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2014 Transmittals

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Transmittal # Issue Date Subject Implementation Date CR # MM Article # MM Article Release Date
SE1344 2014-01-02 Further Information on Mandatory Reporting of an 8-Digit Clinical Trial Number on Claims 2014-01-06 8401 SE1344 2014-01-02
R1332OTN 2014-01-02 Recind and Replace of CR 8409: Reclassification of Certain Durable Medical Equipment from the Inexpensive and Routinely Purchased Payment Category to the Capped Rental Payment Category 2014-04-07 8566 MM8566 2014-01-07
SE1402 Updated Mobile Applications (Apps) for Open Payments SE1402 2014-01-02
SE1401 Point of Origin for Admission or Visit Code (Formerly Source of Admission Code) for Inpatient Psychiatric Facilities (IPFs) SE1401 2014-01-02
R2849CP 2014-01-02 January 2014 Update of the Ambulatory Surgical Center (ASC) Payment System 2014-01-06 8575 MM8575 2014-01-08
R501PI 2014-01-09 Complex Medical Review 2013-10-07 8429
R2852CP 2014-01-10 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2014 (ICD-10) 2014-04-07 8585 MM8585 2014-01-14
R2855CP 2014-01-10 Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update 2014-04-07 8561 MM8561 2014-01-14
R2854CP 2014-01-10 New Waived Tests 2014-04-07 8560 MM8560 2014-01-14
R2853CP 2014-01-10 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - April 2014 2014-04-07 8568 MM8568 2014-01-14
R2851CP 2014-01-10 Common Edits and Enhancements Modules (CEM) Code Set Update 2014-04-07 8584
SE1405 Documentation Requirements for Home Health Prospective Payment System (HH PPS) Face-to-Face Encounter SE1405 2014-01-13
R179BP 2014-01-14 Manual Updates to Clarify Skilled Nursing Facility (SNF), Inpatient Rehabilitation Facility (IRF), Home Health (HH), and Outpatient (OPT) Coverage Pursuant to Jimmo vs. Sebelius 2014-01-07 8458 MM8458 2013-12-06
R230FM 2014-01-13 Notice of New Interest Rate for Medicare Overpayments and Underpayments - 2nd qtr Notificatin for FY 2014 2014-01-21 8624
R2857CP 2014-01-17 Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits 2014-04-07 8567 MM8567 2014-01-22
R2858CP 2014-01-17 Claim Status Category and Claim Status Codes Update 2014-04-07 8582 MM8582 2014-01-23
R502PI 2014-01-17 Registration of Entities Using the Indirect Payment Procedure (IPP) 2014-01-06 8284
R2859CP 2014-01-17 Applying the Therapy Caps to Critical Access Hospitals 2014-01-31 8426 MM8426 2014-01-23
R2860CP 2014-01-22 Part B Claims Submission under the Indirect Payment Procedure (IPP) N/A 8266 MM8266 2014-01-23
SE1406 2014-01-24 Registration of Entities Using the Indirect Payment Procedure (IPP) 2014-01-06 8284 SE1406 2014-01-24
SE1403 Probe & Educate Medical Review Strategy: Probe Reviews of Inpatient Hospital Claims and Corresponding Provider Outreach and Education SE1403 2014-01-27
R94DEMO 2014-01-24 Affordable Care Act Bundled Payments for Care Improvement Initiative – Recurring File Updates Models 2 and 4 April 2014 Updates 2014-04-07 8596
R2863CP 2014-01-24 April 2014 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2014-04-07 8607 MM8607 2014-01-28
R461PR1 2014-01-24 Changes to the pension N/A N/A 15-1
R462PR1 2014-01-24 Changes to the pension N/A N/A
R1334OTN 2014-01-24 Occurrence Span Code 72; Identification of Outpatient Time Associated with an Inpatient Hospital Admission and Inpatient Claim for Payment 2014-02-25 8586 MM8586 2014-01-29
R2862CP 2014-01-24 Medicare Claims Processing Manual, Pub. 100-04, Chapter 4 Update for ICD-10 and ASC X12 2014-10-01 8522
R503PI 2014-01-24 Inter-Jurisdictional Reassignments 2014-02-25 8545 MM8545 2014-01-29
R2861CP 2014-01-24 2014 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List 2014-02-25 8565 MM8565 2014-01-29
SE1407 Psychiatry and Psychotherapy Services SE1407 2014-01-29
R2864CP 2014-01-31 Additional Data Reporting Requirements for Hospice Claims 2014-01-06 8358 MM8358 2013-07-30
R99SOMA 2014-01-31 Revised State Operations Manual (SOM) Appendices A, I, L, and W 2014-01-31 N/A
R2865CP 2014-01-31 Changes to the Laboratory National Coverage Determination (NCD) Software for ICD-10 Codes 2014-01-06 8494 MM8494 2013-11-06
SE1408 Medicare Fee-For-Service (FFS) Claims Processing Guidance for Implementing International Classification of Diseases, 10th Edition (ICD-10) – A Re-Issue of MM7492 7492 SE1408 2014-02-05
R504PI 2014-02-05 Revision to Chapter 12 of the Medicare Program Integrity Manual - The Comprehensive Error Rate Testing Program. 2014-03-06 8591
R159NCD 2014-02-05 Chapter 1, language-only update 2014-10-01 8506 MM8506 2014-02-11
R2867CP 2014-02-05 Enforcement of the 5 Day Payment Limit for Respite Care Under the Hospice Medicare Benefit 2014-07-07 8569 MM8569 2014-02-10
R1336OTN 2014-02-05 Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) File to Include Diagnosis Codes on the Health Insurance Portability and Accountability Act Eligibility Transaction System (HETS) 270/271 Transaction 2014-07-07 8456 MM8456 2014-02-11
R2870CP 2014-02-05 Addition of New Fields, Expansion of Existing Model 1 Discount Percentage Field in the Inpatient Hospital Provider Specific File (PSF) and Update of Model 4 Bundled Payment of Care Initiative (BPCI) Payment Calculation to Include Uncompensated Care Payment 2014-07-07 8546 MM8546 2014-02-10
R1337OTN 2014-02-05 Encounter Data System Payor ID: Payor Id creation for the Financial Alignment Demonstration for Medicare Medicaid Plans (MMPs) 2014-07-07 8489
R1342OTN 2014-02-06 Reporting principal and interest amounts when refunding previously recouped money on the Remittance Advice (RA) 2014-07-07 8485 MM8485 2014-02-10
R2868CP 2014-02-06 Therapy Modifier Consistency Edits 2014-07-07 8556 MM8556 2014-02-10
R1341OTN 2014-02-06 Changing Fiscal Intermediary Shared System (FISS) Action on Informational Unsolicited Responses (IURs) From Canceled Claims to Adjustments 2014-07-07 8554
R2874CP 2014-02-06 Medicare Claims Processing Pub. 100-04 Chapter 25 Update 2014-03-07 8577
R505PI 2014-02-05 Removing Prohibition 2014-03-06 8425
R160NCD 2014-02-06 Medicare National Coverage Determination (NCD) for Beta Amyloid Positron Emission Tomography (PET) in Dementia and Neurodegenerative Disease 2014-07-07 8526 MM8526 2014-02-12
R2871CP 2014-02-06 Medicare National Coverage Determination (NCD) for Beta Amyloid Positron Emission Tomography (PET) in Dementia and Neurodegenerative Disease 2014-07-07 8526 MM8526 2014-02-12
R1340OTN 2014-02-06 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2014 2014-07-07 8571
R161NCD 2014-02-06 National Coverage Determination (NCD) for Single Chamber and Dual Chamber Permanent Cardiac Pacemakers 2014-07-07 8525 MM8525 2014-02-12
R2872CP 2014-02-06 National Coverage Determination (NCD) for Single Chamber and Dual Chamber Permanent Cardiac Pacemakers 2014-07-07 8525 MM8525 2014-02-12
R1339OTN 2014-02-06 CWF Editing for Vaccines Furnished at Hospice - Correction 2014-04-07 8620 MM8620 2014-02-10
R2876CP 2014-02-07 Update to Pub 100-04, Claims Processing Manual, Chapter One 2014-03-07 8442 MM8442 2014-02-10
R2877CP 2014-02-07 Implementing the Part B Inpatient Payment Policies from CMS-1599-F 2014-04-07 8445 MM8445 2014-02-11
R1344OTN 2014-02-07 Fee for Service Beneficiary Data Streamlining (FFS BDS) 2014-07-07 8603
R162NCD 2014-02-06 Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for Solid Tumors N/A 8468 MM8468 2014-02-13
R2873CP 2014-02-06 Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for Solid Tumors N/A 8468 MM8468 2014-02-13
R100SOMA 2014-02-14 State Operations Manual (SOM) Appendix AA revisions for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) 2014-02-14 N/A
R101SOMA 2014-02-14 State Operations Manual (SOM) Appendix I revisions for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID). 2014-02-14 N/A
R102SOMA 2014-02-14 State Operations Manual (SOM) Appendix Q revisions for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID). 2014-02-14 N/A
R99MSP 2014-02-14 Apply Front-End Edits to Electronic Correspondence Referral System (ECRS) Files Submitted Via ECRS Web and PDR Assistance Request Action Code BN 2014-03-17 8563
R2878CP 2014-02-14 Correction CR - Advance Beneficiary Notice of Noncoverage (ABN), Form CMS-R-131 2014-05-15 8597 MM8597 2014-02-18
R1345OTN 2014-02-14 Implementing Operating Rule (OR)-Phase III ERA Or Dual Delivery of ERA and Paper Remittance 2014-07-07 8570 MM8570 2014-02-19
R1350OTN 2014-02-21 Clarification of Remittance Advice Code Combination Reports Generated by Shared Systems N/A 8616
R1348OTN 2014-02-21 Handling Bankrupt Suppliers within VMS N/A 8502
R1349OTN 2014-02-21 Implementation of NACHA Operating Rules for Health Care Electronic Funds Transfers (EFT) 2014-07-07 8629 MM8629 2014-02-24
