2004 Transmittals

N/A

Thu, 10 Nov 2005 09:51:00 EST

Transmittal #: R7GI
Subject: HIPAA Privacy Act
Implementation Date: N/A
CR #: 2484

07/16/2004

Thu, 10 Nov 2005 09:53:00 EST

Transmittal #: R92OTN
Subject: Additional Instructions Related to the "Redistribution of Unused Resident Positions," Section 422 of the Medicare Modernization Act of 2003 (MMA), P.L. 108-173, for Purposes of Graduate Medical Education (GME) Payments
Implementation Date: 07/16/2004
CR #: 3353

N/A

Thu, 10 Nov 2005 09:54:00 EST

Transmittal #: R223CP
Subject: PET Scans and Related Claims Processing
Implementation Date: N/A
CR #: 3304

N/A

Thu, 10 Nov 2005 09:56:00 EST

Transmittal #: R222CP
Subject: SNF CB Requirements for DMEPOS
Implementation Date: N/A
CR #: 2453

N/A

Thu, 10 Nov 2005 09:58:00 EST

Transmittal #: R56MCM
Subject: Chapter 11
Implementation Date: N/A
CR #: N/A

08/09/2004

Thu, 10 Nov 2005 09:59:00 EST

Transmittal #: R79PI
Subject: Local Medical Review Policy/ Local Coverage Determination Medicare Summary Notice (MSN) Message Revision
Implementation Date: 08/09/2004
CR #: 3222

N/A

Thu, 10 Nov 2005 10:00:00 EST

Transmittal #: R48FM
Subject: This transmittal is rescinded and replaced with Transmittal 50, dated July 30, 2004.
Implementation Date: N/A
CR #: 3274

01/03/2005

Thu, 10 Nov 2005 10:33:00 EST

Transmittal #: R421CP
Subject: Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
Implementation Date: 01/03/2005
CR #: 3613

01/31/2005

Thu, 10 Nov 2005 10:34:00 EST

Transmittal #: R422CP
Subject: Update to FY 2005 Wage Index for Inpatient Prospective Payment System (IPPS) and Outpatient Prospective Payment System (OPPS) Hospitals
Implementation Date: 01/31/2005
CR #: 3672

01/03/2005

Thu, 10 Nov 2005 10:35:00 EST

Transmittal #: R419CP
Subject: January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes
Implementation Date: 01/03/2005
CR #: 3632

01/14/2005

Thu, 10 Nov 2005 10:36:00 EST

Transmittal #: R423CP
Subject: January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes
Implementation Date: 01/14/2005
CR #: 3632

07/19/2004

Thu, 10 Nov 2005 10:40:00 EST

Transmittal #: R211CP
Subject: Elimination of Regulations for Written Statement of Intent (SOI)
Implementation Date: 07/19/2004
CR #: 3310

10/04/2004

Thu, 10 Nov 2005 11:06:00 EST

Transmittal #: R84OTN
Subject: Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Portability and Accountability Act of 1996 (HIPAA) X12N 837 Created Via Free Billing Software
Implementation Date: 10/04/2004
CR #: 3284

01/03/2005

Thu, 10 Nov 2005 11:08:00 EST

Transmittal #: R417CP
Subject: Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.)
Implementation Date: 01/03/2005
CR #: 3638

01/25/2005

Thu, 10 Nov 2005 11:09:00 EST

Transmittal #: R416CP
Subject: Interest Payment on Clean Non-PIP Claims Not Paid Timely
Implementation Date: 01/25/2005
CR #: 3557

01/17/2005

Thu, 10 Nov 2005 11:09:00 EST

Transmittal #: R14DEMO
Subject: Chemotherapy Demonstration Project
Implementation Date: 01/17/2005
CR #: 3670

01/25/2005

Thu, 10 Nov 2005 11:10:00 EST

Transmittal #: R415CP
Subject: Temporary Change in Carrier Jurisdictional Pricing Rules for Purchased Diagnostic Services
Implementation Date: 01/25/2005
CR #: 3630

02/28/2005

Thu, 10 Nov 2005 11:43:00 EST

Transmittal #: R5SSS
Subject: Business Partners Systems Security Manual
Implementation Date: 02/28/2005
CR #: 3605

01/03/2005

Thu, 10 Nov 2005 11:45:00 EST

Transmittal #: R402CP
Subject: January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS)
Implementation Date: 01/03/2005
CR #: 3621

01/03/2005

Thu, 10 Nov 2005 11:46:00 EST

Transmittal #: R404CP
Subject: January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS):Changes to Coding and Payment for Drug Administration
Implementation Date: 01/03/2005
CR #: 3610

01/03/2005

Thu, 10 Nov 2005 11:47:00 EST

Transmittal #: R403CP
Subject: January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Billing for Devices that do not have Transitional Pass-Through Status, and that are not Classified as New Technology Ambulatory Payment Classification (APC) Groups
Implementation Date: 01/03/2005
CR #: 3606

01/17/2005

Thu, 10 Nov 2005 11:47:00 EST

Transmittal #: R396CP
Subject: New Dispensing/Supply Fee Codes for Oral Anti-Cancer, Oral Ant-Emetic, Immunosuppressive, and Inhalation Drugs
Implementation Date: 01/17/2005
CR #: 3620

01/03/2005

Thu, 10 Nov 2005 11:49:00 EST

Transmittal #: R397CP
Subject: DMERC/Local Carriers/SADMERC - Drug Pricing Limits as of January 1, 2005
Implementation Date: 01/03/2005
CR #: 3232

01/03/2005

Thu, 10 Nov 2005 11:51:00 EST

Transmittal #: R409CP
Subject: Diabetes Screening Tests
Implementation Date: 01/03/2005
CR #: 3637

04/04/2005

Thu, 10 Nov 2005 11:52:00 EST

Transmittal #: R406CP
Subject: Update to Health Care Claims Status Category Codes and Health Care Claim Status Codes for Use with the Health Care Claim Status Request and Response ASC X12N 276/277
Implementation Date: 04/04/2005
CR #: 3566

04/04/2005

Thu, 10 Nov 2005 11:54:00 EST

Transmittal #: R133OTN
Subject: Shared System Maintainer Hours for Resolution of Problems Detected as a Result of Implementation of Change Request 2525 and Change Request 2527
Implementation Date: 04/04/2005
CR #: 3603

01/10/2005

Thu, 10 Nov 2005 11:56:00 EST

Transmittal #: R14GI
Subject: Scheduled Release for January Updates to Software Programs and Pricing/Coding Files
Implementation Date: 01/10/2005
CR #: 3550

04/04/2005

Thu, 10 Nov 2005 11:57:00 EST

Transmittal #: R11DEMO
Subject: Medicare Coordinated Care Demonstration (MCCD)-Override of Certain Medicare Secondary Payer Edit Codes
Implementation Date: 04/04/2005
CR #: 3594

04/04/2005

Thu, 10 Nov 2005 11:58:00 EST

Transmittal #: R400CP
Subject: Incorrect Reporting of MTUS Indicator When Drugs are Billed Using an NDC Code
Implementation Date: 04/04/2005
CR #: 3435

N/A

Thu, 10 Nov 2005 11:59:00 EST

Transmittal #: R427PR1
Subject: Section 2231, Regional Medicare Swing-Bed Rates
Implementation Date: N/A
CR #: N/A

04/04/2005

Thu, 10 Nov 2005 12:01:00 EST

Transmittal #: R130OTN
Subject: Development of a Coordination of Benefits Agreement (COBA) Auxiliary File and Modification of the Health Insurance Portability and Accountability Act (HIPAA) 837 Coordination of Benefits (COB) Flat File and National Council for Prescription Drug Programs (NCPDP) File
Implementation Date: 04/04/2005
CR #: 3614

01/03/2005

Thu, 10 Nov 2005 12:02:00 EST

Transmittal #: R408CP
Subject: Cardiovascular Disease Screening
Implementation Date: 01/03/2005
CR #: 3411

01/03/2005

Thu, 10 Nov 2005 12:03:00 EST

Transmittal #: R407CP
Subject: Hospital Billing for Repetitive Services
Implementation Date: 01/03/2005
CR #: 3633

01/03/2005

Thu, 10 Nov 2005 12:05:00 EST

Transmittal #: R405CP
Subject: Emergency Change to Carrier Instructions for the End Stage Renal Disease (ESRD) 50/50 Rule Implementation
Implementation Date: 01/03/2005
CR #: 3609

01/10/2005

Thu, 10 Nov 2005 12:12:00 EST

Transmittal #: R61FM
Subject: New Location Code ICC, Status Code AR and Modified Intent Letter for Unfiled Cost Reports Only
Implementation Date: 01/10/2005
CR #: 3563

01/10/2005

Thu, 10 Nov 2005 13:54:00 EST

Transmittal #: R22MSP
Subject: Medicare Secondary Payer (MSP) Debt Referral Instructions and Debt Collection Improvement Act of 1996 (DCIA) Activities
Implementation Date: 01/10/2005
CR #: 3293

01/03/2005

Thu, 10 Nov 2005 13:56:00 EST

Transmittal #: R386CP
Subject: Hospice Pre-Election Evaluation and Counseling Services
Implementation Date: 01/03/2005
CR #: 3585

N/A

Thu, 10 Nov 2005 13:56:00 EST

Transmittal #: R64MCM
Subject: Surveys, Contracting Strategy, Grievances and Appeals
Implementation Date: N/A
CR #: N/A

01/03/2005

Thu, 10 Nov 2005 13:58:00 EST

Transmittal #: R385CP
Subject: January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of OPPS Outpatient Code Editor (OCE) Data Changes and OPPS PRICER Logic Changes; Changes to Payment for Diagnostic Mammography
Implementation Date: 01/03/2005
CR #: 3586

01/03/2005

Thu, 10 Nov 2005 13:58:00 EST

Transmittal #: R387CP
Subject: This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions
Implementation Date: 01/03/2005
CR #: 3583

01/24/2005

Thu, 10 Nov 2005 14:00:00 EST

Transmittal #: R401CP
Subject: 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices
Implementation Date: 01/24/2005
CR #: 3600

01/03/2005

Thu, 10 Nov 2005 14:00:00 EST

Transmittal #: R399CP
Subject: Expansion of the Existing Interrupted Stay Policy Under Long Term Care Hospital (LTCH) Prospective Payment System
Implementation Date: 01/03/2005
CR #: 3279

01/03/2005

Thu, 10 Nov 2005 14:01:00 EST

Transmittal #: R395CP
Subject: Ambulance Fee Schedule - Medical Conditions List
Implementation Date: 01/03/2005
CR #: 3619

01/17/2005

Thu, 10 Nov 2005 14:02:00 EST

Transmittal #: R394CP
Subject: New Dispensing/Supply Fee Codes for Oral Anti-Cancer, Oral Ant-Emetic, Immunosuppressive, and Inhalation Drugs
Implementation Date: 01/17/2005
CR #: 3620

01/24/2005

Thu, 10 Nov 2005 14:03:00 EST

Transmittal #: R393CP
Subject: 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices
Implementation Date: 01/24/2005
CR #: 3600

01/17/2005

Thu, 10 Nov 2005 14:07:00 EST

Transmittal #: R12DEMO
Subject: Chemotherapy Demonstration Project
Implementation Date: 01/17/2005
CR #: 3634

01/03/2005

Thu, 10 Nov 2005 14:08:00 EST

Transmittal #: R91PI
Subject: Revision of Program Integrity Manual (PIM), Section 3.11.1.4
Implementation Date: 01/03/2005
CR #: 3560

01/10/2005

Thu, 10 Nov 2005 14:12:00 EST

Transmittal #: R90PI
Subject: Prepayment Review of Claims for MR Purposes
Implementation Date: 01/10/2005
CR #: 3569

04/04/2005

Thu, 10 Nov 2005 14:17:00 EST

Transmittal #: R384CP
Subject: Inpatient Psychiatric Facility Prospective Payment System (IPF PPS)
Implementation Date: 04/04/2005
CR #: 3541

12/06/2004

Thu, 10 Nov 2005 14:18:00 EST

Transmittal #: R127OTN
Subject: Instructions Applicable to the Audit of Hospitals that are Part of an Affiliated Group in Relation to the "Redistribution of Unused Resident Positions," Section 422 of the Medicare Modernization Act of 2003 (MMA), P.L. 108-173, for Purposes of Graduate Medical Education (GME) Payments
Implementation Date: 12/06/2004
CR #: 3558

01/03/2005

Thu, 10 Nov 2005 14:20:00 EST

Transmittal #: R360CP
Subject: Annual Update of HCPCS Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB)
Implementation Date: 01/03/2005
CR #: 3542

01/03/2005

Thu, 10 Nov 2005 14:21:00 EST

Transmittal #: R28BP
Subject: Hospice Pre-Election Evaluation and Counseling Services
Implementation Date: 01/03/2005
CR #: 3585

01/03/2005

Thu, 10 Nov 2005 14:22:00 EST

Transmittal #: R363CP
Subject: 2005 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
Implementation Date: 01/03/2005
CR #: 3526

01/17/2005

Thu, 10 Nov 2005 14:22:00 EST

Transmittal #: R129OTN
Subject: 2005 Drug Administration Coding Revisions
Implementation Date: 01/17/2005
CR #: 3631

01/03/2005

Thu, 10 Nov 2005 14:23:00 EST

Transmittal #: R128OTN
Subject: Promoting Medicare's Preventive Benefits and Services on an Annual Basis
Implementation Date: 01/03/2005
CR #: 3527

01/03/2005

Thu, 10 Nov 2005 14:25:00 EST

Transmittal #: R362CP
Subject: Update to the Prospective Payment System (PPS) for Home Health Agencies for Calendar Year (CY) 2005
Implementation Date: 01/03/2005
CR #: 3556

04/04/2005

Thu, 10 Nov 2005 14:25:00 EST

Transmittal #: R372CP
Subject: Payment for Referred Laboratory Automated Multi-Channel Chemistry (AMCC) Tests
Implementation Date: 04/04/2005
CR #: 3483

01/03/2004

Thu, 10 Nov 2005 14:26:00 EST

Transmittal #: R369CP
Subject: Fee Schedule Update for 2005 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
Implementation Date: 01/03/2004
CR #: 3574

04/04/2005

Thu, 10 Nov 2005 14:27:00 EST

Transmittal #: R371CP
Subject: Updated Billing Instructions for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)
Implementation Date: 04/04/2005
CR #: 3487

11/22/2004

Thu, 10 Nov 2005 14:28:00 EST

Transmittal #: R374CP
Subject: Clarification to IOM Chapter 17, Section 80.4 regarding claims for Blood Clotting Factors
Implementation Date: 11/22/2004
CR #: 3370

01/03/2005

Thu, 10 Nov 2005 14:30:00 EST

Transmittal #: R27BP
Subject: New ESRD Composite Payment Rates Effective January 1, 2005
Implementation Date: 01/03/2005
CR #: 3554

12/27/2004

Thu, 10 Nov 2005 14:30:00 EST

Transmittal #: R89PI
Subject: Updating Financial Reporting Requirements for Medical Review and Local Provider Education and Training
Implementation Date: 12/27/2004
CR #: 3446

12/27/2004

Thu, 10 Nov 2005 14:32:00 EST

Transmittal #: R88PI
Subject: Timeframes for Processing 855 Enrollment Applications
Implementation Date: 12/27/2004
CR #: 3528

01/24/2005

Thu, 10 Nov 2005 14:32:00 EST

Transmittal #: R60FM
Subject: Revised instructions on contractor procedures for provider audit and the Provider Statistical & Reimbursement Report (PSRR)
Implementation Date: 01/24/2005
CR #: 3492

01/03/2005

Thu, 10 Nov 2005 14:33:00 EST

Transmittal #: R382CP
Subject: Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Patients
Implementation Date: 01/03/2005
CR #: 3467

12/06/2004

Thu, 10 Nov 2005 14:35:00 EST

Transmittal #: R361CP
Subject: MMA Drug Pricing Update - Payment Limit for J0207 (Amifostine)
Implementation Date: 12/06/2004
CR #: 3552

04/04/2005

Thu, 10 Nov 2005 14:36:00 EST

Transmittal #: R357CP
Subject: Implementation of Coverage of Religious Nonmedical Health Care Institution Items and Services Furnished in the Home, MMA section 706.
Implementation Date: 04/04/2005
CR #: 3529

04/04/2005

Thu, 10 Nov 2005 14:37:00 EST

Transmittal #: R25BP
Subject: Implementation of Coverage of Religious Nonmedical Health Care Institution (RNHCI) Items and Services Furnished in the Home, MMA section 706.
Implementation Date: 04/04/2005
CR #: 3529

N/A

Thu, 10 Nov 2005 14:38:00 EST

Transmittal #: R63MCM
Subject: Chapter 5 and Chapter 17B
Implementation Date: N/A
CR #: N/A

04/04/2005

Thu, 10 Nov 2005 14:40:00 EST

Transmittal #: R368CP
Subject: Instructions for Completion of Form CMS-1450
Implementation Date: 04/04/2005
CR #: 3543

11/12/2004

Thu, 10 Nov 2005 14:40:00 EST

Transmittal #: R4SOM
Subject: Guidance to Surveyors for Long Term Care Facilities
Implementation Date: 11/12/2004
CR #: N/A

N/A

Thu, 10 Nov 2005 14:42:00 EST

Transmittal #: R5SOM
Subject: Revisions to Appendix P (Survey Protocols for Long Term Care Facilities) and Appendix PP (Guidance to Surveyors for Long Term Care Facilities)
Implementation Date: N/A
CR #: N/A

04/04/2005

Thu, 10 Nov 2005 14:42:00 EST

Transmittal #: R367CP
Subject: Section 630 of the Medicare Modernization Act (MMA) allows for the reimbursement for ambulance services provided by IHS/Tribal Hospitals, including CAHs, which manage and operate hospital-based ambulances.
Implementation Date: 04/04/2005
CR #: 3521

04/04/2005

Thu, 10 Nov 2005 14:44:00 EST

Transmittal #: R370CP
Subject: New Case-Mix Adjusted End Stage Renal Disease (ESRD) Composite Payment Rates and New Composite Rates and New Composite Rate Exceptions Window for Pediatric ESRD Facilities
Implementation Date: 04/04/2005
CR #: 3572

01/03/2005

Thu, 10 Nov 2005 14:44:00 EST

Transmittal #: R373CP
Subject: New ESRD Composite Payment Rates Effective January 1, 2005
Implementation Date: 01/03/2005
CR #: 3554

12/28/2004

Thu, 10 Nov 2005 14:45:00 EST

Transmittal #: R377CP
Subject: Long Act Implant, Bcg Live Intravesical Vac, and Gallium ga 67; Adjustments Due to Misclassification
Implementation Date: 12/28/2004
CR #: 3540

01/03/2005

Thu, 10 Nov 2005 14:48:00 EST

Transmittal #: R380CP
Subject: Changes to the Laboratory National Coverage Determination (NCD) edit Software for January 2005
Implementation Date: 01/03/2005
CR #: 3429

04/04/2005

Thu, 10 Nov 2005 14:49:00 EST

Transmittal #: R379CP
Subject: Low Osmolar Contrast Material/Laboratory Tests/Payment for Inpatient Services Furnished by a Critical Access Hospital (CAH)
Implementation Date: 04/04/2005
CR #: 3439

