2009 MLN Matters Articles

06/05/2009

Mon, 08 Jun 2009 13:01:00 EST

Transmittal #: R1750CP
Subject: October Quarterly Update to 2009 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
MM Article #: MM6503
MM Article Release Date: 06/08/2009

06/05/2009

Mon, 08 Jun 2009 13:11:00 EST

Transmittal #: R1754CP
Subject: July Quarterly Update for 2009 Durable Medical Equipment, Prosthetics, Orthotics and Suppliers (DMEPOS) Fee Schedule
MM Article #: MM6511
MM Article Release Date: 06/08/2009

06/05/2009

Mon, 08 Jun 2009 16:46:00 EST

Transmittal #: R1752CP
Subject: Addition/Deletion of HCPCS Codes - July 2009 Quarterly Update
MM Article #: MM6477
MM Article Release Date: 06/08/2009

N/A

Tue, 16 Jun 2009 07:46:00 EST

Transmittal #: SE0910
Subject: Clarification for Billing Part B versus Part D for the Anti-emetic Aprepitant (Emend)
MM Article #: SE0910
MM Article Release Date: 06/04/2009

05/15/2009

Tue, 16 Jun 2009 07:48:00 EST

Transmittal #: R1734CP
Subject: Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update
MM Article #: MM6453
MM Article Release Date: 06/02/2009

05/22/2009

Tue, 16 Jun 2009 07:50:00 EST

Transmittal #: R1741CP
Subject: Update-Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Rate Year 2010
MM Article #: MM6461
MM Article Release Date: 06/11/2009

05/22/2009

Tue, 16 Jun 2009 07:51:00 EST

Transmittal #: R497OTN
Subject: Payment for Maintenance and Servicing of Certain Oxygen Equipment as a Result of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008- THIS CR RESCINDS AND FULLY REPLACES CR 6404
MM Article #: MM6509
MM Article Release Date: 05/28/2009

06/05/2009

Thu, 18 Jun 2009 09:13:00 EST

Transmittal #: R1749CP
Subject: Revised Billing Instructions for Occurrence Span Code 74 on Skilled Nursing Facility (SNF) No Payment Claims
MM Article #: MM6523
MM Article Release Date: 06/08/2009

06/05/2009

Thu, 18 Jun 2009 09:14:00 EST

Transmittal #: R1751CP
Subject: New Waived Tests
MM Article #: MM6459
MM Article Release Date: 06/08/2009

01/09/2009

Thu, 25 Jun 2009 10:57:00 EST

Transmittal #: R1666CP
Subject: Instructions for Fiscal Intermediary Standard System (FISS), Multi-Carrier System (MCS) and Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes
MM Article #: N/A
MM Article Release Date: N/A

06/23/2009

Thu, 25 Jun 2009 11:02:00 EST

Transmittal #: R1760CP
Subject: July 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)
MM Article #: MM6492
MM Article Release Date: 05/26/2009

06/19/2006

Thu, 25 Jun 2009 11:56:00 EST

Transmittal #: R440PR1
Subject: Section 2231, Regional Medicare Swing-Bed-Rates
MM Article #: N/A
MM Article Release Date: N/A

06/26/2009

Thu, 25 Jun 2009 15:59:00 EST

Transmittal #: R509OTN
Subject: DME MAC Instructions for Therapy Caps 2009
MM Article #: N/A
MM Article Release Date: N/A

06/26/2009

Thu, 25 Jun 2009 15:59:00 EST

Transmittal #: R508OTN
Subject: Implementation of the Next Version of the Health Insurance Portability and Accountability Act (HIPAA) 835 Transaction
MM Article #: N/A
MM Article Release Date: N/A

06/12/2009

Fri, 26 Jun 2009 07:39:00 EST

Transmittal #: R291PI
Subject: Reassignment and Ambulatory Surgical Centers (ASCs)
MM Article #: MM6470
MM Article Release Date: 06/16/2009

06/26/2009

Wed, 01 Jul 2009 08:53:00 EST

Transmittal #: R70MSP
Subject: Instructions on utilizing 837 Institutional CAS segments for Medicare Secondary Payer (MSP) Part A Claims
MM Article #: MM6426
MM Article Release Date: 03/30/2009

06/26/2009

Wed, 01 Jul 2009 09:00:00 EST

Transmittal #: R1761CP
Subject: Billing Routine Cost of Clinical Trials
MM Article #: MM6431
MM Article Release Date: 04/13/2009

07/02/2009

Thu, 02 Jul 2009 10:32:00 EST

Transmittal #: R1762CP
Subject: Appeals Revisions
MM Article #: N/A
MM Article Release Date: N/A

07/02/2009

Thu, 02 Jul 2009 10:45:00 EST

Transmittal #: R514OTN
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Common Edits and Enhancements Module: File preparation (for MCS ONLY)
MM Article #: N/A
MM Article Release Date: N/A

07/02/2009

Thu, 02 Jul 2009 11:15:00 EST

Transmittal #: R512OTN
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Common Edits and Enhancements Module - ICN Generator (for MCS ONLY)
MM Article #: N/A
MM Article Release Date: N/A

07/02/2009

Thu, 02 Jul 2009 11:36:00 EST

Transmittal #: R102NCD
Subject: Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient
MM Article #: N/A
MM Article Release Date: N/A

N/A

Mon, 06 Jul 2009 09:29:00 EST

Transmittal #: SE0912
Subject: Expiration of Medicare Processing of Certain Indian Health Service (IHS) Part B Claims - Sunset of Section 630 of the Medicare Modernization Act (MMA) of 2003 for Payment of Indian Health Services (IHS)
MM Article #: SE0912
MM Article Release Date: 06/24/2009

06/19/2009

Mon, 06 Jul 2009 09:30:00 EST

Transmittal #: R1758CP
Subject: Correction to Fiscal Year (FY) 2009 Medicare Severity Long- Term Care Diagnosis-Related Group (MS-LTC-DRG) Weights
MM Article #: MM6552
MM Article Release Date: 06/22/2009

06/19/2009

Mon, 06 Jul 2009 10:12:00 EST

Transmittal #: R505OTN
Subject: Medicare Part B Radiation Therapy Centers Supplier Enrollment Revalidation
MM Article #: N/A
MM Article Release Date: N/A

07/01/2009

Mon, 06 Jul 2009 11:56:00 EST

Transmittal #: R511OTN
Subject: Standard Paper Remittance (SPR) Update for Health Insurance Portability and Accountability Act (HIPAA) Version 005010
MM Article #: N/A
MM Article Release Date: N/A

06/12/2009

Mon, 06 Jul 2009 14:59:00 EST

Transmittal #: R293PI
Subject: Review of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
MM Article #: N/A
MM Article Release Date: 06/24/2009

01/07/2009

Tue, 07 Jul 2009 08:36:00 EST

Transmittal #: R1662CP
Subject: Home Health Prospective Payment System Rate Update for Calendar Year 2009
MM Article #: MM6341
MM Article Release Date: 01/09/2009

06/19/2009

Wed, 08 Jul 2009 11:18:00 EST

Transmittal #: R507OTN
Subject: Jurisdiction 13 A/B MAC Merge of the three Part B New York and the Part B Connecticut CICS Production and User Acceptance Test Regions.
MM Article #: N/A
MM Article Release Date: N/A

07/10/2009

Fri, 10 Jul 2009 08:52:00 EST

Transmittal #: R1768CP
Subject: Update to Pub 100-04, Chapter 24, Section 40.7 of the Claims Processing Manual
MM Article #: N/A
MM Article Release Date: N/A

07/10/2009

Fri, 10 Jul 2009 08:52:00 EST

Transmittal #: R1767CP
Subject: IOM Chapter 25 Revenue Code 076X Description Change
MM Article #: N/A
MM Article Release Date: N/A

07/10/2009

Fri, 10 Jul 2009 10:17:00 EST

Transmittal #: R296PI
Subject: Provider Enrollment Verification Activities
MM Article #: N/A
MM Article Release Date: N/A

07/10/2009

Fri, 10 Jul 2009 11:15:00 EST

Transmittal #: R50SOMA
Subject: Revisions to Chapter 5, Complaint Procedures
MM Article #: N/A
MM Article Release Date: N/A

07/10/2009

Fri, 10 Jul 2009 15:38:00 EST

Transmittal #: R154FM
Subject: Notice of New Interest Rate for Medicare Overpayments and Underpayments-Fourth Notification for FY 2009
MM Article #: N/A
MM Article Release Date: N/A

06/26/2009

Mon, 13 Jul 2009 13:21:00 EST

Transmittal #: R295PI
Subject: Revision to Certain Instructions Related to Provider Enrollment Deactivations and Revocations
MM Article #: MM6491
MM Article Release Date: 07/01/2009

06/12/2009

Mon, 13 Jul 2009 13:24:00 EST

Transmittal #: R153FM
Subject: Implementation of the Redesigned Provider Statistical and Reimbursement (PS&R) System
MM Article #: MM6519
MM Article Release Date: 06/22/2009

06/19/2009

Mon, 13 Jul 2009 13:26:00 EST

Transmittal #: R61DEMO
Subject: Method of Payment for Extended Stay Services under the Frontier Extended Stay Clinic Demonstration, Authorized by Section 434 of the Medicare Modernization Act. This Change Request provides additional information to CR 6057.
MM Article #: MM6452
MM Article Release Date: 06/26/2009

07/02/2009

Mon, 13 Jul 2009 13:28:00 EST

Transmittal #: R1764CP
Subject: Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient
MM Article #: MM6405
MM Article Release Date: 06/25/2009

01/16/2009

Tue, 14 Jul 2009 12:36:00 EST

Transmittal #: R1671CP
Subject: Clarification of Requirements for New and Material Evidence as Good Cause for Reopening
MM Article #: N/A
MM Article Release Date: N/A

01/30/2009

Tue, 14 Jul 2009 12:53:00 EST

Transmittal #: R433OTN
Subject: FISS, CWF and NCH System Requirements for All Outpatient 837 I Claims Related to Rendering Physicians/Practitioners
MM Article #: N/A
MM Article Release Date: N/A

02/06/2009

Tue, 14 Jul 2009 12:57:00 EST

Transmittal #: R436OTN
Subject: Re-design of FISS Edits for Hemophilia Clotting Factors on Inpatient Claims
MM Article #: N/A
MM Article Release Date: N/A

02/06/2009

Tue, 14 Jul 2009 12:58:00 EST

Transmittal #: R437OTN
Subject: Health Insurance Portability and Accountability Act (HIPAA) 837 5010 Coordination of Benefits (COB) Requirements---Multi-Carrier System (MCS)
MM Article #: N/A
MM Article Release Date: N/A

02/06/2009

Tue, 14 Jul 2009 12:59:00 EST

Transmittal #: R438OTN
Subject: New "";WW""; Code to Identify a New Source for Topotecan
MM Article #: N/A
MM Article Release Date: N/A

02/06/2009

Tue, 14 Jul 2009 13:00:00 EST

Transmittal #: R440OTN
Subject: Facet Joints
MM Article #: N/A
MM Article Release Date: N/A

02/06/2009

Tue, 14 Jul 2009 13:00:00 EST

Transmittal #: R147FM
Subject: Chapter 7-Internal Control Requirements Update
MM Article #: N/A
MM Article Release Date: N/A

02/06/2009

Tue, 14 Jul 2009 13:01:00 EST

Transmittal #: R439OTN
Subject: Influenza Pandemic Emergency- Additional Guidance Concerning the Medicare Prescription Drug Program (Part D) and Medicare Advantage (Part C)
MM Article #: N/A
MM Article Release Date: N/A

02/13/2009

Tue, 14 Jul 2009 16:30:00 EST

Transmittal #: R442OTN
Subject: Modifier 79
MM Article #: N/A
MM Article Release Date: N/A

02/13/2009

Tue, 14 Jul 2009 16:31:00 EST

Transmittal #: R1680CP
Subject: Instructions for Downloading the Medicare ZIP Code Files for July 2009
MM Article #: N/A
MM Article Release Date: N/A

02/13/2009

Tue, 14 Jul 2009 16:32:00 EST

Transmittal #: R441OTN
Subject: Influenza Pandemic Emergency Preparedness -- Additional Guidance Concerning Medicare Fee-For-Service Payment Policies and Billing Instructions
MM Article #: N/A
MM Article Release Date: N/A

07/17/2009

Fri, 17 Jul 2009 10:18:00 EST

Transmittal #: R10SS
Subject: Business Partners Systems Security Manual
MM Article #: N/A
MM Article Release Date: N/A

07/17/2009

Fri, 17 Jul 2009 10:18:00 EST

Transmittal #: R517OTN
Subject: System Network Architecture (SNA) Requirements for New CMS-Net Wide Area Network (WAN)
MM Article #: N/A
MM Article Release Date: N/A

07/17/2009

Fri, 17 Jul 2009 10:41:00 EST

Transmittal #: R516OTN
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 837 Institutional (837I) Edits
MM Article #: N/A
MM Article Release Date: N/A

07/17/2009

Fri, 17 Jul 2009 11:18:00 EST

Transmittal #: R1771CP
Subject: Interest Payment on Clean Non-PIP Claims Not Paid Timely
MM Article #: N/A
MM Article Release Date: N/A

07/17/2009

Fri, 17 Jul 2009 14:32:00 EST

Transmittal #: R518OTN
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA)Version 005010 837 Professional (837P) Edits
MM Article #: N/A
MM Article Release Date: N/A

01/16/2009

Mon, 20 Jul 2009 09:50:00 EST

Transmittal #: R1670CP
Subject: Claim Status Category Code and Claim Status Code Update
MM Article #: MM6325
MM Article Release Date: 01/20/2009

01/09/2009

Mon, 20 Jul 2009 09:50:00 EST

Transmittal #: R64MSP
Subject: New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers""; Compensation Medicare Set-aside Arrangements (WCMSAs), to Stop Conditional Payments
MM Article #: N/A
MM Article Release Date: N/A

01/30/2009

Mon, 20 Jul 2009 09:51:00 EST

Transmittal #: R1675CP
Subject: Standard System Change to Allow Claims Processing Contractors Flexibility with 9-Digit ZIP Code
MM Article #: MM6293
MM Article Release Date: 02/04/2009

01/30/2009

Mon, 20 Jul 2009 09:52:00 EST

Transmittal #: R1672CP
Subject: Payment for Co-surgeons in a Method II Critical Access Hospital (CAH
MM Article #: MM6319
MM Article Release Date: 02/04/2009

01/30/2009

Mon, 20 Jul 2009 09:52:00 EST

Transmittal #: R1676CP
Subject: Change in the Amount in Controversy Requirement for Administrative Law Judge Hearings and Federal District Court Appeals
MM Article #: MM6295
MM Article Release Date: 02/04/2009