R103SOMA 2014-02-21 Revised State Operations Manual (SOM) Hospital Appendix A 2014-02-21 N/A
R1351OTN 2014-02-21 Implementation of HIPAA Standards and Operating Rules for Health Care Electronic Funds Transfers 2014-07-07 8619 MM8619 2014-02-24
R2883CP 2014-02-21 Aprepitant for Chemotherapy Induced Emesis 2014-07-07 8418 MM8418 2014-02-26
R163NCD 2014-02-21 Aprepitant for Chemotherapy Induced Emesis 2014-07-07 8418 MM8418 2014-02-26
R180BP 2014-02-21 Aprepitant for Chemotherapy Induced Emesis 2014-07-07 8418 MM8418 2014-02-26
SE1410 Special Instructions for ICD-10 Coding on Home Health Episodes that Span October 1, 2014 SE1410 2014-02-24
R2884CP 2014-02-24 Claim Status Category and Claim Status Codes Update 2014-04-07 8582 MM8582 2014-01-23
R1353OTN 2014-02-26 International Classification of Diseases, 10th Revision (ICD-10) Testing with Providers through the Common Edits and Enhancements Module (CEM) and Common Electronic Data Interchange (CEDI) N/A 8465 MM8465 2013-11-12
R2891CP 2014-02-28 Instructions for Downloading the Medicare ZIP Code File for July 2014 2014-07-07 8543
R2890CP 2014-02-28 Health Professional Shortage Area (HPSA) Post-payment Review Process 2014-03-31 8608
R2889CP 2014-02-28 Common Edits and Enhancements Modules (CEM) Code Set Update 2014-07-07 8593
R2888CP 2014-02-28 Healthcare Provider Taxonomy Codes (HPTC) Update, April 2014 N/A 8611 MM8611 2014-03-05
R2892CP 2014-02-28 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 20.2, Effective July 1, 2014 2014-07-07 8558 MM8558 2014-03-03
R2894CP 2014-02-28 April 2014 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2014-04-07 8653 MM8653 2014-03-04
R116MCM 2014-02-28 Conversion from ICD-9 to ICD-10 and from ASC X12 Version 4010 to 5010 N/A N/A
SE1411 Clarification of Patient Discharge Status Codes and Hospital Transfer Policies N/A SE1411 2014-03-03
R2845CP 2013-12-27 Update to 2014 Hospital Outpatient Clinical Diagnostic Laboratory Test Payment and Billing 2014-01-01 8572 SE1412 2014-03-05
R1356OTN 2014-03-06 Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) File to Include Diagnosis Codes on t2014he Health Insurance Portability and Accountability Act Eligibility Transaction System (HETS) 270/271 Transactions 2014-10-06 8456 MM8456 2014-02-11
R1352OTN 2014-02-21 International Classification of Diseases, Tenth Revision (ICD-10) Limited End to End Testing with Submitters N/A 8602 MM8602 2014-03-07
R104SOMA 2014-03-07 State Operations Manual (SOM) Appendix M revisions for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) 2014-03-07 N/A
R508PI 2014-03-07 Supplemental Medical Review Contractor 2014-04-08 8578
R2901CP 2014-03-07 April 2014 Update of the Ambulatory Surgical Center (ASC) Payment System 2014-04-07 8675 MM8675 2014-03-10
R2895CP 2014-03-07 Update to Pub. 100-04, Chapter 19 to Provide Language-Only Changes for ICD-10 and ASC X12 2014-10-01 8646
R83GI 2014-03-07 Update to Pub. 100-01, Chapter 7 for Language-Only Changes for ICD-10 2014-10-01 8639
R2896CP 2014-03-07 Indirect Payment Procedure (IPP) - Payment to Entities that Provide Coverage Complementary to Medicare Part B 2014-06-06 8638 MM8638 2014-03-10
R1357OTN 2014-03-07 International Classification of Diseases, 10th Revision (ICD-10) Testing with Providers through the Common Edits and Enhancements Module (CEM) and Common Electronic Data Interchange (CEDI) N/A 8465 MM8465 2013-11-12
R2899CP 2014-03-07 Pub 100-04, Language Only Update for Chapters Five and Six for Conversion to ICD-10 2014-10-01 8524
R2897CP 2014-03-07 Update to Pub. 100-04, Chapter 10 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2014-10-01 8606
R2898CP 2014-03-07 Update to Pub. 100-04, Chapter 13 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2014-10-01 8614
R2900CP 2014-03-07 April 2014 Integrated Outpatient Code Editor (I/OCE) Specifications Version 15.1 2014-04-07 8658 MM8658 2014-03-11
R2902CP 2014-03-11 April Quarterly Update for 2014 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 2014-04-07 8645 MM8645 2014-03-12
R2903CP 2014-03-11 April 2014 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2014-04-07 8653 MM8653 2014-03-04
R2910CP 2014-03-14 Update to Pub. 100-04, Medicare Claims Processing Manual, Chapter 11 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2014-10-01 8648
R2912CP 2014-03-14 April Update to the CY 2014 Medicare Physician Fee Schedule Database (MPFSDB) 2014-04-07 8664 MM8664 2014-03-19
R1358OTN 2014-03-14 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 - October 1, 2013 version 3.0.3 2014-04-07 8518
R2906CP 2014-03-14 Chapter 28 language-only update for ASC X12 version 5010, implementation of MACs, and MAC coordination with Medigap, Medicaid and Other Complementary Insurers 2014-04-14 8540
R2905CP 2014-03-14 Update to Pub. 100-04, Chapters 7 and 8 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2014-10-01 8579
R2908CP 2014-03-14 Update to Pub. 100-04, Chapter 15 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2014-10-01 8604
R181BP 2014-03-14 Pub. 100-02 Language-Only Update for ICD-10 2014-10-01 8605
R2904CP 2014-03-14 Update to Pub. 100-04, Chapter 16 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2014-10-01 8613
R2909CP 2014-03-14 Medicare Claims Processing Pub. 100-04 Chapter 31 Update 2014-04-14 8640
R2907CP 2014-03-14 Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens 2014-06-16 8641 MM8641 2014-03-19
R2911CP 2014-03-14 Manual Updates to Clarify Skilled Nursing Facility Advanced Beneficiary Notice (SNF ABN) Requirements Pursuant to Jimmo vs. Sebelius 2014-03-25 8644
R1359OTN 2014-03-18 The Coordination of Benefits Contractor (COBC) to Remove and No Longer Apply Federal Tax Information (FTI) Received through the Internal Revenue Service (IRS), Social Security Administration (SSA), Centers for Medicare and Medicaid Services (CMS) Medicare Secondary Payer (MSP) Data Match Program on the Common Working File (CWF). N/A 8353
R1360OTN 2014-03-18 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 - October 1, 2013 version 3.0.3 N/A 8518 MM8518 2013-11-25
R1347OTN 2014-02-14 Inpatient Prospective Payment System (IPPS) Hospital Extensions per the Pathway for SGR Reform Act of 2013 2014-04-07 8627 MM8627 2014-03-21
R105SOMA 2014-03-21 Revised Appendix A, Interpretive Guidelines for Hospitals, Condition of Participation: Quality Assessment and Performance Improvement 2014-03-21 N/A
R97DEMO 2014-03-21 MAPCP Demonstration - Update for ICD-10 2014-10-06 8671
R182BP 2014-03-21 Implementing the Part B Inpatient Payment Policies from CMS-1599-F 2014-04-21 8666 MM8666 2014-03-24
R1362OTN 2014-03-25 Rescind and Replace of CR 8409: Reclassification of Certain Durable Medical Equipment from the Inexpensive and Routinely Purchased Payment Category to the Capped Rental Payment Category 2014-04-07 8566 MM8566 2014-01-07
R1361OTN 2014-03-25 Implementation of NACHA Operating Rules for Health Care Electronic Funds Transfers (EFT) 2014-07-07 8629
R2914CP 2014-03-25 Health Professional Shortage Area (HPSA) Post-payment Review Process 2014-03-31 8608
R100MSP 2014-03-26 The Medicare Contractors and the Shared Systems Shall Send the Correct Cost Avoided Indicator and Special Project Type to the Common Working File (CWF) so the Correct Savings is applied both to the Medicare Secondary Payer (MSP) Savings Report and the Originating Contractor N/A 8495
R164NCD 2014-03-27 Medicare National Coverage Determination (NCD) for Beta Amyloid Positron Emission Tomography (PET) in Dementia and Neurodegenerative Disease 2014-07-07 8526 MM8526 2014-02-02
R2915CP 2014-03-27 Medicare National Coverage Determination (NCD) for Beta Amyloid Positron Emission Tomography (PET) in Dementia and Neurodegenerative Disease 2014-07-07 8526 MM8526 2014-02-02
R2916CP 2014-03-28 Calendar Year (CY) 2014 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment - REVISION 2014-06-30 8695 MM8695 2014-03-31
R1363OTN 2014-03-28 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 - February 1, 2014 version 3.0.4 2014-07-07 8651 MM8651 2014-03-31
R5P240 2014-03-28 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. N/A N/A
R1365OTN 2011-04-02 Reporting principal and interest amounts when refunding previously recouped money on the Remittance Advice (RA) N/A 8485 MM8485 2014-02-17
R2922CP 2014-04-03 Medicare Claims Processing Pub. 100-04 Chapter 25 Update 2014-04-18 8577
R2921CP 2014-04-04 Internet Only Manual Updates to Pub. 100-1, 100-2 and 100-4 to Correct Errors and Omissions 2014-05-05 8669
R84GI 2014-04-04 Internet Only Manual Updates to Pub. 100-1, 100-2 and 100-4 to Correct Errors and Omissions 2014-05-05 8669
SE1416 Updating Beneficiary Information with the Benefits Coordination & Recovery Center (formerly known as the Coordination of Benefits Contractor) SE1416