01/10/2005

Thu, 10 Nov 2005 14:50:00 EST

Transmittal #: R381CP
Subject: Revisions and Corrections, Chapter 29 of the IOM, Claims Processing Manual - Appeals
Implementation Date: 01/10/2005
CR #: 3127

11/22/2004

Thu, 10 Nov 2005 14:51:00 EST

Transmittal #: R86PI
Subject: Payment for Emergency Medical Treatment and Labor Act (EMTALA) - Mandated Screening and Stabilization Services
Implementation Date: 11/22/2004
CR #: 3437

04/04/2005

Thu, 10 Nov 2005 15:15:00 EST

Transmittal #: R353CP
Subject: DMERC - Revision to CR 2631 Requirements for DMERC claims
Implementation Date: 04/04/2005
CR #: 3261

04/04/2005

Thu, 10 Nov 2005 15:16:00 EST

Transmittal #: R352CP
Subject: Three Places after the Decimal Point for ASP drug file
Implementation Date: 04/04/2005
CR #: 3436

11/12/2004

Thu, 10 Nov 2005 15:18:00 EST

Transmittal #: R59FM
Subject: Notice of New Interest Rate for Medicare Overpayments and Underpayments.
Implementation Date: 11/12/2004
CR #: 3453

04/04/2005

Thu, 10 Nov 2005 15:19:00 EST

Transmittal #: R358CP
Subject: Inclusion of Forteo as a Covered Osteoporosis Drug and Clarification of Manual Instructions Regarding Osteoporosis Drugs
Implementation Date: 04/04/2005
CR #: 3524

01/03/2005

Thu, 10 Nov 2005 15:21:00 EST

Transmittal #: R349CP
Subject: Annual Type of Service (TOS)
Implementation Date: 01/03/2005
CR #: 3519

04/04/2005

Thu, 10 Nov 2005 15:22:00 EST

Transmittal #: R346CP
Subject: Three Places after the Decimal Point for ASP drug file
Implementation Date: 04/04/2005
CR #: 3436

04/04/2004

Thu, 10 Nov 2005 15:27:00 EST

Transmittal #: R26BP
Subject: Inclusion of Forteo as a Covered Osteoporosis Drug and Clarification of Manual Instructions Regarding Osteoporosis Drugs
Implementation Date: 04/04/2004
CR #: 3524

12/06/2004

Thu, 10 Nov 2005 15:28:00 EST

Transmittal #: R125OTN
Subject: Instructions Applicable to the Audit of Hospitals that are Part of an Affiliated Group in Relation to the "Redistribution of Unused Resident Positions," Section 422 of the Medicare Modernization Act of 2003 (MMA), P.L. 108-173, for Purposes of Graduate Medical Education (GME) Payments
Implementation Date: 12/06/2004
CR #: 3558

04/04/2005

Thu, 10 Nov 2005 15:30:00 EST

Transmittal #: R341CP
Subject: Implementation of the Medicare Physician Fee Schedule (MPFS) National Abstract File for Purchased Diagnostic Tests and Interpretations
Implementation Date: 04/04/2005
CR #: 3481

04/06/2004

Thu, 10 Nov 2005 15:31:00 EST

Transmittal #: R11NCD
Subject: Manualization NCD: Acupuncture for Fibromyalgia/Osteoarthritis
Implementation Date: 04/06/2004
CR #: 3250

01/03/2005

Thu, 10 Nov 2005 15:31:00 EST

Transmittal #: R340CP
Subject: Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement
Implementation Date: 01/03/2005
CR #: 3525

01/03/2005

Thu, 10 Nov 2005 15:32:00 EST

Transmittal #: R338CP
Subject: Remonal of the Skilled Nursing Facility (SNF) No Pay File
Implementation Date: 01/03/2005
CR #: 3534

04/04/2005

Thu, 10 Nov 2005 15:33:00 EST

Transmittal #: R337CP
Subject: Change in Hospital Type of Bill for Billing Diagnostic and Screening Mammographics
Implementation Date: 04/04/2005
CR #: 3469

01/04/2005

Thu, 10 Nov 2005 15:34:00 EST

Transmittal #: R345CP
Subject: DMERC - Revision to CR 2631 Requirements for DMERC claims
Implementation Date: 01/04/2005
CR #: 3261

04/04/2005

Thu, 10 Nov 2005 15:35:00 EST

Transmittal #: R336CP
Subject: Indian Health Service (IHS) or Tribal Hospitals including Critical Access Hospitals (CAH) Payment Methodology for Inpatient Social Admissions and Outpatient Services Occurring During Concurrent Stays
Implementation Date: 04/04/2005
CR #: 3452

04/04/2005

Thu, 10 Nov 2005 15:36:00 EST

Transmittal #: R335CP
Subject: Incorrect Reporting of Miles, Times, Units, Services (MTUS) Indicator When a Drug is Billed in the NCPDP Format Using an NDC Code
Implementation Date: 04/04/2005
CR #: 3435

04/04/2005

Thu, 10 Nov 2005 15:37:00 EST

Transmittal #: R342CP
Subject: Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Ambulance Transports to or from a Diagnostic or Therapeutic Site
Implementation Date: 04/04/2005
CR #: 3427

01/03/2005

Thu, 10 Nov 2005 15:38:00 EST

Transmittal #: R351CP
Subject: Editing of Hospitals and Skilled Nursing Facilities Part B Inpatient Services (Full Replacement of Change Request 3366)
Implementation Date: 01/03/2005
CR #: 3531

11/29/2004

Thu, 10 Nov 2005 15:39:00 EST

Transmittal #: R347CP
Subject: Inpatient Rehabilitation Facility (IRF) Classification Requirements
Implementation Date: 11/29/2004
CR #: 3503

01/03/2005

Thu, 10 Nov 2005 15:40:00 EST

Transmittal #: R348CP
Subject: January 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective January 1, 2005
Implementation Date: 01/03/2005
CR #: 3539

04/04/2005

Thu, 10 Nov 2005 15:41:00 EST

Transmittal #: R343CP
Subject: Clarification: Modifiers for Transportation of Portable X-rays (R0075)
Implementation Date: 04/04/2005
CR #: 3280

04/04/2005

Thu, 10 Nov 2005 15:41:00 EST

Transmittal #: R350CP
Subject: Editing for Part B Carriers and Durable Medical Equipment Regional Carriers (DMERCs) for Duplicate Claims in Process at the Same Time
Implementation Date: 04/04/2005
CR #: 3347

01/03/2005

Thu, 10 Nov 2005 15:42:00 EST

Transmittal #: R24BP
Subject: Revision of Section 300.5.1, Chapter 15 of the Medicare Benefit Policy Manual to include 22x TOB as an applicable TOB for Diabetes Self-Management Training.
Implementation Date: 01/03/2005
CR #: 3531

04/04/2005

Thu, 10 Nov 2005 15:43:00 EST

Transmittal #: R13GI
Subject: Medicare Termination of Beneficiaries With End Stage Renal Disease (ESRD)
Implementation Date: 04/04/2005
CR #: 2923

04/04/2005

Thu, 10 Nov 2005 15:44:00 EST

Transmittal #: R21MSP
Subject: Medicare Secondary Payer (MSP) Savings Report Redesign
Implementation Date: 04/04/2005
CR #: 3407

04/06/2005

Thu, 10 Nov 2005 15:46:00 EST

Transmittal #: R20MSP
Subject: Medicare Secondary Payer (MSP) Savings Report Redesign
Implementation Date: 04/06/2005
CR #: 3181

05/10/2004

Thu, 10 Nov 2005 16:45:00 EST

Transmittal #: R71PI2
Subject: Rewrite of the Program Integrity Manual (except Chapter 10), Chapters 5 and 6
Implementation Date: 05/10/2004
CR #: 3030

05/10/2004

Thu, 10 Nov 2005 16:46:00 EST

Transmittal #: R70PI
Subject: New Requirements for Self-Administered Drug (SAD) Exclusion List Articles in the Medicare Coverage Database (MCD)
Implementation Date: 05/10/2004
CR #: 3136

05/10/2004

Thu, 10 Nov 2005 16:46:00 EST

Transmittal #: R71PI
Subject: Rewrite of the Program Integrity Manual (except Chapter 10), Transmittal Page, Business Requirements, Table of Contents, Chapters 1 and 2.
Implementation Date: 05/10/2004
CR #: 3030

07/06/2004

Thu, 10 Nov 2005 16:48:00 EST

Transmittal #: R7NCD
Subject: Electrical Stimulation and Electromagnetic Therapy for the Treatment of Woundsq
Implementation Date: 07/06/2004
CR #: 3149

03/29/2004

Thu, 10 Nov 2005 16:48:00 EST

Transmittal #: R110CP
Subject: New Requirements for payment of drugs furnished in independent dialysis facilities and paid outside of the composite rate for dates of service (DOS) starting on January 1, 2004. Drugs furnished in this setting will be paid at the lower of billed charges or 95 percent Average Wholesale Price (AWP) for the calendar year 2004. These changes have been established with the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003, PL 108-173.
Implementation Date: 03/29/2004
CR #: 3078

03/29/2004

Thu, 10 Nov 2005 16:49:00 EST

Transmittal #: R108CP
Subject: Type of Service (TOS) Corrections
Implementation Date: 03/29/2004
CR #: 3018

04/05/2004

Thu, 10 Nov 2005 16:50:00 EST

Transmittal #: R4SSM
Subject: Medicare Business Partners Systems Security (a.k.a. CMS Business Partners Systems Security Manual)
Implementation Date: 04/05/2004
CR #: 3106

04/05/2004

Thu, 10 Nov 2005 16:51:00 EST

Transmittal #: R4COM
Subject: Provider/Supplier Communications - Revisions and Additions to Existing Contractor Requirements
Implementation Date: 04/05/2004
CR #: 3118

04/26/2004

Thu, 10 Nov 2005 16:51:00 EST

Transmittal #: R65OTN
Subject: Implementation of Section 508(f) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108-173)
Implementation Date: 04/26/2004
CR #: 3084

04/05/2004

Thu, 10 Nov 2005 16:52:00 EST

Transmittal #: R64OTN
Subject: Implementation of Sections 401, 402, 504 and 508(a) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108-173
Implementation Date: 04/05/2004
CR #: 3158

N/A

Thu, 10 Nov 2005 16:53:00 EST

Transmittal #: R63OTN
Subject: Durable Medical Equipment Regional Carriers (DMERCs) - DeWall Posture Protector Orthotic Body Jacket (L0430): Continuation of CMS' Policy Stated in CR 2711 (B-03-025) dated April 11, 2003.
Implementation Date: N/A
CR #: 3224

03/19/2004

Thu, 10 Nov 2005 16:53:00 EST

Transmittal #: R12MSP
Subject: Interim Non-Systems Solution: Converting Health Insurance Portability and Accountability Act (HIPAA) Individual Relationship Codes to Common Working File (CWF) Patient Relationship Codes
Implementation Date: 03/19/2004
CR #: 3117

04/26/2004

Thu, 10 Nov 2005 16:54:00 EST

Transmittal #: R69PI
Subject: Streamlining Enrollment Requirements
Implementation Date: 04/26/2004
CR #: 3159

03/26/2004

Thu, 10 Nov 2005 16:55:00 EST

Transmittal #: R131CP
Subject: New Payment Allowance Percentages for DMERC Drugs
Implementation Date: 03/26/2004
CR #: 3153

04/05/2004

Thu, 10 Nov 2005 16:56:00 EST

Transmittal #: R118CP
Subject: Frequency Limitations for Darbepoetin Alfa (trade name Aranesp) For Treatment Of Anemia In End Stage Renal Disease (ESRD) Patients On Dialysis.
Implementation Date: 04/05/2004
CR #: 2984

N/A

Thu, 10 Nov 2005 16:57:00 EST

Transmittal #: R130CP
Subject: Chapter 32, Billing Instructions for Special Services
Implementation Date: N/A
CR #: 2323

04/05/2004

Thu, 10 Nov 2005 16:58:00 EST

Transmittal #: R117CP
Subject: Instructions for downloading the Medicare zip code file.
Implementation Date: 04/05/2004
CR #: 3160

04/26/2004

Thu, 10 Nov 2005 16:58:00 EST

Transmittal #: R129CP
Subject: Additional Information and Corrections to Previous Transmittals Regarding Healthcare Common Procedure Coding System (HCPCS) Codes and Modifiers for Low Osmolar Contrast Material, Orthotics, and Durable Medical Equipment
Implementation Date: 04/26/2004
CR #: 3143

N/A

Thu, 10 Nov 2005 17:00:00 EST

Transmittal #: R128CP
Subject: Manualization of Deep Brain Stimulation
Implementation Date: N/A
CR #: 2553

05/26/2004

Thu, 10 Nov 2005 17:01:00 EST

Transmittal #: R127CP
Subject: 2004 Jurisdiction List
Implementation Date: 05/26/2004
CR #: 3139

N/A

Thu, 10 Nov 2005 17:02:00 EST

Transmittal #: R126CP
Subject: Manualization Clarification of ICD-9 Coding
Implementation Date: N/A
CR #: 2857

N/A

Thu, 10 Nov 2005 17:03:00 EST

Transmittal #: R125CP
Subject: Manualization of the Sacral Nerve Stimulation
Implementation Date: N/A
CR #: 2532

04/05/2004

Thu, 10 Nov 2005 17:04:00 EST

Transmittal #: R116CP
Subject: ESRD- Miscellaneous Code Processing Clarification
Implementation Date: 04/05/2004
CR #: 3019

11/22/2004

Thu, 10 Nov 2005 17:05:00 EST

Transmittal #: R11GI
Subject: Manual Revision Regarding Waiver of Annual Deductible and Coinsurance for Both ASC Facility, and ASC/Hospital Outpatient Department Physician Services
Implementation Date: 11/22/2004
CR #: 3471

07/06/2004

Thu, 10 Nov 2005 17:05:00 EST

Transmittal #: R115CP
Subject: DMERCs and VIPS, Processing NDC Numbers - Clarification to CR 3141
Implementation Date: 07/06/2004
CR #: 3148

04/05/2004

Thu, 10 Nov 2005 17:06:00 EST

Transmittal #: R61OTN
Subject: Changes to the FY 2004 Graduate Medical Education (GME) Payments as Required by the Medicare Modernization Act of 2003 (MMA), P.L. 108-173
Implementation Date: 04/05/2004
CR #: 3071

04/05/2004

Thu, 10 Nov 2005 17:06:00 EST

Transmittal #: R8BP
Subject: Policy Changes to Reflect Billing for Darbepoetin Alfa and Epoetin
Implementation Date: 04/05/2004
CR #: 2984

11/26/2004

Thu, 10 Nov 2005 17:08:00 EST

Transmittal #: R334CP
Subject: Payment of Beneficiary Submitted Flu Claims and Flu Claims Submitted by Non-Enrolled Providers
Implementation Date: 11/26/2004
CR #: 3555

04/26/2004

Thu, 10 Nov 2005 17:09:00 EST

Transmittal #: R7ESRD
Subject: Chapter 7, Sanctions and ESRD Complaints and Grievances
Implementation Date: 04/26/2004
CR #: N/A

04/26/2004

Thu, 10 Nov 2005 17:10:00 EST

Transmittal #: R6ESRD
Subject: Chapter 6, Community Information and Resources
Implementation Date: 04/26/2004
CR #: N/A

11/10/2004

Thu, 10 Nov 2005 17:10:00 EST

Transmittal #: R339CP
Subject: Calendar Year (CY) 2005 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures
Implementation Date: 11/10/2004
CR #: 3442

04/26/2004

Thu, 10 Nov 2005 17:11:00 EST

Transmittal #: R5ESRD
Subject: Chapter 4, Information Management
Implementation Date: 04/26/2004
CR #: N/A

04/04/2005

Thu, 10 Nov 2005 17:13:00 EST

Transmittal #: R124OTN
Subject: Common Working File (CWF) Duplicate Claim Edit for Referred Clinical Diagnostic and Purchased Diagnostic Services
Implementation Date: 04/04/2005
CR #: 3551

N/A

Thu, 10 Nov 2005 17:13:00 EST

Transmittal #: R36FM
Subject: Contractor Reporting of Operations and Workload Data (CROWD) for EDI
Implementation Date: N/A
CR #: 2249

01/03/2005

Thu, 10 Nov 2005 17:14:00 EST

Transmittal #: R3GI
Subject: New Part B Annual Deductible
Implementation Date: 01/03/2005
CR #: 3121

11/29/2004

Thu, 10 Nov 2005 17:15:00 EST

Transmittal #: R123OTN
Subject: Instructions For Pricing Trepostinil (Q4077)
Implementation Date: 11/29/2004
CR #: 3533

N/A

Thu, 10 Nov 2005 17:15:00 EST

Transmittal #: R5P238
Subject: Electronic Reporting Specifications for Form CMS-1984-99
Implementation Date: N/A
CR #: N/A

04/05/2004

Thu, 10 Nov 2005 17:15:00 EST

Transmittal #: R119CP
Subject: MMA Drug Pricing Update-Drug Exceptions
Implementation Date: 04/05/2004
CR #: 3161

N/A

Thu, 10 Nov 2005 17:16:00 EST

Transmittal #: R12P232
Subject: Home Health Agency Cost Report
Implementation Date: N/A
CR #: N/A

04/04/2005

Thu, 10 Nov 2005 17:16:00 EST

Transmittal #: R122OTN
Subject: Shared System and CWF Renovation of Override Code Process and Recognition of Four 2-byte Modifier Fields on the Part B Query Record - For MCS Phased Implementation Approach Only
Implementation Date: 04/04/2005
CR #: 3494

04/02/2004

Thu, 10 Nov 2005 17:17:00 EST

Transmittal #: R62OTN
Subject: Physician Self-Referral Prohibition; 18-Month Moratorium on Physician Investment in Specialty Hospitals
Implementation Date: 04/02/2004
CR #: 3036

07/05/2004

Thu, 10 Nov 2005 17:17:00 EST

Transmittal #: R37FM
Subject: Installation of Version 33 of the Provider Statistical and Reimbursement (PS&R) Reporting System.
Implementation Date: 07/05/2004
CR #: 3131

04/04/2005

Thu, 10 Nov 2005 17:17:00 EST

Transmittal #: R121OTN
Subject: Modification to Fiscal Intermediary Standard System (FISS) Regarding Common Working File Initiated Adjustments
Implementation Date: 04/04/2005
CR #: 3330

04/19/2004

Thu, 10 Nov 2005 17:18:00 EST

Transmittal #: R13MSP
Subject: Updates to the Electronic Correspondence Referral System (ECRS) User Guide v7.0 and Quick Reference Card v7.0
Implementation Date: 04/19/2004
CR #: 3174

07/06/2004

Thu, 10 Nov 2005 17:19:00 EST

Transmittal #: R124CP
Subject: Electrical Stimulation and Electromagnetic Therapy for the Treatment of Wounds
Implementation Date: 07/06/2004
CR #: 3149

