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CMS Program Memoranda

Until October 2003, CMS (formerly HCFA) issued Program Memoranda to communicate reminder items, requests for action or information of a one-time non-recurring nature. Program Memoranda for the years 2000-2003 are available at this location.

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File Name Subject CR # Implementation Date
AB-02-150 Payment of Physician and Nonphysician Services for Certain Indian Providers 2055 10/25/2002
A-02-111 October 2002 Update to the Hospital Outpatient Prospective Payment System (OPPS) -Correction - This instruction replaces PM A-02-076 (CR 2298) issued on August 7, 2002. 2399 11/08/2002
A-02-103 New Electronic Remittance Advice Coding for Home Health Prospective Payment System (HH PPS) Adjustments 2327 04/01/2003
A-02-108 Multiple Patient Ambulance Transport 2186 04/01/2003
B-02-069 Messages for Use With Drug Claims 2376 01/01/2003
A-02-102 Medicare Certified Hospices - Clarification of Acceptable Parameters for Some Contractual Arrangements 2345 01/01/2003
A-02-110 Financially Required Changes for the Fiscal Intermediary Standard System (FISS) Paid Claim File 2291 04/01/2003
B-02-072 Calendar Year (CY) 2003 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures 2380 11/15/2002
B-02-066 Ambulance Services: Maintaining Point-of-Pickup Zip Code 2242 04/01/2003
A-02-113 Transmittal A-02-113 Has Been Rescinded 2331 N/A
B-02-073 This Program Memorandum corrects Program Memorandum B-02-065, Change Request 2281, dated October 25, 2002. Durable Medical Equipment Regional Carriers (DMERCs)-Establishment Common Working File (CWF) Override for Legitimate Duplicate Claims 2281 04/01/2003
B-02-074 Clarification on Systems Changes in CR 2299 2412 01/01/2003
AB-02-153 Claims Processing Instructions for the Medicare Disease Management Demonstration 2414 04/01/2003
B-02-075 Carrier Review of Payment Amounts for Portable X-Ray Transportation Services (HCPCS code R0070)--REQUEST 2421 11/01/2002
AB-02-155 Beneficiary Notification of Denials Based on Local Medical Review Policy (LMRP) 2081 01/01/2003
B-02-076 Annual Update for Skilled Nursing Facility (SNF) Consolidated Billing for the Common Working File (CWF) and Medicare Carriers 2446 01/01/2003
B-02-087 Skilled Nursing Facility (SNF) Consolidated Billing - NewRequirements for Claims for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies 2453 04/01/2003
B-02-085 Process All Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Modify the Medicare Claims System (MCS) to Incorporate All Claim Payment and Provider Correspondence Functionality That is Included in the Provider Enrollment System (PES) But Will Not Be a Part of PECOS. Shut Down All Provider Enrollment Functions in PES 2426 07/01/2003
B-02-081 Migrate Medicare Carrier Provider/Supplier Enrollment Data From the Existing Carrier Provider Enrollment System (PES) into the Provider Enrollment Chain Ownership System (PECOS) 2422 04/01/2003
B-02-082 Migrate Medicare Carrier Provider/Supplier Enrollment Data From the Existing Carrier Provider Enrollment System (PENS) into the Provider Enrollment Chain Ownership System (PECOS) and Shut Down All Provider Enrollment Functions in PENS 2423 04/01/2003
AB-02-160 Medicare Telehealth Update 2403 01/01/2003
AB-02-159 Medicare Deductible and Premium Rates for Calendar Year 2003 2451 01/01/2003
AB-02-165 Levocarnitine for use in the treatment of Carnitine Deficiency in ESRD Patients 2438 01/01/2003
AB-02-162 Deported Medicare Beneficiaries 2377 04/01/2003
B-02-086 Create Import/Export Functionality Between the Viable Medicare System (VMS) and the Provider Enrollment Chain Ownership System (PECOS) 2427 04/01/2003
B-02-068 Revised X12N 4010 837 Professional Flat File 2265 04/01/2003
AB-02-130 Definitions of Ambulance Services 2295 09/27/2002
AB-02-128 Coverage and Billing for Percutaneous Image-Guided Breast Biopsy 2232 01/01/2003
AB-02-131 Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule 2297 N/A
AB-02-129 Claims Processing Requirements for Clinical Diagnostic Laboratory Services Based on the Negotiated Rulemaking 2169 N/A
A-02-092 Corrections to: Changes to the Hospital Inpatient Prospective Payment Systems and Rates and Costs of Graduate Medical Education, etc.; as Published in the Federal Register, FY 2002 (66 FR 39828, August 1, 2001) and FY 2003 (67 FR 49982, August 1, 2002). 2400 10/01/2002
AB-02-134 Questions and Answers Related to Implementation of National Coverage Determinations (NCDs) for Clinical Diagnostic Laboratory Services 2383 01/01/2003
A-02-095 Production Dates for the Provider Statistical and Reimbursement (PS&R) Report and Extension of Due Date for Filing Provider Cost Reports for Providers Having Their Claims Processed by the Arkansas Part A Standard System (APASS) and Request for Wage Data for the FY 2004 Wage Index. 2389 10/04/2002
B-02-062 Payment to Registered Dietitians for Diabetes Outpatient Self-Management Training (DSMT) Services 2386 10/04/2002
A-02-096 Payment of Skilled Nursing Facility (SNF) Claims for Beneficiaries Disenrolling from Terminating Medicare+Choice (M+C) Plans Who Have Not Met the 3-Day Hospital Stay Requirement 1270 10/01/2000
A-02-094 Annual Desk Review Program for Hospital Wage Data: Cost Reporting Periods Beginning on or after October 1, 1999, through September 30, 2000 (For FY 2004 Wage Index) 2394 10/04/2002
B-02-064 ViPS Medicare System (VMS) Implementation to Process ICD-9-CM Codes Using Date of Service and Not Date of Receipt 2209 01/01/2003
AB-02-135 System Networking Electronic Correspondence Referral System (SNECRS) 1.3 User and Installation Guides for Testing and Production 2359 10/08/2002
A-02-097 Special Handling of New "K" Codes K0556, K0557, K0558, and K0559 2409 10/31/2002
A-02-099 Scheduled Release for January Updates to Software Programs and Pricing/Coding Files 2375 N/A
AB-02-136 Reasonable Charge Update for 2003 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, Therapeutic Shoes, and Certain Intraocular Lenses 2371 01/01/2003
AB-02-138 Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes 2348 01/01/2003
A-02-100 Installation of Version 27.4 of the Provider Statistical and Reimbursement (PS&R) Report 2401 01/01/2003
AB-02-140 Data Center Testing and Production - Electronic Correspondence Referral System (ECRS) User Manual 5.1 and Quick Reference Guide Replacement 2441 10/07/2002
A-02-057 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Update 2220 10/01/2002
A-02-101 Corrections to: Changes to the Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities - Update as published in the Federal Register, FY 2001 (66 FR 39572, July 31, 2001), and Transmittal A-01-144, December 20, 2001; Hospice Wage Index Fiscal Year 2003, as published in the Federal Register (67 FR 56092, August 30, 2002); and Update to the Prospective Payment System for Home Health Agencies for FY 2003; as Published in the Federal Register, (67 FR 43616, June 28, 2002) 2428 10/10/2002
A-02-098 Changes in Transitional Outpatient Payment (TOP) for 2003 2356 01/01/2003
B-02-063 Annual Updating of ICD-9-CM Codes Must Be Date of Service Driven 2108 10/01/2002
AB-02-094 Disclosure Desk Reference for Call Centers 2237 09/03/2002
AB-02-137 Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 2402 10/11/2002
B-02-040 Updating the Deceased Physicians' Unique Physician Identification Numbers (UPINs) List at the Common Working File (CWF) 2199 10/01/2002
AB-02-139 Additional Guidance for Applying the Medicare Self-Administered Drug Exclusion 2311 N/A
AB-02-095 Prohibition on New Trading Partner Agreements (TPAs) with Certain Entities for the Purpose of Coordination of Benefits (COB) 2216 07/05/2002
A-02-058 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2003 2250 10/01/2002
AB-02-142 Remittance Advice Coding Update 2395 01/01/2003
AB-02-141 Charging Fees to Providers for Medicare Education and Training Activities - Program Management 2129 05/01/2002
A-02-060 Revision to Billing for Swing Bed Services Under Skilled Nursing Facility Prospective Payment System (SNF PPS) 2257 07/12/2002
A-02-059 Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2003 2248 10/01/2002
AB-02-144 Virginia Cardiac Surgery Initiative Demonstration 2382 04/01/2003
A-02-061 Medicare Program- Update to the Prospective Payment System (PPS) for Home Health Agencies for FY 2003 2239 10/01/2002
AB-02-096 Coverage and Billing of the Diagnosis and Treatment of Peripheral Neuropathy With Loss of Protective Sensation in People With Diabetes 2269 07/19/2002
AB-02-144 Virginia Cardiac Surgery Initiative Demonstration 2382 04/01/2003
B-02-071 Use of the National Drug Code (NDC) for Drug Claims at the Durable Medical Equipment Regional Carriers (DMERCs) 2339 04/01/2003
B-02-045 ViPS Medicare System (VMS) Implementation to Process ICD-9-CM Codes Using Date of Service and Not Date of Receipt 2209 01/01/2003
AB-02-149 Update to the Mammography Quality Standard Act (MQSA) File Record Layout for the Food and Drug Administration (FDA) Certified Digital Mammography Centers 1729 04/01/2002
AB-02-099 Standardize the CICS Level, CICS Transaction Server 1.3 to be Utilized by All Medicare Contractors 2173 01/01/2003
A-02-107 Revisions to Common Working File Editing to Accommodate Home Health Partial Episode Payment Claims and Rescheduling of Payment Adjustment Utility 2315 04/01/2003
A-02-063 Scheduled Release for October Updates to Software Programs and Pricing/Coding Files 2261 N/A
B-02-048 Reasonable Charge Data Disclosure Requirements for Ambulance Services 2212 01/01/2003
AB-02-146 Revision to the Healthcare Provider Taxonomy Codes (HPTCs) Crosswalk 2398 11/25/2002
A-02-067 Production of Flat Files to Enable CMS to Populate the Online Survey, Certification and Reporting (OSCAR) System with the Provider Taxpayer Identification Number (TIN) 2097 01/01/2003
B-02-067 Revision to Messages for Skilled Nursing Facility (SNF) Consolidated Billing and Implementation of Common Working File (CWF) Edits for Clinical Social Workers (CSWs) for SNF Consolidated Billing 2360 04/01/2003
AB-02-115 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Changes 1603 07/01/2001
AB-02-098 Process for Entering Local Medical Review Policies (LMRP) and certain articles and Frequently Asked Questions (FAQs) into the Medicare Coverage Database 2238 07/26/2002
AB-02-100 Modification of Medicare Policy for Erythropoietin (EPO) 2266 08/31/2002
AB-02-102 Medicare Secondary Payer (MSP) Debt Referral and Write Off Closed Instructions: 1) Expansion and Clarification of MSP Debt Collection Improvement Act of 1996 (DCIA) Activities; 2) Additional "Write-Off -- Closed" Instructions (Supplemental Instructions for PM AB-01-24) 2145 07/26/2002
A-02-065 Implementation of the Transmission Control Protocol/Internet Protocol (TCP/IP) for the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry and Response Transaction (270/271) Standard 2234 01/02/2003
A-02-064 Excluding Hospitals that Provide Part B Only Services to Their Inpatients from the Outpatient Prospective Payment System (OPPS) 2204 01/01/2003
A-02-068 Enhancements to Home Health Prospective Payment System (HH PPS) Claims Processing 2095 01/01/2003
AB-02-116 Data Center Testing and Production - Electronic Correspondence Referral System (ECRS) User Manual 5.0 2293 10/07/2002
AB-02-080 Payment for Services Furnished by Audiologists 2073 07/07/2002
A-02-075 Admitting Diagnosis for Observation Services for the Outpatient Prospective Payment System (OPPS) 2289 01/01/2003
A-02-066 Department of Veterans Affairs Claims Adjudication Services Project: Systems Changes Needed 2109 01/01/2003
AB-02-118 Notice of Interest Rate for Medicare Overpayments and Underpayments 1899 08/08/2002
A-02-077 Intermediaries Must Adjust Their Translators for Reporting Line Item Dates, and HCPCS Codes for Part A Outpatient Claims 2279 10/16/2002
A-02-078 Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim - Direct Data Entry (DDE) Updates 2211 01/06/2003
A-02-083 System Tracking for Audit and Reimbursement (STAR) Instructions: End Stage Renal Disease (ESRD) Audits and Hospice Cost Reports 2285 10/01/2002
A-02-082 October Outpatient Code Editor (OCE) Specifications Version (V3.2) 2322 10/01/2002
A-02-080 October Medicare Outpatient Code Editor (OCE) Specifications Version 18.0 for Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) 2310 10/01/2002
AB-02-119 Medicare Coordinated Care Demonstration (MCCD) Payment for Railroad Retirement Beneficiaries 2334 01/02/2003
A-02-079 Data fields that the Fiscal Intermediaries are required to enter into the Provider Enrollment, Chain and Ownership System (PECOS) 2296 08/23/2002
B-02-037 New Medicare Medical Review Guidelines for Claims for Diabetic Testing Supplies 2133 10/01/2002
AB-02-081 Core Security Requirements (CSR) and Associated Responsibilities 2189 06/11/2002
AB-02-082 Coding Changes for Sodium Hyaluronate 2230 10/01/2002
A-02-049 Installation of Version 27.3 of the Provider Statistical and Reimbursement (PS&R) Report 2201 07/01/2002
A-02-050 July 2002 Update to the Hospital Outpatient Prospective Payment System (OPPS) 2207 07/01/2002
AB-02-083 Effective Date Revision for Medicare Intermediary Manual (MIM), Transmittal 1855, dated April 26, 2002, Change Request 2057, and Medicare Carriers Manual (MCM), Transmittal 1749, dated April 26, 2002, Change Request 2057 2205 07/01/2002
A-02-052 July Outpatient Code Editor (OCE) Specifications Version (V3.1) 2221 07/01/2002
AB-02-120 Coding Instructions for IN-111 Zevalin and Y-90 Zevalin 2273 09/04/2002
AB-02-124 Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2002 2316 10/01/2002
A-02-053 Indian Health Service (IHS) Hospital Payment Rates for Calendar Year 2002 2210 06/18/2002
B-02-038 HIPAA Testing and Certification Requirements and Date Changes 2127 07/18/2002
AB-02-121 Provider/Supplier Plan (PSP) Quarterly Report Format 1740 10/11/2001
A-02-051 Health Insurance Portability and Accountability Act (HIPAA) Testing and Certification Requirements and Date Changes 2128 06/18/2002
A-02-054 Use of Medical Review Indicators for Comprehensive Error Rate Testing (CERT) 2226 06/19/2002
AB-02-085 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 2194 10/01/2002
B-02-049 CWF Change for Billing for Glucose Test Strips and Supplies - Follow-up to Change Request 1612 2156 01/01/2003
AB-02-101 Changes to Common Working File (CWF) Edits for Skilled Nursing Facility (SNF) Consolidated Billing (CB) 2270 01/01/2003
AB-02-084 Additional Information Regarding Medicare Payment Allowance for Flu Vaccine 2190 N/A
B-02-044 Change in Jurisdiction for Topical Hyperbaric Oxygen Chamber 2177 217701/01/2003
A-02-055 Extended Repayment Schedules (ERSs) for Home Health Providers Who Received the Special Periodic Interim Payment (PIP) 2191 06/24/2002
B-02-041 October Quarterly Update for 2002 Billing for Implanted Durable Medical Equipment (DME), Prosthetic Devices, Replacement Parts, Accessories and Supplies 2227 07/26/2002
AB-02-087 Delay in Enforcement of National Coverage Determinations (NCDs) for Clinical Diagnostic Laboratory Services 2203 01/01/2003
A-02-062 Applicable Bill Types for Ambulance Services (Revenue Code 540) 2175 01/01/2003
AB-02-086 Change in Procedure for State Requests for Retrospective Medicare Claims 2218 07/26/2002
B-02-043 Acceptance of Special Characters in the Common Working File (CWF) and the Durable Medical Equipment Regional Carrier (DMERC) Standard System 2096 01/01/2003
AB-02-088 System Networking Electronic Correspondence Referral System (SNECRS) 1.2 User and Installation Guides 2217 07/15/2002
A-02-056 Special Handling of End Stage Renal Disease (ESRD) Claims Containing Healthcare Common Procedure Coding System (HCPCS) Code J1955 (Levocarnitine) 2208 06/28/2002
A-02-071 Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims 2154 01/01/2003
B-02-054 Sending Copies of Appeal Notices to Appointed Representatives, Including the Amount in Controversy Remaining in Review Determination Letters, and Using Bullets in Appeals Correspondence 2299 01/01/2003
AB-02-089 New Automatic Notice of Change to Medicare Secondary Payer (MSP) Auxiliary File 1529 07/01/2001
AB-02-104 October Quarterly Update for 2002 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 2245 10/01/2002
AB-02-107 Modify Application of "I" Validity MSP Records to the Common Working File (CWF) by Medicare Contractors 2240 01/01/2003
AB-02-090 Medicare Secondary Payer (MSP): (1) Procedures for "Write-Off - Closed" of MSP Accounts Receivable (AR); (2) Elimination of Automated/Systems "Write-Off - Closed" Actions for MSP AR; Zero Backend Tolerance for MSP AR (Reminder); and (3) Date for Establishment of MSP AR (Reminder) 1280 N/A
AB-02-092 Procedures Subject to Home Health Consolidated Billing 2247 10/01/2002
AB-02-106 Medicare Summary Notice (MSN) - Inclusion of Appeals Information, Removal of Fraud References and Office of Inspector General's (OIG) Hotline Number - ACTION 2241 01/01/2003
AB-02-105 Medical Review of Medicare Payments for Nail Debridement Services 2272 09/14/2002
AB-02-091 New Waived Tests - June 17, 2002 2263 10/01/2002
AB-02-093 Coverage and Billing for Intravenous Immune Globulin (IVIg) for the Treatment of Autoimmune Mucocutaneous Blistering Diseases 2192 10/01/2002
A-02-072 Implementation of the Provider Enrollment, Chain and Ownership System (PECOS) 2119 07/29/2002
B-02-039 Common Working File (CWF) Category Changes 2229 10/01/2002
B-02-052 Implementation of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standard Version 5.1 and the Equivalent Batch Standard Version 1.1 for Retail Pharmacy Drug Transactions 2255 N/A
B-02-051 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry/Response Transaction (270/271) Standard 2223 01/01/2003
AB-02-075 Payment Limit for Drugs and Biologicals 2123 05/22/2002
AB-02-074 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 2105 05/22/2002
B-02-053 Implementation of the ASC X12N 278 Version 4010 Implementation Guide for Electronic Referral Certification and Authorization 2276 08/01/2002
A-02-045 Frequently Asked Questions (FAQs) About Home Health Advance Beneficiary Notice (HHABN, Form CMS-R-296) 1698 05/23/2003
A-02-046 Clarification of Part B Medicare Payment for 18 HCPCS Codes to Skilled Nursing Facilities (SNF) 2132 05/23/2002
AB-02-110 Implementation of National Coverage Determinations Regarding Clinical Diagnostic Laboratory Services 2130 01/01/2003
B-02-036 Changes to Correct Coding Edits, Version 8.3, Effective October 1, 2002 2187 10/01/2002
A-02-043 Audit Guidance Pertaining to Write-offs of Small Debit Balances in Patients' Accounts Receivable 2174 10/01/2002
AB-02-111 Implementation of Certain Initial Determination and Appeal Provisions Within Section 521 of the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 2251 N/A
A-02-070 Health Insurance Portability and Accountability Act (HIPAA) Transaction 835v4010 Completion Update 2233 01/01/2003
A-02-069 Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim Additional Implementation Direction 2134 01/01/2003
AB-02-076 Registration Process for, and Expectations for Use of, the Healthcare Integrity and Protection Data Bank (HIPDB) 1554 06/18/2001
AB-02-078 Provider Education Article: Medicare Coverage of Rehabilitation Services for Beneficiaries With Vision Impairment 2083 05/29/2002
AB-02-077 Common Working File (CWF) Beneficiary Other Insurer (BOI) Auxiliary (aux) File 1674 10/01/2002
A-02-044 Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases, Changes to the RHC Benefit Made by the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 and Clarification Regarding Drugs Furnished by RHCs/FQHCs. 1600 N/A
A-02-048 Extension of the Deadline for Hospitals to Make Elections to Reduce Beneficiary Coinsurance for 2002 Under the Outpatient Prospective Payment System (OPPS) 2195 06/04/2002
AB-02-079 Customer Service Representative (CSR) Response to Physician and Provider Correct Coding Initiative (CCI) Questions 2113 06/06/2002
A-02-073 Financial Reporting Instructions for the Fiscal Intermediary Shared System (FISS)/Recovery Tracking System (RTS) 2275 01/01/2003
AB-02-112 Final Update to the 2002 Medicare Physician Fee Schedule Database (MPFSDB) 2282 10/07/2002
AB-02-073 Installation of a New Medicare Customer Service Center (MCSC) Next Generation Desktop (NGD) Application 2079 N/A
AB-02-103 Expand Standard Date Format and Remove CWF (Common Working File) Y2K Wrapper Logic for Beneficiary Cross Reference Internal Files (XREF) and Satellite File Header and Response Records 2244 01/01/2003
A-02-040 Scheduled Release for July Updates to Software Programs and Pricing/Coding Files 2172 N/A
AB-02-113 Elimination of Official Level III Healthcare Common Procedure Coding System (HCPCS) Codes/Modifiers and Unapproved Local Codes/Modifiers 2215 01/01/2003
AB-02-109 Common Working File (CWF), Fiscal Intermediary (FI), and Carrier Edits and Policy Clarification for Peripheral Neuropathy With Loss of Protective Sensation (LOPS) in People with Diabetes 2150 01/01/2003
B-02-035 Elimination of Certificate of Medical Necessity (CMN) Requirement for Continuous Positive Airway Pressure (CPAP) Device - Clarification 2165 07/01/2002
AB-02-108 Clarification of Medicare Contractor Financial Reporting Instructions Outlined in Section 1900 - Section 1960.21 of the Medicare Intermediary Manual (MIM) and Section 4900 - Section 4960.14 of the Medicare Carriers Manual (MCM). (Issued May 2001) 2278 01/01/2003
A-02-041 New Patient Status Code 64 2093 10/01/2002
B-02-050 Additional Remark Code for Claims of Therapy Services Possibly Subject to Home Health Consolidated Billing 2258 01/01/2003
A-02-039 Coverage and Billing of the Diagnosis and Treatment of Peripheral Neuropathy with Loss of Protective Sensation in People with Diabetes 2184 07/01/2002
AB-02-114 ABNs and DMEPOS Refund Requirements - Implementation of Form CMS-R-131, Advance Beneficiary Notice (ABN), and of Limits on Beneficiary Liability for Medical Equipment and Supplies 2219 10/01/2002
