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QPU October 2003

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
R40CP New ICD-9 Code V04.81 for Billing Influenza Virus Vaccine Benefit N/A 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 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 01/01/2004 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R1895A3 Diabetes Outpatient Self-Management Training Services 01/01/2004 10/01/2003
R33CP MQSA File Record Layout for the FDA Certified Digital Mammography Center N/A 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
AB-03-130 Levocarnitine for Use in the Treatment of Carnitine Deficiency in ESRD Patients 01/01/2004 10/01/2003
R19CP Annual Update of HCPCS Codes Used for SNF Consolidated BillingEnforcement and the updated SNF Help Files 01/05/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
R25FM Rates of Interest 11/03/2003 10/01/2003
R40CP New ICD-9 Code V04.81 for Billing Influenza Virus Vaccine Benefit N/A 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R25OTN Clarification of Mammography Annual Screening Examination 12/10/2003 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 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 01/01/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
A-03-082 Clarification for Billing under the 2300 Provider Number by Hospital-Based Renal Dialysis Facilities (RDF) 01/01/2004 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R19CP Annual Update of HCPCS Codes Used for SNF Consolidated BillingEnforcement and the updated SNF Help Files 01/05/2004 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
AB-03-114 Claims Processing and Payment of Incompleted Screening Colonoscopies 01/01/2004 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 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 01/01/2004 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
AB-03-007 Second Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule 02/24/2004 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 01/01/2004 10/01/2003
AB-03-128 Clarification to Transmittal AB-03-044 (CR 2611), Addition of new temporary "K" codes 01/01/2004 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R20OTN 2004 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 01/05/2004 10/01/2003
R12OTN New Waived Tests - January 1, 2004 01/01/2004 10/01/2003
R10OTN Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 1, 2004 01/01/2004 10/01/2003
R5OTN New Waived Tests 10/01/2003 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 10/01/2003
AB-03-146 Reminder Notice of the Implementation of the Ambulance Transition Schedule 01/01/2004 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 01/01/2004 10/01/2003
AB-03-110 Adjustment to the Rural Mileage Payment Rate for Ground Ambulance Services 01/01/2004 10/01/2003
R19CP Annual Update of HCPCS Codes Used for SNF Consolidated BillingEnforcement and the updated SNF Help Files 01/05/2004 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 10/01/2003
R30CP Update to Outpatient Therapy 01/05/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R8CP Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 01/01/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers 01/20/2004 10/01/2003
R4NCD Provider Education Article: Ventricular Assist Devices (VADs) for Destination Therapy 11/21/2003 10/01/2003
R51CP January Medicare Outpatient Code Editor (OCE) Specifications Version 19.1 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) 01/05/2004 10/01/2003
R11CP Use of GY Modifier to Identify Clinical Diagnostic Laboratory Services that are Not Covered by Medicare 01/01/2004 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
R30CP Update to Outpatient Therapy 01/05/2004 10/01/2003
R25FM Rates of Interest 11/03/2003 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
R34CP Transaction 835 companion document and the flat file for Durable Medical Equipment Regional Carriers (DMERCs) 02/01/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 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 01/01/2004 10/01/2003
R28B4 Section 2010, Items 14-33, Provider of Services or Supplier Information 01/01/2004 10/01/2003
R42CP Renewed Moratorium on Outpatient Therapy Caps 12/08/2003 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R36CP Revenue Code 01/01/2004 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R29OTN Revised American National Standards Institute X12N 837 Professional Health Care Claim Companion Document 01/20/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R25OTN Clarification of Mammography Annual Screening Examination 12/10/2003 10/01/2003
R30OTN Changes in Transitional Outpatient Payment (TOP) for 2004 01/05/2004 10/01/2003
R40CP New ICD-9 Code V04.81 for Billing Influenza Virus Vaccine Benefit N/A 10/01/2003
R8CP Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 01/01/2004 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
R41CP Payment for Services Furnished by a CAH 01/05/2004 10/01/2003
R16OTN Changes to Hospital PPS and FY 2004 Rates 11/05/2003 10/01/2003
R39CP The Supplemental Security Income/Medicare Beneficiary Data for FY 2004 for the Inpatient Rehabilitation Facility Prospective Payment System 01/05/2004 10/01/2003
