Orthotics and Supplies Payment Rates under Section 16007 of the 21st Century Cures Act N/A 9968 MM9968 2017-02-27
R3802CP 2017-06-28 Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System A/N 9911 MM9911 2017-02-14
R1861OTN 2017-06-29 Targeted Probe and Educate Pilot 2017-07-03 10073
R3804CP 2017-06-29 Screening for Hepatitis B Virus (HBV) Infection 2018-01-02 9859 MM9859 2017-05-04
R198NCD 2017-06-29 Screening for Hepatitis B Virus (HBV) Infection 2018-01-02 9859 MM9859 2017-05-04
R1862OTN 2017-06-30 Introductory Letters for Suppliers and Providers Related to the Prior Authorization for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items 2017-07-31 10146
R175DEMO 2017-06-30 Suppression of G9678 (Oncology Care Model Monthly Enhanced Oncology Services) Claims OCM Beneficiary Medicare Summary Notice 2017-10-02 10054
R1863OTN 2017-06-30 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2015 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCH) 2017-07-31 10026 MM10026 2017-07-07
R120MSP 2017-07-07 Electronic Correspondence Referral System (ECRS) User Guide Medicare Beneficiary Identifier (MBI) Modifications including Updated Enterprise Identity Management (EIDM) Multi-Factor Authentication (MFA)/Remote Identity Proofing (RIDP) Screen Shots 2017-07-07 10154
R3805CP 2017-07-11 Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS) 2017-08-11 10089
R199NCD 2017-07-11 Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS) 2017-08-11 10089
R289FM 2017-07-11 Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notification for FY 2017 2017-07-18 10227
R3807CP 2017-07-14 Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) Edits, Version 23.3, Effective October 1, 2017 2017-10-02 10183 MM10183 2017-07-17
R67QRI 2017-07-14 Fiscal Year 2018 and After Payments to Skilled Nursing Facilities That Do Not Submit Required Quality Data 2017-08-14 9944 MM9944 2017-07-17
R290FM 2017-07-14 New Specialty Code for Pharmacy 2018-01-02 9821
R291FM 2017-07-13 Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notification for FY 2017 2017-07-18 10227
R1865OTN 2017-07-14 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for January 2018 2018-01-02 10162
R1866OTN 2017-07-14 National Provider Identification Crosswalk System (NPICS) Retirement Analysis Only - Engage Shared Systems Maintainers (SSMs) and Medicare Administrative Contractors (MACs) in Meetings and Correspondence Related to the NPICS Retirement with the Integrated Data Repository (IDR) Team 2018-01-02 10007
R1867OTN 2017-07-14 Renovate MCS Correspondence Entry Driver Program H99P1C00 2018-01-02 9828
R1868OTN 2017-07-14 Fee For Service (FFS) Applications Upgrade Customer Information Control System (CICS) to Transaction Server (TS) v5.2 2018-01-02 9961
R3809CP 2017-07-21 October 2017 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2017-10-02 10187 MM10187 2017-07-24
R732PI 2017-07-21 Clarifying the Instructions for Amending or Correcting Entries in Medical Records 2017-08-22 10120
R36COM 2017-07-21 Updates to Pub. 100-09, Chapter 6 Beneficiary and Provider Communications Manual, Chapter 6, Provider Customer Service Program 2017-08-22 10168
R1P223 2017-07-21 Instructions for the Prepaid Health Plan Cost Report and the applicable cost reports. N/A N/A
R474PR1 2017-07-21 The guidelines in section 905.7 are provided beginning with cost reporting periods beginning in Federal Year (FY) 2009. N/A N/A
R31QIO 2017-07-21 QIO Manual Chapter 15 – “Performance Evaluation” 2017-07-21 N/A
R3811CP 2017-07-25 Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS) 2017-06-27 10089 MM10089 2017-06-05
R200NCD 2017-07-25 Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS) 2017-06-27 10089 MM10089 2017-06-05
R3812CP 2017-07-27 New Waived Tests 2017-10-02 10198 MM10198 2017-07-28
R3814CP 2017-07-27 Updated Editing of Always Therapy Services - MCS 2018-01-02 10176 MM10176 2017-08-01
R3813CP 2017-07-27 Accepting Hospice Notices of Election via Electronic Data Interchange 2018-01-02 10064
R733PI 2017-07-27 Clarification of Certificate of Medical Necessity (CMN) and Durable Medical Equipment Information Forms (DIFs) 2017-08-28 10148
R1875OTN 2017-07-27 ICD-10 Coding Revisions to National Coverage Determinations (NCDs) 2018-01-02 10184 MM10184 2017-08-09
R1876OTN 2017-07-27 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 2018-01-02 10155
R201NCD 2017-07-28 National Coverage Determination (NCD20.8.4): Leadless Pacemakers N/A 10117 MM10117 2017-08-02
R1873OTN 2017-07-28 Line Level versus Claim Level Reporting – Analysis Only 2018-01-02 10150
R1877OTN 2017-07-27 Common Working File (CWF) to Modify CWF Provider Queries to Only Accept National Provider Identifier (NPI) as valid Provider Number 2018-01-02 10098 MM10098 2017-07-28