A-02-042 Clarification to Periodic Interim Payments (PIP) For Home Health Providers and Clarification on Extension of Due Dates for Filing Provider Cost Reports 2158 06/01/2002
B-02-055 Updates to the Place of Service (POS) Code Set 2259 01/01/2003
AB-02-117 Transition Schedule for Implementation of the Ambulance Fee Schedule 2303 01/01/2003
A-02-038 Modification of Common Working File (CWF) A/B Crossover Edit 7111 and "Alert" 7531 2143 10/01/2002
A-02-076 October 2002 Update to the Hospital Outpatient Prospective Payment System (OPPS) 2298 10/01/2002
A-01-148 Changes to Fiscal Year (FY) 2001 Nursing and Allied Health Education Payment Policies as Required by the Benefits Improvement and Protection Act of 2000 (BIPA), P. L. 106-554 1988 04/01/2002
A-01-149 Amended Production Dates for the Provider Statistical and Reimbursement (PS&R) Report and Extension of Due Date For Filing Provider Cost Reports 2012 12/31/2001
A-02-074 Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions 1229 08/14/2002
A-01-150 Provider Education Article: CY2002 OUTPATIENT PROSPECTIVE PAYMENT SYSTEM RATE IMPLEMENTATION DELAY 2017 12/28/2001
A-02-081 Modification of Audit and Cost Report Settlement Expectations in Change Request (CR) 1468 2300 10/01/2002
AB-02-123 Information on Medicare+Choice (M+C) Private Fee-for-Service Plans - INFORMATION ONLY 2206 08/28/2002
A-01-146 Inpatient Rehabilitation Facility Prospective Payment System (IRFPPS)--Revenue Code File Update. 2003 01/01/2002
A-01-145 Delay of the 2002 Update to the Outpatient Prospective Payment System (OPPS) 2008 01/07/2002
B-02-056 Furlong Lawsuit Settlement Payments 2214 08/28/2002
A-01-147 Federal Fiscal Year (FY) 2003 Wage Index: Request for FY 1999 Wage Data from Hospitals Affected by the Filing Extensions Provided by Transmittal Numbers A-01-88 and A-01-117 1992 12/26/2001
AB-02-122 Appeals Quality Improvement and Data Analysis Activities 2170 10/01/2002
A-01-140 This PM has been retracted 1990 N/A
A-02-084 Fiscal Year (FY) 2003 Prospective Payment System (PPS) Hospital, Skilled Nursing Facility (SNF) and Other Bill Processing Changes 2306 10/01/2002
A-02-086 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2001 for Inpatient Prospective Payment System (PPS) Hospitals 2344 10/01/2002
AB-01-166 Coverage and Billing of Sacral Nerve Stimulation 1936 01/01/2002
A-01-139 This PM has been retracted 1989 N/A
AB-02-125 Provider Education Article: Durable Medical Equipment Ordered With Surrogate Unique Physician Identification Numbers (UPIN) 2268 09/11/2002
B-02-058 Changes to Correct Coding Edits, Version 9.0, Effective January 1, 2003 2309 01/01/2003
A-01-133 Clarification of Payments Made to Hospital Outpatient Departments Under the Outpatient Prospective Payment System (OPPS) 1940 11/20/2001
A-02-085 Applicable Bill Types for Ambulance Services (Revenue Code 540) 2324 01/01/2003
AB-01-176 The Medicare Exclusion Database (MED) Replaces Publication 69 1919 01/01/2002
B-02-057 Addition of Two "WW" Codes to Identify a New Source for Etoposide 2283 10/01/2002
B-01-76 Issuance of Standard Paper Remittance (SPR) Advice Notices and SPR- X12 835V4010 Crosswalk 1953 07/01/2002
A-02-087 Clarification of Provider Billing Requirements Under the Outpatient Prospective Payment System (OPPS) 1768 10/01/2002
AB-01-168 The Use of Gamma Cameras and Full Ring and Partial Ring Positron Emission Tomography (PET) Scanners for PET Scans 1886 01/01/2002
A-02-088 Installation of Version 28.0 of the Provider Statistical and Reimbursement (PS&R) Report 2368 01/06/2003
AB-01-177 Emergency Changes to the 2002 Medicare Physician Fee Schedule Database 1971 12/14/2001
AB-02-126 Establishing a Uniform Process for the Preparation and Mailing of Case Files From the Contractor to the Office of Hearings and Appeals (OHA) of the Social Security Administration (SSA) 2304 10/01/2002
B-02-059 Activation of the Automated Unsolicited Response for Skilled Nursing Facility (SNF) Consolidated Billing and Global Payment Demonstrations 2391 09/19/2002
B-01-77 Correction to Correct Coding Edits, Version 8.0, Effective January 1, 2002 1984 01/01/2002
AB-01-169 Transaction Certification and Testing 1954 11/28/2001
AB-02-132 Year 2003 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder 2358 01/01/2003
A-01-134 January Medicare Outpatient Code Editor (OCE) Specifications Version 17.1 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) 1967 01/07/2002
A-02-089 Temporary Procedures for Cost-Based Payments for Certified Registered Nurse Anesthetists (CRNA) Services Furnished by Outpatient Prospective Payment System (OPPS) Hospitals 2326 10/15/2002
B-01-78 Correction to Fee Schedule File for Parenteral and Enteral Nutrition Items and Services (PEN) 1980 01/01/2002
AB-01-189 Medicare Coverage of Non-Invasive Vascular Studies for End Stage Renal Disease (ESRD) Patients 1855 01/01/2002
AB-02-133 Publication and Maintenance of a Directory of Electronic Billing Vendors 2364 12/01/2002
AB-02-127 Program Management Provider/Supplier Education and Training Background 2125 10/01/2001
B-02-060 Payment Policy When More Than One Patient Is Onboard An Ambulance 1945 10/30/2002
A-02-091 Modifications to the Health Care Eligibility Benefit Response (271) and Direct Data Entry (DDE) Screens for Home Health Agencies and Hospice Providers 2367 01/01/2003
A-02-093 Instructions for Implementing the Long-Term Care Hospital Prospective Payment System 2288 01/06/2003
A-02-090 File Descriptions and Instructions for Retrieving the 2003 Physician, Clinical Lab, Durable Medical Equipment, Prosthetics/Orthotics and Supplies (DMEPOS), and Therapy Fee Schedule Payment Amounts through CMS's Mainframe Telecommunications System 2346 01/01/2003
AB-01-171 Request for Contractor's Business Contingency Plan (BCP)-January 15,2002 1929 01/15/2002
AB-01-172 Promoting Medicare's Screening Pap Test Benefit in Support of Cervical Health Month (January) 1912 01/01/2002
B-01-75 Changes to Correct Coding Edits, Version 8.1, Effective April 1, 2002 1916 04/01/2002
AB-01-170 Clarification to MCM Section 2130 Prosthetic Devices and CIM Section 60-9 Durable Medical Equipment Reference List--Coverage of Intermittent Catheterization 939 10/01/1999
A-01-135 HCPCS Code Updates and Corrections for SNF Part A PPS Consolidated Billing and SNF Part B Fee Schedule for 2002 1935 01/01/2002
AB-01-173 Name Transition From Health Care Financing Administration (HCFA) to Centers for Medicare & Medicaid Services (CMS) - CMS Identity Mark Guidelines 1964 06/05/2002
AB-01-174 The Certification Package for Internal Controls for Fiscal Year (FY) Ending September 30, 2002 1942 12/06/2001
A-01-144 Additional Information Related to Section 212 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 (Public Law 106-554) Affecting Medicare-Dependent, Small Rural Hospitals (MDHs). Also, Clarifications and Corrections to: Changes to the Hospital Inpatient Prospective Payment Systems and Rates and Costs of Graduate Medical Education; Fiscal Year 2002 Rates, Etc.; Final Rules, as Published in the Federal Register on August 1, 2001 (66 FR 39828). 1917 01/07/2002
A-01-137 Modifications to Form CMS-339 Requirements, Provider Cost Report Reimbursement Questionnaire 1865 12/01/2001
AB-01-165 Implementation of an Ambulance Fee Schedule 1555 04/01/2002
AB-01-147 Electronic Correspondence Referral System (ECRS) User Manual 3.0.1 and ECRS Quick Reference Card 1903 10/15/2001
B-01-74 Supplier Billing for Glucose Test Strips and Supplies (Revised) 1612 04/01/2002
AB-01-179 Zip Code File on the Direct Connect 1941 04/01/2002
AB-01-144 ICD-9-CM Coding for Diagnostic Tests 1724 01/01/2002
AB-01-178 April Quarterly Update for 2002 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 1952 04/01/2002
AB-01-182 Use of the American Medical Association's (AMA's) Physicians' Current Procedural Terminology, Fourth Edition (CPT) Codes on Contractors' Web Sites 1415 12/15/2000
A-01-119 Correction to Program Memorandum (PM) A-01-94 (CR 1689): Implementation of Fee Schedule for Additional Part B Services Furnished by a Skilled Nursing Facility (SNF) or Another Entity Under Arrangements with the SNF 1878 01/01/2002
AB-01-137 CMS Policy for Disclosure of Individually Identifiable Information: Provider Telephone Inquiries for Medicare Eligibility Information 1587 01/01/2002
AB-01-185 Implementation of the Ambulance Fee Schedule 1281 01/01/2001
A-01-121 Skilled Nursing Facility Adjustment Billing: Adjustments to HIPPS Codes Resulting From MDS Corrections 1224 10/01/2000
AB-01-181 COB Contractor Fact Sheet for Providers 1460 12/31/2000
A-01-122 Payment of Skilled Nursing Facility (SNF) Claims for Beneficiaries Disenrolling from Terminating Medicare+Choice (M+C) Plans Who Have Not Met the 3-Day Hospital Stay Requirement 1270 10/01/2000
AB-01-184 Clarifications to Implementation of the Ambulance Fee Schedule 1476 12/30/2000
A-01-123 FY 2001 Prospective Payment System (PPS) Hospital and Other Bill Processing Changes 1331 10/01/2000
A-01-142 Clarification and HCPCs Coding Update: Part B Fee Schedule And Consolidated Billing For Skilled Nursing Facility (SNF) Services 1642 04/01/2001
A-01-124 Clarification to Health Insurance Prospective Payment System (HIPPS) Coding and Billing Instructions 1655 04/30/2001
AB-01-140 Claims Processing Instructions for the Medicare Participating Centers of Excellence Demonstration and the Medicare Provider Partnership Demonstration 1849 01/01/2002
AB-01-139 Claims Processing Instructions for Claims Submitted with a Written Statement of Intent 1162 10/01/2000
AB-01-183 Appeals of Medicare Part A/Part B Coverage Determinations 1348 12/01/2000
A-01-125 Guidance Regarding a Change in Reimbursement for Part B Inpatient Ancillary Services 1838 09/28/2001
A-01-143 This PM has been retracted. 1994 N/A
A-01-141 Center for Medicare and Medicaid Services (CMS) Audit and Cost Report Settlement Expectations 1468 09/01/2001
AB-01-187 Update to Waived Tests - November 21, 2001 1976 01/07/2002
AB-01-186 Suspension of National Coverage Policy on Electrical Stimulation for Wound Healing 1963 12/18/2001
AB-01-188 Coverage and Billing of Ambulatory Blood Pressure Monitoring (ABPM) 1985 04/01/2002
A-01-138 Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases, Changes to the Exception Criteria for the Payment Limit for RHC Based in Rural Hospitals. 1958 N/A
A-01-136 "Do Not Forward (DNF)” Initiative, Change Request 681, Transmittal No. AB-00-6, Dated February 2000 1449 N/A
AB-01-175 Payment for Method II Home Dialysis Supplies 1288 12/15/2000
AB-02-055 Claims Processing Instructions to Conclude the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Demonstration 2054 N/A
AB-01-141 Update of Codes and Payments for Ambulatory Surgical Centers (ASCs) 1860 01/01/2002
A-02-034 Submission of the Swing Bed Minimum Data Set (MDS) Data for Swing Bed Hospitals 2159 05/01/2002
AB-01-143 Coverage and Billing of Sacral Nerve Stimulation 1881 01/01/2002
AB-02-058 Second Update to the 2002 Medicare Physician Fee Schedule Database 2161 07/01/2002
A-02-035 Revision to the 837 Interface Format for Sending Claims Accounting Information from Fiscal Intermediary Standard System (FISS) to the Healthcare Integrated General Ledger Accounting System (HIGLAS) 2086 10/01/2002
B-02-032 Medical Review (MR) Progressive Corrective Action (PCA) 2131 N/A
AB-01-145 New Waived Tests - September 13, 2001 1877 01/01/2002
A-01-126 Scheduled Release for January Updates to Software Programs and Pricing/Coding Files 1874 N/A
AB-02-063 Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Testing of 835 Interface with the Healthcare Integrated General Ledger Accounting System (HIGLAS) 2180 10/01/2002
B-02-033 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry/Response Transaction (270/271) Standard 2182 10/01/2002
A-01-118 Clarification of Cost Reporting Policy in Change Request (CR) 1468, Concerning Submission of Home Office Cost Statements (HOCS) for Chain Home Offices 1847 10/31/2001
A-02-036 Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim - Outpatient Hospice Implementation Direction 2135 10/01/2002
B-01-62 Problem Resolution to Issues Raised By Implementation of CR 1646 for the Medicare Carriers Processing on the Multi-Carrier System (MCS) 1866 11/13/2001
A-02-037 Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim - Home Health Implementation Direction 2137 10/01/2002
AB-01-146 Distribution of Revised Form CMS-855s - Medicare Provider/Supplier Enrollment Applications - (Formerly Form HCFA-855) Dated November 1, 2001 1835 11/01/2001
AB-02-061 CWF Editing of Claims for Medicare Beneficiaries in State or Local Custody Under a Penal Authority 2139 10/01/2002
B-01-59 Clarification of Medicare Contractor Financial Reporting Instructions Outlined in Section 4923.2 of the Medicare Carriers Manual (MCM). (Issued May 2001) 1836 01/01/2002
AB-02-060 Coverage and Billing for Intravenous Immune Globulin (IVIg) for the Treatment of Autoimmune Mucocutaneous Blistering Diseases 2149 10/01/2002
AB-02-057 Charging Fees to Providers for Medicare Education and Training Activities - Program Management 2129 05/01/2002
B-02-031 Cessation of Certain DMERC Activities 2101 05/01/2002
A-01-115 Bypassing Medicare Secondary Payer (MSP) Edits on Indirect Medical Education (IME) Claims for Medicare + Choice Organization (M+CO) Enrollees 1829 09/25/2001
B-01-61 Transmittal B-01-61 dated September 26, 2001, has been re-communicated as AB-01-144. 1724 01/01/2002
A-01-120 Removal of HCPCS/Revenue Code Editing Under the Outpatient Prospective Payment System (OPPS) 1873 09/26/2001
A-01-117 Production Dates for the Provider Statistical and Reimbursement (PS&R) Report and Extension of Due Date for Filing Provider Cost Reports 1885 12/03/2001
AB-01-138 New Zip Code File 1861 01/01/2002
AB-02-035 Notification of Updates to Coding Files on CMS Web Site for Skilled Nursing Facility (SNF) Consolidated Billing (CB) 2085 04/20/2002
B-02-011 Revision and Clarification of Requirements for Quarterly Do Not Forward (DNF) Reports 1631 07/01/2002
AB-02-022 Clarification of Transmittal AB-00-107, Change Request 1163, and Transmittal AB-00-129, Change Request 1460, Regarding the Coordination of Benefits (COB) Contractor and Medicare Secondary Payer (MSP) Prepay Work Activities for Customer Service, MSP and Standard Systems Contractor Staff 1558 02/15/2001
AB-02-024 New Waived Tests - January 18, 2002 2033 04/01/2002
AB-02-025 Non-Contact Normothermic Wound Therapy (NNWT) 2027 07/01/2002
A-02-016 Conversion of Hospital Swing Bed Facilities to the Skilled Nursing Facility Prospective Payment System (SNF PPS) Effective for Cost Reporting Periods Starting July 1, 2002 1666 07/01/2002
AB-02-026 System Networking Electronic Correspondence Referral System (SNECRS) User Guide 2024 03/30/2002
AB-02-027 Corrections to Program Memorandum (PM) A-01-135 -- Codes Billable by SNFs and Suppliers for SNF Residents 2035 04/01/2002
AB-02-028 CMS Office of the Inspector General (OIG) Hotline Referrals 955 01/27/2000
A-02-017 Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION 1596 03/01/2001
A-02-018 Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION 1467 03/01/2001
AB-02-059 Additional Clarification for Medical Nutrition Therapy (MNT) Services 2142 10/01/2002
AB-02-067 Remittance Advice Coding and Health Insurance Portability and Accountability Act (HIPAA) Transaction 835v4010 Completion Update 1959 10/01/2002
A-02-030 Revisions to the Home Health Prospective Payment System (HH PPS) Pricer Software -- Regional Home Health Intermediaries (RHHIs) Only 2070 10/01/2002
AB-02-049 New Source of Provider Information Available on CMS Website April 22, 2002 1868 04/24/2002
A-02-031 Updates to Common Working File (CWF) Editing of Intermediary Claims for Durable Medical Equipment (DME) and Prosthetic/Orthotic Devices 2092 10/01/2002
AB-02-051 Change of Interest Citation in the Overpayment Sections of the Medicare Intermediary Manual (MIM) and the Medicare Carriers Manual (MCM) from 42 CFR Section 405.376 to 42 CFR Section 405.378. 1623 04/30/2002
B-02-028 Sending Payee Information From Multi-Carrier System (MCS) to the Healthcare Integrated General Ledger Accounting System (HIGLAS) 2089 10/01/2002
A-02-033 Sending Payee Information From Fiscal Intermediary Standard System (FISS) to the Healthcare Integrated General Ledger Accounting System (HIGLAS) 2088 10/01/2002
B-02-030 Reporting Claims Accounting Information to the Healthcare Integrated General Ledger Accounting System (HIGLAS) for the Durable Medical Equipment Regional Carriers (DMERC) 2087 10/01/2002
AB-02-056 Expand Standard Date Format and Remove CWF (Common Working File) Y2K Wrapper Logic for Fiscal Intermediary Claims/Trailers and Carrier/DMERC Trailers - Incoming and Response Transactions 2148 10/01/2002
B-02-029 Durable Medical Equipment Regional Carrier (DMERC) - New Message for Advanced Beneficiary Notice (ABNs) Denials 2084 07/01/2002
AB-02-066 Non-coverage of Perception Sensory Threshold/Nerve Conduction Threshold Test (sNCT) 2153 10/01/2002
B-02-034 Implementation of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standard Version 5.1 and the equivalent Batch Standard Version 1.1 for Retail Pharmacy Drug Transactions 2181 10/16/2003
B-02-012 This Transmittal Has Been Rescinded 2045 07/01/2002
AB-02-065 Coverage and Related Claims Processing Requirements for Positron Emission Tomography (PET) Scans - for Breast Cancer and Revised Coverage Conditions for Myocardial Viability 2138 10/01/2002
B-02-013 Changes to Correct Coding Edits, Version 8.2, Effective July 1, 2002 2031 07/01/2002
AB-02-064 Coverage and Billing for Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management 2071 07/01/2002
AB-02-068 Notice of Interest Rate for Medicare Overpayments and Underpayments 1898 05/08/2002
AB-02-069 July 2002 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule Files 2162 07/01/2002
AB-02-070 New Waived Tests - April 12, 2002 2163 07/01/2002
AB-02-029 Electronic Medicare Provider/Supplier Enrollment Forms 2045 07/01/2002
AB-02-030 Administrative Policies Related to Processing Claims for Clinical Diagnostic Laboratory Services 1998 04/18/2002
AB-02-031 Payment Policy for Air Ambulance Transportation of Deceased Beneficiary 1961 07/01/2002
AB-02-071 HIPAA Model Compliance Plan and Instructions 2168 05/10/2002
AB-02-032 Data Center Testing and Production- Electronic Correspondence Referral System (ECRS) User Manual 4.0 2059 04/15/2002
AB-02-072 Medicare Payment for Drugs and Biologicals Furnished Incident to a Physician's Service 2200 08/01/2002
SA-02-01 TITLE XIX OF THE SOCIAL SECURITY ACT, POST-ELIGIBILITY TREATMENT OF INCOME N/A N/A
AB-02-033 Provider Education Training Activities to Implement Updates to the Ambulance Fee Schedule 2075 03/15/2002
AB-02-034 Managing Medicare Appeals Workloads in FY 2001 1392 01/12/2001
B-02-026 Revised: New Permanent Modifier for "Specific Required Documentation on File" 2155 07/01/2002
B-02-010 Correct Payment for Medical Nutrition Therapy (MNT) Services Rendered by Registered Dietitians or Nutrition Professionals 2046 01/01/2002
AB-02-054 Generating an Outbound Coordination of Benefits (COB) X12N 837 (4010) When Required Data is Missing or Invalid 2021 10/01/2002
A-02-032 Diabetes Self Management Training (DSMT) Payment 2049 10/01/2002
B-02-027 Annual Updating of ICD-9-CM Codes Must Be Date of Service Driven 2108 10/01/2002
A-02-012 "Do Not Forward" (DNF) Initiative 1970 07/01/2002
AB-02-021 Common Working File (CWF) Unsolicited Response Edit and Carrier Resolution for Consolidated Billing for Skilled Nursing Facility (SNF) Residents 1955 07/01/2002
A-02-015 Installation of Version 27.1 of the Provider Statistical and Reimbursement (PS&R) Report 2043 02/12/2002
A-02-014 Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim Implementation Updates 2028 02/12/2002
AB-02-052 Revision of Medicare Reimbursement for Telehealth Services 1650 10/01/2001
AB-02-023 Common Working File (CWF) Edits with Unsolicited Responses for Skilled Nursing Facility (SNF) Consolidated Billing 2034 07/01/2002
AB-02-050 Program Memorandum on Written Statements of Intent (SOI) to Claim Medicare Benefits N/A 04/24/2002
AB-02-010 Promoting Colorectal Cancer Screening as a Part of Colorectal Cancer Awareness Month 1532 03/01/2001
A-02-009 Payment of SNF Claims for Beneficiaries Disenrolling From Terminating Medicare+Choice (M+C) Plans Who Have Not Meet the 3-Day Stay Requirements 1108 01/01/2001
B-02-004 Payment for Services Furnished by Audiologists 1573 05/29/2001
AB-02-008 Form CMS-1522, Monthly Contractor Financial Report, Reconciliation 1330 02/01/2001
A-02-006 Extended Repayment Schedules (ERSs) for Home Health Agencies (HHAs) Affected by the Interim Payment System (IPS) 975 03/02/2002
AB-02-009 Clarification of Physician Certification Requirements for Medicare Hospice 1502 02/01/2001
AB-02-053 Correction to the Revision of Medicare Reimbursement for Telehealth Services 1827 10/01/2001
AB-01-163 Expand Standard Date Format and Remove Common Working File (CWF) Y2K Wrapper Logic for Part B Eligibility File, Part B (HUBC), and DME (HUDC) Incoming and Response Transactions 1915 04/01/2002
A-02-007 Addendum to Periodic Interim Payments (PIP) For Home Health Providers 1557 02/28/2001
AB-01-162 2002 Clinical Laboratory Fee Schedule and Laboratory Costs Subject to Reasonable Charge Payment Methodology 1887 01/01/2002
AB-02-012 Revised Backup Withholding Tax Rate 1832 02/01/2002
AB-01-161 Notice of Interest Rate for Medicare Overpayments and Underpayments 1896 10/31/2001
B-02-006 Receipt of Payment Data from the Healthcare Integrated General Ledger Accounting System (HIGLAS) by the Multi-Carrier System (MCS) 2032 07/01/2002
AB-01-164 Correction to Program Memorandum (PM) AB-01-53: Elimination of DMEPOS Fee Schedules for Repair Codes E1340, L4205, L7520, and L8049 1909 01/01/2002
B-01-72 Change in CWF Categories for Two Immunosuppressive Drugs 1867 04/01/2002
B-01-71 American National Standards Institute X12N 837 Professional Health Care Claim Companion Document 1809 11/23/2001