01/30/2009

Mon, 20 Jul 2009 09:53:00 EST

Transmittal #: R434OTN
Subject: Correction to Home Health Prospective Payment System (HH PPS) Episode Sequence Edits
MM Article #: MM6305
MM Article Release Date: 02/04/2009

07/20/2009

Mon, 20 Jul 2009 15:06:00 EST

Transmittal #: R51SOMA
Subject: Revisions to Appendix PP - Interpretive Guidelines for Long-Term Care Facilities, Tag F441
MM Article #: N/A
MM Article Release Date: N/A

07/20/2009

Mon, 20 Jul 2009 15:06:00 EST

Transmittal #: R519OTN
Subject: Implementation of the Health Care Claim Status Inquiry and Response (276/277) Version 005010 - Durable Medical Equipment (DME) Shared System Change
MM Article #: N/A
MM Article Release Date: N/A

07/10/2009

Wed, 22 Jul 2009 15:40:00 EST

Transmittal #: R1766CP
Subject: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2009
MM Article #: MM6548
MM Article Release Date: 07/22/2009

02/20/2009

Thu, 23 Jul 2009 10:27:00 EST

Transmittal #: R284PI
Subject: Model Letter Updates
MM Article #: N/A
MM Article Release Date: N/A

02/20/2009

Thu, 23 Jul 2009 10:28:00 EST

Transmittal #: R448OTN
Subject: Request for Common Working File (CWF) to Continue Sending Common Working File Medicare Quality Assurance (CWFMQA) the Existing 4010 File Formats after the CWF July Implementation of 5010 File Formats
MM Article #: N/A
MM Article Release Date: N/A

02/20/2009

Thu, 23 Jul 2009 10:29:00 EST

Transmittal #: R1688CP
Subject: Clarification of the Medicare Redetermination Notice for Partly or Fully Unfavorable Redeterminations
MM Article #: N/A
MM Article Release Date: N/A

02/20/2009

Thu, 23 Jul 2009 10:29:00 EST

Transmittal #: R57GI
Subject: Implementing Validated Workarounds for Shared System Claims Processing by Medicare Administrative Contractors (A/B MACs), Durable Medical Equipment Medicare Administrative Contractors (DMEMACs), Carriers, Regional Home Health Intermediaries (RHHIs) and Fiscal Intermediaries (FIs)
MM Article #: N/A
MM Article Release Date: N/A

07/24/2009

Thu, 23 Jul 2009 12:49:00 EST

Transmittal #: R520OTN
Subject: Annual Systematic Synchronization of Medicare Participating Physician or Supplier Agreement (PAR) Status Between the Multi Carrier System (MCS) Provider Enrollment, Chain and Ownership System (PECOS)
MM Article #: N/A
MM Article Release Date: N/A

07/24/2009

Thu, 23 Jul 2009 15:30:00 EST

Transmittal #: R521OTN
Subject: Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process
MM Article #: N/A
MM Article Release Date: N/A

07/24/2009

Thu, 23 Jul 2009 15:30:00 EST

Transmittal #: R522OTN
Subject: Migrating the CMS Medicare Data Communication Network (MDCN) to the New Multi Protocol Label Switching (MPLS)
MM Article #: N/A
MM Article Release Date: N/A

N/A

Fri, 24 Jul 2009 07:50:00 EST

Transmittal #: SE0915
Subject: Take Action Now to Prepare for the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program
MM Article #: SE0915
MM Article Release Date: 07/09/2009

06/12/2009

Fri, 24 Jul 2009 07:52:00 EST

Transmittal #: R1756CP
Subject: Claim Status Category Code and Claim Status Code Update
MM Article #: MM6525
MM Article Release Date: 07/02/2009

07/02/2009

Fri, 24 Jul 2009 07:54:00 EST

Transmittal #: R1763CP
Subject: ESRD: Placement of a List of Diagnostic Tests that are Considered End Stage Renal Disease (ESRD)
MM Article #: MM6515
MM Article Release Date: 07/09/2009

07/10/2009

Fri, 24 Jul 2009 07:55:00 EST

Transmittal #: R1769CP
Subject: ESRD: Placement of a List of Diagnostic Tests that are Considered End Stage Renal Disease (ESRD)
MM Article #: MM6515
MM Article Release Date: 07/09/2009

06/12/2009

Mon, 27 Jul 2009 17:09:00 EST

Transmittal #: R1755CP
Subject: Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient
MM Article #: MM6405
MM Article Release Date: 06/25/2009

01/16/2009

Tue, 28 Jul 2009 11:27:00 EST

Transmittal #: R101BP
Subject: January 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)
MM Article #: MM6320
MM Article Release Date: 01/05/2009

01/09/2009

Tue, 28 Jul 2009 11:28:00 EST

Transmittal #: R1664CP
Subject: January 2009 Integrated Outpatient Code Editor (I/OCE) Specifications Version 10.0
MM Article #: MM6315
MM Article Release Date: 01/12/2009

01/08/2009

Tue, 28 Jul 2009 12:59:00 EST

Transmittal #: R1663CP
Subject: Correction to Prothrombin Time (PT/INR) Monitoring for Home Anticoagulation Management
MM Article #: MM6313
MM Article Release Date: 01/12/2009

01/13/2009

Tue, 28 Jul 2009 13:01:00 EST

Transmittal #: R1669CP
Subject: January 2009 Update of the Ambulatory Surgical Center (ASC) Payment System
MM Article #: MM6323
MM Article Release Date: 01/15/2009

01/16/2009

Tue, 28 Jul 2009 13:07:00 EST

Transmittal #: R430OTN
Subject: Long Term Care Hospital (LTCH) Special Project
MM Article #: MM6324
MM Article Release Date: 01/20/2009

01/02/2009

Tue, 28 Jul 2009 13:08:00 EST

Transmittal #: R1661CP
Subject: Emergency Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB)
MM Article #: MM6351
MM Article Release Date: 01/06/2009

01/30/2009

Tue, 28 Jul 2009 13:13:00 EST

Transmittal #: R1673CP
Subject: Correction to the Common Working File (CWF) for Late Recertifications
MM Article #: MM6332
MM Article Release Date: 02/04/2009

02/13/2009

Tue, 28 Jul 2009 14:38:00 EST

Transmittal #: R1684CP
Subject: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2009
MM Article #: MM6383
MM Article Release Date: 02/20/2009

02/27/2009

Tue, 28 Jul 2009 15:19:00 EST

Transmittal #: R451OTN
Subject: Incorporation of the National Provider Identifier (NPI) into the National Supplier Clearinghouse (NSC) Enrollment System and Related Instructions
MM Article #: N/A
MM Article Release Date: N/A

02/25/2009

Tue, 28 Jul 2009 15:19:00 EST

Transmittal #: R24COM
Subject: Implementation of New Provider Authentication Requirements for Medicare Contractor Provider Telephone and Written Inquiries.
MM Article #: N/A
MM Article Release Date: N/A

N/A

Wed, 29 Jul 2009 11:14:00 EST

Transmittal #: SE0902
Subject: Important Information for Providers Serving Medicare Beneficiaries Enrolled in Private Fee-for-Service Plans
MM Article #: SE0902
MM Article Release Date: 01/30/2009

07/24/2009

Wed, 29 Jul 2009 12:37:00 EST

Transmittal #: R1780CP
Subject: Update-Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Rate Year 2010
MM Article #: MM6461
MM Article Release Date: 07/29/2009

07/10/2009

Thu, 30 Jul 2009 07:58:00 EST

Transmittal #: R1770CP
Subject: Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
MM Article #: MM6520
MM Article Release Date: 07/17/2009

07/10/2009

Thu, 30 Jul 2009 08:06:00 EST

Transmittal #: R103NCD
Subject: Sleep Testing for Obstructive Sleep Apnea (OSA)
MM Article #: MM6534
MM Article Release Date: 07/22/2009

07/10/2009

Thu, 30 Jul 2009 08:11:00 EST

Transmittal #: R515OTN
Subject: 2009 Reminder for Roster Billing and Centralized Billing for Influenza and Pneumococcal Vaccinations
MM Article #: MM6539
MM Article Release Date: 07/23/2009

07/29/2009

Fri, 31 Jul 2009 10:30:00 EST

Transmittal #: R1781CP
Subject: Payment for Co-surgeons in a Method II Critical Access Hospital (CAH)
MM Article #: MM6319
MM Article Release Date: 02/04/2008

07/31/2009

Fri, 31 Jul 2009 10:41:00 EST

Transmittal #: R108BP
Subject: New Reporting Requirements for the Quarterly Opt Out Report in Contractor Reporting of Operational Workload Data (CROWD)
MM Article #: N/A
MM Article Release Date: N/A

07/31/2009

Fri, 31 Jul 2009 10:41:00 EST

Transmittal #: R20P236
Subject: Update Form CMS-2552-96 and further clarifications
MM Article #: N/A
MM Article Release Date: N/A

07/31/2009

Fri, 31 Jul 2009 10:41:00 EST

Transmittal #: R155FM
Subject: New Reporting Requirements for the Quarterly Opt Out Report in Contractor Reporting of Operational Workload Data (CROWD)
MM Article #: N/A
MM Article Release Date: N/A

07/31/2009

Fri, 31 Jul 2009 11:43:00 EST

Transmittal #: R525OTN
Subject: Phase 2 Base System Changes for Implementation of the Next Version of the Health Insurance Portability and Accountability Act (HIPAA)Multi Carrier System (MCS) Only
MM Article #: N/A
MM Article Release Date: N/A

08/03/2009

Mon, 03 Aug 2009 14:38:00 EST

Transmittal #: R528OTN
Subject: New Workload Number for and Transition of the Part A Louisiana and Mississippi Workloads to PBSI, an Existing Title XVIII Fiscal Intermediary
MM Article #: N/A
MM Article Release Date: N/A

07/31/2009

Tue, 04 Aug 2009 09:19:00 EST

Transmittal #: R1785CP
Subject: Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 15.3, Effective October 1, 2009
MM Article #: MM6587
MM Article Release Date: 08/04/2009

05/22/2009

Tue, 04 Aug 2009 09:33:00 EST

Transmittal #: R1744CP
Subject: Manual Update to Include Billing Instructions for Professional Component (PC) and Technical Component (TC) in Regards to One Line Global Billing for Pathology Services
MM Article #: MM6457
MM Article Release Date: 06/08/2009

02/20/2009

Tue, 04 Aug 2009 09:51:00 EST

Transmittal #: R1685CP
Subject: April 2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
MM Article #: MM6380
MM Article Release Date: 02/24/2009

03/04/2009

Tue, 04 Aug 2009 12:19:00 EST

Transmittal #: R1691CP
Subject: April Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB)
MM Article #: MM6397
MM Article Release Date: 03/06/2009

03/06/2009

Tue, 04 Aug 2009 12:38:00 EST

Transmittal #: R148FM
Subject: Recovery Audit Contractors (RACs)
MM Article #: N/A
MM Article Release Date: N/A

03/06/2009

Tue, 04 Aug 2009 12:38:00 EST

Transmittal #: R454OTN
Subject: Influenza Pandemic Emergency Preparedness Waiver of Certain Medicare Requirements
MM Article #: N/A
MM Article Release Date: N/A

08/07/2009

Fri, 07 Aug 2009 12:57:00 EST

Transmittal #: R1792CP
Subject: Instructions for Downloading the Medicare ZIP Code Files for January 2010
MM Article #: N/A
MM Article Release Date: N/A

08/07/2009

Fri, 07 Aug 2009 12:57:00 EST

Transmittal #: R91MCM
Subject: Chapter 3, Medicare Marketing Guidelines
MM Article #: N/A
MM Article Release Date: N/A

08/07/2009

Fri, 07 Aug 2009 12:57:00 EST

Transmittal #: R1793CP
Subject: Revision to the Selection Criteria for Recovery Audit Contractor (RAC) Adjustment Crossover Claims and for Fully Reimbursable Part B Claims
MM Article #: N/A
MM Article Release Date: N/A

08/07/2009

Fri, 07 Aug 2009 14:22:00 EST

Transmittal #: R156FM
Subject: Recovery Audit Contractors
MM Article #: N/A
MM Article Release Date: N/A

08/07/2009

Fri, 07 Aug 2009 14:22:00 EST

Transmittal #: R530OTN
Subject: Update Fiscal Intermediary Standard System (FISS) to Deactivate Billing Numbers for Non-Frequent Billers
MM Article #: N/A
MM Article Release Date: N/A

08/07/2009

Mon, 10 Aug 2009 10:23:00 EST

Transmittal #: R26COM
Subject: Provider Customer Service Program Updates
MM Article #: N/A
MM Article Release Date: N/A

07/24/2009

Tue, 11 Aug 2009 08:41:00 EST

Transmittal #: R1774CP
Subject: The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2007 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs)
MM Article #: MM6530
MM Article Release Date: 07/27/2009

03/06/2009

Tue, 11 Aug 2009 08:42:00 EST

Transmittal #: R1696
Subject: Updates to the Medicare Claims Processing Manual Publication 100-04, Chapter 15.
MM Article #: MM6347
MM Article Release Date: 03/12/2009

07/24/2009

Tue, 11 Aug 2009 08:46:00 EST

Transmittal #: R1775CP
Subject: Point of Origin Codes Update to the UB-04 (CMS-1450) Manual Code List
MM Article #: MM6478
MM Article Release Date: 07/27/2009

07/24/2009

Tue, 11 Aug 2009 08:50:00 EST

Transmittal #: R1773CP
Subject: Revised Processing of Osteoporosis Drugs Under the Home Health Benefit
MM Article #: MM6512
MM Article Release Date: 07/27/2009

07/02/2009

Tue, 11 Aug 2009 09:10:00 EST

Transmittal #: R513OTN
Subject: Coding and Reporting Principles for the Physician Quality Reporting Initiative (PQRI) and the Electronic Prescribing (E-Prescribing) Incentive Programs
MM Article #: MM6514
MM Article Release Date: 07/15/2009

07/24/2009

Tue, 11 Aug 2009 10:06:00 EST

Transmittal #: R1776CP
Subject: Telehealth Services in Indian Health Service (IHS) or Tribal Providers
MM Article #: MM6493
MM Article Release Date: 07/29/2009

07/24/2009

Tue, 11 Aug 2009 10:10:00 EST

Transmittal #: R1777CP
Subject: Payment of Bilateral Procedures in a Method II Critical Access Hospital (CAH)
MM Article #: MM6526
MM Article Release Date: 07/30/2009

07/17/2009

Wed, 12 Aug 2009 14:03:00 EST

Transmittal #: R1772CP
Subject: FDG PET for Solid Tumors and Myeloma and Additional Manual Updates
MM Article #: N/A
MM Article Release Date: N/A

08/14/2009

Thu, 13 Aug 2009 10:18:00 EST

Transmittal #: R1794CP
Subject: Healthcare Provider Taxonomy Codes (HPTC) Update October 2009
MM Article #: N/A
MM Article Release Date: N/A

