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QPU January 2006

The Quarterly Provider Update provides a listing of Agency regulations and meeting notices. Non-regulatory changes to the Medicare and Medicaid programs, consisting of manual instructions, are also included in this listing.

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File Name Subject Publication/Implementation Date Quarterly Release Date
R191OTN Stage 2 Requirements for Use and Editing of NPI Numbers Received in EDI Transactions via Direct Data Entry Screens, or Paper Claim Forms 04/03/2006 01/01/2006
R190OTN Stage 2 Requirements for Use and Editing of NPI Numbers Received in EDI Transactions via Direct Data Entry Screens, or Paper Claim Forms 04/03/2006 01/01/2006
R773CP Announcement of Medicare FQHCs Supplemental Payment 04/03/2006 01/01/2006
R772CP FISS Edit Updates for Epoetin Alfa and Darbepoetin Alfa HCPCS Changes Effective January 1, 2006 04/03/2006 01/01/2006
R772CP FISS Edit Updates for Epoetin Alfa and Darbepoetin Alfa HCPCS Changes Effective January 1, 2006 04/03/2006 01/01/2006
R751CP Nat'l Monitoring Policy for EPO and Aranesp for ESRD Patients in Dialysis Facilities 04/03/2006 01/01/2006
R751CP Nat'l Monitoring Policy for EPO and Aranesp for ESRD Patients in Dialysis Facilities 04/03/2006 01/01/2006
R43BP List of Medicare Telehealth Services 04/03/2006 01/01/2006
R43BP List of Medicare Telehealth Services 04/03/2006 01/01/2006
R43BP List of Medicare Telehealth Services 04/03/2006 01/01/2006
R790CP List of Medicare Telehealth Services 04/03/2006 01/01/2006
R790CP List of Medicare Telehealth Services 04/03/2006 01/01/2006
R790CP List of Medicare Telehealth Services 04/03/2006 01/01/2006
R43BP List of Medicare Telehealth Services 04/03/2006 01/01/2006
R790CP List of Medicare Telehealth Services 04/03/2006 01/01/2006
R43BP List of Medicare Telehealth Services 04/03/2006 01/01/2006
R725CP New ICD-9CM Code for Benefficiaries with Chronic Kidney Disease 04/03/2006 01/01/2006
R740CP Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Evaluation and Management (E&M) Services 04/03/2006 01/01/2006
R726CP Smoking and Tobacco Cessation Counseling Services 04/03/2006 01/01/2006
R740CP Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Evaluation and Management (E&M) Services 04/03/2006 01/01/2006
R726CP Smoking and Tobacco Cessation Counseling Services 04/03/2006 01/01/2006
R726CP Smoking and Tobacco Cessation Counseling Services 04/03/2006 01/01/2006
R745CP Elimination of DMERC Information Form (DIF) 04/03/2006 01/01/2006
R733CP Repeat Tests for Automated Muli-Channel Chemistries for ESRD Beneficaries 04/03/2006 01/01/2006
R726CP Smoking and Tobacco Cessation Counseling Services 04/03/2006 01/01/2006
R725CP New ICD-9CM Code for Benefficiaries with Chronic Kidney Disease 04/03/2006 01/01/2006
R741CP New Conditions Codes 49 and 50 04/03/2006 01/01/2006
R726CP Smoking and Tobacco Cessation Counseling Services 04/03/2006 01/01/2006
R737CP New ICD-9 Code for Beneficiaries with Chronic Kidney Disease 04/03/2006 01/01/2006
R726CP Smoking and Tobacco Cessation Counseling Services 04/03/2006 01/01/2006
R735CP Application of All Diagnosis Codes Reported in Processing Carrier Claims 04/03/2006 01/01/2006
R734CP Redefined Type of Bill (TOB) 14x, for Non-Patient Laboratory Specimens 04/03/2006 01/01/2006
R726CP Smoking and Tobacco Cessation Counseling Services 04/03/2006 01/01/2006
R726CP Smoking and Tobacco Cessation Counseling Services 04/03/2006 01/01/2006
R726CP Smoking and Tobacco Cessation Counseling Services 04/03/2006 01/01/2006
R726CP Smoking and Tobacco Cessation Counseling Services 04/03/2006 01/01/2006
R726CP Smoking and Tobacco Cessation Counseling Services 04/03/2006 01/01/2006
R718CP Source of Admission Code X 04/03/2006 01/01/2006
CMS-2227-FN Medicare and Medicaid Programs, Approval of Deeming Authority of the Accreditation Commission for Healthcare (ACHC) for Home Health Agencies 02/24/2006 01/01/2006
