2005 Transmittals

03/15/2005

Wed, 01 Jun 2005 00:00:00 EST

Transmittal #: R472CP
Subject: Revisions to Payment for Services Provided Under a Contractual Arrangement - - Carrier Claims Only
Implementation Date: 03/15/2005
CR #: 3628

07/05/2005

Thu, 10 Nov 2005 10:25:00 EST

Transmittal #: R105PI
Subject: The Medically Unbelievable Edits
Implementation Date: 07/05/2005
CR #: 2987

07/05/2005

Thu, 10 Nov 2005 10:26:00 EST

Transmittal #: R104PI
Subject: Requirement that Medicare Carrier System (MCS) Not Allow the Re-review of Previously Denied Claims
Implementation Date: 07/05/2005
CR #: 3622

05/31/2005

Thu, 10 Nov 2005 10:28:00 EST

Transmittal #: R108PI
Subject: Change in Statistical Sampling Instructions
Implementation Date: 05/31/2005
CR #: 3734

10/03/2005

Thu, 10 Nov 2005 10:31:00 EST

Transmittal #: R110PI
Subject: Revise CERT Shared Systems Modules to Retrieve Claims Files Using Only Internal Control Number as a Key
Implementation Date: 10/03/2005
CR #: 3814

02/14/2005

Thu, 10 Nov 2005 10:45:00 EST

Transmittal #: R95PI
Subject: Change in Provider Enrollment Appeals Process
Implementation Date: 02/14/2005
CR #: 3601

07/05/2005

Thu, 10 Nov 2005 10:51:00 EST

Transmittal #: R113PI
Subject: Shared System Maintainer Hours for PECOS Problems and/or Implementation Changes
Implementation Date: 07/05/2005
CR #: 3874

10/03/2005

Thu, 10 Nov 2005 10:52:00 EST

Transmittal #: R112PI
Subject: Requirement that Part B/Carriers Submit All Provider Addresses to the Comprehensive Error Rate Testing (CERT) Program Contractor
Implementation Date: 10/03/2005
CR #: 3805

08/15/2005

Thu, 10 Nov 2005 10:54:00 EST

Transmittal #: R12COM
Subject: Next Generation Desktop (NGD) Testing Requirements
Implementation Date: 08/15/2005
CR #: 3493

10/03/2005

Thu, 10 Nov 2005 11:20:00 EST

Transmittal #: R27GI
Subject: Provider Extract File
Implementation Date: 10/03/2005
CR #: 3801

10/03/2005

Thu, 10 Nov 2005 11:21:00 EST

Transmittal #: R26GI
Subject: Implement New Medicare Plan ID and Carrier Number for the Single Testing Contractor (STC)
Implementation Date: 10/03/2005
CR #: 3978

08/15/2005

Thu, 10 Nov 2005 11:22:00 EST

Transmittal #: R25GI
Subject: Next Generation Desktop (NGD) Testing Requirements
Implementation Date: 08/15/2005
CR #: 3493

06/27/2005

Thu, 10 Nov 2005 11:23:00 EST

Transmittal #: R24GI
Subject: 2005 Scheduled Release for July Updates to Software Programs and Pricing/Coding Files
Implementation Date: 06/27/2005
CR #: 3865

04/25/2005

Thu, 10 Nov 2005 11:40:00 EST

Transmittal #: R25MSP
Subject: Update Medicare Secondary Payer (MSP) Manual Publication 100-05 to reflect statutory changes included in the Medicare Modernization Act (MMA)
Implementation Date: 04/25/2005
CR #: 3219

04/04/2005

Thu, 10 Nov 2005 11:41:00 EST

Transmittal #: R24MSP
Subject: Notification to Affiliated Contractors of the establishment of Medicare Secondary Payer (MSP) Recovery Audit Contractors (RACs) and the impact to the Affiliated Contractors current MSP recovery processes
Implementation Date: 04/04/2005
CR #: 3724

02/22/2005

Thu, 10 Nov 2005 11:42:00 EST

Transmittal #: R23MSP
Subject: Modification to Online Medicare Secondary Payer Questionnaire
Implementation Date: 02/22/2005
CR #: 3504

07/05/2005

Thu, 10 Nov 2005 12:07:00 EST

Transmittal #: R474CP
Subject: Coordination of Benefits Agreement (COBA) Detailed Error Report Notification Process
Implementation Date: 07/05/2005
CR #: 3709

04/04/2005

Thu, 10 Nov 2005 12:21:00 EST

Transmittal #: R508CP
Subject: April 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes
Implementation Date: 04/04/2005
CR #: 3756

04/04/2005

Thu, 10 Nov 2005 12:22:00 EST

Transmittal #: R507CP
Subject: New Healthcare Common Procedure Coding System (HCPCS) for Intravenous Globulin (IVIG)
Implementation Date: 04/04/2005
CR #: 3745

07/01/2005

Thu, 10 Nov 2005 13:11:00 EST

Transmittal #: R506CP
Subject: Updated Manual Instructions for Item 24G (Days or Units), Chapter 26
Implementation Date: 07/01/2005
CR #: 3753

N/A

Thu, 10 Nov 2005 13:26:00 EST

Transmittal #: R486CP
Subject: Manualization of Carrier Claims Processing Instructions for Stem Cell Transplantation
Implementation Date: N/A
CR #: 3684

07/25/2005

Thu, 10 Nov 2005 13:27:00 EST

Transmittal #: R485CP
Subject: Calculating Payment-to-Cost Ratios (PCR) for Purposes of Determining Transitional Corridor Payments under the Outpatient Prospective Payment System (OPPS)
Implementation Date: 07/25/2005
CR #: 3661

07/05/2005

Thu, 10 Nov 2005 13:28:00 EST

Transmittal #: R484CP
Subject: New Remittance Advice (RA) Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims
Implementation Date: 07/05/2005
CR #: 3679

10/04/2005

Thu, 10 Nov 2005 13:29:00 EST

Transmittal #: R483CP
Subject: Hospital Partial Hospitalization Services Billing Requirements
Implementation Date: 10/04/2005
CR #: 3297

06/01/2005

Thu, 10 Nov 2005 13:31:00 EST

Transmittal #: R557CP
Subject: Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 06/01/2005
CR #: 3848

10/03/2005

Thu, 10 Nov 2005 13:32:00 EST

Transmittal #: R556CP
Subject: Revision to the Health Professional Shortage Area (HPSA) and Physician Scarcity Area (PSA) Payment Rules
Implementation Date: 10/03/2005
CR #: 3822

10/03/2005

Thu, 10 Nov 2005 13:41:00 EST

Transmittal #: R548CP
Subject: New Healthcare Common Procedure Coding System (HCPCS) Codes and Systems Edits for Supplies and Accessories for Ventricular Assist Devices (VADs)
Implementation Date: 10/03/2005
CR #: 3761

10/03/2005

Thu, 10 Nov 2005 13:42:00 EST

Transmittal #: R547CP
Subject: Revision to the Health Professional Shortage Area (HPSA) and Physician Scarcity Area (PSA) Payment Rules
Implementation Date: 10/03/2005
CR #: 3822

10/03/2005

Thu, 10 Nov 2005 13:48:00 EST

Transmittal #: R544CP
Subject: Modification of FISS Edits for Colorectal Cancer Screening Services (HCPCS Codes G0104, G0106, G0107, G0120, and G0328) Furnished at Skilled Nursing Facilities (SNFs)
Implementation Date: 10/03/2005
CR #: 3763