08/14/2009

Thu, 13 Aug 2009 14:44:00 EST

Transmittal #: R532OTN
Subject: Deactivation Letter for the Multi-Carrier System (MCS)
MM Article #: N/A
MM Article Release Date: N/A

08/14/2009

Thu, 13 Aug 2009 15:48:00 EST

Transmittal #: R533OTN
Subject: Phase 2 Base System Changes for Implementation of the Next Version of the Health Insurance Portability and Accountability Act (HIPAA)Viable Medicare System (VMS) Only
MM Article #: N/A
MM Article Release Date: N/A

06/12/2009

Fri, 14 Aug 2009 12:30:00 EST

Transmittal #: R503OTN
Subject: Reporting Non-Tax Withholding Due to Federal Payment Levy Program (FPLP)
MM Article #: MM6228
MM Article Release Date: 08/14/2009

02/06/2009

Fri, 14 Aug 2009 13:21:00 EST

Transmittal #: R435OTN
Subject: VMS Modifications to Implement the Common Electronic Data Interchange (CEDI) System, Final Implementation
MM Article #: MM6357
MM Article Release Date: 02/10/2009

02/13/2009

Fri, 14 Aug 2009 13:22:00 EST

Transmittal #: R102BP
Subject: Shipboard Services Billed to the Carrier and Services Not Provided Within the United States. This CR rescinds and fully replaces CR 6217.
MM Article #: MM6327
MM Article Release Date: 02/17/2009

02/13/2009

Fri, 14 Aug 2009 13:22:00 EST

Transmittal #: R1677CP
Subject: Shipboard Services Billed to the Carrier and Services Not Provided Within the United States. This CR rescinds and fully replaces CR 6217.
MM Article #: N/A
MM Article Release Date: N/A

02/13/2009

Fri, 14 Aug 2009 13:23:00 EST

Transmittal #: R447OTN
Subject: Corrections to the Inpatient Prospective Payment System (IPPS) Wage Index for Fiscal Year (FY) 2009 and the Outpatient Prospective Payment System (OPPS) Wage Index for Calendar Year (CY) 2009
MM Article #: MM6363
MM Article Release Date: 02/17/2009

02/13/2009

Fri, 14 Aug 2009 13:24:00 EST

Transmittal #: R1683CP
Subject: Heartsbreath Test for Heart Transplant Rejection
MM Article #: N/A
MM Article Release Date: N/A

02/13/2009

Fri, 14 Aug 2009 13:24:00 EST

Transmittal #: R1681CP
Subject: Payments to Institutional Providers with Multiple Service Delivery Locations
MM Article #: MM6300
MM Article Release Date: 02/17/2009

02/13/2009

Fri, 14 Aug 2009 13:24:00 EST

Transmittal #: R99NCD
Subject: Heartsbreath Test for Heart Transplant Rejection
MM Article #: MM6366
MM Article Release Date: 02/17/2009

02/20/2009

Fri, 14 Aug 2009 13:25:00 EST

Transmittal #: R1686CP
Subject: New Non-physician Practitioner Specialty Code for Speech Language Pathologists
MM Article #: MM6292
MM Article Release Date: 02/24/2009

02/13/2009

Fri, 14 Aug 2009 13:25:00 EST

Transmittal #: R1682CP
Subject: Clarification of Date of Service (DOS) of Ambulance Services.
MM Article #: MM6372
MM Article Release Date: 02/17/2009

01/30/2009

Fri, 14 Aug 2009 13:26:00 EST

Transmittal #: R1674CP
Subject: Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update
MM Article #: MM6336
MM Article Release Date: 02/20/2009

02/20/2009

Fri, 14 Aug 2009 13:26:00 EST

Transmittal #: R1687CP
Subject: Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
MM Article #: MM6356
MM Article Release Date: 02/24/2009

02/13/2009

Fri, 14 Aug 2009 13:27:00 EST

Transmittal #: R443OTN
Subject: Payment for Repair, Maintenance and Servicing of Oxygen Equipment as a Result of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008
MM Article #: MM6296
MM Article Release Date: 02/18/2009

02/20/2009

Fri, 14 Aug 2009 13:55:00 EST

Transmittal #: R103BP
Subject: Ambulance Services and Expiration of the Ambulance Fee Schedule Transition Period
MM Article #: MM6318
MM Article Release Date: 02/24/2009

02/27/2009

Fri, 14 Aug 2009 13:55:00 EST

Transmittal #: R1689CP
Subject: New Waived Tests
MM Article #: MM6370
MM Article Release Date: 03/03/2009

02/27/2009

Fri, 14 Aug 2009 13:56:00 EST

Transmittal #: R1690CP
Subject: Reporting the National Provider Identifier (NPI) on Claims for Reference Laboratory and Purchased Diagnostic Services Performed Outside the Billing Jurisdiction.
MM Article #: MM6362
MM Article Release Date: 03/03/2009

02/13/2009

Fri, 14 Aug 2009 13:56:00 EST

Transmittal #: R445OTN
Subject: Claims Processing Instructions for Diagnostic Tests Subject to the Anti-Markup Pricing Limitation
MM Article #: MM6371
MM Article Release Date: 03/03/2009

02/13/2009

Fri, 14 Aug 2009 13:57:00 EST

Transmittal #: R1678CP
Subject: Outpatient Therapy Caps With Exceptions in CY 2009
MM Article #: MM6321
MM Article Release Date: 03/04/2009

05/08/2009

Mon, 17 Aug 2009 07:59:00 EST

Transmittal #: R1733CP
Subject: Manual Clarifications for Skilled Nursing Facility (SNF) and Therapy Billing
MM Article #: MM6407
MM Article Release Date: 03/30/2009

03/13/2009

Mon, 17 Aug 2009 08:12:00 EST

Transmittal #: R1699CP
Subject: Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 15.1, Effective April 1, 2009
MM Article #: MM6388
MM Article Release Date: 03/16/2009

03/13/2009

Mon, 17 Aug 2009 08:12:00 EST

Transmittal #: R1700CP
Subject: April 2009 Integrated Outpatient Code Editor (I/OCE) Specifications Version 10.1
MM Article #: MM6413
MM Article Release Date: 03/16/2009

03/13/2009

Mon, 17 Aug 2009 08:13:00 EST

Transmittal #: R1702CP
Subject: April 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)
MM Article #: MM6416
MM Article Release Date: 03/16/2009

03/13/2009

Mon, 17 Aug 2009 08:22:00 EST

Transmittal #: R104BP
Subject: April 2009 Update to the ASC Payment System; Summary of Payment Policy Changes/Manual Revisions.
MM Article #: MM6424
MM Article Release Date: 03/19/2009

08/14/2009

Tue, 18 Aug 2009 08:20:00 EST

Transmittal #: R1798CP
Subject: Health Service (IHS) Hospital Payment Rates for Calendar Year 2009
MM Article #: N/A
MM Article Release Date: N/A

08/03/2009

Fri, 21 Aug 2009 08:11:00 EST

Transmittal #: R527OTN
Subject: Program Instructions Designating the Competitive Bidding Areas and Product Categories Included in the DMEPOS Competitive Bidding Program Round One Rebid in CY 2009
MM Article #: MM6571
MM Article Release Date: 08/03/2009

08/21/2009

Fri, 21 Aug 2009 10:55:00 EST

Transmittal #: R541OTN
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 837 Institutional (837I) Edits for J10 and J14 Only
MM Article #: N/A
MM Article Release Date: N/A

08/21/2009

Fri, 21 Aug 2009 10:55:00 EST

Transmittal #: R540OTN
Subject: 5010-D.0 Project Receipt, Control and Balancing Initial Phase for Durable Medical Equipment (DME) Only
MM Article #: N/A
MM Article Release Date: N/A

08/21/2009

Fri, 21 Aug 2009 10:55:00 EST

Transmittal #: R536OTN
Subject: Part B Individual Practitioner Supplier Enrollment Revalidation
MM Article #: N/A
MM Article Release Date: N/A

08/21/2009

Fri, 21 Aug 2009 10:55:00 EST

Transmittal #: R535OTN
Subject: Part B Organizational Supplier Enrollment Revalidation
MM Article #: N/A
MM Article Release Date: N/A

08/21/2009

Fri, 21 Aug 2009 11:41:00 EST

Transmittal #: R157FM
Subject: Add Specialty Codes to CROWD Form F (Participating Physicians Data)
MM Article #: N/A
MM Article Release Date: N/A

08/21/2009

Fri, 21 Aug 2009 11:44:00 EST

Transmittal #: R537OTN
Subject: 5010-D.0 Project Receipt, Control and Balancing Initial Phase for A/B Medicare Administrative Contractor (MAC) Only
MM Article #: N/A
MM Article Release Date: N/A

08/21/2009

Fri, 21 Aug 2009 11:49:00 EST

Transmittal #: R538OTN
Subject: PC Print Update for ASC X12 835 Version 005010
MM Article #: N/A
MM Article Release Date: N/A

08/21/2009

Fri, 21 Aug 2009 11:52:00 EST

Transmittal #: R539OTN
Subject: Medicare Part B Slide Preparation Facility Supplier enrollment Revalidation
MM Article #: N/A
MM Article Release Date: N/A

08/21/2009

Fri, 21 Aug 2009 13:29:00 EST

Transmittal #: R542OTN
Subject: Skilled Nursing Facility (SNF) Provider Enrollment Revalidation
MM Article #: N/A
MM Article Release Date: N/A

08/21/2009

Fri, 21 Aug 2009 13:33:00 EST

Transmittal #: R543OTN
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 837 Professional (837P) Edits Medicare Administrative Contractor (MAC) - Jurisdictions 10 and 14 Only
MM Article #: N/A
MM Article Release Date: N/A

07/17/2009

Fri, 21 Aug 2009 14:20:00 EST

Transmittal #: R104NCD
Subject: FDG PET for Solid Tumors and Myeloma and Additional Manual Updates
MM Article #: N/A
MM Article Release Date: N/A

05/04/2009

Fri, 21 Aug 2009 14:56:00 EST

Transmittal #: R1728CP
Subject: Surgery for Diabetes
MM Article #: MM6419
MM Article Release Date: 04/23/2009

04/17/2009

Mon, 24 Aug 2009 12:25:00 EST

Transmittal #: R100NCD
Subject: Surgery for Diabetes
MM Article #: MM6419
MM Article Release Date: 04/23/2009

04/17/2009

Mon, 24 Aug 2009 12:38:00 EST

Transmittal #: R1711CP
Subject: Surgery for Diabetes
MM Article #: MM6419
MM Article Release Date: 04/23/2009

03/13/2009

Mon, 24 Aug 2009 14:21:00 EST

Transmittal #: R1698CP
Subject: April 2009 Update to the ASC Payment System; Summary of Payment Policy Changes/Manual Revisions.
MM Article #: N/A
MM Article Release Date: N/A

03/13/2009

Mon, 24 Aug 2009 14:22:00 EST

Transmittal #: R456OTN
Subject: Addition of the Jurisdiction 5 Medicare Administrative Contractor (MAC) Roll Up Number (05001) to the CWF Contractor Table for Provider Inquiry Usage (Only)
MM Article #: N/A
MM Article Release Date: N/A

03/10/2009

Mon, 24 Aug 2009 14:24:00 EST

Transmittal #: R455OTN
Subject: Health Insurance Portability and Accountability Act (HIPAA) 837 5010 Coordination of Benefits (COB) Requirements--Multi-Carrier Systems (MCS)
MM Article #: N/A
MM Article Release Date: N/A

02/10/2009

Tue, 25 Aug 2009 08:11:00 EST

Transmittal #: R23COM
Subject: Implementation of New Provider Authentication Requirements for Medicare Contractor Provider Telephone and Written Inquiries
MM Article #: N/A
MM Article Release Date: N/A

03/04/2009

Tue, 25 Aug 2009 08:12:00 EST

Transmittal #: R25COM
Subject: Implementation of New Provider Authentication Requirements for Medicare Contractor Provider Telephone and Written Inquiries
MM Article #: MM6139
MM Article Release Date: 08/12/2008

03/06/2009

Wed, 26 Aug 2009 12:36:00 EST

Transmittal #: R1692CP
Subject: Healthcare Provider Taxonomy Codes (HPTC) Update April 2009
MM Article #: N/A
MM Article Release Date: N/A

03/20/2009

Wed, 26 Aug 2009 12:49:00 EST

Transmittal #: R462OTN
Subject: Emergency Change to the CWF Pacific Host's Internal Control File for the A/B Medicare Administrative Contractor Jurisdiction 3 Part B Merge
MM Article #: N/A
MM Article Release Date: N/A

03/20/2009

Wed, 26 Aug 2009 12:49:00 EST

Transmittal #: R457OTN
Subject: Hemophilia Clotting Factor Indicator on Average Sales Price (ASP) Drug Pricing File
MM Article #: N/A
MM Article Release Date: N/A

03/20/2009

Wed, 26 Aug 2009 12:52:00 EST

Transmittal #: R460OTN
Subject: J12 Production Region Merge of the District of Columbia, Maryland, New Jersey, and Pennsylvania Part A Workloads
MM Article #: N/A
MM Article Release Date: N/A

03/20/2009

Wed, 26 Aug 2009 12:52:00 EST

Transmittal #: R1704CP
Subject: Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process
MM Article #: N/A
MM Article Release Date: N/A

03/20/2009

Wed, 26 Aug 2009 15:34:00 EST

Transmittal #: R40SOMA
Subject: Revisions to Chapter 2, "";The Certification Process,""; Sections Relating to Federally Qualified Health Centers, and Exhibits 177 and 179
MM Article #: N/A
MM Article Release Date: N/A

03/24/2009

Wed, 26 Aug 2009 16:03:00 EST

Transmittal #: R464OTN
Subject: Customer Information Control System (CICS) Production Region Merge of the Alaska, Washington, Idaho and Oregon Medicare Part A Workloads in Preparation for the J2 Medicare Administrative Contractor (MAC) Implementation
MM Article #: N/A
MM Article Release Date: N/A

03/24/2009

Wed, 26 Aug 2009 16:04:00 EST

Transmittal #: R463OTN
Subject: J14 Part A and Part B Medicare Administrative Contractor (A/B MAC) New Workload Numbers for the States of Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont
MM Article #: N/A
MM Article Release Date: N/A

08/28/2009

Thu, 27 Aug 2009 16:11:00 EST

Transmittal #: R299PI
Subject: Updates to Model Rejection, Returned Application, Revalidation, Approval, Denial/Revocation Letters and Identity Theft Prevention Letter
MM Article #: N/A
MM Article Release Date: N/A

08/28/2009

Thu, 27 Aug 2009 16:11:00 EST

Transmittal #: R545OTN
Subject: 5010-D.0 Project Healthcare Claims Acknowledgement 277CA Generator (FISS and MCS ONLY)
MM Article #: N/A
MM Article Release Date: N/A