R716CP Modifiers for Transportation of Portable X-raus 04/03/2006 01/01/2006
R717CP DISABLING THE REVENUE/HCPCS CONSISTENCY EDIT CODES IN THE FISCAL INTERMEDIARY SHARED SYSTEM (FISS) 04/03/2006 01/01/2006
R718CP Source of Admission Code X 04/03/2006 01/01/2006
R718CP Source of Admission Code X 04/03/2006 01/01/2006
R717CP DISABLING THE REVENUE/HCPCS CONSISTENCY EDIT CODES IN THE FISCAL INTERMEDIARY SHARED SYSTEM (FISS) 04/03/2006 01/01/2006
CMS-6272-IFC Medicare Secondary Payer (MSP) Amendments 02/24/2006 01/01/2006
R719CP Clarifications to Hosp Billings Instructions and Payment for Epoetin Alfa 04/03/2006 01/01/2006
CMS-4113-N Meeting of the Advisory Panel on Medicare Education, April 2006 N/A 01/01/2006
R717CP DISABLING THE REVENUE/HCPCS CONSISTENCY EDIT CODES IN THE FISCAL INTERMEDIARY SHARED SYSTEM (FISS) 04/03/2006 01/01/2006
R128PI Evidence of MN: Wheelchair and Powered Operated Vehicle (POV) Claims 04/03/2006 01/01/2006
CMS-5033-N7 ESRD Advisory Group: Announcement of Meeting - March 2006 N/A 01/01/2006
R699CP CAP for Part B Drugs 04/03/2006 01/01/2006
CMS-6002-F Requirements for Providers and Suppliers to Establish and Maintain Medicare Enrollment N/A 01/01/2006
R718CP Source of Admission Code X 04/03/2006 01/01/2006
R699CP CAP for Part B Drugs 04/03/2006 01/01/2006
CMS-1270-P Competitive Acquistion for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)*** N/A 01/01/2006
R714CP Payment window edit corrections within the common working file 04/03/2006 01/01/2006
R717CP DISABLING THE REVENUE/HCPCS CONSISTENCY EDIT CODES IN THE FISCAL INTERMEDIARY SHARED SYSTEM (FISS) 04/03/2006 01/01/2006
R765CP Instructions for Downloading the Medicare Zip Code File 04/03/2005 01/01/2005
R757 Resubmission of Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) Claims with Chronic Renal Failure Comorbid Condition 04/03/2005 01/01/2005
R796CP Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increase 04/03/2006 01/01/2006
R796CP Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increase 04/03/2006 01/01/2006
R802CP Termination of the Medicare HIPAA Incoming Claim Contingency Plan, Addition of a Self-Assessable Unusual Circumstance, Modification of the OTAF Exception, and Modification of ASCA Exhibit Letters A, B and C. 04/03/2006 01/01/2006
R795CP Redefined Type of Bill (TOB) 14X for Non-Patient Laboratory Specimens-CR 3835 Manualization 04/03/2006 01/01/2006
R805CP Annual Update to the Therapy Code List 02/06/2006 01/01/2006
R805CP Annual Update to the Therapy Code List 02/06/2006 01/01/2006
R805CP Annual Update to the Therapy Code List 02/06/2006 01/01/2006
R805CP Annual Update to the Therapy Code List 02/06/2006 01/01/2006
R803CP Administration of Drugs and Biologicals in a Method II Critical Access Hospital (CAH) 04/03/2006 01/01/2006
R804CP January 2006 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes, OPPS PRICER Logic Changes, and Instructions for Updating the Outpatient Provider Specific File (OPSF) 01/03/2006 01/01/2006
CMS-1501-CN2 Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2006 Payment Rates; Correction 01/17/2006 01/01/2006
R16SOM Revisions to Chapter 2,The Certification Process, Appendix E Providers of Outpatient Physical Therapy or Outpatient Speech Language Pathology (OPT/OSP) Services, and Appendix K Comprehensive Outpatient Rehabilitation Facilities 11/21/2005 01/01/2006
R811CP Teaching Physician Services 02/13/2006 01/01/2006
R812CP Medicare Payment for Pre-administration-Related Services Associated With Intravenous Immune Globulin Administration 02/13/2006 01/01/2006
R89FM Mandated Use of Autoload Program in STAR, System Tracking for Audit and reimbursement 02/13/2006 01/01/2006
R809CP Update to Payment Rates for Religious nonmedical Health Care Institution Services Furnished in the Home,Calendar Year 2006 02/13/2006 01/01/2006
R811CP Teaching Physician Services 02/13/2006 01/01/2006
