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2016 Transmittals

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Transmittal # Issue Date Subject Implementation Date CR # MM Article # MM Article Release Date
R1590OTN 2016-01-05 Implementation of Procedures for Undeliverable Medicare Summary Notices (uMSNs) N/A 100-20
R218BP 2016-01-08 Calendar Year (CY) 2016 Eligibility Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) Low-Volume Payment Adjustment (LVPA) 2016-01-22 9478 MM9478 2016-01-12
R3438CP 2016-01-08 Emergency Update to the CY 2016 Medicare Physician Fee Schedule Database (MPFSDB) 2016-01-04 9495 MM9495 2016-01-11
R1591OTN 2016-01-08 Changes to the Medicare Electronic Health Record (EHR) Incentive Program Payment Adjustment beginning January 1, 2016 2016-01-04 9441
R3437CP 2016-01-06 January 2016 Integrated Outpatient Code Editor (I/OCE) Specifications Version 17.0 2016-01-04 9459 MM9459 2016-01-11
R219BP 2016-01-13 Calendar Year (CY) 2016 Eligibility Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) Low-Volume Payment Adjustment (LVPA) 2016-01-22 9478 MM9478 2016-01-14
R258FM 2016-01-12 Notice of New Interest Rate for Medicare Overpayments and Underpayments -2nd Qtr Notfication for FY 2016 2016-01-19 9532
R1592OTN 2016-01-15 Award of Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Contract for Jurisdiction D 2016-03-01 9453
R259FM 2016-01-15 Internet Only Manual Pub.100-06, Chapter 4 Revisions to Reflect the New Debt Referral Requirements Mandated by the Digital Accountability and Transparency Act of 2014 (DATA Act) 2016-02-16 9469
R633PI 2016-01-15 Medicare Program Integrity Changes - Pub. 100-08 Chapter 7 2016-02-16 9497
R3439CP 2016-01-15 Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits 2016-04-04 9502 MM9502 2016-01-28
R3440CP 2016-01-15 New Waived Tests 2016-04-04 9515 MM9515 2016-01-28
R3441CP 2016-01-15 Update to Pub. 100-04, Chapter 02 Admission and Registration Requirements, for Provider Verification of Beneficiary Eligibility and Entitlement 2016-02-16 9457
R97GI 2016-01-15 Internet Only Manual (IOM) Publication 100-01 - General Information, Eligibility, and Entitlement, Chapter 7 - Contract Administrative Requirements, Section 40 - Shared System Maintainder Responsibilities for Systems Releases 2015-09-21 9219
R220BP 2016-01-15 Rural Health Clinic and Federally Qualified Health Center - Medicare Benefit Policy Manual Update 2016-02-01 9442 MM9442 2016-01-25
R1593OTN 2016-01-22 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2016 2016-07-05 9496
R3404CP 2015-11-13 Chapter 24 of the Medicare Claims Processing Manual, Pub. 100-04 - Enrollment Form Update 2015-12-14 9430
R1595OTN 2016-01-22 Issuing Continuing Compliance Letters to Specific Providers and Suppliers 2016-02-22 9462
R634PI 2016-01-22 Reviewers' Credentials, Notifying the Provider, CARC Code Update 2016-04-22 9333
R1596OTN 2016-01-26 Required Billing Updates for Rural Health Clinics 2016-04-04 9269 MM9269 2016-02-01
R1603OTN 2016-01-29 Part B Detail Line Expansion – MCS Phase 1 2016-10-03 9537
R262FM 2016-01-29 New Physician Specialty Code for Dentist 2016-07-05 9355 MM9355 2016-01-29
R3447CP 2016-01-29 New Physician Specialty Code for Dentist 2016-07-05 9355 MM9355 2016-01-29
R1598OTN 2016-01-29 Shared System Enhancement 2015 Resolve Operating Report (ORPT) Issues, Analysis and Design 2016-07-05 9417
R261FM 2016-01-29 Monitoring Accounts Receivable that are in a Redetermination or Reconsideration Status 2016-03-01 9470
R260FM 2016-01-29 Revision to Chapter 3 Section 200: Limitation on Recoupment - Medicare Overpayments Manual 2016-03-01 9458
R1597OTN 2016-01-29 System Specific Enhancement 2014: Create A Single Trailer-Generating Module in Common Working File (CWF) 2016-07-05 9184
R3445CP 2016-01-29 Off-Cycle Update to the Long Term Care Hospital (LTCH) Prospective Payment System (PPS) Fiscal Year (FY) 2016 Pricer 2016-04-04 9527 MM9527 2016-01-29
R1601OTN 2016-01-29 Payment Clarification for the Purchase of Used Inexpensive and Routinely Purchased Durable Medical Equipment (DME) when Previously Rented 2016-07-05 9491 MM9491 2016-02-01
R1607OTN 2016-01-29 Shared System Enhancement 2015 Improve Efficiency of Drug Code, Provider, and Procedure and Diagnosis Codes Processing, Analysis and Design 2015-07-05 9420
R1602OTN 2016-01-29 Part B Detail Line Expansion – MCS Phase 4 2016-07-05 9538
R1605OTN 2016-01-29 Common Working File (CWF) Daily Beneficiary Extract Files Reaching Maximum Record Size, Analysis and Design for Possible Data Reorganization 2016-07-05 9451
R1606OTN 2016-01-29 Shared System Enhancement 2015 Edit Control/Override Table, Analysis and Design 2016-07-05 9418
R3443CP 2016-01-29 Manual Update to Pub. 100-04, Chapter 20, to Include Used Rental Equipment 2016-07-05 9488 MM9488 2016-01-29
R1600OTN 2016-01-29 Award of Medicare Adminstrative Contractor (MAC) Contract for Jurisdiction 15 2016-03-01 9456
R3444CP 2016-01-29 Payment for Purchased Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Furnsihed to Medicare Beneficiaries Residing Outside the U.S. - Expatriate Beneficiaries 2016-07-05 9468
R3450CP 2016-02-04 April 2016 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2016-04-04 9536 MM9536 2016-02-05
R636PI 2016-02-04 Update to Pub. 100-08, Chapter 15 2016-03-04 9390 MM9390 2016-02-09
R1617OTN 2016-02-04 System Specific Enhancement 2014: String Testing Automation N/A 9224
R1609OTN 2016-02-04 Accredited Standards Committee (ASC) X12 Healthcare Claims Acknowledgement (277CA) Flat File Update 2016-07-05 9454 MM9454 2016-02-04
R1615OTN 2016-02-04 Advance Care Planning (ACP) Services furnished by Rural Health Clinics (RHCs) 2016-07-05 9503
R1616OTN 2016-02-04 Updating the Fiscal Intermediary Shared System (FISS) to Make Payment for Drugs and Biologicals Services for Outpatient Prospective Payment System (OPPS) Providers 2016-07-05 9479
R3454CP 2016-02-04 Correction to Applying Therapy Caps to Maryland Hospitals and Billing Requirement for Rehabilitation Agencies and Comprehensive Outpatient Rehabilitation Facilities (CORFs) 2016-07-05 9489 MM9489 2016-02-05
R3449CP 2016-02-04 Off-Cycle Update to the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2016 Pricer 2016-04-04 9523 MM9523 2016-02-16
R635PI 2016-02-04 Clarification to Language Regarding Proof of Delivery Requirements in Pub. 100-08, Chapter 4, Section 4.26.1 2016-03-04 9487
R1610OTN 2016-02-04 System Specfiic Enhancement 2014: Fiscal Intermediary Standard System (FISS) Edit/Rules Engine Analysis and Design 2016-07-05 9211
R3457CP 2016-02-05 New Condition Code for Reporting Home Health Episodes With No Skilled Visits 2016-07-05 9474 MM9474 2016-02-05
R1624OTN 2016-02-05 System Specific Enhancement 2015: Fiscal Intermediary Standard System (FISS) Enhanced Purge Process 2016-07-05 9399
R1618OTN 2016-02-05 System Specific Enhancement 2015: Replace FISS ACS/Development Letters with HP Exstream, Analysis Only 2016-07-05 9398
R1619OTN 2016-02-05 Revision to Fiscal Intermediary Shared System (FISS) Lab Travel Allowance Editing to Include New Specimen Collection Code G0471 2016-07-05 9471 MM9471 2016-02-05
R1620OTN 2016-02-05 Shared System Enhancement 2015: National Coverage Determination (NCD) Analysis Process 2016-07-05 9414
R189NCD 2016-02-05 Screening for Cervical Cancer With Human Papillomavirus (HPV) Testing—National Coverage Determination (NCD) 2017-01-03 9434 MM9434 2016-02-18
R3452CP 2016-02-04 Additional Fields Added to the Outlier Reconciliation Lump Sum Utility 2016-07-05 9472
R190NCD 2016-02-05 Screening for the Human Immunodeficiency Virus (HIV) Infection 2017-01-03 9403 MM9403 2016-02-17
R3460CP 2016-02-05 Screening for Cervical Cancer With Human Papillomavirus (HPV) Testing—National Coverage Determination (NCD) 2017-01-03 9434 MM9434 2016-02-18