B-03-059 Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/01/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
AB-03-128 Clarification to Transmittal AB-03-044 (CR 2611), Addition of new temporary "K" codes 01/01/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R10OTN Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 1, 2004 01/01/2004 10/01/2003
R33CP MQSA File Record Layout for the FDA Certified Digital Mammography Center N/A 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
AB-03-114 Claims Processing and Payment of Incompleted Screening Colonoscopies 01/01/2004 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R25OTN Clarification of Mammography Annual Screening Examination 12/10/2003 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R26OTN Coding and Billing Instructions for Velcade 01/01/2004 10/01/2003
R31CP Clarification for Billing under the 2300 Provider Number by Renal Dialysis Facilities N/A 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 10/01/2003
B-03-068 2004 Annual Update for SNF Consolidated Billing for the CWF and Medicare Carriers 01/01/2004 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 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 01/01/2004 10/01/2003
R30CP Update to Outpatient Therapy 01/05/2004 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R32OTN January 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS) 01/05/2004 10/01/2003
R42CP Renewed Moratorium on Outpatient Therapy Caps 12/08/2003 10/01/2003
R10CP Billing Instructions for Claims for Ventricular assist Devices for Beneficiaries in a Medicare+Choice Plan 10/01/2003 10/01/2003
R4OTN Revision to Attachement 2 in 2880 01/01/2004 10/01/2003
R30CP Update to Outpatient Therapy 01/05/2004 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R19CP Annual Update of HCPCS Codes Used for SNF Consolidated BillingEnforcement and the updated SNF Help Files 01/05/2004 10/01/2003
R42CP Renewed Moratorium on Outpatient Therapy Caps 12/08/2003 10/01/2003
R1813B3 Revision to the MCM for Jurisdiction and Unprocessable Claims 01/01/2004 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R30CP Update to Outpatient Therapy 01/05/2004 10/01/2003
R10OTN Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 1, 2004 01/01/2004 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R2BP Provider Education Article: Stopping Abuse of the Power Wheelchair Benefit 12/26/2003 10/01/2003
AB-03-114 Claims Processing and Payment of Incompleted Screening Colonoscopies 01/01/2004 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 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 01/01/2004 10/01/2003
R14CP Modifiers for Transportation of Portable X-rays 01/01/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
B-03-059 Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/01/2004 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R4NCD Provider Education Article: Ventricular Assist Devices (VADs) for Destination Therapy 11/21/2003 10/01/2003
R35CP The minimum standard for the number of pricing files that must be maintained by carrier standard systems 01/01/2004 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R10CP Billing Instructions for Claims for Ventricular assist Devices for Beneficiaries in a Medicare+Choice Plan 10/01/2003 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 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 01/01/2004 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R28B4 Section 2010, Items 14-33, Provider of Services or Supplier Information 01/01/2004 10/01/2003
R1813B3 Revision to the MCM for Jurisdiction and Unprocessable Claims 01/01/2004 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R9CP Reasonable Charge Update for 2004 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, Therapeutic Shoes, and Certain Intraocular Lenses 01/01/2004 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers 01/20/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 10/01/2003
R35OTN Emergency Correction to the Fee Schedule Update for 2004 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 01/05/2004 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R2NCD Ventricular Assist Devices 10/01/2003 10/01/2003
R30CP Update to Outpatient Therapy 01/05/2004 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R8CP Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 01/01/2004 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R11CP Use of GY Modifier to Identify Clinical Diagnostic Laboratory Services that are Not Covered by Medicare 01/01/2004 10/01/2003
R42CP Renewed Moratorium on Outpatient Therapy Caps 12/08/2003 10/01/2003
R19CP Annual Update of HCPCS Codes Used for SNF Consolidated BillingEnforcement and the updated SNF Help Files 01/05/2004 10/01/2003
AB-03-128 Clarification to Transmittal AB-03-044 (CR 2611), Addition of new temporary "K" codes 01/01/2004 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 01/01/2004 10/01/2003
R29OTN Revised American National Standards Institute X12N 837 Professional Health Care Claim Companion Document 01/20/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R42CP Renewed Moratorium on Outpatient Therapy Caps 12/08/2003 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 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 01/01/2004 10/01/2003