R812CP Medicare Payment for Pre-administration-Related Services Associated With Intravenous Immune Globulin Administration 02/13/2006 01/01/2006
R9P234 Renal Dialysis Facility for Cost Reporting Form CMS-265-94 N/A 01/01/2006
R200OTN Mandatory Transition to New Registry That Satisfies Medicare Data Reporting Requirements for Implantable Cardioverter Defibrillators (ICDs) 02/13/2006 01/01/2006
CMS-1306-P Medicare Program; Inpatient Psychiatric Facilities Prospective Payment System Payment Update for Rate Year Beginning July 1, 2006 (RY 2007) 01/23/2006 01/01/2006
R37DEMO Revisions to CR 3816 - Low Vision Rehabilitation Demonstration 04/03/2006 01/01/2006
R37DEMO Revisions to CR 3816 - Low Vision Rehabilitation Demonstration 04/03/2006 01/01/2006
R813CP Instructions for the Payment of Health Professional Shortage Area (HPSA) and Physician Scarcity Area (PSA) Bonuses When the Place of Service (POS)is Home 02/21/2006 01/01/2006
R816CP Coverage and Billing for Ultrasound Stimulation for Nonunion Fracture Healing 04/03/2006 01/01/2006
R815CP Healthcare Provider Taxonomy Codes (HPTC) Update 01/25/2006 01/01/2006
R817CP Update to the Inpatient Provider Specific File (IPSF) and the Outpatient Provider Specific File (OPSF) to Retain Provider Information 04/03/2006 01/01/2006
R814CP Claim Status Category Code and Claim Status Code Update 04/03/2006 01/01/2006
R37DEMO Revisions to CR 3816 - Low Vision Rehabilitation Demonstration 04/03/2006 01/01/2006
R37DEMO Revisions to CR 3816 - Low Vision Rehabilitation Demonstration 04/03/2006 01/01/2006
R90FM Recurring Update Notification for the Notice of New Interest Rate for Medicare Overpayments and Underpayments 01/25/2006 01/01/2006
R78MCM Revisions to Chapter 5, Quality Improvement. N/A 01/01/2006
CMS-1167-F Medicare Program; Payment for Respiratory Assist Devices With Bi-Level Capability and a Backup Rate 01/27/2006 01/01/2006
CMS-1485-P Prospective Payment System for Long-Term Care Hospitals RY 2007: Proposed Annual Payment Rate Updates, Policy Changes, and Clarification 01/27/2006 01/01/2006
CMS-3144-FN Medicare Program; Approval of adjustment in Payment Amounts for New Technology Intraocular Lenses Furnished by Ambulatory Surgical Centers 01/27/2006 01/01/2006
CMS-2228-PN Medicare and Medicaid Programs; Application by the TUV Healthcare Specialists for Deeming Authority for Hospitals 01/27/2006 01/01/2006
CMS-3162-N Medicare Program; Meeting of the Medicare Coverage Advisory Committee--March 30, 2006 01/27/2006 01/01/2006
CMS-1328-N February 15, 2006 Town Hall Meeting on the Practice Expense Methodology Including the Proposal From the Physician Fee Schedule Proposed Rule for Calendar Year 2006 01/27/2006 01/01/2006
CMS-1318-N Meeting of the Practicing Physicians Advisory Council, March 6, 2006 01/27/2006 01/01/2006
R46NCD Cardiac Catheterization Performed in Other Than a Hospital Setting 02/27/2006 01/01/2006
R819CP Modification to QR Modifier Edit for Automatic Implantable Cardiac Defibrillator (ICD) Services 04/03/2006 01/01/2006
R819CP Modification to QR Modifier Edit for Automatic Implantable Cardiac Defibrillator (ICD) Services 04/03/2006 01/01/2006
R136PI Policy Changes to Program Integrity Manual 03/01/2006 01/01/2006
R826CP April Quarterly Update to the 2006 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 04/03/2006 01/01/2006
R201OTN Calculation of the Interim Payment of Indirect Medical Education (IME) Through the Inpatient PPS PRICER for Hospitals That Received an Increase to Their Full-time Equivalent Resident Caps Under Section 422 of the Medicare Modernization Act (MMA), P.L. 108-173 03/31/2006 01/01/2006
R825CP System Edits for Respiratory Assist Devices (RADs) with Bi-Level Capability and a Back-Up Rate 04/03/2006 01/01/2006
R203OTN Revision for PPS Payment for Blood Clotting Factor Administered to Hemophilia Inpatients 03/06/2006 01/01/2006
R204OTN Stage 1 Use and Editing of National Provider Identifier Numbers Received in Electronic Data Interchange Transactions, via Direct Data Entry Screens, or on Paper Claim Forms 01/03/2006 01/01/2006