R183BP 2014-04-04 Internet Only Manual Updates to Pub. 100-1, 100-2 and 100-4 to Correct Errors and Omissions 2014-05-05 8669
R2919CP 2014-04-04 New Waived Tests 2014-07-07 8705 MM8705 2014-04-07
R2920CP 2014-04-04 Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update 2014-07-07 8703 MM8703 2014-04-07
R233FM 2014-04-04 Revisions and Deletions to the Internet Only Manual, Publication 100-06, Chapter 4, Debt Collection (Section 10) 2014-07-07 8315
R107SOMA 2014-04-04 State Operations Manual (SOM) Appendix PP LTCF revisions for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) 2014-04-04 N/A
R106SOMA 2014-04-04 State Operations Manual (SOM) Appendix P revisions for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID 2014-04-04 N/A
R2923CP 2014-04-04 April Update to the CY 2014 Medicare Physician Fee Schedule Database (MPFSDB) 2014-04-07 8664 MM8664 2014-03-19
R1366OTN 2014-04-08 Termination of the Common Working File ELGA, ELGH, HIQA, HIQH, and HUQA Part A Provider Queries 2014-04-07 8248 MM8248 2013-11-12
R1367OTN 2014-04-09 Implementation of NACHA Operating Rules for Health Care Electronic Funds Transfers (EFT) 2014-04-07 8629 MM8629 2014-02-24
R1369OTN 2014-04-10 Clarification of Remittance Advice Code Combination Reports Generated by Shared Systems N/A 8616
R2927CP 2014-04-10 April 2014 Update of the Ambulatory Surgical Center (ASC) Payment System 2014-04-07 8675 MM8675 2014-03-10
R2928CP 2014-04-10 Enforcement of the 5 day Payment Limit for Respite Care Under the Hospice Medicare Benefit 2014-07-07 8569 MM8569 2014-02-10
R2929CP 2014-04-10 Update to Pub. 100-04, Medicare Claims Processing Manual, Chapter 11 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2014-10-01 8648
R1370OTN 2014-04-10 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 - February 1, 2014 version 3.0.4 N/A 8651 MM8651 2014-03-31
SE1413 Certifying Physicians and the Phase 2 Ordering and Referring Denial Edits for Home Health Agencies (HHAs) SE1413
SE1417 Implementation of Fingerprint-Based Background Checks SE1417
R2930CP 2014-04-11 Denial Letters for Religious Nonmedical Health Care Institution Services Not Covered by Medicare 2014-07-14 8559 MM8559 2014-04-14
R2926CP 2014-04-11 Chapter 29 Appeals Update (Includes Post-DOMA Guidance and Signature Requirement for Appointment of Representatives and Assignment of Appeal Rights) 2014-07-14 8588 MM8588 2014-04-17
R98DEMO 2014-04-11 Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 July 2014 Updates 2014-07-07 8652
R111SOMA 2014-04-11 State Operations Manual (SOM) Chapter 2 policy revisions for Organ Procurement Organizations (OPOs) 2014-04-11 N/A
R112SOMA 2014-04-11 State Operations Manual (SOM) Chapter 3 policy revisions for Organ Procurement Organizations (OPOs) 2014-04-11 N/A
R234FM 2014-04-11 Notice of New Interest Rate for Medicare Overpayments and Underpayments - 3rd Qtr Notfication for FY 2014 2014-04-17 8755
R108SOMA 2014-04-11 State Operations Manual (SOM) Exhibit 185 Revisions For Intermediate Care Facilities For Individuals With Intellectual Disabilities (ICF/IID) 2014-04-11 N/A
R109SOMA 2014-04-11 State Operations Manual (SOM) Appendix T Revisions For Intermediate Care Facilities For Individuals With Intellectual Disabilities (ICF/IID) 2014-04-11 N/A
R110SOMA 2014-04-11 State Operations Manual (SOM) Appendix W Revisions For Intermediate Care Facilities For Individuals With Intellectual Disabilities (ICF/IID) 2014-04-11 N/A
R184BP 2014-04-11 Clarification to Pub. 100-02, Medicare Benefit Policy Manual Regarding Antigens and Deletion of Section 13.14 from Chapter 13 of Pub. 100-08, Medicare Program Integrity Manual 2014-05-12 8665
R510PI 2014-04-11 Clarification to Pub. 100-02, Medicare Benefit Policy Manual Regarding Antigens and Deletion of Section 13.14 from Chapter 13 of Pub. 100-08, Medicare Program Integrity Manual 2014-05-12 8665
R2931CP 2014-04-15 Aprepitant for Chemotherapy-Induced Emesis 2014-07-07 8418 MM8418 2014-02-26
R165NCD 2014-04-15 Aprepitant for Chemotherapy-Induced Emesis 2014-07-07 8418 MM8418 2014-02-26
R185BP 2014-04-15 Aprepitant for Chemotherapy-Induced Emesis 2014-07-07 8418 MM8418 2014-02-26
R186BP 2014-04-16 Clarification to Pub. 100-02, Medicare Benefit Policy Manual Regarding Antigens and Deletion of Section 13.14 from Chapter 13 of Pub. 100-08, Medicare Program Integrity Manual 2014-05-12 8665
R2933CP 2014-04-17 Addition of New Fields and Expansion of Existing Model 1 Discount Percentage Field in the Inpatient Hospital Provider Specific File (PSF) and Addition of New Fields and Renaming Payment Fields in the Inpatient Prospective Payment System (IPPS) Pricer Output 2014-07-07 8546 MM8546 2014-02-10
R166NCD 2014-04-18 Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for Solid Tumors (This CR rescinds and fully replaces CR8468/TR2873 dated February 6, 2014) N/A 8739 MM8739 2014-04-24
R2932CP 2014-04-18 Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for Solid Tumors (This CR rescinds and fully replaces CR8468/TR2873 dated February 6, 2014) N/A 8739 MM8739 2014-04-24
R512PI 2014-04-18 Revision to the Program Integrity Manual, Chapter 3 Section 3.3 2014-05-19 8716
R1371OTN 2014-04-18 Instructions to Contractors for Implementing Section 5506 of the Affordable Care Act (ACA) – Preservation of Resident Cap Positions from Closed Teaching Hospitals – Rounds 1, 2, 3 and After 2014-05-19 8633
R114SOMA 2014-04-25 New to State Operations Manual (SOM) Chapter 10 2014-04-25 N/A
R113SOMA 2014-04-25 New Guidance Added to Chapter 7 – Survey and Enforcement Process for Skilled Nursing Facilities and Nursing Facilities 2012-01-01 N/A
R2936CP 2014-04-25 July 2014 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2014-07-07 8748 MM8748 2014-04-28
R2937CP 2014-04-25 Medicare Claims Processing Pub. 100-04 Chapter 31 Update 2014-04-14 8640
R1373OTN 2014-04-28 CWF Editing for Vaccines Furnished at Hospice - Correction 2014-04-07 8620 MM8620 2014-02-10
R1375OTN 2014-05-01 Adding New MSP Data Fields to the CWF Daily File 2014-10-06 8733
R2940CP 2014-05-01 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - July 2014 2014-07-07 8702 MM8702 2014-05-06
R1377OTN 2014-05-01 Hewlett Packard Enterprise Services, LLC (HPES) Shared Systems Maintainer (SSM) support for Medicare Administrator Contractors (MACs) testing and inquiries for the Combined Common Edits/Enhancements Module (CCEM) for Part A and Part B 2014-10-06 8722
R187BP 2014-05-01 Update to the Medicare Benefit Policy Manual to Restore Missing Air Ambulance Definitions 2014-08-04 8706
R188BP 2014-05-01 Updates and Clarifications to the Hospice Policy Chapter of the Benefit Policy Manual 2014-08-04 8727 MM8727 2014-05-05
R1374OTN 2014-05-01 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for October 2014 2014-10-06 8700
R1376OTN 2014-05-01 Return Maintenance of the ANSILIST to the Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs). 2014-10-06 8729
R1378OTN 2014-05-02 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 - June 1, 2014 version 3.0.5 N/A 8711 MM8711 2014-05-05
R1379OTN 2014-05-02 Anesthesiologist/Certified Registered Nurse Anesthetist (CRNA) Related Services in a Method II Critical Access Hospital (CAH) 2014-10-06 8708 MM8708 2014-05-05
R2947CP 2014-05-02 Medicare System Updates to Include Splints, Casts and Certain Intraocular Lenses Payment Category Indicators in the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule File and Alpha-Numeric HCPCS file 2014-10-06 8732
R28COM 2014-05-02 Revision of Pub. 100-09, Chapter 6, Medicare Contractor Beneficiary and Provider Communications Manual; Clearance of MAC Internet-Based Provider Portal Handbook; and Deletion of IOM Pub. 100-09, Chapter 3, Provider Inquiries. 2014-07-02 8491
R514PI 2014-05-02 Update to CMS Publication 100-08, Chapter 15 2014-06-03 8682
R1380OTN 2014-05-02 Present on Admission (POA) Indicator Editing for Maryland Waiver Hospitals 2014-10-06 8709 MM8709 2014-05-05
R2948CP 2014-05-02 Calendar Year (CY) 2014 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment - REVISION 2014-06-30 8695 MM8695 2014-03-31
R2950CP 2014-05-08 Adjustment to Fiscal Intermediary Shared System (FISS) Consistency Edit to Implement National Uniform Billing Committee (NUBC) Revision to Occurrence Span Code (OSC) Definition for Code 72. 2014-10-06 8655
R1383OTN 2014-05-09 Implementation of a Prospective Payment System (PPS) for Federally Qualified Health Centers (FQHCs) 2014-10-06 8743 MM8743 2014-05-19
R2934CP 2014-04-22 April Update to the CY 2014 Medicare Physician Fee Schedule Database (MPFSDB) 2014-04-07 8664 MM8664 2014-03-19
R2955CP 2014-05-14 Mandatory Reporting of an 8-Digit Clinical Trial Number on Claims 2014-01-06 8401 MM8401 2013-08-14
