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2018 Transmittals

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Transmittal # Issue Date Subject Implementation Date CR # MM Article # MM Article Release Date
R1996OTN 2018-01-05 Analyze Common Working File (CWF) System and Identify Layouts with Minimum FILLER Areas Available 2018-04-02 10387
R1997OTN 2018-01-05 Enhancement to the Recovery Audit Contractor (RAC) Mass Adjustment Input File 2018-07-02 10394
R3945CP 2018-01-05 New Waived Tests 2018-04-02 10418 MM10418 2018-01-05
R1998OTN 2018-01-04 HIGLAS Enhancement Required for Implementation of Overpayment based Denials 2018-04-02 10166
R3946CP 2018-01-05 File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions 2018-04-02 10429
R3947CP 2018-01-05 April 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2018-04-02 10447 MM10447 2018-01-05
R3948CP 2018-01-05 Ensuring Correct Processing of Home Health Disaster Related Claims and Claims for Denial 2018-07-02 10372 MM10372 2018-01-05
R765PI 2018-01-08 Medicare Diabetes Prevention Program (MDPP) Enrollment Process 2018-01-19 10356
R296FM 2017-12-08 Cessation of MAC Validation of Recovery Audit Program New Issues 2018-01-02 10349
R239BP 2018-01-26 Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Medicare Benefit Policy Manual Chapter 13 Update 2018-01-22 10350 MM10350 2017-11-17
R1999OTN 2018-01-10 Implementation of the Transitional Drug Add-On Payment Adjustment 2018-01-02 10065 MM10065 2017-08-09
R477PR1 2018-01-12 Medicare Provider Reimbursement Manual Part 1, Chapter 14, Reasonable Cost of Therapy and Other Services Furnished by Outside Suppliers 2018-01-12 N/A
R2000OTN 2018-01-12 MCS Proof of Concept to Convert Existing MCSDT Window to Utilize API Technology 2018-07-02 10449
R3949CP 2018-01-12 Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits 2018-04-02 10446 MM10446 2018-01-12
R3950CP 2018-01-12 2018 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List 2018-02-13 10416 MM10416 2018-01-12
R297FM 2018-01-12 Notice of New Interest Rate for Medicare Overpayments and Underpayments -2nd Qtr Notification for FY 2018 2018-01-19 10479
R476PR1 2018-01-12 Medicare Provider Reimbursement Manual Part 1, Chapter 9, Compensation of Owners 2018-01-12 N/A
R240BP 2018-01-19 Internet Only Manual (IOM) Update to Pub. 100-02, Chapter 11 - End Stage Renal Disease (ESRD), Section 100 2018-02-20 10366 MM10366 2018-01-19
R2005OTN 2018-01-18 ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs) N/A 10318 MM10318 2018-01-19
R2006OTN 2018-01-19 Monthly Status Report (MSR) Excel Data Template Updates and Implementation of MAC/CMS Data Exchange (MDX) Portal System 2018-02-20 10399
R3953CP 2018-01-19 Revisions to the Claims Processing for Grandfathered Oxygen Claims that Span Competitive Bidding Rounds 2018-07-02 10420
R2008OTN 2018-01-24 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF) 2018-07-02 10017
R2022OTN 2018-01-25 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 2018-02-18 10292
R2021OTN 2018-01-26 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Financial Reports - Phase 2 2018-07-02 10437
R2019OTN 2018-01-26 Redesign of Flu Vaccines in Fiscal Intermediary Shared System (FISS) N/A 10415
R2018OTN 2018-01-26 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Core Reports - Phase 2 2018-07-02 10444
R2017OTN 2018-01-26 Updates to Common Working File (CWF) Edits for Acute Kidney Injury (AKI) Claims 2018-07-02 104302
R2016OTN 2018-01-26 Part B Detail Line Expansion - VMS 2018-01-26 10032
R2010OTN 2018-01-26 Analysis Only: Procedures to Handle Foreign (non US) Addresses 2018-07-02 10428
R2011OTN 2018-01-26 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Codes 46, 48, and 49 within the Fiscal Intermediary Shared System (FISS) 2018-07-02 10401
R2012OTN 2018-01-26 Analysis of Reject Responses for Prior Authorization/Pre-Claim Review Requests (PA/PCR) via the Electronic Submission of Medical Documentation (esMD) System and Usage of Standardized Review Reason Codes and Statements 2018-07-02 10396
R2013OTN 2018-01-26 Global Surgical Days for Critical Access Hospital (CAH) Method II 2018-01-26 10425 MM10425 2018-01-26
R2014OTN 2018-01-26 Identifying Prior Hospice Days When Calculating Hospice Routine Home Care Payments After a Transfer 2018-07-02 10180 MM10180 2018-01-26
R2015OTN 2018-01-26 Updates to the Common Working File (CWF) to Allow Entry Code 9 Durable Medical Equipment (DME) Claims to Process Correctly 2018-01-26 10376
R177SOMA 2018-01-26 Revisions to State Operations Manual (SOM) Appendix G, Guidance for Surveyors: Rural Health Clinics 2018-01-26 N/A
R13P240 2018-01-30 By reissuing transmittal 12 as transmittal 13, in order to revise the effective date from cost reporting periods ending on or after August 31, 2017 to cost reporting periods ending on or after September 30, 2017. No other revisions are made in this transmittal. N/A N/A
R3961CP 2018-02-02 Editing Update for Mammography Services 2018-07-02 10435
R2026OTN 2018-02-02 Part B Detail Line Expansion - Multi-Carrier System (MCS) Phase 8 N/A 10033
R2025OTN 2018-02-02 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 1 N/A 10451
R766PI 2018-02-02 Comprehensive Error Rate Testing (CERT) Updates to Chapter 12 of Pub. 100-08 2018-03-02 10442
R241BP 2018-02-02 New “K” Code for Therapeutic Shoe Inserts 2018-04-02 10436 MM10436 2018-02-02
R3MPI 2018-02-02 Update to the Medicaid Program Integrity Manual (PIM) 2018-04-03 10340
R191DEMO 2018-02-02 Update to CR9341 Oncology Care Model (OCM) Restricted Care Management Code List 2018-07-02 10452
R2030OTN 2018-02-02 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Core Reports - Phase 3 2018-07-02 10464
R3968CP 2018-07-02 Consumer Friendly Spanish Descriptors for the Current Procedural Terminology (CPT) / Level 1 Healthcare Common Procedure Coding System (HCPCS) Codes and a Correction to the Part A Spanish Medicare Summary Notices (MSNs) 2018-07-02 10286
R3966CP 2018-02-02 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - April 2018 Update 2018-04-02 10454 MM10454 2018-02-05
R2028OTN 2018-02-02 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Financial Reports - Phase 3 2018-07-02 10463