R3461CP 2016-02-05 Screening for the Human Immunodeficiency Virus (HIV) Infection 2017-01-03 9403 MM9403 2016-02-17
R1622OTN 2016-02-05 Shared System Enhancement 2015 Analysis and Design HUOPCUT Hospice Period and Health Maintenance Organization (HMO) Processing 2016-07-05 9419
R1625OTN 2016-02-05 Identifying "No Documentation" Medical Necessity Denials for Claims Flagged for Recovery Auditor Review N/A 8913
R1623OTN 2016-02-05 Using scrubbed Medicare beneficiary/legal rep address data within the Fee-For-Service (FFS) systems - Analysis and Design 2016-07-05 9464
R263FM 2016-02-05 Contractor Reporting of Operational and Workload Data (CROWD) Form 5 Update with Revisions to Pub. 100-06 Medicare Financial Management Manual, Chapter 6 2016-07-05 8998
R637PI 2016-02-05 Comprehensive Error Rate Testing (CERT) program Treatment of Claims in the Prior Authorization Model 2016-07-05 9238
R24QIO 2016-02-12 QIO Manual Chapter 9 – “Sanction, Emergency Medical Treatment and Labor Act (EMTALA), and Fraud and Abuse” 2016-03-14 NA
R139DEMO 2016-02-11 Oncology Care Model (OCM) Monthly Enhanced Oncology Services (MEOS) Payment Implementation 2016-04-04 9341
R264FM 2016-02-12 Extended Repayment Schedule (ERS) Manual Updates 2016-03-14 9423
R3468CP 2016-02-18 Medicare Internet Only Manual (IOM) Publication 100-04 Chapter 27 Contractor Instructions for CWF 2015-12-02 9293
R641PI 2016-02-19 Proof of Delivery in Nursing Facilities 2016-03-19 9524
SE1606 Guidance on the Physician Quality Reporting System (PQRS) 2014 Reporting Year and 2016 Payment Adjustment for Rural Health Clinics (RHCs), Federally Qualified Health Centers (FQHCs), and Critical Access Hospitals (CAHs) SE1606 2016-02-19
R3469CP 2016-02-19 Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April CY 2016 Update 2016-04-04 9531 MM9531 2016-02-23
R140DEMO 2016-02-19 Comprehensive Care for Joint Replacement Model (CJR) Provider Education 2016-04-04 9533 MM9533 2016-02-23
R54QRI 2016-02-19 Fiscal Year 2017 and After Payments to Inpatient Rehabilitation Facilities (IRFs) That Do Not Submit Required Quality Data - This CR Rescinds and Fully Replaces CR 9106. 2016-04-01 9543 MM9543 2016-02-23
R3467CP 2016-02-19 Healthcare Provider Taxonomy Codes (HPTCs) April 2016 Code Set Update 2016-07-05 9461 MM9461 2016-02-23
R3466CP 2016-02-19 Common Edits and Enhancements Modules (CEM) Code Set Update 2016-07-05 9446
R1627OTN 2016-02-19 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP): Implementation of Round 2 Recompete of the DMEPOS CBP Program and National Mail Order (NMO) Recompete 2016-07-05 9490
R141DEMO 2016-02-19 Medicare Care Choices Model (MCCM) - Per Beneficiary per Month Payment (PBPM) - Implementation 2016-03-14 9136
R1628OTN 2016-02-19 Identification of Obsolete Shared System Maintainer (SSM) On-Request Jobs - VMS 2015-10-05 9102
R1626OTN 2016-02-19 Reclassification of Certain Durable Medical Equipment HCPCS Codes Included in Competetive Bidding Programs (CBP) from the Inexpensive and Routinely Purchased Payment Category tot he Capped Rental Payment Category N/A 8822 MM8822 2016-02-23
R642PI 2016-02-22 Medicare Program Integrity Changes - Pub. 100-08 Chapter 7 2016-02-16 9497
SE1605 Provider Enrollment Revalidation - Cycle 2 SE1605 2016-02-22
R3471CP 2016-02-26 April 2016 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2016-04-04 9549 MM9549 2016-02-29
R3472CP 2016-02-26 April Quarterly Update for 2016 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 2016-04-04 9554 MM9554 2016-02-29
R1630OTN 2016-02-26 Coding Revisions to National Coverage Determinations 2016-07-05 9540 MM9540 2016-05-11
R1629OTN 2016-02-23 Identification of Obsolete Shared System Maintainer (SSM)Reports-VMS 2015-10-05 9103
R1631OTN 2016-02-26 Shared System Enhancement 2015 Edit Control/Override Table, Analysis and Design 2016-07-05 9418
R1632OTN 2016-03-02 Shared System Enhancement 2015 Resolve Operating Report (ORPT) Issues, Analysis and Design 2016-07-05 9417
R3473CP 2016-03-04 July Quarterly Update to 2016 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 2016-07-05 9561 MM9561 2016-03-07
R55QRI 2016-03-04 Fiscal Year 2017 and After Payments to Long Term Care Hospitals That Do Not Submit Required Quality Data - This CR Rescinds and Fully Replaces CR9105 2016-04-01 9544 MM9544 2016-03-07
R3475CP 2016-03-04 Updates to Pub. 100-04, Chapters 4 and 5 to Correct Remittance Advice Messages 2016-06-06 9424 MM9424 2016-03-07
R3478CP 2016-03-11 April 2016 Update of the Ambulatory Surgical Center (ASC) Payment System 2016-04-04 9557 MM9557 2016-03-15
R221BP 2016-03-11 Telehealth Services 2016-04-11 9428 MM9428 2016-03-15
R1633OTN 2016-03-11 Settlement Effectuation Instructions for the Department of Health and Human Services' (DHHS) Office of Medicare Hearings and Appeals (OMHA) Settlement Conference Facilitation (SCF) Pilot Related to Part A Appeals (Phase 3) 2016-04-11 9521
R3476CP 2016-03-11 Telehealth Services 2016-04-11 9428
R3477CP 2016-03-11 April 2016 Integrated Outpatient Code Editor (I/OCE) Specifications Version 17.1 2016-04-04 9553 MM9553 2016-03-15
R1635OTN 2016-03-11 VMS System Changes to Implement New Workload IDs for Jurisdiction A and Jurisdiction B Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs) 2016-07-05 9574
R1636OTN 2016-03-11 Implementation of the Award for Jurisdiction B Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Workload N/A 9526 MM9526 2016-03-15
R1634OTN 2016-03-11 Implementation of the Award for Jurisdiction A Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Workload 2016-07-05 9546 MM9546 2016-03-15
SE1601 Medicare Coverage for Chiropractic Services – Medical Record Documentation Requirements for Initial and Subsequent Visits SE1601 2016-03-16
SE1602 Use of the AT modifier for Chiropractic Billing (new information along with information in MM3449) SE1602 2016-03-16
SE1603 2016-03-16 Educational Resources to Assist Chiropractors with Medicare Billing SE1603 2016-03-16
R265FM 2016-03-16 2016-07-05 8998
R3479CP 2016-03-18 New Waived Test 2016-07-05 9563 MM9563 2016-03-23
R9P240 2016-03-18 Part 2, Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10 N/A N/A
R3483CP 2016-03-22 April 2016 Integrated Outpatient Code Editor (I/OCE) Specifications Version 17.1 2016-04-04 9553 MM9553 2016-03-24
R3482CP 2016-03-18 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 22.2, Effective July 1, 2016 2016-07-05 9516 MM9516 2016-03-24
R3481CP 2016-03-18 Updates to Pub. 100-04, Chapters 3, 6, 7 and 15 to Correct Remittance Advice Messages 2016-06-20 9562 MM9562 2016-03-23
R3480CP 2016-03-18 Instructions for Downloading the Medicare ZIP Code File for July 2016 2016-07-05 9509
R3459CP 2016-02-05 Payment Change for Group 3 Complex Rehabilitative Power Wheelchairs Accessories and Seat and Back Cushions under Section 2 of the Patient Access and Medicare Protection Act (PAMPA) 2016-07-05 9520
R1638OTN 2016-03-23 Reclassification of Certain Durable Medical Equipment HCPCS Codes Included in Competitive Bidding Programs (CBP) from the Inexpensive and Routinely Purchased Payment Category to the Capped Rental Payment Category 2016-10-03 8822 MM8822 2016-03-24
R1637OTN 2016-03-23 Required Billing Updates for Rural Health Clinics 2016-04-04 9269 MM9269 2016-03-24
R1639OTN 2016-03-24 Reporting Principal and Interest Amounts When Refunding Previously Recouped Money on the Remittance Advice (RA) 2016-07-05 9168
R152SOMA 2016-03-25 Revisions to the State Operations Manual (SOM) Chapter 2 2016-04-04 NA
R153SOMA 2016-03-25 Revisions to the State Operations Manual (SOM) Chapter 9 Exhibits 2016-03-25 N/A
R3484CP 2016-03-25 Medicare Internet Only Manual Publication 100-04 Chapter 26 - Completing and Processing Form CMS-1500 Data Set 2016-04-25 9344