R3815CP 2017-07-28 National Coverage Determination (NCD20.8.4): Leadless Pacemakers N/A 10117 MM10117 2017-08-02
R1870OTN 2017-07-27 Correcting Payment of Inpatient Prospective Payment System (IPPS) Transfer Claims Assigned to Medicare Severity-Diagnosis Related Group (MS DRG) 385 and Allowing Part A Deductible on Medicare Secondary Payer (MSP) Same Day Transfer Inpatient Claims 2018-01-02 10145 MM10145 2017-07-28
R1871OTN 2017-07-27 FISS Process Enhancements – Analysis Only 2018-01-02 10119
R1872OTN 2017-07-27 Common Working File (CWF) to Add User Identification (ID) Information to CWF Provider Queries Audit File(s) 2018-01-02 10130
R1874OTN 2017-07-27 Implementation CR: Integrating NLR into the HQR system 2018-01-02 10134
R1880OTN 2017-07-27 Shared Savings Program (SSP) Demonstration Code 77 Modification 2018-01-02 10144
R1879OTN 2017-07-27 Common Working File (CWF) to Increase the Next Eligible Date Occurrences for Preventive Services to 99 Occurrences - Analysis 2018-01-02 10022
R1884OTN 2017-07-27 Analysis Only- Medicare Reporting on the Return of Self-Identified Overpayments 2018-01-02 10127
R1885OTN 2017-07-27 Shared System Maintainers (SSMs) Standardized Release Identification (ID) Format Analysis and Design 2018-01-02 10129
R1887OTN 2017-07-28 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF) 2018-04-02 10017
R734PI 2017-07-28 Update to Reporting Requirements 2017-06-27 9924
R3824CP 2017-08-02 July Quarterly Update for 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 2017-07-03 10071 MM10071 2017-08-03
R1890OTN 2017-08-04 Suppression of the Standard Paper Remittance Advice (SPR) in 45 Days if also receiving Electronic Remittance Advice (ERA) 2018-01-02 10151 MM10151 2017-08-07
R3827CP 2017-08-04 Quarterly Influenza Virus Vaccine Code Update - January 2018 2018-01-02 10196 MM10196 2017-08-08
R3825CP 2017-08-04 October Quarterly Update to 2017 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 2017-10-02 10163 MM10163 2017-08-07
R3826CP 2017-08-04 Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Fiscal Year (FY) 2018 2017-10-02 10214 MM10214 2017-08-08
R1893OTN 2017-08-04 Combined Common Edits/Enhancements Module (CCEM) Updates to Business and Holiday Tables 2018-01-02 10201
R1892OTN 2017-08-04 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System 2018-01-02 10126
R1889OTN 2017-08-04 Implementation of the Transitional Drug Add-On Payment Adjustment 2018-01-02 10065 MM10065 2017-08-09
R1891OTN 2017-08-04 Provider-Based Determination 2017-11-06 10095 MM10095 2017-08-07
R1896OTN 2017-08-04 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System - (Removing/Archiving demonstration codes 03, 04 and 15) 2018-04-02 10171
R3831CP 2017-08-04 Screening for Hepatitis B Virus (HBV) Infection 2018-01-02 9859 MM9859 2017-08-08
R177DEMO 2017-08-04 Next Generation Accountable Care Organization (NGACO) Year Three Benefit Enhancements 2018-01-02 10044 MM10044 2017-08-07
R3829CP 2017-08-04 Revisions to the Home Health Pricer to Support Value-Based Purchasing and Payment Standardization 2018-01-02 10167 MM10167 2017-08-07
R3832CP 2017-08-09 Fiscal Year (FY) 2017 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes 2017-10-03 9723 MM9723 2016-10-27
R737PI 2017-08-11 Credentials of Reviewers 2017-09-12 10157
R1901OTN 2017-08-11 Automating the HCPCS Load Process 2018-01-02 10215
R1903OTN 2017-08-11 Implement Changes to Effect the Functionality of Combination Force Codes in the ViPS Medicare System (VMS) 2018-01-02 10225
R3833CP 2017-08-11 Quarterly Update to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) 2017-10-02 10193 MM10193 2017-08-14
R3828CP 2017-08-11 Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2018 2017-10-02 10131 MM10131 2017-08-15
R1900OTN 2017-08-11 CICS Region Merge(s) for A/B MACs - Analysis Only 2018-01-02 10191
R1883OTN 2017-07-28 System Changes to Implement Section 15009 of the 21st Century Cures Act, Temporary Exception for Certain Spinal Cord Specialty Hospitals under the Long Term Care Hospital (LTCH) Prospective Payment System (PPS) 2017-01-02 10182
R1895OTN 2017-08-04 System Changes to Implement Section 15010 of the 21st Century Cures Act, Temporary Exception for Certain Severe Wound Discharges from Certain Long-Term Care Hospitals (LTCHs) 10185
R3835CP 2017-08-16 Screening for the Human Immunodeficiency Virus (HIV) Infection 2017-10-02 9980 MM9980 2017-06-06
R3840CP 2017-08-18 Common Edits and Enhancements Modules (CEM) Code Set Update 2018-01-02 10135
R3841CP 2017-08-18 Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE) 2018-01-02 10140 MM10140 2017-08-18
R3842CP 2017-08-18 Healthcare Provider Taxonomy Codes (HPTCs) October 2017 Code Set Update 2018-01-02 10141 MM10141 2017-08-18