R3962CP 2018-02-02 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process N/A 10453
R2029OTN 2018-02-02 Implementation of Automating First Claim Review in Serial Claims for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) N/A 10426 MM10426
R3965CP 2018-02-02 Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR 9911 2018-07-02 10433 MM10433 2018-02-05
R204NCD 2018-02-02 Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD 2018-07-02 10295 MM10295 2018-02-07
R298FM 2018-02-02 Removal of Contractor Reporting Requirements for the Physician Scarcity Area (PSA), the Health Professional Shortage Area Surgical Incentive Payment Program (HSIP) and the Primary Care Payment Incentive Program (PCIP) Quarterly Reports 2018-07-02 10406
R3969CP 2018-02-02 Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) 2018-07-02 10295 MM10295 2018-02-07
R3970CP 2018-02-02 Removal of Contractor Reporting Requirements for the Physician Scarcity Area (PSA), the Health Professional Shortage Area Surgical Incentive Payment Program (HSIP) and the Primary Care Payment Incentive Program (PCIP) Quarterly Reports 2018-07-02 10406
R3971CP 2018-02-02 E/M Service Documentation Provided by Students (Manual Update) 2018-03-05 10412 MM10412 2018-02-05
R3963CP 2018-02-02 Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 24.1, Effective April 1, 2018 2018-04-01 10472 MM10472 2018-02-05
R3973CP 2018-02-08 Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 2018-04-02 10445 MM10445 2018-02-09
R3972CP 2018-02-08 Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2018 - Recurring File Update 2018-04-02 10480 MM10480 2018-02-09
R768PI 2018-02-08 Post-Payment Review Timeliness Requirements 2018-04-01 9990
R3974CP 2018-02-08 Diagnosis Code Update for Add-on Payments for Blood Clotting Factor Administered to Hemophilia Inpatients 2018-07-02 10474 MM10474 2018-02-09
R3975CP 2018-02-09 Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits 2018-04-02 10446 MM10446 2018-02-12
R3895CP 2017-10-27 Revised and New Modifiers for Oxygen Flow Rate 2018-04-02 10158 MM10158 2018-02-14
R2034OTN 2018-02-16 Identifying and Eliminating Discrepancies in Shared System Enrollment Data and Provider Enrollment Chain and Ownership System (PECOS) Data 2018-07-01 10411
R3976CP 2018-02-16 Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2018 Update 2018-04-02 10488 MM10488 2018-02-16
R3980CP 2018-02-16 Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update 2018-07-02 10489 MM10489 2018-02-16
R2031OTN 2018-02-16 Modifications to the Implementation of the Paperwork (PWK) Segment of the Electronic Submission of Medical Documentation (esMD) System 2018-07-02 10397 MM10397 2018-02-16
R4PR242 2018-02-16 Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 42, Form CMS-265-11 N/A M/A
R2032OTN 2018-02-16 Provider Enrollment, Chain, and Ownership System (PECOS) Extract Changes for Multi-Carrier System (MCS) - Analysis Only 2018-07-02 10455
R2033OTN 2018-02-16 ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs) N/A 10473 MM10473 2018-02-21
R3978CP 2018-02-16 Common Edits and Enhancements Modules (CEM) Code Set Update 2018-07-02 10462
R3977CP 2018-02-16 Healthcare Provider Taxonomy Codes (HPTCs) April 2018 Code Set Update 2018-07-02 10402 MM10402 2018-02-16
R2035OTN 2018-02-16 Targeted Probe and Educate Metrics Deliverables Update and Glossary 2018-03-19 10477
R773PI 2018-02-23 Form CMS-855O Processing Guide 2018-03-23 10355 MM10355 2018-02-23
R771PI 2018-02-23 Clarification of Instructions Regarding the Intensive Level of Rehabilitation Therapy Services Requirements 2018-03-23 10482
R3982CP 2018-02-23 Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2018 - Recurring File Update 2018-04-02 10480 MM10480 2018-02-23
R2039OTN 2018-02-28 ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs) 2018-02-28 10473
R774PI 2018-03-02 Comprehensive Error Rate Testing (CERT) Program Dispute Process 2018-03-19 10485
R3985CP 2018-03-02 Instructions for Downloading the Medicare ZIP Code File for July 2018 2018-07-02 10516
R3990CP 2018-03-01 Diagnosis Code Update for Add-on Payments for Blood Clotting Factor Administered to Hemophilia Inpatients 2018-07-02 10474 MM10474 2018-03-02
R2040OTN 2018-03-02 Appropriate Use Criteria for Advanced Diagnostic Imaging – Voluntary Participation and Reporting Period - Claims Processing Requirements – HCPCS Modifier QQ 2018-07-02 10481 MM10481 2018-03-02
R3989CP 2018-03-02 April 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.1 2018-04-02 10514 M10514 2018-03-02
R3988CP 2018-03-02 April 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2018-04-02 10515 MM10515 2018-03-06
R3987CP 2018-03-02 Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2018 2018-04-02 10511
R205NCD 2018-03-02 Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) 2018-07-02 10295 MM10295 2018-03-02
R3992CP 2018-03-02 Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) 2018-07-02 10295 MM10295 2018-05-15
R3993CP 2018-03-06 Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR 9911 2018-03-06 10433 MM10433 2018-03-13
R8P241 2018-03-09 Medicare Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 41, Form CMS-2540-10 2018-03-09 N/A
R2P244 2018-03-09 Medicare Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 44, Form CMS-224-14 2018-03-09 N/A
R3997CP 2018-03-07 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - April 2018 Update 2018-04-02 10454 MM10454 2018-02-05
R3996CP 2018-03-09 April 2018 Update of the Ambulatory Surgical Center (ASC) Payment System 2018-04-02 10530 MM10530 2018-03-13
R3994CP 2018-03-09 April Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2018-04-02 10503 MM10503 2018-03-22
R3995CP 2018-03-09 Correction to Pub. 100-04, Chapter 5 2018-06-11 10509
R3998CP 2018-03-08 File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions 2018-02-05 10313
R2041OTN 2018-03-13 Redesign of Flu Vaccines in Fiscal Intermediary Shared System (FISS) n/a 10415
R3999CP 2018-03-14 Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 2018-04-02 10445 MM10445 2018-03-14
SE18002 Billing Requirements for OPPS Providers with Multiple Service Locations SE18002 2018-03-15
R114GI 2018-03-16 Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) (2018) 2018-06-19 10512 MM10512 2018-03-16