10/03/2005

Thu, 10 Nov 2005 13:49:00 EST

Transmittal #: R543CP
Subject: Healthcare Provider Taxonomy Code (HPTC) Update
Implementation Date: 10/03/2005
CR #: 3803

07/05/2005

Thu, 10 Nov 2005 13:50:00 EST

Transmittal #: R529CP
Subject: Update to Current National Uniform Billing Committee (NUBC) Codes
Implementation Date: 07/05/2005
CR #: 3794

07/05/2005

Thu, 10 Nov 2005 13:51:00 EST

Transmittal #: R528CP
Subject: July 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective July 1, 2005
Implementation Date: 07/05/2005
CR #: 3783

04/18/2005

Thu, 10 Nov 2005 13:51:00 EST

Transmittal #: R527CP
Subject: New Coding for FDG PET Scans and Billing Requirements for Specific Indications of Cervical Cancer
Implementation Date: 04/18/2005
CR #: 3741

05/16/2005

Thu, 10 Nov 2005 13:56:00 EST

Transmittal #: R526CP
Subject: Updated Requirements for Autologous Stem Cell Transplantation (AuSCT)
Implementation Date: 05/16/2005
CR #: 3797

03/28/2005

Thu, 10 Nov 2005 14:03:00 EST

Transmittal #: R481CP
Subject: Updated Manual Instructions for the Medicare Claims Processing Manual, Chapter 10
Implementation Date: 03/28/2005
CR #: 3691

04/04/2005

Thu, 10 Nov 2005 14:04:00 EST

Transmittal #: R480CP
Subject: April 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective April 1, 2005, and New January 2005 Quarterly ASP File
Implementation Date: 04/04/2005
CR #: 3667

04/11/2005

Thu, 10 Nov 2005 14:06:00 EST

Transmittal #: R499CP
Subject: 2005 Scheduled Release for April Updates to Software Programs and Pricing/Coding Files
Implementation Date: 04/11/2005
CR #: 3746

04/04/2005

Thu, 10 Nov 2005 14:06:00 EST

Transmittal #: R479CP
Subject: Update to the Healthcare Provider taxonomy Codes (HPTC) Version 5.0
Implementation Date: 04/04/2005
CR #: 3716

N/A

Thu, 10 Nov 2005 14:08:00 EST

Transmittal #: R498CP
Subject: Billing of the Diagnosis and Treatment of Peripheral Neuropathy with Loss of Protective Sensation in People with Diabetes
Implementation Date: N/A
CR #: 3580

07/05/2005

Thu, 10 Nov 2005 14:15:00 EST

Transmittal #: R538CP
Subject: New Waived Tests
Implementation Date: 07/05/2005
CR #: 3804

10/03/2005

Thu, 10 Nov 2005 14:16:00 EST

Transmittal #: R537CP
Subject: Instructions for Downloading the Medicare Zip Code File
Implementation Date: 10/03/2005
CR #: 3731

07/05/2005

Thu, 10 Nov 2005 14:17:00 EST

Transmittal #: R536CP
Subject: July Quarterly Update for 2005 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
Implementation Date: 07/05/2005
CR #: 3779

10/03/2005

Thu, 10 Nov 2005 14:18:00 EST

Transmittal #: R535CP
Subject: Modification to Appeals Language on Medicare Summary Notice
Implementation Date: 10/03/2005
CR #: 3808

07/05/2005

Thu, 10 Nov 2005 14:25:00 EST

Transmittal #: R534CP
Subject: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2005
Implementation Date: 07/05/2005
CR #: 3806

07/15/2005

Thu, 10 Nov 2005 14:26:00 EST

Transmittal #: R523CP
Subject: Implementation of the Physician Scarcity Areas and Revision to the Health Professional Shortage (HPSA)
Implementation Date: 07/15/2005
CR #: 3790

07/05/2005

Thu, 10 Nov 2005 14:26:00 EST

Transmittal #: R533CP
Subject: Modification to the Common Working File (CWF) Edit Process for Non-Assigned Medicaid Coordination of Benefits Agreement (COBA) Crossover Claims
Implementation Date: 07/05/2005
CR #: 3842

10/03/2005

Thu, 10 Nov 2005 14:33:00 EST

Transmittal #: R644CP
Subject: October 2005 Non-Outpatient Prospective Payment System Code Editor (Non-OPPS OCE) Specifications Version 21
Implementation Date: 10/03/2005
CR #: 4009

01/03/2006

Thu, 10 Nov 2005 14:33:00 EST

Transmittal #: R646CP
Subject: Update to the Inpatient Provider Specific File (PSF) and the Outpatient PSF to Retain Provider Information
Implementation Date: 01/03/2006
CR #: 3940

03/11/2005

Thu, 10 Nov 2005 14:53:00 EST

Transmittal #: R28NCD
Subject: Update of Laboratory NCDs to Reference New Screening Benefits
Implementation Date: 03/11/2005
CR #: 3690

09/06/2005

Thu, 10 Nov 2005 14:54:00 EST

Transmittal #: R32MSP
Subject: Exception for Small Employers in Multi-Employer Group Health Plans (GHP)
Implementation Date: 09/06/2005
CR #: 3998

10/03/2005

Thu, 10 Nov 2005 14:56:00 EST

Transmittal #: R31MSP
Subject: Full Replacement of CR3770, Expanding the Number of Source Identifiers for Common Working File (CWF) MSP Records. CR 3770 is Rescinded
Implementation Date: 10/03/2005
CR #: 3909

04/04/2005

Thu, 10 Nov 2005 15:03:00 EST

Transmittal #: R29NCD
Subject: Implantable Automatic Defibrillators
Implementation Date: 04/04/2005
CR #: 3604

07/05/2005

Thu, 10 Nov 2005 15:04:00 EST

Transmittal #: R33NCD
Subject: Percutaneous Transluminal Angioplasty (PTA
Implementation Date: 07/05/2005
CR #: 3811

04/18/2005

Thu, 10 Nov 2005 15:10:00 EST

Transmittal #: R30NCD
Subject: Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials
Implementation Date: 04/18/2005
CR #: 3742

07/05/2005

Thu, 10 Nov 2005 15:11:00 EST

Transmittal #: R36NCD
Subject: Smoking and Tobacco-Use Cessation Counseling
Implementation Date: 07/05/2005
CR #: 3834

07/05/2005

Thu, 10 Nov 2005 16:42:00 EST

Transmittal #: R569CP
Subject: July 2005 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 6.2
Implementation Date: 07/05/2005
CR #: 3871

10/03/2005

Thu, 10 Nov 2005 16:43:00 EST

Transmittal #: R570CP
Subject: Common Working File (CWF): Addition of Disease Management Auxiliary File
Implementation Date: 10/03/2005
CR #: 3887

07/05/2005

Thu, 10 Nov 2005 16:45:00 EST

Transmittal #: R571CP
Subject: New Remittance Advice (RA) Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims
Implementation Date: 07/05/2005
CR #: 3679

07/05/2005

Thu, 10 Nov 2005 16:45:00 EST

Transmittal #: R572CP
Subject: July 2005 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 6.2
Implementation Date: 07/05/2005
CR #: 3871

07/05/2005

Thu, 10 Nov 2005 16:47:00 EST

Transmittal #: R574CP
Subject: Mobility Assistive Equipment (MAE)
Implementation Date: 07/05/2005
CR #: 3791

07/05/2005

Thu, 10 Nov 2005 16:53:00 EST

Transmittal #: R580CP
Subject: New Healthcare Common Procedure Coding System (HCPCS) Drug Codes
Implementation Date: 07/05/2005
CR #: 3847