R235FM 2014-05-14 Revisions and Deletions to the Internet Only Manual, Publication 100-06, Chapter 4, Debt Collection (Section 10) 2014-07-07 8315
R2995CP 2014-07-25 Quarterly Update to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) 2014-01-06 8841 MM8841 2014-11-03
R2957CP 2014-05-16 July 2014 Integrated Outpatient Code Editor (I/OCE) Specifications Version 15.2 2014-07-07 8764 MM8764 2014-05-20
R1386OTN 2014-05-16 Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) File to Include Diagnosis Codes on the Health Insurance Portability and Accountability Act Eligibility Transaction System (HETS) 270/271 Transactions 2014-10-06 8456 MM8456
R167NCD 2014-05-16 Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS) 2014-10-06 8757 MM8757 2014-05-22
R2959CP 2014-05-16 Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS) 2014-10-06 8757 MM8757 2014-05-22
R1384OTN 2014-05-16 Posting the Limiting Charge after Applying the Electronic Health Record (EHR) and Physician Quality Reporting System (PQRS) Negative Adjustments 2014-10-06 8667 MM8667 2014-05-20
R517PI 2014-05-16 Update to Surety Bond Collection Procedures 2014-06-17 8636 MM8636 2014-05-20
R1385OTN 2014-05-16 Additional States Requiring Payment Edits for DMEPOS Suppliers of Prosthetics and Certain Custom-Fabricated Orthotics. Update to CR 3959 and CR 8390 2014-06-17 8730 MM8730 2014-05-20
R86GI 2014-05-16 Rescinds/Replaces CR 7468 - Updated Instructions for the Change Request Implementation Report (CRIR) and Technical Direction Letter (TDL) Compliance Report (TCR) 2014-08-28 8598
R1387OTN 2014-05-20 Clarification of Remittance Advice Code Combination Reports Generated by Shared Systems N/A 8616
SE1418 Proper Use of Modifier 59 SE1418 2014-05-22
R3PR242 2014-05-23 Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 42, Form CMS-265-11 N/A N/A
R2970CP 2014-05-23 July 2014 Update of the Ambulatory Surgical Center (ASC) Payment System 2014-07-07 8786 MM8786 2014-05-27
R2965CP 2014-05-23 Medicare Claims Processing Pub. 100-04 Chapter 24 Update 2014-07-25 8756
R2966CP 2014-05-23 Instructions for Downloading the Medicare ZIP Code File for October 2014 2014-10-06 8754
R115SOMA 2014-05-23 New to State Operations Manual (SOM) Appendix Y- Organ Procurement Organization (OPO) Interpretive Guidance 2014-05-23 N/A
R104DEMO 2014-05-23 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 2014-10-01 8683
R1388OTN 2014-05-23 ICD-10 Conversion/Coding Infrastructure Revisions/ICD-9 Updates to National Coverage Determinations (NCDs)--Maintenance CR 2014-07-07 8691 MM8691 2014-05-29
R2964CP 2014-05-23 Indian Health Services (HIS) Hospital Payment Rates for Calendar Year 2014 2014-06-24 8763
R2963CP 2014-05-23 Common Edits and Enhancements Modules (CEM) Code Set Update 2014-10-06 8685
R2969CP 2014-05-23 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 20.3, Effective October 1, 2014 2014-10-06 8662 MM8662 2014-05-27
R2968CP 2014-05-23 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2014 2014-10-06 8676 MM8676 2014-05-27
R2967CP 2014-05-23 Claim Status Category and Claim Status Codes Update 2014-10-06 8684 MM8684 2014-05-27
R2971CP 2014-05-23 July 2014 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2014-07-07 8776 MM8776 2014-06-05
R168NCD 2014-05-28 Fluorodeoxyglucose (FDG) Positron Emission Tomography (PET) for Solid Tumors (This CR rescinds and fully replaces CR8468/TR2873 dated February 6, 2014) N/A 8739
R519PI 2014-05-30 Revision to CMS Publication 100-08, Chapter 15 2014-07-31 8512
R116SOMA 2014-06-06 Revised Appendix A to the State Operations Manual (SOM), Interpretive Guidelines for Hospitals 2014-06-06 N/A
R117SOMA 2014-06-06 Revisions to Chapter 9 State Operations Manual (SOM) Exhibits 2014-06-06 N/A
R2974CP 2014-06-06 July Update to the CY 2014 Medicare Physician Fee Schedule Database (MPFSDB) 2014-07-07 8773 MM8773 2014-06-09
R1390OTN 2014-06-06 Implementing the Recompetition Award for the Jurisdiction N (formerly Jurisdiction 9) Part A/Part B Medicare Administrative Contractor (A/B MAC) Workload 2014-07-08 8759
R118SOMA 2014-06-12 New Guidance Added to Chapter 7 – Survey and Enforcement Process for Skilled Nursing Facilities and Nursing Facilities 2012-01-01 N/A
R521PI 2014-06-13 Submission of Community Mental Health Center (CMHC) Certifications of Compliance with Section 485.918(b)(1) 2014-07-15 8784 MM8784 2014-06-16
R236FM 2014-06-13 Revisions to Pub. 100-06, Section 100.2 – Amending Letter of Credit 2014-07-15 8663
R2976CP 2014-06-13 Changes to the Laboratory National Coverage Determination (NCD) Software 2014-10-06 8797 MM8797 2014-06-18
R2951CP 2014-05-12 Off-Cycle Release of the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2014 Pricer 2014-07-07 8761 MM8761 2014-06-16
SE1421 How to Access Updates to ICD-10 Local Coverage Determinations in the CMS Medicare Coverage Database SE1421 2014-06-16
R2977CP 2014-06-20 Clarification of Billing Instructions Related to the Home Health Benefit 2014-09-23 8775 MM8775 2014-06-24
R523PI 2014-06-20 Update to CMS Pub. 100-08, Chapter 3 2014-07-22 8791
R2979CP 2014-06-27 Update to Pub. 100-04, Chapter 36 to Provide Language-Only Changes for Updating ASC X12 2014-07-28 8771
R1392OTN 2014-06-25 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 - June 1, 2014 version 3.1.0 N/A 8711 MM8711 2014-05-05
R525PI 2014-06-27 Update to Form CMS-855 Application Processing Sections of CMS Pub. 100-08, Chapter 15 2014-07-29 8637
SE1422 Medically Unlikely Edits (MUE) and Bilateral Procedures SE1422 2014-06-30
R189BP 2014-06-27 Invalidation of National Coverage Determination 140.3 - Transsexual Surgery N/A 8825
R169NCD 2014-06-27 Invalidation of National Coverage Determination 140.3 - Transsexual Surgery N/A 8825
R29COM 2014-06-27 Revision of Pub. 100-09, Chapter 6, Medicare Contractor Beneficiary and Provider Communications Manual; Clearance of MAC Internet-Based Provider Portal Handbook; and Deletion of IOM Pub. 100-09, Chapter 3, Provider Inquiries. 2014-07-02 8491
R101MSP 2014-07-03 Additional Electronic Correspondence Referral System (ECRS) Reason Codes 2014-08-05 8687
R528PI 2014-07-03 Proof of Delivery 2014-08-05 8643
R527PI 2014-07-03 Provider Notice on MAC Web Sites 2014-09-05 8690
R105DEMO 2014-07-03 Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 October 2014 Updates 2014-10-06 8811
SE1419 Medicare Signature Requirements - Educational Resources for Health Care Professionals SE1419 2014-07-07
R170NCD 2014-07-10 National Coverage Determination (NCD) for Single Chamber and Dual Chamber Permanent Cardiac Pacemakers N/A 8525 MM8525 2014-02-12
R2986CP 2014-07-10 National Coverage Determination (NCD) for Single Chamber and Dual Chamber Permanent Cardiac Pacemakers N/A 8525 MM8525 2014-02-12
R463PRM 2014-07-11 Provider Reimbursement Manual Part 1, Chapter 25, Limitation on Coverage of Costs Under Medicare and Notice of Schedule of Limits on Provider Costs N/A N/A
R2985CP 2014-07-11 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2015 2014-10-06 8828 MM8828 2014-07-14
R190BP 2014-07-11 Beneficiary Signature Requirements for Ambulance Services 2014-08-12 8760
R2984CP 2014-07-11 Beneficiary Signature Requirements for Ambulance Services 2014-08-12 8760
R237FM 2014-07-11 Notice of New Interest Rate for Medicare Overpayments and Underpayments - 4th Qtr Notfication for FY 2014 2014-07-18 8868
R1395OTN 2014-07-16 Implementation of a Prospective Payment System (PPS) for Federally Qualified Health Centers (FQHCs) 2014-10-06 8743 MM8743 2014-05-19
R2991CP 2014-07-18 October Quarterly Update to 2014 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 2014-10-06 8829 MM8829 2014-07-21
R530PI 2014-07-18 Cardiac Rehabilitation Programs for Chronic Heart Failure 2014-08-18 8758 MM8758 2014-07-22
R2989CP 2014-07-18 Cardiac Rehabilitation Programs for Chronic Heart Failure 2014-08-18 8758 MM8758 2014-07-22
R171NCD 2014-07-18 Cardiac Rehabilitation Programs for Chronic Heart Failure 2014-08-18 8758 MM8758 2014-07-22
R191BP 2014-07-18 Cardiac Rehabilitation Programs for Chronic Heart Failure 2014-08-18 8758 MM8758 2014-07-22
R2988CP 2014-07-18 New Waived Tests 2014-10-06 8805 MM8805 2014-07-21
R2990CP 2014-07-18 October 2014 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2014-10-06 8836 MM8836 2014-07-21
R119SOMA 2014-07-25 Rehabilitation Agencies - Fire Alarm Systems 2014-07-25 N/A
R2994CP 2014-07-25 Update to Pub. 100-04, Chapter 35 to Provide Language-Only Changes for Updating ASC X12 2014-08-25 8769
R106DEMO 2014-07-25 Affordable Care Act (ACA) Bundled Payments for Care Improvement (BPCI) Initiative: Provider Education Regarding New Demonstration Codes for Skilled Nursing Facility (SNF) Claims and Payment of SNF Claims for BPCI Model 2 Beneficiaries Who Have Not Met the 3-day Hospital Stay Requirement 2014-07-25 8792 MM8792 2014-07-29