04/05/2004

Thu, 10 Nov 2005 17:20:00 EST

Transmittal #: R123CP
Subject: April Outpatient Code Editor (OCE) Specifications Version 5.1
Implementation Date: 04/05/2004
CR #: 3170

07/06/2004

Thu, 10 Nov 2005 17:21:00 EST

Transmittal #: R122CP
Subject: Revision to Required Messages in Change Request (CR) 2944, Implementation of Skilled Nursing Facility (SNF) Consolidated Billing Edit for Therapy Codes Considered Separately Payable Physician Services
Implementation Date: 07/06/2004
CR #: 3156

04/01/2004

Thu, 10 Nov 2005 17:22:00 EST

Transmittal #: R8NCD
Subject: Current Perception Threshold/Sensory Nerve Conduction Threshold Test (sNCT)
Implementation Date: 04/01/2004
CR #: 2988

07/01/2004

Thu, 10 Nov 2005 17:23:00 EST

Transmittal #: R103CP
Subject: Optional Method for Outpatient Services: Cost-Based Facility Services Plus 115 percent Fee Schedule Payment for Professional Services
Implementation Date: 07/01/2004
CR #: 3114

04/05/2004

Thu, 10 Nov 2005 17:24:00 EST

Transmittal #: R102P
Subject: New Waived Tests--April 1, 2004
Implementation Date: 04/05/2004
CR #: 3061

04/01/2004

Thu, 10 Nov 2005 17:26:00 EST

Transmittal #: R101CP
Subject: Restoring Composite Rate Exceptions for Pediatric Facilities Under the ESRD Composite Rate System
Implementation Date: 04/01/2004
CR #: 3119

07/06/2004

Thu, 10 Nov 2005 17:27:00 EST

Transmittal #: R107CP
Subject: Health Insurance Portability and Accountability Act (HIPAA) X12N 837 Health Care Claim Implementation Guide (IG) Editing Additional Instruction
Implementation Date: 07/06/2004
CR #: 3031

04/01/2004

Thu, 10 Nov 2005 17:27:00 EST

Transmittal #: R7BP
Subject: Restoring Composite Rate Exceptions for Pediatric Facilities Under the ESRD Composite Rate System
Implementation Date: 04/01/2004
CR #: 3119

04/05/2004

Thu, 10 Nov 2005 17:28:00 EST

Transmittal #: R112CP
Subject: April 2004 Changes to the Hospital Outpatient Prospective Payment System (OPPS): Payment for Drugs, Biologicals and Radiopharmaceuticals, Generic Versus Brand Name
Implementation Date: 04/05/2004
CR #: 3144

03/12/2004

Thu, 10 Nov 2005 17:29:00 EST

Transmittal #: R67PI
Subject: The Medicare Coverage Database
Implementation Date: 03/12/2004
CR #: 2976

03/29/2004

Thu, 10 Nov 2005 17:30:00 EST

Transmittal #: R11MSP
Subject: General Policy
Implementation Date: 03/29/2004
CR #: 3064

04/05/2004

Thu, 10 Nov 2005 17:31:00 EST

Transmittal #: R113CP
Subject: Claims Requiring Adjustment As a Result of April 2004 Changes to the Outpatient Prospective Payment System (OPPS)
Implementation Date: 04/05/2004
CR #: 3145

07/06/2004

Thu, 10 Nov 2005 17:31:00 EST

Transmittal #: R114CP
Subject: Modification of CMS' Medicare Contingency Plan for HIPPA Implementation
Implementation Date: 07/06/2004
CR #: 2981

03/12/2004

Thu, 10 Nov 2005 17:32:00 EST

Transmittal #: R111CP
Subject: Payment For Services Provided Under a Contractual Agreement
Implementation Date: 03/12/2004
CR #: 3083

04/05/2004

Thu, 10 Nov 2005 17:32:00 EST

Transmittal #: R132CP
Subject: April 2004 Update of the Hospital Outpatient Prospective Payment System
Implementation Date: 04/05/2004
CR #: 3154

04/01/2004

Thu, 10 Nov 2005 17:33:00 EST

Transmittal #: R9NCD
Subject: NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD)
Implementation Date: 04/01/2004
CR #: 3191

04/30/2004

Thu, 10 Nov 2005 17:34:00 EST

Transmittal #: R67OTN
Subject: Requirement for Carriers, Durable Medical Equipment Regional Carriers (DMERCs), Fiscal Intermediaries (FIs), and Full Program Safeguard Contractors (PSCs) to Encourage Providers to Submit Medical Records to the Comprehensive Error Rate Testing (CERT) Contractor for Use in the November 2004 Improper Medicare Fee-For-Service (FFS) Payments Report
Implementation Date: 04/30/2004
CR #: 3157

07/06/2004

Thu, 10 Nov 2005 17:34:00 EST

Transmittal #: R68OTN
Subject: Transmittal 49 Implementation Date Extension
Implementation Date: 07/06/2004
CR #: 3197

N/A

Thu, 10 Nov 2005 17:35:00 EST

Transmittal #: R48MCM
Subject: Grievances, Organization Determinations, and Appeals
Implementation Date: N/A
CR #: N/A

N/A

Thu, 10 Nov 2005 17:36:00 EST

Transmittal #: R135CP
Subject: Purchased Diagnostic Test - Carriers
Implementation Date: N/A
CR #: 1658

07/06/2004

Thu, 10 Nov 2005 17:37:00 EST

Transmittal #: R134CP
Subject: Instructions for Downloading the Medicare Zip Code File.
Implementation Date: 07/06/2004
CR #: 3198

04/16/2004

Thu, 10 Nov 2005 17:37:00 EST

Transmittal #: R133CP
Subject: Billing NonCovered Charges to Fiscal Intermediaries - Summary and New Instructions - Clarification
Implementation Date: 04/16/2004
CR #: 3115

05/10/2004

Thu, 10 Nov 2005 17:38:00 EST

Transmittal #: R70OTN
Subject: How Fiscal Intermediary's are to Record Coinsurance Amounts from The Provider Statistical and Reimbursement (PS&R) Report for Providers Who Elected to Accept Reduced Coinsurance for Outpatient Prospective Payment System (OPPS) Services
Implementation Date: 05/10/2004
CR #: 3166

N/A

Thu, 10 Nov 2005 17:38:00 EST

Transmittal #: R10NCD
Subject: NCD is being released
Implementation Date: N/A
CR #: N/A

N/A

Thu, 10 Nov 2005 17:39:00 EST

Transmittal #: R69OTN
Subject: Carrier Only* Shared System Maintainer Hours for Resolution of Problems Detected As A Result of Implementation of CR 2525 and CR 2527
Implementation Date: N/A
CR #: 3146

N/A

Thu, 10 Nov 2005 17:40:00 EST

Transmittal #: R50MCM
Subject: Chapter 20, Managed Care and M+C Systems Business Requirements
Implementation Date: N/A
CR #: N/A

05/10/2004

Thu, 10 Nov 2005 17:42:00 EST

Transmittal #: R71PI5
Subject: Rewrite of the Program Integrity Manual (except Chapter 10), Exhibits
Implementation Date: 05/10/2004
CR #: 3030

05/10/2004

Thu, 10 Nov 2005 17:42:00 EST

Transmittal #: R71PI4
Subject: Rewrite of the Program Integrity Manual (except Chapter 10), Chapters 13 and 11
Implementation Date: 05/10/2004
CR #: 3030

05/10/2004

Thu, 10 Nov 2005 17:43:00 EST

Transmittal #: R71PI3
Subject: Rewrite of the Program Integrity Manual (except Chapter 10), Chapters 7, 8, 9 and 12
Implementation Date: 05/10/2004
CR #: 3030

05/10/2004

Thu, 10 Nov 2005 17:44:00 EST

Transmittal #: R71PI1
Subject: Rewrite of the Program Integrity Manual (except Chapter 10), Chapters 3 and 4
Implementation Date: 05/10/2004
CR #: 3030

04/05/2004

Thu, 10 Nov 2005 17:45:00 EST

Transmittal #: R120CP
Subject: April Update to the January Medicare Outpatient Code Editor (OCE) Specifications Version 19.1 R1 For Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System
Implementation Date: 04/05/2004
CR #: 3155

04/01/2004

Thu, 10 Nov 2005 17:45:00 EST

Transmittal #: R121CP
Subject: Manualization of Place of Service (POS) Code Set Program Memorandum; Revision to Group Home Code Description
Implementation Date: 04/01/2004
CR #: 3087

07/06/2004

Thu, 10 Nov 2005 17:46:00 EST

Transmittal #: R85P
Subject: Processing of Claims for Referred Services for a Independent Clinical Diagnostic Laboratory
Implementation Date: 07/06/2004
CR #: 3090

07/06/2004

Thu, 10 Nov 2005 17:47:00 EST

Transmittal #: R84CP
Subject: Additional Guidelines for Implementing the National Council for Prescription Drug Program
Implementation Date: 07/06/2004
CR #: 3095

07/06/2004

Thu, 10 Nov 2005 17:47:00 EST

Transmittal #: R87CP
Subject: Expansion of Transfer Policy Under Inpatient Payment Prospective System
Implementation Date: 07/06/2004
CR #: 2934

07/06/2004

Thu, 10 Nov 2005 17:48:00 EST

Transmittal #: R86CP
Subject: X12N 837 Professional Implementation Guide (IG) Edits
Implementation Date: 07/06/2004
CR #: 3050

10/04/2004

Thu, 10 Nov 2005 17:49:00 EST

Transmittal #: R35FM
Subject: Unsolicited/Voluntary Refunds
Implementation Date: 10/04/2004
CR #: 1444

03/08/2004

Thu, 10 Nov 2005 17:49:00 EST

Transmittal #: R2GI
Subject: Scheduled Release for April Updates to Software Programs and Pricing/Coding Files
Implementation Date: 03/08/2004
CR #: 3123

07/06/2004

Thu, 10 Nov 2005 17:50:00 EST

Transmittal #: R99CP
Subject: Health Insurance Portability and Accountability Act (HIPAA) X12N 837 Coordination of Benefits (COB) Gap Fill Additional Instruction
Implementation Date: 07/06/2004
CR #: 3100

04/04/2005

Fri, 11 Nov 2005 09:58:00 EST

Transmittal #: R330CP
Subject: DMERC-Beneficiary Submitted Claims, Process First Claim
Implementation Date: 04/04/2005
CR #: 3233

04/04/2005

Fri, 11 Nov 2005 10:00:00 EST

Transmittal #: R332CP
Subject: New Policy and Refinements on Billing Noncovered Charges to Fiscal Intermediaries (FIs)
Implementation Date: 04/04/2005
CR #: 3416

07/05/2005

Fri, 11 Nov 2005 10:01:00 EST

Transmittal #: R329CP
Subject: DMERC Only - Payment to Providers/Suppliers Qualified to Bill Medicare for Prosthetics and Certain Custom-Fabricated Orthotics
Implementation Date: 07/05/2005
CR #: 3373

01/03/2005

Fri, 11 Nov 2005 10:02:00 EST

Transmittal #: R328CP
Subject: 2005 Annual Update for Skilled Nursing Facility (SNF) Consolidated Billing for the Common Working File (CWF) and Medicare Carriers
Implementation Date: 01/03/2005
CR #: 3535

11/22/2005

Fri, 11 Nov 2005 10:03:00 EST

Transmittal #: R327CP
Subject: This transmittal rescinded and replaced by R374CP
Implementation Date: 11/22/2005
CR #: 3370

01/03/2005

Fri, 11 Nov 2005 10:03:00 EST

Transmittal #: R325CP
Subject: New Waived Tests-January 1, 2005
Implementation Date: 01/03/2005
CR #: 3484

04/04/2005

Fri, 11 Nov 2005 10:04:00 EST

Transmittal #: R321CP
Subject: Instructions for Downloading the Medicare Zip Code File
Implementation Date: 04/04/2005
CR #: 3482

01/03/2005

Fri, 11 Nov 2005 10:06:00 EST

Transmittal #: R320CP
Subject: Reminder Notice of the Implementation of the Ambulance Transition Schedule
Implementation Date: 01/03/2005
CR #: 3473

04/04/2005

Fri, 11 Nov 2005 10:17:00 EST

Transmittal #: R319CP
Subject: CORF/OPT Edit for Billing Inappropriate Supplies
Implementation Date: 04/04/2005
CR #: 3468

N/A

Fri, 11 Nov 2005 10:18:00 EST

Transmittal #: R316CP
Subject: Clarification of Messgaes in Chapter 1, Section 10.1.1.1 to Match Official Listing on the WPC-EDI Web Site
Implementation Date: N/A
CR #: 3462

11/22/2004

Fri, 11 Nov 2005 10:23:00 EST

Transmittal #: R318CP
Subject: Clarification of CR 3176 - Payment amounts for ESRD drug administration supplies: HCPCS A4657 and A4913
Implementation Date: 11/22/2004
CR #: 3451

N/A

Fri, 11 Nov 2005 10:27:00 EST

Transmittal #: R317CP
Subject: Clarification to Chapter 26 of the Internet Only Manual (IOM)
Implementation Date: N/A
CR #: 3431

11/22/2004

Fri, 11 Nov 2005 10:28:00 EST

Transmittal #: R315CP
Subject: Temporary Change in Carrier Jurisdictional Pricing Rules for Purchased Diagnostic Services
Implementation Date: 11/22/2004
CR #: 3464

04/04/2005

Fri, 11 Nov 2005 10:30:00 EST

Transmittal #: R326CP
Subject: Invalid Diagnosis Code Editing - Second Phase
Implementation Date: 04/04/2005
CR #: 3260

04/04/2005

Fri, 11 Nov 2005 10:30:00 EST

Transmittal #: R12GI
Subject: New Policy and Refinements on Billing Noncovered Charges to Fiscal Intermediaries (FIs)
Implementation Date: 04/04/2005
CR #: 3416

01/03/2005

Fri, 11 Nov 2005 10:32:00 EST

Transmittal #: R324CP
Subject: Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005
Implementation Date: 01/03/2005
CR #: 3491

11/22/2004

Fri, 11 Nov 2005 10:32:00 EST

Transmittal #: R323CP
Subject: Update Regarding the Use of American Dental Association's (ADA) Current Dental Terminology (CDT) Codes on Medicare Contractors' Web Sites and Other Electronic Media
Implementation Date: 11/22/2004
CR #: 3499

10/29/2005

Fri, 11 Nov 2005 10:33:00 EST

Transmittal #: R322CP
Subject: Release Medlearn Article for Change Request (CR) 2813 (End Stage Renal Disease Reimbursement for Automated Multi-channel Chemistry Test(s)).
Implementation Date: 10/29/2005
CR #: 3501

04/04/2005

Fri, 11 Nov 2005 10:34:00 EST

Transmittal #: R57FM
Subject: Revised Reporting Requirements for Contractor Reporting of Operational Workload Data (CROWD) Health Professional Shortage Area (HPSA) Quarterly Report (CMS Form 1565E, CROWD Form S)
Implementation Date: 04/04/2005
CR #: 3472

04/04/2005

Fri, 11 Nov 2005 10:35:00 EST

Transmittal #: R85PI
Subject: Informing Beneficiaries About Which Local Medical Review Policy (LMRP) and/or Local Coverage Determination (LCD) and/or National Coverage Determination (NCD) is Associated with Their Claim Denial
Implementation Date: 04/04/2005
CR #: 3363

11/22/2005

Fri, 11 Nov 2005 10:37:00 EST

Transmittal #: R56FM
Subject: Revision to Balancing Requirement on Form 5, Line 10, of the Contractor Reporting of Operational and Workload Data (Crowd)
Implementation Date: 11/22/2005
CR #: 3486

10/04/2004

Fri, 11 Nov 2005 13:09:00 EST

Transmittal #: R308CP
Subject: Two New Medicare Summary Notice (MSN) Messages for Parental Pumps - DMERC only
Implementation Date: 10/04/2004
CR #: 3506

01/03/2005

Fri, 11 Nov 2005 13:10:00 EST

Transmittal #: R305CP
Subject: Disabling the CWF 57x3 Consistency Error Code
Implementation Date: 01/03/2005
CR #: 3470

10/04/2004

Fri, 11 Nov 2005 13:12:00 EST

Transmittal #: R114OTN
Subject: Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine (CPT 90732)
Implementation Date: 10/04/2004
CR #: 3490

06/28/2004

Fri, 11 Nov 2005 13:14:00 EST

Transmittal #: R304CP
Subject: Nurse Practitioners As Attending Physicians in the Medicare Hospice Benefit
Implementation Date: 06/28/2004
CR #: 3226

06/28/2004

Fri, 11 Nov 2005 13:15:00 EST

Transmittal #: R22BP
Subject: Nurse Practitioners As Attending Physicians in the Medicare Hospice Benefit
Implementation Date: 06/28/2004
CR #: 3226

10/25/2004

Fri, 11 Nov 2005 13:15:00 EST

Transmittal #: R21BP
Subject: Medicare Comprehensive Outpatient Rehabilitation Facility Coverage
Implementation Date: 10/25/2004
CR #: 3315

10/04/2004

Fri, 11 Nov 2005 13:16:00 EST

Transmittal #: R117OTN
Subject: New Remark Code Message for Use with Claims for Parenteral Pumps - (DMERC) Only
Implementation Date: 10/04/2004
CR #: 3405

10/04/2004

Fri, 11 Nov 2005 13:17:00 EST

Transmittal #: R310CP
Subject: Billing Requirements for Positron Emission Tomography (PET) Scans for Dementia and Neurodegenerative Diseases
Implementation Date: 10/04/2004
CR #: 3426

N/A

Fri, 11 Nov 2005 13:18:00 EST

Transmittal #: R426PR1
Subject: For Assets Acquired On or After May 1, 2004
Implementation Date: N/A
CR #: N/A

11/15/2004

Fri, 11 Nov 2005 13:19:00 EST

Transmittal #: R55FM
Subject: Reporting Appeals Redetermination Information On Forms CMS-2591 and 2590
Implementation Date: 11/15/2004
CR #: 3448

10/04/2004

Fri, 11 Nov 2005 13:21:00 EST

Transmittal #: R23BP
Subject: Revised Requirements for Chiropractic Billing of Active/Corrective Treatment and Maintenance Therapy. Full Replacement of CR 3063
Implementation Date: 10/04/2004
CR #: 3449

01/05/2005

Fri, 11 Nov 2005 13:22:00 EST

Transmittal #: R311CP
Subject: Instructions for Completion of Form CMS-1450
Implementation Date: 01/05/2005
CR #: 3417

01/03/2005

Fri, 11 Nov 2005 13:23:00 EST

Transmittal #: R118OTN
Subject: Shared Systems Maintainers Hours for Resolution of Problems Detected as a Result of Implementation of Change Request 2525 and Change Request 2527
Implementation Date: 01/03/2005
CR #: 3536

10/12/2004

Fri, 11 Nov 2005 13:24:00 EST

Transmittal #: R314CP
Subject: Percutaneous Transluminal Angioplasty (PTA)
Implementation Date: 10/12/2004
CR #: 3489

10/12/2004

Fri, 11 Nov 2005 13:26:00 EST

Transmittal #: R25NCD
Subject: Percutaneous Transluminal Angioplasty (PTA)
Implementation Date: 10/12/2004
CR #: 3489

