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QPU July 2004

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
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Protability and Accountability Act of 1996 X12N 83 10/04/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R282CP Good Cause Waiver of Late Claim Filing Payment Reduction Penalty 09/14/2004 07/01/2004
R274CP Good Cause Waiver of Late Claim Filing Payment Reduction Penalty 09/14/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R22BP Nurse Practitioners As Attending Physicians in the Medicare Hospice Benefit 06/28/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R112OTN Billing Instructions for ADVATE rAHF-PFM on Medicare Claims 09/27/2004 07/01/2004
R109OTN CWF Analysis to Process Claims Per the Renovated Override Code Billing Instructions for ADVATE rAHF-PFM on Medicare Claims 09/27/2004 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R302CP Nursing Facility Visits (Codes 99301 -99313) 10/25/2004 07/01/2004
R300CP Payment For Outpatient End Stage Renal Disease (ESRD)-Related Services 10/18/2004 07/01/2004
R298CP MSN and ANSI Messages for Mammography Claims 09/25/2004 07/01/2004
R295CP MSN Messages and Reason Codes for Mammography N/A 07/01/2004
R282CP Good Cause Waiver of Late Claim Filing Payment Reduction Penalty 09/14/2004 07/01/2004
R274CP Good Cause Waiver of Late Claim Filing Payment Reduction Penalty 09/14/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R234CP Standardized Responses to Provider Inquiries Regarding the Negotiated Laboratory National Coverage Determinations (NCDs) Edit Software 10/04/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R18BP Revised Requirements for Chiropractic Billing of Active/Corrective Treatmentand Maintenance Therapy. Full Replacement of CR 3063 10/04/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R254CP October 2004 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 5.3 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004. 10/04/2004 07/01/2004
R226CP Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 10/04/2004 07/01/2004
R224CP October Quarterly Update to 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement 10/04/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R17BP Incident-To Services on Form CMS-1500 10/04/2004 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Protability and Accountability Act of 1996 X12N 83 10/04/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004. 10/04/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R106OTN MMA Drug Pricing Update - Payment Limit Update for J9045 (Carboplatin injection) 09/24/2004 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R304CP Nurse Practitioners As Attending Physicians in the Medicare Hospice Benefit 10/25/2004 07/01/2004
R302CP Nursing Facility Visits (Codes 99301 -99313) 10/25/2004 07/01/2004
R298CP MSN and ANSI Messages for Mammography Claims 09/25/2004 07/01/2004
R300CP Payment For Outpatient End Stage Renal Disease (ESRD)-Related Services 10/18/2004 07/01/2004
R295CP MSN Messages and Reason Codes for Mammography N/A 07/01/2004
R112OTN Billing Instructions for ADVATE rAHF-PFM on Medicare Claims 09/27/2004 07/01/2004
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Protability and Accountability Act of 1996 X12N 83 10/04/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R1DEMO Virginia Cardiac Surgery Initiative Demonstration - M9odifications & Corrections to CR 2382 10/04/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004. 10/04/2004 07/01/2004
R226CP Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 10/04/2004 07/01/2004
R210CP Medicare Contractor Annual Update of the International Classification of Diseases 10/04/2004 07/01/2004
R157CP Implementation of the Analysis and Design Phases of the Physician Scarcity Bonus 10/04/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R95CP Elimination of the 90-Day Grace Period for ICD-9-CM Codes 10/04/2004 07/01/2004
R17BP Incident-To Services on Form CMS-1500 10/04/2004 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Protability and Accountability Act of 1996 X12N 83 10/04/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpatments and Underpatyments 08/09/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpatments and Underpatyments 08/09/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpatments and Underpatyments 08/09/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Protability and Accountability Act of 1996 X12N 83 10/04/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Protability and Accountability Act of 1996 X12N 83 10/04/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R228CP General Policy 08/16/2004 07/01/2004
R234CP Standardized Responses to Provider Inquiries Regarding the Negotiated Laboratory National Coverage Determinations (NCDs) Edit Software 10/04/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R210CP Medicare Contractor Annual Update of the International Classification of Diseases 10/04/2004 07/01/2004