R3843CP 2017-08-18 2018 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder 2018-01-02 10202
R107GI 2017-08-18 Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 January 2018 Updates 2018-01-09 10243
R738PI 2017-08-18 Provider Error Rate Formula 2017-09-19 10210
R1904OTN 2017-08-18 Multi-Carrier System (MCS), Fiscal Intermediary Shared System (FISS) and VIPS Medicare Shared System (VMS) Automation of Prior Authorization (PA) Requests/Pre-Claim Reviews (PCR) and their Responses with Multiple Services (for programs like Home Health (HH)) via the Electronic Submission of Medical Documentation (esMD) System N/A 10087
R1905OTN 2017-08-18 Modify VMS Accreditation Logic to Accept Additional Modifiers 2018-01-02 10217
R1906OTN 2017-08-18 Out-of-Jurisdiction Providers (OJP) and Qualified Chain Providers (QCP) Move to Correct A/B MAC Jurisdiction - Analysis CR Only 2018-01-02 10192
R3836CP 2017-08-18 Home Health Value-Based Purchasing Implementation 2017-11-21 9939
R3837CP 2017-08-18 Influenza Vaccine Payment Allowances - Annual Update for 2017-2018 Season 2017-10-02 10224 MM10224 2017-08-18
R3839CP 2017-08-18 2018-01-02 10132 MM10132 2017-08-18
R1910OTN 2017-08-18 Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) N/A 9904 MM9904 2017-02-17
R1909OTN 2017-08-18 Implementation of Section 1557 for Medicare Redetermination Notices (MRNs) by Adding a Notice and Tagline Sheet 2017-10-02 9938
R1911OTN 2017-08-22 Part B Detail Line Expansion - Common Working File (CWF) 2018-07-02 10031
R202NCD 2017-08-25 Updates to Pub. 100-04, Chapter 18 Preventive and Screening Services and Chapter 32 Billing Requirements for Special Services and Publication 100-03, Chapter 1 Coverage Determinations Part 4 2017-09-26 10199
R3851CP 2017-08-25 File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions 2017-10-02 10228
R3849CP 2017-08-25 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2018 2017-10-02 10125 MM10125 2017-08-29
R3848CP 2017-08-25 Updates to Pub. 100-04, Chapter 18 Preventive and Screening Services and Chapter 32 Billing Requirements for Special Services and Publication 100-03, Chapter 1 Coverage Determinations Part 4 2017-09-26 10199
R3850CP 2017-08-25 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - October 2017 Update 2017-10-02 10234 MM10234 2017-09-27
R3852CP 2017-08-25 October 2017 Integrated Outpatient Code Editor (I/OCE) Specifications Version 18.3 2017-10-02 10230 MM10230 2017-08-29
R3853CP 2017-08-25 October 2017 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2017-10-02 10236 MM10236 2017-08-29
R292FM 2017-09-01 Revision to Publication 100-06, Chapter 3, Medicare Overpayment Manual, Section 200, Limitation on Recoupment 2018-04-02 9815 MM9815 2017-09-01
R1912OTN 2017-09-01 HIGLAS Enhancement Required for Implementation of Overpayment based Denials 2018-04-02 10166
SE17020 Hurricane Harvey and Medicare Disaster Related Texas Claims SE17020 2017-08-31
SE17021 Tropical Storm Harvey and Medicare Disaster Related Louisiana Claims SE17021 2017-08-31
R3854CP 2017-09-01 October 2017 Update of the Ambulatory Surgical Center (ASC) Payment System 2017-10-02 10259 MM10259 2017-09-05
R3855CP 2017-09-01 Internet Only Manual (IOM) Update to Pub. 100-04, Chapter 15 - Ambulance, to Restore Multiple Patients on One Trip Instructions 2017-10-02 10245 MM10245 2017-09-01
R3856CP 2017-09-01 Clarification of the Billing of Immunosuppressive Drugs 2017-10-02 10235 MM10235 2017-09-01
R1914OTN 2017-09-07 Shared System Enhancement 2014 – Identification of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Analysis Only 2017-10-02 9566
R3858CP 2017-09-08 Fiscal Year (FY) 2018 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes 2017-10-02 10273 MM10273 2017-09-11
R3857CP 2017-09-08 2018 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update 2018-01-02 10262 MM10262 2017-09-08
R1915OTN Medicare Administrative Contractor (MAC) and Pricing, Data Analysis and Coding (PDAC) Contractor Implementation of the New Medicare Card Project 2018-04-05 10112
R3859CP 2017-09-08 October Quarterly Update for 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 2017-10-02 10248 MM10248 2017-09-12
SE17017 Office of Inspector General Reports Highlight Hospital Billing Issues SE17017 2017-09-07
R170SOMA 2017-09-08 Revisions to the State Operations Manual (SOM) Appendix A –Survey Protocol, Regulations and Interpretive Guidelines for Hospitals 2017-09-08 N/A
SE17024 Hurricane Irma and Medicare Disaster Related South Carolina and Georgia Claims SE17024 2017-09-11
R1917OTN 2017-09-13 Shared System Enhancement 2014 – Identification of Fiscal Intermediary Standard System (FISS) Obsolete Reports - Analysis Only N/A 9564
