2019 Transmittals
Transmittal # | Issue Date Sort ascending | Subject | Implementation Date | CR # | Provider Education | Provider Education Release Date | Provider Education Revision Date |
---|---|---|---|---|---|---|---|
R2335OTN | Instructions for Use of Informational Remittance Advice Remark Code Alert on Laboratory Service… |
11369 | MM11369 | ||||
R4353CP | Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer… |
11345 | MM11345 | ||||
R2332OTN | Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI)… |
11241 | |||||
R2329OTN | Automation of Part B Underpayment Processing of Recovery Audit Contractor (RAC) Adjustments |
11285 | |||||
R2326OTN | Oxygen Policy Update |
10837 | MM10837 | ||||
R2323OTN | Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging ? Educational and Operations… |
11268 | MM11268 | ||||
R4339CP | Documentation of Medical Necessity of the Home Visit; and Physician Management Associated with… |
11273 | MM11273 | ||||
R2325OTN | Implementation to Send Post-Pay Electronic Medical Documentation Requests (eMDR) to… |
11142 | |||||
R2324OTN | Implementation to Send Pre-Pay Electronic Medical Documentation Requests (eMDR) to Participating… |
11141 | |||||
R191SOMA | Revisions to the State Operations Manual (SOM) Chapter 5 and Appendix V |
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R4336CP | New Waived Tests |
11354 | MM11354 | ||||
R2322OTN | Possible Use of Session Initiation Protocol (SIP) at Medicare Administrative Contractors (MACs… |
11308 | |||||
R4337CP | Implementation of the Medicare Performance Adjustment (MPA) for the Maryland Total Cost of Care… |
10971 | |||||
R318FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notification… |
11396 | |||||
R259BP | Update to Coverage of Intravenous Immune Globulin for Treatment of Primary Immune Deficiency… |
11295 | MM11295 | ||||
R4334CP | Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP)… |
11357 | MM11357 | ||||
R2321OTN | Fee For Service (FFS) Applications Upgrade Customer Information Control System (CICS) to… |
11162 | |||||
R2320OTN | 11183 | ||||||
R2319OTN | Implementation to Send Pre-Pay Electronic Medical Documentation Requests (eMDR) to Participating… |
11141 | |||||
R4329CP | Quarterly Update for the Temporary Gap Period of the Durable Medical Equipment, Prosthetics,… |
11336 | MM11336 | ||||
R125GI | Internet Only Manual (IOM) - Update to General Information, Eligibility, and Entitlement,… |
11245 | |||||
R4330CP | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2019… |
11344 | MM11344 | ||||
R4331CP | October 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and… |
11343 | MM11343 | ||||
R4332CP | Medicare Summary Notice (MSN) Changes to Assist Beneficiaries Enrolled in the Qualified Medicare… |
11230 | MM11230 | ||||
R2318OTN | New Bills Pending Reports to Assist Medicare Administrative Contractors (MACs) with Monthly… |
11257 | |||||
R4328CP | July Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (… |
11334 | MM11334 | ||||
R2317OTN | Possible Use of Session Initiation Protocol (SIP) at Medicare Administrative Contractors (MACs… |
11308 | |||||
R227DEMO | Next Generation ACO Model - Demo Code Placement |
11340 | |||||
R4327CP | July 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.2 |
11298 | MM11298 | ||||
R4325CP | Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY… |
11347 | MM11347 | ||||
R4326CP | Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to… |
11280 | MM11280 | ||||
R2316OTN | Fiscal Intermediary Shared System (FISS) Enhancement of PC Print Billing Software |
11070 | |||||
R4319CP | July 2019 Update of the Ambulatory Surgical Center (ASC) Payment System |
11328 | MM11328 | ||||
R4321CP | July Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (… |
11334 | MM11334 | ||||
R190SOMA | Updates to the State Operations Manual (SOM) Chapters 2, 3 and 9 to add instructions for Organ… |
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R2315OTN | Mobile Personal Identity Verification (PIV) Station Pilot Project |
11304 | |||||
R4320CP | Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July… |
11296 | MM11296 | ||||
R2313OTN | FISS Integrated Outpatient Code Editor (IOCE) Claim Return Buffer Interface Changes Related to… |
11183 | |||||
R4317CP | Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds… |
11321 | MM11321 | ||||
R883PI | Update to Chapter 12 (The Comprehensive Error Rate Testing (CERT) Program) of Publication (Pub)… |
11283 | |||||
R4315CP | Annual (2020) Update of the International Classification of Diseases, Tenth Revision, Clinical… |
11322 | |||||
R884PI | Update to Exhibit 46.2, 46.3, 46.4, and 46.5 in Publication (Pub.) 100-08 |
11242 | MM11242 | ||||
R4314CP | July 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.2 |
11298 | MM11298 | ||||
R4313CP | July 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) |
11318 | MM11318 | ||||
R4310CP | Combined Common Edits/Enhancements Modules (CCEM) Code Set Update |
11301 | |||||
R316FM | Updates to Medicare Financial Management Manual Chapter 4, Section 20 and 20.1 Demand Letters… |
10776 | |||||
R2311OTN | New Bills Pending Reports to Assist Medicare Administrative Contractors (MACs) with Monthly… |
11257 | |||||
R189SOMA | New to State Operations Manual (SOM), Appendix X, Survey Protocol and Interpretive Guidelines… |
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R882PI | Additional Processing Procedure for Adding a New Provider-Based Location for Critical Access… |
11246 | |||||
R4309CP | Documentation of Medical Necessity of the Home Visit; and Physician Management Associated with… |