R225CP Changes to the Laboratory National Coverage Determination (NCD)Edit Software for October 2004 10/04/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004. 10/04/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpatments and Underpatyments 08/09/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpatments and Underpatyments 08/09/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpatments and Underpatyments 08/09/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R234CP Standardized Responses to Provider Inquiries Regarding the Negotiated Laboratory National Coverage Determinations (NCDs) Edit Software 10/04/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R185CP Change to the CWF SNF Consoliated Billing (CB) Edits for Drugs Administered During an Ambulance Transport 10/04/2004 07/01/2004
R224CP October Quarterly Update to 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement 10/04/2004 07/01/2004
R282CP Good Cause Waiver of Late Claim Filing Payment Reduction Penalty 09/14/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004. 10/04/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R163CP Ambulance & SNF 10/04/2004 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R288CP Fiscal Year (FY) 2005 Payment for Services Furnished in Ambulatory Surgical Centers (ASCs) 10/01/2004 07/01/2004
R254CP October 2004 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 5.3 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004. 10/04/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004. 10/04/2004 07/01/2004
R224CP October Quarterly Update to 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement 10/04/2004 07/01/2004
R210CP Medicare Contractor Annual Update of the International Classification of Diseases 10/04/2004 07/01/2004
R224CP October Quarterly Update to 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement 10/04/2004 07/01/2004
R167CP Discontinued Use of Revenue Code 0910 10/04/2004 07/01/2004
R175CP (HIPAA) X12N 837 (IG) ICD-9 Procedure Codes, Value Codes, Occurrence Codes, Occurrence Span Codes, and Direct Data Entry (DDE) 10/04/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R17MSP Clarification of CR 3064 08/16/2004 07/01/2004
R282CP Good Cause Waiver of Late Claim Filing Payment Reduction Penalty 09/14/2004 07/01/2004
R274CP Good Cause Waiver of Late Claim Filing Payment Reduction Penalty 09/14/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpatments and Underpatyments 08/09/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Protability and Accountability Act of 1996 X12N 83 10/04/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R167CP Discontinued Use of Revenue Code 0910 10/04/2004 07/01/2004
R175CP (HIPAA) X12N 837 (IG) ICD-9 Procedure Codes, Value Codes, Occurrence Codes, Occurrence Span Codes, and Direct Data Entry (DDE) 10/04/2004 07/01/2004
R224CP October Quarterly Update to 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement 10/04/2004 07/01/2004
R226CP Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004. 10/04/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004. 10/04/2004 07/01/2004
R254CP October 2004 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 5.3 10/04/2004 07/01/2004
R224CP October Quarterly Update to 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement 10/04/2004 07/01/2004
R175CP (HIPAA) X12N 837 (IG) ICD-9 Procedure Codes, Value Codes, Occurrence Codes, Occurrence Span Codes, and Direct Data Entry (DDE) 10/04/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Protability and Accountability Act of 1996 X12N 83 10/04/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004. 10/04/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R106OTN MMA Drug Pricing Update - Payment Limit Update for J9045 (Carboplatin injection) 09/24/2004 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Protability and Accountability Act of 1996 X12N 83 10/04/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R254CP October 2004 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 5.3 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004. 10/04/2004 07/01/2004
R225CP Changes to the Laboratory National Coverage Determination (NCD)Edit Software for October 2004 10/04/2004 07/01/2004
R167CP Discontinued Use of Revenue Code 0910 10/04/2004 07/01/2004
R175CP (HIPAA) X12N 837 (IG) ICD-9 Procedure Codes, Value Codes, Occurrence Codes, Occurrence Span Codes, and Direct Data Entry (DDE) 10/04/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R234CP Standardized Responses to Provider Inquiries Regarding the Negotiated Laboratory National Coverage Determinations (NCDs) Edit Software 10/04/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Protability and Accountability Act of 1996 X12N 83 10/04/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R160CP Section 511 of the MMA Act of 2003 Special Adjustment for SNF PPS Rates for AIDS 10/04/2004 07/01/2004