A-02-011 Receipt of Payment Data from the Healthcare Integrated General Ledger Accounting System (HIGLAS) by the Fiscal Intermediary Standard System (FISS). 2029 07/01/2002
AB-01-155 Medicare Summary Notice (MSN) Implementation for Contractors Using APASS and HPBSS - ACTION 1920 04/01/2002
AB-01-154 Medicare Deductible and Premium Rates for Calendar Year 2002 1906 01/01/2002
AB-02-011 Notice of Interest Rate for Medicare Overpayments and Underpayments 1897 02/01/2002
AB-01-160 Standardize Common Working File (CWF) Hosts' Processes and Procedures With Standard Software (AMEN Program) 1930 04/01/2002
AB-02-013 Improve the Out-of-Service-Area (OSA) Claims Process in the Common Working File (CWF) 2023 202307/01/2002
A-01-130 Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims 1769 04/01/2002
A-02-010 Changes to Common Working File (CWF) Beneficiary Eligibility Checks for Medicare+Choice Encounter Data 1926 07/01/2002
AB-01-157 New Common Working File (CWF) Medicare Secondary Payer (MSP) Edit to Reject MSP Records for Medicare Beneficiaries Who Are Only Entitled to Medicare Part B, and Are Covered by a Group Health Plan (GHP). 1922 04/01/2002
AB-01-158 New Common Working File (CWF) Edits and Standard System Responses on Skilled Nursing Facility (SNF) Claims 1778 04/01/2002
AB-02-014 Implementation of Common Working File (CWF) Edits for Flu and Pneumonia Claims 1691 07/01/2002
AB-01-156 Expanding the Number of Source Identifiers for Common Working File (CWF) MSP Records 1923 04/01/2002
B-02-007 Use of Statistical Sampling for Overpayment Estimation When Performing Administrative Reviews of Part B Claims 1363 02/09/2001
B-02-008 Type of Service (TOS) Corrections 2040 02/25/2002
AB-01-159 Common Working File (CWF) Reject and Utilization Edits and Carrier Resolution for Consolidated Billing for Skilled Nursing Facility (SNF) Residents 1764 04/01/2002
A-01-131 Additional Ins tructions for Implementing the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) 1921 01/01/2002
AB-02-016 Effective Date for Q3017 2014 02/07/2002
A-01-132 Screening Glaucoma Services 1914 04/01/2002
AB-02-015 Clarification of Payment Responsibilities of Fee-for-Service Contractors as it Relates to Hospice Members Enrolled in Managed Care Organizations (MCOs) and Claims Processing Instructions for Processing Rejected Claims 2013 04/01/2002
B-01-63 New Modifier for Rental Items 1813 04/01/2002
AB-02-019 Supplemental Systems Security Information For FY 02 2010 02/08/2002
AB-01-148 Ambulance Inflation Factor for 2002 1875 04/01/2002
AB-02-017 Sending of HUSC files from Common Working File (CWF) to Recovery Management and Accounting System (ReMAS) 2026 07/01/2002
AB-02-020 Revised Timelines for Health Insurance Portability and Accountability Act (HIPAA) Requirements 2039 N/A
AB-01-149 Unsolicited Response and Auto Adjustment of Claims for the Medicare Participating Centers of Excellence Demonstration and the Medicare Provider Partnership Demonstration 1752 04/01/2002
B-02-009 Payment for Therapy Services Wrongfully Denied 2039 05/09/2002
A-02-013 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry/Response Transaction (270/271) Standard 2009 07/01/2002
A-01-127 Common Working File (CWF) Processing of Home Health Prospective Payment System (HH PPS) Transfer Episodes Received Out of Sequence 1758 04/01/2002
A-01-128 Comprehensive Error Rate Testing (CERT) Program - Requirements Update for Medicare Part A Contractor Operations 1911 01/01/2002
AB-01-150 Facility Requirements for Transplantation Centers -- INFORMATION ONLY 1374 10/01/00
A-02-004 Critical Access Hospitals (CAH) Exempt From the Ambulance Fee Schedule 1951 07/01/2002
A-02-005 Correction of Production Problem with Home Health Prospective Payment Systems (HH PPS) Claims Involving Medicare Secondary Payer (MSP) 19777 03/01/2002
AB-02-007 Children's Hospital Graduate Medical Education (CHGME) Amendment to Change Request 1736 2011 03/01/2002
A-02-008 Processing of Home Health Prospective Payment System (HH PPS) Mass Adjustments -- Regional Home Health Intermediaries (RHHIs) Only 1973 07/01/2002
AB-01-151 Clarification of Common Working File (CWF) Y2K Wrapper Logic Removal Changes (CR 1774) 1904 01/01/2002
B-02-005 This PM has been retracted. It has not been printed and the transmittal number will not be used in the future. The new transmittal number for Change Request 1691 is AB-02-014. Implementation of Common Working File (CWF) Edits for Flu and Pneumonia Claims 1691 07/01/2002
B-02-042 This transmittal number has never been used and will not be used in the future N/A N/A
B-01-65 Calendar Year (CY) 2002 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures 1900 11/26/2001
B-02-001 Transmittal B-02-001 Has Been Rescinded 1993 N/A
B-01-67 Updated Correct Coding Initiative (CCI) Coding Policy Manual 1883 10/30/2001
AB-01-152 Breakdown of the American Medical Association's (AMA) Physicians' Current Procedural Terminology, Fourth Edition (CPT) 2002 Codes 1902 01/01/2002
B-01-70 Reporting Claims Accounting Information to the Healthcare Integrated General Ledger Accounting System (HIGLAS) 1924 04/01/2002
B-02-002 Notification to Carriers and Providers of Skilled Nursing Facility (SNF) Consolidated Billing (CB) Coding Information on CMS Web site 1997 01/31/2002
AB-02-001 New Temporary "K" Codes for Ostomy Devices and Supplies 1993 04/01/2002
B-01-68 Providing Upgrades of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Without Any Extra Charge 1894 04/01/2002
A-02-003 Handling of Inpatient Claims Containing HCPCS Codes J7198, J7199, and Q2022 for Payment for Blood Clotting Factor Administered to Hemophilia Inpatients 2000 01/11/2002
B-01-66 Program Integrity Sampling Module for Part B and DME Carriers 1397 04/01/2001
AB-02-040 Intestinal and Multi-Visceral Transplantation 1629 07/01/2001
A-02-002 Discontinuance of Contract With Integriguard (Division of CMRI) to Conduct Community Mental Health Centers (CMHC) Site Visits After January 15, 2002 2001 01/15/2002
B-02-018 Implementation of Carrier Jurisdiction Manual Instructions Based on the Medicare Carriers Manual (MCM) Part 3, Section Section 3100 - 3101 for the Multi-Carrier System (MCS) Standard System and Associated Medicare Carriers 1646 07/01/2001
AB-02-002 Claims Processing Instructions For The Medicare Quality Partnerships Demonstration (formerly referred to as "Centers of Excellence") and The Medicare Provider Partnership Demonstration 1995 04/01/2002
B-02-020 Coding for Non-Covered Services and Services Not Reasonable and Necessary 1820 01/01/2002
AB-02-003 This Transmittal Has Been Rescinded 1260 N/A
AB-02-038 Billing for Audiologic Function Tests For Beneficiaries That Are Patients of a Skilled Nursing Facility (SNF) 1677 07/01/2001
AB-02-004 Harkin Grantees: Aggregate Report Dates 1983 01/17/2002
A-02-025 April Outpatient Code Editor (OCE) Specifications Version (V3.0) 2103 04/01/2001
AB-02-005 Elimination of Official Level III Healthcare Common Procedure Coding System (HCPCS) Codes/Modifiers and Unapproved Local Codes/Modifiers 1957 10/16/2002
B-02-019 Accelerated Referral of Non-MSP Active Delinquent Debts to the Debt Collection Center (DCC) for Cross Servicing and Treasury Offset Program (TOP) 1683 04/26/2001
AB-02-006 Customer Service Assessment Management System (CSAMS) for Medicare Call Centers 1996 02/10/2002
B-02-003 New Permanent Modifier for "Specific Required Documentation on File" 1948 07/01/2002
AB-02-048 Program Management Provider/Supplier Education and Training 2125 N/A
B-01-57 New Specialty Code for Pain Management 1872 01/01/2002
AB-01-132 Further Guidance Concerning Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Transactions 1828 N/A
A-02-023 Accelerated Referral of Non-MSP Active Delinquent Debts to the Debt Collection Center (DCC) for Cross Servicing and Treasury Offset Program (TOP) 1683 04/26/2001
AB-01-131 Fiscal Intermediary (FI) Instructions on Applying Payment Bans on Skilled Nursing Facility (SNF) Admissions 1761 10/22/2001
A-02-026 2002 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2102 04/08/2002
AB-01-133 Interim Instructions - Document and Correspondence Name Transition from Health Care Financing Administration (HCFA) to Centers for Medicare & Medicaid Services (CMS) 1870 09/24/2001
AB-01-136 Supplemental Instructions on CMS Business Partners Systems Security Requirements 1844 09/25/2001
B-01-60 Schedule for Completing the Calendar Year (CY) 2002 Fee Schedule Updates and the Participating Physician Enrollment Procedures 1826 N/A
A-01-116 Medicare Secondary Payer (MSP) Policies Relaxed for Hospitals 1685 01/01/2002
A-01-114 Handling of Claims Containing HCPCS Codes G0204 and G0205 1871 01/01/2002
AB-02-041 Correction of Remark Code Message for Home Health Consolidated Billing 2080 03/29/2002
B-02-022 Elimination of Certificate of Medical Necessity (CMN) Requirement for Continuous Positive Airway Pressure (CPAP) Device 2076 03/29/2002
B-01-58 Coding for Non-Covered Services and Services Not Reasonable and Necessary 1820 01/01/2002
AB-02-042 Coverage and Billing of the Diagnosis and Treatment of Peripheral Neuropathy with Loss of Protective Sensation in People with Diabetes 2060 07/01/2002
A-01-111 Clarification of Activity Therapy (HCPC G0176) and Patient Education/Training Services (HCPC G0177) Under the Hospital Outpatient Prospective Payment System (OPPS) 1798 09/14/2001
AB-02-044 July Quarterly Update for 2002 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 2090 07/01/2002
AB-01-125 Clarification and Update to Medicare Payment for Code Q3014 (Telehealth Facility Fee) 1846 10/01/2001
A-02-027 Installation of Version 27.2 of the Provider Statistical and Reimbursement (PS&R) Report 2146 04/15/2002
AB-01-128 Annual Update of Non-Routine Medical Supply and Therapy Codes for Home Health Consolidated Billing (CB) 1854 01/01/2002
AB-01-129 Medicare Coverage of Non-Invasive Vascular Studies for End Stage Renal Disease (ESRD) Patients 1855 12/06/2001
AB-02-043 Corrections to Program Memorandum (PM) A-01-135 -- Codes Billable by SNFs and Suppliers for SNF Residents 2035 04/01/2002
B-02-023 Revision-The Do Not Forward (DNF) Initiative-Using "Return Service Requested" Envelopes for Remittance Advice 2038 10/01/2002
B-02-024 Deceased Physician UPIN Information - (Transmittal B-01-73) 2042 10/01/2002
A-01-112 Removal of Category Code C1723 from the Pass-Through Device Category List Under the Hospital Outpatient Prospective Payment System (OPPS) 1842 01/01/2002
AB-02-045 Clarification of the Allocation of Initial Claim Entry Activities Where the Claim is Paid Secondary by Medicare 2074 04/12/2002
A-01-113 Prospective Payment System (PPS) Patient Transfers Improperly Paid as Hospital Discharges----ACTION 1340 10/31/2001
AB-02-046 Availability of Deceased Beneficiary Date of Death Files (Calendar Years 2000 and 2001) 2065 04/12/2002
AB-01-130 Claims Processing Instructions for Carriers, DMERCS, Intermediaries and Regional Home Health Intermediaries (RHHIs) for Claims Submitted for Medicare Beneficiaries Participating in Medicare Qualifying Clinical Trials 1241 09/19/2000
A-02-028 Upcoming Train-the-Trainer Session for Hospital Swing Bed Facility Prospective Payment System (SB PPS) 2147 04/16/2002
A-01-101 Changes to Fiscal Year (FY) 2001 Hospital Inpatient and Outpatient Prospective Payment System (PPS) Policies As Required by the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act (BBRA) of 1999, P.L. 106-113 1723 11/30/2001
B-02-025 Reporting the Obligated to Accept as Payment in Full (OTAF) Amount on the ANSI X12N 837 Version 4010 as Adopted Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) for Medicare Secondary Payer (MSP) Claims. 2007 10/01/2002
A-01-103 October Medicare Outpatient Code Editor (OCE) Specifications Version 17.0 for Bills from Hospitals that are not Paid Under the Outpatient Prospective Payment System (OPPS) 1723 11/30/2001
A-02-029 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry/Response Transaction (270/271) Standard 2111 N/A
AB-02-047 Amended Contractor Assessment Security Tool (CAST) Submission Instructions and Due Dates 2094 04/17/2002
B-01-53 Change in Jurisdiction for Pessary Codes 1788 01/01/2002
B-02-021 Problem Resolution to Issues Raised By Implementation of CR 1646 for the Medicare Carriers Processing on the Multi-Carrier System (MCS) 1866 11/13/2001
B-01-56 Payment for Home Dialysis Supplies and Equipment 1858 01/01/2002
A-02-024 Off Label Use of Oral Chemotherapy Drugs Methotrexate and Cyclophosphamide 1408 04/01/2001
AB-02-037 Reissue of information in CR 1955, Transmittal AB-02-021, Common Working File (CWF) Unsolicited Response Edit and Carrier Resolution for Consolidated Billing for Skilled Nursing Facility (SNF) Residents 2082 07/01/2002
AB-01-123 Useful Lifetime Expectancy for Breast Prosthesis 1787 04/01/2002
A-02-021 Medicare Secondary Payer (MSP) Information Collection Policies Changed for Hospitals 2104 03/31/2002
A-01-110 Instructions for Implementing the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) 1851 01/01/2002
AB-01-126 nstructions for Implementing and Updating 2002 Payment Amounts for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 1856 01/01/2002
AB-01-124 Health Insurance Portability and Accountability Act (HIPAA) Budget Requests for Electronic Data Interchange Testing and Reporting 1802 10/01/2001
A-02-022 Clarification of PM-A-01-86, New Patient Status Codes 62 and 63 2069 03/22/2002
A-01-105 Screening Glaucoma Services 1783 01/01/2002
A-01-104 File Descriptions and Instructions for Retrieving the 2002 Physician, Clinical Lab, Durable Medical Equipment, Prosthetics/Orthotics and Supplies (DMEPOS), and Therapy Fee Schedule Payment Amounts through Centers for Medicare & Medicaid Services Telecommunications System (CMSTS) 1811 01/01/2002
B-02-016 Addition of Four "WW" Codes to Identify a New Source for Methotrexate 2064 07/01/2002
B-02-015 2002 Jurisdiction List 2051 07/01/2002
A-01-106 Instructions for Billing and Processing of Hospital \Outpatient Claims Containing Charges for Epoetin Alfa (EPO), Tradenames: Epogen and Procrit 1839 09/21/2001
AB-02-039 Amplification of Annual Compliance Audit Requirements 2072 03/26/2002
B-02-017 Standard System Acceptance of Primary Payer Information at the Line Level 1287 01/01/2001
AB-01-116 Provider/Supplier Plan (PSP) Quarterly Report Format 1740 10/11/2001
B-01-54 Implementation of New Fee Schedule for Parenteral and Enteral Nutrition Items and Services 1777 01/01/2002
AB-01-114 Data Center Testing - Electronic Correspondence Referral System (ECRS) Software Version 3.0 1821 10/12/2001
AB-01-117 Instruction Implementation Reporting 944 11/01/1999
AB-01-118 Reasonable Charge Update for 2002 for Items and Services, Other Than Ambulance and Laboratory Services 1803 01/01/2002
AB-01-113 Clarification of Comprehensive Error Rate Testing (CERT) Program Requirements for Medicare Contractor Operations Regarding Prepayment Random Medical Review 1754 08/16/2001
A-01-99 Changes in the Paid Claim Record - Notification Process 1810 09/01/2001
AB-01-119 New Zip Code File 1771 10/01/2001
AB-01-120 Correction to the Revision of Medicare Reimbursement for Telehealth Services 1827 10/01/2001
AB-01-121 Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2001 1763 10/01/2001
A-01-102 Fiscal Year (FY) 2002 Prospective Payment System (PPS) Hospital, Skilled Nursing Facility (SNF) and Other Bill Processing Changes 1817 10/01/2001
A-01-108 The Report of Benefit Savings 1824 10/01/2001
A-01-98 October Outpatient Code Editor (OCE) Specifications Version (V2.3) 1819 10/01/2001
A-01-107 October 2001 Update to the Hospital Outpatient Prospective Payment System (OPPS) 1822 10/01/2001
AB-01-112 Installation of Digital Satellite Dishes at Medicare Contractors 1804 09/14/2001
AB-01-122 Procedures for Re-issuance and Stale Dating of Medicare Checks 1364 10/01/2001
B-01-52 Changes to the Centers for Medicare & Medicaid Services (CMS) Part B Standard System Carrier (HPBSS) Responsibility (Accelerate, Claims Collection Software) 1800 10/16/2001
A-01-109 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2000 for Prospective Payment System (PPS) Hospitals 1845 10/01/2001
A-01-100 Upcoming Train the Trainer Session for Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) 1812 08/16/2001
B-01-50 Attestation Option for Submission Requirement for Clinical Laboratories Billing the Technical Component of Physician Pathology Services to Hospital Patients 1781 08/08/2001
B-01-51 Common Working File (CWF) Changes Required for Processing Native American (NA) and Alaskan Native (AN) Railroad Retiree Claims 1805 01/01/2002
A-01-94 Implementation of Fee Schedule for Additional Part B Services Furnished by a Skilled Nursing Facility (SNF) or Another Entity Under Arrangements with the SNF 1689 01/01/2002
A-01-93 Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions 1229 08/14/2001
B-01-47 Comprehensive Error Rate Testing (CERT) Program -- Requirements Update for Medicare Part B Contractor Operations 1636 08/14/2001
AB-01-34 HCFA Office of the Inspector General (OIG) Hotline Referrals 955 01/27/2000
A-01-83 Skilled Nursing Facility (SNF) Annual Update for FY 2002 1759 10/01/2001
AB-01-35 Delay of Carrier and Intermediary Action Required in Change Request (CR) 1412, Transmittal AB-00-112 dated November 16, 2000, Consolidated Billing for Home Health Agencies 1559 04/01/2001
AB-01-95 New Waived Tests -- July 12, 2001 NEW VERSION 1751 10/01/2001
AB-01-96 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange Testing and Reporting Requirements 1704 10/01/2001
B-01-16 Clarification of Medicare Policies Concerning Ambulance Services 1065 02/29/2000
A-01-27 Problems with Processing of Non-Outpatient Prospective Payment System (OPPS) Claims Through the Outpatient Code Editor (OCE) 1583 04/01/2001
A-01-84 Problems With Processing Certain Clinical Diagnostic Laboratory Claims and Other Claims Through the July Outpatient Code Editor (OCE) 1785 07/13/2001
AB-01-36 Extension of Moratorium on the Application of the Financial Limitation for Outpatient Rehabilitation Services 1491 01/01/2002
AB-01-97 Claims Processing Instructions for the Medicare Participating Centers of Excellence Demonstration and the Medicare Provider Partnership Demonstration 1525 01/01/2002
B-01-44 Medicare TeleMedicine Demonstration Ending Date 1720 10/01/2001
AB-01-37 Verteporfin 1549 07/01/2001
B-01-43 Clarification of Payment and Place of Service Requirements for ASC Claims 1680 09/04/2001
B-01-45 Tracking and Reporting Requirements for Advance Determinations of Medicare Coverage 1730 10/01/2001
A-01-85 Notification of Access to Eligibility Vendors NEW VERSION 1749 07/19/2001
A-01-29 Medical Review of Certification and Re-certifications of Residents in Skilled Nursing Facilities (SNFs) 1454 04/02/2001
AB-01-98 Durable Medical Equipment Regional Carrier (DMERC) Denial Code for Durable Medical Equipment (DME) Furnished in Skilled Nursing Facilities (SNFs) 1692 10/01/2001
A-01-30 Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION 1596 03/01/2001
A-01-28 Addendum to Periodic Interim Payments (PIP) For Home Health Providers NEW VERSION 1557 02/28/2001
A-01-95 Workaround for Home Health Prospective Payment System (HH PPS) Transfer Claims Received Out of Sequence-Regional Home Health Intermediaries (RHHIs) Only 1757 08/02/2001
AB-01-107 Customer Service Plans (CSP) Reporting Procedures 1726 09/17/2001
A-01-31 Clinical Diagnostic Laboratory Tests Furnished by Critical Access Hospitals (CAHs) 1568 07/01/2001
AB-01-108 Final Update to the 2001 Medicare Physician Fee Schedule Database 1790 10/01/2001
B-01-17 Durable Medical Equipment Regional Carrier (DMERC) Systems Changes to Enforce Medicare Requirements for Payment for Medicare-Covered Drugs 1484 07/01/2001
AB-01-109 Correction of Payment for Diabetes Outpatient Self-Management Training Services 1789 08/03/2001
AB-01-39 Salary Equivalency Guidelines Update Factors NEW VERSION 1578 N/A
AB-01-110 Notice of Interest Rate for Medicare Overpayments and Underpayments 1387 08/01/2001
B-01-21 Durable Medical Equipment Regional Carrier (DMERC) Systems Requirements to Implement Section 114 of BIPA (Additional Requirements for Change Request (CR) 1562, Transmittal B-01-15) 1621 07/01/2001
B-01-48 Medical Nutrition Therapy Services for Beneficiaries with Diabetes or Renal Disease 1776 01/01/2002
A-01-96 Clarification of the Application of the Regulations at 42 CFR 413.134(l) to Mergers and Consolidations Involving Non-profit Providers 1290 10/19/2000
A-01-45 Clarification And HCPCs Coding Update: Part B Fee Schedule And Consolidated Billing For Skilled Nursing Facility (SNF) Services 1642 04/01/2001
B-01-49 Additional Information Regarding Medicare Payment Allowance for Flu Vaccine 1797 N/A
AB-01-50 Release of Version 2.1.1 of the Electronic Correspondence Referral System (ECRS) 1654 04/09/2001
A-01-97 Technical Corrections Under the Hospital Outpatient Prospective Payment System (OPPS) 1743 08/22/2001
AB-01-111 Completion of Home Health Prospective Payment System (HH PPS) Consolidated Billing Enforcement 1711 01/01/2002
A-01-86 New Patient Status Codes 1753 01/01/2002
AB-01-99 This Transmittal Has Been Rescinded 1681 N/A
B-01-24 Notification to Providers of Centralized Influenza and Pneumococcal Vaccination Billing 1616 04/15/2001
B-01-46 Instructions for Billing for Claims for Screening Glaucoma Services 1717 01/01/2002
B-01-23 New Temporary “K” Code for the Residual Limb Support System 1608 07/01/2001
AB-01-101 Harkin Grantees: Complaint Tracking System 1715 01/01/2002
AB-01-51 Clarification Related to Troponin 1627 05/01/2001
A-01-49 Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases, Changes to the RHC Benefit Made by the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 and Clarification Regarding Drugs Furnished by RHCs/FQHCs. 1600 N/A
B-01-25 Implementation of Carrier Jurisdiction Manual Instructions Based on the Medicare Carriers Manual (MCM) Part 3, Section Section 3100 - 3101 for the Multi-Carrier System (MCS) Standard System and Associated Medicare Carriers 1646 07/01/2001
AB-01-100 CWF Health Insurance Master Record Redesign & Beneficiary Master File Expansion 1775 01/01/2002