R3485CP 2016-03-25 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2016 2016-07-05 9584 MM9584 2016-03-30
R3488CP 2016-04-01 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - July 2016 2016-07-05 9572 MM9572 2016-04-04
R3489CP 2016-04-01 Claims Adjustment Reason Code (CARC) and Remittance Advice Remark Code (RARC) and Medicare Remit Easy Print and PC Print Update 2016-07-05 9466 MM9466 2016-04-04
SE1607 Enforcement of the Partial Hospitalization Program (PHP) 20 Hours per Week Billing Requirement SE1607 2016-03-31
R1640OTN 2016-04-01 End Stage Renal Disease (ESRD) Cost Audits 2016-05-02 9534
R3487CP 2016-04-01 Corrections to Recoding in the Home Health (HH) Pricer Program 2016-04-25 9608 MM9608 2016-04-04
R471PR1 2016-04-01 Provider Reimbursement Manual Part 1 - Chapter 31, Organ Acquisition Payment Policy 2016-04-01 N/A
R3490CP 2016-04-01 Medicare Internet Only Manual Publication 100-04 Chapter 26 - Completing and Processing Form CMS-1500 Data Set 2016-04-25 9344
SE1608 Updates to Medicare's Organ Acquisition and Donation Payment Policy SE1608 2016-04-05
R117MSP 2016-04-05 Remote Identity Proofing (RIDP) and Multi-Factor Authentication (MFA) for Electronic Correspondence Referral System (ECRS) Web Users 2016-04-08 9602
R3491CP 2016-04-05 Payment for Purchased Durable Medical Equipment, Prosthetics, Orthotics, and Supplies 2016-07-05 9468
R143DEMO 2016-04-07 Implementing Payment Changes for FCHIP (Frontier Community Health Integration Project), Mandated by Section 123 of MIPPA 2008 and as Amended by Section 3126 of the ACA of 2010 (This CR Rescinds and Replaces CR 8683) 2016-08-01 9165
R266FM 2016-04-12 Notice of New Interest Rate for Medicare Overpayments and Underpayments - 3rd Qtr Notification for FY 2016 2016-04-19 9644
R3493CP 2016-04-14 Payment Change for Group 3 Complex Rehabilitative Power Wheelchairs Accessories under Section 2 of the Patient Access and Medicare Protection Act (PAMPA) 2016-07-05 9520
R1642OTN 2016-04-19 Implementation of the Award for Jurisdiction A Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Workload N/A 9546
R121MCM 2016-04-22 Chapter 4, Benefits and Beneficiary Protections 2016-04-22 N/A
R3495CP 2016-04-22 Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2016 2016-05-23 9621
R1P244 2016-04-22 Provider Reimpursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 44, Form CMS-224-14 2016-04-22 N/A
SE1609 Medicare Policy Clarified for Prolonged Drug and Biological Infusions Started Incident to a Physician's Service Using an External Pump SE1609 2016-04-25
R1644OTN 2016-04-26 Reclassification of Certain Durable Medical Equipment HCPCS Codes Included in Competitive Bidding Programs (CBP) from the Inexpensive and Routinely Purchased Payment Category to the Capped Rental Payment Category N/A 8822 MM8822 Revised
SE1604 Medicare Coverage of Substance Abuse Services SE1604 2016-04-28
R1649OTN 2016-04-28 Phase 2 of Updating the Fiscal Intermediary Shared System (FISS) to Make Payment for Drugs and Biologicals Services for Outpatient Prospective Payment System (OPPS) Providers 2016-10-03 9601 MM9601 2016-05-02
R1651OTN 2016-04-28 National Provider Identifier Crosswalk System (NPICS) Retirement Analysis Only - Engage Shared Systems Maintainers and Medicare Administrative Contractors (MACs) in Meetings and Correspondence Related to the NPICS Retirement with the Stakeholders 2016-10-03 9604
R3503CP 2016-04-28 Billing of Vaccine Services on Hospice Claims 2016-10-03 9052 MM9052 2016-04-29
R145DEMO 2016-04-28 Update to the Common Working File Edits for G9678 - Oncology Care Model Service 2016-10-03 9625
R3502CP 2016-04-28 Making Principal Diagnosis Codes Mandatory for Notice of Election (NOE) to be Accepted 2016-10-03 9575 MM9575 2016-04-29
R1645OTN 2016-04-28 Analysis of the Combined Common Edits/Enhancements Module (CCEM) 3rd Party Software 2016-10-03 9594
R1646OTN 2016-04-28 Upgrade (Jaspersoft) reporting software for the Combined Common Edits/Enhancement Module (CCEM) 2016-10-03 9592
R1650OTN 2016-04-28 Shared System Enhancement 2015: Archive/Remove Inactive Medicare Demonstration Projects 2016-10-03 9473
R1647OTN 2016-04-28 Payment Change for Group 3 Complex Rehabilitative Power Wheelchairs Accessories and Seat and Back Cushions under Section 2 of the Patient Access and Medicare Protection Act (PAMPA) for Home Health Claims 2016-10-03 9586
R118MSP 2016-04-28 Individuals Not Subject to the Limitation on Payment 2016-05-31 9576
R3500CP 2016-04-28 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP): Additional Instructions for the Implementation of Round 2 Recompete of the DMEPOS CBP and National Mail Order (NMO) Recompete 2016-10-03 9579 MM9579 2016-05-03
R3504CP 2016-04-28 Revision of the Method to Calculate the Length of Stay (LOS) Edit for Continuous Invasive Mechanical Ventilation for Greater than 96 Consecutive Hours 2016-10-03 9559
R1654OTN 2016-04-29 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) 2016-10-03 9599 MM9599 2016-05-02
R1655OTN 2016-04-29 Recurring calls with the Fiscal Intermediary Shared System (FISS) for any in-depth discussions 2016-10-03 9556
R3510CP 2016-04-29 Updates to Pub. 100-04, Chapters 1 and 16 to Correct Remittance Advice Messages 2016-10-03 9578 MM9578 2016-05-02
R3511CP 2016-04-29 Changes to the Fiscal Intermediary Shared System (FISS) Inpatient Provider Specific File (PSF) for Low-Volume Hospital Payment Adjustment Factor and New Inpatient Prospective Payment System (IPPS) Pricer Output Field for Islet Isolation Add-on Payment 2016-10-03 9570
R3508CP 2016-04-29 JW Modifier: Drug amount discarded/not administered to any patient 2016-07-05 9603 MM9603 2016-05-02
R1653OTN 2016-04-29 New State Code for AZ, ID, NY, and WV 2016-10-03 9567
R1652OTN 2016-04-29 Analysis Only: To Obtain a Rough Order of Magnitude (ROM) from Durable Medical Equipment Medicare Administrative Contractors (DME MACs), GDIT/VMS, the National Supplier Clearinghouse (NSC) and the Common Electronic Data Interchange (CEDI) Contractor to Develop and Implement a Process for DME MAC Provider Self-Service Internet Portal Authentication of Medicare Providers Using EDI Enrollment Data Elements 2016-10-03 9593
R146DEMO 2016-04-29 Oncology Care Model (OCM) Monthly Enhanced Oncology Services (MEOS) Payment Implementation 2016-04-04 9341
R1657OTN 2016-04-29 Issuing Continuing Compliance Letters to Specific Providers and Suppliers 2016-02-22 9462
R1658OTN 2016-04-29 Coding Revisions to National Coverage Determinations 2016-07-05 9540 MM9540 2016-05-10
R191NCD 2016-04-29 Stem Cell Transplantation for Multiple Myeloma, Myelofibrosis, Sickle Cell Disease, and Myelodysplastic Syndroms 2016-10-03 9620 MM9620 2016-05-09
R3509CP 2016-04-29 Stem Cell Transplantation for Multiple Myeloma, Myelofibrosis, Sickle Cell Disease, and Myelodysplastic Syndromes 2016-10-03 9620 MM9620 2016-05-09
R192NCD 2016-05-06 Percutaneous Left Atrial Appendage Closure (LAAC) 2016-10-03 9638 MM9638 2016-05-11
R1660OTN 2016-05-06 Shared Savings Program (SSP) Accountable Care Organization (ACO) Qualifying Stay Edits 2017-01-03 9568 MM9568 2016-05-11
R3519CP 2016-05-06 Corrections to Chapter 1 of the Medicare Claims Processing Manual 2016-08-08 9623
R3515CP 2016-05-06 Percutaneous Left Atrial Appendage Closure (LAAC) 2016-10-03 9638 MM9638 2016-05-11
R3518CP 2016-05-06 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2016 Update 2016-07-05 9636 MM9636 2016-05-09
R1659OTN 2016-05-06 Convert Assembler Code to COBOL or Best Coding Language to Improve MCS System Maintainability and Sustainability - Analysis Only 2016-10-03 9624
SE1611 Rural Health Clinics (RHCs) Healthcare Common Procedure Coding System (HCPCS) Reporting Requirement and Billing Updates SE1611 2016-05-09