04/04/2005

Fri, 11 Nov 2005 13:27:00 EST

Transmittal #: R120OTN
Subject: Override of Common Working File (CWF) Edit for Observation Services Exceeding 48 Hours
Implementation Date: 04/04/2005
CR #: 3311

10/25/2004

Fri, 11 Nov 2005 13:28:00 EST

Transmittal #: R302CP
Subject: Nursing Facility Visits (Codes 99301 -99313)
Implementation Date: 10/25/2004
CR #: 3096

01/05/2004

Fri, 11 Nov 2005 13:29:00 EST

Transmittal #: R303CP
Subject: Instructions for Completion of Form CMS-1450
Implementation Date: 01/05/2004
CR #: 3417

10/04/2004

Fri, 11 Nov 2005 13:30:00 EST

Transmittal #: R309CP
Subject: Fiscal Year (FY) 2005 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) and Other Bill Processing Changes Related to the IPPS Final Rule
Implementation Date: 10/04/2004
CR #: 3459

10/04/2004

Fri, 11 Nov 2005 13:31:00 EST

Transmittal #: R306CP
Subject: Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database.
Implementation Date: 10/04/2004
CR #: 3505

N/A

Fri, 11 Nov 2005 13:32:00 EST

Transmittal #: R62MCM
Subject: Revisions to Chapter 13 - Medicare+Choice Beneficiary Grievances, Organization Determinations and Appeals
Implementation Date: N/A
CR #: N/A

10/12/2004

Fri, 11 Nov 2005 13:33:00 EST

Transmittal #: R299CP
Subject: Use of Condition Code 44, "Inpatient Admission Changed to Outpatient"
Implementation Date: 10/12/2004
CR #: 3444

01/03/2005

Fri, 11 Nov 2005 13:34:00 EST

Transmittal #: R297CP
Subject: Reasonable Charge Update for 2005 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, Therapeutic Shoes, and Certain Intraocular Lenses
Implementation Date: 01/03/2005
CR #: 3430

09/25/2004

Fri, 11 Nov 2005 13:35:00 EST

Transmittal #: R298CP
Subject: MSN and ANSI Messages for Mammography Claims
Implementation Date: 09/25/2004
CR #: 2617

09/10/2004

Fri, 11 Nov 2005 13:36:00 EST

Transmittal #: R21NCD
Subject: Magnetic Resonance Spectroscopy for Diagnosing Brain Tumors
Implementation Date: 09/10/2004
CR #: 3425

10/12/2004

Fri, 11 Nov 2005 13:37:00 EST

Transmittal #: R19BP
Subject: Hospital Services Covered Under Part B
Implementation Date: 10/12/2004
CR #: 3444

01/03/2005

Fri, 11 Nov 2005 13:38:00 EST

Transmittal #: R267CP
Subject: Crossover Patients in New Long Term Care Hospitals (LTCH)
Implementation Date: 01/03/2005
CR #: 3391

01/03/2005

Fri, 11 Nov 2005 13:38:00 EST

Transmittal #: R10GI
Subject: Update to Medicare Deductible, Coinsurance and Premium Rates for Calendar Year 2005
Implementation Date: 01/03/2005
CR #: 3463

01/03/2005

Fri, 11 Nov 2005 13:40:00 EST

Transmittal #: R301CP
Subject: Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services
Implementation Date: 01/03/2005
CR #: 3366

N/A

Fri, 11 Nov 2005 13:41:00 EST

Transmittal #: R116OTN
Subject: Notification of Medlearn Matters (MM) Article for Confidential Change Request (CR) 3301
Implementation Date: N/A
CR #: 3465

10/25/2004

Fri, 11 Nov 2005 13:42:00 EST

Transmittal #: R54FM
Subject: Notification to Providers of Intent to Complete a Post-Payment Audit
Implementation Date: 10/25/2004
CR #: 3441

10/25/2004

Fri, 11 Nov 2005 13:43:00 EST

Transmittal #: R19MSP
Subject: Clarification of MSP Rules in Relation to a Temporary Leave of Absence
Implementation Date: 10/25/2004
CR #: 3447

10/01/2004

Fri, 11 Nov 2005 13:45:00 EST

Transmittal #: R288CP
Subject: Fiscal Year (FY) 2005 Payment for Services Furnished in Ambulatory Surgical Centers (ASCs)
Implementation Date: 10/01/2004
CR #: 3394

01/03/2005

Fri, 11 Nov 2005 13:45:00 EST

Transmittal #: R283CP
Subject: 2005 Healthcare Common Procedure Coding System (HCPCS) Annual Update reminder
Implementation Date: 01/03/2005
CR #: 3422

01/03/2005

Fri, 11 Nov 2005 13:46:00 EST

Transmittal #: R285CP
Subject: Addition of Physician Assistants, Nurse Practitioners and Clinical Nurse Specialists as Emergency On-Call Providers for Critical Access Hospitals (CAHs)
Implementation Date: 01/03/2005
CR #: 3228

N/A

Fri, 11 Nov 2005 13:47:00 EST

Transmittal #: R6P229
Subject: For Cost Reporting Periods End On or After March 31, 2002
Implementation Date: N/A
CR #: N/A

N/A

Fri, 11 Nov 2005 13:48:00 EST

Transmittal #: R61MCM
Subject: Emergency and Urgently Needed Services
Implementation Date: N/A
CR #: N/A

N/A

Fri, 11 Nov 2005 13:49:00 EST

Transmittal #: R296CP
Subject: Payment Denial for Medicare Services Furnished to Alien Beneficiaries Who Are Not Lawfully Present in the United States
Implementation Date: N/A
CR #: 2825

09/25/2004

Fri, 11 Nov 2005 13:50:00 EST

Transmittal #: R295CP
Subject: MSN Messages and Reason Codes for Mammography
Implementation Date: 09/25/2004
CR #: 2617

09/27/2004

Fri, 11 Nov 2005 13:51:00 EST

Transmittal #: R112OTN
Subject: Billing Instructions for ADVATE rAHF-PFM on Medicare Claims
Implementation Date: 09/27/2004
CR #: 3331

01/05/2005

Fri, 11 Nov 2005 13:51:00 EST

Transmittal #: R113OTN
Subject: Implementation of Section 921 of the Medicare Modernization Act (MMA) - Provider Customer Service Program
Implementation Date: 01/05/2005
CR #: 3376

01/03/2005

Fri, 11 Nov 2005 13:52:00 EST

Transmittal #: R286CP
Subject: Medicare Physician Fee Schedule Database (MPFSDB) 2005 File Layout
Implementation Date: 01/03/2005
CR #: 3421

08/27/2004

Fri, 11 Nov 2005 13:53:00 EST

Transmittal #: R287CP
Subject: Schedule for Completing the Calendar Year (CY) 2005 Fee Schedule Updates and the Participating Physician Enrollment Procedures
Implementation Date: 08/27/2004
CR #: 3409

09/27/2004

Fri, 11 Nov 2005 13:55:00 EST

Transmittal #: R284CP
Subject: DMERCs Only-Appeals of Duplicate claims
Implementation Date: 09/27/2004
CR #: 3371

04/01/2004

Mon, 14 Nov 2005 10:16:00 EST

Transmittal #: R58OTN
Subject: Program Integrity Management Reporting (PIMR) System Program Integrity Management Reporting System (PIMR) FY 2004 F and T Codes
Implementation Date: 04/01/2004
CR #: 3110

N/A

Mon, 14 Nov 2005 10:17:00 EST

Transmittal #: R46MCM
Subject: Chapter 19, Managed Care and M+C Systems Requirements
Implementation Date: N/A
CR #: N/A

N/A

Mon, 14 Nov 2005 10:18:00 EST

Transmittal #: R45MCM
Subject: Chapter 13, Grievances Organization Determinations and Appeals
Implementation Date: N/A
CR #: N/A

07/06/2004

Mon, 14 Nov 2005 10:18:00 EST

Transmittal #: R10MSP
Subject: Update the Part B Shared Systems to Send the Appropriate Medicare Fee Schedule Amounts to the Medicare Secondary Payer Payment (MSPPAY) Software for Psychiatric MSP Claims
Implementation Date: 07/06/2004
CR #: 2955

07/06/2004

Mon, 14 Nov 2005 10:19:00 EST

Transmittal #: R100CP
Subject: Outpatient Clinical Laboratory Tests Furnished by Hospitals With Fewer Than 50 beds in Qualified Rural Areas
Implementation Date: 07/06/2004
CR #: 3130

04/01/2004

Mon, 14 Nov 2005 10:20:00 EST

Transmittal #: R32SOM
Subject: Appendix C-Survey Procedures and Interpretive Guidelines for Laboratories and Laboratory Services
Implementation Date: 04/01/2004
CR #: N/A

04/05/2004

Mon, 14 Nov 2005 10:21:00 EST

Transmittal #: R59OTN
Subject: Temporary 5 Percent Payment Increase for Home Health Services Furnished in a Rural Area for One Year Under the Home Health Prospective Payment System (HH PPS), Change of HH PPS Annual Update from a Fiscal Year Update to a Calendar Year Update, and Adjustment of HH PPS Annual Update to the Home Health Market Basket Percentage Increase Minus 0.8 Percent
Implementation Date: 04/05/2004
CR #: 3085

N/A

Mon, 14 Nov 2005 10:21:00 EST

Transmittal #: R425PR1
Subject: Regional Medicare Swing-Bed Rates
Implementation Date: N/A
CR #: N/A

N/A

Mon, 14 Nov 2005 10:22:00 EST

Transmittal #: R47MCM
Subject: Chapter 7--Medicare+Choice-Enrollment and Disenrollment
Implementation Date: N/A
CR #: N/A

04/02/2004

Mon, 14 Nov 2005 10:23:00 EST

Transmittal #: R66PI
Subject: Progressive Corrective Action Program Memorandum and Providing Updated Instructions on How Contractors Must Identify, Verify, and Correct Billing Errors.
Implementation Date: 04/02/2004
CR #: 3124

04/05/2004

Mon, 14 Nov 2005 10:23:00 EST

Transmittal #: R105CP
Subject: 1st Update to the 2004 Medicare Physician Fee Schedule Database
Implementation Date: 04/05/2004
CR #: 3128

04/05/2004

Mon, 14 Nov 2005 10:24:00 EST

Transmittal #: R104CP
Subject: DMERCs and VIPS, Processing NDC Numbers
Implementation Date: 04/05/2004
CR #: 3141

03/08/2004

Mon, 14 Nov 2005 10:25:00 EST

Transmittal #: R77CP
Subject: Change in Methodolgy for Determining Payment for Outliers
Implementation Date: 03/08/2004
CR #: 2998

07/06/2004

Mon, 14 Nov 2005 10:26:00 EST

Transmittal #: R83CP
Subject: New "K" Codes for Wheelchair Cushions
Implementation Date: 07/06/2004
CR #: 3069

N/A

Mon, 14 Nov 2005 10:26:00 EST

Transmittal #: R76CP
Subject: SNF Inpatient Part A Billing
Implementation Date: N/A
CR #: 3133

07/06/2004

Mon, 14 Nov 2005 10:27:00 EST

Transmittal #: R82CP
Subject: ESRD Data for Use in Adjusting Claims
Implementation Date: 07/06/2004
CR #: 3066

07/06/2004

Mon, 14 Nov 2005 10:28:00 EST

Transmittal #: R81CP
Subject: Update of UB-92 Codes
Implementation Date: 07/06/2004
CR #: 3012

07/06/2004

Mon, 14 Nov 2005 10:28:00 EST

Transmittal #: R80CP
Subject: Extend Medicare Coverage for Certain Colorectal Cancer Screenings at SNFs
Implementation Date: 07/06/2004
CR #: 2874

07/05/2004

Mon, 14 Nov 2005 10:29:00 EST

Transmittal #: R88CP
Subject: Implementation of Changes to Payment for Ambulance Services Required by Section 414 of MMA
Implementation Date: 07/05/2004
CR #: 3099

07/06/2004

Mon, 14 Nov 2005 10:29:00 EST

Transmittal #: R89CP
Subject: The Elimination of the 90-Day Grace Period for HCPCS Codes
Implementation Date: 07/06/2004
CR #: 3093

07/06/2004

Mon, 14 Nov 2005 10:39:00 EST

Transmittal #: R8MSP
Subject: Common Working File MSP Modifications
Implementation Date: 07/06/2004
CR #: 2775

07/06/2004

Mon, 14 Nov 2005 10:39:00 EST

Transmittal #: R7MSP
Subject: Sending the Primary Payer Covered Charge Amount to the Medicare Secondary Payment (MSPPAY) Module for MSP Home Health Prospective Payment System (HH PPS) Claims
Implementation Date: 07/06/2004
CR #: 2954

N/A

Mon, 14 Nov 2005 10:40:00 EST

Transmittal #: R96CP
Subject: Claims Status Codes in ASC X12N 276/277 Claims Status Health Insurance Portability and Accountability Act (HIPAA) Transactions
Implementation Date: N/A
CR #: 3017

10/01/2004

Mon, 14 Nov 2005 10:41:00 EST

Transmittal #: R95CP
Subject: Elimination of the 90-Day Grace Period for ICD-9-CM Codes
Implementation Date: 10/01/2004
CR #: 3094

07/06/2004

Mon, 14 Nov 2005 10:42:00 EST

Transmittal #: R98CP
Subject: Consolidation of the Claims Crossover Process: Additional Common Working File (CWF) Functionality
Implementation Date: 07/06/2004
CR #: 3109

07/06/2004

Mon, 14 Nov 2005 10:42:00 EST

Transmittal #: R97CP
Subject: Implementation of New Medicare Redetermination Notice (MRN)
Implementation Date: 07/06/2004
CR #: 2620

07/06/2004

Mon, 14 Nov 2005 10:43:00 EST

Transmittal #: R94CP
Subject: Additional Information in Medicare Summary Notices (MSNs) to Beneficiaries about Skilled Nursing Facility (SNF) Benefits
Implementation Date: 07/06/2004
CR #: 3098

04/05/2004

Mon, 14 Nov 2005 11:06:00 EST

Transmittal #: R93CP
Subject: Remittance Advice Remark Code and Claim Adjustment Reason Code Update
Implementation Date: 04/05/2004
CR #: 3122

04/05/2004

Mon, 14 Nov 2005 11:08:00 EST

Transmittal #: R92CP
Subject: Updates to the January 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility Consolidated Billing Enforcement
Implementation Date: 04/05/2004
CR #: 3070

07/06/2004

Mon, 14 Nov 2005 11:09:00 EST

Transmittal #: R91CP
Subject: Revisions to Processing of Non-covered Charges on Certain Home Health Prospective Payment System Claims
Implementation Date: 07/06/2004
CR #: 3077

07/06/2004

Mon, 14 Nov 2005 11:10:00 EST

Transmittal #: R90CP
Subject: Implementation of Skilled Nursing Facility Consolidated Billing CWF Edit for Therapy Codes Considered Separately Payable Physician Services
Implementation Date: 07/06/2004
CR #: 2944

07/06/2004

Mon, 14 Nov 2005 11:11:00 EST

Transmittal #: R79CP
Subject: ESRD Reimbursement for AMCC Tests
Implementation Date: 07/06/2004
CR #: 2813

04/05/2004

Mon, 14 Nov 2005 11:12:00 EST

Transmittal #: R58CP
Subject: April Quarterly DMEPOS Fee Schedule Update
Implementation Date: 04/05/2004
CR #: 3014

07/06/2004

Mon, 14 Nov 2005 11:12:00 EST

Transmittal #: R78CP
Subject: Medicare Incentive Payments for Physician Care
Implementation Date: 07/06/2004
CR #: 3108

04/05/2004

Mon, 14 Nov 2005 11:13:00 EST

Transmittal #: R57CP
Subject: Implementation Guide (IG) Edits
Implementation Date: 04/05/2004
CR #: 3001

03/02/2004

Mon, 14 Nov 2005 11:14:00 EST

Transmittal #: R49OTN
Subject: Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases
Implementation Date: 03/02/2004
CR #: 3075

04/05/2004

Mon, 14 Nov 2005 11:14:00 EST

Transmittal #: R63CP
Subject: Special Rules for Critical Access Hospital (CAH) Outpatient Billing
Implementation Date: 04/05/2004
CR #: 3051

04/01/2004

Mon, 14 Nov 2005 11:15:00 EST

Transmittal #: R48OTN
Subject: Transfer of "WW" Codes for Oral Anti-Cancer Drugs Billed Using National Drug Codes (NDCs) on Durable Medical Equipment Regional Carrier (DMERC) Claims
Implementation Date: 04/01/2004
CR #: 2863

03/02/2004

Mon, 14 Nov 2005 11:16:00 EST

Transmittal #: R64PI
Subject: Role Conditions of Participation (COPs) Requirements When Making a Payment Decision
Implementation Date: 03/02/2004
CR #: 3042

03/02/2004

Mon, 14 Nov 2005 11:16:00 EST

Transmittal #: R65PI
Subject: Fiscal Intermediaries to Perform Medical Review on Long Term Care Hospitals
Implementation Date: 03/02/2004
CR #: 2905

02/16/2004

Mon, 14 Nov 2005 11:17:00 EST

Transmittal #: R31FM
Subject: Installation of Version 31 of the Provider Statistical and Reimbursement (PS&R) Reporting System
Implementation Date: 02/16/2004
CR #: 3073

01/03/2004

Mon, 14 Nov 2005 11:18:00 EST

Transmittal #: R75CP
Subject: MMA Pricing File Clarifications
Implementation Date: 01/03/2004
CR #: 3105

07/06/2004

Mon, 14 Nov 2005 11:18:00 EST

Transmittal #: R56OTN
Subject: Program Integrity Management Reporting (PIMR) System for Part A - Phase 4
Implementation Date: 07/06/2004
CR #: 3113

07/06/2004

Mon, 14 Nov 2005 11:20:00 EST

Transmittal #: R55OTN
Subject: Shared System Maintainer Hours for Resolution of Problems Detected During HIPAA Transaction Release Testing
Implementation Date: 07/06/2004
CR #: 3067

07/06/2004

Mon, 14 Nov 2005 11:21:00 EST

Transmittal #: R53OTN
Subject: Surgical Lines with No Charges
Implementation Date: 07/06/2004
CR #: 3104

01/05/2004

Mon, 14 Nov 2005 11:21:00 EST

Transmittal #: R38OTN
Subject: Provider Education Article: 2004 Medicare Physician Fee Schedule Increase and Extension of the Annual Participation Enrollment Period
Implementation Date: 01/05/2004
CR #: 3040

02/02/2004

Mon, 14 Nov 2005 11:22:00 EST

Transmittal #: R61PI
Subject: Clarification of Proof of Delivery Requirements
Implementation Date: 02/02/2004
CR #: 2903

02/02/2004

Mon, 14 Nov 2005 11:22:00 EST

Transmittal #: R37OTN
Subject: Home Health Cost Reporting Processes
Implementation Date: 02/02/2004
CR #: 2993

02/06/2004

Mon, 14 Nov 2005 11:23:00 EST

Transmittal #: R29FM
Subject: Revisions to Chapter 3 & 4
Implementation Date: 02/06/2004
CR #: 2911