08/28/2009

Fri, 28 Aug 2009 07:32:00 EST

Transmittal #: R1802CP
Subject: Expansion of the Number of Services Fields in Medicare Summary Notices (MSNs)
MM Article #: N/A
MM Article Release Date: N/A

08/28/2009

Fri, 28 Aug 2009 09:16:00 EST

Transmittal #: R548OTN
Subject: HIPAA 5010 Activity - Medicare Administrative Contractor (MAC) Certification Test Package Development
MM Article #: N/A
MM Article Release Date: N/A

03/06/2009

Mon, 31 Aug 2009 08:30:00 EST

Transmittal #: R1695CP
Subject: Providers Submitting Information Regarding Medicare Beneficiaries Entitled to Medicare Advantage (MA) for Fiscal Year (FY) 2006 for the Medicare/Supplemental Security Income (SSI) Fraction
MM Article #: MM6329
MM Article Release Date: 03/10/2009

03/13/2009

Mon, 31 Aug 2009 08:30:00 EST

Transmittal #: R1701CP
Subject: Revision of the Hospice Wage Index and the Hospice Pricer for FY 2009
MM Article #: MM6418
MM Article Release Date: 03/16/2009

03/06/2009

Mon, 31 Aug 2009 08:30:00 EST

Transmittal #: R58GI
Subject: Disclosure of Physician Ownership in Hospitals
MM Article #: MM6306
MM Article Release Date: 03/10/2009

01/09/2009

Mon, 31 Aug 2009 08:37:00 EST

Transmittal #: R1665CP
Subject: New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers""; Compensation Medicare Set-aside Arrangements (WCMSAs), to Stop Conditional Payments
MM Article #: MM5371
MM Article Release Date: 01/15/2009

03/20/2009

Mon, 31 Aug 2009 08:37:00 EST

Transmittal #: R1703CP
Subject: New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers""; Compensation Medicare Set-aside Arrangements (WCMSAs), to Stop Conditional Payments
MM Article #: MM5371
MM Article Release Date: 01/15/2009

03/20/2009

Mon, 31 Aug 2009 08:37:00 EST

Transmittal #: R65MSP
Subject: New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers""; Compensation Medicare Set-aside Arrangements (WCMSAs), to Stop Conditional Payment
MM Article #: MM5371
MM Article Release Date: 01/15/2009

03/12/2009

Mon, 31 Aug 2009 08:38:00 EST

Transmittal #: R1697CP
Subject: Heartsbreath Test for Heart Transplant Rejection
MM Article #: MM6366
MM Article Release Date: 02/17/2009

08/28/2009

Tue, 01 Sep 2009 08:03:00 EST

Transmittal #: R1801CP
Subject: October Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB)
MM Article #: MM6617
MM Article Release Date: 09/01/2009

08/28/2009

Tue, 01 Sep 2009 08:13:00 EST

Transmittal #: R1805CP
Subject: Addition/Deletion of HCPCS Codes October 2009 Quarterly Update
MM Article #: MM6594
MM Article Release Date: 09/01/2009

08/28/2009

Tue, 01 Sep 2009 08:19:00 EST

Transmittal #: R1809CP
Subject: October 2009 Integrated Outpatient Code Editor (I/OCE) Specifications Version 10.3
MM Article #: MM6618
MM Article Release Date: 09/01/2009

08/28/2009

Tue, 01 Sep 2009 10:05:00 EST

Transmittal #: R1803CP
Subject: October 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)
MM Article #: MM6626
MM Article Release Date: 09/01/2009

08/28/2009

Tue, 01 Sep 2009 10:07:00 EST

Transmittal #: R1806CP
Subject: October 2009 Update to the Ambulatory Surgical Center (ASC) Payment System; Summary of Payment Policy Changes
MM Article #: MM6629
MM Article Release Date: 09/01/2009

03/27/2009

Tue, 01 Sep 2009 11:25:00 EST

Transmittal #: R468OTN
Subject: Limitation of Recoupment - VMS Recoupment and Claims Adjustment Process
MM Article #: N/A
MM Article Release Date: N/A

03/27/2009

Tue, 01 Sep 2009 11:26:00 EST

Transmittal #: R465OTN
Subject: New "";WW""; Code to Identify a New Source for Topotecan
MM Article #: N/A
MM Article Release Date: N/A

03/27/2009

Tue, 01 Sep 2009 11:27:00 EST

Transmittal #: R467OTN
Subject: J10 Part A and Part B Medicare Administrative Contractor (A/B MAC) Part B Tennessee and Idaho CICS UAT and Production Region Split and New Workload Numbers for the States of Alabama, Georgia and Tennessee
MM Article #: N/A
MM Article Release Date: N/A

03/27/2009

Tue, 01 Sep 2009 11:27:00 EST

Transmittal #: R149FM
Subject: Instruction for Credits for Medicare Administrative Contractors on Complementary Credit Reporting
MM Article #: N/A
MM Article Release Date: N/A

05/08/2009

Wed, 02 Sep 2009 07:22:00 EST

Transmittal #: R1729CP
Subject: Section 148 of The Medicare Improvements for Patients and Providers Act (MIPPA)
MM Article #: MM6395
MM Article Release Date: 05/12/2009

07/30/2009

Wed, 02 Sep 2009 07:27:00 EST

Transmittal #: R1782CP
Subject: Section 148 of The Medicare Improvements for Patients and Providers Act (MIPPA)
MM Article #: MM6395
MM Article Release Date: 05/12/2009

07/10/2009

Wed, 02 Sep 2009 08:04:00 EST

Transmittal #: R1765CP
Subject: 2009 Durable Medical Equipment Prosthetics, Orthotics, and Supply Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List
MM Article #: MM6522
MM Article Release Date: 07/30/2009

07/31/2009

Wed, 02 Sep 2009 08:10:00 EST

Transmittal #: R1786CP
Subject: Appropriate Use of Modifier 50 and Add-On Codes for Facet Joint Injections Services
MM Article #: MM6518
MM Article Release Date: N/A

07/31/2009

Wed, 02 Sep 2009 08:12:00 EST

Transmittal #: R526OTN
Subject: Appropriate Use of Modifier 50 and Add-On Codes for Facet Joint Injections Services
MM Article #: MM6518
MM Article Release Date: 07/31/2009

N/A

Wed, 02 Sep 2009 08:17:00 EST

Transmittal #: SE0914
Subject: Guidance on Using Internet-based Provider Enrollment, Chain and Ownership System (PECOS)
MM Article #: SE0914
MM Article Release Date: 08/04/2009

08/07/2009

Wed, 02 Sep 2009 08:28:00 EST

Transmittal #: R109BP
Subject: Diabetes Self-Management Training (DSMT) Certified Diabetic Educator
MM Article #: MM6510
MM Article Release Date: 08/12/2009

08/07/2009

Wed, 02 Sep 2009 08:32:00 EST

Transmittal #: R297PI
Subject: Compliance Standards for Consignment Closets and Stock and Bill Arrangements
MM Article #: MM6528
MM Article Release Date: 08/11/2009

04/02/2009

Wed, 02 Sep 2009 09:36:00 EST

Transmittal #: R150FM
Subject: Chapter 7 - Internal Control Requirements Update
MM Article #: N/A
MM Article Release Date: N/A

04/03/2009

Wed, 02 Sep 2009 09:37:00 EST

Transmittal #: R1709CP
Subject: Manualization of the Medicare Physician Fee Schedule (MPFS) Record Layouts for Contractors Processing Institutional Claims
MM Article #: N/A
MM Article Release Date: N/A

08/14/2009

Wed, 02 Sep 2009 11:04:00 EST

Transmittal #: R1796CP
Subject: Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index, and the Hospice Pricer for FY 2010
MM Article #: MM6606
MM Article Release Date: 09/02/2009

08/14/2009

Wed, 02 Sep 2009 11:08:00 EST

Transmittal #: R1795CP
Subject: October 2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
MM Article #: MM6585
MM Article Release Date: 09/02/2009

08/07/2009

Wed, 02 Sep 2009 11:11:00 EST

Transmittal #: R1790CP
Subject: Clinical Laboratory Fee Schedule - Medicare Travel Allowance Fees for Collection of Specimens
MM Article #: MM6524
MM Article Release Date: 09/02/2009

09/01/2009

Wed, 02 Sep 2009 11:12:00 EST

Transmittal #: R1810CP
Subject: October Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB)
MM Article #: MM6617
MM Article Release Date: 09/01/2009

07/31/2009

Wed, 02 Sep 2009 13:31:00 EST

Transmittal #: R1784CP
Subject: The Use of the CR Modifier and DR Condition Code on Disaster/Emergency-Related Claims
MM Article #: MM6451
MM Article Release Date: 07/31/2009

08/07/2009

Wed, 02 Sep 2009 13:33:00 EST

Transmittal #: R1789CP
Subject: 2010 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments
MM Article #: MM6581
MM Article Release Date: 08/12/2009

08/28/2009

Wed, 02 Sep 2009 13:36:00 EST

Transmittal #: R546OTN
Subject: Ambulatory Surgical Center Payment Indicator (ASCPI) File Error; and Reiteration of CMS Policy Regarding Beneficiary Liability for V2787 and V2788
MM Article #: MM6630
MM Article Release Date: 09/01/2009

08/14/2009

Wed, 02 Sep 2009 13:37:00 EST

Transmittal #: R531OTN
Subject: Additional Instructions on Processing Claims for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Items Submitted Under the Guidelines Established in Change Request (CR) 5917
MM Article #: MM6573
MM Article Release Date: 09/02/2009

08/21/2009

Wed, 02 Sep 2009 13:39:00 EST

Transmittal #: R1799CP
Subject: New Waived Tests
MM Article #: MM6570
MM Article Release Date: 08/25/2009

09/01/2009

Wed, 02 Sep 2009 14:46:00 EST

Transmittal #: R300PI
Subject: Compliance Standards for Consignment Closets and Stock and Bill Arrangements
MM Article #: MM6528
MM Article Release Date: 08/10/2009

07/31/2009

Wed, 02 Sep 2009 14:51:00 EST

Transmittal #: R1787CP
Subject: Fractional Mileage Amounts Submitted on Ambulance Claims
MM Article #: MM6543
MM Article Release Date: 08/04/2009

09/04/2009

Fri, 04 Sep 2009 08:43:00 EST

Transmittal #: R1813CP
Subject: 2010 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder
MM Article #: N/A
MM Article Release Date: N/A

09/04/2009

Fri, 04 Sep 2009 08:55:00 EST

Transmittal #: R1811CP
Subject: Verification of Status for all Hospitals Qualifying for Disproportionate Share Hospital (DSH) Payments under 42 CFR Section 412.106(c)(2), also known as the "";Pickle Amendment"";
MM Article #: N/A
MM Article Release Date: N/A

09/04/2009

Fri, 04 Sep 2009 10:04:00 EST

Transmittal #: R551OTN
Subject: Creation of Receipt Date for Multi-Carrier System (MCS)
MM Article #: N/A
MM Article Release Date: N/A

09/04/2009

Fri, 04 Sep 2009 10:04:00 EST

Transmittal #: R552OTN
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Common Edits and Enhancements Module File Preparation (for FISS Only)
MM Article #: N/A
MM Article Release Date: N/A

09/04/2009

Fri, 04 Sep 2009 10:55:00 EST

Transmittal #: R553OTN
Subject: New Workload Number for and Transition of the Part A Louisiana and Mississippi Workloads to PBSI, an Existing Title XVIII Fiscal Intermediary.
MM Article #: N/A
MM Article Release Date: N/A

09/04/2009

Fri, 04 Sep 2009 14:40:00 EST

Transmittal #: R554OTN
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Common Edits and Enhancements Module: File preparation (for MCS ONLY)
MM Article #: N/A
MM Article Release Date: N/A

04/09/2009

Thu, 10 Sep 2009 08:25:00 EST

Transmittal #: R151FM
Subject: Notice of New Interest Rate for Medicare Overpayments and Underpayments--3rd Notification for FY 2009
MM Article #: N/A
MM Article Release Date: N/A

09/11/2009

Thu, 10 Sep 2009 15:44:00 EST

Transmittal #: R555OTN
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Common Edits and Enhancements Module - ICN Generator (for MCS ONLY)
MM Article #: N/A
MM Article Release Date: N/A

08/28/2009

Fri, 11 Sep 2009 08:20:00 EST

Transmittal #: R1808CP
Subject: Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2010
MM Article #: MM6607
MM Article Release Date: 09/01/2009

09/11/2009

Fri, 11 Sep 2009 13:56:00 EST

Transmittal #: R302PI
Subject: Local Coverage Determinations (LCD) Exceptions
MM Article #: N/A
MM Article Release Date: N/A

08/14/2009

Mon, 14 Sep 2009 10:24:00 EST

Transmittal #: R1797CP
Subject: Claim Status Category Code and Claim Status Code Update
MM Article #: MM6609
MM Article Release Date: 09/01/2009

N/A

Mon, 14 Sep 2009 10:26:00 EST

Transmittal #: SE0920
Subject: Billing for the Administration of the Influenza A (H1N1) Virus Vaccine
MM Article #: SE0920
MM Article Release Date: 09/02/2009

08/28/2009

Mon, 14 Sep 2009 10:28:00 EST

Transmittal #: R1807CP
Subject: Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2010
MM Article #: MM6568
MM Article Release Date: 09/01/2009

N/A

Mon, 14 Sep 2009 10:29:00 EST

Transmittal #: SE0918
Subject: Value of Family History under the Initial Preventive Physical Exam (IPPE) Benefit
MM Article #: SE0918
MM Article Release Date: 09/01/2009

N/A

Mon, 14 Sep 2009 10:45:00 EST

Transmittal #: SE0916
Subject: Medicare Parts A and B Coverage and Prior Authorization
MM Article #: SE0916
MM Article Release Date: 07/10/2009

08/07/2009

Mon, 14 Sep 2009 10:48:00 EST

Transmittal #: R105NCD
Subject: Screening Computed Tomography Colonography (CTC) for Colorectal Cancer
MM Article #: MM6578
MM Article Release Date: 09/08/2009

09/14/2009

Mon, 14 Sep 2009 13:57:00 EST

Transmittal #: R558OTN
Subject: Skilled Nursing Facility (SNF) Provider Enrollment Revalidation
MM Article #: N/A
MM Article Release Date: N/A

09/14/2009

Mon, 14 Sep 2009 13:57:00 EST

Transmittal #: R556OTN
Subject: Part B Organizational Supplier Enrollment Revalidation
MM Article #: N/A
MM Article Release Date: N/A

09/14/2009

Mon, 14 Sep 2009 13:57:00 EST

Transmittal #: R557OTN
Subject: Part B Individual Practitioner Supplier Enrollment Revalidation
MM Article #: N/A
MM Article Release Date: N/A