R201OTN Calculation of the Interim Payment of Indirect Medical Education (IME) Through the Inpatient PPS PRICER for Hospitals That Received an Increase to Their Full-time Equivalent Resident Caps Under Section 422 of the Medicare Modernization Act (MMA), P.L. 108-173 03/31/2006 01/01/2006
R824CP Quarterly Update to Correct Coding Initiative (CCI) Edits, V12.1, Effective April 1, 2006 04/03/2006 01/01/2006
CMS-1126-RCN Medicare Program; Provider Bad Debt payment; Extension of Timeline for Publication of Final Rule 02/10/2006 01/01/2006
R209OTN Q4080 - Change in HCPCS Code Descriptor 03/13/2006 01/01/2006
R210OTN Creation of a Second Participation Enrollment Period for 2006 03/13/2006 01/01/2006
R209OTN Q4080 - Change in HCPCS Code Descriptor 03/13/2006 01/01/2006
R44BP Update to the ESRD Composite Payment Rates 02/13/2006 01/01/2006
R211OTN Temporary 5 Percent Payment Increase for Home Health Services Furnished in a Rural Area for One Year Under the Home Health Prospective Payment System (HH PPS), Change of the HH PPS Calendar Year (CY) 2006 Update from that of 2.8 Percent Update (Home Health Market Basket Update of 3.6 Minus 0.8 Percentage Point) to that of a Zero Percent Update 02/13/2006 01/01/2006
R850CP Change Payment Floor Date for Paper Claims 03/13/2006 01/01/2006
R210OTN Creation of a Second Participation Enrollment Period for 2006 03/13/2006 01/01/2006
R849CP Update to the ESRD Composite Payment Rates 02/13/2006 01/01/2006
R209OTN Q4080 - Change in HCPCS Code Descriptor 03/13/2006 01/01/2006
R209OTN Q4080 - Change in HCPCS Code Descriptor 03/13/2006 01/01/2006
R35GI Revisions to Instructions for Contractors Other Than the Religious Nonmedical Health Care Institution (RNHCI) Specialty Contractor Regarding Claims for Beneficiaries with RNHCI Elections 05/11/2006 01/01/2006
R45BP Revisions to Instructions for Contractors Other Than the Religious Nonmedical Health Care Institution (RNHCI) Specialty Contractor Regarding Claims for Beneficiaries with RNHCI Elections 05/11/2006 01/01/2006
R852CP Ambulance Fee Schedule - CY 2006 Update: Correction to CR 4061 02/24/2006 01/01/2006
R851CP Revisions to Instructions for Contractors Other Than the Religious Nonmedical Health Care Institution (RNHCI) Specialty Contractor Regarding Claims for Beneficiaries with RNHCI Elections 05/11/2006 01/01/2006
R846CP New Skilled Nursing Facility (SNF) Consolidated Billing (CB) Web site Address 03/13/2006 01/01/2006
R207OTN New 2006 Payment Rate for Services Paid Under the Medicare Physician Fee Schedule 03/13/2006 01/01/2006
R207OTN New 2006 Payment Rate for Services Paid Under the Medicare Physician Fee Schedule 03/13/2006 01/01/2006
R207OTN New 2006 Payment Rate for Services Paid Under the Medicare Physician Fee Schedule 03/13/2006 01/01/2006
R856CP January 2006 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective January 1, 2006, and Revisions to April 2005, July 2005, and October 2005 Quarterly ASP Medicare Part B Drug Pricing Files 01/03/2006 01/01/2006
R861CP Sunset of the Policies for Provider Nominations for an Intermediary and the Provider Requests for a Change of Intermediary - Revisions to Publication 100-04, Chapter 1, Section 20. 03/17/2006 01/01/2006
R859CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 04/03/2006 01/01/2006
R79MCM Changes in MCM Chapter 11, Medicare Advantage Application Procedures and Contract Requirements N/A 01/01/2006
R862CP Appeals of Claims Decisions: Administrative Law Judge; Departmental Appeals Board; U.S. District Court Review 03/17/2006 01/01/2006
R867CP Elimination of the Durable Medical Equipment Regional Carriers (DMERC) Information Form (DIF) 04/03/2006 01/01/2006
R857CP Medicare Part B Drug Pricing Update - Payment Limit for J7620 (Albuterol and Ipratropium Bromide, non-compounded) 03/17/2006 01/01/2006