01/05/2004

Mon, 14 Nov 2005 11:24:00 EST

Transmittal #: R59CP
Subject: New HCPCS Code for Ambulance Night Differential Charges
Implementation Date: 01/05/2004
CR #: 3035

02/02/2004

Mon, 14 Nov 2005 11:26:00 EST

Transmittal #: R4BP
Subject: Dentists, podiatrists, and optometrists are added to the definition/list of physicians who may opt out of Medicare
Implementation Date: 02/02/2004
CR #: 3016

01/20/2004

Mon, 14 Nov 2005 11:26:00 EST

Transmittal #: R40OTN
Subject: Provider Education Article: Renewed Moratorium on Outpatient Rehabilitation Therapy Caps
Implementation Date: 01/20/2004
CR #: 3045

01/05/2004

Mon, 14 Nov 2005 11:28:00 EST

Transmittal #: R39OTN
Subject: Change in Coding on Medicare Claims for Darbepoetin Alfa (trade name Aranesp) and Epoetin Alfa (trade name Epogen, EPO) For Treatment Of Anemia In End Stage Renal Disease (ESRD) Patients On Dialysis
Implementation Date: 01/05/2004
CR #: 2963

01/09/2004

Mon, 14 Nov 2005 11:28:00 EST

Transmittal #: R41OTN
Subject: Provider Education Article: New Enrollee Rights, New Provider Responsibilities in M+C Program
Implementation Date: 01/09/2004
CR #: 3044

N/A

Mon, 14 Nov 2005 11:29:00 EST

Transmittal #: R44MCM
Subject: Chapter 6, Relationships With Providers
Implementation Date: N/A
CR #: N/A

N/A

Mon, 14 Nov 2005 11:30:00 EST

Transmittal #: R43MCM
Subject: Chapter 4, Benefits and Beneficiary Protection
Implementation Date: N/A
CR #: N/A

N/A

Mon, 14 Nov 2005 11:30:00 EST

Transmittal #: R42MCM
Subject: Chapter 3, Marketing
Implementation Date: N/A
CR #: N/A

N/A

Mon, 14 Nov 2005 11:31:00 EST

Transmittal #: R41MCM
Subject: Chapter 2, Enrollment and Disenrollment
Implementation Date: N/A
CR #: N/A

N/A

Mon, 14 Nov 2005 11:32:00 EST

Transmittal #: R60CP
Subject: Chapter 18, Preventive and Screening Services
Implementation Date: N/A
CR #: 2632

02/02/2004

Mon, 14 Nov 2005 11:33:00 EST

Transmittal #: R42OTN
Subject: Payment to Ambulatory Surgical Centers (ASCs) for G0260 and to Physicians for 27096 When 27096 is Performed in an ASC
Implementation Date: 02/02/2004
CR #: 2979

N/A

Mon, 14 Nov 2005 11:33:00 EST

Transmittal #: R5BP
Subject: Chapter 15, Covered Medical and Other Health Services
Implementation Date: N/A
CR #: 2779

01/11/2004

Mon, 14 Nov 2005 11:34:00 EST

Transmittal #: R6MSP
Subject: Automatic Notice of Change to MSP Auxiliary File
Implementation Date: 01/11/2004
CR #: 2608

04/05/2004

Mon, 14 Nov 2005 11:35:00 EST

Transmittal #: R67CP
Subject: Revision to CR 2912: Coding, Testing, and Implementation Phases of CR 2631 for Jurisdiction
Implementation Date: 04/05/2004
CR #: 3039

04/05/2004

Mon, 14 Nov 2005 11:36:00 EST

Transmittal #: R66CP
Subject: Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.1, Effective April 1, 2004
Implementation Date: 04/05/2004
CR #: 2997

02/16/2004

Mon, 14 Nov 2005 11:36:00 EST

Transmittal #: R65CP
Subject: ANSI X12 Transaction 835 Companion Document Change for Carriers, Durable Medical Equipment Regional Carriers (DMERCs), and Fiscal Intermediaries (Fis)
Implementation Date: 02/16/2004
CR #: 2948

02/16/2004

Mon, 14 Nov 2005 11:37:00 EST

Transmittal #: R64CP
Subject: Coding Change for Ventricular Assist Devices (VADs) for Beneficiaries in an Medicare+Choice (M+C) Plan
Implementation Date: 02/16/2004
CR #: 3068

02/16/2004

Mon, 14 Nov 2005 11:38:00 EST

Transmittal #: R62CP
Subject: January 2004 annual update of HCPCS codes used for Home Health Consolidated Billing Enforcement
Implementation Date: 02/16/2004
CR #: 3024

02/16/2004

Mon, 14 Nov 2005 11:39:00 EST

Transmittal #: R61CP
Subject: Diagnosis coding instructions for anticipated payment and claims to conform with HIPAA requirements
Implementation Date: 02/16/2004
CR #: 2992

02/23/2004

Mon, 14 Nov 2005 11:39:00 EST

Transmittal #: R47OTN
Subject: Implementation of the Occupational Mix Survey
Implementation Date: 02/23/2004
CR #: 3043

02/23/2004

Mon, 14 Nov 2005 11:40:00 EST

Transmittal #: R46OTN
Subject: Railroad Medicare Carrier Collection of Data
Implementation Date: 02/23/2004
CR #: 3041

10/04/2004

Mon, 14 Nov 2005 11:40:00 EST

Transmittal #: R290CP
Subject: October 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 10/04/2004
CR #: 3420

04/01/2004

Mon, 14 Nov 2005 11:41:00 EST

Transmittal #: R44OTN
Subject: Correction-CWF Edits for Inserts for Therapeutic Shoes
Implementation Date: 04/01/2004
CR #: 3029

01/03/2005

Mon, 14 Nov 2005 11:41:00 EST

Transmittal #: R289CP
Subject: File Descriptions and Instructions for Retrieving the 2005 Pricing Files through CMS's Mainframe Telecommunications System
Implementation Date: 01/03/2005
CR #: 3428

04/05/2004

Mon, 14 Nov 2005 11:41:00 EST

Transmittal #: R45OTN
Subject: Emergency Correction to Healthcare Common Procedure Coding System (HCPCS) Codes for Low Osmolar Contrast Material
Implementation Date: 04/05/2004
CR #: 3053

02/23/2004

Mon, 14 Nov 2005 11:42:00 EST

Transmittal #: R43OTN
Subject: Correction To The Effective Date On 9 Code Pairs in Correct Coding Initiative (CCI) Version 9.3 (Cardiology edits)
Implementation Date: 02/23/2004
CR #: 3008

04/05/2004

Mon, 14 Nov 2005 11:43:00 EST

Transmittal #: R62PI
Subject: The Focused Medical Review Report
Implementation Date: 04/05/2004
CR #: 3062

01/03/2005

Mon, 14 Nov 2005 11:43:00 EST

Transmittal #: R240CP
Subject: Expansion of the Existing Interrupted Stay Policy Under Long Term Care Hospital (LTCH) Prospective Payment System
Implementation Date: 01/03/2005
CR #: 3279

02/23/2004

Mon, 14 Nov 2005 11:43:00 EST

Transmittal #: R63PI
Subject: Benefit Improvement Protection Act (BIPA)
Implementation Date: 02/23/2004
CR #: 3010

04/05/2004

Mon, 14 Nov 2005 11:44:00 EST

Transmittal #: R74CP
Subject: Intravenous Immune Globulin
Implementation Date: 04/05/2004
CR #: 3060

N/A

Mon, 14 Nov 2005 11:47:00 EST

Transmittal #: R73CP
Subject: MCE and IPPS Transfers Between Hospitals
Implementation Date: N/A
CR #: 2176

04/05/2004

Mon, 14 Nov 2005 11:48:00 EST

Transmittal #: R71CP
Subject: Changes to the Laboratory National Coverage Determination (NCD) Edit Software
Implementation Date: 04/05/2004
CR #: 3032

02/23/2004

Mon, 14 Nov 2005 11:48:00 EST

Transmittal #: R72CP
Subject: Update of Address for the Railroad Retirement Board (RRB)
Implementation Date: 02/23/2004
CR #: 3034

02/23/2004

Mon, 14 Nov 2005 11:49:00 EST

Transmittal #: R69CP
Subject: Criteria for Using the CB Modifier
Implementation Date: 02/23/2004
CR #: 2906

02/23/2004

Mon, 14 Nov 2005 11:50:00 EST

Transmittal #: R6NCD
Subject: Cardiac Output Monitoring by Thoracic Electrical Bioimpedance
Implementation Date: 02/23/2004
CR #: 2689

04/05/2004

Mon, 14 Nov 2005 11:51:00 EST

Transmittal #: R6BP
Subject: Intravenous Immune Globulin
Implementation Date: 04/05/2004
CR #: 3059

02/04/2004

Mon, 14 Nov 2005 11:52:00 EST

Transmittal #: R30FM
Subject: Notice of New Interest Rates for Medicare Overpayments and Underpayments
Implementation Date: 02/04/2004
CR #: 2829

04/05/2004

Mon, 14 Nov 2005 11:52:00 EST

Transmittal #: R68CP
Subject: New Requirements for Critical Access Hospitals. These changes have been established with the "Medicare Prescription Drug, Improvement, and Modernization Act" (MPDIMA) of 2003, Pub.L. 108-173
Implementation Date: 04/05/2004
CR #: 3052

07/06/2004

Mon, 14 Nov 2005 11:53:00 EST

Transmittal #: R52OTN
Subject: Provider Data on Outbound Coordination of Benefit (COB) Files
Implementation Date: 07/06/2004
CR #: 3101

04/05/2004

Mon, 14 Nov 2005 11:54:00 EST

Transmittal #: R51OTN
Subject: Changes in Payment for Services Furnished in Ambulatory Surgical Centers for Fiscal Year 2004
Implementation Date: 04/05/2004
CR #: 3082

04/05/2004

Mon, 14 Nov 2005 11:54:00 EST

Transmittal #: R50OTN
Subject: ANSI X12 Transaction 270/271 Changes
Implementation Date: 04/05/2004
CR #: 3065

07/06/2004

Mon, 14 Nov 2005 11:55:00 EST

Transmittal #: R33FM
Subject: Coordination of Medicare and Complementary Insurance Programs
Implementation Date: 07/06/2004
CR #: 3109

07/06/2004

Mon, 14 Nov 2005 11:56:00 EST

Transmittal #: R32FM
Subject: Expanded Identification and Workload Reporting for CMS Medicare Systems
Implementation Date: 07/06/2004
CR #: 3023

03/08/2004

Mon, 14 Nov 2005 11:56:00 EST

Transmittal #: R34FM
Subject: Chapter 7 - Internal Control Requirements Update
Implementation Date: 03/08/2004
CR #: 3006

08/09/2004

Mon, 14 Nov 2005 12:09:00 EST

Transmittal #: R51FM
Subject: Notice of New Interest Rate for Medicare Overpatments and Underpatyments
Implementation Date: 08/09/2004
CR #: 2831

08/09/2004

Mon, 14 Nov 2005 12:52:00 EST

Transmittal #: R52FM
Subject: Notice of New Insterest Rate for Medicare Overpayments and Underpayments
Implementation Date: 08/09/2004
CR #: 2831

07/06/2004

Mon, 14 Nov 2005 12:54:00 EST

Transmittal #: R9MSP
Subject: Converting Health Insurance Portability and Accountability ct (HIPAA) Individual Relationship Codes to Common Working File (CWF) Patient Relationship Codes
Implementation Date: 07/06/2004
CR #: 3116

01/03/2005

Mon, 14 Nov 2005 13:09:00 EST

Transmittal #: R270CP
Subject: Update to the Frequency of Billing
Implementation Date: 01/03/2005
CR #: 3382

01/03/2005

Mon, 14 Nov 2005 13:10:00 EST

Transmittal #: R269CP
Subject: Number of Drug Pricing Files That Must Be Maintained Online for Medicare
Implementation Date: 01/03/2005
CR #: 3231

10/04/2004

Mon, 14 Nov 2005 13:11:00 EST

Transmittal #: R271CP
Subject: Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2005
Implementation Date: 10/04/2004
CR #: 3386

10/04/2004

Mon, 14 Nov 2005 13:12:00 EST

Transmittal #: R272CP
Subject: October Quarterly Update For 2004
Implementation Date: 10/04/2004
CR #: 3377

01/03/2005

Mon, 14 Nov 2005 13:13:00 EST

Transmittal #: R5DEMO
Subject: Use of Group Health Plan Payment System to Pay Capitated Payments to Non-Health Plan Demonstration/Program Sites Serving Medicare Fee For Service Beneficiaries- Updated List of Plan Numbers
Implementation Date: 01/03/2005
CR #: 3423

N/A

Mon, 14 Nov 2005 13:14:00 EST

Transmittal #: R58MCM
Subject: Chapter 5 Revisions
Implementation Date: N/A
CR #: N/A

N/A

Mon, 14 Nov 2005 13:15:00 EST

Transmittal #: R57MCM
Subject: Chapter 7 Revisions
Implementation Date: N/A
CR #: N/A

10/04/2004

Mon, 14 Nov 2005 13:16:00 EST

Transmittal #: R278CP
Subject: 3rd Update to the 2004 Medicare Physician Fee Schedule Database
Implementation Date: 10/04/2004
CR #: 3415

01/03/2005

Mon, 14 Nov 2005 13:23:00 EST

Transmittal #: R276CP
Subject: Further Information Related to CR 3175, Distinct Part Units of Critical Access Hospitals (CAHs)
Implementation Date: 01/03/2005
CR #: 3399

10/04/2004

Mon, 14 Nov 2005 13:24:00 EST

Transmittal #: R275CP
Subject: The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2003 for Inpatient Prospective Payment System (IPPS) Hospitals
Implementation Date: 10/04/2004
CR #: 3403

09/14/2004

Mon, 14 Nov 2005 13:25:00 EST

Transmittal #: R274CP
Subject: Good Cause Waiver of Late Claim Filing Payment Reduction Penalty
Implementation Date: 09/14/2004
CR #: 3042

09/14/2004

Mon, 14 Nov 2005 13:26:00 EST

Transmittal #: R282CP
Subject: Good Cause Waiver of Late Claim Filing Payment Reduction Penalty
Implementation Date: 09/14/2004
CR #: 3402

09/24/2004

Mon, 14 Nov 2005 13:27:00 EST

Transmittal #: R106OTN
Subject: MMA Drug Pricing Update-Payment Limits for J9045 (Carboplatin injection) and J9310 (Rituximab cancer treatment)
Implementation Date: 09/24/2004
CR #: 3419

01/03/2005

Mon, 14 Nov 2005 13:28:00 EST

Transmittal #: R111OTN
Subject: Creation of CWF Auxilliary Files and Associated Logic to Properly Calculate Medicare-Equivalent Deductibles for VA Claims
Implementation Date: 01/03/2005
CR #: 3450

09/27/2004

Mon, 14 Nov 2005 13:29:00 EST

Transmittal #: R110OTN
Subject: MMA Drug Pricing Update-Payment Limits for J1000 (Depo-estradiol cypionate inj)
Implementation Date: 09/27/2004
CR #: 3418

09/27/2004

Mon, 14 Nov 2005 13:30:00 EST

Transmittal #: R109OTN
Subject: CWF Analysis to Process Claims Per the Renovated Override Code Billing Instructions for ADVATE rAHF-PFM on Medicare Claims
Implementation Date: 09/27/2004
CR #: 3331

09/27/2004

Mon, 14 Nov 2005 13:31:00 EST

Transmittal #: R108OTN
Subject: New Remark Code Message for Use with Claims for Parenteral Pumps - Durable Medical Equipment Regional Carrier (DMERC) Only
Implementation Date: 09/27/2004
CR #: 3405

01/03/2005

Mon, 14 Nov 2005 13:32:00 EST

Transmittal #: R107OTN
Subject: CWF Analysis to Process Claims Per the Renovated Override Code Processing (re: CR3190) and CWF Analysis to Review System Edits for Additional 2-byte Modifiers Added in CR3190. (Phase 2)
Implementation Date: 01/03/2005
CR #: 3320

01/03/2005

Mon, 14 Nov 2005 13:33:00 EST

Transmittal #: R6DEMO
Subject: Revision of CR 3269 for the Demonstration Project to Clarify the Definition of Homebound (Homebound Demonstration)
Implementation Date: 01/03/2005
CR #: 3432

09/27/2004

Mon, 14 Nov 2005 13:34:00 EST

Transmittal #: R83PI
Subject: PIM Revisions for Chapter 4
Implementation Date: 09/27/2004
CR #: 3379

09/27/2004

Mon, 14 Nov 2005 13:35:00 EST

Transmittal #: R53FM
Subject: Change Request 3367, Debt Collection System (DCS), replaces Change Request 2952, Debt Collection System (DCS)
Implementation Date: 09/27/2004
CR #: 3367

11/29/2004

Mon, 14 Nov 2005 13:36:00 EST

Transmittal #: R18MSP
Subject: Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program
Implementation Date: 11/29/2004
CR #: 3120

08/19/2004

Mon, 14 Nov 2005 13:38:00 EST

Transmittal #: R229CP
Subject: Additional Clarification of Bill Types 22x and 23x Submitted by Skilled Nursing Facilities (SNFs) With Instructions for Involuntarily Moving a Beneficiary Out of the SNF and Ending a Benefit Period
Implementation Date: 08/19/2004
CR #: 3323

01/03/2005

Mon, 14 Nov 2005 13:39:00 EST

Transmittal #: R291CP
Subject: Use of Transmission Date in the Service Date/Assessment Date Field for Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) Claims
Implementation Date: 01/03/2005
CR #: 3433

N/A

Mon, 14 Nov 2005 13:40:00 EST

Transmittal #: R100OTN
Subject: This transmittal is rescinded and replaced with Transmittal 103, dated July 30, 2004
Implementation Date: N/A
CR #: 3236

01/03/2005

Mon, 14 Nov 2005 13:41:00 EST

Transmittal #: R99OTN
Subject: This One-Time Notification is a Full Replacement for Transmittal 86 (CR 3142) Interface File from Recovery Management and Accounting System (ReMAS
Implementation Date: 01/03/2005
CR #: 3383

10/04/2004

Mon, 14 Nov 2005 13:42:00 EST

Transmittal #: R98OTN
Subject: Change to Previous Transmittal Regarding the Discontinued Use of Revenue Code 0910
Implementation Date: 10/04/2004
CR #: 3343

10/01/2004

Mon, 14 Nov 2005 13:43:00 EST

Transmittal #: R96OTN
Subject: Annual Changes to the Amount in Controversy (AIC) Thresholds for the Administrative Law Judge (ALJ) and Judicial Review Levels of the Claim Appeals Process as Required by Section 940 of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003
Implementation Date: 10/01/2004
CR #: 3354

01/03/2005

Mon, 14 Nov 2005 13:44:00 EST

Transmittal #: R94OTN
Subject: Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing
Implementation Date: 01/03/2005
CR #: 3316

01/03/2005

Mon, 14 Nov 2005 13:46:00 EST

Transmittal #: R97OTN
Subject: Implementation of the Business Segment Identifier (BSI) in the Healthcare Integrated General Ledger Accounting System (HIGLAS)
Implementation Date: 01/03/2005
CR #: 3362