AB-01-07 CONTRACTOR TESTING REQUIREMENTS--ACTION 1462 N/A
AB-01-102 Common Working File (CWF) Y2K Wrapper Logic Removal Changes 1774 01/01/2002
AB-01-52 Payment of Physician and Nonphysician Services in Certain Indian Providers 1576 07/01/2001
AB-01-103 Revised Guidelines for Processing Claims for Clinical Trial Routine Care Services 1637 01/01/2002
AB-01-10 Elimination of Time Limit for Coverage of Immunosuppressive Drugs Under Medicare 1513 04/01/2001
A-01-87 Comprehensive Error Rate Testing (CERT) Program - Requirements for Medicare Part A Contractor Operations 1588 01/01/2002
AB-01-53 July Updates for 2001 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 1619 07/01/2001
AB-01-104 Modifications to the Common Working File (CWF) to: (1) Suppress HUST Type TC Transactions for Medicare+Choice and Adjustment Claims; and (2) Activate Coordination of Benefits Contractor #11100. 1779 01/01/2002
AB-01-54 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Changes 1603 07/01/2001
A-01-14 Clarifications to Transmittal A-01-03, Change Request 1437, Temporary 2-Month Extension of Periodic Interim Payments (PIPs) for Home Health Providers 1544 01/31/2001
A-01-88 Extension of Due Date for Filing Provider Cost Reports 1770 11/30/2001
AB-01-09 Clarification of Physician Certification Requirements for Medicare Hospice 1502 02/01/2001
B-01-26 Claims Processing Instructions for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Demonstration 1634 10/01/2001
AB-01-56 Questions and Answers Regarding Payment for the Services of Therapy Students Under Part B of Medicare 1498 N/A
A-01-12 Provider Statistical and Reimbursement Report (PS&R) 1359 10/02/2000
A-01-92 Instructions for Implementing the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) 1657 01/01/2002
AB-01-55 Information Collection Requirements from Medicare Contractor Call Centers NEW VERSION 1569 05/15/2001
A-01-90 Home Health Agency (HHA) Prospective Payment System (PPS) Correction in Financial Reporting for Trust Funds 1786 01/01/2002
B-01-11 This Transmittal Has Been Rescinded NEW VERSION 1300 N/A
A-01-91 Clarification of Provider Billing Requirements Under the Outpatient Prospective Payment System (OPPS) 1768 10/01/2001
AB-01-58 Intestinal and Multi-Visceral Transplantation 1629 07/01/2001
A-01-89 Payment for Blood Clotting Factor Administered to Hemophilia Inpatients 1695 10/01/2001
AB-01-105 Medical Review (MR) Progressive Corrective Action (PCA)--ACTION 1694 01/01/2002
AB-01-08 Program Safeguard Contractor for Corporate Integrity Agreements (PSC-CIA) 1143 09/05/2000
AB-01-106 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Claims Status Request/Response Transaction Standard 1784 01/01/2002
A-01-50 Further Guidance Regarding Billing Under the Outpatient Prospective Payment System (OPPS) 1585 07/01/2001
B-01-05 Matrix to Complete Provider/Supplier Enrollment Application (HCFA-855) 777 N/A
A-01-51 Calculating Payment-to-Cost Ratios (PCR) for Purposes of Determining Transitional Corridor Payments Under the Outpatient Prospective Payment System (OPPS) and Revising the Criteria Under Which a Provider May Request a Recalculation of Its Cost-to-Charge Ratio 1664 06/15/2001
A-01-81 Change in Hospice Payment Rates, Update to the Hospice Cap, Revised Hospice Wage Index and Hospice Pricer 1755 10/01/2001
A-01-52 Medicare Payment for Ambulance Services Furnished by Certain Critical Access Hospitals (CAH) 1609 07/01/2001
AB-01-94 Profiling Medicare Contractor Call Centers 1747 08/06/2001
A-01-82 Center for Medicare and Medicaid Services (CMS) Audit and Cost Report Settlement Expectations 1468 09/01/2001
AB-01-85 HIPAA Release Testing/Production Schedule 1718 N/A
A-01-13 Clarification of Allowable Medicaid Days in the Medicare Disproportionate Share Hospital (DSH) Adjustment Calculation--ACTION 1052 01/01/2000
B-01-41 Clarification-Durable Medical Equipment Regional Carrier (DMERC) Implementation of Mandatory Assignment for Drug Claims 1742 07/01/2001
AB-01-12 Charging Fees to Providers for Medicare Education and Training Activities - Program Management 1431 02/26/2001
AB-01-86 Deletion of Temporary “K” Codes K0008 and K0013 1693 10/01/2001
AB-01-17 Medicare Coverage of Epoetin Alfa (Procrit) for Preoperative Use 903 08/01/1999
AB-01-11 HCFA Has Revised Its Information Technology (IT) Security Requirements 1439 01/26/2001
A-01-76 Scheduled Release for October Updates to Software Programs and Pricing/Coding Files 1716 N/A
A-01-65 HCPCS Codes for Wheelchairs and Accessories - Instructions for Regional Home Health Intermediaries (RHHIs) NEW VERSION 1640 10/01/2001
AB-01-13 Pap Test for Women Aged 65 and Older: Dispelling the Myths 1452 01/29/2001
AB-01-80 Data Center Management Controls and Standard System Source Code 1625 06/01/2001
AB-01-14 Notification to Beneficiaries About Cervical Cancer Month and the Benefit of Pap Tests 1446 01/29/2001
AB-01-78 Common Working File (CWF) Beneficiary Other Insurer (BOI) Auxiliary (aux) File 1674 10/01/2001
A-01-66 July Outpatient Code Editor (OCE) Specifications Version (V2.2) 1671 07/01/2001
AB-01-15 Instructions to All Medicare Contractors for Reporting Audited Year 2000 Costs on the Final Administrative Costs Proposals 1062 02/01/2000
A-01-67 July Medicare Outpatient Code Editor (OCE) Version 16.2 1709 07/01/2001
A-01-15 mplementation of Sections 111, 401, 403, and 405 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 1518 04/01/2001
AB-01-82 Clarification of HCFA Core Security Requirements 1705 05/17/2001
A-01-68 Adjusting Clinical Diagnostic Laboratory Test Claims Furnished by Critical Access Hospitals (CAHs) 1630 06/15/2001
AB-01-16 Implementation of Benefits Improvement and Protection Act of 2000 (BIPA) Requirements for Drugs and Biologicals Covered by Medicare 1514 04/01/2001
A-01-69 Inclusion of Medicare Paid Provider Message and Removal of the Ambulatory Payment Classification (APC) Code from Medicare Summary Notice (MSN) 1668 10/01/2001
A-01-17 Impact of the Benefits Improvement and Protection Act on Devices Eligible for Transitional Pass-Through Payments Under the Hospital Outpatient Prospective Payment System 1541 01/31/2001
A-01-16 Claims Guidance Related to Outpatient Code Editor (OCE) Edit 27 1551 01/31/2001
AB-01-20 Payment Revisions For Diagnostic and Screening Mammograms Performed With New Technologies - Effectuated By Benefits Improvement and Protection Act 2000 1520 04/01/2001
A-01-19 New Composite Payment Rates Effective April 1, 2001, through December 31, 2001, and the Application of Exceptions Under the End Stage Renal Disease Composite Rate System 1527 04/01/2001
AB-01-18 New Automatic Notice of Change to Medicare Secondary Payer (MSP) Auxiliary File 1529 07/01/2001
AB-01-21 Form HCFA-1522, Monthly Contractor Financial Report, Reconciliation 1330 02/01/2001
B-01-34 Payment for Services Furnished by Audiologists 1573 05/29/2001
B-01-35 Health Insurance Portability and Accountability Act of 1996 (HIPAA) Administrative Simplification - Implementation of Version 4010 of the Accredited Standards Committee X12 835 (Payment/Remittance Advice) Transaction Standard Format. 1523 10/01/2001
A-01-57 Health Insurance Portability Accountability Act of 1996 (HIPAA) Administrative Simplification - Implementation of Version 4010 of the Accredited Standards Committee X12N 835 (Payment/Remittance Advice) Transaction Standard Format 1522 10/01/2001
A-01-56 Clarification to Health Insurance Prospective Payment System (HIPPS) Coding and Billing Instructions 1655 04/30/2001
AB-01-19 First Update to the 2001 Medicare Physician Fee Schedule Database--INFORMATION 1508 04/01/2001
AB-01-90 This Transmittal Has Been Rescinded 1214 N/A
A-01-78 Special Handling of Outpatient Prospective Payment System (OPPS) Claims Containing HCPCS Code G0121 (Screening Colonoscopy) 1746 07/01/2001
AB-01-88 Prior Approval Requirement for Data Center and Front End Movement 1696 06/27/2001
A-01-18 Effective Dates for all Medicare Secondary Payer (MSP) Sub-Modules Found in the MSP Pay (MSPPAY) Module 1492 04/01/2001
AB-01-89 FUTURE SOFTWARE RELEASES 1216 07/01/2000
AB-01-69 Revision of Medicare Reimbursement for Telehealth Services 1650 10/01/2001
AB-01-70 Revision of Existing Home Health Prospective Payment System (HH PPS) Consolidated Billing Edits 1644 10/01/2001
A-01-77 Advance Beneficiary Notices (ABNs) for Services for Which Institutional Part B Claims Will be Processed by Fiscal Intermediaries 1192 07/01/2000
AB-01-67 Program Memorandum on Written Statements of Intent (SOI) to Claim Medicare Benefits 1050 N/A
AB-01-92 Use of the American Dental Association 's (ADA)Current Dental Terminology- Third Edition (CDT-3)Codes on Medicare Contractors Web Sites 1699 N/A
AB-01-68 Consolidation of Program Memorandums for Outpatient Rehabilitation Therapy Services 1155 N/A
A-01-58 Clarification of Provider Cost Report Filing Requirements 429 N/A
A-01-79 Medicare Program-Update to the Prospective Payment System (PPS)for Home Health Agencies for FY 2002 1745 10/01/2001
AB-01-91 Contractor Updating of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 1661 10/01/2001
AB-01-71 Billing for Audiologic Function Tests For Beneficiaries That Are Patients of a Skilled Nursing Facility (SNF) 1677 07/01/2001
AB-01-93 Claims Processing Instructions for the Medicare Coordinated Care Demonstration --Correction and Enhancement 1750 06/28/2001
AB-01-72 New Zip Code File 1663 07/01/2001
B-01-42 Changes to Correct Coding Edits, Version 7.3, Effective October 1, 2001 1712 10/01/2001
AB-01-22 2001 Payment Limit Update for Ambulance Services 1542 07/01/2001
B-01-36 Corrections to the Correct Coding Edits, Version 7.2, Effective July 1, 2001 1766 07/01/2001
A-01-62 The Certification Package for Internal Controls for Fiscal Year (FY) Ending September 30, 2001 1673 N/A
AB-01-77 The Certification Package for Internal Controls for Fiscal Year (FY) Ending September 30, 2001 1652 10/15/2001
AB-01-23 Medicare Summary Notices (MSNs) Programming Errors 1545 02/05/2001
A-01-63 Further Guidance Regarding Health Insurance Portability and Accountability Act (HIPAA) Health Care Claim and Coordination of Benefits (COB) 1611 07/01/2001
A-01-60 Revised Processing and Reporting Requirement Timeframes for Resolution of Outpatient Prospective Payment System (OPPS) Implementation Issues 1662 06/08/2001
AB-01-81 Update of Codes and Payments for Ambulatory Surgical Centers (ASCs) NEW VERSION 1670 10/01/2001
B-01-37 Systems Changes for New Oxygen Testing Requirements 1686 10/01/2001
A-01-60 Revised Processing and Reporting Requirement Timeframes for Resolution of Outpatient Prospective Payment System (OPPS) Implementation Issues 1662 06/08/2001
AB-01-24 Medicare Secondary Payer (MSP): (1) Procedures for “Write-Off - Closed” of MSP Accounts Receivable (AR); (2) Elimination of Automated/Systems “Write-Off - Closed” Actions for MSP AR; Zero Backend Tolerance for MSP AR (Reminder); and (3) Date for Establishment of MSP AR (Reminder) 1280 N/A
A-01-64 Provider Statistical and Reimbursement Report (PS&R) 1188 05/22/2000
A-01-20 Health Insurance Portability and Accountability Act (HIPAA) Health Care Claim and Coordination of Benefits (COB) 1533 07/01/2001
AB-01-79 Instructions for Coverage and Billing of Biofeedback Training for the Treatment of Urinary Incontinence 1535 07/01/2001
AB-01-73 Payment Instructions for Intestinal Transplants Furnished to Beneficiaries Enrolled in Medicare+Choice (M+C) Plans With Dates of Service on or After April 1, 2001, but Before January 1, 2002 1564 07/01/2001
AB-01-83 Medicare Secondary Payer (MSP) Debt Collection Improvement Act of 1996 (DCIA) Activities 1538 05/31/2001
AB-01-66 Implementation of Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Requirements for Payment Allowance of Drugs and Biologicals Covered by Medicare 1653 05/03/2001
AB-01-76 COB Contractor Fact Sheet for Providers 1460 06/18/2001
A-01-59 Correction of Some Fiscal Year (FY) 2001 Hospice Wage Indices 1647 06/18/2001
A-01-71 Medicare Transitional Pass-Through Payments Under the Hospital Outpatient Prospective Payment System (OPPS) for Pacemakers and Neurostimulators 1690 06/01/2001
A-01-70 Frequently Asked Questions (FAQs) About Home Health Advance Beneficiary Notice (HHABN, Form HCFA-R-296) NEW VERSION 1698 05/25/2001
AB-01-74 Claims Processing Instructions for Clinical Trials on Carotid Stenting With Category B Investigational Device Exemptions (IDEs) 1660 07/01/2001
A-01-73 July 2001 Update to the Hospital Outpatient Prospective Payment System (OPPS) 1707 07/01/2001
AB-01-75 Common Working File (CWF) Access Change 1168 10/01/2001
A-01-72 Additional Problems with Processing of Non-Outpatient Prospective Payment System (OPPS) Claims Through the OPPS Outpatient Code Editor (OCE) 1722 N/A
A-01-61 Processing of 1999 Bills Under the End Stage Renal Disease (ESRD) Composite Rate System - ACTION 1651 05/08/2001
AB-01-84 Correction to Second Update to the 2001 Medicare Physician Fee Schedule Database 1708 07/01/2001
A-01-34 Salary Equivalency Guidelines Update Factors 1578 04/01/2001
A-01-74 Replacement Therapy Abstract File 1713 07/01/2001
B-01-18 Changes to Correct Coding Edits, Version 7.2, Effective July 1, 2001 1571 07/01/2001
A-01-32 Biweekly Interim Payments for Certain Hospital Outpatient Items and Services That Are Paid on a Cost Basis, and Direct Medical Education Payments, Not Included in the Hospital Outpatient Prospective Payment System (OPPS) 1507 05/07/2001
B-01-38 Adjustment to Messages Required by Change Request (CR) 1553, Transmittal B-01-10, Systems Requirements for the Benefits Improvement and Protection Act of 2000 (BIPA) for Drugs and Biologicals Covered by Medicare, Section 114, Mandatory Submission of Assigned Claims for Drugs and Biologicals 1701 07/01/2001
B-01-19 Additional Information for TrailBlazer Health Enterprises (TBHE) for Centralized Billing of Flu and Pneumococcal (PPV) Vaccinations 1586 03/08/2001
B-01-39 Quarterly Do Not Forward (DNF) Reports 1697 06/14/2001
B-01-40 Expanded Coverage of Diabetes Outpatient Self-Management Training (This change request replaces the draft change request 1423 and includes full implementation instructions.) 1455 07/17/2001
AB-01-40 Correction to Change Request (CR) 1500 (Transmittal AB-01-26) -- Changes to the 2001 Payment Amounts for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 1577 07/01/2001
A-01-75 Children's Hospital Graduate Medical Education (CHGME) 1736 07/01/2001
AB-01-41 Correction to April Quarterly Update for 2001 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 1580 04/01/2001
B-01-20 Two New “K” Codes for Heavy Duty Hospital Beds 1530 07/01/2001
AB-01-43 Revision to Carrier/Intermediary Provider Training for Skilled Nursing Facility Prospective Payment System (SNF PPS) and Consolidated Billing 1589 03/14/2001
B-01-36 Corrections to the Correct Coding Edits, Version 7.2, Effective July 1, 2001 1766 07/01/2001
A-01-33 Fiscal Intermediary (FI) Community Mental Health Center (CMHC) Enrollment and Change of Ownership (CHOW) Site Visit Process and Coordination with National CMHC Site Visit Contractor 1597 03/14/2001
A-01-80 Use of Modifier 25 and Modifier 27 in the Hospital Outpatient Prospective Payment System (OPPS) 1725 10/01/2001
AB-03-050 Data Center Testing and Production - Electronic Correspondence Referral System (ECRS) User Manual 5.1 and Quick Reference Guide Replacement 2441 10/07/2002
AB-01-42 Changes to 2001 Clinical Laboratory Fee Schedule Required by the Benefits Improvement and Protection Act (BIPA) of 2000 1574 04/01/2001
AB-01-45 Retention of HCPCS Level III Codes 1528 04/29/2001
AB-01-44 Binding Contractor Hearing Officers to Local and Regional Medical Review Policies (L/RMRP) 1540 03/15/2001
A-01-35 Medicare + Choice Inpatient Encounter Data--Migration of Data Processing to the HCFA Data Center (HDC) 1606 03/16/2001
A-01-37 Change in the Standard Paper Remittance Advice (SPR) for Home Health Agencies 1614 07/01/2001
A-01-36 April Outpatient Code Editor (OCE) Specifications Version (V2.1) 1567 04/01/2001
A-01-38 Changes to FY 2001 and FY 2002 Graduate Medical Education (GME) Policies as Required by the Medicare, Medicaid, and State Child Health Insurance Program Balanced Budget Refinement Act of 1999 (BBRA), P. L. 106-113, and the Medicare, Medicaid, and State Child Health Insurance Program Benefits Improvement and Protection Act (BIPA) of 2000, P. L. 106-554 1369 05/05/2001
A-01-39 Postacute Care Transfer Policy 1565 N/A
A-01-42 Indian Health Service Hospital Payment Rates for Calendar Years 2000 and 2001. 1590 03/22/2001
A-01-26 Clarification of Exclusions to the Temporary 2-Month Extension of Periodic Interim Payments (PIP) For Home Health Providers 1579 02/28/2001
AB-01-33 Delay of Carrier and Intermediary Actions Required in CRs 1256 and 1323, Consolidated Billing for Skilled Nursing Facility (SNF) Residents, and Fee Schedule for Part B Residents and Outpatients 1560 04/01/2001
B-01-15 Durable Medical Equipment Regional Carrier (DMERC) Systems Requirements to Implement Section 114 of the Benefits Improvement and Protection Act of 2000 (BIPA) 1562 07/01/2001
B-01-14 New Oral Anti-Cancer Drugs Approved for Use by Medicare 1472 07/01/2001
B-01-13 Explanation of Medicare Benefits (EOMB), Medicare Summary Notice (MSN) and Supplier Remittance Messages Durable Medical Equipment Regional Carriers (DMERCs) Must Use on Claims for Drugs and Related Equipment Supplied by a Supplier Not Licensed to Dispense the Drug 1531 04/01/2001
AB-01-31 Fraud Investigation Database (FID) 1493 03/15/2001
AB-01-32 Promoting Colorectal Cancer Screening as a Part of Colorectal Cancer Awareness Month 1532 03/01/2001
AB-01-28 Current Status of Medicare Program Memoranda Issued Before Calendar Year (CY) 2001 N/A N/A
B-01-12 Initial VIPS Medicare System (VMS) Changes Necessary to Allow for “Full” Program Safeguard Contractor (PSC) Implementation 1450 07/01/2001
AB-01-30 Claims Processing Instructions for the Medicare Coordinated Care Demonstration--Correction and Enhancement 1548 07/01/2001
A-01-25 Claims Processing Instructions for the Medicare Coordinated Care Demonstration--Correction and Enhancement 1570 02/15/2001
A-01-23 Modification to Home Health Prospective Payment System (HH PPS) Date Matching Edit in Medicare Standard Systems Software 1539 07/01/2001
B-01-10 Systems Requirements for the Benefits Improvement and Protection Act of 2000 (BIPA) for Drugs and Biologicals Covered by Medicare, Section 114, Mandatory Submission of Assigned Claims for Drugs and Biologicals 1553 07/01/2001
B-01-08 Change In Effective Date For Five “WW” Codes For Methotrexate 1481 07/01/2001
B-01-33 Suspend the Transmission of Box 10 Development Inquiries to the Coordination of Benefits (COB) Contractor 1678 05/14/2001
AB-01-47 Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Patients 1499 04/01/2001
A-01-55 Accelerated Referral of Non-MSP Active Delinquent Debts to the Debt Collection Center (DCC) for Cross Servicing and Treasury Offset Program (TOP) 1683 04/26/2001
A-01-41 Categories for Use in Coding Devices Eligible for Transitional Pass-Through Payments Under the Hospital Outpatient Prospective Payment System 1610 04/01/2001
A-01-24 Further Guidance on Handling OCE Error 13 1561 02/08/2001
AB-01-29 Free Electronic Billing Software 1483 N/A
A-01-40 Additional Information on Transitional Pass-Through Devices and Drugs 1601 04/01/2001
AB-01-27 Notice of Interest Rate for Medicare Overpayments and Underpayments 1385 02/07/2001
B-01-09 Suspension of Recently Implemented Correct Coding Initiative (CCI) Edits Bundling E&M Codes and Ophthalmologic Codes - Revision to Version 7.0 1546 02/12/2001
B-01-07 Apligraf (Graftskin) 1521 02/07/2001
AB-01-46 New Waived Tests -- Effective Date of Receipt 1575 07/01/2001
AB-01-26 Changes to the 2001 Payment Amounts for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 1500 07/01/2001
A-01-43 This Transmittal Has Been Rescinded 1109 N/A
AB-01-25 Clarification of Transmittal AB-00-107, Change Request 1163, and Transmittal AB-00-129, Change Request 1460, Regarding the Coordination of Benefits (COB) Contractor and Medicare Secondary Payer (MSP) Prepay Work Activities for Customer Service, MSP and Standard Systems Contractor Staff 1558 02/15/2001
A-01-21 Clarification of the Homebound Definition Under the Medicare Home Health Benefit 1503 02/06/2001
AB-01-48 Remittance Advice and Medicare Summary Notice Messages for the Home Health Prospective Payment System (HH PPS) 1584 03/27/2001
B-01-31 Accelerated Referral of Non-MSP Active Delinquent Debts to the Debt Collection Center (DCC) for Cross Servicing and Treasury Offset Program (TOP) 1683 04/26/2001
B-01-06 Health Insurance Portability and Accountability Act (HIPAA) Health Care Claim and Coordination of Benefits 1534 07/01/2001
AB-01-63 Change of Interest Citation in the Overpayment Sections of the Medicare Intermediary Manual (MIM) and the Medicare Carriers Manual (MCM) from 42 CFR Section 405.376 to 42 CFR Section 405.378. 1623 04/30/2001
B-01-22 Initial VIPS Medicare System (VMS) Changes Necessary to Allow for Full Program Safeguard Contractor (PSC) Implementation 1592 10/01/2001
B-01-30 Deletion of the HCFA Common Procedure Coding System (HCPCS) Codes A9160, A9170, and A9190 and the GX Modifier and Replacement with New Codes and Modifiers; Status Change to HCPCS Code A9270 1371 01/01/2002
AB-01-61 Fiscal Intermediary (FI), Durable Medical Equipment Regional Carrier (DMERC) and Common Working File (CWF) Changes Required for Processing Method II Home Dialysis Claims 1591 10/01/2001
B-01-32 Health Insurance Portability and Accountability Act Health Care Claim and Coordination of Benefits 1656 07/01/2001
AB-01-64 Notice of Interest Rate for Medicare Overpayments and Underpayments 1386 04/26/2001
AB-01-65 Procedures Subject to Home Health Consolidated Billing 1622 07/01/2001
A-01-47 Implementation of Updates to the Federal Fiscal Year (FY) 2001 Inpatient Hospital Payments and Disproportionate Share Hospital (DSH) Thresholds and Adjustments as Required by the Benefits Improvement and Protection Act (BIPA) of 2000 (Public Law 106-554) 1635 04/01/2001