R152CP Inclusion of Core-Based Statistical Area (CBSA) Data Elements to the Provider Specific Files 10/04/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R304CP Nurse Practitioners As Attending Physicians in the Medicare Hospice Benefit 10/25/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R22BP Nurse Practitioners As Attending Physicians in the Medicare Hospice Benefit 06/28/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Protability and Accountability Act of 1996 X12N 83 10/04/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R146CP Clarification of IV Drug Administration to ESRD Beneficiairies 10/04/2004 07/01/2004
R95CP Elimination of the 90-Day Grace Period for ICD-9-CM Codes 10/04/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R116OTN Notification of Medlearn Matters (MM) Article for Confidential Change Request (CR) 3301 N/A 07/01/2004
R93OTN Temporary SNF Extension 07/09/2004 07/01/2004
R2SOM Provider Identification Numbers N/A 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R17MSP Clarification of CR 3064 08/16/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R234CP Standardized Responses to Provider Inquiries Regarding the Negotiated Laboratory National Coverage Determinations (NCDs) Edit Software 10/04/2004 07/01/2004
R228CP General Policy 08/16/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R1DEMO Virginia Cardiac Surgery Initiative Demonstration - M9odifications & Corrections to CR 2382 10/04/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R299CP Use of Condition Code 44, "Inpatient Admission Changed to Outpatient" 10/12/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R275CP The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2003 for Inpatient Prospective Payment System (IPPS) Hospitals 10/04/2004 07/01/2004
R263CP Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2005 10/04/2004 07/01/2004
R282CP Good Cause Waiver of Late Claim Filing Payment Reduction Penalty 09/14/2004 07/01/2004
R274CP Good Cause Waiver of Late Claim Filing Payment Reduction Penalty 09/14/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Protability and Accountability Act of 1996 X12N 83 10/04/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004. 10/04/2004 07/01/2004
R224CP October Quarterly Update to 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement 10/04/2004 07/01/2004
R163CP Ambulance & SNF 10/04/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R95CP Elimination of the 90-Day Grace Period for ICD-9-CM Codes 10/04/2004 07/01/2004
R17BP Incident-To Services on Form CMS-1500 10/04/2004 07/01/2004
R12BP Chiropractic Billing 10/04/2004 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R255CP October Update to the Medicare Outpatient Code Editor (OCE) Version 20.0 for Bills From Hospitals that are not Paid Under the Outpatient Prospective Payment System (OPPS) 10/04/2004 07/01/2004
R254CP October 2004 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 5.3 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004. 10/04/2004 07/01/2004
R226CP Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 10/04/2004 07/01/2004
R225CP Changes to the Laboratory National Coverage Determination (NCD)Edit Software for October 2004 10/04/2004 07/01/2004
R224CP October Quarterly Update to 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement 10/04/2004 07/01/2004
R210CP Medicare Contractor Annual Update of the International Classification of Diseases 10/04/2004 07/01/2004
R197CP Emergency Hospital Outpatient billing of Epotein Alfa and Dabepoetin Alfa (Aranesp) 10/04/2004 07/01/2004
R175CP (HIPAA) X12N 837 (IG) ICD-9 Procedure Codes, Value Codes, Occurrence Codes, Occurrence Span Codes, and Direct Data Entry (DDE) 10/04/2004 07/01/2004
R167CP Discontinued Use of Revenue Code 0910 10/04/2004 07/01/2004
R156CP Clarification of Payments and Billing Procedures for Hospitals Subject to the Maryland Waiver 10/04/2004 07/01/2004
R152CP Inclusion of Core-Based Statistical Area (CBSA) Data Elements to the Provider Specific Files 10/04/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R19BP Hospital Services Covered Under Part B 10/12/2004 07/01/2004
R17BP Incident-To Services on Form CMS-1500 10/04/2004 07/01/2004
R224CP October Quarterly Update to 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement 10/04/2004 07/01/2004
R185CP Change to the CWF SNF Consoliated Billing (CB) Edits for Drugs Administered During an Ambulance Transport 10/04/2004 07/01/2004
R175CP (HIPAA) X12N 837 (IG) ICD-9 Procedure Codes, Value Codes, Occurrence Codes, Occurrence Span Codes, and Direct Data Entry (DDE) 10/04/2004 07/01/2004
R163CP Ambulance & SNF 10/04/2004 07/01/2004
R93OTN Temporary SNF Extension 07/09/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R268CP Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2005 10/04/2004 07/01/2004