R242BP 2018-03-16 Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) (2018) 2018-06-19 10512 MM10512 2018-03-16
R4001CP 2018-03-16 Internet Only Manual Updates to Pub. 100-01, 100-02 and 100-04 to Correct Errors and Omissions (SNF) (2018) 2018-06-19 10512 MM10512 2018-03-16
R780PI 2018-03-16 2018-05-16 10498
R14P240 2018-03-16 Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10 2018-03-16 n/a
R300FM 2018-03-16 The Fiscal Year 2018 Updates for the Centers for Medicare and Medicaid Services (CMS) Internet Only Manual (IOM) 100-06 The Medicare Financial Management Manual, Chapter 7 - Internal Control Requirements 2018-06-19 10400
R4000CP 2018-03-16 Internet Only Manual Update to Pub 100-04, Chapter 16, Section 40.8 - Date of Service Policy 2018-07-02 10419
R18P232 2018-03-16 Medicare Provider Reimbursement Manual - Part 2, Provider Cost Reporting Forms and Instructions, Chapter 32, Form CMS-1728-94 2018-03-16 N/A
R778PI 2018-03-16 Updates to Payment Suspension Notice 2018-05-16 10475
R2042OTN 2018-03-16 Adjustments to Qualified Medicare Beneficiary (QMB) Claims Processed Under CR 9911 2018-12-11 10494 MM10494 2018-03-22
R2043OTN 2018-03-16 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2016 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCH) 2018-04-16 10527 MM10527 2018-03-16
R2044OTN 2018-03-16 National Correct Coding Initiative (NCCI) Add-on Codes for Non-Outpatient Prospective Payment System (OPPS) Institutional Providers Implementation 2018-04-02 10504
R2045OTN 2018-03-16 Identifying and Eliminating Discrepancies in Shared System Enrollment Data and Provider Enrollment Chain and Ownership System (PECOS) Data 2018-07-02 10411
R301FM 2018-03-19 The Fiscal Year 2018 Updates for the Centers for Medicare and Medicaid Services (CMS) Internet Only Manual (IOM) 100-06 The Medicare Financial Management Manual, Chapter 7 - Internal Control Requirements 2018-06-19 10400
R4005CP 2018-03-20 April 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2018-04-02 10515 MM10515 2018-03-21
R2047OTN 2018-03-20 Claims Processing Actions to Implement Certain Provisions of the Bipartisan Budget Act of 2018 2018-04-02 10531 MM10531 2018-03-26
R4004CP 2018-03-21 April Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2018-04-02 10503 MM10503 2018-03-22
R4006CP 2018-03-21 April 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.1 2018-04-02 10514 MM10514 2018-03-21
R4010CP 2018-03-23 Revisions to Medicare Claims Processing Manual for End Stage Renal Disease 2018-06-26 10541
R4009CP 2018-03-23 Update to the Internet Only Manual (IOM) Publication 100-04 - Medicare Claims Processing Manual, Chapter 27 - Contractor Instructions for Common Working File (CWF) 2018-04-23 10497
R4008CP 2018-03-23 Notification of Change in Instructions for Handling IRF Active Provider List 2018-04-23 10459
R2048OTN 2018-03-23 Fiscal Intermediary Shared System (FISS) Internal Crosswalk Modification 2018-07-22 10554
R4007CP 2018-03-22 Consumer Friendly Spanish Descriptors for the Current Procedural Terminology (CPT) / Level 1 Healthcare Common Procedure Coding System (HCPCS) Codes and a Correction to the Part A Spanish Medicare Summary Notices (MSNs) 2018-07-02 10286
SE18003 Skilled Nursing Facility Value-Based Purchasing Program Updated SE18003 2018-03-28
R784PI 2018-03-30 Reviewing for Adverse Legal Actions (ALA) 2018-04-30 10558
R783PI 2018-03-30 Proof of Delivery Exceptions for Immunosuppressant Drugs Paid Under the Durable Medical Equipment (DME) Benefit 2018-04-30 10544
R782PI 2018-03-30 Update to Chapter 15 of Publication 100-08 - Medicare Enrollment Deactivation Policies 2018-04-30 10443
R4011CP 2018-03-30 Skilled Nursing Facility Advance Beneficiary Notice of Non-Coverage (SNF ABN) 2018-04-30 10567 MM10567 2018-03-30
R4013CP 2018-03-30 Institutional Billing for No Cost Items 2018-06-29 10521 MM10521 2018-03-30
R2049OTN 2018-03-30 National Supplier Clearinghouse (NSC) Numbers Shortage for Walgreen TIN 2018-04-02 10594
SE18001 2018-03-29 Proper Coding for Specimen Validity Testing Billed in Combination with Drug Testing SE18001
SE18001 Proper Coding for Specimen Validity Billed in Combination with Drug Testing SE18001 2018-03-29
R4014CP 2018-03-30 Revised and New Modifiers for Oxygen Flow Rate 2018-04-02 10158 MM10158 2018-02-14
R302FM 2018-03-30 Removal of Contractor Reporting Requirements for the Physician Scarcity Area (PSA), the Health Professional Shortage Area Surgical Incentive Payment Program (HSIP) and the Primary Care Payment Incentive Program (PCIP) Quarterly Reports 2018-07-02 10406
R2050OTN 2018-04-03 Modifications to the Implementation of the Paperwork (PWK) Segment of the Electronic Submission of Medical Documentation (esMD) System 2018-07-02 10397 MM10397 2018-04-04
R206NCD 2018-04-03 Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) N/A 10295 MM10295 2018-03-02
R4016CP 2018-04-03 Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) N/A 10295 MM10295 2018-03-02
R785PI 2018-04-06 2018-05-07 10592
R4017CP 2018-04-06 Increased Ambulance Payment Reduction for Non-Emergency Basic Life Support (BLS) Transports to and from Renal Dialysis Facilities 2018-10-01 10549 MM10549 2018-04-06
R4018CP 2018-04-06 New Waived Tests 2018-07-02 10586 MM10586 2018-04-06
R2051OTN 2018-04-04 Claims Processing Actions to Implement Certain Provisions of the Bipartisan Budget Act of 2018 2018-04-02 10531 MM10531 2018-03-26
R303FM 2018-04-10 Notice of New Interest Rate for Medicare Overpayments and Underpayments -3rd Qtr Notification for FY 2018 2018-04-17 10629
R786PI 2018-04-13 Reimbursing Providers and Health Information Handlers (HIHs) for Additional Documentation 2018-05-14 10529
R3P243 2018-04-13 Medicare Provider Reimbursement Manual - Part 2, Provider Cost Reporting Forms and Instructions, Chapter 43, Form CMS-1984-14 2018-04-13 N/A
R178SOMA 2018-04-13 Revisions to State Operations Manual (SOM) Appendix J, Part I – Survey Protocol for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) 2018-04-13 N/A
R2054OTN 2018-04-13 Change in Type of Service (TOS) for Current Procedural Terminology (CPT) Code 77067 2018-07-02 10607 MM10607 2018-04-13
