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QPU October 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
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 03/05/2005 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
CMS-0008-F Electronic Medicare Claims Submission N/A 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R236CP 2005 DMEPOS PRICING File Layout 01/03/2005 10/01/2004
R237CP Payment Status Code 65 01/03/2005 10/01/2004
R238CP HIPAA XI2 B37 837 Institutional Health Care Implementation Guide 01/03/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R259CP Scheduled Release for October Updates to Software Programs and Pricing/Coding Files 01/03/2005 10/01/2004
R301CP Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R340CP Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 01/03/2005 10/01/2004
R361CP MMA Drug Pricing Update - Payment Limit for J0207 (Amifostine) 12/06/2004 10/01/2004
R362CP Update to the Prospective Payment System (PPS) for Home Health Agencies for Calendar Year (CY) 2005 01/03/2005 10/01/2004
R387CP This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded 01/03/2004 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R6DEMO Demonstration to Clarify the Definition of Homebound 03/05/2005 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R416 Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 03/05/2005 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
R238CP HIPAA XI2 B37 837 Institutional Health Care Implementation Guide 01/03/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R387CP This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) 01/03/2004 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 011/03/2005 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 03/05/2005 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
CMS-3844-P Hospice Care Conditions of Participation*** N/A 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R28BP Hospice Pre-Election Evaluation and Counseling Services 01/03/2005 10/01/2004
R231CP Indian Health Service (IHS) Critical Access Hospital (CAH) payment methodology for inpatient and outpatient services 01/03/2005 10/01/2004
R237CP Payment Status Code 65 01/03/2005 10/01/2004
R238CP HIPAA XI2 B37 837 Institutional Health Care Implementation Guide 01/03/2005 10/01/2004
R239CP Update to the Frequency Billing 01/03/2005 10/01/2004
R240CP Extension of Interrupted Stay Policy LTCH/PPS 01/03/2005 10/01/2004
R243CP Patient Status Codes 01/03/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R259CP Scheduled Release for October Updates to Software Programs and Pricing/Coding Files 01/03/2005 10/01/2004
R266CP CWF Editing for Same-Day/Same Provider Acute Care Readmissions 01/03/2005 10/01/2004
R267CP Crossover Patients in New Long Term Care Hospitals (LTCH) 01/03/2005 10/01/2004
R276CP CR3175 Distinct Part Units of Critical Access Hospitals 01/03/2005 10/01/2004
R301CP Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services 01/03/2005 10/01/2004
R363CP 2005 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment 01/03/2005 10/01/2004
R380CP Changes to the Laboratory National Coverage Determination (NCD) edit Software for January 2005 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R415CP Temporary Change in Carrier Jurisdictional Pricing Rules for Purchased Diagnostic Services 01/25/2004 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 10/01/2004
R309CP Fiscal Year (FY) 2005 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) and Other Bill Processing Changes Related to the IPPS Final Rule 10/04/2004 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R380CP Changes to the Laboratory National Coverage Determination (NCD) edit Software for January 2005 01/03/2005 10/01/2004
R385CP January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of OPPS Outpatient Code Editor (OCE) Data Changes and OPPS PRICER Logic Changes; Changes to Payment for Diagnostic Mammography 01/03/2005 10/01/2004
R386CP Hospice Pre-Election Evaluation and Counseling Services 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R403CP January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Billing for Devices that do not have Transitional Pass-Through Status, and That Are Not Classified as New Technology Ambulatory Payment Classification (APC) Groups 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded. 01/03/2004 10/01/2004
R419CP January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes 01/03/2005 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R426PR1 For Assets Acquired On or After May 1, 2004 N/A 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R24BP Revision of Section 300.5.1, Chapter 15 of the Medicare Benefit Policy Manual to include 22x TOB as an applicable TOB for Diabetes Self-Management Training 01/03/2005 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R24NCD Update to Chapter 1, Section 220.6 - Dementia and Neurodegenerative Diseases 10/01/2004 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R347CP Inpatient Rehabilitation Facility (IRF) Classification Requirements 01/03/2005 10/01/2004