R2993CP 2014-07-25 Update to Pub. 100-04, Chapter 20 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2014-08-25 8694
R2996CP 2014-07-25 Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update 2014-10-06 8855 MM8855 2014-07-29
R1397OTN 2014-07-25 Consolidation of HIGLAS Organizations for a MAC - Organization Merges 2014-07-25 8817
R2997CP 2014-07-25 Update to Pub. 100-04, Chapter 12 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2014-08-25 8688
R2998CP 2014-07-25 Update to Pub. 100-04, Chapter 32 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2014-08-25 8693
R2999CP 2014-07-25 Update to Pub. 100-04, Chapter 38 to Provide Language-Only Changes for Updating ASC X12 2014-08-25 8772
R1396OTN 2014-07-25 Clarification of Remittance Advice Code Combination Reports Generated by Shared Systems N/A 8616
R3000CP 2014-07-25 Update to Pub. 100-04, Chapter 09 to Provide Language-Only Changes for Updating ASC X12 2014-08-25 8670
R1406OTN 2014-08-01 Add Smoking Cessation Initial Session Date to the Common Working File (CWF) to Medicare Beneficiary Database (MBD) Extract File 2015-01-05 8631
R1403OTN 2014-08-01 Change in Applying Co-insurance and Lifetime Reserve (LTR) Amounts on Informational Only Claims with Condition Code (CC) 04 2015-01-05 8704
R1404OTN 2014-08-01 Modify the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) File to no longer include Preventive Healthcare Common Procedure Coding System (HCPCS) Codes that have been terminated 2015-01-05 8745
R1405OTN 2014-08-01 Diagnosis Reporting on Home Health Claims 2015-01-05 8813 MM8813 2014-08-05
R1407OTN 2014-08-01 Inpatient Hospital Claims and Medicare Secondary Payer (MSP) Claims with Medicare Coinsurance Days and/or Medicare Lifetime Reserve Days Occurring in the Seventh or More Calendar Years – Analysis and Design Only 2015-01-05 8555
R1408OTN 2014-08-01 Fee for Service Beneficiary Data Streamlining (FFS BDS) Updates to Operational Issues 2015-01-05 8677
R1409OTN 2014-08-01 IDR Shared Systems Daily Claims Feeds Expansion to Accommodate Ambulance Data Elements 2015-01-05 8741
R1410OTN 2014-08-01 Instructions for Removing Logic Involving the IUR Implemented with CR8271 2015-01-05 8573
R107DEMO 2014-08-01 Updates to the Model 4 Bundled Payment of Care Initiative (BPCI) Payment Calculation to Include Uncompensated Care Payment (UCP) and Reduction in Payment Due to Sequestration 2014-05-15 8767
R3009CP 2014-08-01 Update to Pub. 100-04, Chapter 37 to Provide Language-Only Changes for Updating ASC X12 2014-09-02 8770
R3010CP 2014-08-01 Preventing Payment on Requests for Anticipated Payment (RAPs) When Home Health Beneficiaries are Enrolled in Medicare Advantage (MA) Plans 2014-15-05 8710 MM8710 2014-08-05
R532PI 2014-08-01 Incorporation of Various Form CMS-855 Processing Activities into Pub. 100-08, Program Integrity Manual (PIM), Chapter 15 2014-09-02 8842
R3011CP 2014-08-01 October Quarterly Update for 2014 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 2014-10-06 8865 MM8865 2014-08-05
R3012CP 2014-08-01 October 2014 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2014-10-06 8873 MM8873 2014-08-05
R533PI 2014-08-01 Documentation for Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS) Repair Claims 2014-11-04 8843
R3005CP 2014-08-01 Preventing Duplicate Payments When Overlapping Inpatient and Home Health Claims Are Received Out of Sequence 2015-01-05 8699 MM8699 2014-08-05
R192BP 2014-08-01 Clarification of the Confined to the Home Definition in Chapter 15, Covered Medical and Other Health Services, of the Medicare Benefit Policy Manual 2014-09-02 8818 MM8818 2014-08-05
R3001CP 2014-08-01 Adjustment to Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Assessments 2015-01-05 8654
R1414OTN 2014-08-01 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for January 2015 2015-01-05 8753
R1399OTN 2014-08-01 Federally Qualified Health Centers Prospective Payment System- Recurring File Updates 2015-01-05 8854
R1411OTN 2014-08-01 Removal of User-Controlled Effective Date to Apply Therapy Caps to Critical Access Hospital (CAH) Claims 2015-01-05 8686
R1401OTN 2014-08-01 Fee for Service Beneficiary Data Streamlining (FFS BDS) - Phase II - Auxiliary Data 2015-01-05 8681
R1412OTN 2014-08-01 Modifying FISS Part B Claims Overlap Edits related to CMS-1599-F 2015-01-05 8820 MM8820 2014-08-05
R1413OTN 2014-08-01 Medicare Remit Easy Print (MREP) Enhancement 2015-01-05 8856 MM8856 2014-08-05
SE1424 Intravenous Immune Globulin (IVIG) Demonstration - Implementation SE1424 2014-08-05
SE1425 Extension of Provider Enrollment Moratoria for Home Health Agencies and Part B Ambulance Suppliers SE1425 2014-08-05
R3014CP 2014-08-06 Update to Pub. 100-04, Chapter 16 to Provide Language-Only Changes for Updating ICD-10, ASC X12, and Medicare Administrative Contractors (MAC) Implementation 2014-09-08 8613
R3015CP 2014-08-07 Update to Pub. 100-04, Medicare Claims Processing Manual, Chapter 11 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2014-09-08 8648
R3018CP 2014-08-08 October 2014 Integrated Outpatient Code Editor (I/OCE) Specifications Version 15.3 2014-10-06 8879 MM8879 2014-08-12
R3019CP 2014-08-07 Medicare Claims Processing Manual, Pub. 100-04, Chapter 4 Language Only Update for ICD-10, ASC X12, and Medicare Administrative Contractor (MAC) Implementation 2014-09-08 8522
R3017CP 2014-08-08 Date Correction to Diagnosis Code Reporting on Religious Nonmedical Health Care Institution (RNHCI) Claims 2014-11-12 8857
R3020CP 2014-08-08 Update to Pub. 100-04, Chapter 23 to Provide Language-Only Changes for Conversion to ICD-10 N/A 8692
R534PI 2014-08-08 Claims that are Related 2014-09-08 8802
R3016CP 2014-08-08 Title: Two New “K” Codes for Prefabricated Single and Double Upright Knee Orthoses That Are Furnished Off-The-Shelf (OTS) 2014-10-06 8839 MM8839 2014-08-12
R3021CP 2014-08-08 Update to Pub. 100-04, Chapter 10 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2014-09-08 8606
R87GI 2014-08-08 Update to Pub. 100-01, Chapter 7 for Language-Only Changes for ICD-10 N/A 8639
R117MCM 2014-08-08 Chapter 5, Quality Improvement Program 2014-08-08 N/A
R3022CP 2014-08-08 Automation of the Request for Reopening Claims Process N/A 8581 MM8581 2014-08-14
R1418OTN 2014-08-08 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 - July 1, 2014 version 3.1.1 N/A 8711 MM8711 2014-05-05
R1419OTN 2014-08-12 Clarification of Remittance Advice Code Combination Reports Generated by Shared Systems N/A 8616
R3023CP 2014-08-11 Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index, Quality Reporting Program and the Hospice Pricer for FY 2015 2014-10-06 8876 MM8876 2014-08-14
R509PI 2014-03-27 Change in Provider Enrollment Timeliness Standards 2014-06-02 8551
SE1426 Scenarios and Coding Instructions for Submitting Requests to Reopen Claims that are Beyond the Claim Filing Timeframes – Companion Information to MM8581: “Automation of the Request for Reopening Claims Process” 8581 SE1426 2014-08-14
R3027CP 2014-08-14 Update to Pub. 100-04, Chapter 15 to Provide Language-Only Changes for Updating ICD-10, ASC X12, and Medicare Administrative Contractors (MAC) Implementation 2014-09-16 8604
R3025CP 2014-08-15 October 2014 Update of the Ambulatory Surgical Center (ASC) Payment System 2014-10-06 8880 MM8880 2014-08-18
R1421OTN 2014-08-15 Revised Modification to the Medically Unlikely Edit (MUE) Program 2015-01-05 8853 MM8853 2014-08-19
R1422OTN 2014-08-15 Specific Modifiers for Distinct Procedural Services 2015-01-05 8863 MM8863 2014-08-19
R1420OTN 2014-08-15 DMEPOS Competitive Bidding Program (CBP): Correction to VMS Processing of Wheelchair Accessory Claims for Round 2 2015-01-05 8864 MM8864 2014-08-18
R3028CP 2014-08-15 Pub 100-04, Language Only Update for Chapters Five and Six for Conversion to ICD-10 N/A 8524
SE1428 Comprehensive Error Rate Testing (CERT): Skilled Nursing Facility (SNF) Certifications and Recertifications SE1428 2014-08-19
SE1427 Fingerprint-based Background Check Begins August 6, 2014 SE1427 2014-08-19
R3048CP 2014-08-22 New Physician Specialty Code for Interventional Cardiology 2015-01-05 8812 MM8812 2014-08-25
R238FM 2014-08-22 New Physician Specialty Code for Interventional Cardiology 2015-01-05 8812 MM8812 2014-08-25
R3030CP 2014-08-22 Update to Pub. 100-04, Chapter 03 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2014-09-23 8679
R3031CP 2014-08-22 Update to Pub. 100-04, Chapter 14 to Provide Language-Only Changes for Updating ASC X12 2014-09-23 8768
R1423OTN 2014-08-22 International Classification of Diseases, 10th Revision (ICD-10) Testing - Acknowledgement Testing with Providers N/A 8858 MM8858 2014-08-25
R3032CP 2014-08-22 Hospice Manual Update for Diagnosis Reporting and Filing Hospice Notice of Election (NOE) and Termination or Revocation of Election. This CR rescinds and fully replaces CR 8777. 2014-10-01 8877 MM8877 2014-08-27