R91FM Clarification of Instructions in Pub. 100-6, Chapter 5 Financial Reporting, Section 310.4 - Line 4(a) through (e), Reclassified CNC Debt (Principal & Interest) 03/17/2006 01/01/2006
R863CP Update to Chapter 20, Billing for Oxygen and Oxygen Equipment, Section 130.6 03/17/2006 01/01/2006
R864CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2006 04/03/2006 01/01/2006
CMS-1306-CN Medicare Program, Inpatient Psychiatric Facilities Prospective Payment System Payment Update for Rate Year Beginning July 1, 2006 (RY 2007), Correction and Extension of Comment Period 02/24/2006 01/01/2006
CMS-1502-F2 Medicare Program, Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2006 and Certain provisions Related to the Competitive Acquisition Program of Outpatient Drugs and Biologicals Under Part B, Correcting Amendment 02/24/2006 01/01/2006
CMS-4115-N Medicare Program, Request for Nominations for the Advisory Panel on Medicare Education 02/24/2006 01/01/2006
CMS-1332-NC Medicare and Medicaid Programs; Announcement of an Application From a Hospital Requesting a Waiver From Its Designated Organ Procurement Service Area 02/24/2006 01/01/2006
R47NCD Changes to the Covered Indications for Tumor Antigen by Immunoassay CA 125 to Add Primary Peritoneal Carcinoma 01/03/2006 01/01/2006
R47NCD Changes to the Covered Indications for Tumor Antigen by Immunoassay CA 125 to Add Primary Peritoneal Carcinoma 01/03/2006 01/01/2006
R47NCD Changes to the Covered Indications for Tumor Antigen by Immunoassay CA 125 to Add Primary Peritoneal Carcinoma 01/03/2006 01/01/2006
R47NCD Changes to the Covered Indications for Tumor Antigen by Immunoassay CA 125 to Add Primary Peritoneal Carcinoma 01/03/2006 01/01/2006
R47NCD Changes to the Covered Indications for Tumor Antigen by Immunoassay CA 125 to Add Primary Peritoneal Carcinoma 01/03/2006 01/01/2006
R47NCD Changes to the Covered Indications for Tumor Antigen by Immunoassay CA 125 to Add Primary Peritoneal Carcinoma 01/03/2006 01/01/2006
R47NCD Changes to the Covered Indications for Tumor Antigen by Immunoassay CA 125 to Add Primary Peritoneal Carcinoma 01/03/2006 01/01/2006
R872CP New Waived Tests 04/03/2005 01/01/2006
R870CP Type of Service (TOS) Corrections 04/03/2005 01/01/2006
R875CP Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims That Include Certain Drug HCPCS Codes 04/03/2005 01/01/2006
R876CP April 2006 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File and Revisions to January 2005, April 2005, July 2005, October 2005, and January 2006 Quarterly ASP Medicare Part B Drug Pricing Files 04/03/2005 01/01/2006
R876CP April 2006 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File and Revisions to January 2005, April 2005, July 2005, October 2005, and January 2006 Quarterly ASP Medicare Part B Drug Pricing Files 04/03/2005 01/01/2006
R877CP Changes in Transitional Outpatient Payments (TOP) for Rural Sole Community Hospitals and Small Rural Hospitals for 2006 03/06/2005 01/01/2006
R876CP April 2006 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File and Revisions to January 2005, April 2005, July 2005, October 2005, and January 2006 Quarterly ASP Medicare Part B Drug Pricing Files 04/03/2005 01/01/2006
R876CP April 2006 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File and Revisions to January 2005, April 2005, July 2005, October 2005, and January 2006 Quarterly ASP Medicare Part B Drug Pricing Files 04/03/2005 01/01/2006
R881CP Outpatient Prospective Payment System (OPPS) Hospital Emergency Room Services Exceeding 24 Hours 04/03/2006 01/01/2006
R879CP Announcement of Federally Qualified Health Centers (FQHCs) Designation as Urban and Rural - Skilled Nursing Facility (SNF) Consolidated Billing (CB) as it Applies to FQHC Services Furnished to Swing-Bed Patients 04/03/2006 01/01/2006
R39DEMO Outpatient Prospective Payment System (OPPS) Hospital Emergency Room Services Exceeding 24 Hours 04/03/2006 01/01/2006