R351CP Editing of Hospitals and Skilled Nursing Facilities Part B Inpatient Services (Full Replacement of Change Request 3366) 01/03/2004 10/01/2004
R377CP Hospital Outpatient Prospective Payment System (OPPS): Misclassified Drugs and Biologicals, Ganciclovir Long Act Implant, Bcg Live Intravesical Vac, and Gallium ga 67; Adjustments Due to Misclassification 12/28/2004 10/01/2004
R392CP The Supplemental Security Income (SSI) Medicare Beneficiary Data for Fiscal Year 2003 for Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) 01/03/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R399CP Expansion of the Existing Interrupted Stay Policy Under Long Term Care Hospital (LTCH) Prospective Payment System 01/03/2005 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/15/2004 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R422CP Update to FY 2005 Wage Index for Inpatient Prospective Payment System (IPPS) and Outpatient Prospective Payment System (OPPS) Hospitals 01/31/2005 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 03/05/2005 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
CMS-3835-P Hospital Conditions of Participation: Requirements for Approval and Reapproval of Transplant Centers to Perform Organ Transplant N/A 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R198CP End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry Test(s) 01/03/2005 10/01/2004
R241CP DMEPOS FOR INDIAN HEALTH 01/03/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R415CP Temporary Change in Carrier Jurisdictional Pricing Rules for Purchased Diagnostic Services 01/25/2004 10/01/2004
R415CP Temporary Change in Carrier Jurisdictional Pricing Rules for Purchased Diagnostic Services 01/25/2004 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded 01/03/2004 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R318CP Clarification of CR 3176 - Payment amounts for ESRD drug administration supplies: HCPCS A4657 and A4913 11/22/2004 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deativated Reason Code A2 03/05/2005 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R241CP DMEPOS FOR INDIAN HEALTH 01/03/2005 10/01/2004
R248CP MMA Drugs Paid by ASP Beginnning January 1, 2005 01/01/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
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
R334CP Payment of Beneficiary Submitted Flu Claims and Flu Claims Submitted by Non-Enrolled Providers 11/26/2004 10/01/2004
R339CP Calendar Year (CY) 2005 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures 11/10/2004 10/01/2004
R380CP Changes to the Laboratory National Coverage Determination (NCD) edit Software for January 2005 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R414CP Emergency Update to the 2005 Medicare Physician Fee Schedule Database 01/03/2004 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded 01/03/2004 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R316CP Clarification of Messgaes in Chapter 1, Section 10.1.1.1 to Match Official Listing on the WPC-EDI Web Site N/A 10/01/2004
R317CP Clarification to Chapter 26 of the Internet Only Manual (IOM) 11/22/2004 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R420CP Good Cause Waiver of Late Claim Filing Payment Reduction Penalty and Monitoring of Late Claims Submissions. Full Replacement of CR 3402, Which Was Rescinded 01/31/2005 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R14DEMO Chemotherapy Demonstration Project 01/17/2005 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deqctivated Reason Code A2 03/05/2005 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
R325CP New Waived Tests-January 1, 2005 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
CMS-3112-FN CY 2004 Review of the Appropriateness of Payment Amounts for New Technology Intraocular Lenses (NTIOLs) Furnished by Ambulatory Surgical Centers (ASCs) N/A 10/01/2004
CMS-4064-IFC Revisions to the Appeals Process for Initial Claim Determinations N/A 10/01/2004
CMS-3145-IFC Fire Safety Requirement for Certain Health Care Facilities; Alcohol-Base Hand Sanitizer & Smoke Detector Amendment N/A 10/01/2004
CMS-2203-N Recognition of NAIC Standards for Regulation of Medicare Supplemental Insurance N/A 10/01/2004
CMS-2158-P HIPAA Titles I and IV: Tolling Certain Time Periods and Interactions with Family and Medical Leave Act N/A 10/01/2004
CMS-2151-F HIPAA Titles I and IV: Health Coverage Portability for Group Health Plans and Group Health Insurance Issuers N/A 10/01/2004
CMS-2150-NC Request for Information on Benefit-Specific Waiting Periods N/A 10/01/2004
CMS-2202-FN Medicare and Medicaid Programs; Approval of Application for Deeming Authority for Ambulatory Surgical Centers by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc 11/26/2004 10/01/2004