06/26/2009

Tue, 15 Sep 2009 08:02:00 EST

Transmittal #: R510OTN
Subject: Expansion of the Current Scope of Editing for Ordering/Referring Providers for claims processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs)
MM Article #: MM6417
MM Article Release Date: 05/05/2009

04/17/2009

Tue, 15 Sep 2009 11:08:00 EST

Transmittal #: R439PR1
Subject: Sec. 905.6, Inflation Factor
MM Article #: N/A
MM Article Release Date: N/A

04/15/2009

Wed, 16 Sep 2009 10:02:00 EST

Transmittal #: R289PI
Subject: Incorporation of Physician Fee Schedule Regulatory Changes
MM Article #: MM6310
MM Article Release Date: 03/25/2009

03/27/2009

Wed, 16 Sep 2009 10:03:00 EST

Transmittal #: R287PI
Subject: Surety Bonds for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
MM Article #: MM6392
MM Article Release Date: 04/16/2009

09/04/2009

Fri, 18 Sep 2009 07:41:00 EST

Transmittal #: R1814CP
Subject: 2010 Annual Update of Healthcare Common Procedure Code System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update
MM Article #: MM6619
MM Article Release Date: 09/08/2009

08/28/2009

Fri, 18 Sep 2009 07:45:00 EST

Transmittal #: R549OTN
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 5010-MAC Jurisdictions 10 and 14 Only
MM Article #: MM6595
MM Article Release Date: 09/08/2009

N/A

Fri, 18 Sep 2009 07:48:00 EST

Transmittal #: SE0924
Subject: Announcing the Release of the Revised CMS-855 Medicare Enrollment Applications
MM Article #: SE0924
MM Article Release Date: 09/10/2009

09/04/2009

Fri, 18 Sep 2009 07:52:00 EST

Transmittal #: R1812CP
Subject: Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority and Examples of Application of Government Entity Exclusion
MM Article #: MM6544
MM Article Release Date: 09/08/2009

09/04/2009

Fri, 18 Sep 2009 07:54:00 EST

Transmittal #: R110BP
Subject: Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority and Examples of Application of Government Entity Exclusion
MM Article #: MM6544
MM Article Release Date: 09/08/2009

09/18/2009

Fri, 18 Sep 2009 10:00:00 EST

Transmittal #: R106NCD
Subject: FDG PET for Solid Tumors and Myeloma
MM Article #: N/A
MM Article Release Date: N/A

09/18/2009

Fri, 18 Sep 2009 10:00:00 EST

Transmittal #: R1817CP
Subject: FDG PET for Solid Tumors and Myeloma
MM Article #: N/A
MM Article Release Date: N/A

09/18/2009

Fri, 18 Sep 2009 10:00:00 EST

Transmittal #: R71MSP
Subject: The Coordination of Benefits Contractor (COBC) Discontinues Dissemination of the Right to Recovery Letters
MM Article #: N/A
MM Article Release Date: N/A

09/18/2009

Fri, 18 Sep 2009 15:19:00 EST

Transmittal #: R560OTN
Subject: HIPAA 5010 Activity - Medicare Administrative Contractor (MAC) Certification Test Package Development
MM Article #: N/A
MM Article Release Date: N/A

03/27/2009

Mon, 21 Sep 2009 14:49:00 EST

Transmittal #: R466OTN
Subject: Implementation of Indirect Medical Education (IME) and Long Term Care Hospital (LTCH) Provisions from the American Recovery and Reinvestment Act (ARRA) of 2009
MM Article #: MM6444
MM Article Release Date: 04/03/2009

03/27/2009

Mon, 21 Sep 2009 14:49:00 EST

Transmittal #: R67MSP
Subject: Instructions For Utilizing 837 Professional Claim Adjustment (CAS) Segments for Medicare Secondary Payer (MSP) Part B Claims. (This CR rescinds and fully replaces CR 6211)
MM Article #: MM6427
MM Article Release Date: 03/30/2009

03/27/2009

Mon, 21 Sep 2009 14:50:00 EST

Transmittal #: R66MSP
Subject: Instructions on utilizing 837 Institutional CAS segments for Medicare Secondary Payer (MSP) Part A Claims
MM Article #: MM6426
MM Article Release Date: 03/30/2009

03/27/2009

Mon, 21 Sep 2009 14:51:00 EST

Transmittal #: R1707CP
Subject: Assignment of Initial Enrollment FQHCs, ESRD Facilities, and RHCs
MM Article #: MM6207
MM Article Release Date: 04/02/2009

03/13/2009

Mon, 21 Sep 2009 14:51:00 EST

Transmittal #: R286PI
Subject: Incorporation of Physician Fee Schedule Regulatory Changes.
MM Article #: MM6310
MM Article Release Date: 03/25/2009

04/02/2009

Mon, 21 Sep 2009 14:52:00 EST

Transmittal #: R288PI
Subject: Incorporation of Physician Fee Schedule Regulatory Changes
MM Article #: MM6310
MM Article Release Date: 03/25/2009

04/03/2009

Mon, 21 Sep 2009 14:52:00 EST

Transmittal #: R1708CP
Subject: Hospice Cap Calculations Letters and Administrative Appeals
MM Article #: MM6400
MM Article Release Date: 03/20/2009

07/24/2009

Tue, 22 Sep 2009 06:47:00 EST

Transmittal #: R1778CP
Subject: Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient
MM Article #: MM6405
MM Article Release Date: 06/23/2009

N/A

Tue, 22 Sep 2009 07:23:00 EST

Transmittal #: SE0907
Subject: Clarification on Provider Information Required on Medicare Claims for Routine Foot Care Services
MM Article #: SE0907
MM Article Release Date: 04/06/2009

09/18/2009

Tue, 22 Sep 2009 10:31:00 EST

Transmittal #: R559OTN
Subject: Version 005010 Inbound 837 Institutional (837I) and Inbound 837 Professional (837P) Flat Files Implementation
MM Article #: N/A
MM Article Release Date: N/A

09/18/2009

Tue, 22 Sep 2009 11:16:00 EST

Transmittal #: R1818CP
Subject: Revised Processing of Osteoporosis Drugs Under the Home Health Benefit
MM Article #: MM6512
MM Article Release Date: 07/27/2009

04/24/2009

Wed, 23 Sep 2009 13:13:00 EST

Transmittal #: R480OTN
Subject: Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplier (DMEPOS) Suppliers Claims Process by Durable Medical Equipment Medicare Administrative Contractors (DMEMACs)
MM Article #: MM6421
MM Article Release Date: 08/25/2009

N/A

Wed, 23 Sep 2009 13:15:00 EST

Transmittal #: SE0921
Subject: Visit Requirements Clarification for CR 5931 "";Manualization of Payment for Outpatient ESRD Related Services"";
MM Article #: SE0921
MM Article Release Date: 09/15/2009

09/25/2009

Fri, 25 Sep 2009 14:58:00 EST

Transmittal #: R563OTN
Subject: Allow Zoned Program Integrity Contractor (ZPIC) to access Durable Medical Equipment Medicare Administrative Contractor (DME MAC) by ZPIC Zone
MM Article #: N/A
MM Article Release Date: N/A

09/25/2009

Fri, 25 Sep 2009 15:30:00 EST

Transmittal #: R303PI
Subject: Local Coverage Determinations (LCD) Exceptions
MM Article #: N/A
MM Article Release Date: N/A

09/25/2009

Fri, 25 Sep 2009 15:30:00 EST

Transmittal #: R304PI
Subject: Inter-Contractor Communication and Provider Enrollment Revocations
MM Article #: N/A
MM Article Release Date: N/A

09/25/2009

Fri, 25 Sep 2009 15:30:00 EST

Transmittal #: R52SOMA
Subject: Revisions to Appendix PP Interpretive Guidelines for Long-Term Care Facilities, Tag F441
MM Article #: N/A
MM Article Release Date: N/A

09/25/2009

Fri, 25 Sep 2009 15:58:00 EST

Transmittal #: R1820CP
Subject: Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes
MM Article #: N/A
MM Article Release Date: N/A

09/25/2009

Fri, 25 Sep 2009 15:58:00 EST

Transmittal #: R158FM
Subject: Revised Bank Account Analysis Procedure and Letter-of-Credit List
MM Article #: N/A
MM Article Release Date: N/A

09/25/2009

Mon, 28 Sep 2009 10:54:00 EST

Transmittal #: R561OTN
Subject: Implementation of a File-Based RAC Mass Adjustment Process in MCS
MM Article #: N/A
MM Article Release Date: N/A

02/13/2009

Tue, 29 Sep 2009 06:57:00 EST

Transmittal #: R446OTN
Subject: Clarification on Use of National Drug Codes (NDCS) in 837 I Billing
MM Article #: MM6330
MM Article Release Date: 02/17/2009

09/25/2009

Tue, 29 Sep 2009 09:56:00 EST

Transmittal #: R1819CP
Subject: Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient
MM Article #: MM6405
MM Article Release Date: 09/23/2009

04/24/2009

Tue, 29 Sep 2009 11:50:00 EST

Transmittal #: R1716CP
Subject: List of Medicare Telehealth Services
MM Article #: N/A
MM Article Release Date: N/A

04/24/2009

Tue, 29 Sep 2009 11:51:00 EST

Transmittal #: R1717CP
Subject: Speech-Language Pathology Private Practice Payment Policy
MM Article #: N/A
MM Article Release Date: N/A

04/24/2009

Tue, 29 Sep 2009 11:52:00 EST

Transmittal #: R475OTN
Subject: Modification to Accommodate Acute Care Episode (ACE) Demonstration
MM Article #: N/A
MM Article Release Date: N/A

04/24/2009

Tue, 29 Sep 2009 11:52:00 EST

Transmittal #: R472OTN
Subject: Request for Common Working Files (CWF) to Send Common Working Files Medicare Quality Assurance (CWFMQA) the 5010 File Formats as of October 5, 2009
MM Article #: N/A
MM Article Release Date: N/A

04/24/2009

Tue, 29 Sep 2009 11:53:00 EST

Transmittal #: R68MSP
Subject: Claim Adjustment Reason Code (CARC) Update for Medicare Secondary Payer (MSP) Claims Processing
MM Article #: N/A
MM Article Release Date: N/A

04/24/2009

Tue, 29 Sep 2009 11:54:00 EST

Transmittal #: R478OTN
Subject: Internet-based Provider Enrollment, Chain and Ownership System (PECOS) Outreach to Academic Medical Institutions (AMIs) and Large Group Practices
MM Article #: N/A
MM Article Release Date: N/A

04/24/2009

Tue, 29 Sep 2009 11:55:00 EST

Transmittal #: R473OTN
Subject: Deductible Application on Clinical Trial Claims
MM Article #: N/A
MM Article Release Date: N/A

04/24/2009

Tue, 29 Sep 2009 11:56:00 EST

Transmittal #: R474OTN
Subject: Ten (10) percent Write-off from the Nine (9) CWF data bases for the Tables called: Medicare Secondary Payment and Beneficiary ESRD Dialysis Auxiliary, for the Calendar Years 2000 - 2008
MM Article #: N/A
MM Article Release Date: N/A

04/24/2009

Tue, 29 Sep 2009 11:57:00 EST

Transmittal #: R476OTN
Subject: Implementation of the Health Care Claim Status Inquiry and Response (276/277) Version 005010 - Part B Shared System Change
MM Article #: N/A
MM Article Release Date: N/A

04/24/2009

Tue, 29 Sep 2009 11:58:00 EST

Transmittal #: R481OTN
Subject: Implementation of the Health Care Claim Status Inquiry and Response (276/277) Version 005010 - Durable Medical Equipment (DME) Shared System Change
MM Article #: N/A
MM Article Release Date: N/A

04/24/2009

Tue, 29 Sep 2009 11:58:00 EST

Transmittal #: R482OTN
Subject: Mainframe Integrated Outpatient Code Editor (IOCE) Tool Set Upgrade
MM Article #: N/A
MM Article Release Date: N/A

04/24/2009

Tue, 29 Sep 2009 11:59:00 EST

Transmittal #: R42SOMA
Subject: Revision to Appendix P, Survey Protocol for Long Term Care Facilities Part I, Investigative Protocol Unintended Weight Loss
MM Article #: N/A
MM Article Release Date: N/A

04/24/2009

Tue, 29 Sep 2009 12:00:00 EST

Transmittal #: R483OTN
Subject: Fiscal Intermediary Shared System (FISS) Analysis for System-Related Outpatient Prospective Payment System (OPPS) Processing Issues
MM Article #: N/A
MM Article Release Date: N/A

04/24/2009

Tue, 29 Sep 2009 15:37:00 EST

Transmittal #: R484OTN
Subject: Archiving and Retrieving of the Integrated Outpatient Code Editor (IOCE) and the Medicare Code Editor (MCE) for Processing Claims.
MM Article #: N/A
MM Article Release Date: N/A

04/24/2009

Tue, 29 Sep 2009 15:38:00 EST

Transmittal #: R1720CP
Subject: Health Insurance Portability and Accountability Act (HIPAA) American National Standards Institute (ANSI) 837 5010 Coordination of Benefits (COB) Requirements--Part II
MM Article #: N/A
MM Article Release Date: N/A

08/28/2009

Fri, 02 Oct 2009 09:58:00 EST

Transmittal #: R1804CP
Subject: Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update
MM Article #: MM6604
MM Article Release Date: 09/22/2009

N/A

Fri, 02 Oct 2009 10:00:00 EST

Transmittal #: SE0923
Subject: Reminder about Correct Billing Changes for Certain Skilled Nursing Facility (SNF) Residents
MM Article #: SE0923
MM Article Release Date: 09/24/2009

09/04/2009

Fri, 02 Oct 2009 10:05:00 EST

Transmittal #: R550OTN
Subject: Implementation of Health Insurance Portability and Accountability Act of 1996 (HIPAA) version 5010 for Transaction 835 - Health Care Claim Payment/Advice and Updated Standard Paper Remit (SPR)
MM Article #: MM6589
MM Article Release Date: 09/22/2009

08/28/2009

Fri, 02 Oct 2009 10:09:00 EST

Transmittal #: R544OTN
Subject: Medicare Administrative Contractor (MAC) Transition and Outbound Health Insurance Portability and Accountability Act (HIPAA) Transactions
MM Article #: MM6599
MM Article Release Date: 09/22/2009

09/25/2009

Fri, 02 Oct 2009 10:24:00 EST

Transmittal #: R562OTN
Subject: Activation of New Coordination of Benefits Agreement (COBA) Trading Partner Dispute Error Code Within the National Crossover Process
MM Article #: MM6640
MM Article Release Date: 09/29/2009

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R306PI
Subject: Site Verifications
MM Article #: N/A
MM Article Release Date: N/A

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R573OTN
Subject: Implementation of a File-Based RAC Mass Adjustment Process in VMS
MM Article #: N/A
MM Article Release Date: N/A

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R567OTN
Subject: Home Health Agency (HHA) Provider Enrollment Revalidation
MM Article #: N/A
MM Article Release Date: N/A