A-01-46 Further Guidance on Handling the Outpatient Code Editor (OCE) Edit 43 1648 03/30/3001
AB-01-49 Follow On Instructions to HCFA Business Partners Systems Security Requirements 1605 03/30/2001
AB-01-62 Administrative Law Judge (ALJ) Case File Preparation, Requests from the Departmental Appeals Board (DAB) for Case Files, and Retrieval of Master Files for the DAB 1617 05/11/2001
AB-01-60 New Temporary “Q” Codes for Splints and Casts Used for Reduction of Fractures and Dislocations 1641 07/01/2001
AB-01-57 Registration Process for, and Expectations for Use of, the Healthcare Integrity and Protection Data Bank (HIPDB) 1554 06/18/2001
B-01-01 Use of Statistical Sampling for Overpayment Estimation When Performing Administrative Reviews of Part B Claims 1363 02/09/2001
AB-01-59 Second Update to the 2001 Medicare Physician Fee Schedule Database 1638 07/01/2001
AB-01-01 Upcoming Train the Trainer Sessions on Skilled Nursing Facility Prospective Payment System and Consolidated Billing Update 1473 01/09/2001
B-01-29 2001 Jurisdiction List NEW VERSION 1607 07/01/2001
B-01-28 Physician Supervision of Diagnostic Tests 850 07/01/2001
B-01-02 Medicare Requirements for Payment for Medicare-Covered Drugs 1426 01/09/2001
A-01-53 Discontinuing the Recognition and Financial Reporting of Accounts Receivables Due to Unfiled Cost Reports 1645 04/18/2001
B-01-03 Request for Carriers to Include a Message on Paper Remittance Notices-- ACTION 1445 07/01/2001
B-01-27 Durable Medical Equipment Regional Carrier (DMERC) Common Working File (CWF) 1566 07/01/2001
A-01-02 Use of Telehealth In Delivery of Home Health Services 1490 01/12/2001
A-01-54 Elimination of the Initial Request for Anticipated Payment (RAP) Medicare Summary Notice (MSN)/Explanation of Medicare Benefits (EOMB) 1615 07/01/2001
A-01-03 Temporary Two-Month Extension of Periodic Interim Payments for Home Health Providers 1437 01/31/2001
A-01-11 Changes to Federal Fiscal Year (FY) 2001 Inpatient Hospital Payments As Required By The Benefits Improvement And Protection Act (BIPA) Of 2000 (Public Law 106-554) 1519 04/01/2001
AB-01-02 Managing Medicare Appeals Workloads in FY 2001 1392 01/12/2001
AB-01-04 Implementation of the National Drug Code (NDC) to Process Claims for Prescription Drugs and Biologicals and Request for Comments -- ADVANCE NOTICE 1441 N/A
AB-01-03 April Quarterly Update for 2001 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 1488 04/01/2001
B-01-04 New Temporary “K” Code for Insulin Lispro 1448 04/01/2001
A-01-10 Technical Corrections to the January 2001 Update: Coding Information for Hospital Outpatient Prospective Payment System (OPPS) 1495 01/30/2001
AB-01-05 New Waived Tests -- Effective Date of Receipt NEW VERSION 1413 01/18/2001
AB-01-06 Replacement of Prosthetic Devices and Parts 1505 04/01/2001
A-01-06 Restoration of Full Home Health Market Basket Update for Home Health Services for Fiscal Year 2001 and Temporary 10 Percent Payment Increase for Home Health Services Furnished in a Rural Area For 24 Months Under the Home Health Prospective Payment System (HH PPS) 1489 04/01/2001
A-01-01 January Outpatient Code Editor (OCE) Specifications Version (V2.0) 1466 01/08/2001
A-01-08 Adjustments to the Federal Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Rates for FY 2001 1510 04/01/2001
A-01-09 Exemption of Critical Access Hospital Swing Beds From Skilled Nursing Facility Prospective Payment System NEW VERSION 1509 03/04/2001
A-01-05 Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION 1467 03/01/2001
A-01-07 Application of Wage Index for Wichita, Kansas, Metropolitan Statistical Area (MSA) Hospice Providers 1504 04/01/2001
A-01-04 Change in Hospice Payment Rates As Required by the Benefits Improvement and Protection Act 1506 04/01/2001
A-03-041 Health Insurance Portability and Accountability Act (HIPAA) Version 4010A1 Institutional 837 Health Care Claim Additional Implementation Direction 2706 05/27/2003
B-03-059 Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 2755 01/01/2004
A-03-040 Clarification of Bill Types 22x and 23x Submitted by Skilled Nursing Facilities (SNFs) 2674 See PM
A-03-039 Clarification to Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittals A-02-071, A-02-117) - CHANGE IN EFFECTIVE AND IMPLEMENTATION DATE ONLY 2590 10/01/2003
B-03-060 Expansion of Beneficiary History and Claims In Process (CIP) Files in the VIPS Medicare System (VMS). Phase 2 - Pre-Adjudication CIP File Expansion 2666 01/01/2004
A-03-038 Program Integrity Management Reporting (PIMR) System for Part A -Phase 2 2495 10/01/2003
B-03-061 DMERCs - NCPDP Crosswalk Requirements 2806 01/01/2004
B-03-062 Procedures for Non-MSP Overpayments with Original Balances Less than $10.00 2292 01/01/2004
B-03-063 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 2766 07/25/2003
B-03-064 CLARIFICATION-ICD-9 Coding 2857 10/01/2003
A-03-064 X12N 837 Institutional Health Care Claim Companion Document 2505 07/25/2003
B-03-065 Changes to Code List for Therapy Services 2821 09/01/2003
A-03-062 Department of Veterans Affairs (VA) Claims Adjudication Services Project:Systems Changes Needed 2783 08/06/2003
B-03-066 Durable Medical Equipment Regional Carriers (DMERCs) - Eliminate Combined Working File (CWF) Edit for Cancer Diagnosis for National Drug Codes (NDCs) 2904 10/01/2003
B-03-067 National Council for Prescription Drug Programs (NCPDP) Batch Transaction Standard 1.1 Billing Request Companion Document 2839 09/08/2003
B-03-068 2004 Annual Update for Skilled Nursing Facility (SNF) Consolidated Billing for the Common Working File (CWF) and Medicare Carriers 2858 01/01/2003
A-03-061 Tentative Settlement Requirements for Cost Reports from Home Health Agencies (HHAs) and Skilled Nursing Facilities (SNFs) that have No Reimbursement Impact 2714 07/01/2003
A-03-060 Medicare Program - Update to the Prospective Payment System (PPS) for Home Health Agencies for FY 2004 2832 10/01/2003
A-03-059 Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65 2638 10/01/2003
A-03-058 Change in Methodology for Determining Payment for Outliers Under the Acute Care Hospital Inpatient and Long-Term Care Hospital Prospective Payment Systems 2785 07/10/2003
B-03-043 Diabetes Outpatient Self-Management Training (DSMT) and the "Incident to" Provision 2157 06/06/2003
B-03-044 CORRECTION TO BUSINESS REQUIREMENT # 2 See PM 10/01/2003
A-03-056 Payment Update for Long-term Care Hospital Prospective Payment System Rate Year 2004 2807 07/01/2003
B-03-045 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 2725 10/01/2003
A-03-055 Disclosure of Information Requirements Related to Hospice Claims 2732 07/11/2003
B-03-046 Provider Education: Establishing New Requirements for ICD-9-CM Coding on Claims Submitted to Medicare Carriers - Increased Role for Physicians/Practitioners 2784 06/24/2003
B-03-047 Changes to Correct Coding Edits, Version 9.3, Effective October 1, 2003 2756 10/01/2003
B-03-048 Addition of Temporary Codes Q4052 and Q4053 2798 07/01/2003
A-03-054 Revision to CR 2573, Transmittal A-03-013, dated February 14, 2003: 3-Day Payment Window Refinements Under the Short-Term Hospital Inpatient Prospective Payment System 2803 07/01/2003
B-03-050 Multiple Primary Payers on Part B Claims - REVISION TO Change Request 2050 2758 07/18/2003
A-03-053 Nurse Practitioner Services Under Medicare Hospice 2750 07/01/2003
B-03-049 Additional Instructions to Assist in the Implementation of Program Memorandum B-02-75 - Carrier Review of Payment Amounts for Portable X-Ray Transportation Services (HCPCS Code R0070) 2741 07/07/2003
A-03-052 Revision to Billing for Swing Bed Services Under Skilled Nursing Facility Prospective Payment System (SNF PPS) 2257 07/12/2002
B-03-051 Therapy Modifier Bypass for Ambulance Claims 2849 09/01/2003
A-03-051 July 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2771 07/01/2003
B-03-052 Addition of Temporary "Q" Codes for Drugs Used in Infusion Pumps 2805 10/01/2003
B-03-054 Establishing and Maintaining Provider and Supplier Enrollment Data in Provider Enrollment, Chain and Ownership System (PECOS) as Needed for Use by the Railroad Medicare Carrier (RMC) to Pay Claims 2777 08/08/2003
B-03-055 Common Working File (CWF) Crossover Editing for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims During an Inpatient Stay 2613 01/01/2004
A-03-050 July Medicare Outpatient Code Editor (OCE) Specifications Version 18.2 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) 2768 07/01/2003
B-03-056 Durable Medical Equipment Regional Carriers (DMERCs -- Additional Instructions for Health Insurance Portability and Accountability Act (HIPAA) Implementation of National Drug Codes (NDCs) and the NCPDP Format 2760 01/01/2004
A-03-049 Fiscal Intermediaries (FIs) Must Install and Use SuperOp with the Fiscal Intermediary Standard System (FISS) 2718 06/20/2003
B-03-057 Additional Guidelines for Implementing the National Council for Prescription Drug Program (NCPDP) Format 2844 01/01/2004
A-03-048 July Outpatient Code Editor (OCE) Specifications Version (V4.2) 2762 07/01/2003
B-03-058 Procedures for the Reconciliation of Total Funds Expended for Multi-Carrier System (MCS) Medicare Contractors Used in the Preparation of Form CMS-1522, Monthly Contractor Financial Report 2795 01/01/2004
B-03-041 National Council for Prescription Drug Programs (NCPDP) Batch Transaction Standard 1.1 Billing Request Companion Documen 2713 06/06/2003
A-03-047 Medicare's Coordination of Benefits Contractor (COBC) Shall Discontinue the Dissemination of the Right of Recovery Letter to Intermediaries 2752 06/20/2003
A-03-046 Demonstration--Settlement of Payments for Home Health Services to Beneficiaries Eligible for both Medicare and Medicaid in Connecticut, and Massachusetts. Regional Home Health Intermediaries (RHHIs) Only. 2710 06/13/2003
B-03-042 Bi-Annual Updates to the Health Care Provider Taxonomy Code (HPTC) 2698 06/16/2003
A-03-045 Payment to Hospitals and Units Excluded from the Acute Inpatient Prospective Payment System (IPPS) for Direct Graduate Medical Education (DGME) and Nursing and Allied Health (N&AH) Education for Medicare+Choice (M+C) Enrollees 2754 10/01/2003
A-03-044 Audit Guidance Pertaining to Write-offs of Small Debit Balances in Patients' Accounts Receivable 2174 10/01/2002
A-03-043 Changes to Fiscal Year (FY) 2001 Nursing and Allied Health Education Payment Policies 2692 See PM
B-03-033 Continuation of April and July 2003 Change Requests (CRs 2425 and 2525): Create Import/Export Functionality Between the Medicare Claims System (MCS) and the Provider Enrollment Chain Ownership System (PECOS) 2643 See PM
B-03-034 Continuation of April and July 2003 Change Requests (CRs 2426 and 2526): Process all Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Modify the Medicare Claims System (MCS) to Incorporate all Claim Payment and Provider Correspondence Functionality that is Included in the Provider Enrollment System (PES) but will not be a part of PECOS 2644 See PM
A-03-042 Updated Revision to Change Request (CR) 2508, Suspension, Offset, and Recoupment of Medicare Payments to Providers and Suppliers of Services 2677 06/01/2005
B-03-035 Continuation of April and July 2003 Change Requests (CRs 2427 and 2527): Process all Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Create Import/Export Functionality Between the VIPS Medicare System (VMS) and PECOS 2645 See PM
B-03-036 Expansion of Beneficiary History and Claims In Process (CIP) Files in the VIPS Medicare System (VMS). Phase 1 - Beneficiary History File Expansion 2656 10/01/2003
AB-03-071 July Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 2702 07/01/2003
B-03-030 Type of Service (TOS) Corrections 2703 07/01/2003
AB-03-038 Reporting Benefit Integrity (BI) Workload in CROWD 2588 04/11/2003
AB-03-070 Second Update to the 2003 Medicare Physician Fee Schedule Database 2734 07/01/2003
AB-03-069 Clarification of the Criteria for a Valid Written Statement of Intent (SOI) To File a Medicare Claim 2596 05/23/2003
B-03-031 Multi-Carrier System (MCS) Reporting of 2003 Participating Data to the Contractor Reporting of Operational & Workload Data (CROWD) System 2629 10/01/2003
B-03-032 Continuation of April and July 2003 Change Requests (CRs 2424 and 2524): Create Import/Export Functionality Between the Unique Provider Identification Number System (UPIN) and the Provider Enrollment Chain Ownership System (PECOS) 2642 07/01/2003
B-03-037 Excluding from Home Health Consolidated Billing Edits Claims for Therapy Services Rendered by Physicians 2705 10/01/2003
AB-03-037 Provider Education Article: Medicare Payments for Part B Mental Health Services 2520 03/28/2003
AB-03-024 Clarification of the Allocation of Initial Claim Entry Activities Where the Claim is Paid Secondary by Medicare 2074 04/12/2002
B-03-038 Oral Anti-Cancer Drugs 2705 10/01/2003
B-03-039 Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Bypass to Allow Separate Payment for Drugs 2707 See PM
B-03-040 Update of the Place of Service (POS) Code Set 2730 10/01/2003
AB-03-023 Deep Brain Stimulation for Essential Tremor and Parkinson's Disease 2553 04/01/2003
AB-03-022 Use of the American Medical Association's (AMA's) Physicians' Current Procedural Terminology, Fourth Edition (CPT) Codes on Contractors' Web Sites 2583 See PM
B-03-029 Managed Care Reasonable Charge Data Disclosure Requirements for Ambulance Services 2561 05/09/2003
B-03-028 Durable Medical Equipment Regional Carriers (DMERC) - ICD-9-CM Coding 2672 05/01/2003
AB-03-021 Additional Documentation Requests (ADR) Requirements for Ordering Providers of Laboratory Services 2504 07/01/2003
AB-03-126 SUBJECT: Change in Type of Service for L0480 2736 01/01/2004
AB-03-020 Clarification of Transmittal AB-00-107, Change Request 1163, and Transmittal AB-00-129, Change Request 1460, Regarding the Coordination of Benefits (COB) Contractor and Medicare Secondary Payer (MSP) Prepay Work Activities for Customer Service, MSP and Standard Systems Contractor Staff 1558 02/15/2001
AB-03-019 Notice of Interest Rate for Medicare Overpayments and Underpayments 2430 02/11/2003
AB-03-018 Implementation of the Financial Limitation for Outpatient Rehabilitation Services 2183 07/01/2003
AB-03-017 Scheduled Release for April Updates to Software Programs and Pricing/Coding Files 2572 See PM
AB-03-016 CR 2240 Question and Answer Document and Claims Processing Instructions for Processing Rejected Claims 2552 02/07/2003
AB-03-015 Shared Systems Changes for Name Change from HCFA to CMS (MCS and CWF external changes only) 2280 07/01/2003
AB-03-127 Payment for the Fecal Leukocyte Examination Under a Clinical Laboratory Improvement Amendments of 1988 (CLIA) Certificate for Provider-Performed Microscopy (PPM) Procedures During CY 2003 2843 10/01/2003
AB-03-128 Clarification to Transmittal AB-03-044 (CR 2611), Addition of New Temporary "K" Codes 2818 01/01/2004
AB-03-113 Update of Codes in the Program Integrity Management Reporting System (PIMR) and the Contractor Administrative Cost and Financial Management System (CAFM II) 2704 01/01/2004
AB-03-114 Claims Processing and Payment of Incomplete Screening Colonoscopies 2822 01/01/2004
AB-03-014 Single Drug Pricer(SDP) 2544 02/14/2003
AB-03-013 New Waived Tests - December 17, 2002 2533 04/01/2003
AB-03-115 Payment Denial for Medicare Services furnished to Alien Beneficiaries Who are Not Lawfully Present in the United States 2825 01/01/2004
AB-03-116 Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2003 2871 10/01/2003
AB-03-012 Remittance Advice Remark and Reason Code Update 2546 04/01/2003
AB-03-117 Contractor Guidance For Connection to the Medicare Data Communication Network (MDCN) for Real-time Eligibility Inquiries (270/271) via a Route Other Than IVANS 2845 08/22/2003
AB-03-118 Cease Further Work on the Eligibility File-Based Standard Trading Partner Agreement (STPA) for the Purpose of Coordination of Benefits (COB) 2864 08/08/2003
AB-03-011 Identifying the Primary Payer Amounts to Send to the Medicare Secondary Payer Pay Module (MSPPAY) and the Shared Systems When There Are Multiple Primary Payers on Electronic and Hardcopy Claims 2050 07/01/2003
AB-03-119 Final Update to the 2003 Medicare Physician Fee Schedule Database 2853 10/01/2003
AB-03-120 Medicare Secondary Payer (MSP) - (1) Copy of Recovery Demand Packages Resulting From A Data Match or Non-Data Match Group Health Plan (GHP) Recovery Action to Insurers/Third Party Administrators (TPAs) of Employers; (2) Documentation Required When an Insurer/TPA Wishes to Resolve a Debt on Behalf of its Client, an Employer Debtor 2729 10/01/2003
AB-03-068 CWF Change For The 270/271 Eligibility Transaction 2699 10/06/2003
AB-03-010 Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing 2523 07/01/2003
AB-03-121 Requirement to Cross Claims Over to Multiple Supplemental Insurers 2534 01/01/2004
AB-03-122 Notice of Interest Rate for Medicare Overpayments and Underpayments 2432 08/11/2003
AB-03-009 The Medicare Exclusion Database (MED) Replaces Publication 69 1919 01/01/2002
AB-03-124 REMINDER -- Standard System Automation of the "Notice of Change to Medicare Secondary Payer (MSP) Auxiliary File" Process 2608 01/01/2004
AB-03-125 Consolidation of Claims Cross-over Process 2836 01/01/2004
AB-03-008 Clarification of Physician Certification Requirements for Medicare Hospice 1502 02/01/2001
B-03-016 Continuation of April 2003 Change Request 2427: Process all Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Shut Down All Provider Enrollment Functions in the Carrier Enrollment System (PENS). Create Import/Export Functionality Between the Viable Medicare System (VMS) and the Provider Enrollment Chain Ownership System (PECOS) 2527 07/01/2003
AB-03-007 Second Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule 2470 02/24/2003
B-03-017 Add-On-Codes for Anesthesia 2539 07/01/2003
AB-03-006 April Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 2535 04/01/2003
B-03-018 Changes to Correct Coding Edits, Version 9.2, Effective July 1, 2003 2565 07/01/2003
AB-03-005 FY 2003 Systems Security Activities and Due Dates 2518 02/24/2003
A-03-069 October Outpatient Code Editor (OCE) Specifications Version (V4.3) 2861 10/01/2003
B-03-019 Durable Medical Equipment Regional Carriers (DMERCs) and Part B Carriers on the VMS Standard System-Short Descriptions of National Modifiers on the Healthcare Common Procedure Coding System (HCPCS) Tape 2343 07/01/2003
AB-03-064 System Networking Electronic Correspondence Referral System (SNECRS) User Guide 2024 03/30/2002
B-03-020 2003 DMEPOS Jurisdiction List 2567 04/01/2003
B-03-021 Provider Education Regarding Home Health Consolidated Billing (HH CB) and Provider Liability 2619 03/13/2003
A-03-068 Informing Beneficiaries About Which Local Medical Review Policy (LMRP) and/or National Coverage Determination (NCD) is Associated with Their Claim Denial 2342 01/01/2004
A-03-067 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2002 for Inpatient Prospective Payment System (IPPS) Hospitals 2868 10/01/2003
B-03-022 Use of Statistical Sampling for Overpayment Estimation When Performing Administrative Reviews of Part B Claims 1363 02/09/2001
B-03-023 Correct Payment of January and February 2003 Physician Services 2669 07/01/2003
AB-03-004 Installation of a Security Firewall for Deceased Beneficiary Files (Options B & C) 2516 01/24/2003
B-03-024 Follow up to Implementation of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standard Version 5.1 and the Equivalent Batch Standard Version 1.1 for Retail Pharmacy Drug Transactions 2581 07/01/2003
AB-03-003 Noncoverage of Multiple Electroconvulsive Therapy (MECT) 2499 04/01/2003
AB-03-002 Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 2515 04/01/2003
B-03-025 Durable Medical Equipment Regional Carriers (DMERCs) - DeWall Posture Protector Orthotic Body Jacket (L0430) 2711 04/11/2003
B-03-011 Correct Payment of January and February 2003 Physician Services 2549 07/01/2003
AB-03-001 Medicare Coverage of Non-Invasive Vascular Studies for End Stage Renal Disease (ESRD) Patients 1855 01/01/2002
A-03-082 Clarification for billing under the 2300 Provider Number by Hospital-Based Renal Dialysis Facilities (RDF) 2877 01/01/2004
B-03-012 Use of the National Drug Code (NDC) for Drug Claims at the Durable Medical Equipment Regional Carriers (DMERCs) 2339 07/01/2003
B-03-013 Continuation of April 2003 Change Request 2424: Create Import/Export Functionality Between the Unique Provider Identification Number System (UPIN) and the Provider Enrollment Chain Ownership System (PECOS) 2524 07/01/2003
AB-03-063 New Common Working File (CWF) Medicare Secondary Payer (MSP) Edit to Reject MSP Records for Medicare Beneficiaries Who Are Only Entitled to Medicare Part B, and Are Covered by a Group Health Plan (GHP) 1922 See PM
B-03-014 Continuation of April 2003 Change Request 2425: Create Import/Export Functionality Between the Medicare Claims System (MCS) and the Provider Enrollment Chain Ownership System (PECOS) 2525 07/01/2003
A-03-081 Conflicting Policies with Provider Reimbursement Manual 15-1, Section 2771 2847 10/10/2003
B-03-015 Continuation of April 2003 Change Request 2426: Process all Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Modify the Medicare Claims System (MCS) to Incorporate All Claim Payment and Provider Correspondence Functionality That is Included in the Carrier Provider Enrollment System (PES) But Will Not Be a Part of PECOS. Shut Down All Provider Enrollment Functions in PES 2526 07/01/2003
AB-03-062 New Common Working File (CWF) Edits and Standard System Responses on Skilled Nursing Facility (SNF) Claims 1778 04/01/2002
B-03-026 Standard System Acceptance of Primary Payer Information at the Line Level 1287 N/A
A-03-080 End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests 2277 10/01/2003
A-03-066 Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions 1229 08/14/2000
B-03-027 Implementation of Carrier Jurisdiction Manual Instructions Based on the Medicare Carriers Manual (MCM) Part 3, Section Section 3100 - 3101 for the Multi-Carrier System (MCS) Standard System and Associated Medicare Carriers 1646 07/01/2003