CMS-1478-P Medicare Program; Update of Ambulatory Surgical Center List of Covered Procedures 11/26/2004 10/01/2004
CMS-4004-FC Medicare Program; Expedited Determination Procedures for Provider Service Terminations 11/26/2004 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deqctivated Reason Code A2 03/05/2005 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R317CP Clarification to Chapter 26 of the Internet Only Manual (IOM) 11/22/2004 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R380CP Changes to the Laboratory National Coverage Determination (NCD) edit Software for January 2005 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded 01/03/2004 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded. 01/03/2004 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/10/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R238CP HIPAA XI2 B37 837 Institutional Health Care Implementation Guide 01/03/2005 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 03/05/2005 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
CMS-3064-P Organ Procurement Organization Conditions for Coverage N/A 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R266CP CWF Editing for Same-Day/Same Provider Acute Care Readmissions 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R387CP This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded 01/03/2004 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R11GI Manual Revision Regarding Waiver of Annual Deductible and Coinsurance for Both ASC Facility, and ASC/Hospital Outpatient Department Physician Services 11/22/2004 10/04/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R259CP Scheduled Release for October Updates to Software Programs and Pricing/Coding Files 01/03/2005 10/01/2004
R266CP CWF Editing for Same-Day/Same Provider Acute Care Readmissions 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R301CP Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded 01/03/2004 10/01/2004
R387CP This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions 01/03/2005 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded 01/03/2004 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) 01/03/2004 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
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
R320CP Reminder Notice of the Implementation of the Ambulance Transition Schedule 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R241CP DMEPOS FOR INDIAN HEALTH 01/03/2005 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R315CP Temporary Change in Carrier Jurisdictional Pricing Rules for Purchased Diagnostic Services 11/12/2004 10/01/2004
R317CP Clarification to Chapter 26 of the Internet Only Manual (IOM) 11/22/2004 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R322CP Release Medlearn Article for Change Request (CR) 2813 (End Stage Renal Disease Reimbursement for Automated Multi-channel Chemistry Test(s)) 10/29/2004 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R420CP Good Cause Waiver of Late Claim Filing Payment Reduction Penalty and Monitoring of Late Claims Submissions. Full Replacement of CR 3402, Which Was Rescinded 01/31/2005 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 03/05/2005 10/01/2004
CMS-2490-N CLIA Program; Continued Approval of the American Association of Blood Banks for Deeming Authority 12/30/2004 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R259CP Scheduled Release for October Updates to Software Programs and Pricing/Coding Files 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R301CP Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R387CP This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded 01/03/2004 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R7P218 Cost Reporting Forms, Chapter 18 N/A 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/01/2004 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Pay Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 03/05/2005 10/01/2004
R236CP 2005 DMEPOS PRICING File Layout 01/03/2005 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R238CP HIPAA XI2 B37 837 Institutional Health Care Implementation Guide 01/03/2005 10/01/2004
R241CP DMEPOS FOR INDIAN HEALTH 01/03/2005 10/01/2004
R244CP Minimum Number of Drug Pricing Files that Must be Maintained on Line for Medicare 01/03/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R297CP Reasonable Charge for Splints, etc. 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R369CP Fee Schedule Update for 2005 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 01/03/2005 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R394CP New Dispensing/Supply Fee Codes for Oral Anti-Cancer, Oral Ant- Emetic, Immunosuppressive, and Inhalation Drugs 01/03/2005 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 03/05/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) 01/03/2004 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R306CP Full replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Dtabase 10/04/2004 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deqctivated Reason Code A2 03/05/2005 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 03/05/2005 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R28BP Hospice Pre-Election Evaluation and Counseling Services 01/03/2005 10/01/2004