R4021CP 2018-04-13 Ambulance Transportation for a Skilled Nursing Facility (SNF) Resident in a Stay Not Covered by Part A - Medicare Benefit Policy Manual, Chapter 10 and Medicare Claims Processing Manual, Chapter 15 2018-07-16 10550 MM10550 2018-04-13
R243BP 2018-04-13 Ambulance Transportation for a Skilled Nursing Facility (SNF) Resident in a Stay Not Covered by Part A - Medicare Benefit Policy Manual, Chapter 10 and Medicare Claims Processing Manual, Chapter 15 2018-07-16 10550 MM10550 2018-04-13
R4022CP 2018-04-13 Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 24.2 Effective July 1, 2018 2018-07-02 10593 MM10593 2018-04-13
R195DEMO 2018-04-13 Update to CR9341 Oncology Care Model (OCM) Restricted Care Management Code List 2018-07-02 10452
R4025CP 2018-04-20 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2018 Update 2018-07-01 10624 MM10624 2018-04-20
R4024CP 2018-04-20 Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions 2018-07-02 10507
R4023CP 2018-04-20 Update of Internet Only Manual (IOM), Medicare Claims Processing Manual, Publication 100-04, Chapter 37 - Department of Veterans Affairs (VA) Claims Adjudication Services Project 2018-07-20 10621
R2062OTN 2018-04-27 Updates to Peritoneal Dialysis Claims Processing, Provider Statistical and Reimbursement Report (PSR) and Payment for Ultrafiltration for Beneficiaries with Acute Kidney Injury (AKI) 2018-10-01 10574
R2063OTN 2018-04-27 Processing Instructions to Update the Identification Code Qualifier Being Used in the NM108 Data Element at the 2100 Loop, NM1- Patient Name Segment in the 835 Guide 2018-10-01 10565 MM10565 2018-04-27
R2055OTN 2018-04-27 Update to the Hospital Transfer Policy for Early Discharges to Hospice Care 2018-10-01 10602
R2056OTN 2018-04-27 User CR: Develop Enhanced Claims Search Reporting in Fiscal Intermediary Shared System (FISS) - Phase 1 2019-04-01 10533
R2057OTN 2018-04-27 Common Working File (CWF) to Increase Next Eligible Date Occurrences to 99 for Preventative Services 2018-10-01 10532
R4027CP 2018-04-27 Inexpensive or Routinely Purchased Durable Medical Equipment (DME) Payment Classification for Speech Generating Devices (SGD) and Accessories 2018-10-01 10604 MM10604 2018-05-01
R4026CP 2018-04-27 Revisions to the Telehealth Billing Requirements for Distant Site Services 2018-10-01 10583 MM10583 2018-04-27
R2069OTN 2018-04-27 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 3 2018-10-01 10496
R4035CP 2018-04-27 Enhancements to Processing of Hospice Routine Home Care Payments 2018-10-01 10573 MM10573 2018-04-30
R791PI 2018-04-27 Restoring Section 3.2.3 B. and Section 3.2.3 C. to Chapter 3 of Publication (Pub.) 100-08 in the Internet Only Manual (IOM) 2018-05-29 10505
R2071OTN 2018-04-27 Phase 4 - Updating the Fiscal Intermediary Shared System (FISS) to Make Payment for Drugs and Biologicals Services for Outpatient Prospective Payment System (OPPS) Providers 2018-10-01 10519
R2068OTN 2018-05-04 Common Working File (CWF) Split Medicare Part A Claims to Carry 50 Lines per Segment Rather than 100 Lines per Segment 2019-01-07 10495
R196DEMO 2018-04-27 Comprehensive ESRD Care (CEC) Model Telehealth - Implementation 2018-10-01 10314 MM10314 2018-04-30
R2070OTN 2018-04-27 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System - (Removing/Archiving Demonstration Codes 51 and 56) 2018-10-01 10508
R2067OTN 2018-04-27 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 2 2018-10-01 10469
R2066OTN 2018-04-27 Enhancement for Undeliverable Pay Medicare Summary Notices (MSNs) for Multi-Carrier System (MCS) Users N/A 10439
R4039CP 2018-04-27 New Physician Specialty Code for Medical Genetics and Genomics 2018-10-01 10457 MM10457 2018-04-27
R304FM 2018-04-27 New Physician Specialty Code for Medical Genetics and Genomics 2018-10-01 10457 MM10457 2018-04-27
R2072OTN 2018-04-27 Implementation of Business Requirements to Increase Claim Counter Maximum and Create Auto-Deletion Utility 2018-10-01 10522
R4038CP 2018-04-27 Modifying FISS Part B Claims Overlap Edits 2018-10-01 10518
R2073OTN 2018-04-27 Use the VMAP/4D States Table in all VMS Address Processing N/A 10524
R4040CP 2018-04-27 2018-10-01 10555
R2074OTN 2018-04-27 Modifying FISS Part B Claims Overlap Edits 2018-10-01 10518
R4037CP 2018-04-27 Removal of KH Modifier from Capped Rental Claims 2018-10-01 10422 MM10422 2018-04-30
R4036CP 2018-04-27 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - July 2018 2018-07-02 10556 MM10556 2018-05-25
R2064OTN 2018-04-27 Part B Detail Line Expansion - Fiscal Intermediary Shared System (FISS) 2018-10-01 10628
R2065OTN 2018-04-27 Part B Detail Line Expansion - Multi-Carrier System (MCS) Phase 9 2019-04-01 10034
R2075OTN 2018-04-30 Medicare Cost Report E-Filing (MCReF) 2018-06-12 10611 MM10611 2018-05-02
R2083OTN 2018-05-04 Implementation of Changes to the Pre-Payment Additional Documentation Request (ADR) Letters for Medical Review 2018-10-01 10525
R2084OTN 2018-05-04 Analysis and Design for Fiscal Intermediary Shared System (FISS), Multi-Carrier System (MCS), and Viable Information Processing System (VIPS) Medicare System (VMS) Prepayment Review Report 2018-10-01 10608
R2076OTN 2018-05-04 International Code of Diseases, Tenth Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) 2018-10-01 10622 MM10622 2018-05-09
R2077OTN 2018-05-04 Clean-up of Fiscal Intermediary Shared System (FISS) Reason Codes and Quarterly Reports 2018-10-01 10255
R2079OTN 2018-05-04 Identifying and Eliminating Discrepancies between the Provider Enrollment, Chain and Ownership System (PECOS) and the Fiscal Intermediary Shared System (FISS) 2018-10-01 10564
R2080OTN 2018-05-04 Fee-For-Service (FFS) Shared System Maintainers (SSMs) Standardized Release Identification (ID) Format N/A 10562
R2082OTN 2018-05-04 Analysis for Mandatory Support of Review Contractors to Send Electronic Medical Documentation Requests (eMDR) to Participating Providers via the Electronic Submission of Medical Documentation (esMD) System 2018-10-01 10526
R2085OTN 2018-05-04 Implementation of Procedures for Undeliverable Medicare Summary Notices (uMSNs) and Summary MSNs for Previously Undeliverable MSNs for FISS and MCS (No-Pay only) 2018-10-01 10035
R2086OTN 2018-05-04 Combined Common Edits/Enhancements Module (CCEM) Updates for Apache POI (version 3.14.0) to Apache POI (version 3.17) and Analysis from JAVA (version 6) to JAVA (version 7) 2018-10-01 10625