07/11/2005

Thu, 10 Nov 2005 16:54:00 EST

Transmittal #: R581CP
Subject: New Location for Contractor ID Number on Medicare Summary Notices (MSNs)
Implementation Date: 07/11/2005
CR #: 3895

07/05/2005

Thu, 10 Nov 2005 16:55:00 EST

Transmittal #: R582CP
Subject: New Remittance Advice (RA) Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims
Implementation Date: 07/05/2005
CR #: 3679

08/22/2005

Thu, 10 Nov 2005 16:56:00 EST

Transmittal #: R583CP
Subject: Access Process for HIPAA 270/271 (Extranet Only)
Implementation Date: 08/22/2005
CR #: 3883

07/05/2005

Thu, 10 Nov 2005 16:57:00 EST

Transmittal #: R584CP
Subject: Update of HCPCS Codes and File Names, Descriptions and Instructions for Retrieving the 2005 ASC HCPCS Additions, Deletions and Master Listing
Implementation Date: 07/05/2005
CR #: 3905

07/05/2005

Thu, 10 Nov 2005 16:58:00 EST

Transmittal #: R585CP
Subject: July 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 07/05/2005
CR #: 3915

10/03/2005

Fri, 11 Nov 2005 09:48:00 EST

Transmittal #: R591CP
Subject: Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
Implementation Date: 10/03/2005
CR #: 3888

N/A

Fri, 11 Nov 2005 09:50:00 EST

Transmittal #: R593CP
Subject: Disposition of Misdirected Claims to the Carrier
Implementation Date: N/A
CR #: 3838

07/01/2005

Fri, 11 Nov 2005 09:51:00 EST

Transmittal #: R594CP
Subject: Preliminary Instructions: Expedited Determinations/Reviews for Original Medicare
Implementation Date: 07/01/2005
CR #: 3903

07/25/2005

Fri, 11 Nov 2005 09:52:00 EST

Transmittal #: R595CP
Subject: Implementation of Carrier Guidelines for End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests (Supplemental to Change Request 2813)
Implementation Date: 07/25/2005
CR #: 3890

07/25/2005

Fri, 11 Nov 2005 10:29:00 EST

Transmittal #: R601CP
Subject: Cochlear Implantation
Implementation Date: 07/25/2005
CR #: 3796

N/A

Fri, 11 Nov 2005 10:38:00 EST

Transmittal #: R38NCD
Subject: Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials
Implementation Date: N/A
CR #: 3742

05/05/2005

Fri, 11 Nov 2005 10:54:00 EST

Transmittal #: R37NCD
Subject: Mobility Assistive Equipment (Mobility Assistive Equipment (MAE) )
Implementation Date: 05/05/2005
CR #: 3791

10/03/2005

Fri, 11 Nov 2005 10:55:00 EST

Transmittal #: R602CP
Subject: Expansion of Various Alpha and Numeric Fields with in the Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE)
Implementation Date: 10/03/2005
CR #: 3767

10/03/2005

Fri, 11 Nov 2005 10:56:00 EST

Transmittal #: R605CP
Subject: Frequency Instructions for Smoking and Tobacco-Use Cessation Counseling Services
Implementation Date: 10/03/2005
CR #: 3929

01/03/2006

Fri, 11 Nov 2005 11:16:00 EST

Transmittal #: R610CP
Subject: Guidelines for Payment of Vaccines (Pneumococcal Pneumonia Virus (PPV), Influenza Virus, and Hepatitis B Virus) and their Administration at Renal Dialysis Facilities (RDFs)
Implementation Date: 01/03/2006
CR #: 3936

01/03/2006

Fri, 11 Nov 2005 11:17:00 EST

Transmittal #: R611CP
Subject: Payment Methodology for Rehabilitation Services in IHS/Tribally Owned and/or Operated Hospitals and Hospital-Based Facilities
Implementation Date: 01/03/2006
CR #: 3934

10/24/2005

Fri, 11 Nov 2005 11:23:00 EST

Transmittal #: R617CP
Subject: Administration of Drugs and Biologicals in a Method II Critical Access Hospital (CAH)
Implementation Date: 10/24/2005
CR #: 3911

01/03/2006

Fri, 11 Nov 2005 11:40:00 EST

Transmittal #: R618CP
Subject: Clarification for Carriers and Durable Medical Equipment Regional Carriers (DMERCs) about Correction and Recoupment of Payments for Previously Processed Claims
Implementation Date: 01/03/2006
CR #: 3772

01/03/2006

Fri, 11 Nov 2005 11:40:00 EST

Transmittal #: R619CP
Subject: Late IRF-PAI Data Submission Penalty Protocol Within the Inpatient Rehabilitation Facility Prospective Payment System
Implementation Date: 01/03/2006
CR #: 3885

01/03/2006

Fri, 11 Nov 2005 11:41:00 EST

Transmittal #: R620CP
Subject: New Fiscal Intermediary (FI) Edit to Identify Potentially Excessive Medicare Payments
Implementation Date: 01/03/2006
CR #: 3925

01/03/2006

Fri, 11 Nov 2005 11:42:00 EST

Transmittal #: R621CP
Subject: Locality Codes for Purchased Diagnostic Tests
Implementation Date: 01/03/2006
CR #: 3961

01/03/2006

Fri, 11 Nov 2005 11:43:00 EST

Transmittal #: R622CP
Subject: Enforcement of Hospital Inpatient Bundling: Carrier Denial of Ambulance Claims during an Inpatient Stay
Implementation Date: 01/03/2006
CR #: 3933

01/03/2006

Fri, 11 Nov 2005 11:44:00 EST

Transmittal #: R623CP
Subject: DMERC Only--Corrections to the Billing Indicator Field for Adjusted Claims
Implementation Date: 01/03/2006
CR #: 3877

01/03/2006

Fri, 11 Nov 2005 11:50:00 EST

Transmittal #: R629CP
Subject: Certificate of Medical Necessity Claim Edits Workload Reporting
Implementation Date: 01/03/2006
CR #: 3699

01/03/2006

Fri, 11 Nov 2005 11:51:00 EST

Transmittal #: R630CP
Subject: Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update and Health Insurance Prospective Payment System (HIPPS) Coding Update Effective January 1, 2006
Implementation Date: 01/03/2006
CR #: 3962

01/03/2006

Fri, 11 Nov 2005 11:52:00 EST

Transmittal #: R631CP
Subject: Claim Status Category Code and Claim Status Code Update
Implementation Date: 01/03/2006
CR #: 3960

01/03/2006

Fri, 11 Nov 2005 11:53:00 EST

Transmittal #: R632CP
Subject: Billing and Claims Processing Instructions for Claims Subject to Expedited Determinations
Implementation Date: 01/03/2006
CR #: 3949

10/03/2005

Fri, 11 Nov 2005 12:00:00 EST

Transmittal #: R639CP
Subject: Cessation of Additional $50 Payment for New Technology Intraocular Lenses (NTIOLs)
Implementation Date: 10/03/2005
CR #: 3901

10/03/2005

Fri, 11 Nov 2005 12:01:00 EST

Transmittal #: R640CP
Subject: Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2006
Implementation Date: 10/03/2005
CR #: 3972

10/03/2005

Fri, 11 Nov 2005 12:02:00 EST

Transmittal #: R641CP
Subject: October 2005 Quarterly Update to Skilled Nursing Facility (SNF) Consolidated Billing
Implementation Date: 10/03/2005
CR #: 4010