08/16/2004

Mon, 05 Dec 2005 11:32:00 EST

Transmittal #: R17MSP
Subject: Clarification of CR 3064
Implementation Date: 08/16/2004
CR #: 3267

08/16/2004

Mon, 05 Dec 2005 11:36:00 EST

Transmittal #: R49FM
Subject: Procedures For Re-Issuance and Stale Dating of Medicare Checks
Implementation Date: 08/16/2004
CR #: 2951

N/A

Mon, 05 Dec 2005 11:39:00 EST

Transmittal #: R2SOM
Subject: Provider Identification Numbers
Implementation Date: N/A
CR #: 3245

N/A

Mon, 05 Dec 2005 11:42:00 EST

Transmittal #: R59MCM
Subject: Chapter 2
Implementation Date: N/A
CR #: N/A

07/06/2004

Mon, 05 Dec 2005 11:44:00 EST

Transmittal #: R188CP
Subject: Hospital Outpatient Billing and Payment under OPPS for New, Unclassified Drugs or Biologicals Approved by the FDA After January 1, 2004, But Before Assignment of a Product-Specific Drug/Biological HCPCS Code
Implementation Date: 07/06/2004
CR #: 3287

N/A

Mon, 05 Dec 2005 11:44:00 EST

Transmittal #: R60MCM
Subject: Chapter 3
Implementation Date: N/A
CR #: N/A

07/06/2004

Mon, 05 Dec 2005 11:45:00 EST

Transmittal #: R273CP
Subject: Modification of CMS's Medicare Contingency Plan for HIPAA Implementation
Implementation Date: 07/06/2004
CR #: 2981

01/03/2005

Mon, 05 Dec 2005 11:47:00 EST

Transmittal #: R230CP
Subject: Update to the Claims Status Codes
Implementation Date: 01/03/2005
CR #: 3361

10/04/2004

Mon, 05 Dec 2005 11:48:00 EST

Transmittal #: R234CP
Subject: Standardized Responses to Provider Inquiries Regarding the Negotiated Laboratory National Coverage Determinations (NCDs) Edit Software
Implementation Date: 10/04/2004
CR #: 3374

06/28/2004

Mon, 05 Dec 2005 11:48:00 EST

Transmittal #: R187CP
Subject: Billing Requirements for Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities
Implementation Date: 06/28/2004
CR #: 3172

10/04/2004

Mon, 05 Dec 2005 11:50:00 EST

Transmittal #: R185CP
Subject: Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Drugs and Electrocardiogram (EKG) Testing Provided During an Ambulance Transport
Implementation Date: 10/04/2004
CR #: 3212

01/03/2005

Mon, 05 Dec 2005 11:50:00 EST

Transmittal #: R236CP
Subject: 2005 DMEPOS Pricing File Record Layout Expansion and New Pricing Procedures for Certain DMEPOS Items Based on Modifiers
Implementation Date: 01/03/2005
CR #: 3300

01/03/2005

Mon, 05 Dec 2005 11:52:00 EST

Transmittal #: R237CP
Subject: Implementation of Patient Status Code 65, Discharged/Transferred to a Psychiatric Hospital or Psychiatric Distinct Part Unit of a Hospital
Implementation Date: 01/03/2005
CR #: 3364

10/04/2004

Mon, 05 Dec 2005 11:53:00 EST

Transmittal #: R47FM
Subject: Expanded Identification and Workload Reporting for CMS Medicare Systems
Implementation Date: 10/04/2004
CR #: 3256

07/06/2004

Mon, 05 Dec 2005 11:54:00 EST

Transmittal #: R215CP
Subject: Implementation of Skilled Nursing Facility Consolidated Billing CWF Edit for Therapy Codes Considered Separately Payable Physician Services
Implementation Date: 07/06/2004
CR #: 2944

01/03/2005

Mon, 05 Dec 2005 11:54:00 EST

Transmittal #: R238CP
Subject: Health Insurance Portability and Accountability Act (HIPAA) X12N 837 Institutional Health Care Claim Implementation Guide (IG) Additional Updates
Implementation Date: 01/03/2005
CR #: 3321

07/06/2004

Mon, 05 Dec 2005 11:55:00 EST

Transmittal #: R220CP
Subject: Implementation of Section 414 of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003
Implementation Date: 07/06/2004
CR #: 3099

01/03/2005

Mon, 05 Dec 2005 11:56:00 EST

Transmittal #: R239CP
Subject: Update to the Frequency of Billing
Implementation Date: 01/03/2005
CR #: 3382

07/25/2004

Mon, 05 Dec 2005 11:57:00 EST

Transmittal #: R213CP
Subject: Payment to Bank
Implementation Date: 07/25/2004
CR #: 3079

10/04/2004

Mon, 05 Dec 2005 11:57:00 EST

Transmittal #: R242CP
Subject: Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004.
Implementation Date: 10/04/2004
CR #: 3349

04/30/2004

Mon, 05 Dec 2005 11:59:00 EST

Transmittal #: R16NCD
Subject: Cardiac Pacemaker
Implementation Date: 04/30/2004
CR #: 3369

01/03/2005

Mon, 05 Dec 2005 12:00:00 EST

Transmittal #: R243CP
Subject: Patient Status Code and Reason for Patient Visit for the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 01/03/2005
CR #: 2800

07/09/2004

Mon, 05 Dec 2005 12:00:00 EST

Transmittal #: R93OTN
Subject: Temporary SNF Extension
Implementation Date: 07/09/2004
CR #: 3352

07/06/2004

Mon, 05 Dec 2005 12:01:00 EST

Transmittal #: R186CP
Subject: July Update to the Medicare Outpatient Code Editor (OCE) Version 19.2 For Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System
Implementation Date: 07/06/2004
CR #: 3319

07/06/2004

Mon, 05 Dec 2005 12:32:00 EST

Transmittal #: R184CP
Subject: Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Drugs and Electrocardiogram (EKG) Testing Provided During an Ambulance Transport
Implementation Date: 07/06/2004
CR #: 3314

01/05/2005

Mon, 05 Dec 2005 12:33:00 EST

Transmittal #: R248CP
Subject: DMERC/Local Carriers/SADMERC - Drug Pricing Limits as of January 1, 2005
Implementation Date: 01/05/2005
CR #: 3232

07/01/2004

Mon, 05 Dec 2005 12:35:00 EST

Transmittal #: R221CP
Subject: Medicare IRF Classification Requirements
Implementation Date: 07/01/2004
CR #: 3334

01/03/2005

Mon, 05 Dec 2005 12:36:00 EST

Transmittal #: R244CP
Subject: Number of Drug Pricing Files That Must Be Maintained Online for Medicare
Implementation Date: 01/03/2005
CR #: 3231

09/25/2004

Mon, 05 Dec 2005 12:36:00 EST

Transmittal #: R214CP
Subject: MSN Messages
Implementation Date: 09/25/2004
CR #: 2617

08/09/2004

Mon, 05 Dec 2005 12:37:00 EST

Transmittal #: R227CP
Subject: Local Medical Review Policy/ Local Coverage Determination Medicare Summary Notice (MSN) Message Revision
Implementation Date: 08/09/2004
CR #: 3222

01/03/2005

Mon, 05 Dec 2005 12:38:00 EST

Transmittal #: R249CP
Subject: New Medicare Summary Notice Message 31.18
Implementation Date: 01/03/2005
CR #: 2989

01/03/2005

Mon, 05 Dec 2005 12:39:00 EST

Transmittal #: R250CP
Subject: Coordination of Benefits Agreement (COBA) Claims Selection Options
Implementation Date: 01/03/2005
CR #: 3404

10/04/2004

Mon, 05 Dec 2005 12:40:00 EST

Transmittal #: R224CP
Subject: October Quarterly Update to 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement
Implementation Date: 10/04/2004
CR #: 3348

10/04/2004

Mon, 05 Dec 2005 12:40:00 EST

Transmittal #: R226CP
Subject: Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement
Implementation Date: 10/04/2004
CR #: 3350

01/03/2005

Mon, 05 Dec 2005 12:41:00 EST

Transmittal #: R252CP
Subject: Paper Remittance Advice format change to accommodate the forced balancing amount to balance at the claim level as well as the provider level, a flat file change, and a change in the companion document for fiscal intermediaries (FIs).
Implementation Date: 01/03/2005
CR #: 3344

10/04/2004

Mon, 05 Dec 2005 12:42:00 EST

Transmittal #: R225CP
Subject: Changes to the Laboratory National Coverage Determination (NCD)Edit Software for October 2004
Implementation Date: 10/04/2004
CR #: 3358

01/03/2005

Mon, 05 Dec 2005 12:43:00 EST

Transmittal #: R251CP
Subject: Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services
Implementation Date: 01/03/2005
CR #: 3366

01/03/2005

Mon, 05 Dec 2005 12:44:00 EST

Transmittal #: R253CP
Subject: Fiscal Intermediary Shared System (FISS) Changes to Allow for Provider Liability Days on Skilled Nursing Facility (SNF) and Swing Bed Facility Inpatient Bills
Implementation Date: 01/03/2005
CR #: 3308

06/14/2004

Mon, 05 Dec 2005 12:46:00 EST

Transmittal #: R83OTN
Subject: Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners
Implementation Date: 06/14/2004
CR #: 3255

08/23/2004

Mon, 05 Dec 2005 12:47:00 EST

Transmittal #: R81PI
Subject: Implementation of the Quarterly Strategy Analysis
Implementation Date: 08/23/2004
CR #: 3294

10/04/2004

Mon, 05 Dec 2005 12:47:00 EST

Transmittal #: R4DEMO
Subject: Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries
Implementation Date: 10/04/2004
CR #: 3283

08/23/2004

Mon, 05 Dec 2005 12:49:00 EST

Transmittal #: R82PI
Subject: Home Health Demand Bills
Implementation Date: 08/23/2004
CR #: 3266

07/06/2004

Mon, 05 Dec 2005 12:50:00 EST

Transmittal #: R13NCD
Subject: Removal of Coding from National Coverage Determination on Stem Cell Transplantation
Implementation Date: 07/06/2004
CR #: 3265

07/01/2004

Mon, 05 Dec 2005 12:52:00 EST

Transmittal #: R14BP
Subject: Changes in the Medicare Benefit Policy Manual-Chapter 10
Implementation Date: 07/01/2004
CR #: 3225

06/28/2004

Mon, 05 Dec 2005 12:54:00 EST

Transmittal #: R13BP
Subject: Diabetes Self Management Training Services
Implementation Date: 06/28/2004
CR #: 3185

08/01/2004

Mon, 05 Dec 2005 12:56:00 EST

Transmittal #: R6GI
Subject: CMS policy for testing quarterly release of the Medicare shared systems and the CWF
Implementation Date: 08/01/2004
CR #: 3011

10/04/2004

Mon, 05 Dec 2005 12:56:00 EST

Transmittal #: R12BP
Subject: Chiropractic Billing
Implementation Date: 10/04/2004
CR #: 3063

01/03/2005

Mon, 05 Dec 2005 12:58:00 EST

Transmittal #: R198CP
Subject: End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry Test(s)
Implementation Date: 01/03/2005
CR #: 2813

10/04/2004

Mon, 05 Dec 2005 13:01:00 EST

Transmittal #: R197CP
Subject: Emergency Hospital Outpatient billing of Epotein Alfa (EPO) and Darbepoetin Alfa (Aranesp)
Implementation Date: 10/04/2004
CR #: 3184

N/A

Mon, 05 Dec 2005 13:04:00 EST

Transmittal #: R196CP
Subject: Payment Denial for Medicare Services Furnished to Alien Beneficiaries Who Are Not Lawfully Present in the U. S.
Implementation Date: N/A
CR #: 2825

07/06/2004

Mon, 05 Dec 2005 13:05:00 EST

Transmittal #: R88OTN
Subject: Clarification and Revision of Change Request (CR) 3084, Implementation of Section 508(f) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108-173)
Implementation Date: 07/06/2004
CR #: 3342

07/06/2004

Mon, 05 Dec 2005 13:07:00 EST

Transmittal #: R195CP
Subject: July 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 07/06/2004
CR #: 3324

10/04/2004

Mon, 05 Dec 2005 13:07:00 EST

Transmittal #: R254CP
Subject: October 2004 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 5.3
Implementation Date: 10/04/2004
CR #: 3395

10/04/2004

Mon, 05 Dec 2005 13:09:00 EST

Transmittal #: R78PI
Subject: Medical Review (MR) Progressive Corrective Action (PCA) for Part A
Implementation Date: 10/04/2004
CR #: 3111

10/04/2004

Mon, 05 Dec 2005 13:09:00 EST

Transmittal #: R255CP
Subject: October Update to the Medicare Outpatient Code Editor (OCE) Version 20.0 for Bills From Hospitals that are not Paid Under the Outpatient Prospective Payment System (OPPS)
Implementation Date: 10/04/2004
CR #: 3396

01/03/2005

Mon, 05 Dec 2005 13:10:00 EST

Transmittal #: R256CP
Subject: Use of Group Health Plan Payment System/MMCS to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare Fee-For-Service Beneficiaries under Section 721 of the MMA
Implementation Date: 01/03/2005
CR #: 3410

N/A

Mon, 05 Dec 2005 13:10:00 EST

Transmittal #: R204CP
Subject: Medicare HIPAA Electronic Claims Compliance Report
Implementation Date: N/A
CR #: 3306

10/04/2004

Mon, 05 Dec 2005 13:11:00 EST

Transmittal #: R258CP
Subject: New Waived Tests - October 1, 2004
Implementation Date: 10/04/2004
CR #: 3372

01/03/2005

Mon, 05 Dec 2005 13:12:00 EST

Transmittal #: R257CP
Subject: Shared Systems Changes for Medicare Part B Drugs for ESRD Independent Dialysis Facilities
Implementation Date: 01/03/2005
CR #: 3332

01/03/2005

Mon, 05 Dec 2005 13:14:00 EST

Transmittal #: R259CP
Subject: Scheduled Release for October Updates to Software Programs and Pricing/Coding Files
Implementation Date: 01/03/2005
CR #: 3397

01/03/2005

Mon, 05 Dec 2005 13:16:00 EST

Transmittal #: R260CP
Subject: Cryosurgery of the Prostate
Implementation Date: 01/03/2005
CR #: 3168

10/04/2004

Mon, 05 Dec 2005 13:18:00 EST

Transmittal #: R261CP
Subject: Billing and Requirements for Islet Cell Transplantation for Beneficiaries in a National Institutes of Health (NIH) Clinical Trial
Implementation Date: 10/04/2004
CR #: 3385

10/04/2004

Mon, 05 Dec 2005 13:19:00 EST

Transmittal #: R263CP
Subject: Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2005
Implementation Date: 10/04/2004
CR #: 3378

10/04/2004

Mon, 05 Dec 2005 13:20:00 EST

Transmittal #: R264CP
Subject: Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2005
Implementation Date: 10/04/2004
CR #: 3386

07/06/2004

Mon, 05 Dec 2005 13:20:00 EST

Transmittal #: R203CP
Subject: Billing Payment in a Health Professional Shortage Area
Implementation Date: 07/06/2004
CR #: 3336

10/04/2004

Mon, 05 Dec 2005 13:21:00 EST

Transmittal #: R268CP
Subject: Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2005
Implementation Date: 10/04/2004
CR #: 3368

01/03/2005

Mon, 05 Dec 2005 13:22:00 EST

Transmittal #: R266CP
Subject: Revision of Common Working File (CWF) Editing for Same-Day, Same- Provider Acute Care Readmissions
Implementation Date: 01/03/2005
CR #: 3389

07/06/2004

Mon, 05 Dec 2005 13:23:00 EST

Transmittal #: R202CP
Subject: Revised Updated SNF NO PAY File for July 2004
Implementation Date: 07/06/2004
CR #: 3338

10/04/2004

Mon, 05 Dec 2005 13:24:00 EST

Transmittal #: R50FM
Subject: Unsolicited/Voluntary Refunds
Implementation Date: 10/04/2004
CR #: 3274

N/A

Mon, 05 Dec 2005 13:24:00 EST

Transmittal #: R201CP
Subject: IOM Manualization of Indian Health Services
Implementation Date: N/A
CR #: 3302

01/03/2005

Mon, 05 Dec 2005 13:25:00 EST

Transmittal #: R95OTN
Subject: Modification to Post-payment Adjustment Process for Home Health Prospective Payment System Claims Failing to Report Prior Inpatient Discharges
Implementation Date: 01/03/2005
CR #: 3400

10/04/2004

Mon, 05 Dec 2005 13:26:00 EST

Transmittal #: R200CP
Subject: Update to the Common Working File Edits for Skilled Nursing Facility (SNF) Consolidated Billing (CB) to Expand the Bypass for Pharmacy Services.
Implementation Date: 10/04/2004
CR #: 3277

10/04/2004

Mon, 05 Dec 2005 13:27:00 EST

Transmittal #: R199CP
Subject: Medicare Need for a Specific Line Item Date of Service (LIDOS) for Each Revenue Code on ALL Outpatient and Inpatient Part B Claims
Implementation Date: 10/04/2004
CR #: 3337

10/04/2004

Mon, 05 Dec 2005 13:28:00 EST

Transmittal #: R101OTN
Subject: Change of the Premera Blue Cross Medicare Part A Plan Under Contract to BCBSA to a Part A Fiscal Intermediary Contract with Noridian Mutual Insurance Company in the States of Washington and Alaska
Implementation Date: 10/04/2004
CR #: 3380

07/11/2004

Mon, 05 Dec 2005 13:30:00 EST

Transmittal #: R14NCD
Subject: Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee
Implementation Date: 07/11/2004
CR #: 3281

N/A

Mon, 05 Dec 2005 13:31:00 EST

Transmittal #: R205CP
Subject: Nurse Practitioners As Attending Physicians in the Medicare Hospice Benefit
Implementation Date: N/A
CR #: 3226

N/A

Mon, 05 Dec 2005 13:35:00 EST

Transmittal #: R15BP
Subject: Nurse Practitioners As Attending Physicians in the Medicare Hospice Benefit
Implementation Date: N/A
CR #: 3226

08/31/2004

Mon, 05 Dec 2005 13:37:00 EST

Transmittal #: R46FM
Subject: Installation of Version 33.0 of the Provider Statistical and Reimbursement (PS&R) Reporting System-Modification of CR 3131
Implementation Date: 08/31/2004
CR #: 3313

N/A

Mon, 05 Dec 2005 13:40:00 EST

Transmittal #: R12P236
Subject: Chapter 36, Hospital and Hospital Healthcare Complex Cost Report, Form CMS 2552-96
Implementation Date: N/A
CR #: N/A

10/04/2004

Mon, 05 Dec 2005 13:43:00 EST

Transmittal #: R210CP
Subject: Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
Implementation Date: 10/04/2004
CR #: 3303

07/06/2004

Mon, 05 Dec 2005 13:46:00 EST

Transmittal #: R209CP
Subject: Correction to CR 2944, Transmittal 90, Issued on February 6, 2004
Implementation Date: 07/06/2004
CR #: 3333