A-03-065 New Common Working File (CWF) Edits to Ensure Accurate Coding and Payments for Discharge and/or Transfer Policies Under the Inpatient Prospective Payment System (IPPS) 2716 01/01/2004
B-03-001 Emergency Update to the 2003 Medicare Physician Fee Schedule DatabaseB-03-001 2530 03/10/2003
AB-03-067 Revision to CR 2170: Appeals Quality Improvement and Data Analysis Activities 2740 07/24/2003
AB-03-066 Issuance of the Eligibility File-Based Standard Trading Partner Agreement (TPA) for the Purpose of Coordination of Benefits (COB) 2542 05/23/2003
A-03-079 Installation of Version 31 of the Provider Statistical and Reimbursement (PS&R) Reporting System 2899 01/01/2003
AB-03-061 Program Memorandum on Written Statements of Intent (SOI) to Claim Medicare Benefits 1050 04/24/2002
AB-03-060 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 2657 10/01/2003
A-03-077 October Medicare Outpatient Code Editor (OCE) Specifications Version 19.0 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) 2897 10/01/2003
B-03-002 DMERCs - VIPS Medicare System (VMS) Implementation to Process ICD-9 CM Codes Using Date of Service and Not Date of Receipt. 2558 04/01/2003
A-03-076 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2887 10/01/2003
B-03-003 Section II.8, Processing Initial Denials, of the DMEPOS Refund Requirements - Implementation of Limits on Beneficiary Liability for Medical Equipment and Supplies - Change 2416 07/01/2003
AB-03-065 Scheduled Release for July Updates to Software Programs and Pricing/Coding Files 2744 See PM
A-03-075 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Update 2893 10/01/2003
B-03-004 CWF Change for Billing for Glucose Test Strips and Supplies - Follow-up to CR 2156 2363 07/01/2003
AB-03-059 Shared Systems Changes for Name Change from HCFA to CMS (FISS and VMS external changes only) 2633 10/01/2003
A-03-074 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2004 2894 10/01/2003
B-03-005 Reporting of Accident Date and Ambulance Certification Information on the X12N 837 (version 4010) Coordination of Benefits (COB) Transaction 2449 07/01/2003
A-03-073 Fiscal Year (FY) 2004 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH), and Other Bill Processing Changes 2891 10/01/2003
B-03-006 Program Integrity Management Reporting (PIMR) System for Part B - Correction of Multiple Reports of Savings By VIPS Standard Systems (i.e., VIPS Medicare System (VMS) and Durable Medical Equipment Regional Contractor (DMERC) System) 2493 07/01/2003
B-03-007 Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Physician Fee Schedule (MPFS) Services 2460 07/01/2003
AB-03-143 Implementation of Certain Initial Determination and Appeal Provisions Within Section 521 of the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 2251 N/A
AB-03-144 Establishing a Uniform Process for the Preparation and Mailing of Case Files From the Contractor to the Office of Hearings and Appeals (OHA) of the Social Security Administration (SSA) 2304 10/01/2003
AB-03-145 Instructions for Contractors Other Than the Religious Nonmedical Health Care Institution (RNHCI) Specialty Intermediary Regarding Claims For Beneficiaries With RNHCI Elections 2881 01/01/2004
AB-03-146 Reminder Notice of the Implementation of the Ambulance Transition Schedule 2834 01/01/2004
B-03-008 Medical Review (MR) Progressive Corrective Action (PCA) Continuation of Work Begun In Compliance with Change Request (CR) 2433 2496 N/A
B-03-009 Durable Medical Equipment Regional Carriers (DMERCs)-New Modifier Needed to Invoke Advanced Beneficiary Notice (ABN) Logic for Hard Copy and Electronic Claims 2048 07/01/2003
B-03-010 Transmittal B-03-010 has been rescinded 2501 N/A
AB-03-058 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 2562 10/01/2003
AB-03-147 Core Elements and Required Statements for a Valid Privacy Authorization 2816 10/10/2003
A-03-072 Instructions for Provider Credit Balance Reporting Activities 2810 08/08/2003
AB-03-133 Managing Medicare Appeals Workloads in FY 2004 2811 10/01/2003
AB-03-057 Implementation of the Financial Limitation for Outpatient Rehabilitation Services 2709 10/01/2003
A-03-071 Retroactive Correction of Provider Statistical and Reimbursement (PS&R) System Report Data Related to Mammography and Outpatient Therapy Services 2827 10/01/2003
AB-03-134 Modifier and Condition Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 2880 01/01/2004
AB-03-136 Correction to Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 2892 10/01/2003
A-03-070 Inclusion of the State of New York in Demonstration for Settlement of Payments for Home Health Services to Dual Eligibles and Instructions for Processing Fiscal Year 2000 Claims Under the Demonstration. Regional Home Health Intermediaries (RHHIs) Only. 2804 08/28/2003
AB-03-056 New Waived Tests - March 21, 2003 2685 07/01/2003
AB-03-137 Update of HCPCS Codes and Payments for Ambulatory Surgical Centers (ASCs) and File Names, Descriptions and Instructions for Retrieving the 2004 ASC HCPCS Additions, Deletions and Master Listing 2890 01/01/2004
AB-03-055 Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing 2654 10/01/2003
AB-03-138 Modification of Medicare Policy for Erythropoietin (EPO) 2266 08/31/2003
AB-03-054 Diagnosis Code for Screening Pap Smear and Pelvic Examination Services 2637 10/01/2003
AB-03-140 2004 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder 2896 01/01/2003
AB-03-053 Availability of Online Screens for the Laboratory National Coverage Determinations (NCDs) 2615 10/01/2003
AB-03-141 CMS Companion Document for the Accredited Standards Committee (ASC) X12N 276/277 Health Care Claim Status Request And Response 2742 10/27/2003
AB-03-052 Managing Medicare Appeals Workloads in FY 2003 2330 05/15/2003
AB-03-142 The Coordination of Benefits Contractor (COBC) Will Post the Lead Medicare Contractor in the Group Name Field on the Common Working File (CWF) and Expansion of Lead Contractor Viewing in the Electronic Correspondence Referral System (ECRS) 2867 10/10/2003
AB-03-051 Notice of Interest Rate for Medicare Overpayments and Underpayments 2431 04/28/2003
AB-03-129 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update. 2842 10/01/2003
AB-03-131 Update to Health Care Claims Status Category Codes and Health Care Claim Status Codes for Use with the Health Care Claim Status Request and Response ASC X12N 276/277 2786 09/01/2003
AB-03-132 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 2841 09/05/2003
AB-03-049 Clarification of Payment Responsibilities of Fee-for-Service Contractors as it Relates to Hospice Members Enrolled in Managed Care Organizations (MCOs) and Claims Processing Instructions for Processing Rejected Claims 2013 04/01/2002
AB-03-101 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 2801 10/01/2003
AB-03-048 End Stage Renal Disease (ESRD) Coordination Period 2543 05/09/2003
AB-03-102 Clarification Regarding Coverage of Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities 2769 08/08/2003
AB-03-047 Single Drug Pricer (SDP) Clarifications 2659 04/18/2003
AB-03-103 Medicare Secondary Payer (MSP) Debt Referral and Write Off Closed Instructions 2749 08/08/2003
AB-03-036 270/271 Implementation and Direct Date Entry (DDE) Eligibility 2576 07/01/2003
AB-03-104 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 1, 2003 2814 10/01/2003
AB-03-046 Expanding the Number of Source Identifiers for Common Working File (CWF) MSP Records 1923 04/01/2002
AB-03-045 Addition of Temporary "K" Codes 2623 07/01/2003
AB-03-105 Harkin Grantees: Complaint Tracking System and Aggregate Reports 2787 08/08/2003
AB-03-044 Addition of Temporary "K" Codes 2611 07/01/2003
AB-03-106 Third Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule 2770 08/08/2003
AB-03-107 Federal Bankruptcy/State Insurer Liquidation Actions and Medicare Secondary Payer (MSP) Debt 2697 09/02/2003
AB-03-035 Emergency Changes to the 2003 Medicare Physician Fee Schedule Database 2609 03/03/2003
AB-03-108 Medicare Secondary Payer (MSP) - 1) Use of Inter-Contractor Notices (ICNs) and the Common Working File (CWF) for the Development of the MSP Conditional Payment Amount for Liability, No-Fault, Workers' Compensation, and Federal Tort Claims Act (FTCA) Cases; 2) Reminder Regarding Termination Updates to the CWF; 3) Reminder Regarding Savings Information to Non-Lead Contractors 2715 08/09/2003
AB-03-034 Medicare Fee for Service Contractor Guidance on the HIPAA Privacy Rule 2484 04/14/2003
AB-03-109 Discontinue Use of the Healthcare Integrity and Protection Data Bank (HIPDB) for Provider Enrollment Only 2808 08/15/2003
AB-03-110 Adjustment to the Rural Mileage Payment Rate for Ground Ambulance Services 2767 01/01/2004
AB-03-033 Promoting Colorectal Cancer Screening as a Part of National Colorectal Cancer Awareness Month 2580 03/10/2003
AB-03-111 Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing 2789 01/01/2004
AB-03-032 File Names, Descriptions and Instructions for Retrieving the 2003 Ambulatory Surgical Center (ASC) HCPCS Additions, Deletions and Master Listing 2574 07/01/2003
AB-03-031 Addition or Modification of Temporary "K" Codes and Change in Status for Code A4232 2584 04/01/2003
AB-03-112 Informing Beneficiaries About Which Local Medical Review Policy (LMRP) and/or National Coverage Determination (NCD) is Associated with Their Claim Denial 2342 01/01/2004
AB-03-099 Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes 2773 10/01/2003
AB-03-043 Addition of "K" Codes for Surgical Dressings 2678 07/01/2003
AB-03-100 October Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 2802 07/17/2003
AB-03-081 Data Center Testing and Production - Electronic Correspondence Referral System (ECRS) User Manual 6.0 2748 08/04/2003
AB-03-097 Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 2837 07/21/2003
AB-03-042 Coverage and Billing for Percutaneous Image-Guided Breast Biopsy 2575 04/18/2003
AB-03-098 Medicare Summary Notice (MSN) Implementation for Contractors Using APASS and HPBSS - ACTION 1920 07/01/2002
AB-03-080 Single Drug Pricer (SDP) Clarification for Code J7342l 2772 06/06/2003
AB-03-083 Screening of Complaints Alleging Fraud and Abuse 2719 06/13/2003
AB-03-078 Medicare Fee-for-Service (FFS) Contractor Guidance on the HIPAA Privacy Rule Business Associate Provisions 2712 05/31/2003
AB-03-077 Revised Disclosure Desk Reference for Call Centers 2566 06/23/2003
AB-03-084 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 1, 2003 2737 07/01/2003
AB-03-085 Beneficiary Notice of Implementation of Outpatient Therapy Service Limitations 2792 07/01/2003
AB-03-086 New Automatic Notice of Change to Medicare Secondary Payer (MSP) Auxiliary File 1529 07/01/2001
AB-03-087 Common Working File (CWF) Edits with Unsolicited Responses for Skilled Nursing Facility (SNF) Consolidated Billing 2034 07/01/2002
AB-03-041 Common Working File (CWF) Reject and Utilization Edits and Carrier Resolution for Consolidated Billing for Skilled Nursing Facility (SNF) Residents 1764 04/01/2002
AB-03-089 Coverage and Billing for Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management 2323 12/27/2002
AB-03-076 Remittance Advice Message for Denial of Clinical Diagnostic Laboratory Services Denied Due to Frequency Edits 2701 10/01/2003
AB-03-090 Coverage of Compression Garments in the Treatment of Venous Stasis Ulcers 2739 10/01/2003
AB-03-030 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 1, 2003 2578 04/01/2003
AB-03-091 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 2763 10/01/2003
AB-03-088 Prohibition on New Trading Partner Agreements (TPAs) with Certain Entities for the Purpose of Coordination of Benefits (COB) 2216 07/05/2005
AB-03-075 Provider Education Article: Quarterly Provider Update 2686 05/23/2003
AB-03-092 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements-for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 2687 10/01/2003
AB-03-029 Health Care Claims Status Category Codes and Health Care Claim Status Codes for Use with the Health Care Claim Status Request and Response ASC X12N 276/277 2555 03/28/2003
AB-03-093 Correction: Coverage and Billing Requirements for Electrical Stimulation for the Treatment of Wounds 2733 07/11/2003
AB-03-094 October 2003 Quarterly Update for Skilled Nursing Facility (SNF) Consolidated Billing 2781 10/01/2003
AB-03-074 Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes 2618 05/23/2003
AB-03-028 Coverage and Billing of Sacral Nerve Stimulation 2532 01/01/2002
AB-03-027 Payment Change for the 2003 Medicare Physician Fee Schedule (MPFS) and Further Extension of the 2003 Participation Enrollment Process 2601 03/01/2003
AB-03-026 Implementation of the Modifications (4010A1) to Transactions and Code Set Standards for Electronic Transactions Adopted Under the Health Insurance Portability and Accountability Act (HIPAA) 2385 04/01/2003
AB-03-025 System Networking Electronic Correspondence Referral System (SNECRS) 1.3 User and Installation Guides for Testing and Production 2359 10/08/2002
AB-03-040 Provider Education Article: "Hospice Care Enhances Dignity and Peace As Life Nears Its End" 2570 04/11/2003
AB-03-039 Procedure for Granting Extensions to File Requests for Appeal Under the New 120-day Timeframe Created by Section 521 of the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 2492 04/15/2003
AB-03-073 Provider Education Article: Financial Limitation of Claims for Outpatient Rehabilitation Services 2603 06/06/2003
AB-03-072 Mammography Computer Aided Detection (CAD) Equipment 2743 05/31/2003
AB-03-096 Quarterly Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement 2776 10/01/2003
AB-03-095 Remittance Advice Remark and Reason Code Update 2788 10/01/2003
AB-00-134 Cervical or Vaginal Smear Tests (Pap Smears) in Calendar Year (CY) 2001 Clinical Diagnostic Laboratory Fee Schedule 1479 01/01/2001
AB-00-29.60 Comprehensive Error Rate Testing (CERT) Program -- Medicare Contractor Change Requirements and Medicare Part B/DMERC Standard System Change Requirements 1173 10/01/2000
AB-00-30.60 Implementing Instructions for Services Provided in Religious Nonmedical Health Care Institutions (RNHCIs) 1106 07/01/2000
AB-00-31.60 Sending Common Working File (CWF) Referrals for Initial Enrollment Questionnaire (IEQ) and IRS/SSA/HCFA Data Match Records to the Coordination of Benefits (COB) Contractor 1175 05/01/2000
AB-00-32-60 New Waived Tests -- Effective Date of Receipt 885 N/A
AB-00-33.60 Processing of Medicare+Choice Encounter Data at the HCFA Data Center 1182 07/01/2000
AB-00-34.60 Program Integrity Management Reporting System 1035 10/02/2000
AB-00-37.60 Notice of New Interest Rate for Medicare Overpayments and Underpayments 1038 05/03/2000
AB-00-39.60 Consolidation of Program Memorandums for Outpatient Rehabilitation Therapy Services 1155 N/A
AB-00-42.60 Rescinded 1116 N/A
AB-00-43.60 Program Memorandum on Written Statements of Intent (SOI) to Claim 1050 N/A
AB-00-44.60 Medicare Coverage of Non-Invasive Vascular Studies When Used to Monitor the Access Site of End Stage Renal Disease (ESRD) Patients 1118 10/01/2000
AB-00-79 Establishment of Contractor Numbers for Program Safeguard Contractors (PSCs) 1284 09/01/2000
AB-00-76 Modification of Medicare Policy for Erythropoietin (EPO) 1243 09/15/2000
AB-00-68 Current Status of Medicare Program Memoranda Issued Before Calendar Year (CY) 2000 N/A N/A
AB-00-63.60 Ocular Photodynamic Therapy (OPT) 1214 07/01/2000
AB-00-61.60 New Waived Tests -- Effective Date of Receipt 1209 08/14/2000
AB-00-55.60 Hemodialysis Flow Study 1117 07/01/2000
AB-00-85 GUIDANCE ON IMPLEMENTATION OF THE CY 2000 FOURTH QUARTER RELEASE 1308 N/A
AB-00-75 The Internal Control Certification Statement Required by the Budget and Performance Requirements (BPR) for the Fiscal Year (FY) Ending September 30, 2000 1239 09/01/2000
AB-00-67 Implementation of 4105 of the Balanced Budget Act Regarding Coverage of Diabetes Outpatient Self-Management Training Services--ACTION 606 N/A
AB-00-51.60 Claims Processing Instructions for Claims Submitted With A Written Statement of Intent 1162 10/01/2000
AB-00-86 An Additional Source of Average Wholesale Price Data in Pricing Drugs and Biologicals Covered by the Medicare Program 1232 09/08/2000
AB-00-77 New State Code for Maryland Provider Numbers 1269 08/15/2000
AB-00-69 Notice of New Interest Rate for Medicare Overpayments and Underpayments 1039 08/01/2000
AB-00-62.60 Rescinding Change Requests Numbers 1001, 1108, 1116, and 1163 N/A N/A
AB-00-52.60 Assisted Suicide Funding Restriction Act of 1997 (P.L. 105-12) 851 N/A
AB-00-78 Reasonable Charge Update for 2001 for Items and Services, Other Than Ambulance Services, Still Subject to the Reasonable Charge Payment Methodology 1282 01/01/2001
AB-00-70 Program Safeguard Contractor for Corporate Integrity Agreements (PSC-CIA) 1143 09/05/2000
AB-00-53.60 Suspension of National Coverage Policy on Electrostimulation for Wound Healing 577 N/A
AB-00-60.60 Future Software Releases 1216 07/01/2000
AB-00-50.60 Medicare Fraud Information Specialist (MFIS) Position 1172 10/01/2000
AB-00-98 Medicare Deductible and Premium Rates for Calendar Year 2001 1405 01/01/2001
AB-00-96 Clarification of Fiscal Intermediary (FI) and Durable Medical Equipment Regional Carrier (DMERC) Responsibilities Concerning Home Dialysis Method Election and Claims Processing 1275 N/A
AB-00-93 Coordination with the Y2K Program Safeguard Contractor (PSC) 1334 10/06/2000
AB-00-84 Provider Toll-Free Telephone Inquiry Service 1289 09/30/2000
AB-00-74 Transfer of Initial Medicare Secondary Payer (MSP) Development Activities to the Coordination of Benefits (COB) Contractor 1163 N/A
AB-00-95 Facility Requirements for Transplantation Centers -- INFORMATION ONLY 1374 10/11/2000
AB-00-71 Claims Processing Instructions for the Medicare Coordinated Care Demonstration 1116 01/01/2001
AB-00-99 Glucose MOnitoring Note 1407 11/01/2000
AB-00-94 Urokinase (Abbokinase) Shortage 1335 11/01/2000
AB-00-89 Claims Processing Instructions for Carriers, DMERCS, Intermediaries and Regional Home Health Intermediaries (RHHIs) for Claims Submitted for Medicare Beneficiaries Participating in Medicare Qualifying Clinical Trials 1241 09/19/2000
AB-00-80 Instruction Implementation Reporting 944 11/01/2000
AB-00-81 Self-Administered Injectable Drugs and Biologicals 1164 03/17/2000
AB-00-56.60 Memorandum of Understanding (MOU) between the Office of Inspector General and the Department of Justice-Sharing Fraud Referrals 1160 N/A
A-00-47 Skilled Nursing Facility (SNF) Annual Update: Prospective Payment System (PPS) Pricer and Health Insurance Prospective Payment System (HIPPS) Coding Changes 1223 10/01/2000
AB-00-92 Sending Common Working File (CWF) Referrals for Initial Enrollment Questionnaire (IEQ) and RS/SSA/HCFA Data Match Records to the Coordination of Benefits (COB) Contractor 1175 05/01/2000
AB-00-83 Verteporfin (Visudyne) 1278 09/04/2000
AB-00-65.60 Business and System Requirements for the Home Health Prospective Payment system (HH PPS) 514 10/01/2000
AB-00-58.60 Guidance on Implementation of the CY 2000 Third Quarter Release 1237 07/01/2000
AB-00-46.60 HCFA Policy for Disclosure of Individually Identifiable Information 1156 N/A
AB-00-90 Year 2001 HCFA Common Procedure Coding System (HCPCS) Annual Update Reminder 1314 01/01/2001
AB-00-72 Medical Review Progressive Corrective Action (PCA) -- ACTION 1285 N/A
AB-00-64.60 Medicare Summary Notice (MSN) Implementation at Seven Contractor Sites -- ACTION 1233 N/A
AB-00-57.60 Contractor Updating of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 1204 10/01/2000
AB-00-48.60 Model Acknowledgment Letters for Valid and Invalid Written Statements of Intent to Claim Medicare Benefits (As Referenced in PM Transmittal AB-99-88) 1090 12/23/1999
AB-00-91 Mammography Screening Payment Limit for Calendar Year 2001 1276 01/01/2001
AB-00-82 Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2000 1295 10/01/2000
AB-00-73 Proper Billing of Outpatient Pathology Services Under the Outpatient Prospective Payment System (OPPS) 1309 08/14/2000
AB-00-49.60 Program Memorandum on Statements of Intent To File Claims For Claims Filing Periods That End On December 31, 1999 1054 12/31/1999
AB-00-45.60 Award of Medicare+Choice (M+C) Contract to Sterling Life Insurance Co., Inc. for M+C Private Fee-for-Service (PFFS) Plan -- INFORMATION ONLY 1197 07/01/2000
AB-00-88 Implementation of the Ambulance Fee Schedule 1281 01/01/2001
AB-00-01.60 Prospective Payment System for Outpatient Rehabilitation Services and Application of Financial Limitation 483 01/01/2000
AB-00-02.60 DMERCs -- Pre-Discharge Delivery of DMEPOS for Fitting and Training 901 04/01/2000
AB-00-03.60 Notice of New Interest Rate for Medicare Overpayments and Underpayments 1037 02/02/2000
AB-00-04.60 April Quarterly Update for 2000 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 1053 04/01/2000
AB-00-05.60 Operating Instructions for Expanded Coverage of the Electrical Osteogenic Stimulator for Fracture Healing. Effective for Services Performed on or After 4/l/2000 1085 04/01/2000
AB-00-06.60 Do Not Forward (DNF). Initiative 681 07/01/2000
AB-00-07.60 Moratorium on Data Center Movements 1089 02/11/2000
AB-00-08.60 Payment for All Comprehensive Outpatient Rehabilitation Facility (CORF) Services Under the Medicare Physician Fee Schedule (MPFS) 1113 07/01/2000
AB-00-10.60 Implementing Instructions for Services Provided in Religious Nonmedical Health Care Institutions (RNHCIs) 1106 07/01/2000
AB-00-101 Notice of Interest Rate for Medicare Overpayments and Underpayments 1384 10/24/2000
AB-00-102 Clarification to MCM Section 2130 Prosthetic Devices and CIM Section 60-9 Durable Medical Equipment Reference List--Coverage of Intermittent Catheterization 939 10/01/1999
AB-00-103 Final Rule Revising and Updating Medicare Policies Concerning Ambulance Services 905 N/A
AB-00-104 Autologous Stem Cell Transplantation (AuSCT) for Patients With Multiple Myeloma 1375 11/30/2000
AB-00-105 New Waived Tests -- November 9, 2000 1339 01/01/2001