B-03-068 2004 Annual Update for SNF Consolidated Billing for the CWF and Medicare Carriers 01/01/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers 01/20/2004 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 10/01/2003
R25OTN Clarification of Mammography Annual Screening Examination 12/10/2003 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R33CP MQSA File Record Layout for the FDA Certified Digital Mammography Center N/A 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 10/01/2003
R30CP Update to Outpatient Therapy 01/05/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
R1894OTN Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
R40CP New ICD-9 Code V04.81 for Billing Influenza Virus Vaccine Benefit N/A 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R38CP Revised SNF NO PAY File-Effective January 1, 2004 01/05/2004 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R42CP Renewed Moratorium on Outpatient Therapy Caps 12/08/2003 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R25FM Rates of Interest 11/03/2003 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R25OTN Clarification of Mammography Annual Screening Examination 12/10/2003 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R20CP Updated SNF No Pay File Available for Download 11/05/2003 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R46CP January Outpatient Code Editor (OCE) Specifications Version 5.0 01/05/2004 10/01/2003
R19CP Annual Update of HCPCS Codes Used for SNF Consolidated BillingEnforcement and the updated SNF Help Files 01/05/2004 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 01/01/2004 10/01/2003
CMS-1232-FC Medicare Program; Coverage and Payment of Ambulance Services; Inflation Update for CY 2004 12/05/2003 10/01/2003
CMS-3119-PN Medicare Program; Procedures for Maintaining Code Lists in the Negotiated National Coverage Determinations for Clinical Diagnostic Laboratory Services 12/24/2003 10/01/2003
CMS-1226-GNC Medicare Program; Criteria and Standards for Evaluating Intermediary, Carrier, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Regional Carrier Performance During Fiscal Year 2004 12/24/2003 10/01/2003
CMS-8018-N Part A Premiums for 2004 for the Uninsured Aged and for Certain Disabled Individuals Who Have Exhausted Other Entitlement 10/24/2003 10/01/2003
CMS-8017-N Monthly Actuarial Rates and Monthly Supplementary Medical Insurance Premium Rate Beginning January 1, 2004 10/24/2003 10/01/2003
CMS-8016-N Inpatient Hospital Deductible and Hospital and Extended Care Services Coinsurance Amounts for 2004 10/24/2003 10/01/2003
CMS-1470-CN Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2004 Rates - Correction 10/06/2003 10/01/2003
CMS-9019-N Medicare and Medicaid Programs; Quarterly Listing of Program Issuances--July 2003 Through September 2003 12/24/2003 10/01/2003
CMS-3063-CN Medicare Program: Review of National Coverage Determinations and Local Coverage Determinations - Correction 11/19/2003 10/01/2003
CMS-1254-N Medicare Program; Meeting of the Advisory Panel on Ambulatory Payment Classification Groups--February 18, 19, and 20, 2004 12/24/2003 10/01/2003
CMS-1476-FC Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004 10/07/2003 10/01/2003
CMS-1253-N Meeting of the Practicing Physicians Advisory Council for November 17, 2003 10/24/2003 10/01/2003
CMS-1471-CN Medicare Program; Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2004 Payment Rates; Final Rule; Correction 12/31/2003 10/01/2003
CMS-3063-F Medicare Program: Review of National Coverage Determinations and Local Coverage Determinations 11/07/2003 10/01/2003
CMS-1247-N Medicare Program; Town Hall Meeting in Calendar Year 2004 for Ambulance Condition Codes 12/24/2003 10/01/2003
CMS-1370-N Medicare Program; The Practicing Physicians Advisory Council's Request for Nominations 12/15/2003 10/01/2003
CMS-4063-N Medicare Program; Medicare Prescription Drug Discount Card 12/15/2003 10/01/2003
CMS-6016-F Medicare Program; Reduction in Medicare Part B Premiums as Additional Benefits Under Medicare+Choice Plans 11/28/2003 10/01/2003
CMS-1809-F4 Medicare and Medicaid Programs; Physicians' Referrals to Health Care Entities With Which They Have Financial Relationships: Extension of Partial Delay of Effective Date 12/24/2003 10/01/2003
CMS-3055-F Medicare Program; Photocopying Reimbursement Methodology 12/05/2003 10/01/2003
CMS-1909-F Medicare and Medicaid Programs; Religious Nonmedical Health Care Institutions and Advance Directives 11/28/2003 10/01/2003
CMS-4061-N Advisory Panel on Medicare Education Meeting Notice for November 20, 2003 10/24/2003 10/01/2003
CMS-4063-IFC Medicare Program; Medicare Prescription Drug Discount Card 12/15/2003 10/01/2003
CMS-1471-FC Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2004 Payment Rates 11/07/2003 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 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 01/01/2004 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
R21CP Chapter Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 20041, Coverage Determinations 01/05/2004 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R37MCM Chapter 15 Intermediate Sanctions N/A 10/01/2003