R3520CP 2016-05-10 2016 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List 2016-02-01 9481 MM9481
R1664OTN 2016-05-13 Reporting Medicare Administrative Contractor (MAC) Provider Education Website Analytic Data to the Provider Customer Service Program Contractor Information Database (PCID) 2016-06-14 9619
R222BP 2016-05-13 Revisions to Private Contracting/Opt-Out Manual Sections Due to the Medicare Access and CHIP Reauthorization Act of 2015 (MACRA) 2016-08-15 9616 MM9616 2016-05-16
R98GI 2016-05-13 Clarification of Inpatient Psychiatric Facilities (IPF) Requirements for Certification, Recertification and Delayed/Lapsed Certification and Recertification 2016-08-15 9522 MM9522 2016-05-17
R223BP 2016-05-13 Clarification of Inpatient Psychiatric Facilities (IPF) Requirements for Certification, Recertification and Delayed/Lapsed Certification and Recertification 2016-08-15 9522 MM9522 2016-05-17
R3522CP 2016-05-13 Update to Internet-Only-Manual Publication 100-04, Chapter 18, Section 30.6 2016-06-14 9606 MM9606 2016-05-16
R3523CP 2016-05-13 July 2016 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2016-07-05 9658 MM9658 2016-05-18
R3524CP 2016-05-13 July 2016 Integrated Outpatient Code Editor (I/OCE) Specifications Version 17.2 2016-07-05 9661 MM9661 2016-05-18
R1665OTN 2016-05-13 Coding Revisions to National Coverage Determinations (NCDs) 2016-10-03 9631 MM9631 2016-05-17
R1668OTN 2016-05-13 National Provider Identifier Crosswalk System (NPICS) Retirement Analysis Only - Engage Shared Systems Maintainers and Medicare Administrative Contractors (MACs) in Meetings and Correspondence Related to the NPICS Retirement with the Stakeholders 2016-10-03 9604
R1669OTN 2016-05-20 Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) 2016-10-03 9371 MM9371 2016-05-24
R1670OTN 2016-05-20 Shared System Enhancement 2014 – Identification of Fiscal Intermediary Standard System (FISS) Obsolete Reports - Analysis Only 2017-04-03 9564
R3529CP 2016-05-20 Instructions for Downloading the Medicare ZIP Code File for October 2016 2016-10-03 9643
R3525CP 2016-05-20 Common Edits and Enhancements Modules (CEM) Code Set Update 2016-10-03 9551
R3527CP 2016-05-20 Claim Status Category and Claim Status Codes Update 2016-10-03 9550 MM9550 2016-05-24
R3528CP 2016-05-20 Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July CY 2016 Update 2016-07-05 9633 MM9633 2016-05-24
R3530CP 2016-05-24 JW Modifier: Drug amount discarded/not administered to any patient 2016-07-05 9603 MM9603 2016-05-26
R267FM 2016-05-25 Notice of New Interest Rate for Medicare Overpayments and Underpayments -3rd Qtr Notification for FY 2016 2016-04-19 9644
R651PI 2016-05-27 Medical Review of Skilled Nursing Facility Prospective Payment System (SNF PPS) Bills 2016-06-28 9571
R3532CP 2016-05-27 Annual Update of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) 2016-10-03 9677
R3531CP 2016-05-27 July 2016 Update of the Ambulatory Surgical Center (ASC) Payment System 2016-07-05 9668 MM9668 2016-05-31
R3533CP 2016-05-27 Payments to Home Health Agencies That Do Not Submit Required Quality Data 2016-08-30 9651 MM9651 2016-05-31
R57QRI 2016-05-27 Payments to Home Health Agencies That Do Not Submit Required Quality Data 2016-08-30 9651 MM9651 2016-05-31
R122MCM 2016-05-27 Chapter 14 - Contract Determinations and Appeals 2016-06-28 N/A
SE1610 Updated Information on the Intravenous Immune Globulin (IVIG) Demonstration SE1610 2016-06-02
R224BP 2016-06-03 Update to Pub. 100-02, Chapter 11 End-Stage Renal Disease (ESRD) for Calendar Year (CY) 2016 2016-09-06 9541 MM9541 2016-06-06
R1671OTN 2016-06-02 Payment Change for Group 3 Complex Rehabilitative Power Wheelchairs Accessories and Seat and Back Cushions under Section 2 of the Patient Access and Medicare Protection Act (PAMPA) for Home Health Claims 2016-10-03 9586
R1672OTN 2016-06-03 Coding Revisions to National Coverage Determinations (NCDs) 2016-10-03 9631
R3535CP 2016-06-07 Payment Change for Group 3 Complex Rehabilitative Power Wheelchairs Accessories and Seat and Back Cushions under Section 2 of the Patient Access and Medicare Protection Act (PAMPA) 2016-07-05 9520
R3537CP 2016-06-08 Corrections to Chapter 1 of the Medicare Claims Processing Manual 2016-08-08 9623
R3538CP 2016-06-09 JW Modifier: Drug amount discarded/not administered to any patient 2017-01-03 9603 MM9603 2016-06-16
R1673OTN 2016-06-09 Shared System Enhancement 2015 Analysis and Design HUOPCUT Hospice Period and Health Maintenance Organization (HMO) Processing 2017-01-03 9419
R99GI 2016-06-10 Medicare Fee-For-Service Change Request Correction and Rescind Process 2016-06-20 9455
R154SOMA 2016-06-10 Revisions to the State Operations Manual (SOM) –Chapter 2 N/A N/A
R155SOMA 2016-06-10 Revisions to the State Operations Manual (SOM) –Chapter 5 N/A N/A
R156SOMA 2016-06-10 Revisions to the State Operations Manual (SOM) - Appendix P – Survey Protocol for Long Term Care Facilities N/A N/A
R157SOMA 2016-06-10 Revisions to the State Operations Manual (SOM) - Appendix PP – Guidance to Surveyors for Long Term Care Facilities N/A N/A
R3540CP 2016-06-10 Billing of Vaccine Services on Hospice Claims 2016-10-03 9052 MM9052
R3544CP 2016-06-15 New Physician Specialty Code for Dentist 2017-01-03 9355
R268FM 2016-06-15 New Physician Specialty Code for Dentist 2017-01-03 9355
R656PI 2016-06-16 Medical Review of Skilled Nursing Facility Prospective Payment System (SNF PPS) Bills 2016-06-28 9571
R657PI 2016-06-17 Special Provisions for Lab Additional Documentation Requests (ADRs) 2016-07-18 9670
R1675OTN 2016-06-16 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) 2016-10-03 9599 MM9599
R3546CP 2016-06-17 October Quarterly Update to 2016 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 2016-10-03 9688 MM9688 2016-06-20
R1674OTN 2016-06-17 Medicare Administrative Contractors (MACs) Analysis of the Proposed Contract CMS Security Clause Update 2016-07-18 9645
SE1612 Recovering Overpayments from Providers Who Share Tax Identification Numbers SE1612 2016-06-22
R658PI 2016-06-22 Medicare Program Integrity Data Analysis--Update 2016-02-01 9176
R100GI 2016-06-23 Medicare Fee-for-Service Change Request Correction and Rescind Process 2016-07-05 9455
R1677OTN 2016-06-23 Revised Fee Schedules for Healthcare Common Procedure Coding System (HCPCS) Code E1012 in Association with Change Request 9642 2016-07-05 9692 MM9692 2016-06-27
R3551CP 2016-06-23 July Quarterly Update for 2016 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2016-07-05 9642 MM9642 2016-07-28
R3549CP 2016-06-24 Pub. 100-04, Chapter 29 – Appeals of Claims Decisions Update: Revisions to Timeliness Requirements for Forwarding Misfiled Appeal Requests, Reconsideration Request Form, and Guidelines for Writing Appeals Correspondence 2016-07-26 9600
R659PI 2016-06-24 Update to Pub. 100-08, Chapter 15 2016-07-26 9635
R3550CP 2016-06-24 New Waived Tests 2016-10-03 9687 MM9687 2016-06-27
R3547CP 2016-06-22 New Physician Specialty Code for Dentist 2017-01-03 9355 MM9355
R269FM 2016-06-22 New Physician Specialty Code for Dentist 2017-01-03 9355 MM9355
SE1615 Medicare Coverage of Diagnostic Testing for Zika Virus SE1615 2016-06-27
SE1614 Implementation of Section 2 of the Patient Access and Medicare Protection Act SE1614 2016-06-27
R3552CP 2016-06-28 July 2016 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2016-07-05 9658 MM9658 2016-06-30
R3553CP 2016-06-28 New Condition Code for Reporting Home Health Episodes With No Skilled Visits 2016-07-05 9474 MM9474 2016-06-30
R660PI 2016-06-29 Comprehensive Error Rate Testing (CERT) program Treatment of Claims in the Prior Authorization Model 2016-07-05 9238
R3555CP 2016-07-01 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2017 2016-10-03 9712 MM9712 2016-07-07