N/A

Fri, 11 Nov 2005 12:07:00 EST

Transmittal #: R7P234
Subject: Cost Reporting Forms and Instructions, Form CMS-265-94
Implementation Date: N/A
CR #: N/A

07/05/2005

Fri, 11 Nov 2005 12:08:00 EST

Transmittal #: R40NCD
Subject: Coverage of Aprepitant for Chemotherapy-Induced Emesis
Implementation Date: 07/05/2005
CR #: 3831

07/05/2005

Fri, 11 Nov 2005 13:02:00 EST

Transmittal #: R39NCD
Subject: Cochlear Implantation
Implementation Date: 07/05/2005
CR #: 3796

07/05/2005

Fri, 11 Nov 2005 13:03:00 EST

Transmittal #: R35BP
Subject: Automated Multi-Channel Chemistry (AMCC) for Continuous Ambulatory Peritoneal Dialysis (CAPD) and Non-CAPD Patients
Implementation Date: 07/05/2005
CR #: 3802

06/06/2005

Fri, 11 Nov 2005 13:04:00 EST

Transmittal #: R34BP
Subject: Pub. 100-02, Chapter 15, Sections 220 and 230 Therapy Services
Implementation Date: 06/06/2005
CR #: 3648

05/02/2005

Fri, 11 Nov 2005 13:05:00 EST

Transmittal #: R31BP
Subject: List of Medicare Telehealth Services
Implementation Date: 05/02/2005
CR #: 3747

N/A

Fri, 11 Nov 2005 13:06:00 EST

Transmittal #: R30BP
Subject: Policy for Repair and Replacement of Durable Medical Equipment (DME)
Implementation Date: N/A
CR #: 3693

07/25/2005

Fri, 11 Nov 2005 13:07:00 EST

Transmittal #: R42NCD
Subject: Cochlear Implantation
Implementation Date: 07/25/2005
CR #: 3736

N/A

Fri, 11 Nov 2005 14:03:00 EST

Transmittal #: R66MCM
Subject: Beneficiary Enrollment and Disenrollment Requirements for Medicare Advantage Plans
Implementation Date: N/A
CR #: N/A

N/A

Fri, 11 Nov 2005 14:04:00 EST

Transmittal #: R65MCM
Subject: Surveys, Contracting Strategy and Appeals
Implementation Date: N/A
CR #: N/A

07/05/2005

Fri, 11 Nov 2005 14:10:00 EST

Transmittal #: R65FM
Subject: Revised Reporting Requirements for Contractor Reporting of Operational Workload Data (CROWD) Physician Scarcity Area (PSA) Quarterly Report (CMS Form-1565F, CROWD Form 6)
Implementation Date: 07/05/2005
CR #: 3673

03/14/2005

Fri, 11 Nov 2005 14:11:00 EST

Transmittal #: R64FM
Subject: For Fiscal Intermediaries (FIs), a new Provider Type 80, Status Code CH, and Method of Recoupment codes. For Carriers and Durable Medical Equipment Regional Carriers (DMERCs) Status Code 2
Implementation Date: 03/14/2005
CR #: 3641

01/03/2006

Fri, 11 Nov 2005 14:12:00 EST

Transmittal #: R74FM
Subject: Discovery Code Indication for Recovery Audit Contractor (RAC) Non-MSP Identified Overpayments
Implementation Date: 01/03/2006
CR #: 3938

09/06/2005

Fri, 11 Nov 2005 14:13:00 EST

Transmittal #: R73FM
Subject: New Thresholds for 2nd Demand Letter for Physicians/Suppliers
Implementation Date: 09/06/2005
CR #: 3932

01/03/2006

Fri, 11 Nov 2005 14:13:00 EST

Transmittal #: R72FM
Subject: Claims Accounts Receivable Update
Implementation Date: 01/03/2006
CR #: 3963

04/04/2005

Fri, 11 Nov 2005 14:15:00 EST

Transmittal #: R144OTN
Subject: Debt Collection Improvement Act Backlog Non-MSP Collections from February 1998 to September 2004
Implementation Date: 04/04/2005
CR #: 3612

N/A

Fri, 11 Nov 2005 14:15:00 EST

Transmittal #: R71FM
Subject: Notice of New Interest Rate for Medicare Overpayment and Underpayments
Implementation Date: N/A
CR #: 3456

02/28/2005

Fri, 11 Nov 2005 14:22:00 EST

Transmittal #: R137OTN
Subject: Instructions to contractors regarding aged, pre-settlement cases and Inter-Contractor Notices (ICN)s
Implementation Date: 02/28/2005
CR #: 3598

01/28/2005

Fri, 11 Nov 2005 14:23:00 EST

Transmittal #: R136OTN
Subject: Medlearn Matters Article Related to the Flu Demonstration
Implementation Date: 01/28/2005
CR #: 3696

07/05/2005

Fri, 11 Nov 2005 14:24:00 EST

Transmittal #: R135OTN
Subject: Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing
Implementation Date: 07/05/2005
CR #: 3597

01/18/2005

Fri, 11 Nov 2005 14:25:00 EST

Transmittal #: R134OTN
Subject: Revisions to January 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File
Implementation Date: 01/18/2005
CR #: 3695

07/05/2005

Fri, 11 Nov 2005 14:32:00 EST

Transmittal #: R145OTN
Subject: Frequent Hemodialysis Network Payment Changes for Approved Clinical Trial Costs
Implementation Date: 07/05/2005
CR #: 3730

07/05/2005

Fri, 11 Nov 2005 14:33:00 EST

Transmittal #: R155OTN
Subject: Payment to Ambulatory Surgery Centers (ASCs) for New CPT Code 66711
Implementation Date: 07/05/2005
CR #: 3817

07/05/2005

Fri, 11 Nov 2005 14:41:00 EST

Transmittal #: R154OTN
Subject: Correction 2005 Clinical Laboratory Travel Fee (P9603 P9604)
Implementation Date: 07/05/2005
CR #: 3785

01/03/2006

Fri, 11 Nov 2005 14:43:00 EST

Transmittal #: R169OTN
Subject: Analysis of Systems Improvements to Streamline POS Code Set Updates
Implementation Date: 01/03/2006
CR #: 3976

01/03/2006

Fri, 11 Nov 2005 14:44:00 EST

Transmittal #: R168OTN
Subject: Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction January 2006 Release Testing
Implementation Date: 01/03/2006
CR #: 3974

08/22/2005

Fri, 11 Nov 2005 14:45:00 EST

Transmittal #: R166OTN
Subject: Overnight Oximetery Testing
Implementation Date: 08/22/2005
CR #: 3751

08/15/2005

Fri, 11 Nov 2005 14:46:00 EST

Transmittal #: R164OTN
Subject: Medicare HIPAA Electronic Claims Report - Third Reporting Timeframe Extension
Implementation Date: 08/15/2005
CR #: 3926

10/03/2005

Mon, 14 Nov 2005 10:17:00 EST

Transmittal #: R156OTN
Subject: New Patient Status Code to Define Discharges or Transfers to a Critical Access Hospital (CAH)
Implementation Date: 10/03/2005
CR #: 3829

N/A

Mon, 14 Nov 2005 10:25:00 EST

Transmittal #: R30PR1
Subject: Reimbursement for ESRD and Transplant Services
Implementation Date: N/A
CR #: N/A

07/05/2005

Mon, 14 Nov 2005 10:32:00 EST

Transmittal #: R430CP
Subject: Mandatory Assignment for MMA S630 Claims
Implementation Date: 07/05/2005
CR #: 3587