AB-00-106 Establishment of Provider/Supplier Information and Education Resource Directory 1352 12/09/2000
AB-00-107 Transfer of Initial Medicare Secondary Payer (MSP) Development Activities to the Coordination of Benefits (COB) Contractor 1163 N/A
AB-00-108 Glucose Monitoring 1362 01/01/2001
AB-00-11.60 Medicare Secondary Payer (MSP) -- Identification and Write Off/Adjustment of MSP Settlement Related Group Health Plan (GHP) Based Accounts Receivable (AR), and Write Off of Unsupportable MSP AR 899 01/01/2000
AB-00-14.60 Questions and Answers Regarding the Prospective Payment System (PPS) for Outpatient Rehabilitation Services and Physical Medicine Current Procedural Terminology (CPT) Coding Guidance 842 01/01/2000
AB-00-110 Implementation of the New Payment Limit for Drugs and Biologicals 745 N/A
AB-00-111 Revised Claims Processing Instructions for Medicare Qualifying Clinical Trial Claims for Managed Care (M+C) Enrollees 1424 04/02/2001
AB-00-15.60 Delay of Hyperbaric Oxygen Therapy Coverage Policy 1138 04/01/2000
AB-00-112 Home Health Prospective Payment System/Consolidated Billing (PPSCB) Edits and Systems Changes; Instructions for Standard Systems, CWF, and Contractors Part II 1412 04/01/2001
AB-00-16.60 Instructions to All Medicare Contractors for Reporting Audited Year 2000 Costs on the Final Administrative Costs Proposals 1062 02/01/2000
AB-00-113 Instructions for Implementing and Updating 2001 Payment Amounts for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 1388 01/01/2001
AB-00-17.60 Clarification of Liver Transplant Policy 1112 01/01/2000
AB-00-114 Update of Codes and Payments for Ambulatory Surgical Centers (ASCs) 1416 01/01/2001
AB-00-18.60 Consolidated Billing for Skilled Nursing Facilities (SNFs)--The Balanced Budget Refinement Act of 1999 1070 04/01/2000
AB-00-115 Source of Average Wholesale Price Data in Pricing Drugs and Biologicals Covered by the Medicare Program 1447 11/17/2000
AB-00-19.60 Instructions to All Medicare Contractors for Reporting Audited Year 2000 Costs on the Final Administrative Costs Proposals 1137 03/31/2000
AB-00-116 Local Medical Review Policy (LMRP) Development and Format 1021 N/A
AB-00-20.60 GUIDANCE ON APRIL RELEASE IMPLEMENTATION 1157 01/01/2000
AB-00-21.60 Self-Administered Injectable Drugs and Biologicals 1164 03/17/2000
AB-00-22.60 "NO FEE" POLICY FOR MEDICARE CONTRACTORS' PROVIDER EDUCATION AND TRAINING ACTIVITIES - PROGRAM MANAGEMENT AND MEDICARE INTEGRITY PROGRAM FUNDED ACTIVITIES 1146 03/23/2000
AB-00-117 Payment of Drugs, Biologicals and Supplies in a Comprehensive Outpatient Rehabilitation Facility (CORF) 1166 04/01/2001
AB-00-23.60 Medigap (Medicare supplemental insurance) Insurers Fraud Referrals 1105 04/01/2000
AB-00-24.60 Development and Dissemination of a Product Classification List for HCPCS Code L0430 1083 06/01/2000
AB-00-118 Delay Implementation of the Ambulance Fee Schedule 1461 01/01/2001
AB-00-119 Change in the Collection of Comprehensive Encounter Data for the Medicare Choices Demonstration, Long-Term Care Demonstrations (Social Health Maintenance Organization (SHMO), Evercare), Department of Defense (DOD) Subvention Demonstration, and Dual Eligible Demonstrations 1400 01/01/2001
AB-00-25.60 CONTRACTOR TESTING REQUIREMENTS--ACTION 1027 01/01/2001
AB-00-26.60 July Quarterly Update for 2000 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 1169 07/01/2000
AB-00-12.60 CORRECTION to Coordination of Benefits (COB) Contractor Numbers 1126 05/15/2000
AB-00-120 Operating Instructions for Coverage of Non-Implantable Pelvic Floor Electrical Stimulators 1419 04/01/2001
AB-00-121 Medicare Intermediary Claims Processing Standard Systems Delay of CY 2001 First Quarter Release 1464 01/08/2001
AB-00-27.60 Medicare Secondary Payer (MSP) Government Performance and Results Act (GPRA) Goal for Fiscal Year (FY) 2000 1142 05/01/2000
AB-00-28.60 Update of Rates for Ambulatory Surgical Center (ASC) Payments--ACTION 1145 01/01/2000
AB-00-122 Appeals of Medicare Part A/Part B Coverage Determinations 1348 12/07/2000
AB-00-123 Use of Beneficiary Question & Answers on cms.hhs.gov 1418 12/12/2000
AB-00-124 Payment for Method II Home Dialysis Supplies 1288 12/15/2000
AB-00-125 Accelerated Referral of Non-MSP Delinquent Debts (Active and Currently Not Collectible (CNC)) to Debt 1260 01/01/2001
AB-00-126 Use of the American Medical Associations (AMAs) Physicians Current Procedural Terminology, Fourth 1415 N/A
AB-00-127 Reimbursement for Ambulance Services to Nonhospital-Based Dialysis Facilities 868 N/A
AB-00-128 Extension of the Limitation on Payment for Services to Individuals Entitled to Benefits on the Basis of End Stage Renal Disease (ESRD) Who Are Covered by Group Health Plans (GHPs) 817 N/A
AB-00-129 COB Contractor Fact Sheet for Providers 1460 12/31/2000
AB-00-130 Intestinal Transplantation 1436 04/01/2001
AB-00-131 Clarifications to Implementation of the Ambulance Fee Schedule 1476 01/01/2001
AB-00-132 Clarification Regarding Release of Medicare Eligibility Data 1494 N/A
AB-00-133 Coordination With Provider Educatin Program Safeguard Contractor 1428 12/26/2000
A-00-44 OUTPATIENT PROSPECTIVE PAYMENT SYSTEM (OPPS) CONTINGENCY PLANS AND INSTRUCTIONS 1277 N/A
A-00-34.60 Provider Statistical and Reimbursement Report (PS&R) 1242 08/01/2000
A-00-25.60 Provider Statistical and Reimbursement Report (PS&R) 1188 05/22/2000
A-02-104 Provider Education Article: Home Health Agencies' (HHAs) Responsibilities Regarding Patient Notification 2320 10/25/2002
AB-02-168 Advance Beneficiary Notice and DMEPOS Refund Requirements - Corrections to PM AB-02-114 2415 12/02/2002
AB-02-158 Common Working File (CWF), Fiscal Intermediary (FI), and Carrier Edits and Policy Clarification for Peripheral Neuropathy With Loss of Protective Sensation (LOPS) in People With Diabetes 2444 01/01/2003
AB-02-157 Codes Billable by SNFs and Suppliers for SNF Residents-Notice of New File Available via CMS Mainframe Telecommunication System (DMSMTS) 2393 04/01/2003
A-02-127 Indian Health Service (IHS) Hospital Payment Rates for Calendar Year 2002 2210 06/18/2002
B-02-088 Changes to Correct Coding Edits, Version 9.1, Effective April 1, 2003 2477 04/01/2003
AB-02-175 Revisions to Common Working File Edits for Skilled Nursing Facility (SNF) Consolidated Billing (CB) to Permit Payments for Certain Diagnostic Services Furnished to Beneficiaries Receiving Treatment for End Stage Renal Disease (ESRD) at an Independent or Provider-Based Dialysis Facility 2475 04/01/2003
A-00-70 Provider Statistical and Reimbursement Report (PS&R) 1359 10/02/2000
A-00-60 Standard Questions and Answers for Beneficiary Inquiries Related to the Hospital Outpatient Prospective Payment System (OPPS) 1311 09/01/2000
A-00-46 Skilled Nursing Facility Adjustment Billing: Adjustments to HIPPS Codes Resulting From MDS Corrections 1224 10/01/2000
A-00-36.60 Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions 1229 08/14/2000
A-00-20.60 The Report of Benefit Savings 1019 10/01/2000
A-00-17.60 Changes to FY 2000 Hospital Inpatient Prospective Payment System (PPS)Policies As Required by the Medicare, Medicaid, and State-Child Health Insurance Program Balanced Budget Refinement Act of 1999 (BBRA), P.L. 106-113 1129 05/15/2000
A-00-15.60 Hospital Outpatient Procedures: Medicare Changes for Radiology and Other Diagnostic Coding Due to the 1998 HCPCS Update; Miscellaneous Changes 1110 07/01/2000
A-00-101 Medicare Outpatient Code Editor (OCE) Version 16.1 1465 01/01/2001
A-00-09.60 Hospital Outpatient Services Prospective Payment System (PPS) Background 1012 07/01/2000
A-00-07.60 Addition of Modifiers 25, 58, 78, and 79 to the List of Modifiers Approved for Hospital Outpatient Use and Correction to Program Memorandum (PM)A-99-41 1079 05/15/2000
AB-03-139 Appeals Quality Improvement and Data Analysis Activities 2854 10/01/2003
A-00-85 The Report of Benefit Savings (RBS) 1394 01/01/2001
A-00-80 Notification to Outpatient Hospital Service Providers Concerning Deductible and Coinsurance Amounts on Electronic Remittance Advice Version 3051.4a 1406 10/31/2000
A-00-77 Change in Hospice Payment Rates, Update to the Hospice Cap, Revised Hospice Wage Index and Hospice Pricer 1235 10/01/2000
A-00-67 Deactivation of Inactive Community Mental Health Center (CMHC) Medicare Numbers 900 11/01/1999
A-00-55 Provider Statistical and Reimbursement Report (PS&R) 1329 08/28/2000
A-00-52 COMMUNITY MENTAL HEALTH CENTERS (CMHCS) PAYMENT INSTRUCTIONS FOR OUTPATIENT PROSPECTIVE PAYMENT SYSTEM (OPPS) CONTINGENCY PLANS 1319 08/14/2000
A-00-41 Transition to the Home Health Prospective Payment System (HHPPS)-- INFORMATION 1264 10/01/2000
A-00-38.60 Change in Hospice Payment Rates, Update to the Hospice Cap, Revised Hospice Wage Index and Hospice Pricer 1235 10/01/2000
A-00-31.60 Reporting a Patient's Reason for Visit on a Part A Outpatient Claim - INFORMATION 1184 N/A
A-00-28.60 Clarification of Provider Cost Report Filing Requirements 429 N/A
A-00-11.60 Medicare Home Health Benefit - Section 4615 of the Balanced Budget Act of 1997. Clarification That No Home Health Benefits Are Authorized Based Solely on Drawing Blood. 401 N/A
A-00-04.60 Provider Statistical and Reimbursement Report (PS&R) Unibill Record 1095 05/15/2000
A-00-02.60 Installation of the Medicare Outpatient Code Editor (OCE) Version 15.1 1096 01/31/2000
B-02-065 Durable Medical Equipment Regional Carriers (DMERCs)-Establishment Common Working File (CWF) Override for Legitimate Duplicate Claims 2281 04/01/2003
A-02-119 0001 Revenue Line Direction for the Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim 2387 04/01/2003
B-02-078 Medical Review (MR) Progressive Corrective Action (PCA)--ACTION 2433 N/A
AB-02-185 Deletion of Q codes and Reactivation of CPT codes for Hepatitis B Vaccine 2536 N/A
AB-02-182 Coverage and Billing of Sacral Nerve Stimulation 2532 01/01/2003
B-02-089 Further Instructions Regarding the Reasonable Charge Update for 2003 for Splints and Casts 2510 01/01/2003
AB-02-177 Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Patients 1499 04/01/2001
A-00-89 Implementation of HIPAA Transaction Standards - Overview and Specific Instructions for Implementing the Inbound Claim 1391 07/01/2001
A-00-87 Off Label Use of Oral Chemotherapy Drugs Methotrexate and Cyclophosphamide 1408 04/01/2001
A-00-74 October OCE 1353 10/01/2000
A-00-64 Terminating State Access to the Common Working File (CWF) Eligibility Data 1317 10/01/2000
A-00-58 Destroy Outdated Stock Of Medicare Summary Notices (MSNs) and Part A Explanation of Medicare Benefits (EOMBs) Under the Hospital Outpatient Prospective Payment System (OPPS) 1321 08/31/2000
A-00-91 Inpatient Rehabilitation Facility Prospective Payment System 1343 N/A
A-00-71 Medical Review (MR) of Home Health Services--For Regional Home Health Intermediaries (RHHIs) Only-Action 1356 10/30/2000
A-00-61 Update 1--Coding Information for Hospital Outpatient Prospective Payment System (OPPS) 1307 10/01/2000
A-00-50 Department of Veterans Affairs (VA) Claims Adjudication Services Project: Systems Changes Needed 1272 01/01/2001
A-00-37.60 Line Item Denials and the Reporting of Savings Generated by Claim Expansion and Line Item Processing 1203 10/01/2000
A-00-21.60 Revised Outpatient Code Editor (OCE) Specifications for the Outpatient Prospective Payment System (OPPS) 1140 07/01/2000
A-00-18.60 Fiscal Intermediary (FI) Community Mental Health Center (CMHC)Enrollment and Change of Ownership (CHOW) Site Visit Process and Coordination with National CMHC Site Visit Contractor 1109 04/01/2000
AB-01-167 Correction to 2nd Update to 2001 Medicare Physician Fee Schedule Database 1937 12/20/2001
AB-02-151 Clarification Regarding Non-physician Practitioners Billing on Behalf of a Diabetes Outpatient Self-Management Training Services (DSMT) Program and the Common Working File Edits for DSMT & Medical Nutrition Therapy (MNT). (NOTE: APASS has received a waiver for this CR) 2373 04/01/2003
A-02-109 Cost Based Payment for Certified Registered Nurse Anesthetists (CRNA) Services Furnished by Outpatient Prospective Payment System (OPPS) Hospitals 2325 04/01/2003
AB-02-143 Provider Education Article: Psychotropic Drug Use in Skilled Nursing Facilities (SNF) 2318 10/25/2002
B-02-070 Reporting of Admission Date and Additional Edit Requirements for the X12N 837 (version 4010) Coordination of Benefits (COB) Transaction 2361 04/01/2003
AB-02-173 Ambulance Fee Schedule Updates for 2003 2489 01/01/2003
A-02-121 Skilled Nursing Facility Adjustments Billing: Adjustments to HIPPS Codes Resulting From MDS Corrections 1224 10/01/2000
AB-02-163 2003 Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment Method 2420 01/01/2003
A-02-118 Annual Update of HCPCS Codes Used for Skilled Nursing Facility Consolidated Billing Enforcement, Updated SNF Help File 2459 01/01/2003
AB-02-183 Coverage of Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities 2388 04/01/2003
B-02-092 Electromagnetic Stimulation 2447 04/01/2003
AB-02-181 Medicare Physician Fee Schedule (MPFS) Update and the 2003 Participation Enrollment Process 2486 12/23/2002
B-02-090 Implementation of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standard Version 5.1 and the Equivalent Batch Standard Version 1.1 for Retail Pharmacy Drug Transactions -- CORRECTION 2455 04/01/2003
A-02-125 Installation of Version 29.0 of the Provider Statistical and Reimbursement (PS&R) Reporting System 2506 04/01/2003
A-02-126 Instructions Regarding Hospital Outlier Payments 2528 12/20/2002
A-02-123 Hospital Billing for Immunosuppressive Drugs Furnished to Transplant Patients--ACTION 2488 01/01/2003
AB-02-169 Notice Requirement Related to Local Medical Review Policies (LMRP) 2472 11/22/2002
AB-02-156 Coverage and Billing for Neuromuscular Electrical Stimulation (NMES) 2314 04/01/2003
A-02-114 Revisions to the Outpatient Prospective Payment System (OPPS) Pricer Software and OCE for Blood Deductble and Technical Charges 2112 10/01/2002
A-02-129 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2503 01/06/2003
AB-02-179 Complaint Screening 2406 12/27/2002
B-02-061 Schedule for Completing the Calendar Year (CY) 2003 Fee Schedule Updates and the Participating Physician Enrollment Procedures 2357 N/A
AB-02-145 Electronic Patient Records Via Non-Internet Means 2264 10/25/2002
A-02-105 Removal of Common Working File (CWF) Edit on Non-Covered Hospice Claims 2328 N/A
AB-02-167 Notice of Interest Rate for Medicare Overpayments and Underpayments 2429 11/19/2002
B-02-080 MCS Standard System Financial Data Report Requirements for the Production Performance Monitoring System, Pulse System 2317 04/01/2003
AB-02-154 New Waived Tests - September 27, 2002 2413 01/01/2003
AB-02-184 Provider Notification of Denials Based on Local Medical Review Policy (LMRP) 2305 N/A
AB-02-180 Coverage and Billing for Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management 2323 12/27/2002
A-00-78 Provider Statistical and Reimbursement Report (PS&R) 1404 10/30/2000
A-00-73 Clarification of Modifier Usage in Reporting Outpatient Hospital Services 973 04/01/2000
A-00-72 Technical Corrections to Coding Information for Hospital Outpatient Prospective Payment System (OPPS) 1376 10/17/2000
A-00-63 Cost-to-Charge Ratios (CCRs) for Calculating Certain Payments Under the Hospital Outpatient Prospective Payment System (OPD PPS) 1310 09/08/2000
A-00-62 File Descriptions and Instructions for Retrieving the 2001 Physician, Clinical Lab, Durable Medical Equipment, Prosthetics/Orthotics and Supplies (DMEPOS) Fee Schedule Payment Amounts Through HCFA Mainframe Telecommunications Systems 1302 01/01/2001
A-00-59 HOME HEALTH PROSPECTIVE PAYMENT SYSTEM (HHPPS) PHASE IN PLAN, CONTINGENCY PLAN, AND INSTRUCTIONS 1315 08/31/2000
A-00-57 Payment of Skilled Nursing Facility (SNF) Claims for Beneficiaries Disenrolling from Terminating Medicare+Choice (M+C) Plans Who Have Not Met the 3-day Stay Requirement 1108 01/01/2001
A-00-51 Q Codes For Use Under the Hospital Outpatient Prospective Payment System (OPPS) 1318 08/14/2000
A-00-49 Payment of Skilled Nursing Facility (SNF) Claims for Beneficiaries Disenrolling from Terminating Medicare+Choice (M+C) Plans Who Have Not Met the 3-Day Hospital Stay Requirement 1270 10/01/2000
A-00-48 Drugs, Biologicals, Devices and New Technology HCFA Common Procedure Coding System (HCPCS) Codes For Use Under the Hospital Outpatient Prospective Payment System (OPPS) 1304 08/14/2000
A-00-45 Interim Process for Certain 'Inpatient Only' Code Changes 1296 11/30/2000
A-00-43 Advance Beneficiary Notices (ABNs) for Services for Which Institutional Part B Claims Will be Processed by Fiscal Intermediaries 1192 07/01/2000
A-00-35.60 Revised Outpatient Code Editor (OCE) Specifications for the Outpatient Prospective Payment System (OPPS) 1220 08/14/2000
A-00-33.60 Education and Outreach to Coordination of Benefits Trading Partners 1200 07/17/2000
A-00-23.60 Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions 1141 07/01/2000
A-00-22.60 Instructions For Reporting Additional Detailed Information on Form HCFA-750 Contractor Financial Report (Fiscal Intermediaries Only) 1174 04/20/2000
A-00-12.60 Revision of Final Date to Accept Abbreviated Version of the UB-92 for Encounter Data Collection 1122 07/01/2000
A-00-06.60 Instructions for an End Stage Renal Disease (ESRD) Facility to Retain Its Previously Approved Exception Payment Rate 1102 01/30/2000
AB-02-148 Remittance Advice Message for Ambulance Services 2262 04/01/2003
AB-02-172 Next Generation Desktop Data Center Connectivity - Security Information Clarification to Change Request 2079 (AB-02-073) Dated May 16, 2002 2390 12/13/2002
AB-02-171 X12N Health Care Eligibility Benefit Inquiry/Response (270/271) Transaction Security and Connectivity Instructions 2452 04/01/2003
AB-02-164 Carrier, DMERC, Intermediary and RHHI Processing Requirements for Claims Edited by CWF for Medicare Beneficiaries in State or Local Custody Under a Penal Authority 2022 04/01/2003
AB-02-176 Prior Approval Requirement for Data Center and Front End Movement 1696 06/27/2001
A-02-124 Necessary Changes to Implement Special Add-On Payments for New Technologies 2301 04/01/2003
AB-02-152 Fee Schedule Update for 2003 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 2378 01/01/2003
AB-02-166 Editing of the Healthcare Provider Taxonomy Codes (HPTCs) and Use of the HPTC Crosswalk 2437 04/01/2003
A-02-115 Medical Nutrition Therapy (MNT) Services for Beneficiaries With Diabetes or Renal Disease - POLICY CHANGE 2404 04/01/2003
A-02-112 Program Integrity Management Reporting (PIMR) System for Part A -- Phase 1 2308 04/01/2003
A-02-128 Revision to 42CFR 405.371 Suspension, Offset and Recoupment of Medicare Payments to Providers and Suppliers of Services 2508 01/01/2003
A-02-106 Provider Education Article: Hospitals' Responsibilities re: Patient Notification at Discharge Planning and Home Health Consolidated Billing 2319 10/25/2002
A-02-120 Change in Requirements for Medicare Payment for Low Osmolar Contrast Material (LOCM) Under the Outpatient Prospective Payment System (OPPS) 2185 04/01/2003
AB-02-161 Coverage and Billing Requirements for Electrical Stimulation for the Treatment of Wounds 2313 04/01/2003
B-02-079 Contractor Reporting of Operational and Workload Data (CROWD) for Electronic Data Interchange (EDI and Manual Transactions 2249 04/01/2003
B-02-077 Program Integrity Management Reporting (PIMR) System for Part B 2307 04/01/2003
B-02-084 Create Import/Export Functionality Between the Medicare Claims System (MCS) and the Provider Enrollment Chain Ownership System (PECOS) 2425 07/01/2003
A-02-122 Notice Regarding Cost-to-Charge Ratios and Inpatient Outlier Payments 2500 12/03/2002
A-00-69 Background and Documentation for Correct Coding Initiative (CCI) and Unit of Service Edits 1332 09/21/2000
A-00-38 Change in Hospice Payment Rates, Update to the Hospice Cap, Revised Hospice Wage Index and Hospice Pricer 1235 10/01/2000
A-00-30.60 Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers FQHCs) Payment Rate Increases and Policy Clarifications and Guidance for Services Furnished by RHCs and FQHCs. 1133 N/A
A-00-19.60 Implementation of Provider Enrollment, Chain and Ownership System (PECOS) 1120 06/12/2000
A-00-14.60 Hospital Outpatient Radiology Services 1114 07/01/2000
A-00-100 Conversion to the UB-92 Version 6.0 and Continued Use of Version 5.0 - ACTION 1478 12/22/2000
A-00-08.60 Payment Safeguard Review of Skilled Nursing Facility Prospective Payment Bills--Updated Instructions 1064 03/01/2000
A-00-76 Clarification of the Application of the Regulations at 42 CFR 413.134(l) to Mergers and Consolidations Involving Non-profit Providers 1290 10/19/2000
A-00-66 FY 2001 Prospective Payment System (PPS) Hospital and Other Bill Processing Changes 1331 10/01/2000
A-00-54 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 1999 for Prospective Payment System (PPS) Hospitals 1299 10/01/2000
A-00-40 Further Information on the Use of Modifier -25 in Reporting Hospital Outpatient Services 1250 N/A
A-00-27.60 Permitting Reclassification of Certain Urban Hospitals as Rural Application Procedures 1180 05/01/2000
A-00-99 Medicare Contractor Use of the Regional Home Health Intermediary (RHHI) Outcomes and Assessment Information Set Verification Protocol for Review of Home Health Agency (HHA) Prospective Payment Bills 1453 N/A
A-00-92 Corrections to Calculation of Federal Fiscal Year (FY) 2001 Inpatient Payment Amounts 1435 12/01/2000
A-00-93 'Do Not Forward (DNF)' Initiative, Change Request 681, Transmittal No. AB-00-6, Dated February 2000 1449 N/A
A-00-90 This Program Memorandum re-issues A-99-50, Change Request 1007 dated November 1999. The only change is the discard date; all other material remains the same. 1007 12/01/1999
A-00-88 FEE SCHEDULE AND CONSOLIDATED BILLING FOR SKILLED NURSING FACILITY (SNF) SERVICES 1323 04/01/2001
A-00-84 Medicare + CHOICE Inpatient Encounter Data---Migration of Data Processing to the HCFA Data Center (HDC) 1427 02/01/2001
A-00-75 Corrections to Calculation of Inpatient Payment Amounts 1399 10/13/2000