R662PI 2016-07-01 Date and Timing Requirements 2016-08-01 9679
R3554CP 2016-07-01 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2016 2016-10-03 9701 MM9701 2016-07-07
R3556CP 2016-07-01 Stem Cell Transplantation for Multiple Myeloma, Myelofibrosis, Sickle Cell Disease, and Myelodysplastic Syndromes 2016-10-03 9620 MM9620 2016-05-09
R1679OTN 2016-07-01 Shared Savings Program (SSP) Accountable Care Organization (ACO) Qualifying Stay Edits N/A 9568 MM9568 2016-07-11
R3557CP 2016-07-01 July 2016 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2016-07-05 9658
R193NCD 2016-07-01 Stem Cell Transplantation for Multiple Myeloma, Myelofibrosis, Sickle Cell Disease, and Myelodysplastic Syndromes 2016-10-03 9620 MM9620 2016-05-09
R26QIO 2016-07-08 QIO Manual Chapter 2 - Eligibility 2016-07-08 N/A
R25QIO 2016-07-08 QIO Manual Chapter 11 - Hospital Payment Monitoring Program (HPMP) 2016-07-08 N/A
R27QIO 2016-07-08 QIO Manual Chapter 12 – “Communications, Outreach, and Program-related Information Activities” 2016-07-08 N/A
R3558CP 2016-07-08 Implement Operating Rules - Phase III ERA 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 CAQH CORE 2016-07-08 9696 MM9696 2016-07-11
R270FM 2016-07-12 Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notfication for FY 2016 2016-07-18 9750
R3562CP 2016-07-15 Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update 2016-10-03 9695 MM9695 2016-07-18
R1681OTN 2016-07-15 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2014 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCH) 2016-08-16 9648 MM9648 2016-07-18
R663PI 2016-07-15 Denial Codes for Missing or Insufficient Documentation 2016-08-16 9690
R3560CP 2016-07-15 Correction of Remark Code Information 2016-10-17 9641 MM9641 2016-07-18
R3561CP 2016-07-15 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 22.3, Effective October 1, 2016 2016-10-03 9725 MM9725 2016-07-18
R3563CP 2016-07-15 New Waived Tests 2016-10-03 9687 MM9687
SE1616 Protecting Patient Personal Health Information SE1616 2016-07-20
R1683OTN 2016-07-21 Shared Savings Program (SSP) Accountable Care Organization (ACO) Qualifying Stay Edits 2017-01-03 9568
R150DEMO 2016-07-22 Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 October 2016 Updates 2016-10-03 9685
R3565CP 2016-07-20 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP): Additional Instructions for the Implementation of Round 2 Recompete of the DMEPOS CBP and National Mail Order (NMO) Recompete 2016-10-03 9579
R3568CP 2016-07-29 Reopenings Update - Changes to Chapter 34 2016-09-30 9639 MM9639 2016-08-02
R1692OTN 2016-07-29 Remove Part B Batch Eligibility Process (HELG) from the Common Working File (CWF) 2017-01-03 9710
R1688OTN 2016-07-29 Part B Detail Line Expansion – MCS Phase 2 2017-01-03 9653
R1693OTN 2016-07-29 Common Working File (CWF) to Remove Remaining 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 from CWF. 2017-01-03 9699
R1686OTN 2016-07-29 Part B Detail Line Expansion – MCS Phase 7 2017-01-03 9663
R1687OTN 2016-07-29 Common Working File (CWF) to Locate Medicare Beneficiary Record and Provide Responses to Provider Queries 2017-01-03 9740 MM9740 2016-08-02
R1685OTN 2016-07-29 Update the Primary Insurer's Policy Number of the Insured Field to 17 Bytes on the Health Insurance Master Record (HIMR) Screen Found in the Medicare Secondary Payer (MSP) Auxiliary File. 2017-01-03 9728
R3572CP 2016-08-01 Changes to the Fiscal Intermediary Shared System (FISS) Inpatient Provider Specific File (PSF) for Low-Volume Hospital Payment Adjustment Factor and New Inpatient Prospective Payment System (IPPS) Pricer Output Field for Islet Isolation Add-on Payment 2016-10-03 9570
R3575CP 2016-08-01 Update-Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Fiscal Year (FY) 2017 2016-10-03 9732 MM9732 2016-08-01
SE1617 Timely Reporting of Provider Enrollment Information Changes SE1617 2016-08-03
R1697OTN 2016-08-05 Reporting of All Recovery Auditor-Initiated Claim Adjustments and their Subsequent Adjustments for Periodic Interim Payment (PIP) Facilities 2017-01-03 9662
R1696OTN 2016-08-05 Shared System Enhancement 2014 - Additional Removal of Obsolete Reports and On-Request Jobs from the ViPS Medicare System (VMS) -- Implementation 2017-01-03 9618
R1695OTN 2016-08-05 Fiscal Intermediary Shared System (FISS) Heath Information Technology for Economic and Clinical Health (HITECH) Quarterly Report 2017-01-03 9555
R1699OTN 2016-08-05 Appropriate Use Criteria for Advanced Imaging – Analysis and Design 2017-01-03 9707
R1701OTN 2016-08-05 Combined Common Edits/Enhancements (CCEM) Third Party Software Upgrades 2017-01-03 9738
R1702OTN 2016-08-05 Section 504: Adding a Qualified Reader Preference in Alternate Formats N/A 9730
R1703OTN 2016-08-05 Recovery Auditor Mass Adjustment and Reporting Process Enhancements - Analysis Only 2017-01-03 9587
R3577CP 2016-08-05 New Condition Code To Use When Hospice Recertification Is Untimely and Corrections to Hospice Processing Problems 2017-01-03 9590 MM9590 2016-08-08
R3576CP 2016-08-05 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2017 2016-10-03 9669 MM9669 2016-08-08
R666PI 2016-08-05 Incorporation of Cycle 2 Revalidation Policies 2016-09-06 9628
R1706OTN 2016-08-05 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for January 2017 2017-01-03 9666
R3578CP 2016-08-05 Multiple Procedure Payment Reduction (MPPR) on the Professional Component (PC) of Certain Diagnostic Imaging Procedures 2017-01-03 9647 MM9647 2016-08-08
R1698OTN 2016-08-05 Editing Update for Screening for Sexually Transmitted Infections 2017-01-03 9719 MM9719 2016-08-08
SE1619 Medicare Part B Clinical Laboratory Fee Schedule: Guidance to Laboratories for Collecting and Reporting Data for the Private Payor Rate-Based Payment System SE1619 2016-08-08
R667PI 2016-08-08 Revisions to Instructions Regarding the Fraud Investigation Database (FID) and Other Program Integrity Procedures 2016-11-08 9436
R3590CP 2016-08-01 Changes to the Fiscal Intermediary Shared System (FISS) Inpatient Provider Specific File (PSF) for Low-Volume Hospital Payment Adjustment Factor and New Inpatient Prospective Payment System (IPPS) Pricer Output Field for Islet Isolation Add-on Payment 2016-10-03 9570
R151DEMO 2016-08-12 Shared System Enhancement 2015: Archive/Remove Inactive Medicare Demonstration Projects 2017-04-03 9714
R3559CP 2016-07-08 Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2017 2016-10-03 9729 MM9729 2016-11-23
R3591CP 2016-08-12 October 2016 Integrated Outpatient Code Editor (I/OCE) Specifications Version 17.3 2016-10-03 9754 MM9754 2016-08-15
R3494CP 2016-04-22 July 2016 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2016-07-05 9612 MM9612 2016-12-05
R152DEMO 2016-08-12 Shared System Enhancement 2015: Archive/Remove Inactive Medicare Demonstration Projects 2017-01-03 9702
R1707OTN 2016-08-12 eMSN and Alternate Format MSN Service Improvements 2017-04-03 9731
SE1613 Next Generation Accountable Care Organization - Implementation SE1613 2016-08-16
R1708OTN 2016-08-19 Coding Revisions to National Coverage Determination (NCDs) 2017-01-03 9751 MM9751 2016-08-29
R3593CP 2016-08-17 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP): Additional Instructions for the Implementation of Round 2 Recompete of the DMEPOS CBP and National Mail Order (NMO) Recompete 2016-10-03 9579 MM9579 2016-08-19
R123MCM 2016-08-19 Chapter 16b, Special Needs Plans 2016-08-19 N/A
R1667OTN 2016-05-12 Analysis Only CR - Medicare ID end-date 2016-10-03 9605
R670PI 2016-08-19 Update of Payment Suspension Instructions 2016-11-23 9396