R879CP Announcement of Federally Qualified Health Centers (FQHCs) Designation as Urban and Rural - Skilled Nursing Facility (SNF) Consolidated Billing (CB) as it Applies to FQHC Services Furnished to Swing-Bed Patients 04/03/2006 01/01/2006
R880CP April Quarterly Update for 2006 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 04/03/2006 01/01/2006
R15P236 PRM, Part 2, Provider Cost Reporting Forms and Instructions Chapter 36, Form CMS-2552-96 N/A 01/01/2006
R886CP April 2006 Update to the Medicare outpatient Code Editor (OCE) Version 21.2 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS). 04/03/2006 01/01/2006
R888CP April 2006 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 7.1 04/03/2006 01/01/2006
R40DEMO Amendments to Section 651 Chiropractic Services Demonstration-- Changes to CPT 98943 rate published in CR 4225 Due to Passage of the Deficit Reduction Act, and revisions to CPT codes for 2006 04/10/2006 01/01/2006
R885CP Suppression of Standard Paper Remittance Advice to Providers and Suppliers Also Receiving Electronic Remittance Advice for 45 Days or More 06/01/2006 01/01/2006
R886CP April 2006 Update to the Medicare outpatient Code Editor (OCE) Version 21.2 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS). 04/03/2006 01/01/2006
R888CP April 2006 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 7.1 04/03/2006 01/01/2006
R886CP April 2006 Update to the Medicare outpatient Code Editor (OCE) Version 21.2 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS). 04/03/2006 01/01/2006
R886CP April 2006 Update to the Medicare outpatient Code Editor (OCE) Version 21.2 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS). 04/03/2006 01/01/2006
R41DEMO 2006 Oncology Demonstration Project---Inclusion of Gynecological Oncology (Supplement to CR 4219) 04/03/2006 01/01/2006
R888CP April 2006 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 7.1 04/03/2006 01/01/2006
R887CP Correction to Change Request 4282 - Application of Temporary 5 Percent Payment Increase for Home Health Services Furnished in a Rural Area for One Year Under the Home Health Prospective Payment System (HH PPS) 03/13/2006 01/01/2006
R886CP April 2006 Update to the Medicare outpatient Code Editor (OCE) Version 21.2 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS). 04/03/2006 01/01/2006
R42DEMO 2006 Oncology Demonstration Project 01/17/2006 01/01/2006
R885CP Suppression of Standard Paper Remittance Advice to Providers and Suppliers Also Receiving Electronic Remittance Advice for 45 Days or More 06/01/2006 01/01/2006
R886CP April 2006 Update to the Medicare outpatient Code Editor (OCE) Version 21.2 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS). 04/03/2006 01/01/2006
R885CP Suppression of Standard Paper Remittance Advice to Providers and Suppliers Also Receiving Electronic Remittance Advice for 45 Days or More 06/01/2006 01/01/2006
R886CP April 2006 Update to the Medicare outpatient Code Editor (OCE) Version 21.2 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS). 04/03/2006 01/01/2006
R888CP April 2006 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 7.1 04/03/2006 01/01/2006
R885CP Suppression of Standard Paper Remittance Advice to Providers and Suppliers Also Receiving Electronic Remittance Advice for 45 Days or More 06/01/2006 01/01/2006
R886CP April 2006 Update to the Medicare outpatient Code Editor (OCE) Version 21.2 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS). 04/03/2006 01/01/2006
R888CP April 2006 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 7.1 04/03/2006 01/01/2006
R886CP April 2006 Update to the Medicare outpatient Code Editor (OCE) Version 21.2 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS). 04/03/2006 01/01/2006
R886CP April 2006 Update to the Medicare outpatient Code Editor (OCE) Version 21.2 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS). 04/03/2006 01/01/2006
R888CP April 2006 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 7.1 04/03/2006 01/01/2006