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R569OTN
Subject: Community Mental Health Center (CMHC), Comprehensive Outpatient Rehabilitation Facility (CORF), Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC) Provider Enrollment Revalidation
MM Article #: N/A
MM Article Release Date: N/A

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R571OTN
Subject: Modification of the File-Based RAC Mass Adjustment Process in FISS
MM Article #: N/A
MM Article Release Date: N/A

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R565OTN
Subject: Common Edits and Enhancements Module (CEM) Continued Analysis and Design and Implementation for the Multi Carrier System (MCS) Contractor Only
MM Article #: N/A
MM Article Release Date: N/A

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R564OTN
Subject: Medicare Part B Portable X-ray Supplier Enrollment Revalidation
MM Article #: N/A
MM Article Release Date: N/A

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R566OTN
Subject: Annual Systematic Synchronization of Medicare Participating Physician or Supplier Agreement (PAR) Status Between the Multi Carrier System (MCS) Provider Enrollment, Chain and Ownership System (PECOS)
MM Article #: N/A
MM Article Release Date: N/A

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R1822CP
Subject: Medicare Physician Fee Schedule Database (MPFSDB) 2010 File Layout
MM Article #: N/A
MM Article Release Date: N/A

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R1823CP
Subject: Place of Service (POS) and Date of Service (DOS) Instructions for the Interpretation (Professional Component) and Technical Component of Diagnostic Tests
MM Article #: N/A
MM Article Release Date: N/A

05/01/2009

Mon, 05 Oct 2009 14:28:00 EST

Transmittal #: R43SOMA
Subject: Revised Chapter 2, "";The Certification Process,""; Section 2008A.
MM Article #: N/A
MM Article Release Date: N/A

05/01/2009

Mon, 05 Oct 2009 14:29:00 EST

Transmittal #: R486OTN
Subject: Jurisdiction 5 A/B MAC Merge of the Part B East Missouri, West Missouri, Nebraska, Kansas and Iowa CICS Production and User Acceptance Test Regions
MM Article #: N/A
MM Article Release Date: N/A

05/01/2009

Mon, 05 Oct 2009 14:31:00 EST

Transmittal #: R489OTN
Subject: Require Medicare Administrative Contractors (MACs), Fiscal Intermediaries (FIs), and Carriers to Provide Program Safeguard Contractors (PSCs)/Zoned Program Integrity Contractors (ZPICs) with Monthly Updates of Deactivated Crosswalk File Entries
MM Article #: N/A
MM Article Release Date: N/A

05/01/2009

Mon, 05 Oct 2009 14:32:00 EST

Transmittal #: R485OTN
Subject: Implementation -- Systems Improvements to Streamline Updates to the Place of Service (POS) Code Set
MM Article #: N/A
MM Article Release Date: N/A

05/01/2009

Mon, 05 Oct 2009 14:33:00 EST

Transmittal #: R1722CP
Subject: Instructions for Downloading the Medicare ZIP Code Files for October 2009
MM Article #: N/A
MM Article Release Date: N/A

05/01/2009

Mon, 05 Oct 2009 14:34:00 EST

Transmittal #: R1727CP
Subject: Coordination of Benefits Agreement (COBA) Repair and Claims Recovery Requirements Stemming from the Health Insurance Portability and Accountability Act (HIPAA) 5010 Claims Transactions
MM Article #: N/A
MM Article Release Date: N/A

10/02/2009

Tue, 06 Oct 2009 06:20:00 EST

Transmittal #: R572OTN
Subject: Expansion of the Current Scope of Editing for Ordering/Referring Providers for claims processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs)
MM Article #: MM6417
MM Article Release Date: 05/05/2009

05/08/2009

Tue, 06 Oct 2009 08:45:00 EST

Transmittal #: R1731CP
Subject: Clarification of CMS Publication 100-04, Chapter 32, Section 80.8 Billing of Routine Foot Care When Payment Ceases for Loss of Protective Sensation Evaluation and Management
MM Article #: N/A
MM Article Release Date: N/A

05/08/2009

Tue, 06 Oct 2009 08:47:00 EST

Transmittal #: R1732CP
Subject: Pricing Claims for Services Rendered in Place of Service Home
MM Article #: N/A
MM Article Release Date: N/A

05/08/2009

Tue, 06 Oct 2009 08:47:00 EST

Transmittal #: R44SOMA
Subject: Revisions to Exhibit 286, "";Hospital/CAH Medicare Database Worksheet"";
MM Article #: N/A
MM Article Release Date: N/A

05/08/2009

Tue, 06 Oct 2009 08:48:00 EST

Transmittal #: R45SOMA
Subject: Revisions to Chapter 6 - "";Special Procedures for Laboratories"";
MM Article #: N/A
MM Article Release Date: N/A

04/10/2009

Wed, 07 Oct 2009 08:37:00 EST

Transmittal #: R41SOMA
Subject: Revisions to Appendices P and PP
MM Article #: N/A
MM Article Release Date: N/A

09/09/2009

Thu, 08 Oct 2009 16:23:00 EST

Transmittal #: R1815CP
Subject: Fiscal Year (FY) 2010 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes
MM Article #: MM6634
MM Article Release Date: 09/18/2009

09/17/2009

Thu, 08 Oct 2009 16:45:00 EST

Transmittal #: R1816CP
Subject: Fiscal Year (FY) 2010 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes
MM Article #: MM6634
MM Article Release Date: 09/18/2009

05/15/2009

Fri, 09 Oct 2009 07:10:00 EST

Transmittal #: R1738CP
Subject: Additional Data Collection on Hospice Claims
MM Article #: MM6440
MM Article Release Date: 04/27/2009

N/A

Fri, 09 Oct 2009 08:02:00 EST

Transmittal #: SE0926
Subject: 2009 - 20010 Seasonal Influenza (Flu) Resources for Health Care Professionals
MM Article #: SE0926
MM Article Release Date: 09/22/2009

10/09/2009

Fri, 09 Oct 2009 10:58:00 EST

Transmittal #: R574OTN
Subject: Various OIG Reports that have Medical Review Implications
MM Article #: N/A
MM Article Release Date: N/A

10/09/2009

Fri, 09 Oct 2009 10:58:00 EST

Transmittal #: R159FM
Subject: Add Physician Specialty Code 27 (Geriatric Psychiatry) to CROWD Form F (Participating Physicians/Supplier Report)
MM Article #: N/A
MM Article Release Date: N/A

10/09/2009

Fri, 09 Oct 2009 10:58:00 EST

Transmittal #: R1825CP
Subject: Medicare Physician Fee Schedule Database (MPFSDB) 2010 File Layout
MM Article #: N/A
MM Article Release Date: N/A

10/09/2009

Fri, 09 Oct 2009 10:58:00 EST

Transmittal #: R1828CP
Subject: Verification of Status for all Hospitals Qualifying for Disproportionate Share Hospital (DSH) Payments under 42 CFR Section 412.106(c)(2), also known as the "";Pickle Amendment"";
MM Article #: N/A
MM Article Release Date: N/A

10/09/2009

Fri, 09 Oct 2009 10:58:00 EST

Transmittal #: R575OTN
Subject: Version 005010 Inbound 837 Institutional (837I) and Inbound 837 Professional (837P) Flat Files Implementation
MM Article #: N/A
MM Article Release Date: N/A

10/09/2009

Fri, 09 Oct 2009 10:58:00 EST

Transmittal #: R1826CP
Subject: Instructions for Retrieving the 2010 Pricing and HCPCS Data Files through CMS""; Mainframe Telecommunications Systems
MM Article #: N/A
MM Article Release Date: N/A

09/25/2009

Tue, 13 Oct 2009 14:22:00 EST

Transmittal #: R1821CP
Subject: Billing for an Ambulance Transport with More Than One Patient Onboard
MM Article #: MM6621
MM Article Release Date: 09/28/2009

09/25/2009

Tue, 13 Oct 2009 14:23:00 EST

Transmittal #: R111BP
Subject: Comprehensive Outpatient Rehabilitation Facility (CORF) Services
MM Article #: MM6005
MM Article Release Date: 09/29/2009

10/02/2009

Tue, 13 Oct 2009 14:25:00 EST

Transmittal #: R568OTN
Subject: One-Time Mailing of Supplier Responsibilities Letter - Individual Practitioners Only
MM Article #: MM6278
MM Article Release Date: 10/06/2009

10/02/2009

Tue, 13 Oct 2009 14:26:00 EST

Transmittal #: R1824CP
Subject: Influenza Vaccine Payment Allowances - Annual Update for 2009-2010 Season
MM Article #: MM6608
MM Article Release Date: 10/06/2009

09/21/2009

Tue, 13 Oct 2009 14:28:00 EST

Transmittal #: SE0925
Subject: Important Medicare Information about DMEPOS Supplier Accreditation and the Round 1 Rebid of the DMEPOS Competitive Bidding Program
MM Article #: SE0925
MM Article Release Date: 09/21/2009

N/A

Tue, 13 Oct 2009 14:29:00 EST

Transmittal #: SE0927
Subject: Clarification of the Use of Modifiers When Billing "";Wrong Surgery on a Patient"";
MM Article #: SE0927
MM Article Release Date: 10/08/2009

05/01/2009

Wed, 14 Oct 2009 09:48:00 EST

Transmittal #: R1723CP
Subject: Ensuring Only Clinical Trial Services Receive Fee-For-Service Payment on Claims Billed for Managed Care Beneficiaries
MM Article #: MM6455
MM Article Release Date: 05/05/2009

04/24/2009

Thu, 15 Oct 2009 10:35:00 EST

Transmittal #: R1718CP
Subject: New Patient Discharge Status Code 21 to Define Discharges or Transfers to Court/Law Enforcement
MM Article #: MM6385
MM Article Release Date: 04/28/2009

04/24/2009

Thu, 15 Oct 2009 10:36:00 EST

Transmittal #: R1715CP
Subject: New Physician Specialty Code for Hospice and Palliative Care
MM Article #: MM6311
MM Article Release Date: 04/28/2009

04/24/2009

Thu, 15 Oct 2009 10:36:00 EST

Transmittal #: R471OTN
Subject: Revision to Processing Hospice Visit Charges on Remittance Advices and Medicare Summary Notices (MSNs)
MM Article #: MM6386
MM Article Release Date: 04/28/2009

04/24/2009

Thu, 15 Oct 2009 10:36:00 EST

Transmittal #: R477OTN
Subject: Change Type of Bill (TOB) for Federally Qualified Health Centers (FQHCs) from 73x to 77x
MM Article #: MM6338
MM Article Release Date: 04/24/2009

04/24/2009

Thu, 15 Oct 2009 10:37:00 EST

Transmittal #: R1713CP
Subject: Additional Data Collection on Hospice Claims
MM Article #: MM6440
MM Article Release Date: 04/27/2009

04/10/2009

Thu, 15 Oct 2009 10:37:00 EST

Transmittal #: R1710CP
Subject: Billing Routine Cost of Clinical Trials
MM Article #: MM6431
MM Article Release Date: 04/13/2009

04/29/2009

Thu, 15 Oct 2009 10:37:00 EST

Transmittal #: R1721CP
Subject: Billing Routine Cost of Clinical Trials
MM Article #: MM6431
MM Article Release Date: 04/13/2009

N/A

Thu, 15 Oct 2009 10:38:00 EST

Transmittal #: SE0904
Subject: An Introductory Overview of the HIPAA 5010
MM Article #: SE0904
MM Article Release Date: 04/27/2009

10/15/2009

Fri, 16 Oct 2009 08:12:00 EST

Transmittal #: R160FM
Subject: Notice of New Interest Rate for Medicare Overpayments and Underpayments - 1st Notification for FY 2010
MM Article #: N/A
MM Article Release Date: N/A

10/16/2009

Fri, 16 Oct 2009 08:12:00 EST

Transmittal #: R1831CP
Subject: Magnetic Resonance Imaging (MRI)
MM Article #: N/A
MM Article Release Date: N/A

10/16/2009

Fri, 16 Oct 2009 08:12:00 EST

Transmittal #: R576OTN
Subject: Replacement of New York State BSIs to Support the Jurisdiction 13 A/B MAC Merge of the Three Part B New York and the Part B Connecticut CICS Production and User Acceptance Test Regions
MM Article #: N/A
MM Article Release Date: N/A

10/16/2009

Fri, 16 Oct 2009 08:12:00 EST

Transmittal #: R1830CP
Subject: Annual Type of Service (TOS) Update
MM Article #: N/A
MM Article Release Date: N/A

10/16/2009

Fri, 16 Oct 2009 14:32:00 EST

Transmittal #: R578OTN
Subject: 5010-D.0 Project Receipt, Control and Balancing Initial Phase for Durable Medical Equipment (DME) Only
MM Article #: N/A
MM Article Release Date: N/A

10/16/2009

Fri, 16 Oct 2009 14:32:00 EST

Transmittal #: R529OTN
Subject: Physician Quality Reporting Initiative (PQRI) and E-Prescribing Alternative Feedback Report Request Process
MM Article #: N/A
MM Article Release Date: N/A

10/16/2009

Fri, 16 Oct 2009 14:32:00 EST

Transmittal #: R53SOMA
Subject: Revising Chapter 2, "";The Certification Process""; - Ascertaining Compliance With the Office for Civil Rights (OCR) Requirements
MM Article #: N/A
MM Article Release Date: N/A

05/15/2009

Sun, 18 Oct 2009 11:54:00 EST

Transmittal #: R494OTN
Subject: Update for 835 Version 5010
MM Article #: N/A
MM Article Release Date: N/A

05/15/2009

Sun, 18 Oct 2009 11:55:00 EST

Transmittal #: R69MSP
Subject: Update to the Electronic Correspondence Referral System (ECRS) User Guide v10.0 and Quick Reference Card v10.0
MM Article #: N/A
MM Article Release Date: N/A

05/15/2009

Sun, 18 Oct 2009 11:55:00 EST

Transmittal #: R1736CP
Subject: Chapter 24 Update to Restore Inadvertently Deleted Information and to Remove Outdated Information
MM Article #: N/A
MM Article Release Date: N/A

05/15/2009

Sun, 18 Oct 2009 11:56:00 EST

Transmittal #: R496OTN
Subject: Fiscal Intermediary Standard System (FISS) Analysis and Technical Consultation - to be Performed by the FISS Maintainer for the Planning and Execution of the J1 WPS Legacy Part A Pilot Split and Subsequent Workload Reporting Requirements
MM Article #: N/A
MM Article Release Date: N/A

05/15/2009

Sun, 18 Oct 2009 11:57:00 EST

Transmittal #: R495OTN
Subject: Further Instruction for Implementation of the Next Version of the Health Insurance Portability and Accountability Act (HIPAA) 835 Transaction and Related Standard Paper Remittance (SPR)
MM Article #: N/A
MM Article Release Date: N/A