R672PI 2016-08-19 Documentation for Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS) Claims for Replacement of Essential Accessories for Beneficiary-Owned Continuous Positive Airway Pressure (CPAP) Devices and Respiratory Assist Devices (RADs) 2016-11-02 9741 MM9741 2016-08-22
R7PR241 2016-08-19 Medicare Provider Reimbursement Manual N/A N/A
R3594CP 2016-08-19 Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October CY 2016 Update 2016-10-03 9749 MM9749 2016-08-19
R3595CP 2016-08-24 Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October CY 2016 Update 2016-10-03 9749 MM9749
R3598CP 2016-08-26 October Quarterly Update for 2016 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 2016-10-03 9756 MM9756 2016-08-29
R3597CP 2016-08-26 Healthcare Provider Taxonomy Codes (HPTCs) October 2016 Code Set Update N/A 9659 MM9659 2016-08-29
R3603CP 2016-08-26 2017 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update 2017-01-03 9735 MM9735 2016-08-29
R3601CP 2016-08-26 October 2016 Update of the Ambulatory Surgical Center (ASC) Payment System 2016-10-03 9773 MM9773 2016-08-29
R3602CP 2016-08-26 October 2016 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2016-08-26 9768 MM9768 2016-08-29
R1710OTN 2016-08-26 Adding a Foreign Language Tagline Sheet to Medicare Summary Notices (MSNs) 2016-10-28 9617
R1711OTN 2016-08-26 Medicare Appeals System (MAS) Level 1 Part A and Home, Heath, Hospice (HHH) Onboarding Effort N/A 9683
R3600CP 2016-08-26 Implement Operating Rules - Phase III ERA 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) 2017-01-03 9766 MM9766 2016-08-29
R3604CP 2016-08-26 Common Edits and Enhancements Modules (CEM) Code Set Update 2017-01-03 9657
R3599CP 2016-08-26 Claim Status Category and Claim Status Codes Update 2017-01-03 9680 MM9680 2016-08-29
R3605CP 2016-08-26 Instructions for Downloading the Medicare ZIP Code File for January 2017 2017-01-03 9739
R3606CP 2016-08-26 2017 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder 2017-01-03 9752
R3607CP 2016-08-26 Annual Clotting Factor Furnishing Fee Update 2017 2017-01-03 9759 MM9759 2016-08-29
R1712OTN 2016-08-30 Shared System Enhancement 2014 – Identification of Fiscal Intermediary Standard System (FISS) Obsolete Reports - Analysis Only 2017-10-03 9564
R1713OTN 2016-09-01 REditing Update for Screening for Sexually Transmitted Infections 2017-01-03 9719
SE1621 2016-09-01 Overview of the Skilled Nursing Facility Value-Based Purchasing Program SE1621 2016-09-01
R1714OTN 2016-09-01 Shared System Enhancement 2014 – Identification of Fiscal Intermediary Standard System (FISS) Obsolete Reports - Analysis Only N/A 9564
R3609CP 2016-09-02 Annual Medicare Physician Fee Schedule (MPFS) Files Delivery and Implementation 2017-01-03 9780
R674PI 2016-09-02 Duplicate Postpayment Claim Reviews 2016-11-04 9665
SE1620 2016-09-08 Fee-For-Service Data Collection System: Clinical Laboratory Fee Schedule Data Reporting Template SE1620 2016-09-08
R3610CP 2016-09-09 2017 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments 2017-01-03 9781 MM9781 2016-09-12
R225BP 2016-09-09 Ambulance Staffing Requirements 2016-12-12 9761 MM9761 2016-09-12
R158SOMA 2016-09-09 Revisions to State Operations Manual (SOM) Appendix J, Part II – Interpretive Guidelines – Responsibilities of Intermediate Care Facilities for Individuals with Intellectual Disabilities and Exhibit 355, Probes and Procedures for Appendix J 2016-09-09 N/A
R159SOMA 2016-09-09 Revisions to the State Operations Manual (SOM), Appendix I – Survey Procedures for Life Safety Code Surveys 2016-09-09 N/A
R675PI 2016-09-09 Update to Chapter 4, Pub. 100-08 2016-12-12 9426
R3611CP 2016-09-09 Influenza Vaccine Payment Allowances - Annual Update for 2016-2017 Season 2016-11-01 9758 MM9758 2016-09-12
SE1622 2016-09-12 2016-2017 Influenza (Flu) Resources for Health Care Professionals SE1622 2016-09-12
R226BP 2016-09-12 Ambulance Staffing Requirements 2016-09-12 9761 MM9761
R101GI 2016-09-16 Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) 2016-10-18 9748 MM9748 2016-09-19
R227BP 2016-09-16 Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) 2016-10-18 9748 MM9748 2016-09-19
R3612CP 2016-09-16 Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) 2016-10-18 9748 MM9748 2016-09-19
R1717OTN 2016-09-15 Section 504: Adding a Qualified Reader Preference in Alternate Formats 2017-04-03 9730
R676PI 2016-09-16 Clarification of Certain Policies in Pub. 100-08, Chapter 15 Regarding the Processing of Form CMS-855R Applications 2016-12-19 9552 MM9552 2016-09-19
R1715OTN 2016-09-16 Updates to the 72X Type of Bill for Home and Self-Dialysis Training, Retraining, and Nocturnal Hemodialysis N/A 9609 M9609 2016-09-20
R1718OTN 2016-09-15 Common Working File (CWF) to Remove Remaining 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 from CWF. 2017-01-03 9699
R1716OTN 2016-09-16 Affordable Care Act - Operating Rules - Requirements for Phase II and Phase III Compliance for Batch Processing 2017-04-03 9358 MM9358 2016-09-19
R472P122 2016-09-23 Provider Reimbursement Manual - Part 1 Chapter 22, Determination of Cost of Services to Beneficiaries N/A N/A
R156DEMO 2016-09-23 Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 January 2017 Updates 2017-01-03 9775
R3614CP 2016-09-23 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2017 2017-01-03 9806 MM9806 2016-09-26
R3615CP 2016-09-23 Update to Hepatitis B Deductible and Coinsurance and Screening Pap Smears Claims Processing Information 2016-12-27 9778 MM9778 2016-09-26
R160SOMA 2016-09-23 Revisions to the State Operations Manual (SOM) Chapter 7 2016-09-23 N/A
R1720OTN 2016-09-23 Reporting of All Recovery Auditor-Initiated Claim Adjustments and their Subsequent Adjustments for Periodic Interim Payment (PIP) Facilities 2017-01-03 9662
R161SOMA 2016-09-28 Revisions to the State Operations Manual (SOM) Chapter 7 2016-09-23 N/A
SE1623 2016-09-29 Medicare Part B Drug Average Sales Price Reporting by Manufacturers – Blending National Drug Codes SE1623 2016-09-29
R1721OTN 2016-09-29 Adding a Foreign Language Tagline Sheet to Medicare Summary Notices (MSNs) 2016-12-05 9617
R3617CP 2016-09-30 Implementation of New Influenza Virus Vaccine Code 2017-02-20 9793 MM9793 2016-09-30
R3463CP 2016-02-12 CMS Mammography Quality Standards Act (MQSA) File Reformatting - Implementation N/A 9492
R1722OTN 2016-09-30 Updating the Fiscal Intermediary Shared System (FISS) to Make Payment for Drugs and Biologicals Services for Outpatient Prospective Payment System (OPPS) Providers11 2016-07-05 9479
R102GI 2016-09-30 Internet Only Manual (IOM) Publication 100-01 - General Information, Eligibility, and Entitlement, Chapter 7 - Contract Administrative Requirements, Section 40 – Shared System Maintainer Responsibilities for Systems Release 2016-11-06 9785
R3536CP 2016-06-08 CMS Mammography Quality Standards Act (MQSA) File Reformatting- Implementation N/A 9492
R1724OTN 2016-10-07 Common Working File (CWF) Reorganization of Daily Beneficiary Extract Files 2017-04-03 9787
R35COM 2016-10-07 Updates to Pub. 100-09, Beneficiary and Provider Communications Manual, Chapter 6, Provider Customer Service Program 2016-11-08 9682
R17p232 2016-10-07 Provider Reimbursement Manual - Part 2, Provider Cost Reporting Forms and Instructions, Chapter 32, Form CMS-1728-94 2016-10-07 NA
R157DEMO 2016-10-06 Shared System Enhancement 2015: Archive/Remove Inactive Medicare Demonstration Projects 2017-01-03 9702
R3620CP 2016-10-07 Update to Pub 100-04, Medicare Claims Processing Manual, Chapter 15: Ambulance 2016-11-08 9791
R3621CP 2016-10-07 Billing of Vaccine Services on Hospice Claims 2016-10-03 9052 MM9052
R3619CP 2016-10-07 Table of Chemistry Panels 2017-01-10 9790
R273FM 2016-10-12 Notice of New Interest Rate for Medicare Overpayments and Underpayments -1st Qtr Notfication for FY 2017 2016-10-18 9863