R34MCM Chapter 13 10/01/2003 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R36MCM Chapter 4 Benefits and Beneficiary protections N/A 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R35MCM Chapter 3 Marketing N/A 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R33MCM Chapter 11 10/03/2003 10/01/2003
R38MCM Chapter 17 Subchapter D, Medicare Cost Plan Enrollment and Disenrollment Instructions N/A 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R39MCM Chapter 5 - ( Quality Assessment) and Chapter 8 - (Premiums and Cost-Sharing) N/A 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R40MCM Chapter 20 - Plan Communication Guide N/A 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R32MCM Chapter 5 01/01/2004 10/01/2003
CMS-4067-PN Application by the Utilization Review Accreditation Commission (URAC) For Deeming Authority for M+C N/A 10/01/2003
CMS-1213-P Prospective Payment System for Inpatient Psychiatric Facilities for FY 2004 11/28/2003 10/01/2003
CMS-1810-FC Physicians' Referrals to Health Care Entities with Which They Have Financial Relationships-Phase II N/A 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
CMS-3017-FC More Flexible Requirements for Certain Power Operated Vehicles N/A 10/01/2003
CMS-1362-N Meeting of the Practicing Physicians Advisory Council for February 9 & 10, 2004 N/A 10/01/2003
CMS-1263-P Prospective Payment System for Long Term Care Hospitals: Annual Payment Rate Updates and Policy Changes N/A 10/01/2003
CMS-1222-FC Exclusion of Medicare Benefits for Aliens Not Lawfully Present in the United States N/A 10/01/2003
CMS-0045-F Standard Unique Health Care Provider Identifier N/A 10/01/2003
R4OTN Revision to Attachement 2 in 2880 01/01/2004 10/01/2003
CMS-3127-N Notice of the Meeting of the Medicare Coverage Advisory Committee/Executive Committee for December 2003 N/A 10/01/2003
CMS-3128-N Notice of the Meeting of the Medicare Coverage Advisory Committee/Executive Committee for January 2004 N/A 10/01/2003
CMS-1126-F All Provider Bad Debt Payment N/A 10/01/2003
CMS-4067-PN Application by the Utilization Review Accreditation Commission (URAC) For Deeming Authority for M+C N/A 10/01/2003
CMS-1910-F Medicare Program; Rural Health Clinics: Amendments to Participation Requirements and Payment Provisions; and Establishment of a Quality Assessment and Performance Improvement Program 12/24/2003 10/01/2003
CMS-1469-CN CORRECTION Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Correction 10/10/2003 10/01/2003
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 01/01/2003 10/01/2003
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 01/01/2003 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 10/01/2003
R2BP Provider Education Article: Stopping Abuse of the Power Wheelchair Benefit 12/26/2003 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 01/01/2004 10/01/2003
AB-03-126 Change in TOS for L0480 01/01/2004 10/01/2003
B-03-068 2004 Annual Update for SNF Consolidated Billing for the CWF and Medicare Carriers 01/01/2004 10/01/2003
B-03-056 Durable Medical Equipment DMERCS--Additional Instructions for HIPAA Implementation of NDC codes and the NCPDP format 01/01/2004 10/01/2003
B-03-055 CWF Crossover Editing for DMEPOS Claims During an Inpatient Stay 01/01/2004 10/01/2003
R1819B3 Section 4210.8 Special Requirements for Claims for Durable Medical Equipment, Prosthetics, Orthotics and Supplies 01/01/2004 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
R15OTN PIMMR System for Part A - Phase 3 01/05/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R32OTN January 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS) 01/05/2004 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
R19CP Annual Update of HCPCS Codes Used for SNF Consolidated BillingEnforcement and the updated SNF Help Files 01/05/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R30CP Update to Outpatient Therapy 01/05/2004 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R32OTN January 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS) 01/05/2004 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R42CP Renewed Moratorium on Outpatient Therapy Caps 12/08/2003 10/01/2003
R40CP New ICD-9 Code V04.81 for Billing Influenza Virus Vaccine Benefit N/A 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
R19CP Annual Update of HCPCS Codes Used for SNF Consolidated BillingEnforcement and the updated SNF Help Files 01/05/2004 10/01/2003
R8CP Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 01/01/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 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 01/01/2004 10/01/2003
AB-03-128 Clarification to Transmittal AB-03-044 (CR 2611), Addition of new temporary "K" codes 01/01/2004 10/01/2003
R17OTN Annual DMEPOS Fee Schedule Update for 2004 01/05/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R30CP Update to Outpatient Therapy 01/05/2004 10/01/2003
R34CP Transaction 835 companion document and the flat file for Durable Medical Equipment Regional Carriers (DMERCs) 02/01/2004 10/01/2003
R31OTN Emergency Revised 2004 Update of the DMEPOS and Clinical Laboratory Fee Schedules 01/05/2004 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R48CP National Council for Prescription Drug Programs (NCPDP) Batch Transaction Standard 1.1 Billing Request Companion Document 01/20/2004 10/01/2003