R883CP Claims Processing Requirements for Medicare Beneficiaries in State or Local Custody Under a Penal Authority - MANUALIZATION 06/12/2006 01/01/2006
R885CP Suppression of Standard Paper Remittance Advice to Providers and Suppliers Also Receiving Electronic Remittance Advice for 45 Days or More 06/01/2006 01/01/2006
R886CP April 2006 Update to the Medicare outpatient Code Editor (OCE) Version 21.2 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS). 04/03/2006 01/01/2006
R888CP April 2006 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 7.1 04/03/2006 01/01/2006
R885CP Suppression of Standard Paper Remittance Advice to Providers and Suppliers Also Receiving Electronic Remittance Advice for 45 Days or More 06/01/2006 01/01/2006
R886CP April 2006 Update to the Medicare outpatient Code Editor (OCE) Version 21.2 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS). 04/03/2006 01/01/2006
R888CP April 2006 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 7.1 04/03/2006 01/01/2006
R888CP April 2006 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 7.1 04/03/2006 01/01/2006
R885CP Suppression of Standard Paper Remittance Advice to Providers and Suppliers Also Receiving Electronic Remittance Advice for 45 Days or More 06/01/2006 01/01/2006
CMS-1502-F2 Medicare Program, Revisions to Payment Policies Under the Physician Fee schedule for Calendar Year 2006 and Certain Provisions Related to the Competitive Acquisition Program of Outpatient Drugs and Biologicals Under Part B, Correcting Amendment 03/15/2006 01/01/2006
R80MCM Revisions to Chapter 13, Medicare Managed Care Beneficiary Grievances, Organization Determinations, and Appeals Applicable to Medicare Advantage Plans, Cost Plans, and Health Care Prepayment Plans (HCPPs), (collectively referred to as Medicare health plans) N/A 01/01/2006
R889CP April Update to the 2006 Medicare Physician Fee Schedule Database 04/03/2006 01/01/2006
R18SOMA Complete Revisions to Chapter 5, "Complaint Procedures" 03/17/2006 01/01/2006
R48NCD Technical Corrections to the NCD Manual 04/03/2006 01/01/2006
CMS-1269-N7 Emergency Medical Treatment and Labor Act(EMTALA) Technical Advisory Group (TAG), Announcement of a New Member 03/24/2006 01/01/2006
CMS-3163-N Request for Nominations for Members of the Medicare Coverage Advisory committee and Notice of Meeting of the Medicare Coverage Advisory Committee--May 18, 2006 03/24/2006 01/01/2006
CMS-4117-PN Application for Deeming Authority for Medicare Advantage Health Maintenance Organizations and Local Preferred Provider Organizations Submitted by URAC 03/24/2006 01/01/2006
CMS-9034-N Medicare and Medicaid Programs; Quarterly Listing of Program Issuances--October Through December 2005 03/24/2006 01/01/2006
CMS-1281-N Medicare Program; Public Meetings in Calendar Year 2006 for All New Public Requests for Revisions to the Healthcare Common Procedure Coding System (HCPCS) Coding and Payment Determinations 03/24/2006 01/01/2006
R893CP 2006 Juridiction List 04/03/2006 01/01/2006
R48BP Expansion of Glaucoma Screening Services 04/03/2006 01/01/2006
R895CP Expansion of Glaucoma Screening Services 04/03/2006 01/01/2006
R893CP 2006 Juridiction List 04/03/2006 01/01/2006
R896CP April 2006 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes 04/03/2006 01/01/2006
R50NCD External Counterpulsation (ECP) Therapy 04/03/2006 01/01/2006
R50NCD External Counterpulsation (ECP) Therapy 04/03/2006 01/01/2006
R898CP External Counterpulsation (ECP) Therapy N/A 01/01/2006
R898CP External Counterpulsation (ECP) Therapy N/A 01/01/2006
R897CP April Update to the 2006 Medicare Physician Fee Schedule Database 04/03/2006 01/01/2006
R49BP Payment of Federally Qualified Health Centers (FQHCs) for Diabetes Self-Management Training Services (DSMT) and Medical Nutrition Therapy (MNT) Services 06/29/2006 01/01/2006
R206OTN Modifications/Additions to CR 3730, Frequent Hemodialysis Network (FHN) Payments for Approved Clinical Trial Costs 03/03/2006 01/01/2006