R2081OTN 2018-05-11 Transition Letter Writing from Client Letter Software to the Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs) N/A 10634
R4045CP 2018-05-11 Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 2018-07-02 10642 MM10642 2018-05-14
R4047CP 2018-05-11 Updates to Publication 100-04, Chapters 1 and 27 to Replace Remittance Advice Remark Code (RARC) MA61 with N382 2018-08-13 10619 MM10619 2018-05-14
R796PI 2018-05-11 Intent to Reopen 2018-08-13 9855
R4046CP 2018-05-11 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) PPS Extensions per the Advancing Chronic Care, Extenders, and Social Services (ACCESS) Act Included in the Bipartisan Budget Act of 2018 2018-04-02 105471 MM10547 2018-05-14
R207NCD 2018-05-11 Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) 2018-07-02 10295 MM10295 2018-05-14
R4049CP 2018-05-11 Supervised Exercise Therapy (SET) for Symptomatic Peripheral Artery Disease (PAD) 2018-07-02 10295 MM10295 2018-05-14
R4048CP 2018-05-11 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2018 Update 2018-07-02 10624 MM10624 2018-05-14
R4052CP 2018-05-17 Removal of KH Modifier from Capped Rental Claims 2018-10-01 10422
R1P245 2018-05-18 Medicare Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 45, Form CMS-2088-17 2018-09-30 NA
R4053CP 2018-05-18 Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2018 Update 2018-07-02 10644 MM10644 2018-05-21
R4055CP 2018-05-18 Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for Generating Reports 2018-10-01 10599
R4056CP 2018-05-18 Instructions for Downloading the Medicare ZIP Code File for October Files 2018-10-01 10612
R4057CP 2018-05-18 Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update 2018-10-01 10620 MM10620 2018-05-18
R1P246 2018-05-18 Medicare Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 46, Form CMS-222-17 2018-09-30 NA
R2089OTN 2018-05-18 Standardization of Case File Transmittal and Provider Information Processes, Bankruptcy, Payment Hold, and Cancellation Reporting Between the Medicare Administrative Contractors (MAC) and the Recovery Audit Contractor (RAC) 2018-10-01 10369
R4058CP 2018-05-18 Common Edits and Enhancements Modules (CEM) Code Set Update 2018-10-01 10632
R4054CP 2018-05-18 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 2018-10-01 10566 MM10566 2018-05-18
R4061CP 2018-05-25 July 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2018-07-02 10667 MM10667 2018-05-25
R2090OTN 2018-05-24 Use the VMAP/4D States Table in all VMS Address Processing 2019-01-07 10524
R4062CP 2018-05-24 Diagnosis Code Update for Add-on Payments for Blood Clotting Factor Administered to Hemophilia Inpatients 2018-07-02 10474 MM10474 2018-05-25
SE18006 New Medicare Beneficiary Identifier (MBI) Get It, Use It SE18006 2018-05-25
R2091OTN 2018-05-30 Identifying and Eliminating Discrepancies between the Provider Enrollment, Chain and Ownership System (PECOS) and the Fiscal Intermediary Shared System (FISS) 2018-10-01 10564
R4063CP 2018-06-01 New Q Code for In-Line Cartridge Containing Digestive Enzyme(s) 2018-07-02 10626 MM10626 2018-06-01
R4066CP 2018-06-01 Claim Status Category and Claim Status Codes Update 2018-10-01 10777 MM10777 2018-06-04
R4067CP 2018-06-01 July 2018 Update of the Ambulatory Surgical Center (ASC) Payment System 2018-07-02 10788 MM10788 2018-06-04
R121MSP 2018-06-01 Update the International Classification of Diseases, Tenth Revision (ICD-10) 2019 Tables in the Common Working File (CWF) for Purposes of Processing Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) Records and Claims 2018-10-01 10803
R4065CP 2018-06-01 July 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.2 2018-07-02 10699 MM10699 2018-06-06
R4064CP 2018-06-01 July 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2018-07-02 10781 MM10781 2018-06-05
R4068CP 2018-05-31 E/M Service Documentation Provided by Students (Manual Update) 2018-03-05 10412 MM10412 2018-06-01
R797PI 2018-06-01 Reviewing for Adverse Legal Actions (ALA) 2018-04-30 10558 MM10558 2018-06-07
R2093OTN 2018-06-07 Standardization of Case File Transmittal and Provider Information Processes, Bankruptcy, Payment Hold, and Cancellation Reporting Between the Medicare Administrative Contractors (MAC) and the Recovery Audit Contractor (RAC) 2018-10-01 10369
R4069CP 2018-06-08 Alignment of Coordination of Benefits Agreement (COBA) Internet Only Manual References 2018-07-09 10737
R4070CP 2018-06-08 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2018 2018-10-01 10802 MM10802 2018-06-08
R4071CP 2018-06-08 Update of Internet Only Manual (IOM), Medicare Claims Processing Manual, Publication 100-04, Chapter 18- Preventive and Screening Services, and Chapter 35 - Independent Diagnostic Testing Facility (IDTF) 2018-07-09 10735 MM10735 2018-06-08
R4072CP 2018-06-08 July Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2018-07-02 10707 MM10707 2018-06-11
R2092OTN 2018-06-08 Analysis for First Coast Service Options (FCSO) and Novitas for the Security Assertion Markup Language 2.0 (SAML 2.0) Migration N/A 10790
SE18007 Recent and Upcoming Improvements in Hospice Billing and Claims Processing SE18007 2018-06-07
SE18008 Provider Enrollment – Unlicensed Residents SE18008 2018-06-08
R4073CP 2018-06-15 Quarterly Update to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) 2018-07-02 10818 MM10801 2018-06-18
R800PI 2018-06-15 Comprehensive Error Rate Testing (CERT) Update to Chapter 12 of Publication (Pub.) 100-08 2018-07-17 10778
R14SS 2018-06-15 IOM 100-17 Updates 2018-11-30 10576
R4075CP 2018-06-15 July 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2018-07-02 10781 MM10781 2018-06-19
R4074CP 2018-06-15 July 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.2 2018-07-02 10781 MM10699 2018-06-18
R2094OTN 2018-06-20 Update to the Hospital Transfer Policy for Early Discharges to Hospice Care 2018-10-01 10602
R2095OTN 2018-06-20 Revisions to the Telehealth Billing Requirements for Distant Site Services 2018-10-01 10583 MM10583 2018-04-27
R4076CP 2018-06-26 July 2018 Update of the Ambulatory Surgical Center (ASC) Payment System 2018-07-02 10788 MM10788 2018-06-04