R1918OTN 2017-09-13 Correcting Payment of Inpatient Prospective Payment System (IPPS) Transfer Claims Assigned to Medicare Severity-Diagnosis Related Group (MS DRG) 385 and Allowing Part A Deductible on Medicare Secondary Payer (MSP) Same Day Transfer Inpatient Claims 2018-01-02 10145 MM10145 2017-07-28
R3838CP 2017-08-25 Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October 2017 Update 2017-10-02 10222 MM10222 2017-08-29
R1919OTN 2017-09-15 Targeted Probe and Educate N/A 10249
R3860CP 2017-09-15 Instructions for Downloading the Medicare ZIP Code File for January 2018 2018-01-02 10277
R3861CP 2017-09-15 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - January 2018 2018-01-02 10233 MM10233 2017-09-18
R293FM 2017-09-14 Revision to Publication 100-06, Chapter 3, Medicare Overpayment Manual, Section 200, Limitation on Recoupment 2018-04-02 9815 MM9815 2017-09-18
R3862CP 2017-09-15 Annual Clotting Factor Furnishing Fee Update 2018 2018-01-02 10254 MM10254 2017-09-18
R9P211 2017-09-15 Section 1100 is being revised to identify providers that must continue to complete Form CMS-339 N/A N/A
R3863CP 2017-09-15 Updated Editing of Always Therapy Services - MCS 2018-01-02 10176 MM10176 2017-09-18
R3864CP 2017-09-15 October 2017 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2017-10-02 10236 MM10236 2017-09-18
SE17023 Guidance on Coding and Billing Date of Service on Professional Claims SE17023 2017-09-19
SE17018 Billing in Medicare Secondary Payer (MSP) Liability Insurance Situations SE17018 2017-09-19
SE17019 Accepting Payment from Patients with a Medicare Set-Aside Arrangement SE17019 2017-09-19
R1921OTN 2017-09-20 Implementation of Section 1557 for Medicare Redetermination Notices (MRNs) by Adding a Notice and Tagline Sheet 2017-10-02
SE17027 Clarification of Billing and Payment Policies for Negative Pressure Wound Therapy (NPWT) Using a Disposable Device SE17027 2017-09-21
R3865CP 2017-09-22 Instructions for Retrieving the 2018 Pricing and HCPCS Data Files through CMS' Mainframe Telecommunications Systems 2018-01-02 10302
R1923OTN 2017-09-22 Calculating Interim Rates for Graduate Medical Education (GME) Payments to New Teaching Hospitals 2017-10-23 10240 MM10240 2017-09-26
R1922OTN 2017-09-22 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Financial and Expert Claims Processing System (ECPS) Reports N/A 10253
R475PR1 2017-09-22 Medicare Payment Rates for routine SNF-type services by swing-bed hospitals during calendar year 2018 N/A N/A
R39COM 2017-09-22 Updates to Pub. 100-09, Chapter 6 Beneficiary and Provider Communications Manual, Chapter 6, Provider Customer Service Program 2017-10-23 10258
SE17028 Hurricane Maria and Medicare Disaster Related United States Virgin Islands and Commonwealth of Puerto Rico Claims SE17028 2017-09-21
SE17026 2017-2018 Influenza (Flu) Resources for Health Care Professionals SE17026 2017-09-21
R13SS 2017-09-22 IOM 100-17 Update N/A 10216
SE17029 Process for Hospices to Submit a List of Claims Requiring Adjustments SE17029 2017-09-26
R3866CP 2017-09-26 Accepting Hospice Notices of Election via Electronic Data Interchange 2018-01-02 10064
R3867CP 2017-09-28 New Waived Tests 2017-10-02 10198 MM10198 2017-09-28
R1925OTN 2017-09-28 Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) 2017-10-02 9904 MM9904
R3869CP 2017-09-29 Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 24.0, Effective January 1, 2018 2018-01-02 10306 MM10306 2017-10-02
R3870CP 2017-09-29 2018 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments 2018-01-02 10317 MM10317 2017-10-02
R1927OTN 2017-09-29 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Core Reports N/A 10252
R3871CP 2017-09-29 Revisions to Medicare Claims Processing Manual for Foreign, Emergency and Shipboard Claims 2017-10-30 10287
R11p240 2017-09-29 Medicare Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10 N/A N/A
R747PI 2017-10-03 Update to Reporting Requirements 2017-06-27 9924
R1928OTN 2017-10-04 Multi-Carrier System (MCS), Fiscal Intermediary Shared System (FISS) and VIPS Medicare Shared System (VMS) Automation of Prior Authorization (PA) Requests/Pre-Claim Reviews (PCR) and their Responses with Multiple Services (for programs like Home Health (HH)) via the Electronic Submission of Medical Documentation (esMD) System 2018-01-02 10087
R3873CP 2017-10-06 Place of Service Codes 2018-04-02 10272
R3872CP 2017-10-06 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2018 2018-01-02 10309 MM10309 2017-10-12
R1933OTN 2017-10-06 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System - (Removing/Archiving demonstration codes 38, 42 and 43) 2018-07-02 10250
R1930OTN 2017-10-06 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 1 2018-01-08 10305