10/03/2005

Mon, 14 Nov 2005 10:33:00 EST

Transmittal #: R652CP
Subject: October Update to the 2005 Medicare Physician Fee Schedule Database
Implementation Date: 10/03/2005
CR #: 4031

10/03/2005

Mon, 14 Nov 2005 10:33:00 EST

Transmittal #: R651CP
Subject: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2005
Implementation Date: 10/03/2005
CR #: 4005

07/05/2005

Mon, 14 Nov 2005 10:33:00 EST

Transmittal #: R432CP
Subject: Adding an Indicator to the National Claims History (NCH) to Indicate that DMERCs, Carriers, and FIs have Reviewed a Potentially Duplicate Clai
Implementation Date: 07/05/2005
CR #: 2965

02/22/2005

Mon, 14 Nov 2005 10:34:00 EST

Transmittal #: R448CP
Subject: Timeframe for Continued Execution of Crossover Agreements and Updated on the Transition to the National Coordination of Benefits Agreement (COBA) Program
Implementation Date: 02/22/2005
CR #: 3658

N/A

Mon, 14 Nov 2005 10:34:00 EST

Transmittal #: R650CP
Subject: Manual Update on Medical Nutrition Therapy Services - Manualization
Implementation Date: N/A
CR #: 3955

01/03/2005

Mon, 14 Nov 2005 10:37:00 EST

Transmittal #: R446CP
Subject: Diabetes Screening Tests
Implementation Date: 01/03/2005
CR #: 3637

04/04/2005

Mon, 14 Nov 2005 10:38:00 EST

Transmittal #: R444CP
Subject: Further Information Related to Inpatient Psychiatric Facility Prospective Payment System (IPF PPS)
Implementation Date: 04/04/2005
CR #: 3678

10/03/2005

Mon, 14 Nov 2005 10:38:00 EST

Transmittal #: R653CP
Subject: October 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective October 1, 2005 and Revisions to April 2005 and July 2005 Quarterly ASP Medicare Part B Drug Pricing File
Implementation Date: 10/03/2005
CR #: 3992

02/22/2005

Mon, 14 Nov 2005 10:40:00 EST

Transmittal #: R442CP
Subject: Hospital Outpatient Prospective Payment System (OPPS): Use of Modifiers -52, -73 and -74 for Reduced or Discontinued Services
Implementation Date: 02/22/2005
CR #: 3507

07/05/2005

Mon, 14 Nov 2005 10:41:00 EST

Transmittal #: R441CP
Subject: VMS Changes to DMERC Processing of Method II Home Dialysis Claims
Implementation Date: 07/05/2005
CR #: 3546

07/05/2005

Mon, 14 Nov 2005 10:42:00 EST

Transmittal #: R440CP
Subject: Updating the Common Working File Editing for Pap Smear (Q0091) and Adding a New Low Risk Diagnosis Code (V72.31) for Pap Smear and Pelvic Examination
Implementation Date: 07/05/2005
CR #: 3659

07/05/2005

Mon, 14 Nov 2005 11:07:00 EST

Transmittal #: R439CP
Subject: Modification to the Fiscal Intermediary Standard System (FISS) Regarding Ambulance Services Billed on 18x and 21x Types of Bill (TOBs)
Implementation Date: 07/05/2005
CR #: 3564

07/05/2005

Mon, 14 Nov 2005 11:08:00 EST

Transmittal #: R438CP
Subject: Fiscal Intermediary Standard Paper Remittance Advice Changes
Implementation Date: 07/05/2005
CR #: 3645

02/22/2005

Mon, 14 Nov 2005 11:10:00 EST

Transmittal #: R437CP
Subject: Revisions and Corrections to the Medicare Claims Processing Manual, Chapter 6, Section 30 and Various Sections in Chapter 15
Implementation Date: 02/22/2005
CR #: 3664

04/04/2005

Mon, 14 Nov 2005 11:11:00 EST

Transmittal #: R436CP
Subject: Remittance Advice Remark Code and Claim Adjustment Reason Code Update
Implementation Date: 04/04/2005
CR #: 3636

04/04/2005

Mon, 14 Nov 2005 11:19:00 EST

Transmittal #: R457CP
Subject: Diabetes Screening Tests
Implementation Date: 04/04/2005
CR #: 3677

07/05/2005

Mon, 14 Nov 2005 11:20:00 EST

Transmittal #: R456CP
Subject: Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services Furnished to Hospital Patients (Supplemental to Change Request 3467)
Implementation Date: 07/05/2005
CR #: 3675

07/05/2005

Mon, 14 Nov 2005 11:28:00 EST

Transmittal #: R450CP
Subject: Enforcement of Mandatory Electronic Submission of Medicare Claims.
Implementation Date: 07/05/2005
CR #: 3440

04/04/2005

Mon, 14 Nov 2005 11:29:00 EST

Transmittal #: R449CP
Subject: April Quarterly Update to 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
Implementation Date: 04/04/2005
CR #: 3683

03/08/2005

Mon, 14 Nov 2005 11:31:00 EST

Transmittal #: R462CP
Subject: DMERC Only--Dispensing Fees for Immunosuppressive Drugs
Implementation Date: 03/08/2005
CR #: 3682

04/04/2005

Mon, 14 Nov 2005 11:39:00 EST

Transmittal #: R464CP
Subject: Implementation of the Abstract File for Purchased Diagnostic Tests/Interpretations (Supplemental to CR 3481)
Implementation Date: 04/04/2005
CR #: 3694

01/03/2005

Mon, 14 Nov 2005 12:08:00 EST

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

11/17/2005

Mon, 14 Nov 2005 13:00:00 EST

Transmittal #: R38BP
Subject: Services Not Provided Within United States
Implementation Date: 11/17/2005
CR #: 3781

01/01/2006

Mon, 14 Nov 2005 13:01:00 EST

Transmittal #: R173OTN
Subject: Overnight Oximetery Testing
Implementation Date: 01/01/2006
CR #: 3751

09/12/2005

Mon, 14 Nov 2005 13:02:00 EST

Transmittal #: R28GI
Subject: Conforming Changes for Change Request 3648 to Pub. 100-01
Implementation Date: 09/12/2005
CR #: 3912

09/12/2005

Mon, 14 Nov 2005 13:03:00 EST

Transmittal #: R37BP
Subject: Conforming Changes for Change Request 3648 to Pub. 100-02
Implementation Date: 09/12/2005
CR #: 3912

10/20/2005

Mon, 14 Nov 2005 13:04:00 EST

Transmittal #: R27DEMO
Subject: The Medicare Chronic Care Improvement, "Medicare Health Support," Program
Implementation Date: 10/20/2005
CR #: 3953

10/03/2005

Mon, 14 Nov 2005 13:04:00 EST

Transmittal #: R664CP
Subject: October 2005 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 6.3
Implementation Date: 10/03/2005
CR #: 4007

N/A

Mon, 14 Nov 2005 13:09:00 EST

Transmittal #: R120PI
Subject: Correction to Change Request (CR) 3222: Local Medical Review Policy/ Local Coverage Determination Medicare Summary Notice (MSN) Message Revision
Implementation Date: N/A
CR #: 3880

01/03/2006

Mon, 14 Nov 2005 13:10:00 EST

Transmittal #: R659CP
Subject: Instructions for Downloading the Medicare Zip Code File
Implementation Date: 01/03/2006
CR #: 3986

10/03/2005

Mon, 14 Nov 2005 13:15:00 EST

Transmittal #: R658CP
Subject: Billing for Devices Under the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 10/03/2005
CR #: 4017