R802PI 2018-06-22 Use of Accessible and Applicable Claims History During Medical Review 2018-07-24 10640
R2096OTN 2018-06-22 Global Surgical Days for Critical Access Hospital (CAH) Method II 2018-07-02 10425 MM10425 2018-06-25
R4077CP 2018-06-26 Revision to the Skilled Nursing Facility (SNF) Pricer to Support Value-Based Purchasing (VBP) 2018-10-01 10555
R2097OTN 2018-06-26 Clean-up of Fiscal Intermediary Shared System (FISS) Reason Codes and Quarterly Reports 2018-10-01 10255
R4078CP 2018-06-26 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2018 Update 2018-07-02 10624 MM10624 2018-06-26
R198DEMO 2018-06-27 Comprehensive ESRD Care (CEC) Model Telehealth - Implementation 2018-10-01 10314 MM10314 2018-04-30
SE18004 Review of Opioid Use during the Initial Preventive Physical Examination (IPPE) and Annual Wellness Visit (AWV) SE18004 2018-08-29
R4080CP 2018-06-29 Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 24.3 Effective October 1, 2018 2018-10-01 10827 MM10827 2018-06-29
R4083CP 2018-07-05 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2018 Update 2018-07-02 10624 MM10624 2018-07-06
R179SOMA 2018-07-06 Revisions to the State Operations Manual (SOM) Chapter Two for Organ Procurement Organizations (OPOs) 2018-07-06 N/A
R4085CP 2018-07-06 Annual (2019) Update of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) 2018-10-01 10847
R4084CP 2018-07-06 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2019 2018-10-01 10825 MM10825 2018-07-09
R806PI 2018-07-06 Clarify Detailed Written Orders For Durable Medical Equipment, Prosthetics, Orthotics, And Supplies (DMEPOS) 2018-08-07 10345
R305FM 2018-07-11 Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notification for FY 2018 2018-07-18 10891
R2098OTN 2018-07-12 Implementation of Automating First Claim Review in Serial Claims for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 2019-01-07 10426 MM10426
R4088CP 2018-07-13 Update to the Internet Only Manual (IOM) Publication 100-04 - Medicare Claims Processing Manual, Chapter 27 - Contractor Instructions for Common Working File (CWF) 2018-08-14 10842
R808PI 2018-07-13 Medical Review of Evaluation and Management (E/M) Documentation 2018-08-14 10627 MM10627 2018-07-16
R4087CP 2018-07-13 New Physician Specialty Code for Undersea and Hyperbaric Medicine 2018-01-07 10666 MM10666 2018-07-16
R306FM 2018-07-13 New Physician Specialty Code for Undersea and Hyperbaric Medicine 2019-01-07 10666 MM10666 2018-07-16
R4090CP 2018-07-20 Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 2018-10-01 10875 MM10875 2018-07-20
R4092CP 2018-07-20 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2018 2018-10-01 10873 MM10873 2018-07-20
R4093CP 2018-07-20 October Quarterly Update to 2018 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 2018-10-01 10852 MM10852 2018-07-20
R2100OTN 2018-07-19 Analysis for First Coast Service Options (FCSO) and Novitas for the Security Assertion Markup Language 2.0 (SAML 2.0) MigrationN N/A 10790
R4094CP 2018-07-19 File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions 2018-07-02 10507
R244BP 2018-07-20 Internet Only Manual (IOM) Update to Publication 100-02, Chapter 11 - End Stage Renal Disease (ESRD), Section 100 2018-10-23 10809 MM10809 2018-07-20
R4091CP 2018-07-20 New Waived Tests 2018-10-01 10819 MM10819 2018-07-20
R2099OTN 2018-07-20 Client Letter Code Removal and Decommission in the ViPS Medicare System (VMS) 2019-01-07 10835
R4095CP 2018-07-27 File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions 2018-10-01 10862
R812PI 2018-07-27 Clarify Detailed Written Orders For Durable Medical Equipment, Prosthetics, Orthotics, And Supplies (DMEPOS) 2018-08-28 10345
R2102OTN 2018-08-03 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 3 2019-01-07 10814
R2104OTN 2018-08-03 Analysis of the Structured Data Elements for Sending Additional Documentation Request (ADR) Decision Letters and Prior Authorization/Pre-Claim Review (PA/PCR) Decision Letters Electronically via the Electronic Submission of Medical Documentation (esMD) System 2018-11-05 10807
R4098CP 2018-08-03 Update to the Fiscal Intermediary Shared Systems (FISS) Outpatient Provider Specific File (OPSF) for Outpatient Prospective Payment System (OPPS) Hospitals and OPPS Pricer Interface 2019-01-07
R4096CP 2018-08-03 Update to the Medicare Claims Processing Manual, Chapter 24, Section 90 2018-11-05 10559 MM10559 2018-08-03
R4100CP 2018-08-03 Quarterly Influenza Virus Vaccine Code Update - January 2019 2019-01-07 10871 MM10871 2018-08-06
R2101OTN 2018-08-03 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 4 2019-01-07 10551
R4104CP 2018-08-03 Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2019 2018-10-01 10880 MM10880 2018-08-03
R2108OTN 2018-08-03 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System - (Removing /Archiving demonstration codes 44 and 47) 2019-01-07 10846
R245BP 2018-08-03 System Changes to Implement Epoetin Alfa Biosimilar, Retacrit for End Stage Renal Disease (ESRD) and Acute Kidney Injury (AKI) Claims 2019-01-07 10839 MM10839 2018-08-03
R4107CP 2018-08-03 October 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files 2018-10-01 10899 MM10899 2018-08-03
R4105CP 2018-08-03 System Changes to Implement Epoetin Alfa Biosimilar, Retacrit for End Stage Renal Disease (ESRD) and Acute Kidney Injury (AKI) Claims 2019-01-07 10839 MM10839 2018-08-03
SE18010 Inclusion of Power Mobility Device Codes in the Prior Authorization Program for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Items SE18010 2018-08-07
R4109CP 2018-08-10 Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October 2018 Update 2018-10-01 10898 MM10898 2018-08-10
R4111CP 2018-08-10 Revisions to Medicare Claims Processing Manual for Foreign, Emergency and Shipboard Claims 2018-09-11 10856
R78QRI 2018-08-10 Payments to Home Health Agencies That Do Not Submit Required Quality Data - This CR Rescinds and Fully Replaces CR 9651. 2018-09-11 10874
R2112OTN 2018-08-10 User CR: FISS to Add Additional Search Features to Provider Direct Data Entry (DDE) Screen 2019-01-07 10542 MM10542 2018-08-14
R2111OTN 2018-08-10 Modifications Within Common Working File (CWF) to Adjustment Claims Exceeding Annual Therapy Threshold 2019-01-07 10810