R3047CP 2014-08-22 Reporting the Service Location National Provider Identifier (NPI) on Anti-Markup and Reference Laboratory Claims N/A 8806 MM8806 2014-08-27
R3050CP 2014-08-22 Extracorporeal Photopheresis 2014-09-23 8808 MM8808 2014-08-27
R1424OTN 2014-08-22 IDR Shared Systems Daily Claims Feeds Expansion to Accommodate Medical Review Data Elements N/A 8823
R3037CP 2014-08-22 Healthcare Provider Taxonomy Codes (HPTC) Update N/A 8866 MM8866 2014-08-28
R3038CP 2014-08-22 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 2015-01-05 8838 MM8838 2014-08-28
R3039CP 2014-08-22 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2015 2014-10-06 8788 MM8788 2014-08-28
R3049CP 2014-08-25 Update to Pub. 100-04, Chapter 19 to Provide Language-Only Changes for ICD-10, ASC X12, and Medicare Administrative Contractors (MAC) Implementation 2014-09-23 8646
R3051CP 2014-08-25 Adjustment to Fiscal Intermediary Shared System (FISS) Consistency Edit to Implement National Uniform Billing Committee (NUBC) Revision to Occurrence Span Code (OSC) Definition for Code 72. 2014-10-06 8655
R88GI 2014-08-25 Rescinds/Replaces CR 7468 - Updated Instructions for the Change Request Implementation Report (CRIR) and Technical Direction Letter (TDL) Compliance Report (TCR) 2014-09-11 8598
R3033CP 2014-08-22 Influenza Vaccine Payment Allowances - Annual Update for 2014-2015 Season 2014-11-24 8890 MM8890 2014-08-28
R3035CP 2014-08-22 Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 2015-01-05 8893 MM8893 2014-08-28
R3034CP 2014-08-22 Update-Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Fiscal Year (FY) 2015 2014-10-06 8889 MM8889 2014-08-28
R3040CP 2014-08-22 Common Edits and Enhancements Modules (CEM) Code Set Update 2015-01-05 8734
R1P243 2014-08-22 Provider Reimbursement Manual - Part 2, Provider Cost Reporting Forms and Instructions, Chapter 43, Form CMS-1984-14 N/A N/A
R3043CP 2014-08-22 Claim Status Category and Claim Status Codes Update 2015-01-05 8735 MM8735 2014-08-28
R3044CP 2014-08-22 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 21.0, Effective January 1, 2015 2015-01-05 8781 MM8781 2014-08-28
R3045CP 2014-08-22 Instructions for Downloading the Medicare ZIP Code File for January 2015 2015-01-05 8872
R3046CP 2014-08-22 October Update to the CY 2014 Medicare Physician Fee Schedule Database (MPFSDB) 2014-10-06 8888 MM8888 2014-08-28
R3052CP 2014-08-26 Two New “K” Codes for Prefabricated Single and Double Upright Knee Orthosis That Are Furnished Off-The-Shelf (OTS) 2014-10-06 8839 MM8839
R3053CP 2014-08-28 Update to Pub. 100-04, Chapters 7 and 8 to Provide Language-Only Changes for Updating ICD-10, ASC X12, and Medicare Administrative Contractor (MAC) Implementation 2014-09-30 8579
R172NCD 2014-08-29 Ventricular Assist Devices for Bridge-to-Transplant and Destination Therapy 2014-09-30 8803 MM8803 2014-09-03
R3054CP 2014-08-29 Ventricular Assist Devices for Bridge-to-Transplant and Destination Therapy 2014-09-30 8803 MM8803 2014-09-03
R31QRI 2014-08-29 Language-Only Changes for Updating ICD-10 and ASC X12 Language in Pub 100-22, Chapters 1 and 2 N/A 8787
R3056CP 2014-08-29 Sample Collection Fee Adjustment for Clinical Laboratory Fee Schedule and Laboratory Services 2014-12-01 8837 MM8837 2014-09-02
R3055CP 2014-08-29 Annual Clotting Factor Furnishing Fee Update 2015 2015-01-05 8891 MM8891 2014-09-02
R3057CP 2014-08-29 Ambulance Inflation Factor for CY 2015 and Productivity Adjustment 2015-01-05 8895 MM8895 2014-09-02
R193BP 2014-08-29 Cardiac Rehabilitation Programs for Chronic Heart Failure 2014-08-18 8758 MM8758 2014-07-22
R539PI 2014-08-29 Cardiac Rehabilitation Programs for Chronic Heart Failure 2014-08-18 8758 MM8758 2014-07-22
R3058CP 2014-08-29 Cardiac Rehabilitation Programs for Chronic Heart Failure 2014-08-18 8758 MM8758 2014-07-22
R3059CP 2014-09-03 Influenza Vaccine Payment Allowances - Annual Update for 2014-2015 Season 2014-11-24 8890 MM8890 2014-08-28
R194BP 2014-09-03 Pub. 100-02 Language-Only Update for ICD-10 N/A 8605
R1400OTN 2014-08-01 Correction to Hospice Notice of Revocation Processing 2015-01-05 8795
R173NCD 2014-09-04 Pub 100-03, Chapter 1, language-only update N/A 8506
R540PI 2014-09-04 Claims that are Related 2014-09-08 8802
R3061CP 2014-09-04 New Physician Specialty Code for Interventional Cardiology 2015-01-05 8812
R3060CP Automation of the Request for Reopening Claims Process 2014-10-06 8581 MM8581 / SE1426 2014-08-14
R174NCD 2014-09-05 Screening for Hepatitis C Virus (HCV) in Adults N/A 8871 MM8871 2014-09-15
R3063CP 2014-09-05 Screening for Hepatitis C Virus (HCV) in Adults N/A 8871 MM8871 2014-09-15
SE1431 2014-2015 Influenza (Flu) Resources for Health Care Professionals SE1431 2014-09-09
R3064CP 2014-09-10 October Update to the CY 2014 Medicare Physician Fee Schedule Database (MPFSDB) 2014-10-06 8888 MM8888 2014-08-28
R3066CP 2014-09-12 Fiscal Year (FY) 2015 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes 2014-10-06 8900 MM8900 2015-01-09
R3068CP 2014-09-12 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - January 2015 2015-01-05 8907 MM8907 2014-09-15
R3065CP 2014-09-12 Billing for Cost Based Payment for Certified Registered Nurse Anesthetists (CRNA) Services Furnished by Outpatient Prospective Payment System (OPPS) Hospitals 2014-12-15 8897 MM8897 2014-09-16
R541PI 2014-09-12 Claims that are Related 2014-09-08 8802
R3070CP 2014-09-17 New Waived Tests 2014-10-06 8805
R121SOMA 2014-09-19 Update to State Operations Manual (SOM), Publication 100-07, Chapter 3, to Provide Language-Only Changes for Updating ICD-10 N/A N/A
R3071CP 2014-09-19 Manual Update to Clarify Claims Processing for Laboratory Services 2014-12-22 8883 MM8883 2014-09-25
R3072CP 2014-09-19 January 2015 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2015-01-05 8912 MM8912 2014-09-26
R464PR1 2014-09-19 To add Table 26 to update the Medicare Payment Rates for routine SNF-type services by swing-bed hospitals during calendar years 2015. These rates should be used to carve out swing-bed costs on the hospital cost report. N/A N/A
R118MCM 2014-09-19 Conversion from ICD-9 to ICD-10 and from ASC X12 Version 4010 to 5010 N/A N/A
R240FM 2014-09-19 Transitioning Medicare Administrative Contractor (MAC) Workloads to the New Banking Contractor(s) 2014-09-30 8847 MM8847 2014-09-26
R465PR1 2014-09-19 Updating ICD-10 language in the Provider Reimbursement Manual. There are no new policies in this transmittal. Specific policy changes have been announced previously in various communications. N/A N/A
R6P240 2014-09-19 To clarify and correct the existing instructions and incorporate statutory and regulatory changes. N/A N/A
R3073CP 2014-09-23 New Physician Specialty Code for Interventional Cardiology 2015-01-05 8812
R3076CP 2014-09-24 Update to Pub. 100-04, Chapter 15 to Provide Language-Only Changes for Updating ICD-10, ASC X12, and Medicare Administrative Contractors (MAC) Implementation 2014-09-16 8604
R3075CP 2014-09-24 Date Correction to Diagnosis Code Reporting on Religious Nonmedical Health Care Institution (RNHCI) Claims 2014-11-12 8857
R1428OTN 2014-09-24 Correction to Hospice Notice of Revocation Processing 2015-01-05 8795 MM8795 2014-09-26
R6P241 2014-09-19 To clarify and correct existing instructions N/A N/A
R241FM 2014-09-26 Recovery Audit Program Tracking Appeals and Reopenings 2014-10-07 8411
R3080CP 2014-09-26 October 2014 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2014-10-06 8873 MM8873 2014-08-05
R3081CP 2014-09-26 Update to Pub. 100-04, Chapter 23 to Provide Language-Only Changes for Conversion to ICD-10 N/A 8692
R3078CP 2014-09-26 October 2014 Update of the Ambulatory Surgical Center (ASC) Payment System 2014-10-06 8880 MM8880 2014-08-18
R3077CP 2014-09-26 Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes 2015-01-05 8914
R108DEMO 2014-09-26 Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 January 2015 Updates 2015-01-05 8849
R543PI 2014-09-26 Defending Medical Review Decisions at Administrative Law Judge (ALJ) Hearings 2014-10-27 8501
R122SOMA 2014-09-26 Revisions to State Operations Manual (SOM), Appendix A – Survey Protocol, Regulations and Interpretive Guidelines for Hospitals 2014-09-26 N/A
R3082CP 2014-09-30 Update-Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Fiscal Year (FY) 2015 2014-10-06 8889 MM8889 2014-08-28
R1429OTN 2014-10-01 Fee for Service Beneficiary Data Streamlining (FFS BDS) Updates to Operational Issues 2015-01-05 8677
R3083CP 2014-10-02 Form CMS-1500 Instructions: Revised for Form Version 02/12 2014-01-06 8509 MM8509 2014-01-02
R123SOMA 2014-10-03 Revisions to State Operations Manual (SOM) Chapters 1, 2 and 3 2014-10-03 N/A