R244CP Minimum Number of Drug Pricing Files that Must be Maintained on Line for Medicare 01/03/2005 10/01/2004
R241CP DMEPOS for Indian Health 01/03/2005 10/01/2004
R248CP MMA Drugs Paid by ASP Beginnning January 1, 2005 01/01/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R297CP Reasonable Charge for Splints, etc. 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
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
R334CP Payment of Beneficiary Submitted Flu Claims and Flu Claims Submitted by Non-Enrolled Providers 11/26/2004 10/01/2004
R339CP Calendar Year (CY) 2005 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures 11/10/2004 10/01/2004
R380CP Changes to the Laboratory National Coverage Determination (NCD) edit Software for January 2005 01/03/2005 10/01/2004
R386CP Hospice Pre-Election Evaluation and Counseling Services 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R414CP Emergency Update to the 2005 Medicare Physician Fee Schedule Database 01/03/2004 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) 01/03/2004 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R129OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R24NCD Update to Chapter 1, Section 220.6 - Dementia and Neurodegenerative Diseases 10/01/2004 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/05/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R315CP Temporary Change in Carrier Jurisdictional Pricing Rules for Purchased Diagnostic Services 11/22/2004 10/01/2004
R316CP Clarification of Messgaes in Chapter 1, Section 10.1.1.1 to Match Official Listing on the WPC-EDI Web Site N/A 10/01/2004
R317CP Clarification to Chapter 26 of the Internet Only Manual (IOM) 11/22/2004 10/01/2004
R382CP Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Patients 01/03/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R420CP Good Cause Waiver of Late Claim Filing Payment Reduction Penalty and Monitoring of Late Claims Submissions. Full Replacement of CR 3402, Which Was Rescinded 01/31/2005 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded 01/03/2004 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R390CP Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases - Skilled Nursing Facility (SNF) Consolidated Billing (CB) as it Applies to RHC and FQHC Service 01/03/2005 10/01/2004
R387CP This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions 01/03/2005 10/01/2004
R380CP Changes to the Laboratory National Coverage Determination (NCD) edit Software for January 2005 01/03/2005 10/01/2004
R361CP MMA Drug Pricing Update - Payment Limit for J0207 (Amifostine) 12/06/2004 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 03/05/2005 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R238CP HIPAA XI2 B37 837 Institutional Health Care Implementation Guide 01/03/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) 01/03/2005 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 03/05/2005 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R238CP HIPAA XI2 B37 837 Institutional Health Care Implementation Guide 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R361CP MMA Drug Pricing Update - Payment Limit for J0207 (Amifostine) 12/06/2004 10/01/2004
R387CP This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) 01/03/2004 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/05 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) 01/03/2004 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 03/05/2005 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
CMS-3017-IFC Conditions for Coverage of Power Mobility Devices, including Powered Wheelchairs and Power-Operated Vehicles (Scooters) N/A 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R237CP Payment Status Code 65 01/03/2005 10/01/2004
R238CP HIPAA XI2 B37 837 Institutional Health Care Implementation Guide 01/03/2005 10/01/2004
R253CP FISS Changes to Allow for Provider Liability Days on the SNF Inpatient Bills 01/03/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R266CP CWF Editing for Same-Day/Same Provider Acute Care Readmissions 01/03/2005 10/01/2004
R301CP Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R338CP Removal of the Skilled Nursing Facility (SNF) No Pay File 01/03/2005 10/01/2004
R361CP MMA Drug Pricing Update - Payment Limit for J0207 (Amifostine) 12/06/2004 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R351CP Editing of Hospitals and Skilled Nursing Facilities Part B Inpatient Services (Full Replacement of Change Request 3366) 01/03/2005 10/01/2004