10/16/2009

Tue, 20 Oct 2009 09:21:00 EST

Transmittal #: R577OTN
Subject: Implementation of Health Insurance Portability and Accountability Act of 1996 (HIPAA) version 5010 for Transaction 835 - Health Care Claim Payment/Advice and Updated Standard Paper Remit (SPR)
MM Article #: MM6589
MM Article Release Date: 09/22/2009

10/19/2009

Tue, 20 Oct 2009 10:01:00 EST

Transmittal #: R579OTN
Subject: Version 005010 Inbound 837 Institutional (837I) and Inbound 837 Professional (837P) Flat Files Implementation
MM Article #: N/A
MM Article Release Date: N/A

05/22/2009

Tue, 20 Oct 2009 14:27:00 EST

Transmittal #: R1742CP
Subject: Clarification of Chapter 32, Section 80.8 Billing of Routine Foot Care When Payment Ceases for Loss of Protective Sensation Evaluation and Management
MM Article #: N/A
MM Article Release Date: N/A

05/22/2009

Tue, 20 Oct 2009 14:32:00 EST

Transmittal #: R1745CP
Subject: July 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)
MM Article #: N/A
MM Article Release Date: N/A

05/15/2009

Wed, 21 Oct 2009 05:58:00 EST

Transmittal #: R1739CP
Subject: July 2009 Integrated Outpatient Code Editor (I/OCE) Specifications Version 10.2
MM Article #: MM6480
MM Article Release Date: 05/19/2009

05/15/2009

Wed, 21 Oct 2009 05:59:00 EST

Transmittal #: R1735CP
Subject: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2009
MM Article #: MM6481
MM Article Release Date: 05/19/2009

05/15/2009

Wed, 21 Oct 2009 06:00:00 EST

Transmittal #: R1737CP
Subject: July 2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
MM Article #: MM6471
MM Article Release Date: 05/20/2009

N/A

Wed, 21 Oct 2009 06:01:00 EST

Transmittal #: SE0903
Subject: Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Supplier Accreditation
MM Article #: SE0903
MM Article Release Date: 03/16/2009

N/A

Wed, 21 Oct 2009 12:27:00 EST

Transmittal #: SE0922
Subject: Alternative Process for Individual Eligible Professionals to Access Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (E-Prescribing) Feedback Reports
MM Article #: SE0922
MM Article Release Date: 10/14/2009

N/A

Fri, 23 Oct 2009 08:41:00 EST

Transmittal #: SE0905
Subject: Training Medicare Patients on Use of Home Glucose Monitors and Related Billing Information
MM Article #: SE0905
MM Article Release Date: 05/07/2009

04/24/2009

Fri, 23 Oct 2009 08:42:00 EST

Transmittal #: R105BP
Subject: List of Medicare Telehealth Services
MM Article #: MM6458
MM Article Release Date: 05/05/2009

N/A

Fri, 23 Oct 2009 08:43:00 EST

Transmittal #: SE0908
Subject: Mandatory Claims Submission and its Enforcement
MM Article #: SE0908
MM Article Release Date: 05/07/2009

04/24/2009

Fri, 23 Oct 2009 08:43:00 EST

Transmittal #: R1714CP
Subject: Correction to Editing of Health Insurance Prospective Payment System (HIPPS) Codes on Home Health Prospective Payment System (HH PPS) Claims
MM Article #: MM6393
MM Article Release Date: 04/27/2009

04/24/2009

Fri, 23 Oct 2009 08:44:00 EST

Transmittal #: R1719CP
Subject: Rural Health Clinic (RHC) and Federally Qualified Health Clinic (FQHC) Updates
MM Article #: MM6445
MM Article Release Date: 04/27/2009

05/01/2009

Fri, 23 Oct 2009 08:44:00 EST

Transmittal #: R1725CP
Subject: Requirements for Specialty Codes
MM Article #: MM6303
MM Article Release Date: 05/06/2009

04/24/2009

Fri, 23 Oct 2009 08:45:00 EST

Transmittal #: R106BP
Subject: Speech-Language Pathology Private Practice Payment Policy
MM Article #: MM6381
MM Article Release Date: 04/28/2009

N/A

Fri, 23 Oct 2009 08:46:00 EST

Transmittal #: SE0909
Subject: Important Information Regarding the Centers for Medicare & Medicaid Services (CMS) National Claims Crossover Process
MM Article #: SE0909
MM Article Release Date: 04/28/2009

03/20/2009

Fri, 23 Oct 2009 08:46:00 EST

Transmittal #: R459OTN
Subject: Program Overview: 2009 Physician Quality Reporting Initiative (PQRI) and the 2009 Electronic Prescribing (E-Prescribing) Incentive Program
MM Article #: MM6394
MM Article Release Date: 03/25/2009

03/27/2009

Fri, 23 Oct 2009 08:47:00 EST

Transmittal #: R1706CP
Subject: Manual Clarifications for Skilled Nursing Facility (SNF) and Therapy Billing
MM Article #: MM6407
MM Article Release Date: 03/30/2009

10/16/2009

Fri, 23 Oct 2009 09:30:00 EST

Transmittal #: R1829CP
Subject: Annual Clotting Factor Furnishing Fee Update
MM Article #: MM6673
MM Article Release Date: 10/20/2009

10/23/2009

Fri, 23 Oct 2009 11:59:00 EST

Transmittal #: R307PI
Subject: Establishing New Practice Locations in a Different State
MM Article #: N/A
MM Article Release Date: N/A

10/23/2009

Fri, 23 Oct 2009 11:59:00 EST

Transmittal #: R580OTN
Subject: Allow Zoned Program Integrity Contractors (ZPICs) to Access Medicare Administrative Contractors (MACs) by ZPIC Zone
MM Article #: N/A
MM Article Release Date: N/A

10/23/2009

Fri, 23 Oct 2009 11:59:00 EST

Transmittal #: R161FM
Subject: Chapter 7, Internal Control Requirements Update
MM Article #: N/A
MM Article Release Date: N/A

05/22/2009

Fri, 23 Oct 2009 15:00:00 EST

Transmittal #: R1747CP
Subject: Beneficiary-Submitted Claims
MM Article #: N/A
MM Article Release Date: N/A

05/22/2009

Fri, 23 Oct 2009 17:35:00 EST

Transmittal #: R1746CP
Subject: Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 15.2, Effective July 1, 2009
MM Article #: MM6469
MM Article Release Date: 05/26/2009

05/22/2009

Fri, 23 Oct 2009 17:36:00 EST

Transmittal #: R107BP
Subject: July 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)
MM Article #: MM6492
MM Article Release Date: 05/26/2009

03/20/2009

Tue, 27 Oct 2009 07:58:00 EST

Transmittal #: R461OTN
Subject: Payment for Maintenance and Servicing of Certain Oxygen Equipment as a Result of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008
MM Article #: MM6404
MM Article Release Date: 03/20/2009

05/22/2009

Tue, 27 Oct 2009 07:59:00 EST

Transmittal #: R1743CP
Subject: Billing Routine Cost of Clinical Trials
MM Article #: MM6431
MM Article Release Date: 04/13/2009

10/27/2009

Tue, 27 Oct 2009 10:51:00 EST

Transmittal #: R1835CP
Subject: Instructions for Downloading the Medicare ZIP Code Files for January 2010
MM Article #: N/A
MM Article Release Date: N/A

10/28/2009

Wed, 28 Oct 2009 14:46:00 EST

Transmittal #: R1837CP
Subject: 2010 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder
MM Article #: N/A
MM Article Release Date: N/A

10/28/2009

Wed, 28 Oct 2009 16:39:00 EST

Transmittal #: R581OTN
Subject: For Analysis Only --Clarification on the Proper Billing of the Statement Covers From and Admission/Start of Care Dates on Institutional Claims
MM Article #: N/A
MM Article Release Date: N/A

10/28/2009

Wed, 28 Oct 2009 16:44:00 EST

Transmittal #: R582OTN
Subject: Update to the Common Working File (CWF) Edits to Recognize the "";RA""; and "";RB""; Modifiers for Durable Medical Equipment (DME) Repairs and Replacements
MM Article #: N/A
MM Article Release Date: N/A

10/23/2009

Thu, 29 Oct 2009 08:52:00 EST

Transmittal #: R1834CP
Subject: Reasonable Charge Update for 2010 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, and Certain Intraocular Lenses
MM Article #: MM6691
MM Article Release Date: 10/29/2009

10/29/2009

Thu, 29 Oct 2009 12:57:00 EST

Transmittal #: R72MSP
Subject: Claim Adjustment Reason Code (CARC) Update for Medicare Secondary Payer (MSP) Claims Processing
MM Article #: N/A
MM Article Release Date: N/A

10/29/2009

Thu, 29 Oct 2009 15:03:00 EST

Transmittal #: R1841CP
Subject: National Council for Prescription Drug Programs (NCPDP) Version D.0 Coordination of Benefits (COB) Requirements for the National Claims Crossover Process
MM Article #: N/A
MM Article Release Date: N/A

10/23/2009

Fri, 30 Oct 2009 10:45:00 EST

Transmittal #: R112BP
Subject: Coverage of Inpatient Rehabilitation Services
MM Article #: MM6699
MM Article Release Date: 10/26/2009

10/16/2009

Fri, 30 Oct 2009 10:48:00 EST

Transmittal #: R1833CP
Subject: FDG PET for Solid Tumors and Myeloma
MM Article #: MM6632
MM Article Release Date: 10/20/2009

10/16/2009

Fri, 30 Oct 2009 10:51:00 EST

Transmittal #: R108NCD
Subject: FDG PET for Solid Tumors and Myeloma
MM Article #: MM6632
MM Article Release Date: 10/20/2009

10/16/2009

Fri, 30 Oct 2009 10:54:00 EST

Transmittal #: R107NCD
Subject: Magnetic Resonance Imaging (MRI)
MM Article #: MM6672
MM Article Release Date: 10/20/2009

10/30/2009

Fri, 30 Oct 2009 13:36:00 EST

Transmittal #: R584OTN
Subject: Reporting Requirements for the Fiscal Intermediary Shared System (FISS) Medicare Fraud Edit Module
MM Article #: N/A
MM Article Release Date: N/A

10/30/2009

Fri, 30 Oct 2009 13:42:00 EST

Transmittal #: R585OTN
Subject: The shared system maintainer shall not report services on the 1565C lines 5-7 when the Medicare allowed amount is greater than zero and the Medicare paid amount is zero
MM Article #: N/A
MM Article Release Date: N/A

10/30/2009

Fri, 30 Oct 2009 13:47:00 EST

Transmittal #: R588OTN
Subject: Reflecting the Payment Ambulatory Payment Classification (APC) on the Remittance Advice (RA)
MM Article #: N/A
MM Article Release Date: N/A

10/30/2009

Fri, 30 Oct 2009 14:17:00 EST

Transmittal #: R59GI
Subject: The CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS)
MM Article #: N/A
MM Article Release Date: N/A

10/30/2009

Fri, 30 Oct 2009 14:27:00 EST

Transmittal #: R162FM
Subject: Recovery Audit Contractors (RACs)
MM Article #: N/A
MM Article Release Date: N/A

10/30/2009

Fri, 30 Oct 2009 14:29:00 EST

Transmittal #: R308PI
Subject: Rural Air Ambulance
MM Article #: N/A
MM Article Release Date: N/A

10/28/2009

Fri, 30 Oct 2009 15:08:00 EST

Transmittal #: R583OTN
Subject: Pilot to Transition a Segment of the WPS Legacy Workload (formerly processed by Mutual of Omaha) to the J1 A/B Medicare Administrative Contractor
MM Article #: N/A
MM Article Release Date: N/A

05/29/2009

Tue, 03 Nov 2009 10:29:00 EST

Transmittal #: R498OTN
Subject: Reporting Gross Payments on IRS Form-1099
MM Article #: N/A
MM Article Release Date: N/A

05/29/2009

Tue, 03 Nov 2009 10:31:00 EST

Transmittal #: R499OTN
Subject: Placing Medicare Florida Fraud Hotline Number on the Medicare Summary Notices for Zip Codes in Florida
MM Article #: N/A
MM Article Release Date: N/A

05/29/2009

Tue, 03 Nov 2009 10:39:00 EST

Transmittal #: R46SOMA
Subject: Revisions to Appendix V, "";Emergency Medical Treatment and Labor Act (EMTALA) Interpretive Guidelines"";
MM Article #: N/A
MM Article Release Date: N/A

06/05/2009

Tue, 03 Nov 2009 10:39:00 EST

Transmittal #: R47SOMA
Subject: Revised Appendix A, "";Interpretive Guidelines for Hospitals"";
MM Article #: N/A
MM Article Release Date: N/A

06/05/2009

Tue, 03 Nov 2009 10:41:00 EST

Transmittal #: R501OTN
Subject: Allow Zoned Program Integrity Contractor (ZPIC) to access Durable Medical Equipment Medicare Administrative Contractor (DME MAC) by ZPIC Zone
MM Article #: N/A
MM Article Release Date: N/A

06/05/2009

Tue, 03 Nov 2009 10:42:00 EST

Transmittal #: R500OTN
Subject: VMS Modifications to Implement the Common Electronic Data Interchange (CEDI) System, Part III, NCPDP 5.1 Implementation
MM Article #: N/A
MM Article Release Date: N/A

10/16/2009

Tue, 03 Nov 2009 15:18:00 EST

Transmittal #: R1832CP
Subject: Calendar Year(CY) 2010 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures
MM Article #: N/A
MM Article Release Date: N/A

11/06/2009

Thu, 05 Nov 2009 15:49:00 EST

Transmittal #: R1844CP
Subject: Additional Health Insurance Portability and Accountability Act (HIPAA) 837 5010 Transitional Changes and Further Modifications to the Coordination of Benefits Agreement (COBA) National Crossover Process
MM Article #: N/A
MM Article Release Date: N/A

11/06/2009

Thu, 05 Nov 2009 15:49:00 EST

Transmittal #: R1846CP
Subject: Implementation of Common Working File (CWF) Editing for Diabetes Self-Management Training (DSMT) and Medical Nutrition Therapy (MNT)
MM Article #: N/A
MM Article Release Date: N/A

11/06/2009

Fri, 06 Nov 2009 09:25:00 EST

Transmittal #: R591OTN
Subject: Incorporation of the National Provider Identifier (NPI) into the National Supplier Clearinghouse (NSC) Enrollment System and Related Instructions
MM Article #: N/A
MM Article Release Date: N/A

11/06/2009

Fri, 06 Nov 2009 09:25:00 EST

Transmittal #: R62DEMO
Subject: Payments to Practices Participating in the Electronic Health Records (EHR) Demonstration
MM Article #: N/A
MM Article Release Date: N/A

11/06/2009

Fri, 06 Nov 2009 14:22:00 EST

Transmittal #: R441PR1
Subject: Medicare Swing-Bed-Rates, adds Table 21
MM Article #: N/A
MM Article Release Date: N/A