R254CP October 2004 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 5.3 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004. 10/04/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R229CP Additional Clarification of Bill Types 22x and 23x Submitted by Skilled Nursing Facilities (SNFs) With Instructions for Involuntarily Moving a Beneficiary Out of the SNF and Ending a Benefit Period 8/19/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Protability and Accountability Act of 1996 X12N 83 10/04/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R61MCM Emergency and Urgently Needed Services N/A 07/01/2004
R60MCM Chapter 3 N/A 07/01/2004
R59MCM Chapter 2 N/A 07/01/2004
R58MCM Chapter 5 Revisions N/A 07/01/2004
R57MCM Chapter 7 Revisions N/A 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R234CP Standardized Responses to Provider Inquiries Regarding the Negotiated Laboratory National Coverage Determinations (NCDs) Edit Software 10/04/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Protability and Accountability Act of 1996 X12N 83 10/04/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R56MCM Chapter 11 N/A 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
CMS-3112-NC2 Medicare Program; Adjustment in Payment Amounts for New Technology Intraocular Lenses Furnished by Ambulatory Surgical Centers 07/23/2004 07/01/2004
CMS-2202-PN Medicare and Medicaid Programs; Application by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc., for Continued Deeming Authority for Ambulatory Surgical Centers 07/23/2004 07/01/2004
CMS-1492-IFC Medicare Program; Medicare Ambulance MMA Temporary Rate Increases Beginning July 1, 2004 07/01/2004 07/01/2004
CMS-8022-N Medicare Program; Part A Premium for 2005 for the Uninsured Aged and for Certain Disabled Individuals Who Have Exhausted Other Entitlement 09/09/2004 07/01/2004
CMS-6146-P Medicare Program; Revised Civil Money Penalties, Assessments, Exclusions, and Related Appeals Procedures 07/23/2004 07/01/2004
CMS-8020-N Medicare Program; Medicare Part B Monthly Actuarial Rates, Premium Rate, and Annual Deductible Beginning January 1, 2005 09/09/2004 07/01/2004
CMS-6146-CN Medicare Program; Revised Civil Money Penalties, Assessments, Exclusions, and Related Appeals Procedures 08/27/2004 07/01/2004
CMS-6014-F Medicare Program; Interest Calculation 07/30/2004 07/01/2004
CMS-4068-P Medicare Program; Medicare Prescription Drug Benefit 08/03/2004 07/01/2004
CMS-3141-N Procedure for Producing Guidance Documents Describing Medicare's Coverage Process 09/24/2004 07/01/2004
CMS-2033-F Requirements for the Group Health Insurance Market; Non-Federal Governmental Plans Exempt From HIPAA Title I Requirements 07/23/2004 07/01/2004
CMS-1380-F Medicare Program; Manufacturer Submission of Manufacturer's Average Sales Price (ASP) Data for Medicare Part B Drugs and Biologicals 09/16/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004. 10/04/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R225CP Changes to the Laboratory National Coverage Determination (NCD)Edit Software for October 2004 10/04/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Protability and Accountability Act of 1996 X12N 83 10/04/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004. 10/04/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpatments and Underpatyments 08/09/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
CMS-1264-N Medicare Program; Hospice Wage Index for Fiscal Year 2005 08/27/2004 07/01/2004
CMS-2256-PN Medicare and Medicaid Programs; Application by the Community Health Accreditation Program (CHAP) for Home Health Agencies 09/24/2004 07/01/2004
CMS-2204-PN Medicare and Medicaid Programs; Application by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) for Home Health Agencies 09/24/2004 07/01/2004
CMS-1265-CN Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2005; Correction Notice 07/30/2004 07/01/2004
CMS-8021-N Medicare Program; Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts for 2005 09/09/2004 07/01/2004
CMS-4018-F Medicare Program; Continuation of Medicare Entitlement When Disability Benefit Entitlement Ends Because of Substantial Gainful Activity 09/24/2004 07/01/2004
CMS-2208-PN Medicare and Medicaid Programs; Application by the American Osteopathic Association for Continued Approval of Deeming Authority for Hospitals 09/24/2004 07/01/2004
CMS-1428-F Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates 08/11/2004 07/01/2004
CMS-1427-P Medicare Program; Proposed Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates 08/16/2004 07/01/2004
CMS-1360-N Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Fiscal Year 2005 07/30/2004 07/01/2004
CMS-2152-F2 Amendment to the Interim Final Regulation for Mental Health Parity 07/23/2004 07/01/2004
CMS-6027-N Medicare Program; September 30, 2004 Open Door Forum: Requirements for Coordination Between Plans Primary or Secondary to Medicare Part D Under the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA) 09/14/2004 07/01/2004
CMS-4068-N Medicare Program; Open Public Meeting Regarding the Development of the Model Guidelines for Categories and Classes of Drugs 07/30/2004 07/01/2004
CMS-4074-N Medicare Program; Meeting of the Advisory Panel on Medicare Education--September 9, 2004 07/23/2004 07/01/2004