R175NCD 2014-10-03 Intensive Cardiac Rehabilitation Program - Benson-Henry Institute Cardiac Wellness Program 2014-11-04 8894 MM8894 2014-10-14
R3084CP 2014-10-03 Intensive Cardiac Rehabilitation Program - Benson-Henry Institute Cardiac Wellness Program 2014-11-04 8894 MM8894 2014-10-14
R3087CP 2014-10-03 2015 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments 2015-01-05 8942 MM8942 2014-10-06
R3088CP 2014-10-03 2015 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update 2015-01-05 8943 MM8943 2014-10-06
R3085CP 2014-10-03 Update to Pub. 100-04, Chapter 17 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2014-11-04 8647
R109DEMO 2014-09-02 Updates to the Model 4 Bundled Payment of Care Initiative (BPCI) Payment Calculation to Include Uncompensated Care Payment (UCP) and Reduction in Payment Due to Sequestration 2015-01-05 8767
R3086CP 2014-09-03 Update to Pub. 100-04, Chapter 1 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2014-11-04 8687
R3090CP 2014-10-07 Ambulance Inflation Factor for CY 2015 and Productivity Adjustment 2015-01-05 8895
R120SOMA 2014-09-18 Revisions to State Operations Manual (SOM) Chapter 5 2014-09-19 N/A
R3091CP 2014-10-10 Update to Pub. 100-04 Chapter 13 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2014-11-10 8614
R124SOMA 2014-10-10 Revisions to State Operations Manual (SOM), Appendix W, Interpretive Guidelines for Critical Access Hospitals 2014-10-10 N/A
R106MSP 2014-10-10 Medicare Secondary Payer (MSP) Group Health Plan (GHP) Working Aged Policy -- Definition of “Spouse”; Same-Sex Marriages 2015-01-01 8875 MM8875 2014-10-14
R3092CP 2014-10-10 Annual Medicare Physician Fee Schedule (MPFS) Files Delivery and Implementation 2015-01-05 8939
R242FM 2014-10-10 Medicare Financial Management Manual, Chapter 7, Internal Controls 2014-11-11 8885
R105MSP 2014-10-10 Electronic Correspondence Referral System (ECRS) notification regarding Defense of Marriage Act (DOMA) and ICD-10 changes 2015-01-01 8911
R2MPI 2014-10-10 Update to Pub.: 100-15, Chapter 09, to Provide Language-Only Changes for Updating ICD-10 N/A N/A
R18QIO 2014-10-10 Update to Pub. 100-10, Chapters 04 and 07 to Provide Language-Only Changes for Updating ICD-10 N/A N/A
R243FM 2014-10-14 Notice of New Interest Rate for Medicare Overpayments and Underpayments - 1st Qtr Notification for FY 2015 2014-10-20 8988
R7P211 2014-10-10 Sections 1100-1102.3 are being revised to replace the terms “intermediary” and “contractor” with the term Medicare Administrative Contractor (MAC). N/A N/A
R3096CP 2014-10-17 Medicare Coverage of Ultrasound Screening for Abdominal Aortic Aneurysms (AAA) and Screening Fecal-Occult Blood Tests (FOBT) 2014-11-18 8881 MM8881 2014-10-31
R176NCD 2014-10-17 Medicare Coverage of Ultrasound Screening for Abdominal Aortic Aneurysms (AAA) and Screening Fecal-Occult Blood Tests (FOBT) 2014-11-18 8881
R196BP 2014-10-17 Medicare Coverage of Ultrasound Screening for Abdominal Aortic Aneurysms (AAA) and Screening Fecal-Occult Blood Tests (FOBT) 2014-11-18 8881
R244FM 2014-10-17 Treasury Report on Receivables (TROR) Reporting 2014-11-18 8936
R546PI 2014-10-17 Documentation for Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS) Repair Claims. This CR rescinds and fully replaces CR 8843. 2014-11-04 8952
R547PI 2014-10-17 Review Timeliness Requirements for Complex Review 2015-02-24 8443
R548PI 2014-10-17 Deletion of Program Integrity Manual Exhibit 34 2014-11-18 8904
R3097CP 2014-10-20 October Update to the CY 2014 Medicare Physician Fee Schedule Database (MPFSDB) 2014-10-06 8888 MM8888 2014-08-28
R3098CP 2014-10-21 Reporting the Service Location National Provider Identifier (NPI) on Anti-Markup and Reference Laboratory Claims 2015-04-05 8806 MM8806 2014-08-28
R107MSP 2014-10-24 Update to Pub. 100-05, Chapters 05 and 06 to Provide Language-Only Changes for Updating ICD-10 and ASC X12 2014-11-28 8947
R3099CP 2014-10-24 Instructions for Retrieving the 2015 Pricing and HCPCS Data Files through CMS' Mainframe Telecommunications Systems 2015-01-05 8966
R3100CP 2014-10-24 2015 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder 2015-01-05 8975
R8P211 2014-10-24 Part 2, Provider Cost Reporting Forms and Instructions, Chapter 11, Form CMS-339 N/A N/A
R125SOMA 2014-10-31 Revisions to State Operations Manual (SOM) Chapter 2 2014-10-31 N/A
R550PI 2014-10-31 One on One Education 2014-12-02 8964
R197BP 2014-10-24 Clarification of the End Stage Renal Disease (ESRD) Prospective Payment System (PPS) Low Volume Adjustment 2015-01-05 8898 MM8898 2014-11-05
R2949CP 2014-05-07 Quarterly Update to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) 2014-07-07 8698 MM8698 2014-11-05
R3103CP 2014-11-03 Reporting the Service Location National Provider Identifier (NPI) on Anti-Markup and Reference Laboratory Claims 2015-01-05 8806 MM8806 2014-08-28
R1436OTN 2014-11-06 Fee for Service Beneficiary Data Streamlining (FFS BDS) Phase II Analysis 2015-04-06 8915
R3115CP 2014-11-06 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 2015-04-06 100-04
R1440OTN 2014-11-06 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for April 2015 2015-04-06 8851
R3107CP 2014-11-06 Medicare Shared Systems Modifications Necessary to Capture various HIPAA compliant fields 2015-04-06 8384 MM8384 2014-11-12
R3106CP 2014-11-06 Implementing the payment policies related to Patient Status from the CMS-1599-F 2015-02-10 8959 MM8959 2014-11-12
R1441OTN 2014-11-06 Implementation Instructions for the A/B and DME Medicare Administrative Contractors (MACs) and their Designated Shared Systems to Send the Correct Cost Avoided Indicator and Special Project Type to the Common Working File (CWF) To Ensure Correct Savings is Applied Both to the Medicare Secondary Payer (MSP) Savings Report and the Originating Contractor 2015-04-06 8762
R1435OTN 2014-11-06 New Informational Unsolicited Response (IUR) Process for Durable Medical Equipment (DME) Items Furnished during a Part A Hospital Inpatient Stay 2015-04-06 8844 MM8844 2014-11-12
R3116CP 2014-11-06 Elimination of the 50/50 Payment Rule for Laboratory Services on End Stage Renal Disease (ESRD) Claims 2015-04-06 8957 MM8957 2014-11-12
R1434OTN 2014-11-06 Payment for G0101 and Q0091 in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) that Bill under the All-Inclusive Rate (AIR) System 2015-04-06 8927 MM8927 2014-11-12
R1433OTN 2014-11-06 Additional Instruction on the Use of Claims Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs) with Regard to Operating Rule: 360 Compliance 2015-04-06 8790
R1438OTN 2014-11-06 Data Quality between the Fiscal Intermediary Shared System (FISS) and the Common Working File (CWF) 2015-04-06 8931
R108MSP 2014-11-07 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
R1437OTN 2014-11-06 Data Quality Between the Multi Carrier System (MCS) and ViPS Medicare System (VMS) and the Common Working File (CWF) 2015-04-06 8930
R3105CP 2014-11-06 Medicare Coverage of Items and Services in Category A and B Investigational Device Exemption (IDE) Studies 2015-01-05 8921 MM8921 2014-11-12
R3104CP 2014-11-06 Correction to Remittance Information When HIPPS Codes are Re-coded by Medicare Systems 2015-04-06 8950 MM8950 2014-11-12
R198BP 2014-11-06 Medicare Coverage of Items and Services in Category A and B Investigational Device Exemption (IDE) Studies 2015-01-05 8921 MM8921 2014-11-12
R3118CP 2014-11-06 Correction to Remittance Messages When Hospice Claims are Reduced Due to Late Filing of the Notice of Election. 2015-04-06 8923 MM8923 2014-11-12
R3102CP 2014-11-03 Calendar Year (CY) 2015 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures 2014-11-07 8967
SE1432 2014-11-14 Revised Centers for Medicare & Medicaid Services (CMS) 855R Application - Reassignment of Medicare Benefits SE1432 2014-11-14
R3123CP 2014-11-13 October Quarterly Update for 2014 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 2014-10-06 8865
R3124CP 2014-11-13 2015 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder 2015-01-05 8975
R3120CP 2014-11-14 Therapy Cap Values for Calendar Year (CY) 2015 2015-01-05 8970 MM8970 2014-11-17
R3121CP 2014-11-14 2015 Annual Update to the Therapy Code List 2015-01-05 8985 MM8985 2014-11-17
R554PI 2014-11-14 New Timeframe for Response to Additional Documentation Requests 2015-04-06 8583 MM8583 2014-11-17
R1444OTN 2014-11-14 Analysis and Design to Automate Adjustments That Are Completed In The Common Working File (CWF) When Inpatient (INP) Or Skilled Nursing Facility (SNF) Claims Are Processed Out Of Sequence. 2015-04-06 8934
R199BP 2014-11-14 Implementation of Changes in the End-Stage Renal Disease Prospective Payment System (ESRD PPS) for Calendar Year (CY) 2015 2015-01-05 8978 MM8978 2014-11-17