07/06/2004

Mon, 05 Dec 2005 13:48:00 EST

Transmittal #: R208CP
Subject: Long Term Care Hospital Prospective Payment System (LTCH PPS) Fiscal Year 2005-Update
Implementation Date: 07/06/2004
CR #: 3335

07/19/2004

Mon, 05 Dec 2005 13:50:00 EST

Transmittal #: R207CP
Subject: Expansion of Policy Where Patient is a Member of a Medicare Advantage (MA) Organization For Only a Portion of the Billing Period to Include Inpatient Rehabilitation Facilities (IRF) and Long Term Care Hospitals (LTCH)
Implementation Date: 07/19/2004
CR #: 3309

04/01/2004

Mon, 05 Dec 2005 13:52:00 EST

Transmittal #: R15NCD
Subject: NCD: Sensory Nerve Conduction Threshold Test (sNCTs) (NOTE THAT Change Request (CR) 3339 CONSTITUTES A TECHNICAL CORRECTION TO PREVIOUSLY ISSUED CR 2988 dated 03/19/04. CR 2988 ORIGINALLY COMMUNICATED ON MARCH 19, 2004 VIA RO-2541, SHOULD BE DISCARDED AND REPLACED WITH CR 3339.
Implementation Date: 04/01/2004
CR #: 3339

07/25/2004

Mon, 05 Dec 2005 13:54:00 EST

Transmittal #: R90OTN
Subject: MMA Drug Pricing Update-Payment Limits for J7308 (Levulan Kerastick) and J9395 (Faslodex)
Implementation Date: 07/25/2004
CR #: 3312

N/A

Mon, 05 Dec 2005 13:55:00 EST

Transmittal #: R49MCM
Subject: Chapter 4, Benefits and Beneficiary Protection
Implementation Date: N/A
CR #: N/A

10/04/2004

Mon, 05 Dec 2005 13:56:00 EST

Transmittal #: R17BP
Subject: Incident-To Services on Form CMS-1500
Implementation Date: 10/04/2004
CR #: 3242

04/04/2005

Mon, 05 Dec 2005 13:57:00 EST

Transmittal #: R3SOM
Subject: Medicare Systems Acceptance of New Provider Numbers for Federally Qualified Health Centers (FQHC)
Implementation Date: 04/04/2005
CR #: 3537

10/04/2004

Mon, 05 Dec 2005 13:57:00 EST

Transmittal #: R89OTN
Subject: Shared System Maintainer Hours for Resolution of Problems Detected As A Result of Implementation of CR 2525 and CR 2527
Implementation Date: 10/04/2004
CR #: 3305

10/04/2004

Mon, 05 Dec 2005 13:59:00 EST

Transmittal #: R75PI
Subject: Informing Beneficiaries About Which Local Medical Review Policy (LMRP) and/or Local Coverage Determination (LCD) and/or National Coverage Determination (NCD) is Associated with Their Claim Denial
Implementation Date: 10/04/2004
CR #: 3089

10/04/2004

Mon, 05 Dec 2005 14:01:00 EST

Transmittal #: R144CP
Subject: Distinct Part Units for Critical Access Hospitals
Implementation Date: 10/04/2004
CR #: 3175

N/A

Mon, 05 Dec 2005 14:02:00 EST

Transmittal #: R180CP
Subject: Hospital Partial Hospitalization Services Billing Requirements
Implementation Date: N/A
CR #: 3297

05/24/2004

Mon, 05 Dec 2005 14:04:00 EST

Transmittal #: R145CP
Subject: Data Element Requirements Matrix - Carrier
Implementation Date: 05/24/2004
CR #: 3164

N/A

Mon, 05 Dec 2005 14:08:00 EST

Transmittal #: R178CP
Subject: Evaluation and Management Service Codes
Implementation Date: N/A
CR #: 2321

05/24/2004

Mon, 05 Dec 2005 14:08:00 EST

Transmittal #: R147CP
Subject: Payment for Chemotherapy Administration Services, Nonchemotherapy Drug Infusion Services, and Drug Injection Services
Implementation Date: 05/24/2004
CR #: 3192

10/04/2004

Mon, 05 Dec 2005 14:11:00 EST

Transmittal #: R176CP
Subject: Instructions for Downloading the Medicare Zip Code File
Implementation Date: 10/04/2004
CR #: 3270

10/04/2004

Mon, 05 Dec 2005 14:11:00 EST

Transmittal #: R149CP
Subject: General Instructions for Completion of Form CMS-1450 for Billing
Implementation Date: 10/04/2004
CR #: 3183

07/06/2004

Mon, 05 Dec 2005 14:13:00 EST

Transmittal #: R177CP
Subject: Updated SNF NO PAY File for July 2004
Implementation Date: 07/06/2004
CR #: 3275

07/06/2004

Mon, 05 Dec 2005 14:15:00 EST

Transmittal #: R182CP
Subject: Updated SNF NO PAY File for July 2004
Implementation Date: 07/06/2004
CR #: 3275

05/24/2004

Mon, 05 Dec 2005 14:16:00 EST

Transmittal #: R73OTN
Subject: Revised American National Standards Institute X12N 837 Professional Health Care Claim Companion Document
Implementation Date: 05/24/2004
CR #: 3177

N/A

Mon, 05 Dec 2005 14:18:00 EST

Transmittal #: R16HMO
Subject: Retirement of Manual
Implementation Date: N/A
CR #: N/A

05/24/2004

Mon, 05 Dec 2005 14:18:00 EST

Transmittal #: R74OTN
Subject: Emergency Correction Regarding Correction to Healthcare Common Procedure Coding System (HCPCS) Codes for Low Osmolar Contrast Material
Implementation Date: 05/24/2004
CR #: 3187

12/08/2003

Mon, 05 Dec 2005 14:19:00 EST

Transmittal #: R55MCM
Subject: Chapter 10, Organization Compliance With State Law and Pre-emption by Federal Law
Implementation Date: 12/08/2003
CR #: N/A

05/24/2004

Mon, 05 Dec 2005 14:20:00 EST

Transmittal #: R75OTN
Subject: One time instructions for audit intermediary cost reporting processes to accommodate claims processing error that prevented some supply charges from being reported on home health prospective payment system claims
Implementation Date: 05/24/2004
CR #: 3147

04/19/2004

Mon, 05 Dec 2005 14:23:00 EST

Transmittal #: R143CP
Subject: Updated SNF NO PAY File for April 2004
Implementation Date: 04/19/2004
CR #: 3238

N/A

Mon, 05 Dec 2005 14:23:00 EST

Transmittal #: R54MCM
Subject: Chapter 19, Managed Care and M+C Systems Requirements
Implementation Date: N/A
CR #: N/A

04/04/2005

Mon, 05 Dec 2005 14:25:00 EST

Transmittal #: R87PI
Subject: Informing Beneficiaries About Which Local Medical Review Policy (LMRP) and/or Local Coverage Determination (LCD) and/or National Coverage Determination (NCD) is Associated with Their Claim Denial
Implementation Date: 04/04/2005
CR #: 3363

N/A

Mon, 05 Dec 2005 14:25:00 EST

Transmittal #: R53MCM
Subject: Chapter 11, Contracts With Medicare+Choice Organizations
Implementation Date: N/A
CR #: N/A

06/21/2004

Mon, 05 Dec 2005 14:27:00 EST

Transmittal #: R6COM
Subject: Provider/Supplier Communications - Revisions and Additions to Existing Contractor Requirements
Implementation Date: 06/21/2004
CR #: 3179

05/23/2004

Mon, 05 Dec 2005 14:28:00 EST

Transmittal #: R140CP
Subject: Hospital Concerns Regarding Changing of Patient Status Code Due to Common Working File Edit 7272
Implementation Date: 05/23/2004
CR #: 3240

07/01/2004

Mon, 05 Dec 2005 14:29:00 EST

Transmittal #: R183CP
Subject: Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity
Implementation Date: 07/01/2004
CR #: 3248

N/A

Mon, 05 Dec 2005 14:29:00 EST

Transmittal #: R1SOM
Subject: Release of Basic Manual
Implementation Date: N/A
CR #: N/A

10/04/2004

Mon, 05 Dec 2005 14:30:00 EST

Transmittal #: R39FM
Subject: Installation of Version 34.0 of the Provider Statistical and Reimbursement (PS&R) Reporting System
Implementation Date: 10/04/2004
CR #: 3182

05/01/2004

Mon, 05 Dec 2005 14:31:00 EST

Transmittal #: R72PI
Subject: Automated Prepayment
Implementation Date: 05/01/2004
CR #: 3088

N/A

Mon, 05 Dec 2005 14:33:00 EST

Transmittal #: R51MCM
Subject: Chapter 2, End Stage Renal Disease
Implementation Date: N/A
CR #: N/A

N/A

Mon, 05 Dec 2005 14:33:00 EST

Transmittal #: R17HMO
Subject: Rescission of Transmittal 16
Implementation Date: N/A
CR #: N/A

05/17/2004

Mon, 05 Dec 2005 14:34:00 EST

Transmittal #: R71OTN
Subject: Update to the Healthcare Provider taxonomy Codes (HPTC) Version 4.0
Implementation Date: 05/17/2004
CR #: 3188

06/14/2004

Mon, 05 Dec 2005 14:35:00 EST

Transmittal #: R87OTN
Subject: Instructions Related to "Redistribution of Unused Resident Positions," Section 422 of the Medicare Modernization Act of 2003 (MMA), P.L. 108-173, for Purposes of Graduate Medical Education (GME) Payments
Implementation Date: 06/14/2004
CR #: 3247

06/01/2004

Mon, 05 Dec 2005 14:36:00 EST

Transmittal #: R72OTN
Subject: Changes in Determining Rural Status of Hospitals for Transitional Outpatient Payments (TOPs) for 2004
Implementation Date: 06/01/2004
CR #: 3214

N/A

Mon, 05 Dec 2005 14:36:00 EST

Transmittal #: R86OTN
Subject: Interface File from Recovery Management and Accounting System (ReMAS)
Implementation Date: N/A
CR #: 3142

07/06/2004

Mon, 05 Dec 2005 14:39:00 EST

Transmittal #: R136CP
Subject: Addition of Two "WW" Codes to Identify Xeloda (Capecitabine)
Implementation Date: 07/06/2004
CR #: 3169

06/28/2004

Mon, 05 Dec 2005 14:39:00 EST

Transmittal #: R85OTN
Subject: CD-ROM Initiative for Distribution of the Annual Disclosure, Dear Doctor Letter and Participation Enrollment Material
Implementation Date: 06/28/2004
CR #: 3292

06/28/2004

Mon, 05 Dec 2005 14:41:00 EST

Transmittal #: R77PI
Subject: Instructions for Carriers, DMERCs, FIs, and full PSCs when interacting with the Comprehensive Error Rate Testing (CERT) Contractor (i.e., handling appeals of CERT-initiated denials, contacting non-responders, tracking over/underpayments
Implementation Date: 06/28/2004
CR #: 3229

N/A

Mon, 05 Dec 2005 14:41:00 EST

Transmittal #: R137CP
Subject: Manualization of Section 4118 of the Medicare Carriers Manual, Part 3
Implementation Date: N/A
CR #: 3134

N/A

Mon, 05 Dec 2005 14:42:00 EST

Transmittal #: R45FM
Subject: Addition of Instructions for Form CMS-2591 to Chapter 6
Implementation Date: N/A
CR #: N/A

06/28/2004

Mon, 05 Dec 2005 14:43:00 EST

Transmittal #: R76PI
Subject: Clarification of Complex Medical Review
Implementation Date: 06/28/2004
CR #: 3211

07/06/2004

Mon, 05 Dec 2005 14:43:00 EST

Transmittal #: R138CP
Subject: The Consolidation of the Claims Crossover Process: Smaller-Scale Initial Implementation
Implementation Date: 07/06/2004
CR #: 3218

06/28/2004

Mon, 05 Dec 2005 14:45:00 EST

Transmittal #: R191CP
Subject: Skilled Nursing Facility Consolidated Billing L Codes - DMERCs and Fis
Implementation Date: 06/28/2004
CR #: 3295

07/06/2004

Mon, 05 Dec 2005 14:45:00 EST

Transmittal #: R38FM
Subject: Chapter 1, Budget Preparation
Implementation Date: 07/06/2004
CR #: 3218

10/04/2004

Mon, 05 Dec 2005 14:46:00 EST

Transmittal #: R76OTN
Subject: Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing
Implementation Date: 10/04/2004
CR #: 3178

07/06/2004

Mon, 05 Dec 2005 14:47:00 EST

Transmittal #: R192CP
Subject: Healthcare Common Procedure Coding System (HCPCS) Correction
Implementation Date: 07/06/2004
CR #: 3282

10/04/2004

Mon, 05 Dec 2005 14:48:00 EST

Transmittal #: R2DEMO
Subject: Virginia Cardiac Surgery Initiative Demonstration - Modifications & Corrections to Change Request 2382
Implementation Date: 10/04/2004
CR #: 3199

06/04/2004

Mon, 05 Dec 2005 14:50:00 EST

Transmittal #: R77OTN
Subject: Instructions Related to "Redistribution of Unused Resident Positions," Section 422 of the Medicare Modernization Act of 2003 (MMA), P.L. 108-173, for Purposes of Graduate Medical Education (GME) Payments
Implementation Date: 06/04/2004
CR #: 3247

10/04/2004

Mon, 05 Dec 2005 14:51:00 EST

Transmittal #: R190CP
Subject: End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests
Implementation Date: 10/04/2004
CR #: 3239

10/04/2004

Mon, 05 Dec 2005 14:51:00 EST

Transmittal #: R78OTN
Subject: Renovate Override Code Processing In Common Working File
Implementation Date: 10/04/2004
CR #: 3190

10/04/2004

Mon, 05 Dec 2005 14:53:00 EST

Transmittal #: R42FM
Subject: Unsolicited/Voluntary Refunds
Implementation Date: 10/04/2004
CR #: 3274

10/04/2004

Mon, 05 Dec 2005 14:56:00 EST

Transmittal #: R43FM
Subject: Expanded Identification and Workload Reporting for CMS Medicare Systems
Implementation Date: 10/04/2004
CR #: 3256

04/30/2004

Mon, 05 Dec 2005 14:58:00 EST

Transmittal #: R81OTN
Subject: Requirement for Carriers, Durable Medical Equipment Regional Carriers (DMERCs), Fiscal Intermediaries (FIs), and Full Program Safeguard Contractors (PSCs) to Encourage Providers to Submit Medical Records to the Comprehensive Error Rate Testing (CERT) Contractor for Use in the November 2004 Improper Medicare Fee-For-Service (FFS) Payments Report
Implementation Date: 04/30/2004
CR #: 3157

10/04/2004

Mon, 05 Dec 2005 14:58:00 EST

Transmittal #: R161CP
Subject: Informing Beneficiaries about whicl local Medical Review Policy (LMRP) and /or Local Coverage Determinatin (LCD) and o/or National Coverage Determination (NCD) is associated with their claim denia
Implementation Date: 10/04/2004
CR #: 3089

N/A

Mon, 05 Dec 2005 15:03:00 EST

Transmittal #: R5GI
Subject: Chapter 7 - Contract Administrative Requirements
Implementation Date: N/A
CR #: 2765

06/01/2004

Mon, 05 Dec 2005 15:04:00 EST

Transmittal #: R82OTN
Subject: Changes in Determining Rural Status of Hospitals for Transitional Outpatient Payments (TOPs) for 2004
Implementation Date: 06/01/2004
CR #: 3214

N/A

Mon, 05 Dec 2005 15:07:00 EST

Transmittal #: R10BP
Subject: Chapter 6, Hospital Services Covered Under Part B
Implementation Date: N/A
CR #: 3298

10/04/2004

Mon, 05 Dec 2005 15:07:00 EST

Transmittal #: R163CP
Subject: Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Ambulance Transports to or from a Diagnostic or Therapeutic Site Other than a Physician's Office or Hospital
Implementation Date: 10/04/2004
CR #: 3196

N/A

Mon, 05 Dec 2005 15:08:00 EST

Transmittal #: R169CP
Subject: Chapter 1, General Billing Requirements
Implementation Date: N/A
CR #: 2631

10/04/2004

Mon, 05 Dec 2005 15:09:00 EST

Transmittal #: R162CP
Subject: Key Shop and Optical Character Recognition (OCR)/Image Character Recognition (ICR) Output Mapping
Implementation Date: 10/04/2004
CR #: 3180

N/A

Mon, 05 Dec 2005 15:10:00 EST

Transmittal #: R168CP
Subject: Chapter 12, Physician/Practitioner Billing
Implementation Date: N/A
CR #: 1756

07/06/2004

Mon, 05 Dec 2005 15:10:00 EST

Transmittal #: R164CP
Subject: End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry Test(s)
Implementation Date: 07/06/2004
CR #: 2813

07/06/2004

Mon, 05 Dec 2005 15:12:00 EST

Transmittal #: R174CP
Subject: Healthcare Common Procedure Coding System (HCPCS) Corrections Involving 0040T and A9603
Implementation Date: 07/06/2004
CR #: 3258

06/10/2004

Mon, 05 Dec 2005 15:13:00 EST

Transmittal #: R73PI
Subject: Program Integrity Management Reporting System (PIMR) Section 7.2 of the Program Integrity Manual (PIM)
Implementation Date: 06/10/2004
CR #: 2646

07/06/2004

Mon, 05 Dec 2005 15:15:00 EST

Transmittal #: R173CP
Subject: 2nd Update to the 2004 Medicare Physician Fee Schedule Database
Implementation Date: 07/06/2004
CR #: 3286

10/04/2004

Mon, 05 Dec 2005 15:16:00 EST

Transmittal #: R41FM
Subject: Change in Interest Calculation for Medicare Overpayments and Underpayments and Medicare Secondary Payer (MSP) Recoveries
Implementation Date: 10/04/2004
CR #: 3163

07/06/2004

Mon, 05 Dec 2005 15:16:00 EST

Transmittal #: R172CP
Subject: New Waived Tests - July 1, 2004
Implementation Date: 07/06/2004
CR #: 3254

07/06/2004

Mon, 05 Dec 2005 15:17:00 EST

Transmittal #: R171CP
Subject: July Quarterly Update for 2004 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
Implementation Date: 07/06/2004
CR #: 3253

N/A

Mon, 05 Dec 2005 15:19:00 EST

Transmittal #: R170CP
Subject: Chapter 1, General Billing Requirements
Implementation Date: N/A
CR #: 2815

10/04/2004

Mon, 05 Dec 2005 15:20:00 EST

Transmittal #: R3DEMO
Subject: Demonstration Project to Clarify the Definition of Homebound - Section 702 of MMA
Implementation Date: 10/04/2004
CR #: 3269

01/03/2005

Mon, 05 Dec 2005 15:20:00 EST

Transmittal #: R390CP
Subject: Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases - Skilled Nursing Facility (SNF) Consolidated Billing (CB) as it Applies to RHC and FQHC Service
Implementation Date: 01/03/2005
CR #: 3575

05/07/2004

Mon, 05 Dec 2005 15:22:00 EST

Transmittal #: R52MCM
Subject: Chapter 17, Subchapter A, TEFRA Cost-Based Payment Process and Principles
Implementation Date: 05/07/2004
CR #: N/A