11273 | MM11273 | ||||
R4312CP | Home Health (HH) Patient-Driven Groupings Model (PDGM) - Additional Manual Instructions |
11272 | MM11272 | ||||
R10ESRD | Update to Publication (Pub.) 100-14 to Provide Language-Only Changes for the New Medicare Card… |
11284 | |||||
R4306CP | Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July… |
11296 | MM11296 | ||||
R2307OTN | Additional Processing Instructions to Update the Standard Paper Remit (SPR) |
11289 | MM11289 | ||||
R4307CP | Instructions for Downloading the Medicare ZIP Code Files for October 2019 |
11267 | |||||
R126MSP | Update the International Classification of Diseases, Tenth Revision (ICD-10) 2020 Tables in the… |
11158 | |||||
R124GI | Update to Publication (Pub.) 100-01 to Provide Language-Only Changes for the New Medicare Card… |
11240 | |||||
R315FM | Update to Publication (Pub.) 100-06 to Provide Language-Only Changes for the New Medicare Card… |
11211 | |||||
R4305CP | Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for… |
11288 | |||||
R2310OTN | Viable Information Processing Systems (ViPS) Medicare Systems (VMS) Changes to Accommodate… |
11096 | |||||
R4303CP | Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy… |
11252 | MM11252 | ||||
R2309OTN | New Overpayment Field Established within the ViPS Medicare System (VMS) for Healthcare… |
11297 | |||||
R4304CP | Claim Status Category and Claim Status Codes Update |
11292 | MM11292 | ||||
R4308CP | Implementation of the Medicare Performance Adjustment (MPA) for the Maryland Total Cost of Care… |
10971 | |||||
R2308OTN | New CWF Edit for Part A Outpatient Medicare Advantage (MA), Health Maintenance Organization (HMO… |
10813 | |||||
R2305OTN | Implementation to Send Post-Pay Electronic Medical Documentation Requests (eMDR) to… |
11142 | |||||
R2302OTN | Implementation to Send Pre-Pay Electronic Medical Documentation Requests (eMDR) to Participating… |
11141 | |||||
R2301OTN | User CR: MCS - Update the RB55 Job to Include Processing of Additional Fields on the Procedure… |
10652 | |||||
R19PDB | Update to Publication (Pub.) 100-18 to Provide Language-Only Changes and URL Location Updates… |
11263 | |||||
R123GI | Updates to Publication (Pub.) 100-01, Medicare General Information, Eligibility, and Entitlement… |
11218 | |||||
R2304OTN | Automatic Transmission of the Prepayment File to the Recovery Audit Contractor (RAC) Data… |
11256 | |||||
R2300OTN | Reporting the Patient Relationship Categories and Codes |
11259 | MM11259 | ||||
R2306OTN | Analysis for First Coast Service Options (FCSO) and Novitas for the CMS Enterprise Identity… |
10791 | |||||
R2303OTN | Shared System Enhancement 2018: Rewrite Fiscal Intermediary Shared System (FISS) module FSSB6001… |
11010 | |||||
R2296OTN | Updating Fiscal Intermediary Shared System (FISS) for Pricing Drugs at Different Rates Depending… |
11199 | MM11199 | ||||
R4295CP | Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 4 |
11274 | |||||
R4296CP | Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to… |
11280 | MM11280 | ||||
R2287OTN | Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI)… |
11238 | |||||
R3P244 | Medicare Provider Reimbursement Manual |
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R2285OTN | Common Working File (CWF) to Medicare Beneficiary Database (MBD) Extract File Changes to send… |
11277 | |||||
R4294CP | Home Health (HH) Patient-Driven Groupings Model (PDGM) - Additional Manual Instructions |
11272 | MM11272 | ||||
R4292CP | Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2019 Update |
11293 | MM11293 | ||||
R2298OTN | International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to… |
11229 | MM11229 | ||||
R4290CP | Medicare Summary Notice (MSN) Changes to Assist Beneficiaries Enrolled in the Qualified Medicare… |
11230 | MM11230 | ||||
R4298CP | Medicare Physician Fee Schedule Database (MPFSDB) File Record Layout |
11191 | MM11191 | ||||
R2293OTN | Systems Changes to Allow IPPS-Excluded Hospitals to Operate IPPS-Excluded Units |
11173 | MM11173 | ||||
R2292OTN | User CR: FISS - Analysis Only - Enhancement to Allow MACs to Copy VSAM Files from One Region to… |
11018 | |||||
R2295OTN | Archiving and Retrieving of the Integrated Outpatient Code Editor (I/OCE) for Processing Claims… |
11196 | |||||
R2297OTN | Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process |
11209 | |||||
R2291OTN | User CR: FISS - Expand Number of Archived Claims That May Be Retrieved per Cycle |
10764 | |||||
R2299OTN | Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) |
11152 | MM11152 | ||||
R2289OTN | User CR: FISS Update RPTMEDR1 to Provide Medical Policy Parameters (MPP) Status |
10538 | |||||
R2290OTN | User CR: ViPS Medicare System (VMS) - New Standard Paper Remittance (SPR) Files for Use on… |
10722 | |||||
R2288OTN | User CR: FISS - Develop Enhanced Claims Search Reporting in FISS - Phase 2 |
10534 | |||||
R4299CP | Re-implementation of the AMCC Lab Panel Claims Payment System Logic |
11248 | MM11248 | ||||
R2294OTN | FISS Integrated Outpatient Code Editor (IOCE) Claim Return Buffer Interface Changes Related to… |
11183 | |||||
R877PI | Update to Publication (Pub.) 100-08 to Provide Language-Only Changes for the New Medicare Card… |
11109 | |||||
R4284CP | File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding… |
11260 | |||||
R4283CP | Documentation of Evaluation and Management Services of Teaching Physicians |
11171 | MM11171 | ||||
R4286CP | Update to Chapter 21 in Publication (Pub.) 100-04 to Provide Language-Only Changes for the New… |
11221 |