R228BP 2016-10-13 Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) 2016-10-18 9748 MM9748
R3625CP 2016-10-14 Ambulance Inflation Factor for CY 2017 and Productivity Adjustment 2017-01-03 9811 MM9811 2016-10-19
R163SOMA 2016-10-14 Revisions to State Operations Manual (SOM) Appendix W - Survey Protocol, Regulations and Interpretive Guidelines for Critical Access Hospitals (CAHs) and Swing-Beds in CAHs 2016-10-14 NA
R162SOMA 2016-10-14 Revisions to State Operations Manual (SOM) Appendix J, Part II – Interpretive Guidelines – Responsibilities of Intermediate Care Facilities for Individuals with Intellectual Disabilities 2016-10-14 N/A
R3626CP 2016-10-19 Fiscal Year (FY) 2017 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes 2016-10-03 9723 MM9723 2016-10-27
R1728OTN 2016-10-21 Part B Detail Line Expansion – MCS Phase 6 N/A 9801
R1729OTN 2016-10-21 Analysis Only - Populate MCS PE Screens from PECOS (Phased Approach) 2017-04-03 9805
R28QIO 2016-10-21 Quality of Care Review 2016-10-21 N/A
R29QIO 2016-10-21 QIO Manual Chapter 3 “Memoranda of Agreement for Case Review” 2016-10-21 N/A
R1730OTN 2016-10-21 Part B Detail Line Expansion – MCS Phase 5 N/A 9800
R3628CP 2016-10-21 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2017 2017-01-03 9806
R1727OTN 2016-12-01 Section 504: Adding a Qualified Reader Preference in Alternate Formats N/A 9730
R3629CP 2016-10-26 Denial of Home Health Payments When Required Patient Assessment Is Not Received 2017-04-03 9585 MM9585 2016-10-31
R3630CP 2016-10-27 Correcting Editing for Condition Code 54 and Updating Remittance Advice Messages on Home Health Claims 2017-04-03 9826 MM9826 2016-10-31
R1732OTN 2016-10-27 Phase Three: Changing Fiscal Intermediary Shared System (FISS) Action on Informational Unsolicited Responses (IURs) From Canceled Claims to Adjustments 2017-04-03 9816
R1733OTN 2017-10-27 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 2017-04-03 9681 MM9681 2016-10-31
R1734OTN 2017-10-26 Phase 3 - Updating the Fiscal Intermediary Shared System (FISS) to Make Payment for Drugs and Biologicals Services for Outpatient Prospective Payment System (OPPS) Providers 2017-04-03 9742
R681PI 2016-10-27 Revision to Surety Bond Collection Procedures 2017-01-30 9755
R1735OTN 2016-10-27 System Specific Enhancement 2014: Retaining Most Recent Update for Auxiliary (Aux) File Data in Common Working File (CWF) 2017-04-03 9786
R1736OTN 2016-10-27 Shared System Enhancement 2014 – Identification of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Analysis Only N/A 9566
R1731OTN 2016-10-26 Fiscal Intermediary Shared System (FISS) Heath Information Technology for Economic and Clinical Health (HITECH) Quarterly Report 2017-01-03 9555
SE1627 2016-10-18 Further Information on the Implementation of Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Based on Specific Clinical Criteria SE1627 2016-10-18
R3635CP 2016-10-28 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
R3636CP 2016-10-28 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - January 2017 2016-10-28 9792 MM9792 2016-10-31
R274FM 2016-10-28 New Physician Specialty Code for Hospitalist 2017-04-03 9716 MM9716 2016-11-02
R3637CP 2016-10-28 New Physician Specialty Code for Hospitalist 2017-04-03 9716 MM9716 2016-11-02
R1740OTN 2016-10-28 Shared System Enhancement 2015: National Coverage Determination (NCD) – Fiscal Intermediary Shared System (FISS) Implementation 2017-04-03 9783
R159DEMO 2016-10-28 IVIG Demonstration: Payment Update for 2017 2017-01-03 9746 MM9746 2016-10-31
R3640CP 2016-10-28 January 2017 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2017-01-03 9843 MM9843 2016-10-31
R3643CP 2016-10-31 Instructions for Retrieving the 2017 Pricing and HCPCS Data Files through CMS' Mainframe Telecommunications Systems 2017-01-03 9860
R684PI 2016-11-01 Incorporation of Cycle 2 Revalidation Policies 2016-12-02 9628
R1738OTN 2016-10-27 Network Fee Reduction for Acute Kidney Injury (AKI) services submitted on Type of Bill 72x 2017-04-03 9814 MM9814 2016-11-07
R1725OTN 2016-10-13 Changes to the End-Stage Renal Disease (ESRD) Facility Claim (Type of Bill 72X) to Accommodate Dialysis Furnished to Beneficiaries with Acute Kidney Injury (AKI) 2017-01-03 9598
R229BP 2016-11-04 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) 2017 2017-01-03 9807 MM9807 2017-03-07
R1743OTN 2016-11-04 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 2017-04-03 9808
R1744OTN 2016-11-04 Audit Trail for Reason Code Edit Changes 2017-07-03 9366
R164SOMA 2016-11-04 Revisions to the State Operations Manual (SOM) Chapter 2 2016-11-04 N/A
R1746OTN 2016-11-04 Medicare Electronic Health Record (EHR) Incentive Program – Analysis of Meaningful Use Hospital Transition into Hospital Quality Reporting System 2017-04-03 9836
R1747OTN 2016-11-04 Issuing Compliance Letters to Specific Providers and Suppliers Regarding Inappropriate Billing of Qualified Medicare Beneficiaries (QMBs) for Medicare Cost-Sharing 2017-03-08 9817 MM9817 2016-11-07
R1745OTN 2016-11-04 Part B Detail Line Expansion - Checkpoint Discussion Meetings 2017-04-03 9840
R3646CP 2016-11-04 Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 23.0, Effective January 1, 2017 2017-01-03 9847 MM9847 2016-11-08
R685PI 2016-11-03 Incorporation of Cycle 2 Revalidation Policies 2016-09-06 9628
R161DEMO 2016-11-04 Shared System Enhancement 2015: Archive/Remove Inactive Medicare Demonstration Projects 2017-04-03 9802
R162DEMO 2016-11-04 Oncology Care Model (OCM) Monthly Enhanced Oncology Services (MEOS) Payment Rate for Certain Non-Physician Practitioners 2017-04-03 9812
R3583CP 2016-08-12 Payment Reduction for X-Rays Taken Using Film 2017-01-03 9727 MM9727 2016-11-08
R3644CP 2016-11-04 Therapy Cap Values for Calendar Year (CY) 2017100- 2017-01-03 9865 MM9865 2016-11-07
SE1629 2016-11-08 Guidance to Physician/Practitioner and Supplier Billing Offices that Submit Hard Copy Claims to Medicare to Help Reduce Incidence of Claims Not Crossing Over Due to Duplicate Diagnosis Codes and Diagnosis Code Pointers SE1629 2016-11-08
R1748OTN 2016-11-08 Adding a Foreign Language Tagline Sheet to Medicare Summary Notices (MSNs) 2016-10-28 9617
R3648CP 2016-11-08 Calendar Year (CY) 2017 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures 2016-11-08 9794
R3638CP 2016-10-28 Update to the Federally Qualified Health Centers (FQHC) Prospective Payment System (PPS) - Recurring File Updates 2017-01-03 9831 MM9831 2016-11-15
R3627CP 2016-10-14 Announcement of Payment Rate Increases for Rural Health Clinics (RHCs) for Calendar Year (CY) 2017 2017-01-03 9829 MM9829 2016-11-15
R686PI 2016-11-10 2016-12-12 9846
R3650CP 2016-11-10 Updates to Pub. 100-04, Chapters 8, 13 and 14 to Correct Remittance Advice Messages 2017-02-10 9841 MM9841 2016-11-14
R3649CP 2016-11-10 Payment for Oxygen Volume Adjustments and Portable Oxygen Equipment 2017-04-03 9848 MM9848 2016-11-15
R124MCM 2016-11-10 Update of Chapter 1 of the Managed Care Manual 2016-11-10 3892
R687PI 2016-11-10 Extrapolated Overpayments 2016-12-12 9713
R3653CP 2016-11-10 FISS Implementation of the Restructured Clinical Lab Fee Schedule N/A 9837 MM9837 2016-11-16
R1750OTN 2016-11-10 Increasing the Number of Address Fields in MCS to Match the Address Fields in CWF in Order to Improve the Undeliverable Medicare Summary Notices (uMSNs) Situation: Phase One of Improving FFS9372 N/A 9857
R3654CP 2016-11-10 2017 Annual Update to the Therapy Code List 2017-01-03 9782 MM9782 2016-11-14
R3655CP 2016-11-10 Implementation of Policy Changes for the CY 2017 Home Health Prospective Payment System 2017-01-03 9736 MM9736 2016-11-16
R1751OTN 2016-11-14 Adding a Foreign Language Tagline Sheet to Medicare Summary Notices (MSNs) 2016-12-05 9617