01/10/2005

Mon, 05 Dec 2005 15:22:00 EST

Transmittal #: R392CP
Subject: The Supplemental Security Income (SSI) Medicare Beneficiary Data for Fiscal Year 2003 for Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS)
Implementation Date: 01/10/2005
CR #: 3567

06/07/2004

Mon, 05 Dec 2005 15:23:00 EST

Transmittal #: R79OTN
Subject: 18-Month Moratorium on Physician Self-Referrals to Specialty Hospitals; Processing of Form CMS-855A Applications to Become a Medicare Certified Hospital
Implementation Date: 06/07/2004
CR #: 3193

10/04/2004

Mon, 05 Dec 2005 15:25:00 EST

Transmittal #: R158CP
Subject: Consolidation of the Claims Crossover Process: Full-scale Implementation of the Coordination of Benefits Agreement (COBA) Initiative
Implementation Date: 10/04/2004
CR #: 3273

10/04/2004

Mon, 05 Dec 2005 15:26:00 EST

Transmittal #: R156CP
Subject: Clarification of payments and billing procedures for hospitals subject to the Maryland waiver.
Implementation Date: 10/04/2004
CR #: 3200

10/04/2004

Mon, 05 Dec 2005 15:30:00 EST

Transmittal #: R152CP
Subject: Inclusion of Core-Based Statistical Area (CBSA) Data Elements to the Provider Specific Files
Implementation Date: 10/04/2004
CR #: 3272

10/04/2004

Mon, 05 Dec 2005 15:30:00 EST

Transmittal #: R165CP
Subject: Enhancement to Home Health Consolidated Billing Edits
Implementation Date: 10/04/2004
CR #: 3186

07/06/2004

Mon, 05 Dec 2005 15:32:00 EST

Transmittal #: R150CP
Subject: Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004.
Implementation Date: 07/06/2004
CR #: 3244

04/30/2004

Mon, 05 Dec 2005 15:33:00 EST

Transmittal #: R12NCD
Subject: Cardiac Pacemakers
Implementation Date: 04/30/2004
CR #: 3290

06/01/2004

Mon, 05 Dec 2005 15:34:00 EST

Transmittal #: R4GI
Subject: Scheduled Release for July Updates to Software Programs and Pricing/Coding Files
Implementation Date: 06/01/2004
CR #: 3278

10/04/2004

Mon, 05 Dec 2005 15:35:00 EST

Transmittal #: R80OTN
Subject: Medicare Systems Acceptance of New Provider Numbers for Home Health Agencies
Implementation Date: 10/04/2004
CR #: 3245

10/04/2004

Mon, 05 Dec 2005 15:36:00 EST

Transmittal #: R153CP
Subject: Type of Service Corrections
Implementation Date: 10/04/2004
CR #: 3189

N/A

Wed, 07 Dec 2005 17:19:00 EST

Transmittal #: SE0454
Subject: Information and Education Resources for Medicare Providers, Suppliers, and Physicians
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 17:19:00 EST

Transmittal #: SE0451
Subject: Guidance Regarding Elimination of Standard Paper Remittance (SPR) Advice Notices in the Old Format
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 17:19:00 EST

Transmittal #: SE0459
Subject: Clarification of Medicare's Transfer Policy Under the Inpatient Prospective Payment System (IPPS)
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 17:19:00 EST

Transmittal #: SE0461
Subject: Inappropriate Access to or Use of Electronic Data Interchange (EDI) Transaction Data by Third Party Entities
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 17:19:00 EST

Transmittal #: SE0441
Subject: "Incident to" Services
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 17:19:00 EST

Transmittal #: SE0452
Subject: Use Condition Code 59 When an ESRD Beneficiary Receives Non-Scheduled or Emergency Dialysis Services at a Non-Primary ESRD Dialysis Facility
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 17:19:00 EST

Transmittal #: SE0462
Subject: MMA - Drug Administration Coding Changes and Reimbursement
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 17:19:00 EST

Transmittal #: SE0447
Subject: Guidance for Part A Providers Switching to Electronic Remittance Advices (ERAs)
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 17:19:00 EST

Transmittal #: SE0450
Subject: MMA - Medicare Prescription Drug, Improvement and Modernization Act of 2003 Information for Medicare Rural Health Providers, Suppliers, and Physicians
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0413
Subject: Temporary Hold of Outpatient Claims Subject to the Outpatient Prospective Payment System (OPPS) in April 2004
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0418
Subject: Non-Physician Practitioner Questions and Answers
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0432
Subject: Skilled Nursing Facility Consolidated Billing as It Relates to Certain Types of Exceptionally Intensive Outpatient Hospital Services
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0405
Subject: Reminder: Hospital Discounts Permitted for Indigent, Uninsured, and Underinsured Patients
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0411
Subject: Temporary Hold of Inpatient Claims in April 2004
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0417
Subject: Centers for Medicare & Medicaid Services (CMS) Working to Improve Provider Enrollment Process
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0431
Subject: Skilled Nursing Facility Consolidated Billing
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0435
Subject: Skilled Nursing Facility Consolidated Billing as It Relates to Dialysis Coverage
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0440
Subject: Skilled Nursing Facility Consolidated Billing as It Relates to Certain Diagnostic Tests
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0403
Subject: Reminder of the Required Three-day Hospital Stay for SNF Admissions
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0410
Subject: Medicare Resources for Researching Inpatient Discharges within 14 Days of a Home Health Admission
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0421
Subject: OIG Alert About Charging Extra for Covered Services
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0429
Subject: Clarification of Change Request 2631
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0414
Subject: Medicare Providers: Their Vendors, Clearinghouses, or Other Third-Party Billers and the HIPAA/Medicare Contingency Plan
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0419
Subject: MMA - CMS to Increase Payments to Hospitals Reclassified Under Medicare Reform Law
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0424
Subject: Clarification for Billing Left Ventricular Assist Devices
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0406
Subject: Clarification of Epoetin Alfa (EPO) Billing Procedures and Codes in ESRD
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0408
Subject: Modification of Requirements in CR2716, CWF Edits to Ensure Accurate Coding and Payments for Discharge and/or Transfer Policies
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0415
Subject: Reminder to Stop Duplicate Billings
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0420
Subject: MMA - Section 937 - Correction of Minor Errors and Omissions Without Appeals
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0425
Subject: Use of Group Health Plan Payment System for Medicare Disease Management Demonstration Serving Medicare Fee For Service Beneficiaries
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0438
Subject: MMA - Medicare Prescription Drug, Improvement, and Modernization Act - Skilled Nursing Facility Consolidated Billing and Services of Rural Health Clinics and Federally Qualified Health Centers
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0401
Subject: Announcing the New Medlearn MattersInformation for Medicare Providers Educational Resource for Medicare Providers
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0434
Subject: Skilled Nursing Facility Consolidated Billing and Erythropoietin (EPO, Epoetin Alfa) and Darbepoetin Alfa (Aranesp)
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0439
Subject: Skilled Nursing Facility Consolidated Billing as It Relates to Clinical Social Workers
Implementation Date: N/A
CR #: N/A

N/A

Thu, 08 Dec 2005 08:13:00 EST

Transmittal #: SE0402
Subject: Treatment of Certain Dental Claims as a Result of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003
Implementation Date: N/A
CR #: N/A

N/A

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R7P218
Subject: Cost Reporting Forms, Chapter 18
Implementation Date: N/A
CR #: N/A

01/31/2005

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R420CP
Subject: Good Cause Waiver of Late Claim Filing Payment Reduction Penalty and Monitoring of Late Claims Submissions. Full Replacement of CR 3402, Which Was Rescinded
Implementation Date: 01/31/2005
CR #: 3549

10/04/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R40FM
Subject: Modification of CROWD Form 5
Implementation Date: 10/04/2004
CR #: 3257

07/06/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R194CP
Subject: July 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS): Payment for Drugs, Biologicals and Radiopharmaceuticals
Implementation Date: 07/06/2004
CR #: 3322

N/A

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R142CP
Subject: Manualization for 2502
Implementation Date: N/A
CR #: 2502

08/16/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R80PI
Subject: PIM Fraud and Abuse Complaint Screening Revisions
Implementation Date: 08/16/2004
CR #: 3341

01/03/2005

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R231CP
Subject: Indian Health Service (IHS) or Tribal Critical Access Hospital (CAH) Payment Methodology for Inpatient and Outpatient Services
Implementation Date: 01/03/2005
CR #: 3235

10/04/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R160CP
Subject: Section 511 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 Special Adjustment for Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Rates for Acquired Immune Deficiency Syndrome (AIDS)
Implementation Date: 10/04/2004
CR #: 3291

05/24/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R148CP
Subject: Incident-To Services on Form CMS-1500
Implementation Date: 05/24/2004
CR #: 3138

01/03/2005

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R411CP
Subject: Ambulance Inflation Factor (AIF)
Implementation Date: 01/03/2005
CR #: 3599

01/03/2005

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R241CP
Subject: Processing Part B Claims for Indian Health Services (HIS)
Implementation Date: 01/03/2005
CR #: 3288

10/04/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R167CP
Subject: Discontinued Use of Revenue Code 0910
Implementation Date: 10/04/2004
CR #: 3194

01/03/2005

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R103OTN
Subject: ANSI X12 Transaction 835 Flat File and Companion Document Correction for Carriers and DMERCs, and Deletion of a Hard Coded Reason Code A2 that Has Been Deactivated
Implementation Date: 01/03/2005
CR #: 3236

07/23/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R19NCD
Subject: Blood-Derived Products for Chronic Non-Healing Wounds
Implementation Date: 07/23/2004
CR #: 3384

07/06/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R16MSP
Subject: Update Medicare Secondary Payer (MSP) Group Health Plan Recovery Demand Letters to Employers and Insurers for Data Match and Non-Data Match Debts
Implementation Date: 07/06/2004
CR #: 3216

05/24/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R9BP
Subject: Arrangements for Physical, Occupational, and Speech Language Pathology Services (PT, OT, SLP)
Implementation Date: 05/24/2004
CR #: 3134

01/03/2005

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R8GI
Subject: Standard Terminology for Claims Processing Systems
Implementation Date: 01/03/2005
CR #: 3086

03/08/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R54OTN
Subject: Introduction of "Medlearn Matters - Information for Medicare Providers" and Instructions for Carrier/Intermediary Use of This New Provider Education Vehicle
Implementation Date: 03/08/2004
CR #: 3129

01/17/2005

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R413CP
Subject: Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2005 for 9 Metropolitan Statistical Areas (MSAs) with New Wage Index Values Effective January 1, 2005
Implementation Date: 01/17/2005
CR #: 3651

02/07/2005

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R410CP
Subject: Medicare HIPAA Electronic Claims Compliance Report - Reporting Timeframe Extension
Implementation Date: 02/07/2005
CR #: 3611

01/03/2005

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R235CP
Subject: Instructions for Downloading the Medicare Zip Code File
Implementation Date: 01/03/2005
CR #: 3340

10/04/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R166CP
Subject: New DMERC/VIPS Systems Requirement
Implementation Date: 10/04/2004
CR #: 2761

01/03/2005

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R102OTN
Subject: Update to the Healthcare Provider Taxonomy Codes (HPTC)/Medicare Specialty Code Crosswalk
Implementation Date: 01/03/2005
CR #: 3259

01/05/2005

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R359CP
Subject: Annual Type of Service (TOS)
Implementation Date: 01/05/2005
CR #: 3519

08/16/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R228CP
Subject: General Policy
Implementation Date: 08/16/2004
CR #: 3267

07/06/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R181CP
Subject: Instructions for Downloading the Medicare Zip Code File
Implementation Date: 07/06/2004
CR #: 3198

N/A

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R130aCP
Subject: Chapter 32, Billing Instructions for Special Services
Implementation Date: N/A
CR #: 2323

05/24/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R74PI
Subject: SNF Certification and Recertification
Implementation Date: 05/24/2004
CR #: 3150

N/A

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R216CP
Subject: Manualization of INR Monitoring
Implementation Date: N/A
CR #: 2323

06/01/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R159CP
Subject: National 1-800-MEDICARE (1-800-633-4227) Implementation (section 923(d) of MMA)
Implementation Date: 06/01/2004
CR #: 3195

10/10/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R26NCD
Subject: Electrocardiographic Services
Implementation Date: 10/10/2004
CR #: 3590

10/04/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R15MSP
Subject: Change in Interest Calculation for Medicare Overpayments and Underpayments and Medicare Secondary Payer (MSP) Recoveries
Implementation Date: 10/04/2004
CR #: 3163

04/04/2005

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R119OTN
Subject: Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing
Implementation Date: 04/04/2005
CR #: 3495

05/24/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R5COM
Subject: Introduction of "Medlearn Matters - Information for Medicare Providers" and Instructions for Carrier/Intermediary Use of This New Provider Education Vehicle
Implementation Date: 05/24/2004
CR #: 3097

07/06/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R179CP
Subject: Clarification to CR 3069 - New "K" Codes for Wheelchair Cushions
Implementation Date: 07/06/2004
CR #: 3289

N/A

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R14MSP
Subject: Chapter 5, Contractor Prepayment Processing Requirements
Implementation Date: N/A
CR #: 2074

04/05/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R109CP
Subject: Updated Policy and Claims Processing Instructions for Ambulatory Blood Pressure Monitoring (ABPM)
Implementation Date: 04/05/2004
CR #: 2726

05/07/2004

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R44FM
Subject: Notice of New Interest Rate for Medicare Overpayments and Underpayments
Implementation Date: 05/07/2004
CR #: 2830

01/24/2005

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R412CP
Subject: Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an Arrangement with an Outside Entity
Implementation Date: 01/24/2005
CR #: 3592

N/A

Mon, 12 Dec 2005 14:38:00 EST

Transmittal #: R17NCD
Subject: Manualization of the Negotiated Clinical Diagnostic Laboratory National Coverage Determinations
Implementation Date: N/A
CR #: 2130

07/06/2004

Wed, 11 Jan 2006 15:16:00 EST

Transmittal #: R154CP
Subject: Remittance Advice Remark Code and Claim Adjustment Reason Code Update
Implementation Date: 07/06/2004
CR #: 3227

01/03/2005

Wed, 11 Jan 2006 15:21:00 EST

Transmittal #: R313CP
Subject: Remittance Advice Remark Code and Claim Adjustment Reason Code Update
Implementation Date: 01/03/2005
CR #: 3466

01/03/2005

Thu, 12 Jan 2006 08:30:00 EST

Transmittal #: R414CP
Subject: Emergency Update to the 2005 Medicare Physician Fee Schedule Database
Implementation Date: 01/03/2005
CR #: 3595

10/04/2004

Tue, 07 Feb 2006 11:21:00 EST

Transmittal #: R24NCD
Subject: Update to Chapter 1, Section 220.6 - Dementia and Neurodegenerative Diseases
Implementation Date: 10/04/2004
CR #: 3426

11/22/2004

Tue, 07 Feb 2006 11:24:00 EST

Transmittal #: R84PI
Subject: Payment for Emergency Medical Treatment and Labor Act (EMTALA) - Mandated Screening and Stabilization Services
Implementation Date: 11/22/2004
CR #: 3437

04/04/2005

Fri, 15 Jun 2007 14:27:00 EST

Transmittal #: R131OTN
Subject: Coverage of Routine Costs of Clinical Trials Involving Investigational Device Exemption (IDE) Category A Devices
Implementation Date: 04/04/2005
CR #: 3548

06/28/2004

Tue, 21 Aug 2007 07:11:00 EST

Transmittal #: R189CP
Subject: Updated SNF Help File Available for Calendar Year 2004
Implementation Date: 06/28/2004
CR #: 3252

10/04/2004

Tue, 21 Aug 2007 07:12:00 EST

Transmittal #: R175CP
Subject: Additional Health Insurance Portability and Accountability Act (HIPAA) X12N 837 Institutional Health Care Claim Implementation Guide (IG) Instruction and Clarification of Transmittal 107/100-04 (CR 3031)
Implementation Date: 10/04/2004
CR #: 3264

01/03/2005

Tue, 21 Aug 2007 07:13:00 EST

Transmittal #: R378CP
Subject: Liability Days on Skilled Nursing Facility (SNF) and Swing Bed Facility Inpatient Bills
Implementation Date: 01/03/2005
CR #: 3568

N/A

Tue, 21 Aug 2007 07:15:00 EST

Transmittal #: SE0443
Subject: MMA - Medicare Replacement Drug Demonstration
Implementation Date: N/A
CR #: N/A

N/A

Tue, 21 Aug 2007 07:16:00 EST

Transmittal #: SE0437
Subject: Skilled Nursing Facility Consolidated Billing as It Relates to Prosthetics and Orthotics
Implementation Date: N/A
CR #: N/A

N/A

Tue, 28 Aug 2007 08:08:00 EST

Transmittal #: SE0416
Subject: Referral of Patients for X-rays by Chiropractors
Implementation Date: N/A
CR #: N/A

N/A

Thu, 02 Jul 2009 07:34:00 EST

Transmittal #: SE0433
Subject: Skilled Nursing Facility Consolidated Billing as It Relates to Ambulance Services
Implementation Date: N/A
CR #: N/A

N/A

Tue, 11 Aug 2009 08:44:00 EST

Transmittal #: SE0436
Subject: Skilled Nursing Facility Consolidated Billing and Preventive/Screening Services
Implementation Date: N/A
CR #: N/A

N/A

Tue, 01 Sep 2009 09:54:00 EST

Transmittal #: SE0422
Subject: MMA - New Medicare-Approved Drug Discount Cards and Transitional Assistance Program: A Summary for Physicians and Other Health Care Professionals
Implementation Date: N/A
CR #: N/A

N/A

Tue, 01 Sep 2009 09:55:00 EST

Transmittal #: SE0423
Subject: MMA - New Medicare-Approved Drug Discount Cards and Transitional Assistance Program: A Summary for Pharmacists and Other Pharmacy Professionals
Implementation Date: N/A
CR #: N/A

N/A

Tue, 01 Sep 2009 09:56:00 EST

Transmittal #: SE0457
Subject: MMA - Medicare-Approved Drug Discount Cards and Transitional Assistance Program: A Summary of New Initiative of Interest to Physicians and Other Health Care Professionals
Implementation Date: N/A
CR #: N/A

N/A

Tue, 01 Sep 2009 09:56:00 EST

Transmittal #: SE0458
Subject: MMA - Medicare-Approved Drug Discount Cards and Transitional Assistance Program: A Summary of New Initiative of Interest to Pharmacists and Pharmacy Professionals
Implementation Date: N/A
CR #: N/A

10/01/2004

Thu, 10 Sep 2009 08:07:00 EST

Transmittal #: R23NCD
Subject: Treatment of Obesity
Implementation Date: 10/01/2004
CR #: 3502

10/18/2004

Thu, 15 Oct 2009 10:15:00 EST

Transmittal #: R300CP
Subject: Payment For Outpatient End Stage Renal Disease (ESRD)-Related Services
Implementation Date: 10/18/2004
CR #: 3414

10/04/2004

Fri, 20 Nov 2009 07:54:00 EST

Transmittal #: R146CP
Subject: Clarification of Billing for Separately Billable ESRD Drugs
Implementation Date: 10/04/2004
CR #: 3176