10/03/2005

Mon, 14 Nov 2005 13:16:00 EST

Transmittal #: R657CP
Subject: Quarterly Update to Correct Coding Initiative (CCI) Edits, Version V11.3, Effective October 1, 2005
Implementation Date: 10/03/2005
CR #: 3995

10/03/2005

Mon, 14 Nov 2005 13:17:00 EST

Transmittal #: R176OTN
Subject: Change of the CareFirst Part A Plan to Highmark in the State of Maryland and Washington, DC
Implementation Date: 10/03/2005
CR #: 4043

12/05/2005

Mon, 14 Nov 2005 13:22:00 EST

Transmittal #: R667CP
Subject: Home Care and Domiciliary Care Visits (Codes 99321 - 99350)
Implementation Date: 12/05/2005
CR #: 3922

10/03/2005

Mon, 14 Nov 2005 13:23:00 EST

Transmittal #: R666CP
Subject: Updates to the Coordination of Benefits Contractor (COBC) Detailed Error Report File Layouts
Implementation Date: 10/03/2005
CR #: 4042

10/03/2005

Mon, 14 Nov 2005 13:24:00 EST

Transmittal #: R671CP
Subject: Updated Manual Instructions for the Medicare Claims Processing Manual, Regarding Smoking and Tobacco-Use Cessation Counseling Services
Implementation Date: 10/03/2005
CR #: 4045

10/03/2005

Mon, 14 Nov 2005 13:25:00 EST

Transmittal #: R665CP
Subject: October Quarterly Update for 2005 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
Implementation Date: 10/03/2005
CR #: 4026

07/03/2005

Mon, 14 Nov 2005 13:25:00 EST

Transmittal #: R670CP
Subject: Realignment of States and Medicare Claims Processing Workload from DMERC Regions A, B, C and D to the DME MAC Jurisdictions A, B, C, and D
Implementation Date: 07/03/2005
CR #: 4002

01/03/2006

Mon, 14 Nov 2005 13:26:00 EST

Transmittal #: R668CP
Subject: Enforcement of Hospital Inpatient Bundling: Carrier Denial of Ambulance Claims during an Inpatient Stay
Implementation Date: 01/03/2006
CR #: 3933

10/03/2005

Mon, 14 Nov 2005 13:31:00 EST

Transmittal #: R177OTN
Subject: Termination of Existing Crossover Agreements As Trading Partners Transition to the National Coordination of Benefits Agreement (COBA) Program
Implementation Date: 10/03/2005
CR #: 3980

N/A

Mon, 14 Nov 2005 13:32:00 EST

Transmittal #: R673CP
Subject: Manual Update on Medical Nutrition Therapy (MNT) Services - Manualization
Implementation Date: N/A
CR #: 3955

10/03/2005

Mon, 14 Nov 2005 13:32:00 EST

Transmittal #: R672CP
Subject: October Update to the 2005 Medicare Physician Fee Schedule Database
Implementation Date: 10/03/2005
CR #: 4031

01/03/2006

Mon, 14 Nov 2005 13:37:00 EST

Transmittal #: R676CP
Subject: 2006 Healthcare Common Procedure Coding System (HCPCS) Annual Update Remind
Implementation Date: 01/03/2006
CR #: 4057

10/03/2005

Mon, 14 Nov 2005 13:37:00 EST

Transmittal #: R675CP
Subject: Changes to Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Date October 1, 2005)
Implementation Date: 10/03/2005
CR #: 3943

10/03/2005

Mon, 14 Nov 2005 13:38:00 EST

Transmittal #: R674CP
Subject: Fiscal Year (FY) 2006 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH PPS) Changes
Implementation Date: 10/03/2005
CR #: 4046

N/A

Mon, 14 Nov 2005 13:39:00 EST

Transmittal #: R179OTN
Subject: Calculation of the Interim Payment of Indirect Medical Education (IME) Through the Inpatient PPS PRICER for Hospitals That Received an Increase to Their Full-time Equivalent Resident Caps Under Section 422 of the Medicare Modernization Act (MMA), P.L. 108-173
Implementation Date: N/A
CR #: 4025

10/17/2005

Mon, 14 Nov 2005 13:40:00 EST

Transmittal #: R122PI
Subject: Medical Review Collection Number Requirements
Implementation Date: 10/17/2005
CR #: 4091

10/03/2005

Mon, 14 Nov 2005 13:41:00 EST

Transmittal #: R683CP
Subject: October 2005 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 6.3
Implementation Date: 10/03/2005
CR #: 4007

10/26/2005

Mon, 14 Nov 2005 13:42:00 EST

Transmittal #: R35MSP
Subject: Updates to the Group Health Plan Identification and Recovery Processes
Implementation Date: 10/26/2005
CR #: 4015

N/A

Mon, 14 Nov 2005 13:47:00 EST

Transmittal #: R687CP
Subject: Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Dates for FI Initial Determinations Issued on or After May 1, 2005 and Carrier Initial Determinations Issued on or After January 1, 2006)
Implementation Date: N/A
CR #: 3939

01/03/2006

Mon, 14 Nov 2005 13:48:00 EST

Transmittal #: R686CP
Subject: Common Working File (CWF) Unsolicited Response Adjustments for Certain Claims Denied Due to an Open Medicare Secondary Payer (MSP) Group Health Plan (GHP) Record Where the GHP Record was Subsequently Deleted
Implementation Date: 01/03/2006
CR #: 3916

12/23/2005

Mon, 14 Nov 2005 13:49:00 EST

Transmittal #: R684CP
Subject: Correction to Chapter 17, Section 80.2.3, MSN/ANSI X12 Denial Messages for Anti-Emetic Drugs
Implementation Date: 12/23/2005
CR #: 4001

11/30/2005

Mon, 14 Nov 2005 13:53:00 EST

Transmittal #: R36MSP
Subject: Update to the Healthcare Provider Taxonomy Codes (HPTC) Version 5.1
Implementation Date: 11/30/2005
CR #: 4072

11/05/2005

Mon, 14 Nov 2005 13:54:00 EST

Transmittal #: R698CP
Subject: The Supplemental Security Income (SSI) Medicare Beneficiary Data for Fiscal Year 2006 for the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS)
Implementation Date: 11/05/2005
CR #: 4065

01/09/2006

Mon, 14 Nov 2005 13:55:00 EST

Transmittal #: R67CP
Subject: Appeals of Claims Decisions: Redeterminations and Reconsiderations (implementation date May 1, 2005).
Implementation Date: 01/09/2006
CR #: 3942

01/03/2006

Mon, 14 Nov 2005 13:56:00 EST

Transmittal #: R696CP
Subject: 2006 Annual Update of HCPCS Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) for the Common Working File (CWF), Medicare Carriers and Fiscal Intermediaries (FIs)
Implementation Date: 01/03/2006
CR #: 4086

01/03/2006

Mon, 14 Nov 2005 14:07:00 EST

Transmittal #: R706CP
Subject: Payment Methodology for Rehabilitation Services in IHS/Tribally Owned and/or Operated Hospitals and Hospital-Based Facil
Implementation Date: 01/03/2006
CR #: 3934

11/07/2005

Mon, 14 Nov 2005 14:08:00 EST

Transmittal #: R704CP
Subject: Discontinuation of Biannual Recertification List for Certified Registered Nurse Anesthetist (CRNA) Services
Implementation Date: 11/07/2005
CR #: 4062