11/06/2009

Fri, 06 Nov 2009 16:23:00 EST

Transmittal #: R596OTN
Subject: Phase 2 Base System Changes for Implementation of the Next Version of the Health Insurance Portability And Accountability Act (HIPAA) - Multi Carrier System (MCS) Only
MM Article #: N/A
MM Article Release Date: N/A

10/27/2009

Mon, 09 Nov 2009 07:41:00 EST

Transmittal #: R1836CP
Subject: New Physician Specialty Code for Geriatric Psychiatry
MM Article #: MM6533
MM Article Release Date: 11/03/2009

10/29/2009

Mon, 09 Nov 2009 07:43:00 EST

Transmittal #: R1840CP
Subject: Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncoverage (ABNs)
MM Article #: MM6563
MM Article Release Date: 11/03/2009

05/29/2009

Mon, 09 Nov 2009 08:37:00 EST

Transmittal #: R1748CP
Subject: July Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB)
MM Article #: MM6484
MM Article Release Date: 06/02/2009

04/24/2009

Mon, 09 Nov 2009 08:37:00 EST

Transmittal #: R470OTN
Subject: Expansion of the Current Scope of Editing for Ordering/Referring Providers for Claims Processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs)
MM Article #: MM6417
MM Article Release Date: 05/04/2009

05/08/2009

Mon, 09 Nov 2009 10:57:00 EST

Transmittal #: R492OTN
Subject: Fiscal Year (FY) 2009 Inpatient Prospective Payment System (IPPS) Claims with Medicare Severity Diagnosis Related Group (MS-DRG) 956
MM Article #: MM6483
MM Article Release Date: 05/12/2009

05/01/2009

Mon, 09 Nov 2009 10:58:00 EST

Transmittal #: R487OTN
Subject: Modification of the Common Working File (CWF) Copybook to Transmit a "";WC""; Qualifier to Distinguish Workers Compensation Medicare Set-Aside Arrangement (WCMSA) MSP Records
MM Article #: MM6438
MM Article Release Date: 05/12/2009

05/01/2009

Mon, 09 Nov 2009 10:58:00 EST

Transmittal #: R488OTN
Subject: Processing and Payment of Physician and Non-Physician Practitioner Services Reassigned to ASCs
MM Article #: MM6358
MM Article Release Date: 05/12/2009

11/06/2009

Tue, 10 Nov 2009 12:50:00 EST

Transmittal #: R590OTN
Subject: Round One Rebid of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program - Phase 8A: Hospital Exception
MM Article #: MM6677
MM Article Release Date: 11/10/2009

10/09/2009

Tue, 10 Nov 2009 15:45:00 EST

Transmittal #: R1827CP
Subject: Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcemen
MM Article #: N/A
MM Article Release Date: N/A

11/06/2009

Thu, 12 Nov 2009 07:16:00 EST

Transmittal #: R593OTN
Subject: Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program Round One Rebid Implementation--Phase 8B: Oxygen Modality
MM Article #: MM6692
MM Article Release Date: 11/12/2009

11/06/2009

Thu, 12 Nov 2009 07:19:00 EST

Transmittal #: R592OTN
Subject: Round One Rebid of the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program Phase 8C of Implementation: Repairs and Replacements
MM Article #: MM6678
MM Article Release Date: 11/12/2009

11/13/2009

Fri, 13 Nov 2009 11:07:00 EST

Transmittal #: R311PI
Subject: Recovery Audit Contractors (RACs)
MM Article #: N/A
MM Article Release Date: N/A

11/13/2009

Fri, 13 Nov 2009 14:29:00 EST

Transmittal #: R1855CP
Subject: Instructions for Downloading the Medicare ZIP Code Files for April 2010
MM Article #: N/A
MM Article Release Date: N/A

11/13/2009

Tue, 17 Nov 2009 06:46:00 EST

Transmittal #: R1851CP
Subject: Therapy Cap Values for Calendar Year (CY) 2010
MM Article #: MM6660
MM Article Release Date: 11/17/2009

11/13/2009

Tue, 17 Nov 2009 06:49:00 EST

Transmittal #: R61GI
Subject: Update to Medicare Deductible, Coinsurance and Premium Rates for 2010
MM Article #: MM6690
MM Article Release Date: 11/17/2009

11/13/2009

Tue, 17 Nov 2009 07:10:00 EST

Transmittal #: R115BP
Subject: Ambulance Services
MM Article #: MM6707
MM Article Release Date: 11/17/2009

11/13/2009

Tue, 17 Nov 2009 07:16:00 EST

Transmittal #: R1853CP
Subject: CY 2010 Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
MM Article #: MM6720
MM Article Release Date: 11/17/2009

11/13/2009

Tue, 17 Nov 2009 07:20:00 EST

Transmittal #: R1852CP
Subject: Claim Status Category Code and Claim Status Code Update
MM Article #: MM6723
MM Article Release Date: 11/17/2009

11/13/2009

Tue, 17 Nov 2009 07:23:00 EST

Transmittal #: R1854CP
Subject: January 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
MM Article #: MM6708
MM Article Release Date: 11/17/2009

10/30/2009

Tue, 17 Nov 2009 07:53:00 EST

Transmittal #: R1843CP
Subject: Outpatient Mental Health Treatment Limitation
MM Article #: MM6686
MM Article Release Date: 11/17/2009

10/30/2009

Tue, 17 Nov 2009 07:56:00 EST

Transmittal #: R60GI
Subject: Outpatient Mental Health Treatment Limitation
MM Article #: MM6686
MM Article Release Date: 11/17/2009

10/30/2009

Tue, 17 Nov 2009 07:59:00 EST

Transmittal #: R114BP
Subject: Outpatient Mental Health Treatment Limitation
MM Article #: MM6686
MM Article Release Date: 11/17/2009

N/A

Tue, 17 Nov 2009 08:13:00 EST

Transmittal #: SE0929
Subject: 2010 Annual Participation Enrollment Program Extension
MM Article #: SE0929
MM Article Release Date: 11/17/2009

01/08/2009

Tue, 17 Nov 2009 10:54:00 EST

Transmittal #: R282PI
Subject: Zone Program Integrity Contractor (ZPIC) Updates
MM Article #: N/A
MM Article Release Date: N/A

01/09/2009

Tue, 17 Nov 2009 10:55:00 EST

Transmittal #: R145FM
Subject: Recovery Audit Contractors (RACs)
MM Article #: N/A
MM Article Release Date: N/A

01/09/2009

Tue, 17 Nov 2009 10:55:00 EST

Transmittal #: R1667CP
Subject: Instructions for Fiscal Intermediary Standard System (FISS), Multi-Carrier System (MCS) and Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes
MM Article #: N/A
MM Article Release Date: N/A

01/09/2009

Tue, 17 Nov 2009 10:56:00 EST

Transmittal #: R428OTN
Subject: Influenza Pandemic Emergency Preparedness Additional Guidance Concerning Tentative and Final Settlements, Periodic Interim Payments (PIP) and Pass Through Payments, Medicare Secondary Payer (MSP), Accelerated Payments, Repayments and Financial Management
MM Article #: N/A
MM Article Release Date: N/A

06/12/2009

Tue, 17 Nov 2009 10:56:00 EST

Transmittal #: R101NCD
Subject: Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient
MM Article #: N/A
MM Article Release Date: N/A

06/12/2009

Tue, 17 Nov 2009 10:57:00 EST

Transmittal #: R48SOMA
Subject: Revisions to Appendix PP, "";Guidance to Surveyors of Long Term Care Facilities"";
MM Article #: N/A
MM Article Release Date: N/A

06/12/2009

Tue, 17 Nov 2009 10:58:00 EST

Transmittal #: R49SOMA
Subject: New Critical Access Hospital (CAH) Requirements Under 42 CFR 485.610(e) Related to CAH Co-location and CAH Provider-based Locations
MM Article #: N/A
MM Article Release Date: N/A

06/12/2009

Tue, 17 Nov 2009 10:59:00 EST

Transmittal #: R292PI
Subject: Submission of Paper and Electronic CMS-855 Enrollment Applications
MM Article #: N/A
MM Article Release Date: N/A

06/12/2009

Tue, 17 Nov 2009 10:59:00 EST

Transmittal #: R152FM
Subject: Recovery Audit Contractors (RACs)
MM Article #: N/A
MM Article Release Date: N/A

06/12/2009

Tue, 17 Nov 2009 11:00:00 EST

Transmittal #: R502OTN
Subject: Jurisdiction 4 A/B MAC Merge of the Part B Oklahoma, New Mexico and Colorado CICS Production and User Acceptance Test Regions
MM Article #: N/A
MM Article Release Date: N/A

01/16/2009

Tue, 17 Nov 2009 11:24:00 EST

Transmittal #: R146FM
Subject: Notice of New Interest Rate for Medicare Overpayments and underpayments 2nd Notification for FY 2009
MM Article #: N/A
MM Article Release Date: N/A

01/16/2009

Tue, 17 Nov 2009 11:25:00 EST

Transmittal #: R431OTN
Subject: Jurisdiction 3 A/B MAC Merge of the Part B Arizona, Montana and Utah CICS Production and User Acceptance Testing Regions
MM Article #: N/A
MM Article Release Date: N/A

01/16/2009

Tue, 17 Nov 2009 11:27:00 EST

Transmittal #: R429OTN
Subject: Update to Change Request 5927--Shared Systems Active and Non-Active Edits/Reason Codes and Audit Trail Reporting
MM Article #: N/A
MM Article Release Date: N/A

06/19/2009

Tue, 17 Nov 2009 11:33:00 EST

Transmittal #: R1757CP
Subject: Claims Processing for Skilled Nursing Facility Consolidated Billing
MM Article #: N/A
MM Article Release Date: N/A

06/19/2009

Tue, 17 Nov 2009 11:34:00 EST

Transmittal #: R1759CP
Subject: July 2009 Update to the ASC Payment System; Summary of Payment Policy Changes.
MM Article #: N/A
MM Article Release Date: N/A

06/15/2009

Thu, 19 Nov 2009 09:35:00 EST

Transmittal #: R504OTN
Subject: J12 Production Region Merge of the District of Columbia, Maryland, New Jersey, and Pennsylvania Part A Workloads
MM Article #: N/A
MM Article Release Date: N/A

11/20/2009

Thu, 19 Nov 2009 15:08:00 EST

Transmittal #: R313PI
Subject: Program Integrity Manual (PIM) Reorganization Chapters 1, 2, and 7
MM Article #: N/A
MM Article Release Date: N/A

11/20/2009

Thu, 19 Nov 2009 15:08:00 EST

Transmittal #: R1857CP
Subject: New Waived Tests
MM Article #: N/A
MM Article Release Date: N/A

11/20/2009

Thu, 19 Nov 2009 15:08:00 EST

Transmittal #: R312PI
Subject: Home Health Agency (HHA) Capitalization Requirements
MM Article #: N/A
MM Article Release Date: N/A

05/22/2009

Fri, 20 Nov 2009 08:13:00 EST

Transmittal #: R1740CP
Subject: July 2009 Update to the ASC Payment System; Summary of Payment Policy Changes
MM Article #: MM6496
MM Article Release Date: 05/29/2009

11/20/2009

Fri, 20 Nov 2009 11:36:00 EST

Transmittal #: R600OTN
Subject: Elimination of National Standard Format (NSF) Code from the VMS System
MM Article #: N/A
MM Article Release Date: N/A

11/20/2009

Fri, 20 Nov 2009 11:36:00 EST

Transmittal #: R1858CP
Subject: Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.0, Effective January 1, 2010
MM Article #: N/A
MM Article Release Date: N/A

11/20/2009

Mon, 23 Nov 2009 06:38:00 EST

Transmittal #: R1859CP
Subject: MIPPA Section 139 Teaching Anesthesiologists
MM Article #: MM6706
MM Article Release Date: 11/23/2009

11/05/2009

Mon, 23 Nov 2009 06:43:00 EST

Transmittal #: SE0928
Subject: Further Clarification of Instructions on Using 837 Institutional Claim Adjustment Segments (CAS) for Medicare Secondary Payer (MSP) Part A Claims
MM Article #: SE0928
MM Article Release Date: 11/05/2009

10/28/2009

Mon, 23 Nov 2009 06:45:00 EST

Transmittal #: R1838CP
Subject: Processing of Non-Covered International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Procedure codes on Inpatient Hospital Claims
MM Article #: MM6547
MM Article Release Date: 11/05/2009

11/06/2009

Mon, 23 Nov 2009 06:48:00 EST

Transmittal #: R1845CP
Subject: Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases
MM Article #: MM6605
MM Article Release Date: 11/09/2009

10/28/2009

Mon, 23 Nov 2009 06:51:00 EST

Transmittal #: R1839CP
Subject: Instructions regarding processing claims rejecting for gender/procedure conflict
MM Article #: MM6638
MM Article Release Date: 10/30/2009

10/30/2009

Mon, 23 Nov 2009 06:54:00 EST

Transmittal #: R586OTN
Subject: Validating the Billing of End Stage Renal Disease (ESRD) 50/50 Rule Modifier
MM Article #: MM6683
MM Article Release Date: 11/03/2009

10/30/2009

Mon, 23 Nov 2009 06:56:00 EST

Transmittal #: R1842CP
Subject: Instructions for Processing Claims Containing Anti-Markup Services but with Partial Information Completed in Item 20 of the Form CMS-1500
MM Article #: MM6670
MM Article Release Date: 11/09/2009

11/02/2009

Mon, 23 Nov 2009 06:59:00 EST

Transmittal #: R589OTN
Subject: Continuation of Maintenance and Servicing Payments in CY 2010 for Certain Oxygen Equipment as a Result of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008
MM Article #: MM6716
MM Article Release Date: 11/05/2009

11/06/2009

Mon, 23 Nov 2009 07:03:00 EST

Transmittal #: R1847CP
Subject: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2010
MM Article #: MM6717
MM Article Release Date: 11/09/2009

11/06/2009

Mon, 23 Nov 2009 07:05:00 EST

Transmittal #: R595OTN
Subject: Ensuring the Denial of Claims for Ambulance Services Rendered to Beneficiaries in Part A Skilled Nursing Facility Stays
MM Article #: MM6700
MM Article Release Date: 11/09/2009

11/20/2009

Mon, 23 Nov 2009 07:07:00 EST

Transmittal #: R599OTN
Subject: Integrated Outpatient Code Editor (IOCE) PC (interactive and batch) Re-Write
MM Article #: MM6709
MM Article Release Date: 11/23/2009

10/30/2009

Mon, 23 Nov 2009 07:12:00 EST

Transmittal #: R113BP
Subject: Implementation of Changes in End Stage Renal Disease (ESRD) Payment for Calendar Year (CY) 2010
MM Article #: MM6679
MM Article Release Date: 11/23/2009