R7p233 2017-10-06 Provider Reimbursement Manual Part 2, Provider Cost Reporting Form and Instructions, Chapter 33, Form CMS-216-94 2017-10-06 N/A
R3876CP 2017-10-06 Decommission the MCS Maintained HBCRB081 Report (“Correct Coding Quarterly Savings Report”) 2018-04-02 10284
R3878CP 2017-10-06 January 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2018-01-02 10320 MM10320 2017-10-10
R294FM 2017-10-06 Pub. 100-06, Chapter 3 and 4 Revisions 2017-10-01 10079
SE17034 Hurricane Nate and Medicare Disaster Related Alabama, Florida, Louisiana and Mississippi ClaimsHurricane Nate and Medicare Disaster Related Alabama, Florida, Louisiana and Mississippi Claims SE17034 2017-10-12
R295FM 2017-10-12 https://www.cms.gov/center/freedom-of-information-act/regional-contacts.html 2017-10-18 10359
R748PI 2017-10-13 Defending Medical Review Decisions at Administrative Law Judge (ALJ) Hearings 2017-11-14 10226
R3881CP 2017-10-13 Clinical Laboratory Fee Schedule Not Otherwise Classified, Not Otherwise Specified, or Unlisted Service or Procedure Code Data Collection 2018-01-16 10232 MM10232 2017-10-16
R3883CP 2017-10-13 Payment for Services Furnished by Qualified Nonphysician Anesthetists 2018-01-16 10275
R3885CP 2017-10-17 Fiscal Year (FY) 2018 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes 2017-10-02 10273
SE17032 2017-10-17 Pharmacy Billing of Immunosuppressive Drugs 2017-10-17
SE17035 Medicare Fee-for-Service (FFS) Response to the 2017 California Wildfires SE17035 2017-10-18
R1936OTN 2017-10-19 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 2018-01-02 10155
R1935OTN 2017-10-19 FISS Process Enhancements – Analysis Only 2018-01-02 10119
R750PI 2017-10-20 Proof of Delivery Documentation Requirements 2017-11-20 10324
R751PI 2017-10-20 Clarifying Signature Requirements 2017-11-20 10322
R1943OTN 2017-10-27 Assign the Correct 935 Indicator on Adjustment Claims Submitted through the Provider Portal 2018-04-02 10301
R1939OTN 2017-10-27 Fiscal Intermediary Shared Systems (FISS) Enhancements to the Mass Adjustment of Process Recovery Audit Contractor (RAC) Claims 2018-04-02 10304
R1942OTN 2017-10-27 Common Working File (CWF) to Medicare Beneficiary Database (MBD) Extract File Changes for Detailed Skilled Nursing Facility Data to Support HIPAA Eligibility Transaction System (HETS) 2018-04-02 10111
R1941OTN 2017-10-27 Transitional Drug Add-on Payment Adjustment (TDAPA) for patients with Acute Kidney Injury (AKI) 2018-04-02 10281 MM10281 2017-10-30
R3894CP 2017-10-27 File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions 2018-01-02 10313
R1947OTN 2017-10-27 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for April 2018 2018-04-02 10260
R1946OTN 2017-10-27 Shared System Enhancement 2015: Removing/Archiving Obsolete Reports within the Multi-Carrier System (MCS) 2018-04-02 10289
R1948OTN 2017-10-27 Archiving National Provider Identifier Crosswalk System (NPICS) System Logic in the Muti-Carrier System (MCS) 2018-04-02 10278
R1938OTN 2017-10-27 Archiving National Provider Identifier Crosswalk System (NPICS) System Logic in the Durable Medical Equipment (DME) Claims Processing System 2018-04-02 10279
R753PI 2017-10-27 Certificates of Medical Necessity (CMN) and Durable Medical Equipment (DME) Information Forms (DIF) 2017-11-28 10244
R1937OTN 2017-10-27 Provider Education and Referral Reporting 2017-11-27 10263
R3897CP 2017-10-27 Pulmonary Rehabilitation (PR) Services Addition to Chapter 19, Indian Health Services (IHS) 2018-04-02 10276 MM10276 2017-11-01
R181DEMO 2017-10-27 Next Generation ACO Model -Weekly AIPBP Reduction File Change 2018-04-02 10339
R3893CP 2017-10-27 Ambulance Inflation Factor for CY 2018 and Productivity Adjustment 2018-01-02 10323 MM10323 2017-10-30
R1944OTN 2017-10-27 MCS Analysis Only: Undeliverable Medicare Summary Notices (UMSNs) - Beneficiary Do Not Forward Process 2018-04-02 10332
R1945OTN 2017-10-27 Add Date of Receipt to the Beneficiary Data Streamlining (BDS) Part A Claims Layout 2018-04-02 10326
R1951OTN 2017-10-27 Shared System Enhancement 2015: Removing/Archiving Obsolete On Request Jobs within the Multi-Carrier System (MCS) 2018-04-02 10290
R1950OTN 2017-10-27 Fiscal Intermediary Shared System (FISS) and VIPS Medicare Shared System (VMS) to Update Records Based on the Automation of Prior Authorization (PA) Requests/Pre-Claim Reviews (PCR) and their Responses with Multiple Services (for programs like Home Health (HH)) 2018-04-02 10282
R1952OTN 2017-10-27 Calculating Interim Rates for Graduate Medical Education (GME) Payments to New Teaching Hospitals 2017-10-23 10240 MM10240 2017-09-26
R1953OTN 2017-10-27 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 1 N/A 10305
R1949OTN 2017-10-27 Remove Obsolete Edits from the Fiscal Intermediary Shared Systems (FISS) 2018-04-01 10274