11/07/2005

Mon, 14 Nov 2005 14:09:00 EST

Transmittal #: R703CP
Subject: IPPS Outlier Reconciliation
Implementation Date: 11/07/2005
CR #: 3966

N/A

Mon, 14 Nov 2005 14:13:00 EST

Transmittal #: R73MCM
Subject: Changes in Manual Instructions for Intermediate Sanctions
Implementation Date: N/A
CR #: N/A

N/A

Mon, 14 Nov 2005 14:14:00 EST

Transmittal #: R72MCM
Subject: Changes in Manual Instructions for Benefits and Beneficiary Protections
Implementation Date: N/A
CR #: N/A

N/A

Mon, 14 Nov 2005 14:14:00 EST

Transmittal #: R71MCM
Subject: Deletion of MCM Chapter 19 - The Enrollment and Payment User's Guide, and Chapter 20 - Managed Care and MA Systems Business Requirements.
Implementation Date: N/A
CR #: N/A

N/A

Mon, 14 Nov 2005 14:18:00 EST

Transmittal #: R70MCM
Subject: Beneficiary Enrollment and Disenrollment Requirements for Medicare Advantage Plans
Implementation Date: N/A
CR #: N/A

01/03/2005

Mon, 14 Nov 2005 14:24:00 EST

Transmittal #: R37MSP
Subject: Manualizing Long-Standing Medicare Secondary Payer (MSP) Policy in Chapter 3 of the MSP Internet Only Manual (IOM)
Implementation Date: 01/03/2005
CR #: 4028

N/A

Mon, 14 Nov 2005 14:26:00 EST

Transmittal #: R74MCM
Subject: Changes in Manual Instructions for Payment Principles for Cost Based HMO/CMPs
Implementation Date: N/A
CR #: N/A

04/03/2006

Mon, 14 Nov 2005 14:27:00 EST

Transmittal #: R717CP
Subject: Disabling the Revenue/HCPCS Consistency Edit Codes in the Fiscal Intermediary Shared System (FISS)
Implementation Date: 04/03/2006
CR #: 4049

10/25/2005

Mon, 14 Nov 2005 14:27:00 EST

Transmittal #: R713CP
Subject: New G Code for Power Mobility Devices (PMDs)
Implementation Date: 10/25/2005
CR #: 4121

04/03/2006

Mon, 14 Nov 2005 14:28:00 EST

Transmittal #: R718CP
Subject: Source of Admission Code 'D'
Implementation Date: 04/03/2006
CR #: 3881

04/03/2006

Mon, 14 Nov 2005 14:29:00 EST

Transmittal #: R715CP
Subject: New Designated Competitive Acquisition Program (CAP)Carrier Contractor ID Numbers
Implementation Date: 04/03/2006
CR #: 3985

04/03/2006

Mon, 14 Nov 2005 14:29:00 EST

Transmittal #: R714CP
Subject: Payment Window Edit Corrections within the Common Working File (CWF)
Implementation Date: 04/03/2006
CR #: 4089

04/04/2005

Mon, 14 Nov 2005 14:30:00 EST

Transmittal #: R469CP
Subject: New Waived Tests - April 1, 2005
Implementation Date: 04/04/2005
CR #: 3650

04/03/2006

Mon, 14 Nov 2005 14:30:00 EST

Transmittal #: R716CP
Subject: Modifiers for Transportation of Portable X-rays (R0075) When Billed by Skilled Nursing Facilities (SNFs)
Implementation Date: 04/03/2006
CR #: 4039

07/05/2005

Mon, 14 Nov 2005 14:31:00 EST

Transmittal #: R473CP
Subject: Use of 12X Type of Bill (TOB) for Billing Vaccines and Their Administration
Implementation Date: 07/05/2005
CR #: 3618

04/03/2006

Mon, 14 Nov 2005 14:31:00 EST

Transmittal #: R719CP
Subject: Clarification and Update to Hospital Billing Instructions and Payment for Epoetin Alfa (EPO) and Darbepoetin Alfa (Aranesp) for Beneficiaries with End Stage Renal Disease (ESRD)
Implementation Date: 04/03/2006
CR #: 4103

01/06/2006

Mon, 14 Nov 2005 14:31:00 EST

Transmittal #: R721CP
Subject: Use of Value Codes 48 and 49 on End Stage Renal Disease (ESRD) Bills
Implementation Date: 01/06/2006
CR #: 4087

02/18/2005

Mon, 14 Nov 2005 14:33:00 EST

Transmittal #: R471CP
Subject: Infusion Pumps: C-Peptide Levels as A Criterion for Use
Implementation Date: 02/18/2005
CR #: 3705

04/03/2006

Mon, 14 Nov 2005 14:33:00 EST

Transmittal #: R725CP
Subject: New ICD-9-CM Code for Beneficiaries with Chronic Kidney Disease
Implementation Date: 04/03/2006
CR #: 4108

01/03/2006

Mon, 14 Nov 2005 14:33:00 EST

Transmittal #: R722CP
Subject: 2006 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments
Implementation Date: 01/03/2006
CR #: 4113

04/03/2006

Mon, 14 Nov 2005 14:34:00 EST

Transmittal #: R726CP
Subject: Smoking and Tobacco-Use Cessation Counseling Services: Common Working File (CWF) Inquiry for Providers
Implementation Date: 04/03/2006
CR #: 4104

11/19/2005

Mon, 14 Nov 2005 14:35:00 EST

Transmittal #: R39MSP
Subject: Request to Change Lead Contractor
Implementation Date: 11/19/2005
CR #: 4088

04/03/2006

Mon, 14 Nov 2005 14:35:00 EST

Transmittal #: R40MSP
Subject: Updates to the Group Health Plan (GHP) Demand Letters
Implementation Date: 04/03/2006
CR #: 4012

07/05/2005

Mon, 14 Nov 2005 14:36:00 EST

Transmittal #: R470CP
Subject: Standardization of Fiscal Intermediary Use of Group and Claim Adjustment Reason Codes and Calculation and Balancing of TS2 and TS3 Segment Data Elements
Implementation Date: 07/05/2005
CR #: 3685

01/21/2006

Mon, 14 Nov 2005 14:36:00 EST

Transmittal #: R41MSP
Subject: Full Replacement of and Rescinding Change Request (CR) 3504--Modification to Online Medicare Secondary Payer Questionnaire
Implementation Date: 01/21/2006
CR #: 4098

11/21/2005

Mon, 14 Nov 2005 14:37:00 EST

Transmittal #: R80FM
Subject: Medicare Contractors' Monthly Cash Collections
Implementation Date: 11/21/2005
CR #: 4074

01/03/2006

Mon, 14 Nov 2005 14:38:00 EST

Transmittal #: R29DEMO
Subject: Notification of New Value and Condition Codes For Medicare Demonstrations
Implementation Date: 01/03/2006
CR #: 4055

04/03/2006

Mon, 14 Nov 2005 14:39:00 EST

Transmittal #: R126PI
Subject: Implementation of Program Safeguard Contractor (PSC) Access to the VIPS Medicare Shared System (VMS) at All Durable Medical Equipment Carriers (DMERCs)
Implementation Date: 04/03/2006
CR #: 3994

11/21/2005

Mon, 14 Nov 2005 14:39:00 EST

Transmittal #: R185OTN
Subject: Payment Allowances for the Influenza Virus Vaccine (CPT 90655, 90656, 90657, and 90658) and the Pneumoccocal Vaccine (CPT 90732) when Payment is Based on 95 Percent of the Average Wholesale Price (AWP)
Implementation Date: 11/21/2005
CR #: 4109