R2113OTN 2018-08-10 Combined Common Edits/Enhancements Module (CCEM) Updates for JAVA (version 6) to JAVA (version 7) 2019-01-07 10822
R203DEMO 2018-08-10 Next Generation Accountable Care Organization (ACO) Model 2019 Benefit Enhancement 2019-01-07 10824 MM10824 2018-08-22
R2115OTN 2018-08-09 2019-01-07 10811
R2119OTN 2018-08-10 Process Improvement for Recovery Audit Contractor (RAC) Mass Adjustment Input File – Underpayment Adjustment Enhancement 2019-01-07 10483
R2116OTN 2018-08-10 Modifications to the National Coordination of Benefits Agreement (COBA) Medicare Crossover Process 2019-01-07 10815
R4108CP 2018-08-10 October Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule 2018-10-01 10881 MM10881 2018-08-10
R4114CP 2018-08-10 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - October 2018 Upda 2018-10-01 10834 MM10834 2018-08-10
R2125OTN 2018-08-10 Medicare Diabetes Prevention Program (MDPP) Service Period Change from 3 Years to 2 Years N/A 10779
R2120OTN 2018-08-10 2019-01-07 10813
R2126OTN 2018-08-10 User CR: FISS to Add Location/Statuses to the 6H File Fix 2019-01-07 10546
R2122OTN 2018-08-10 International Code of Diseases, Tenth Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) N/A 10859 MM10859 2018-08-14
R4086CP 2018-08-10 Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2019 2018-10-01 10631 MM10631 2018-08-10
R2130OTN 2018-08-14 Enhancement for Undeliverable Pay Medicare Summary Notices (MSNs) for Multi-Carrier System (MCS) Users 2019-01-07 10439
SE18011 Current Medicare Coverage of Diabetes Supplies SE18011 2018-08-16
R817PI 2018-08-17 New Instructions for Home Health Agency Misuse of Requests for Anticipated Payments (RAPs) 2018-09-17 10789
R819PI 2018-08-17 Adding a Targeted Probe and Educate (TPE) Sub-Section Into Section 3.2 of Chapter 3 in Publication (Pub.) 100-08 2018-09-17 10876
R123MSP 2018-08-17 Updating Language to Clarify for Providers Chapter 3, Section 20 and Chapter 5, Section 70 of the Medicare Secondary Payer Manual 2018-11-20 10863 MM10863 2018-08-17
R122MSP 2018-08-17 Electronic Correspondence Referral System (ECRS) Enhanced Functionality 2018-09-17 10887
R2131OTN 2018-08-17 Ensuring Home Health Standardized Amounts Are Reflected in the National Claims History 2019-01-07 10523
R2133OTN 2018-08-17 Clarification of Policies Related to Reasonable Cost Payment for Nursing and Allied Health Education Programs 2018-11-19 10552
R2132OTN 2018-08-17 User CR: MCS - Enhance H9 Screen to Hold Information After Claim Finalizes 2019-01-07 10650
R2134OTN 2018-08-24 Shared System Enhancement 2015: Resolve Operating Report (ORPT) Issues - Development and Implementation 2020-01-06 9734
R180SOMA 2018-08-24 Revisions to the State Operations Manual (SOM) Appendix Y, Organ Procurement Organization (OPO) Interpretive Guidance 2018-08-24 N/A
R4121CP 2018-08-24 2019 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder 2019-01-07 10894
R4120CP 2018-08-24 Instructions for Downloading the Medicare ZIP Code File for January 2019 2019-01-07 10866
R4118CP 2018-08-24 Combined Common Edits/Enhancements Modules (CCEM) Code Set Update 2019-01-07 10884
R4117CP 2018-08-24 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 2019-01-07 10904 MM10904 2018-08-24
R4116CP 2018-08-24 Healthcare Provider Taxonomy Codes (HPTCs) October 2018 Code Set Update N/A 10857 MM10857 2018-08-24
R4115CP 2018-08-24 Claim Status Category and Claim Status Codes Update 2019-01-07 10925 MM10925 2018-08-24
R4122CP 2018-08-24 October 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.3 2018-10-01 10900 MM10900 2018-08-24
R4123CP 2018-08-24 October 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2018-10-01 10923 MM10923 2018-08-28
R822PI 2018-08-24 Update to Chapter 15 of Publication (Pub.) 100-08, Certification Statement Policies 2018-10-01 10845 MM10845 2018-08-24
R205DEMO 2018-08-28 Next Generation Accountable Care Organization (ACO) Model 2019 Benefit Enhancement 2019-01-07 10824 MM10824 2018-08-29
R124MSP 2018-08-31 Updates to Chapters 5 and 6 of Publication 100-05 to Further Clarify Medicare Secondary Payer (MSP) Processes that Include Electronic Correspondence Referral System (ECRS) Requests Submissions and Timely Submission of MSP I Records, General Inquiries and Hospital Reviews 2018-10-01 10855
R823PI 2018-08-31 Update to Exhibit 16 - Model Payment Suspension Letters in Publication (Pub.) 100-08 2018-10-01 10849
R4124CP 2018-08-31 Influenza Vaccine Payment Allowances - Annual Update for 2018-2019 Season 2018-11-01 10914 MM10914 2018-09-04
R4125CP 2018-08-31 October 2018 Update of the Ambulatory Surgical Center (ASC) Payment System 2018-10-01 10932 MM10932 2018-09-04
R2135OTN 2018-08-31 Medicare Appeals System (MAS) Part B and Durable Medical Equipment (DME) Data Collection Web Services Pilot 2018-10-01 10829
SE18012 Reminder on Billing Requirements Implemented for non-OPPS Providers SE18012 2018-09-04
R824PI 2018-09-05 Update to Chapter 15 of Publication (Pub.) 100-08, Certification Statement Policies 2018-10-01 10845 MM10845 2018-09-05
R4127CP 2018-09-05 Quarterly Influenza Virus Vaccine Code Update - January 2019 2019-01-07 10871 MM10871 2018-09-05
R2136OTN 2018-09-05 Standardization of Case File Transmittal and Provider Information Processes, Bankruptcy, Payment Hold, and Cancellation Reporting Between the Medicare Administrative Contractors (MAC) and the Recovery Audit Contractor (RAC) 2018-10-01 10369
R2137OTN 2018-09-06 National Correct Coding Initiative (NCCI) Add-on Codes for Non-Outpatient Prospective Payment System (OPPS) Institutional Providers Implementation 2018-04-02 10504
R4128CP 2018-09-07 Annual Clotting Factor Furnishing Fee Update 2019 2019-01-07 10918 MM10918 2018-09-07
SE18013 Intensity-Modulated Radiation Therapy (IMRT) Planning Services Editing SE18013
R2138OTN 2018-09-11 International Classification of Diseases, Tenth Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) N/A 10859 MM10859 2018-09-12
R4130CP 2018-09-14 Update to the Medicare Claims Processing Manual, Chapter 23, Section 60.3 2018-10-15 10924 MM10924 2018-09-14
R4131CP 2018-09-14 Updates to Chapter 23 Fee File Instructions 2018-12-17 10926
R4132CP 2018-09-14 Instructions for Retrieving the January 2019 Medicare Physician Fee Schedule Database (MPFSDB) Files Through the CMS Mainframe Telecommunications System 2019-01-07 10928