R3125CP 2014-11-14 Implementation of Changes in the End-Stage Renal Disease Prospective Payment System (ESRD PPS) for Calendar Year (CY) 2015 2015-01-05 8978
R177NCD 2014-11-19 Screening for Hepatitis C Virus (HCV) in Adults N/A 8871 MM8871 2014-11-20
R3127CP 2014-11-19 Screening for Hepatitis C Virus (HCV) in Adults N/A 8871 MM8871 2014-11-20
R245FM 2014-11-21 Required Changes to the Company Entry Description Value in the Batch Header Record for Backup Withholding Files 2015-04-06 8996
R89GI 2014-11-21 Update to Medicare Deductible, Coinsurance and Premium Rates for 2015 2015-01-05 8982 MM8982 2014-11-24
R3129CP 2014-11-21 CY 2015 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2015-01-05 8999 MM8999 2014-11-24
R126SOMA 2014-11-21 Revisions to State Operations Manual (SOM), Chapter 4 – “Program Administration and Fiscal Management” 2014-11-21 N/A
R466PR1 2014-11-21 Medicare Provider Reimbursement Manual Part 1, Chapter 9, Compensation of Owners 2014-11-21 N/A
R127SOMA 2014-11-26 Revisions to State Operations Manual (SOM), Appendix PP – “Guidance to Surveyors for Long Term Care Facilities” 2014-11-26 N/A
R246FM 2014-11-26 Recovery Auditor Appeal Adjustments with “RI” Indicator 2014-12-29 8973
R3132CP 2014-11-26 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 21.1, Effective April 1, 2015 2015-04-06 8908 MM8908 2014-11-28
R3135CP 2014-11-26 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 2015-04-06 8983 MM8983 2014-11-28
R3136CP 2014-11-26 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - April 2015 2015-04-06 8918 MM8918 2014-11-28
R3131CP 2014-11-26 Common Edits and Enhancements Modules (CEM) Code Set Update 2015-04-06 8962
R3134CP 2014-11-26 Instructions for Downloading the Medicare ZIP Code File for April 2015 2015-04-06 8963
R3138CP 2014-11-26 Fiscal Year (FY) 2015 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes 2014-10-06 8900 MM8900 2015-01-09
R558PI 2014-11-26 Update to the Program Integrity Manual (Pub. 100-08) Exhibit 36 - Overview of the CERT Process 2014-12-29 8859
R556PI 2014-11-26 Revisions to Pub. 100-08, Program Integrity Manual (PIM), Chapter 15 2014-12-29 8810 MM8810 2014-12-01
R557PI 2014-11-26 Update to CMS Publication 100-08, Chapter 3, Section 3.2.3.4 (Additional Documentation Request Required and Optional Elements) 2014-12-29 8948
R119MCM 2014-11-28 Chapter 16b: Special Needs Plans 2014-11-28 N/A
R3140CP 2014-12-02 Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2015 2015-01-05 8969 MM8969 2014-12-09
R3139CP 2014-12-02 Implementation of Changes in the End-Stage Renal Disease Prospective Payment System (ESRD PPS) for Calendar Year (CY) 2015 2015-01-05 8978
R200BP 2014-12-02 Implementation of Changes in the End-Stage Renal Disease Prospective Payment System (ESRD PPS) for Calendar Year (CY) 2015 2015-01-05 8978
SE1434 2014-12-03 Provider Enrollment Requirements for Writing Prescriptions for Medicare Part D Drugs SE1434 2014-12-03
R3143CP 2014-12-05 Claim Status Category and Claim Status Codes Update 2015-04-06 8994 MM8994 2014-12-09
R128SOMA 2014-12-05 Revisions to State Operations Manual (SOM) Table of Contents Appendix J and Appendix Table of Contents Letter J Description 2014-12-05 N/A
R129SOMA 2014-12-05 State Operations Manual (SOM) Appendix Y- Organ Procurement Organization (OPO) Interpretive Guidance Revisions to §486.318 Condition: Outcome Measures 2014-12-05 N/A
R3101CP 2014-10-31 Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2015 N/A 8969
R3093CP 2014-12-05 Medicare Physician Fee Schedule Database (MPFSDB) 2015 File Layout Manual N/A 8958
R3144CP 2014-12-05 Medicare Physician Fee Schedule Database (MPFSDB) 2015 File Layout Manual 2015-01-05 8958
R1445OTN 2014-12-05 Rescind and Replace of CR 8409: Reclassification of Certain Durable Medical Equipment from the Inexpensive and Routinely Purchased Payment Category to the Capped Rental Payment Category 2014-04--7 8566 MM8566
R3145CP 2014-12-09 Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2015 2015-01-05 8969 MM8969 2014-12-09
R1446OTN 2014-12-05 IDR Shared Systems Daily Claims Feeds Expansion to Accommodate Medical Review Data Elements 2015-01-05 8823
R3146CP 2014-12-11 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 2014-12-15
R110DEMO 2014-10-31 Termination of Multi-Payer Advance Primary Care Practice (MAPCP) Demonstration in Minnesota and Pennsylvania 2015-01-05 8902
R3094CP 2014-10-10 Preventive and Screening Services — Update - Intensive Behavioral Therapy for Obesity, Screening Digital Tomosynthesis Mammography, and Anesthesia Associated with Screening Colonoscopy N/A 8874
R3150CP 2014-12-12 January 2015 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2015-01-05 9014 MM9014 2014-12-17
R3147CP 2014-12-12 Calendar Year (CY) 2015 Rural Health Clinic (RHC) and Federally Qualified Health Centers (FQHC) Updates: Payment Rate Increases for RHCs and FQHCs Billing Under the All-Inclusive Rate System (AIR) and Urban and Rural Designations for FQHCs Billing Under the AIR 2015-01-05 8980 MM8980 2014-12-17
R1447OTN 2014-112-12 Change in Applying Co-insurance and Lifetime Reserve (LTR) Amounts on Informational Only Claims with Condition Code (CC) 04 2015-01-05 8704
R561PI 2014-12-12 Incorporation of Certain Provider Enrollment Policies in CMS-4159-F into Pub. 100-08, Program Integrity Manual (PIM), Chapter 15 2015-03-18 8901 MM8901 2014-12-22
R3149CP 2014-12-12 New Waived Tests 2015-01-05 8951 MM8951 2014-12-17
R3148CP 2014-12-12 2015 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List 2015-01-05 9018 MM9018 2014-12-23
R560PI 2014-12-12 Program Integrity Manual Chapter 12 Revision 2015-01-01 8905
R201BP 2014-12-12 Medicare Benefit Policy Manual - RHC and FQHC Update - Chapter 13 2015-01-05 8981 MM8981 2014-12-17
SE1435 FAQs – International Classification of Diseases, 10th Edition (ICD-10) End-to-End Testing SE1435 2014-12-12
R178NCD 2014-12-05 Transcatheter Mitral Valve Repair (TMVR)-National Coverage Determination (NCD) 2015-04-06 9002 MM9002 2014-12-23
R3142CP 2014-12-05 Transcatheter Mitral Valve Repair (TMVR)-National Coverage Determination (NCD) 2015-04-06 9002 MM9002 2014-12-23
R130SOMA 2014-12-12 Revisions to State Operations Manual (SOM), Appendix PP –“Guidance to Surveyors for Long Term Care Facilities” 2014-12-12 N/A
R3151CP 2014-12-17 Correction to Remittance Information When HIPPS Codes are Re-coded by Medicare Systems 2015-04-06 8950 MM8950 2014-12-22
R1448OTN 2014-12-17 Fee for Service Beneficiary Data Streamlining (FFS BDS) Updates to Operational Issues 2015-01-05 8677
R1449OTN 2014-12-17 2015 Electronic Health Record System Payment Adjustment Letter 2014-12-29 9024
R114DEMO 2014-12-19 Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 April 2015 Updates 2015-04-06 8986
R3152CP 2014-12-19 Calendar Year (CY) 2015 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 2015-01-05 9028 MM9028 2014-12-22
R3153CP 2014-12-19 January 2015 Integrated Outpatient Code Editor (I/OCE) Specifications Version 16.0 2015-01-05 9005 MM9005 2015-01-02
R30COM 2014-12-19 Revision of Pub. 100-06 - Medicare Financial Management Manual, Chapter 6 - Intermediary and Carrier Financial Reports, and Pub. 100-09 - Medicare Contractor Beneficiary and Provider Communications, Chapter 6 - Provider Customer Service Program 2015-01-23 8906
R248FM 2014-12-19 Revision of Pub. 100-06 - Medicare Financial Management Manual, Chapter 6 - Intermediary and Carrier Financial Reports, and Pub. 100-09 - Medicare Contractor Beneficiary and Provider Communications, Chapter 6 - Provider Customer Service Program 2015-01-23 8906
R3154CP 2014-12-19 Automation of the Request for Reopening Claims Process N/A 8581
R3156CP 2014-12-22 January 2015 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2015-01-05 9014 MM9014 2014-12-17
R109MSP 2014-12-24 Electronic Correspondence Referral System (ECRS) notification regarding Defense of Marriage Act (DOMA) and ICD-10 changes 2015-01-01 8911
R3157CP 2014-12-24 Summary of Policies in the CY 2015 Medicare Physician Fee Schedule (MPFS) Final Rule and Telehealth Originating Site Facility Fee Payment Amount 2015-01-05 9034 MM9034 2014-12-29
R3158CP 2014-12-24 January 2015 Update of the Ambulatory Surgical Center (ASC) Payment System 2015-01-05 9021
SE1436 Certifying Patients for the Medicare Home Health Benefit SE1436 2014-12-29
R565PI 2014-12-31 Update to CMS Publication 100-08, Chapter 3, Section 3.2.3.2 (Time Frames for Submission) 2015-02-02 9012
R3159CP 2014-12-31 Modifications to Medicare Part B Coverage of Pneumococcal Vaccinations 2015-02-02 9051 MM9051 2015-01-02
R202BP 2014-12-31 Modifications to Medicare Part B Coverage of Pneumococcal Vaccinations 2015-02-02 9051 MM9051 2015-01-02
R3004CP 2015-04-07 Modification to the National Coordination of Benefits Agreement (COBA) Crossover Process 2015-01-05 8731
.