R378CP Full Replacement of CR 3308, Fiscal Intermediary Shared System (FISS) Changes to Allow for Provider Liability Days on Skilled Nursing Facility (SNF) and Swing Bed Facility Inpatient Bills 01/03/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R413CP Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2005 for 9 Metropolitan Statistical Areas (MSAs) with New Wage Index Values Effective January 1, 2005 01/17/2004 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R4SOM Guidance to Surveyors for Long Term Care Facilities 11/12/2004 10/01/2004
R5SOM Revisions to Appendix P (Survey Protocols for Long Term Care Facilities) and Appendix PP (Guidance to Surveyors for Long Term Care Facilities) 11/19/2004 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 03/05/2005 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
CMS-3818-P End Stage Renal disease (ESRD) Conditions for Coverage N/A 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database 10/04/2004 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R373CP New ESRD Composite Payment Rates Effective January 1, 2005 01/03/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices -1/24/2005 10/01/2004
R401 CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 03/05/2005 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 03/05/2005 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2004
R238CP HIPAA XI2 B37 837 Institutional Health Care Implementation Guide 01/03/2005 10/01/2004
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2004
R313CP Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/2005 10/01/2004
R324CP Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 01/03/2005 10/01/2004
R387CP This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions 01/03/2005 10/01/2004
R380CP Changes to the Laboratory National Coverage Determination (NCD) edit Software for January 2005 01/03/2005 10/01/2004
R387CP This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions 01/03/2005 10/01/2004
R390CP Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases - Skilled Nursing Facility (SNF) Consolidated Billing (CB) as it Applies to RHC and FQHC Service 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) 01/03/2004 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R387CP This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions 01/03/2005 10/01/2004
R402CP January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2004
R409CP Diabetes Screening Tests 01/03/2005 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) 01/03/2004 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R123OTN Instructions For Pricing Trepostinil (Q4077) 11/29/2004 10/01/2004
R131OTN 2005 Drug Administration Coding Revisions 01/03/2005 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R24BP Revision of Section 300.5.1, Chapter 15 of the Medicare Benefit Policy Manual to include 22x TOB as an applicable TOB for Diabetes Self-Management Training 01/03/2005 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
CMS-1374-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 2005 11/26/2004 10/01/2004
CMS-1267-N Medicare Program; Coverage and Payment of Ambulance Services; Recalibration of Conversion Factor; Inflation Update for CY 2005 11/15/2004 10/01/2004
CMS-4077-FN Medicare Program; Approval of the National Committee for Quality Assurance Deeming Authority for Medicare Advantage Local Preferred Provider Organizations 12/30/2004 10/01/2004
CMS-4041-IFC Medicare Program; Modifications to Managed Care Rules 12/30/2004 10/01/2004
CMS-1265-F Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2005 10/22/2004 10/01/2004
CMS-1428-N Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates; Extension for the Hospital Applications To Receive Increases in Full Time Equivalent Resident Caps for Graduate Medical Education Payment 11/30/2004 10/01/2004
CMS-1428-F2 Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates; Correcting Amendment 12/30/2004 10/01/2004
CMS-1213-F Medicare Program; Prospective Payment System for Inpatient Psychiatric Facilities 11/15/2004 10/01/2004
CMS-1428-CN2 Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates; Corrections 10/07/2004 10/01/2004
CMS-1427-CN Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates; Wage Index Tables and Corrections 12/30/2004 10/01/2004
CMS-1427-FC Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates 11/15/2004 10/01/2004
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
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R26NCD Electrocardiographic Services 01/12/2005 12/10/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
CMS-2175-F Medicaid Program; Time Limitation on Recordkeeping Requirements Under the Drug Rebate Program 11/26/2004 10/01/2004
CMS-1249-CN2 Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Corrections 12/30/2004 10/01/2004
CMS-1249-CN Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Corrections 10/07/2004 10/01/2004
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