R3898CP 2017-10-27 Correction to Prevent Payment on Inpatient Information Only Claims for Beneficiaries Enrolled in Medicare Advantage Plans 2018-04-02 10238 MM10238 2017-10-30
R1954OTN 2017-10-27 New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) N/A 9893
R1956OTN 2017-11-01 Analysis and Design Working Sessions for the Development of a Pre-Payment Common Additional Documentation Request (ADR) Letter 2017-10-02 9936
R3901CP 2017-11-03 Update to Pub 100-04, Chapter 18 Preventive and Screening Services - Screening for Lung Cancer with Low Dose Computed Tomography (LDCT) 2017-12-04 10338
R3902CP 2017-11-03 New Waived Tests 2018-01-02 10321 MM10321 2017-11-06
R1960OTN 2017-11-03 Implementation of the Award for the Jurisdiction Part A and Part B Medicare Administrative Contractor (JJ A/B MAC) 2018-02-26 10316
R1959OTN 2017-11-03 Analysis Only: VMS Accreditation Logic Related to HCPCS Codes Contained in Multiple Product and Service Codes 2018-04-02 10300
R237BP 2017-11-03 Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2018 2018-01-02 10312 MM10312 2017-11-06
R1958OTN 2017-11-03 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Financial and Expert Claims Processing System (ECPS) Reports - Phase 1 2018-04-02 10293
R1957OTN 2017-11-03 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF) - Removing/Archiving demonstration codes 51 and 56 2018-04-02 10251
R3903CP 2017-11-03 Annual Medicare Physician Fee Schedule (MPFS) Files Delivery and Implementation and Medicare Physician Fee Schedule Database (MPFSDB) 2018 File Layout Manual 2018-01-02 10218
R1962OTN 2017-11-03 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Core Reports - Phase 1 2018-04-02 10294
R108GI 2017-11-03 MAC Transition Workload Handbook 2017-12-04 10329
R185DEMO 2017-11-03 IVIG Demonstration: Payment Update for 2018 N/A 10343 MM10343 2017-11-06
R1964OTN 2017-11-03 Fee For Service (FFS) Applications Upgrade Customer Information Control System (CICS) to Transaction Server (TS) v5.2 2018-01-02 9961
R3908CP 2017-11-03 Influenza Vaccine Payment Allowances - Annual Update for 2017-2018 Season N/A 10224 MM10224 2017-08-17
R3907CP 2017-11-03 October 2017 Integrated Outpatient Code Editor (I/OCE) Specifications Version 18.3 2017-10-02 10230 MM10230 2017-08-29
R1966OTN 2017-11-03 Out-of-Jurisdiction Providers (OJP) and Qualified Chain Providers (QCP) Move to Correct A/B MAC Jurisdiction - Analysis CR Only N/A 10192
R1966OTN 2017-11-03 The purpose of this Change Request (CR) is for the Common Working File (CWF) Maintainer to redesign and implement the Operating Report (ORPT). N/A 9734
R1830OTN 2017-04-27 Development of a Centralized Method for Durable Medical Equipment Medicare Administrative Contractors (DME MACs) to Authenticate the Supplier and Billing Agency/Clearinghouse Relationship in the Provider Portals N/A 9921
R1899OTN 2017-08-11 Care Coordination Services and Payment for Rural Health Clinics (RHCs) and Federally-Qualified Health Centers (FQHCs) 2018-01-02 10175 MM10175 2017-11-09
R3877CP 2017-10-06 Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 2018-01-02 10308 MM10308 2017-11-13
R743PI 2017-09-08 Comprehensive Error Rate Testing (CERT) Program Dispute Process 2017-10-10 10242
R3888CP 2017-10-20 Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2018 2018-01-02 10310 MM10310 2017-11-09
R3909CP 2017-11-08 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - January 2018 2018-01-02 10233 MM10233 2017-09-18
R1967OTN 2017-11-08 CICS Region Merge(s) for A/B MACs - Analysis Only 2018-04-02 10191
R755PI 2017-11-09 Tracking Medicare Contractors' Prepayment and Postpayment Reviews 2017-12-11 10177
R3916CP 2017-11-09 Claim Status Category and Claim Status Codes Update 2018-04-02 10271 MM10271 2017-11-13
R1973OTN 2017-11-09 Multi-Carrier System (MCS) Modernization Proof of Concept Number 8 2018-04-02 10375
R1972OTN 2017-11-09 Analysis Only: Develop Enhanced Claims Search Reporting in Fiscal Intermediary Shared System (FISS) 2018-04-02 10364
R3915CP 2017-11-09 Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE) 2018-04-02 10268 MM10268 2017-11-13
R3912CP 2017-11-09 Off-Cycle Update to the Long Term Care Hospital (LTCH) Prospective Payment System (PPS) Fiscal Year (FY) 2018 Pricer 2018-01-02 10368
R3913CP 2017-11-09 Common Edits and Enhancements Modules (CEM) Code Set Update 2018-04-02 10267
R3917CP 2017-11-08 Calendar Year (CY) 2018 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures N/A 10351
R1968OTN 2017-11-09 Tracking Status of Claims Adjustments N/A 10288
R1969OTN 2017-11-09 Partial Settlement of 2-Midnight Policy Court Cases 2017-12-11 10337
R3911C[ 2017-11-09 New Positron Emission Tomography (PET) Radiopharmaceutical/Tracer Unclassified Codes N/A 10319 MM10319 2017-11-16