A-00-65 Release of Internal Revenue Service (IRS) Data Elements on Eligibility Queries 1316 09/12/2000
A-00-42 Coding Information for Hospital Outpatient Prospective Payment System 1259 08/14/2000
A-00-26.60 Rescinded 1108 N/A
A-00-16.60 The Balanced Budget Refinement Act (BBRA) Revision to PM Trasmittal No. A-99-51: FY 2000 Prospective Payment System and Excluded Hospital Bill Processing Changes--Wage Adjust 75th Percentile Cap of the Target Amounts or Excluded Hospitals and Units 1128 07/01/2000
A-00-102 Hospital Outpatient Prospective Payment System Pass-Through Payment Corrections for Two Radiopharmaceuticals 1496 01/01/2001
A-00-10.60 Discarding Program Memoranda on Surety Bonds N/A N/A
AB-02-170 File Descriptions and Instructions for Retrieving the 2003 Ambulatory Surgical Center (ASC) HCPC Code Additions and Deletions 2454 01/01/2003
A-02-117 Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittal A-02-071) 2336 01/01/2003
AB-02-147 Promoting Influenza Vaccinations 2396 11/08/2002
B-02-083 Create Import/Export Functionality Between the Unique Provider Identification Number System (UPIN) and the Provider Enrollment Chain Ownership System (PECOS) 2424 04/01/2003
AB-02-178 Clarification of the Comprehensive Error Rate Testing (CERT) Program Contractor Resolution Process (CCRP) 2002 12/27/2002
B-02-091 Provider Education Article: Requirements for Payment of Medicare Claims for Foot and Nail Care Services 2374 12/27/2002
AB-02-174 Single Drug Pricer (SDP) 2381 N/A
A-00-97 Partial Implementation of Change Request 1119 1396 12/19/2000
A-00-95 Renewal of Program Memorandum (PM) A-97-8--Instructions to Implement the New Medicare Summary Notice (MSN) Combined with Program Memorandum AB-98-31 - ACTION 651 N/A
A-00-68 Provider Statistical and Reimbursement Report (PS&R) 1329 08/28/2000
A-00-56 Update of Rates for Ambulatory Surgical Center (ASC) Payments 1268 N/A
A-00-53 Proper Billing of Units for Intrathecal Baclofen under the Outpatient Prospective Payment System (OPPS) 1320 N/A
A-00-39 Monitoring Process for Skilled Nursing Facility Exception Determinations 1215 N/A
A-00-32.60 Effectuating Favorable Final Appellate Decisions That a Beneficiary is "Confined to Home"-- Regional Home Health Intermediaries (RHHIs) Only 1034 07/01/2000
A-00-29.60 Electronic Filing of Provider Cost Reports; Home Health Agencies (HHAs) and Skilled Nursing Facilities (SNFs) 1153 05/30/2000
A-00-13.60 Procedures for Financial Reporting of Medicare Letter of Credit Draws and Collections between the Hospital Insurance (HI) and Supplemental Medical Insurance (SMI) Trust Funds 1152 03/31/2000
A-00-05.60 This Program Memorandum re-issues Program Memorandum A-99-5, Change Request 789 dated February 1999. 789 N/A
A-00-03.60 Implementation of H.R. 3426, the Medicare, Medicaid, and the State Child Health Insurance Program Balanced Budget Refinement Act of 1999 (BBRA '99), P.L. 106-113, Section 301(a) 1078 04/01/2000
A-00-96 Clarification of C-Codes Reportable Under the Hospital Outpatient Prospective Payment System (OPPS) 1458 12/29/2000
A-00-94 New ESRD Composite Payment Rates Effective January 1, 2001 1451 01/01/2001
A-00-82 January 2001 Update: Coding Information for Hospital Outpatient Prospective Payment System (OPPS) 1420 01/01/2001
A-00-98 Reporting of Outpatient Prospective Payment System (OPPS) and Home Health Prospective Payment System (HH PPS) Data in Provider Remittance Advice Transactions 1430 12/01/2000
A-00-86 Changes to Fiscal Year (FY) 2000 Nursing and Allied Health Education Payment Policies as Required by the Medicare, Medicaid, and State-Child Health Insurance Program Balanced Budget Refinement Act of 1999 (BBRA), P. L. 106-113 1379 12/18/2000
A-00-81 Resolution of Outpatient Prospective Payment System (OPPS) Implementation Issues 1368 01/01/2001
A-00-83 Business Requirements for Processing Outpatient Encounter Data in the HCFA Data Center 1193 04/01/2001
B-00-01.60 Paramedic Intercept Provisions of the Balanced Budget Act (BBA) of 1997 783 N/A
B-00-02.60 Payment for Teleconsultations in Rural Health Professional Shortage Areas 545 N/A
B-00-03.60 Emergency Changes to the 2000 Medicare Physician Fee Schedule Database-- ACTION 1104 01/17/2000
B-00-04.60 Fee-for-Service Enrollment of Managed Care Organizations (MCOs) for the Indirect Payment Procedure 954 02/07/2000
B-00-06.60 This Program Memorandum re-issues Program Memorandum B-99-6, Change Request 777 dated March 1999. 777 N/A
B-00-05.60 Adjustment to Remittance Advice (RA), Explanation of Medicare Benefits (EOMB) and Medicare Summary Notice (MSN) Messages Generated by Carriers for Services Subject to the Facility/Non-Facility Payment Differential on the Medicare Physician Fee Schedule Database (MPFSDB) 1058 07/01/2000
B-00-44 SITE VISITS AND ENROLLMENT OF INDEPENDENT DIAGNOSTIC TESTING FACILITIES (IDTFs) 935 09/15/1999
B-00-33.60 Changes to Correct Coding Edits, Version 6.2, Effective July 1, 2000 1176 07/01/2000
B-00-24.60 Issues Involving Certificates of Medical Necessity (CMN) and Cover Letters for CMNs 866 N/A
B-00-14.60 Revisions to DMERC Information Form (DIF): Immunosuppressive Drugs DMERC Form 08.02 (latest revision 7/25/95). 1130 10/01/2000
B-00-59 Durable Medical Equipment Regional Carrier - Common Working File (CWF) Revision for Oxygen Certificate of Medical Necessity 1149 04/01/2001
B-00-49 Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Transaction Standards 1094 04/01/2001
B-00-39 Department of Veterans Affairs (VA) Claims Adjudication Services Project: Systems Changes Needed 1219 01/01/2001
B-00-29.60 Correct Effective Date for Adjustment in Payment Amounts for New Technology Intraocular Lenses (NTIOLs) Furnished by Medicare Approved Ambulatory Surgical Centers (ASCs)- CLARIFICATION 1202 07/01/2000
B-00-19.60 DMERCs -- Report on Expansion of Immunosuppressive Drugs 1144 07/01/2000
B-00-09.60 Clarification of Medicare Policies Concerning Ambulance Services 1065 01/31/2000
B-00-62 Promoting Influenza and Pneumococcal Vaccinations 1398 10/01/2000
B-00-61 Comprehensive Error Rate Testing (CERT) Program -- Requirements for Medicare Contractor Operations 1338 N/A
B-00-52 Schedule for Completing the Calendar Year (CY) 2001 Fee Schedule Updates and the Participating Physician Enrollment Procedures 1355 N/A
B-00-51 Changes to Correct Coding Edits, Version 7.0, Effective January 1, 2001 1312 01/01/2001
B-00-42 Analysis of Services Provided in Congregate Settings 1247 10/01/2000
B-00-41 Changes to Correct Coding Edits, Version 6.3, Effective October 1, 2000 1271 10/01/2000
B-00-31.60 Use of CPT Code 33999 for Transmyocardial Revascularization (TMR) 1210 07/01/2000
B-00-30.60 Clarification of Billing for G0170 and G0171 1196 N/A
B-00-22.60 Durable Medical Equipment Carriers (DMERCs) - New Oral Anti-Cancer Drugs Approved for Use by Medicare 1125 07/01/2000
B-00-21.60 2000 Jurisdiction List 1139 07/01/2000
B-00-12.60 Notification Process for Changes to Health Professional Shortage Area (HPSA) Designations 1100 04/01/2000
B-00-11.60 Paramedic Intercept -- New Definition for Rural 1107 03/01/2000
B-00-60 New Temporary 'K' Codes for Augmentative and Alternative Communication (AAC) Devices 1380 01/01/2001
B-00-50 Home Health Prospective Payment System (PPS) 1350 10/30/2000
B-00-40 Final Update to the 2000 Medicare Physician Fee Schedule Database (MPFSDB) 1261 10/05/2000
B-00-29 Correct Effective Date for Adjustment in Payment Amounts for New Technology Intraocular Lenses (NTIOLs) Furnished by Medicare Approved Ambulatory Surgical Centers (ASCs)- CLARIFICATION 1202 07/01/2000
B-00-20.60 Collection and Submission of Data for the Provider Enrollment and Chain Ownership System (PECOS) -- ACTION 918 07/01/2000
B-00-10.60 First Quarterly Update to the 2000 Medicare Physician Fee Schedule Database--INFORMATION 1134 04/01/2000
B-00-58 Durable Medical Equipment Regional Carriers - Change in Common Working File (CWF) for Code K0009 1366 01/01/2001
B-00-48 Claims Processing Instructions for the DMEPOS Competitive Bidding Demonstration 1297 01/01/2001
B-00-38 Addition of 'WW' Codes to Identify a New Source for an Oral Anti-Cancer Drug in dosages of 25mg and 100mg 1262 10/01/2000
B-00-28.60 Billing of Influenza (Flu) and Pneumococcal (PPV) Virus Claims for Authorized Centralized Billing Providers to be Processed Through One Designated Carrier 1194 10/01/2000
B-00-18.60 Emergency Changes to the 2000 Medicare Physician Fee Schedule Database 1092 01/17/2000
B-00-08.60 Instruction for Usage of the Revised Oxygen Certificate of Medical Necessity Form 484.2 (dated 11/99)-----ACTION 1082 10/01/2000
B-00-57 Part B Outbound X12N 837 Coordination of Benefits (COB) Mapping 1327 01/01/2001
B-00-47 Addition of Special Processing Number 39, (Centralized Billing of Flu and Pneumococcal (PPV) Claims), to the Common Working File (CWF) 1325 10/01/2000
B-00-37 Standard System Acceptance of Primary Payer Information at the Line Level 1287 N/A
B-00-27.60 Durable Medical Equipment Regional Carriers (DMERCs) - Common Working File (CWF) Changes for Codes J8999, E0784, E0781, A4230-4232, E0616, and E0749 1148 07/01/2000
B-00-17.60 Emergency Changes to the 2000 Medicare Physician Fee Schedule Database 1104 01/17/2000
B-00-07.60 Changes to Correct Coding Edits, Version 6.1, Effective April 1, 2000 1004 05/15/2000
B-00-63 Medicare Payment Allowance for Flu Vaccine 1440 N/A
B-00-53 Calendar Year (CY) 2001 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures (CORRECTED VERSION) 1373 11/17/2000
B-00-43 New Temporary 'K' Codes for Negative Pressure Wound Therapy Pumps 1273 01/01/2001
B-00-32.60 CPT Codes 99214 and 99233 1234 N/A
B-00-23.60 Requirements For Processing Physician Encounter Data In The HCFA Data Center 1183 10/01/2000
B-00-13.60 Calculation of National Standard Format (NSF) for Electronic Remittance Advice (ERA) Amount Fields and Balancing of NSF Data; and Clarification to Claim NSF Field EAO 21 for Coordination of Benefits--Modification of Program Memorandum (PM) B-99-42 (CR1016) of December 1999 1130 05/15/2000
B-00-56 DMERCs - Common Working File (CWF) Edit #5211 - Services After the Date of Death (DOD) for Durable Medical Equipment (DME) Rental Items 1190 01/01/2001
B-00-46 Changes to Correct Coding Edits, Version 6.2, Effective September 5, 2000 1337 09/05/2000
B-00-36 Returned Mail - Unique Physician Identification Number (UPIN) 1253 09/15/2000
B-00-26.60 Carrier Adjustments to be Made for Payment for HCPCS Code 90669, Pneumococcal (PPV) Conjugate Vaccine, Polyvalent, for Intramuscular Use 1185 06/12/2000
B-00-16.60 Provider Education Article: Role of Physicians in the Home Health Prospective Payment System 1088 04/01/2000
B-00-55 DMERCs - Common Working File to Add ICD-9 Diagnosis Code for Oral Anti-Cancer Drugs 1150 01/01/2001
B-00-45 Reporting of Carrier Pricing Methodology for Influenza (flu) and Pneumococcal (PPV) Vaccinations to HCFA 1293 10/01/2000
B-00-35 Addition of Five 'WW' Codes to Identify a New Source for Methotrexate 1228 10/01/2000
B-00-25.60 New Temporary K Codes for Hydrogel Impregnated Gauze 1159 07/01/2000
B-00-15.60 Change to Health Insurance Claim Form HCFA-1500 Instructions for Processing Physician Claims in Global Payment Systems 457 N/A
B-00-54 Program Integrity Management Reporting (PIMR) System 1306 01/01/2001
B-00-64 Program Integrity Sampling Module for Part B and DME Carriers 1397 04/01/2001
B-00-65 2001 Physician Fee Schedule for Payment Policies 1438 01/01/2001
B-00-67 Consolidated Billing for SNF Residents 1256 04/01/2001
B-00-68 X12N Professional Flat File 1417 04/01/2001
B-00-71 Addition of a Miscellaneous 'WW' Code and National Drug Code (NDC) for Oral Anti-Cancer Drugs 1395 01/01/2001
B-00-70 Changes to Correct Coding Edits, Version 7.1, Effective April 1, 2001 1422 04/01/2001
B-00-69 Blood Glucose Test Strips - Marketing to Medicare Beneficiaries 1336 03/01/2001
B-00-73 CCI Edits Correction: Influenza (G0008), Pneumococcal (G0009), and Hepatitis B (G0010) Vaccine Codes 1459 12/18/2000
B-00-76 Revised 2001 Anesthesia Conversion Factors -- ACTION 1477 01/01/2001
B-00-66 Durable Medical Equipment Regional Carrier (DMERC) Operating Instructions for Coverage of the Ultrasonic Osteogenic Stimulators for Fracture Healing. Effective for Services Performed on or After 1/1/2001. 1383 01/01/2001
B-00-72 Instructions to Implement the New Medicare Summary Notice (MSN)-- Program Memorandum (PM) B-98-4 and PM AB-98-31--ACTION 809 01/01/2000
B-00-75 Emergency Changes to the 2001 Medicare Physician Fee Schedule Database 1470 01/01/2001
B-00-74 Claims Processing Instructions for Carriers To Make Available Claims and Medical Records for a PSC Task Order Request for Medical Record Review 1433 12/21/2000
A-00-01.60 Consolidated Billing for Skilled Nursing Facility (SNF) Patients When Receiving Outpatient/Emergency Care in a Medicare-Participating Hospital or Critical Access Hospital (CAH) 711 N/A
A-03-026 April Outpatient Code Editor (OCE) Specifications Version (V4.1) 2675 04/15/2003
A-03-016 Continuous Home Care Under Medicare Hospice 2556 04/01/2003
A-03-003 January Outpatient Code Editor (OCE) Specifications Version (V4.0) 2521 01/17/2003
A-03-031 Medicare Secondary Payer (MSP) Information Collection Policies Changed for Hospitals 2104 03/31/2002
A-03-021 Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases, Clarification on Coverage and Payment of Diabetes Self-Management Training Services and Medical Nutrition Therapy Services 2511 07/01/2003
A-03-009 Medical Nutrition Therapy (MNT) Services for Beneficiaries with Diabetes or Renal Disease - CORRECTION 2550 04/01/2003
A-03-012 The Report of Benefit Savings (RBS) 2557 03/31/2003
A-03-034 Modification to Medicare Timely Filing Edit for Claims Paid Under Certain Prospective Payment Systems 2593 10/01/2003
A-03-033 End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests 2277 10/01/2003
A-03-024 Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION 1467 03/01/2001
A-03-023 Implementation of the Temporary Equalization of Urban and Rural Standardized Payment Amounts Under the Medicare Inpatient Hospital Prospective Payment System (IPPS) as Required By Section 402(b) of Public Law 108-7 2661 04/01/2003
A-03-011 Changes in Payment for Certain Services Provided by Outpatient Physical Therapy (OPT) Providers Under the Medicare Physician Fee Schedule (MPFS) 2366 07/01/2003
A-03-032 Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65 2638 10/01/2003
A-03-022 Installation of Version 29.0 of the Provider Statistical and Reimbursement (PS&R) Reporting System-Modification 2660 05/05/2003
A-03-010 Manual Medical Review Indicator for the Comprehensive Error Rate Testing (CERT) Program 2434 07/01/2003
A-03-030 Provider-based Status On or After October 1, 2002 2411 05/01/2003
A-03-020 April 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2671 04/01/2003
A-03-008 Clarification of 3-Day Payment Window vs. 1-Day Payment Window for Hospitals Excluded from Inpatient Prospective Payment System (IPPS) 2537 07/01/2003
A-03-029 Corrections to: Changes to the Hospital Inpatient Prospective Payment Systems and Rates and Costs of Graduate Medical Education, etc.; as Published in the Federal Register, FY 2003 (67 FR 49982, August 1, 2002) 2665 04/01/2003
A-03-019 Reactivation of Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) Edit 15, "Service Unit Out Of Range" and Guidance on Editing for Low Osmolar Contrast Media (LOCM) Procedures 2612 04/01/2003
A-03-007 Payment to Hospitals and Units Excluded from the Acute Inpatient Prospective Payment System (IPPS) for Direct Graduate Medical Education (DGME) and Nursing and Allied Health (N&AH) Education for Medicare+Choice (M+C) Enrollees 2476 07/01/2003
A-03-017 Payment for Services To Be Paid on a Fee Schedule But For Which There Is No Price--ACTION 2541 03/14/2003
A-03-035 Reporting of Revenue Codes Under the Outpatient Prospective Payment System (OPPS) 2614 10/01/2003
A-03-025 Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION 1596 03/01/2001
A-03-014 Further Guidance Regarding Billing Under the Outpatient Prospective Payment System (OPPS) 1585 08/01/2000
A-03-028 January Medicare Outpatient Code Editor (OCE) Specifications Version 18.1R1 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) 2676 04/15/2003
A-03-018 Installation of Version 28.0 Second Add-On of the Provider Statistical and Reimbursement (PS&R) Report 2605 03/31/2003
A-03-006 Update the Medicare Secondary Payment Module (MSPPAY) to Apportion Prospective Payment System (PPS) Outlier Amounts to all Service Lines With Medicare Reimbursement That are PRICER Related and Potential Outlier Service Lines 2053 07/01/2003
A-03-037 Contractor Reporting of Operational and Workload Data (CROWD) for Electronic Data Interchange (EDI) and Manual Transactions 2547 10/01/2003
A-03-027 Updated Outpatient Prospective Payment System (OPPS): Requirements for Provider Education and Training 2607 04/25/2003
A-03-036 This Program Memorandum has been rescinded and the number will be used in the future. 2680 07/07/2003
A-03-005 Health Insurance Portability and Accountability Act (HIPAA) Transaction 835v4010 Companion Document Update for Intermediaries. 2498 07/01/2003
AB-03-082 Medicare Secondary Payer (MSP) Prepayment and Post Payment Workload Reporting -Activity Code (AC) Definitions 2548 10/01/2003
AB-03-123 Scheduled Release for October Updates to Software Programs and Pricing/Coding Files 2850 N/A
A-03-015 Electromagnetic Stimulation 2559 04/01/2003
A-03-057 Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2004 2797 10/01/2003
A-03-002 Installation of Version 28.0 Add-On of the Provider Statistical and Reimbursement (PS&R) Report 2529 01/24/2003
A-03-004 Calculating Provider-Specific Medicare Outpatient Cost-to-Charge Ratios (CCRs) and Instructions on Cost Report Treatment of Hospital Outpatient Services Paid on a Reasonable Cost Basis 2197 04/30/2003
A-03-013 3-Day Payment Window Refinements Under the Short-Term Hospital Inpatient Prospective Payment System 2573 07/01/2003
A-03-063 Installation of Version 30 of the Provider Statistical and Reimbursement (PS&R) Reporting System. 2833 10/01/2003
A-02-020 Coverage and Billing of Sacral Nerve Stimulation 2098 03/21/2002
A-02-019 Scheduled Release for April Updates to Software Programs and Pricing/Coding Files 2052 N/A
B-02-014 Common Working File (CWF) Changes for Emergency Home Dialysis Supplies For Method II Beneficiaries 2044 10/01/2002
B-02-047 DMERCs - Appeal Messages on Medicare Summary Notice (MSN) and Medicare Remit Notice 1986 01/01/2003
AB-02-036 Temporary Codes for Ambulance Fee Schedule 2047 04/01/2002
A-01-22 Extension of Due Date for Filing Provider Cost Reports 1501 N/A
AB-01-115 Payment Instructions for Intestinal Transplants Furnished to Beneficiaries Enrolled in Medicare+Choice (M+C) Plans With Dates of Service on or After April 1, 2001, but Before January 1, 2002. 1760 08/16/2001
AB-01-127 Year 2002 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder 1852 01/01/2002
AB-01-38 This Transmittal Has Been Rescinded 1556 N/A
A-01-44 Standard Systems Changes Required to Incorporate Provider-Specific Payment-to-Cost Ratios into the Calculation of Interim Transitional Corridor Payments Under OPPS 1618 07/01/2001
A-01-48 Requirement for Line-Item Dates of Service for Ambulance Claims 1556 07/01/2001
B-01-69 2002 Anesthesia Conversion Factors 1908 01/01/2002
AB-01-87 Disclosure Desk Reference for Call Centers 1706 08/29/2001
AB-00-40.60 Written Statements of Intent (SOI) to Claim Medicare Benefits; 60-Day Grace Period 1165 N/A
AB-00-97 Notification to Providers and Suppliers of Transaction and Code Set Rule Promulgated In Accordance With the Health Insurance Portability and Accountability Act (HIPAA) 1367 10/18/2000
AB-00-36.60 Rescinded 1163 N/A
AB-00-87 2001 Payment Limit for Ambulance Services 1326 01/01/2001
AB-00-54.60 Modified Procedures for Sharing HCFA Data with the Department of Justice (DOJ) 876 08/23/1999
AB-00-47.60 RELEASE TO BE IMPLEMENTED JUNE 5, 2000 1201 N/A
AB-00-59.60 Correction to July Quarterly Update for 2000 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 1212 07/01/2000
AB-00-41.60 Procedures for the Benefit Integrity (BI) and Medical Review (MR) Units on Unsolicited/Voluntary Refund Checks 1024 07/01/2000
AB-00-35.60 Further Guidance on April Release Implementation 1195 05/15/2000
A-03-001 January Medicare Outpatient Code Editor (OCE) Specifications Version 18.1 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) 2522 01/01/2003
A-02-047 July Medicare Outpatient Code Editor (OCE) Specifications Version 17.2 for Bills from Hospitals that are not Paid Under the Outpatient Prospective Payment System (OPPS) 2188 07/01/2002
AB-02-018 First Update to the 2002 Medicare Physician Fee Schedule Database 2036 04/01/2002
B-01-55 Changes to Correct Coding Edits, Version 8.0, Effective January 1, 2002 1833 01/01/2002
AB-00-100 Mandatory Training on Ambulance Fee Schedule (AFS) 1414 10/24/2000
AB-00-38.60 Hard Coding of Duplicate Edits in the Fiscal Intermediary Standard System (FISS) and the VIPS Medicare Systems (VMS) Standard Systems 1158 10/01/2000
AB-00-13.60 New Waived Tests -- Effective Date of Receipt 1091 05/15/2000
AB-00-109 2001 Clinical Laboratory Fee Schedule and Laboratory Costs Subject to Reasonable Charge Payment Methodology 1377 01/01/2001
AB-01-135 Medical Review of Services for Patients with Dementia 1793 09/01/2001
B-01-64 DMERCs - Advance Beneficiary Notices (ABNs) for "Upgrades" 1893 04/01/2002
AB-03-130 Levocarnitine for Use in the Treatment of Carnitine Deficiency in ESRD Patients 2554 01/01/2004
B-01-73 Reviewing Deceased Physicians' Unique Physician Identification Numbers (UPINs) on DMERC Claims 1735 04/01/2002
AB-00-66 Coverage of Diabetes Outpatient Self-Management Training Services, Effective: July 1, 1998 199 N/A
AB-01-142 Revised Guidelines for Processing Claims for Clinical Trial Routine Care Services 1637 01/01/2002
Physician Quality Reporting System and Electronic Presenting )eRx) Incentitive Program Pub. 100-22 Medicare Quality reporting Incentitive Programs Manual Update. 7879 10/29/2012