CMS-1360-CN Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Fiscal Year 2005; Correction 10/07/2004 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT) 10/01/2004 10/01/2004
R3GI New Part B Annual Deductible 01/03/2005 10/01/2005
R256CP Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005 10/01/2005
R10GI Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R113OTN Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
R408CP Cardiovascular Disease Screening 01/03/2005 10/01/2005
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R59FM Notice of New Interest Rate for Medicare Overpayments and Underpayments 11/12/2004 10/01/2004
R303CP Instructions for Completion of Form CMS-1450 01/05/2005 10/01/2004
R417CP Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) 01/03/2004 10/01/2004
R91PI Revision of Program Integrity Manual (PIM), Section 3.11.1.4 01/03/2005 10/01/2004
R407CP Hospital Billing for Repetitive Services 01/03/2005 10/01/2005
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R63MCM Chapter 5 and Chapter 17B N/A 10/01/2004
R306CP Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database. 10/04/2004 10/01/2004
R5DEMO Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005 10/01/2004
R64MCM Surveys, Contracting Strategy, Grievances and Appeals N/A 10/01/2004
R314CP Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 03/05/2005 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
CMS-4067-FN Approval of the Utilization Review Accreditation Commission (URAC) for Deeming Authority for M+C N/A 10/01/2004
CMS-1429-FC Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 11/15/2004 10/01/2004
R421CP Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 01/03/2005 10/01/2004
R114OTN Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004 10/01/2004
R412CP Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity 01/24/2004 10/01/2004
R90PI Prepayment Review of Claims for MR Purposes 01/10/2005 10/01/2004
R420CP Good Cause Waiver of Late Claim Filing Payment Reduction Penalty and Monitoring of Late Claims Submissions. Full Replacement of CR 3402, Which Was Rescinded 01/31/2005 10/01/2004
R401CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/24/2005 10/01/2004
R393CP 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices 01/03/2005 10/01/2004
R416CP Interest Payment on Clean Non-PIP Claims Not Paid Timely 01/25/2004 10/01/2004
R100OTN Carrier 835 Flat File Change & Replacement of Deqctivated Reason Code A2 03/05/2005 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R25NCD Percutaneous Transluminal Angioplasty (PTA) 01/12/2005 10/01/2004
R252CP FI 835 Flat File and Companion Document Change 01/03/2005 10/01/2004
R12DEMO Chemotherapy Demonstration Project 01/17/2005 10/01/2004
R23NCD Treatment of Obesity 10/01/2004 10/01/2004
R361CP MMA Drug Pricing Update - Payment Limit for J0207 (Amifostine) 12/06/2004 10/01/2004
R26NCD Electrocardiographic Services 12/10/2004 10/01/2004
R411CP Ambulance Inflation Factor (AIF) 01/03/2004 10/01/2004
CMS-1285-N Meeting of the Advisory Panel on Ambulatory Payment Classification (APC) Groups (Panel)--February 23, 24, and 25, 2005, and Re-chartering of APC Panel on November 8, 2004 12/30/2004 10/01/2004
CMS-1292-N Town Hall Meeting on the Fiscal Year 2006 Applications for New Medical Services and Technologies Add-on Payments Under the Hospital Inpatient Prospective Payment System Scheduled for February 23, 2005 12/30/2004 10/01/2004
CMS-1265-CN2 Home Health Prospective Payment System Rate Update for Calendar Year 2005; Correction 11/30/2004 10/01/2004
CMS-9026-N Timeline for Publication of Medicare Final Regulations After Proposed or Interim Final Regulations 12/30/2004 10/01/2004
CMS-9024-N Quarterly Listing of Program Issuances--July 2004 Through September 2004 12/30/2004 10/01/2004
CMS-5036-N Solicitation for Proposals for the Cancer Prevention and Treatment Demonstration for Ethnic and Racial Minorities 12/23/2004 10/01/2004
CMS-1428-N Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates; Extension for the Hospital Applications To Receive Increases in Full Time Equivalent Resident Caps for Graduate Medical Education Payment 11/30/2005 10/01/2004
CMS-5011-WN Notice of Withdrawal of the Solicitation of Proposals for the Private, for-Profit Demonstration Project for the Program of All-nclusive Care for the Elderly (PACE) 11/26/2005 10/01/2004
CMS-3149-N Meeting of the Medicare Coverage Advisory Committee--January 25, 2005 11/26/2005 10/01/2004
CMS-4078-N Meeting of the Advisory Panel on Medicare Education--November 30, 2004 10/22/2004 10/01/2004
CMS-1484-N November 22, 2004, Meeting of the Practicing Physicians Advisory Council 10/22/2004 10/01/2004
CMS-1302-N Town Hall Meeting on the Medicare Provider Feedback Group (MPFG) November 16, 2004 10/22/2004 10/01/2004
CMS-5015-N Care Management for High-Cost Beneficiaries (CMHCB) Demonstration 10/06/2004 10/01/2004
R311CP Instructions for Completion of Form CMS-1450 01/05/2004 10/01/2004
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