R3910CP 2017-11-09 Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update 2018-04-02 10270 MM10270 2017-11-13
R1971OTN 2017-11-09 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 2018-04-02 10292
R1970OTN 2011-11-09 Establish an Automated Process For Creating Mass Adjustments Utilizing Expert Claims Processing System (ECPS) - Analysis Only 2018-04-02 10363
R1974OTN 2017-11-09 Revision of PWK (Paperwork) Fax/Mail Cover Sheets 2018-04-02 10124 MM10124 2017-11-13
R1975OTN 2017-11-09 ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs) 2018-07-02 10318 MM10318 2017-11-17
R3919CP 2017-11-09 Update to Rural Health Clinic (RHC) All Inclusive Rate (AIR) Payment Limit for Calendar Year (CY) 2018 2018-01-02 10333 MM10333 2017-11-13
R3918CP 2017-11-09 Therapy Cap Values for Calendar Year (CY) 2018 2018-01-02 10341 MM10341 2017-11-13
R1976OTN 2017-11-09 Common Working File (CWF) to Modify CWF Provider Queries to Only Accept National Provider Identifier (NPI) as valid Provider Number 2018-01-02 10098 MM10098 2017-11-13
R3920CP 2017-11-15 Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System N/A 9911 MM9911 2017-11-15
R1979OTN 2017-11-16 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF) 2018-07-02 10017
R3922CP 2017-11-16 Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2018 - Recurring File Update 2018-01-02 10334 MM10334 2017-11-20
R12P240 2017-11-17 Clarifies and corrects the existing instructions, incorporates additional statutory and regulatory changes, and adds a checkbox that allows a provider to elect and sign the Certification and Settlement Summary page of the Medicare cost report using an electronic signature pursuant to 42 CFR 413.24(f)(4)(iv). (See also 82 FR 38493.) Effective dates will vary. N/A N/A
R1978OTN 2017-11-17 Implementation of Changes to Certificate of Medical Necessity (CMN) and CMN DME Information Form (CMN DIF) as a result of the New Medicare Card Project 2018-04-02 10367
R203NCD 2017-11-17 Hyperbaric Oxygen (HBO) Therapy (Section C, Topical Application of Oxygen) 2017-12-18 10220 MM10220 2017-11-21
R3924CP 2017-11-16 2018 Annual Update to the Therapy Code List 2018-01-02 10303 MM10303 2017-11-21
R3921CP 2017-11-17 Hyperbaric Oxygen (HBO) Therapy (Section C, Topical Application of Oxygen) 2017-12-18 10220 MM10220 2017-11-21
R238BP 2017-11-17 Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Medicare Benefit Policy Manual Chapter 13 Update 2018-02-15 10350 MM10350 2017-11-17
R3923CP 2017-11-17 Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 2018-04-02 10374 MM10374 2017-11-17
R171SOMA 2017-11-17 Revisions to State Operations Manual (SOM), Appendix U - Survey Procedures and Interpretive Guidelines for Responsibilities of Medicare Participating Religious Nonmedical Healthcare Institutions 2017-11-20 N/A
R172SOMA 2017-11-17 Revision to State Operations Manual (SOM) Appendix A – Survey Protocol, Regulations and Interpretive Guidelines for Hospitals 2017-11-17 N/A
R3844CP 2017-11-21 Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services, and Addition of Anesthesia and Prolonged Preventive Services 2018-01-02 10181 MM10181 2017-11-27
R3820CP 2017-07-28 Payment Reduction for X-Rays Taken Using Computed Radiography 2018-01-02 10188 MM10188 2017-11-28
R3925CP 2017-11-21 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2018 2018-01-02 10309 MM10309 2017-11-22
R173SOMA 2017-11-21 Revisions to State Operation Manual (SOM), Appendix PP Guidance to Surveyors for Long Term Care FacilitiesRevisions to State Operation Manual (SOM), Appendix PP Guidance to Surveyors for Long Term Care FacilitiesRevisions to State Operation Manual (SOM), Appendix PP Guidance to Surveyors for Long Term Care Facilities 2017-11-28 N/A
R3927CP 2017-11-22 Instructions for Downloading the Medicare ZIP Code File for April 2018 2018-04-02 10382
R3928CP 2017-11-22 Off-Cycle Update to the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Fiscal Year (FY) 2018 Pricer 2018-01-02 10377 MM10377 2017-11-22
R110GI 2017-11-22 Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 April 2018 Updates 2018-04-02 10383
R186DEMO 2017-11-22 IVIG Demonstration: Payment Update for 2018 2018-01-02 10343 MM10343 2017-11-27
R187DEMO 2017-11-22 Next Generation Accountable Care Organization (NGACO) Year Three Benefit Enhancements 2018-01-02 10044
R1980OTN 2017-11-29 Shared System Enhancement 2015: Removing/Archiving Obsolete On Request Jobs within the Multi-Carrier System (MCS) 2018-04-02 10290
R3929CP 2017-11-29 Elimination of the GT Modifier for Telehealth Services 2018-01-02 10152 MM10152 2017-12-04
R3930CP 2017-12-01 Hospice Manual Update Only for Section 30.3 2018-03-01 10361