R42CP Renewed Moratorium on Outpatient Therapy Caps 12/08/2003 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
R9CP Reasonable Charge Update for 2004 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, Therapeutic Shoes, and Certain Intraocular Lenses 01/01/2004 10/01/2003
R8CP Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 01/01/2004 10/01/2003
R328CP 2005 Annual Update for Skilled Nursing Facility (SNF) Consolidated Billing for the Common Working File (CWF) and Medicare Carriers 01/03/2005 10/01/2004
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
R12CP Chapter 16, Laboratory Services from Independent Labs, Physicians and Providers 01/01/2004 10/01/2003
R11CP Use of GY Modifier to Identify Clinical Diagnostic Laboratory Services that are Not Covered by Medicare 01/01/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 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 01/01/2004 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 01/05/2004 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 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 01/01/2004 10/01/2003
AB-03-128 Clarification to Transmittal AB-03-044 (CR 2611), Addition of new temporary "K" codes 01/01/2004 10/01/2003
AB-03-114 Claims Processing and Payment of Incompleted Screening Colonoscopies 01/01/2004 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R33CP MQSA File Record Layout for the FDA Certified Digital Mammography Center N/A 10/01/2003
R40CP New ICD-9 Code V04.81 for Billing Influenza Virus Vaccine Benefit N/A 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
AB-03-128 Clarification to Transmittal AB-03-044 (CR 2611), Addition of new temporary "K" codes 01/01/2004 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 01/01/2004 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
R2NCD Ventricular Assist Devices 10/01/2003 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 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 01/01/2004 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 01/01/2004 10/01/2003
AB-03-114 Claims Processing and Payment of Incompleted Screening Colonoscopies 01/01/2004 10/01/2003
A-03-082 Clarification for Billing under the 2300 Provider Number by Hospital-Based Renal Dialysis Facilities (RDF) 01/01/2004 10/01/2003
R1898A3 Section 3610.22, Payment for Services Furnished by a CAH 01/01/2004 10/01/2003
R1895A3 Diabetes Outpatient Self-Management Training Services 01/01/2004 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
R807HO Section 415.22, Payment for Services Furnished by a CAH 01/01/2004 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R25FM Rates of Interest 11/03/2003 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 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 01/01/2004 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 01/01/2004
R32OTN January 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS) 01/05/2004 10/01/2003
R59PI Signature Requirements 01/05/2004 10/01/2003
R55PI Changes to Correct Coding Edits, Version 10.0 01/05/2004 10/01/2003
R25FM Rates of Interest 11/03/2003 10/01/2003
R52CP Chapter 18, Preventive and Screening Services 01/05/2004 10/01/2003
R40CP New ICD-9 Code V04.81 for Billing Influenza Virus Vaccine Benefit N/A 10/01/2003
R32CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/05/2004 10/01/2003
R27CP CPT Code for Lung Volume Reduction Surgery and Instructions for Processing Claims for Beneficiaries in a Risk M+C Plan 01/05/2004 10/01/2003
R26CP Claims Processing Instructions for New Coverage of Lung Volume Reduction Surgery (LVRS) 01/05/2004 10/01/2003
R21CP Update to Medicare Deductible, Coinsurance, and Preimium Rates for Calander Year 2004 01/05/2004 10/01/2003
R19CP Annual Update of HCPCS Codes Used for SNF Consolidated BillingEnforcement and the updated SNF Help Files 01/05/2004 10/01/2003
R8CP Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 01/01/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R3BP Chapter 15, Covered Medical and Other Health Services 01/05/2004 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 01/01/2004 10/01/2003
AB-03-128 Clarification to Transmittal AB-03-044 (CR 2611), Addition of new temporary "K" codes 01/01/2004 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
R5NCD Chapter 1, Coverage Determinations 01/05/2004 10/01/2003
R3NCD Lung Volume Reduction Surgery 01/05/2004 10/01/2003
R23OTN Payment for Ambulance Services Furnished by New Suppliers N/A 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
R1894A3 Update of DMS-1450, Part A Claim Coding 01/01/2004 10/01/2003
R1815B3 Replacement for Loss and Irreparable Damage DME, Section 2100.4 01/01/2004 10/01/2003
R44CP Electronic Submission of Claims Under HIPPA 01/20/2004 10/01/2003
R22OTN Clarification to Transmittal B-03-059 (CR 2755) - Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP)Disclosure Desk Reference for Call Centers 01/05/2004 10/01/2003
R2COM Disclosure Desk Reference for Call Centers N/A 10/01/2003
R25OTN Clarification of Mammography Annual Screening Examination 12/10/2003 10/01/2003
R42CP Renewed Moratorium on Outpatient Therapy Caps 12/08/2003 10/01/2003
.