R246BP 2018-09-14 Manual Updates Related to Payment Policy Changes Affecting the Hospice Aggregate Cap Calculation and the Designation of Hospice Attending Physicians 2018-12-17 10517 MM10517 2018-09-14
R4134CP 2018-09-13 Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - October 2018 Update 2018-10-01 10834 MM10834 2018-08-10
R2139OTN 2018-09-14 Monthly Status Report (MSR) Excel Data Template Updates and Implementation of Medicare Administrative Contractor (MAC)/Centers for Medicare & Medicaid Services (CMS) Data Exchange (MDX) Portal System - This CR Rescinds and Fully Replaces CR 10399. N/A 10870
SE18014 Hurricane Florence and Medicare Disaster Related North Carolina, South Carolina, and the Commonwealth of Virginia Claims SE18014 2018-09-14
R181SOMA 2018-09-21 Revisions to State Operations Manual, Chapter 2, Certification Process 2018-09-21 N/A
R2140OTN 2018-09-20 Redesign of Flu Vaccines in Fiscal Intermediary Shared System (FISS) N/A 10415
R4137CP 2018-09-21 New Waived Tests 2019-01-07 10958 MM10958 2018-09-21
R825PI 2018-09-21 Credentials of Reviewers (This Change Request (CR) Rescinds and Fully Replaces CR 10157.) 2018-10-22 10909
R826PI 2018-09-21 Update to Chapter 4, Section 4.18.1.4 and Exhibit 16 in Publication (Pub.) 100-08 2018-10-22 10853
R827PI 2018-09-21 Updates to Chapter 4 of Publication (Pub.) 100-08 2018-10-22 10591
R2141OTN 2018-09-21 Implementing the Insertion of a Sheet of Paper Promoting the Electronic Medicare Summary Notices (eMSNs) into Mailed Medicare Summary Notices (MSNs) 2019-01-02 10910
SE18015 2018-2019 Influenza (Flu) Resources for Health Care Professionals SE18015 2018-09-24
R478PR1 2018-09-28 Table 30 to update the Medicare Payment Rates for routine SNF-type services by swing-bed hospitals during calendar year 2019. These rates should be used to carve out swing-bed costs on the hospital cost report. N/A N/A
R182SOMA 2018-09-28 Revisions to State Operation Manual (SOM), Appendix B - Guidance to Surveyors for Home Health Agencies 2018-09-28 N/A
R8285PI 2018-09-28 Guidance Regarding the Use of Statistical Sampling for Overpayment Estimation 2019-01-02 10067
R4140CP 2018-09-28 Updates to Chapter 1 Payer Only Codes in the Medicare Claims Processing Manual 2018-10-29 10966
R4139CP 2018-09-28 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2019 2019-01-07 10941 MM10941 2018-09-28
R4138CP 2018-09-28 Confirmation of "Pickle Hospital" Status 2018-10-18 10952
R2143OTN 2018-09-28 Implementation of the Award for the Jurisdiction F (J-F) Part A and Part B Medicare Administrative Contractor (JF A/B MAC) N/A 10917
R4141CP 2018-09-27 Quarterly Influenza Virus Vaccine Code Update - January 2019 2019-01-07 10871
R4142CP 2018-09-28 2019 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments 2019-01-07 10968 MM10968 2018-09-28
R831PI 2018-10-01 Update to Exhibit 16 - Model Payment Suspension Letters in Publication (Pub.) 100-08 2018-10-01 10849
R2144OTN 2018-10-09 User CR: FISS to Add Location/Statuses to the 6H File Fix 2019-01-07 10546
R829PI 2018-10-03 Local Coverage Determinations (LCDs) 2019-01-07 10901 MM10901 2018-10-03
R2145OTN 2018-10-05 Shared System Enhancement 2018: Implementation of the Medicare Summary Notice (MSN) Zip Code Analyzer Tool 2019-04-01 10935
R4143CP 2018-10-05 2019 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update 2019-01-07 10981 MM10981 2018-10-05
R2146OTN 2018-10-05 Update to Common Working File (CWF) Benefit Period Logic for Occurrence Code 22 on Skilled Nursing Facility (SNF) and Swing Bed Inpatient Claims 2019-04-01 10922 MM10922 2018-10-05
R2147OTN 2018-10-05 Update to the Long Description for Spanish Records on The Procedure Descriptor Master File for all Adds and Updates That Were Not Loaded with Change Request (CR) 10286 N/A 10977
R832PI 2018-10-05 Modification to Chapter 6, Section 6.3 (Medical Review of Certification and Recertification of Residents in SNFs) of Publication (Pub.) 100-08 2018-11-06 10921
R2148OTN 2018-10-05 Claim Based Incentive Programs - Non-Assigned Claim Update 2019-04-01 10804
R4144CP 2018-10-04 Fiscal Year (FY) 2019 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes 2018-10-01 10869 MM10869 2018-10-11
R210DEMO 2018-10-05 Next Generation Accountable Care Organization (ACO) Model 2019 Benefit Enhancement 2019-01-07 10824
R307FM 2018-10-11 Notice of New Interest Rate for Medicare Overpayments and Underpayments -1st Qtr Notification for FY 2019 2018-10-17 11029
R183SOMA 2018-10-12 Revisions to Medicare State Operations Manual (SOM) Table of Contents, Medicare SOM Appendix, SOM Appendix A – Survey Protocol, Regulations and Interpretive Guidelines for Hospitals, SOM Appendix T- Regulations and Interpretive Guidelines for Swing Beds in Hospitals, SOM Appendix W- Survey Protocol, Regulations and Interpretive Guidelines for Critical Access Hospitals (CAHs) and Swing-Beds in CAHs. 2018-10-12 N/A
R835PI 2018-10-12 One-on-One Education 2018-11-13 10963
SE10821 Hurricane Michael and Medicare Disaster Related Florida and Georgia Claims SE18021 2018-10-11
R833PI 2018-10-12 Templates in Medical Review 2018-11-13 10930
R834PI 2018-10-12 Order Requirements When Prescribing Practitioner is Also the Supplier and is Permitted to Furnish Specific Items of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) N/A 10984 MM10984 2018-10-15
R2151OTN 2018-10-12 Updating Calendar Year (CY) 2019 Medicare Diabetes Prevention Program (MDPP) Payment Rates 2019-01-07 10970 MM10970 2018-10-16
R2152OTN 2018-10-11 Procedures for Shared Systems to Handle Foreign (non US) Addresses 2019-01-07 10844
SE18023 Activation of Systematic Validation Edits for OPPS Providers with Multiple Service Locations SE18023 2018-10-12
R184SOMA 2018-10-17 Revisions to State Operations Manual, Chapter 2, Certification Process 2018-10-17 N/A
R836PI 2018-10-19 Medical Review of Diagnostic Laboratory Tests 2018-11-21 10908
R208NCD 2018-10-19 Magnetic Resonance Imaging (MRI) 2018-12-10 10877
R4147CP 2018-10-19 Magnetic Resonance Imaging (MRI) 2018-12-10 10877
R15P240 2018-10-19 Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10 2018-10-19 N/A
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