R1981OTN 2017-12-01 Fiscal Year (FY) 2014 and 2015 Worksheet S-10 Revisions: Further Extension for All Inpatient Prospective Payment System (IPPS) Hospitals 2018-01-02 10378 MM10378 2017-12-04
R1982OTN 2017-12-01 Line Level versus Claim Level Reporting – Analysis Only 2018-01-01 10150
SE17033 Medicare Does Not Pay Acute-Care Hospitals for Outpatient Services They Provide to Beneficiaries in a Covered Part A Inpatient Stay at Other Facilities SE17033 2017-12-06
R1983OTN 2017-12-07 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System - (Removing/Archiving demonstration codes 38, 42 and 43) 2018-04-02 10250
R111GI 2017-12-08 Update to Medicare Deductible, Coinsurance and Premium Rates for 2018 2018-01-02 10405 MM10405 2017-12-08
R3932CP 2017-12-08 Special Requirements for Immunosuppressive Drugs 2018-03-09 10370 MM10370 2017-12-08
R3933CP 2017-12-08 Revisions to the Home Health Pricer to Support Value-Based Purchasing and Payment Standardization 2018-01-02 10167 MM10167 2017-08-07
R174SOMA 2017-12-08 Revisions to the State Operations Manual (SOM) Appendix P 2017-12-08 N/A
SE17036 Inpatient Rehabilitation Facility (IRF) Medical Review Changes SE17036 2017-12-11
R1913OTN 2017-09-06 FISS Integrated Outpatient Code Editor (IOCE) Claim and Return Buffer Interface Changes Related to OPPS 2018 Annual Updates 2018-01-02 10116
R3934CP 2017-12-15 Calendar Year (CY) 2018 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 2018-01-02 10409 MM10409 2017-12-15
R1987OTN 2017-12-15 Archiving National Provider Identifier Crosswalk System (NPICS) System Logic in the Durable Medical Equipment (DME) Claims Processing System 2018-07-02 10279
SE17037 Medicare Fee-for-Service (FFS) Response to the 2017 Southern California Wildfires SE17037 2017-12-18
R3935CP 2017-12-19 Instructions for Retrieving the 2018 Pricing and HCPCS Data Files through CMS' Mainframe Telecommunications Systems 2018-01-02 10302
R1988OTN 2017-12-19 National Provider Identification Crosswalk System (NPICS) Retirement Analysis Only - Engage Shared Systems Maintainers (SSMs) and Medicare Administrative Contractors (MACs) in Meetings and Correspondence Related to the NPICS Retirement with the Integrated Data Repository (IDR) Team 2018-01-02 10007
R1989OTN 2017-12-20 Fiscal Intermediary Shared Systems (FISS) Enhancements to the Mass Adjustment of Process Recovery Audit Contractor (RAC) Claims 2018-04-02 10304
R3936CP 2018-12-21 Updated Editing of Always Therapy Services - MCS 2018-01-02 10176 MM10176
R3940CP 2017-12-22 January 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.0 2018-01-02 10385 MM10385 2017-12-26
R3941CP 2017-12-22 January 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2018-01-02 10417 MM10417 2017-12-26
R175SOMA 2017-12-22 Revisions to State Operations Manual (SOM) Appendix J, Part II – Interpretive Guidelines – Responsibilities of Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) 2017-12-22 N/A
R3942CP 2017-12-22 Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens 2018-01-22 10448 MM10448 2018-01-02
R3937CP 2017-12-22 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2018 2018-04-02 10424 MM10424 2018-01-03
R3938CP 2017-12-22 Summary of Policies in the Calendar Year (CY) 2018 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, and CT Modifier Reduction List 2018-01-02 10393 MM10393 2017-12-26
R3939CP 2017-12-22 January 2018 Update of the Ambulatory Surgical Center (ASC) Payment System 2018-01-02 10441 MM10441 2018-01-02
R1990OTN 2017-12-21 Suppression of the Standard Paper Remittance Advice (SPR) in 45 Days if Also Receiving Electronic Remittance Advice (ERA) 2018-01-01 10151 MM10151 2017-12-22
R3943CP 2017-12-22 Correction to Prevent Payment on Inpatient Information Only Claims for Beneficiaries Enrolled in Medicare Advantage Plans 2018-04-02 10238 MM10238 2017-12-22
R1991OTN 2017-12-29 Method of Cost Settlement for Inpatient Services for Rural Hospitals Participating Under the Rural Community Hospital Demonstration 2018-01-29 10373
R176SOMA 2017-12-29 Revisions to State Operations Manual (SOM) Appendix A – Survey Protocol, Regulations and Interpretive Guidelines for Hospitals 2017-12-29 N/A
R1993OTN 2017-12-29 Analyze the Common Working File (CWF) System and Identify Customer Information Control System (CICS) Screens Requiring Expansion 2018-04-02 10389
R762PI 2017-12-29 Update to Chapter 15 of Pub. 100-08 2018-01-29 10386
R1994OTN 2017-12-28 Suppression of the Standard Paper Remittance Advice (SPR) in 45 Days if Also Receiving Electronic Remittance Advice (ERA) 2018-01-02 10151 MM10151 2017-12-29
R1985OTN 2017-12-13 Analysis Only- Medicare Reporting on the Return of Self-Identified Overpayments 2018-07-02 10127
R3931CP 2017-12-01 CY 2018 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2018-01-02 10395 MM10395 2018-01-05