R3624CP 2016-10-14 Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2017 2017-01-03 9820 MM9820 2016-11-16
R3586CP 2016-08-12 New Place of Service (POS) Code for Telehealth and Distant Site Payment Policy 2017-01-03 9726 MM9726 2016-11-17
R3618CP 2016-10-07 Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 2017-01-03 9771 MM9771 2016-11-17
R3656CP 2016-11-16 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2017 2016-12-05 9806 MM9806 2016-09-26
R1752OTN 2016-11-17 System Specific Enhancement 2014: String Testing Automation N/A 9224
R1753OTN 2016-11-17 Coding Revisions to National Coverage Determination (NCDs) 2017-01-03 9751 MM9751 2016-11-17
R3661CP 2016-11-18 Claims Status Category and Claims Status Codes Update 2017-04-03 9769 MM9769 2016-11-18
R3660CP 2016-11-18 Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update 2017-04-03 9774 MM9774 2016-11-18
R3662CP 2016-11-18 Instructions for Downloading the Medicare ZIP Code File for April 2017 2017-04-03 9852
R275FM 2016-11-18 Pub. 100-06, Chapter 3, Section 90 (Provider Liability) Revision 2017-02-21 9708 MM9708 2016-11-21
R1756OTN 2016-11-18 Analysis Only - Modification of Process for Handling the Provider Enrollment Chain Ownership System (PECOS) Extract File 2017-04-03 9560
R10P240 2016-11-17 Provider Reimbursement Manual N/A N/A
R1755OTN 2016-11-18 ICD-10 Coding Revisions to National Coverage Determination (NCDs) 2017-04-03 9861
R1745OTN 2016-11-18 Common Working File and Fraud Prevention System 2.0 Predictive Modeling and Edits, Data Feed Migration 2017-01-03 9853
R1757OTN 2016-11-18 Issuing Compliance Letters to Specific Providers and Suppliers Regarding Inappropriate Billing of Qualified Medicare Beneficiaries (QMBs) for Medicare Cost-Sharing 2017-03-08 9817 MM9817
R688PI 2016-11-18 Update to Pub. 100-08, Chapter 15 2016-07-26 9635
R3665CP 2016-11-23 Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (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) CORE 2017-04-03 9767 MM9767 2016-11-25
SE1624 Office of Inspector general Report: Stem Cell Transplantation SE1624 2016-11-22
R3663CP 2016-11-22 Common Edits and Enhancements Modules (CEM) Code Set Update 2017-04-03 9764
R3666CP 2016-11-23 New Waived Tests 2017-01-03 9797 MM9797 2016-11-25
SE1628 2016-11-23 Documentation Requirements for the Hospice Physician Certification/Recertification SE1628 2016-11-23
SE1631 2016-11-23 Sample Hospice Notice of Election Statement SE1631 2016-11-23
R1758OTN 2016-11-23 Updates for the Shared System Maintainers to implement the Social Security Number Removal Initiative (SSNRI) 2017-04-03 9858
R1704OTN 2016-11-25 Implementing Provider File Updates and PECOS to FISS Interface Via Extract File Updates to Accommodate Section 603 Bipartisan Budget Act of 2015 2017-01-03 9613 MM9613 2016-12-05
R3668CP 2016-11-25 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - January 2017 2017-01-03 9792 MM9792
R3571CP 2016-11-25 New Revenue Code 0815 for Allogeneic Stem Cell Acquisition Services 2017-01-03 9674 MM9674 2016-12-07
R276FM 2016-11-25 New Physician Specialty Code for Hospitalist 2017-04-03 9716
SE1633 Exceptions For Late Hospice Notices of Election Delayed by Medicare Systems SE1633 2016-12-01
R3670CP 2016-12-01 Update to Editing of Therapy Services to Reflect Coding Changes 2017-04-03 9698 MM9698 2016-12-07
R3669CP 2016-12-02 HCPCS Code Update for Preventive Services 2017-01-03 9888 MM9888 2016-12-06
R103GI 2016-12-02 Update to Medicare Deductible, Coinsurance and Premium Rates for 2017 2017-01-03 9902 MM9902 2016-12-05
R3671CP 2016-12-05 CY 2017 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2017-01-03 9854 MM9854 2016-12-06
R1759OTN 2016-12-06 Changes to the End-Stage Renal Disease (ESRD) Facility Claim (Type of Bill 72X) to Accommodate Dialysis Furnished to Beneficiaries with Acute Kidney Injury (AKI) 2017-01-03 9598 MM9598 2016-12-13
R3573CP 2016-07-29 October 2016 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2016-10-03 9724 MM9724 2016-12-08
R3674CP 2016-12-09 January 2017 Integrated Outpatient Code Editor (I/OCE) Specifications Version 18.0 2017-01-03 9892 MM9892 2016-12-14
R230BP 2016-12-09 Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Updates 2017-03-09 9864 MM9864 2016-12-12
R689PI 2016-12-09 Clarification of Certification Statement Signature and Contact Person Requirements 2017-01-09 9776 MM9776 2016-12-14
SE1626 Comprehensive Care for Joint Replacement (CJR) Model: Skilled Nursing Facility (SNF) 3-Day Rule Waiver SE1626 2016-12-09
R3675CP 2016-12-13 2017 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder 2017-01-03 9752
R165SOMA 2016-12-14 Revisions to State Operations Manual (SOM) Appendix W - Survey Protocol, Regulations and Interpretive Guidelines for Critical Access Hospitals (CAHs) and Swing-Beds in CAHs 2016-12-16 n/a
R279FM 2016-12-16 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
R3676CP 2016-12-16 Summary of Policies in the Calendar Year (CY) 2017 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, and CT Modifier Reduction List 2017-01-03 9844 MM9844 2016-12-16
R691PI 2016-12-16 Contacting Non-Responders and Documentation Requests 2017-01-19 9856
R473P122 2016-12-16 Provider Reimbursement Manual - Part 1, Chapter 22, Determination of Cost of Services to Beneficiaries N/A N/A
R3678CP 2016-12-16 Prolonged Services Without Direct Face-to-Face Patient Contact Separately Payable Under the Physician Fee Schedule (Manual Update) 2017-01-03 9905 MM9905 2016-12-16
R231BP 2016-12-15 201Implementation 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) 2017 2017-01-03 9807
R1763OTN 2016-12-16 Shared Savings Program (SSP) Accountable Care Organization (ACO) Qualifying Stay Edits 2017-01-03 9568 MM9568 2016-12-16
R3679CP 2016-12-16 Payment for Oxygen Volume Adjustments and Portable Oxygen Equipment 2017-04-03 9848
R278FM 2016-12-16 Medicare Financial Management Manual, Chapter 7, Internal Control Requirements 2017-01-19 9819
SE1635 Continuation of the Home Health Probe and Educate Medical Review Strategy SE1635 2016-12-16
SE1636 The Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents – Payment Reform SE1636 2016-12-21
R3684CP 2016-12-22 2017 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List 2017-01-24 9903 MM9903 2016-12-27
R3683CP 2016-12-22 January 2017 Update of the Ambulatory Surgical Center (ASC) Payment System 2017-01-03 9923 MM9923 2016-12-29
R3682CP 2016-12-22 Calendar Year (CY) 2017 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 2017-01-03 9909
R1765OTN 2016-12-22 SSNRI: MAC-Only Analysis and Planning for the Social Security Number Removal Initiative (SSNRI) Project 2017-02-24 9884
R232BP 2016-12-22 January 2017 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2017-01-03 9930 MM9930 2017-01-04
R3685CP 2016-12-22 January 2017 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2017-01-03 9930 MM9930 2017-01-04
R693PI 2016-12-30 Clarification of Appeal Rights for Denials Stemming from Statutory Requirements 2017-01-31 9910
R694PI 2016-12-30 Fraud Prevention System (FPS) 2 Edit Migration Testing201 2017-02-21 9920
R1766OTN 2016-12-29 Updates for the Shared System Maintainers to implement the Social Security Number Removal Initiative (SSNRI) 2017-04-03 9858
R3687CP 2016-12-29 Calendar Year (CY) 2017 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 2017-01-03 9909 MM9909 2017-01-03
R3613CP 2016-09-16 Medicare Physician Fee Schedule Database (MPFSDB) 2017 File Layout Manual 2017-01-03 9784
R3680CP 2016-12-19 Update to the Fiscal Intermediary Shared Systems (FISS) Outpatient Provider Specific File (OPSF) for Outpatient Prospective Payment System (OPPS) Hospitals 2017-01-03 9675
R3875CP 2017-10-06 Internet Only Manual Update to Pub. 100-04, Chapter 16, to update Clinical Lab Fee Schedule Layout 2018-01-08 10195