CMS-3154-N Medicare Program; Request for Nominations for Members for the Medicare Coverage Advisory Committee 09/24/2004 07/01/2004
CMS-3137-N Medicare Program; Meeting of the Medicare Coverage Advisory Committee--November 4, 2004 09/24/2004 07/01/2004
CMS-3136-N Medicare Program; Meeting of the Medicare Coverage Advisory Committee--September 28, 2004 08/27/2004 07/01/2004
CMS-1364-N Medicare Program; August 30, 2004, Meeting of the Practicing Physicians Advisory Council and Request for Nominations 07/23/2004 07/01/2004
CMS-2200-N4 Medicare Program; Meeting of the State Pharmaceutical Assistance Transition Commission--October 14, 2004 09/24/2004 07/01/2004
CMS-1334-N Medicare Program; Public Meeting in Calendar Year 2004 for Coding and Payment Determinations for Power Wheelchairs 07/23/2004 07/01/2004
CMS-1279-N2 Medicare Program; Public Meeting of the Program Advisory and Oversight Committee (PAOC) for Quality Standards and Competitive Acquisition of Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 08/27/2004 07/01/2004
CMS-1275-N Medicare Program; Meeting of the Advisory Panel on Ambulatory Payment Classification Groups--September 1, 2, and 3, 2004 08/05/2004 07/01/2004
CMS-1269-N2 Medicare Program; Second Request for Nominations for Two Specific Categories of Members of the Emergency Medical Treatment and Labor Act (EMTALA) Technical Advisory Group (TAG) 08/27/2004 07/01/2004
CMS-4077-PN Medicare and Medicaid Programs; Application by the National Committee for Quality Assurance Preferred Provider Organization for Deeming Authority for Medicare Advantage 09/24/2004 07/01/2004
CMS-4069-P Medicare Program; Establishment of the Medicare Advantage Program 08/03/2004 07/01/2004
CMS-4067-PN Medicare and Medicaid Programs; Application by the Utilization Review Accreditation Commission (URAC) for Deeming Authority for Medicare Advantage 08/27/2004 07/01/2004
CMS-6026-CN Medicaid Program and State Children's Health Insurance Program (SCHIP); Payment Error Rate Measurement; Correction 09/24/2004 07/01/2004
CMS-6026-P Medicaid Program and State Children's Health Insurance Program (SCHIP): Payment Error Rate Measurement 08/27/2004 07/01/2004
CMS-2201-N State Children's Health Insurance Program; Final Allotments to States, the District of Columbia, and U.S. Territories and Commonwealths for Fiscal Year 2005 08/27/2004 07/01/2004
CMS-2187-N State Children's Health Insurance Program (SCHIP); Extended Availability of Unexpended SCHIP Funds From the Appropriation for Fiscal Years 1998 Through 2001; and Provision of Authority for Qualifying States To Use a Portion of SCHIP Funds for Medicaid Expenditures 07/23/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R254CP October 2004 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 5.3 10/04/2005 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/04 07/01/2004
R95CP Elimination of the 90-Day Grace Period for ICD-9-CM Codes 10/04/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Parts Units 10/04/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R166CP DMERCs Remittance on-Off Switch for Unassigned Claims 10/04/2004 07/01/2004
R224CP October Quarterly update to 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement 10/04/2004 07/01/2004
R226CP Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 10.3, Effective October 1, 2004 10/04/2004 07/01/2004
R272CP October Quarterly Update for 2004 08/10/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) program 11/29/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Protability and Accountability Act of 1996 X12N 83 10/04/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility coverage 10/25/2004 07/01/2004
R222CP SNF CB Requirements for DMEPOS N/A 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R274CP Good Cause Waiver of Late Claim Filing Payment reduction Penalty 09/14/2004 07/01/2004
R284CP DMERCs Only-Appeals of Duplicate Claims 09/27/2004 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R167CP Discontinued Use of Revenue Code 0910 10/04/2004 07/01/2004
R225CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2004 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 10.3, Effective October 1, 2004 10/04/2004 07/01/2004
R254CP October 2004 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 5.3 10/04/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/092004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Portability and Accountability Act of 1996 X12N 83 10/04/2004 07/01/2004
R6P229 For Cost Reporting Periods End On or After March 31, 2002 N/A 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R234CP Standardized Responses to Provider Inquiries Regarding the Negotiated Laboratory National Coverage Determinations (NCDs) Edit Software 10/04/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of ABsence 10/25/2004 07/01/2004
R144CP Critical Access Hospital (CAH) Distinct Part Units 10/04/2004 07/01/2004
R152CP Inclusion of Core-Based Statistical Area (CBSA) Data Elements to the Provider Specific Files 10/04/2004 07/01/2004
R165CP Enhancement to HH Consolidated Billing Edits 10/04/2004 07/01/2004
R175CP (HIPAA) X12N 837 (IG) ICD-9 Procedure Codes, Value Codes, Occurrence Codes, Occurrence Span Codes, and Direct Data Entry (DDE) 10/04/2004 07/01/2004
R224CP October Quarterly Update to 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement 10/04/2004 07/01/2004
R226CP Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 10.3, Effective October 1, 2004 10/04/2004 07/01/2004
R254CP October 2004 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 5.3 10/04/2004 07/01/2004
R278CP 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R4DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries 10/04/2004 07/01/2004
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Portability and Accountabiity Act of 1996 X12N 83 10/04/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R273CP Modification of CMS's Medicare Contingency Plan for HIPAA Implementation 07/06/2004 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R144CP Critical Access Hospital (CAH) distinct Part Units 10/04/2004 07/01/2004
R149CP Update to the Claims Processing Manual, Chapter 25, Section 60 10/04/2004 07/01/2004
R152CP Inclusion of Core-Based Statistical Area (CBSA) Data Elements to the Provider Specific Files 10/04/2004 07/01/2004
R175CP (HIPAA) X12N 837 (IG) ICD-9 Procedure Codes, Value Codes, Occurrence codes, Occurrence Span Codes, and Direct Data Entry (DDE) 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 10.3, Effective October 1, 2004 10/04/2004 07/01/2004
R254CP October 2004 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 5.3 10/04/2004 07/01/2004
R264CP Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2005 10/04/2004 07/01/2004
R271CP Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2005 10/04/2004 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R18MSP Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverager Under the Federal Employees Health Benefits (FEHB) Program 11/29/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R51FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 08/09/2004 07/01/2004
R155CP Implementation of the Analysis and Design Phases of the HPSA 10/04/2004 07/01/2004
R210CP Medicare Contractor Annual Update of the International Classification of Diseases 10/04/2004 07/01/2004
R225CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2004 10/04/2004 07/01/2004
R226CP Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 10/04/2004 07/01/2004
R41FM Change in Interest for MSP Overpayments 10/04/2004 07/01/2004
R225CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2004 10/04/2004 07/01/2004
R109OTN CWF Analysis to Process Claims Per the Renovated Override Code Billing Instructions for ADVATE rAHF-PFM on Medicare Claims 09/27/2004 07/01/2004
R6P229r For Cost Reporting Periods End On or After March 31, 2002 N/A 07/01/2004
R62MCM Revisions to Chapter 13 - Medicare+Choice Beneficiary Grievances, Organization Determinations and Appeals N/A 07/01/2004
R15MSP Interest on MSP Recovery Claims 10/04/2004 07/01/2004
R84OTN Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Protability and Accountability Act of 1996 X12N 83 10/04/2004 07/01/2004
R21BP Medicare Comprehensive Outpatient Rehabilitation Facility Coverage 10/25/2004 07/01/2004
R258CP New Waived Tests - October 1, 2004 10/04/2004 07/01/2004
R19MSP Clarification of MSP Rules in Relation to a Temporary Leave of Absence 10/25/2004 07/01/2004
R19NCD Blood-Derived Products for Chronic Non-Healing Wounds 07/23/2004 07/01/2004
R282CP Good Cause Waiver of Late Claim Filing Payment Reduction Penalty 09/14/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpatments and Underpatyments 08/09/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpatments and Underpatyments 08/09/2004 07/01/2004
R234CP Standardized Responses to Provider Inquiries Regarding the Negotiated Laboratory National Coverage Determinations (NCDs) Edit Software 10/04/2004 07/01/2004
R242CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004. 10/04/2004 07/01/2004
R52FM Notice of New Interest Rate for Medicare Overpatments and Underpayments 08/09/2004 07/01/2004
R49FM Procedures For Re-Issuance and Stale Dating of Medicare Checks 08/16/2004 07/01/2004
CMS-1249-N Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities--Update--Notice 07/30/2004 07/01/2004
CMS-3142-NC Evaluation Criteria and Standards for Quality Improvement Program Contracts 07/23/2004 07/01/2004
CMS-1429-P Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 08/05/2004 07/01/2004
CMS-5025-CN Medicare Replacement Drug Demonstration; Correction 08/27/2004 07/01/2004
CMS-9023-N Quarterly Listing of Program Issuances--April 2004 Through June 2004 09/24/2004 04/01/2004
CMS-1810-IFC2 Physicians' Referrals to Health Care Entities With Which They Have Financial Relationships (Phase II); Correcting Amendment 09/24/2004 07/01/2004
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