11/21/2005

Mon, 14 Nov 2005 14:40:00 EST

Transmittal #: R13SOM
Subject: Revisions to Chapter 2, "The Certification Process," Appendix E-- "Providers of Outpatient Physical Therapy or Outpatient Speech Language Pathology (OPT/OSP) Services," and Appendix K-- "Comprehensive Outpatient Rehabilitation Facilities"
Implementation Date: 11/21/2005
CR #: N/A

11/03/2005

Mon, 14 Nov 2005 14:40:00 EST

Transmittal #: R81FM
Subject: Recurring Update Notification for the Notice of New Interest Rate for Medicare Overpayments and Underpayments
Implementation Date: 11/03/2005
CR #: 4066

11/28/2005

Mon, 14 Nov 2005 14:41:00 EST

Transmittal #: R127PI
Subject: Complaint Screening Revisions
Implementation Date: 11/28/2005
CR #: 4118

01/03/2006

Mon, 14 Nov 2005 14:42:00 EST

Transmittal #: R727CP
Subject: Annual Type Of Service (TOS)
Implementation Date: 01/03/2006
CR #: 4145

01/03/2006

Mon, 14 Nov 2005 14:43:00 EST

Transmittal #: R728CP
Subject: Installation of the January 2006 Inpatient Prospective Payment System Pricer and Hospice Pricer
Implementation Date: 01/03/2006
CR #: 4117

04/03/2006

Mon, 14 Nov 2005 14:44:00 EST

Transmittal #: R30GI
Subject: Initiate STC testing of the MCS for RRB and HIGLAS
Implementation Date: 04/03/2006
CR #: 4150

11/28/2005

Mon, 14 Nov 2005 14:45:00 EST

Transmittal #: R729CP
Subject: Revised October 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective October 1, 2005
Implementation Date: 11/28/2005
CR #: 4160

N/A

Mon, 14 Nov 2005 14:45:00 EST

Transmittal #: R76MCM
Subject: Initial Publication of Chapter 10 - MA Organization Compliance with State Law and Preemption by Federal law
Implementation Date: N/A
CR #: N/A

01/03/2006

Thu, 01 Dec 2005 14:50:00 EST

Transmittal #: R749CP
Subject: Reasonable Charge Update for 2006 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, Certain Intraocular Lenses and Certain HCPCS Coding Issues
Implementation Date: 01/03/2006
CR #: 4131

01/03/2006

Thu, 01 Dec 2005 14:50:00 EST

Transmittal #: R731CP
Subject: Payment for Office or Other Outpatient Evaluation and Management (E/M ) Visits (Codes 99201 - 99215)
Implementation Date: 01/03/2006
CR #: 4032

01/03/2006

Thu, 01 Dec 2005 14:50:00 EST

Transmittal #: R193OTN
Subject: Change of Medicare Part B contractor in the State of Utah from Regence Blue Cross and Blue Shield of Utah to Noridian Administrative Services.
Implementation Date: 01/03/2006
CR #: 4174

04/03/2006

Thu, 01 Dec 2005 14:50:00 EST

Transmittal #: R737CP
Subject: New ICD-9-CM Codes for Beneficiaries with Chronic Kidney Disease and new HCPCS for reporting Epoetin Alfa and Darbepoetin Alfa
Implementation Date: 04/03/2006
CR #: 4108

04/03/2006

Thu, 01 Dec 2005 14:50:00 EST

Transmittal #: R733CP
Subject: Repeat Tests for Automated Multi-Channel Chemistries for End Stage Renal Disease beneficiaries
Implementation Date: 04/03/2006
CR #: 4101

03/31/2006

Thu, 01 Dec 2005 14:50:00 EST

Transmittal #: R194OTN
Subject: Calculation of the Interim Payment of Indirect Medical Education (IME) Through the Inpatient PPS PRICER for Hospitals That Received an Increase to Their Full-time Equivalent Resident Caps Under Section 422 of the Medicare Modernization Act (MMA), P.L. 108-1
Implementation Date: 03/31/2006
CR #: 4025

04/03/2006

Thu, 01 Dec 2005 14:50:00 EST

Transmittal #: R191OTN
Subject: Noridian North Dakota/South Dakota Carrier Number Issue
Implementation Date: 04/03/2006
CR #: 4165

04/03/2006

Thu, 01 Dec 2005 14:50:00 EST

Transmittal #: R740CP
Subject: Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Evaluation and Management (E&M) Services Billed to Fiscal Intermediaries (FIs) by Hospitals
Implementation Date: 04/03/2006
CR #: 3910

04/03/2006

Thu, 01 Dec 2005 14:50:00 EST

Transmittal #: R734CP
Subject: Redefined Type of Bill (TOB), 14x, for Non-Patient Laboratory Specimens
Implementation Date: 04/03/2006
CR #: 3835

12/05/2005

Thu, 01 Dec 2005 14:50:00 EST

Transmittal #: R738CP
Subject: Calendar Year 2005 Payment for Medicare Part B Radiopharmaceuticals Not Paid on a Cost or Prospective Payment Basis
Implementation Date: 12/05/2005
CR #: 4053

04/03/2006

Thu, 01 Dec 2005 14:50:00 EST

Transmittal #: R735CP
Subject: Processing All Diagnosis Codes Reported on Claims Submitted to Carriers
Implementation Date: 04/03/2006
CR #: 4097

01/03/2006

Thu, 01 Dec 2005 14:50:00 EST

Transmittal #: R195OTN
Subject: Change of Medicare Part A contractor in the State of Idaho, Oregon, and Utah from Regence Blue Cross and Blue Shield to Noridian Administrative Service
Implementation Date: 01/03/2006
CR #: 4189

01/03/2006

Thu, 01 Dec 2005 14:50:00 EST

Transmittal #: R186OTN
Subject: Coverage by Medicare Advantage (MA) Plans for Implantable Automatic Cardiac Defibrillator (ICD) Services Not Previously Included in MA Capitation Rate
Implementation Date: 01/03/2006
CR #: 4133

10/03/2005

Thu, 01 Dec 2005 15:00:00 EST

Transmittal #: R111PI
Subject: Revising the FISS Shared System
Implementation Date: 10/03/2005
CR #: 3812

04/03/2006

Fri, 02 Dec 2005 09:43:00 EST

Transmittal #: R129PI
Subject: Replacing the Use of Unique Physician Identification Numbers (UPINs) With the National Provider Identifiers (NPIs)
Implementation Date: 04/03/2006
CR #: 4166

06/06/2005

Fri, 02 Dec 2005 14:17:00 EST

Transmittal #: R153OTN
Subject: Payment to Ambulatory Surgery Centers (ASCs) for New CPT Code 66711
Implementation Date: 06/06/2005
CR #: 3817

08/08/2005

Fri, 02 Dec 2005 14:17:00 EST

Transmittal #: R163OTN
Subject: Qualified Independent Contractor Jurisdictions
Implementation Date: 08/08/2005
CR #: 3908

10/20/2005

Fri, 02 Dec 2005 15:35:00 EST

Transmittal #: R30DEMO
Subject: The Medicare Chronic Care Improvement , "Medicare Health Support," Program
Implementation Date: 10/20/2005
CR #: 3953

10/03/2005

Fri, 02 Dec 2005 15:35:00 EST

Transmittal #: R175OTN
Subject: Common Working File (CWF) Calculation of Next Eligible Date for Preventive Services
Implementation Date: 10/03/2005
CR #: 4011

01/03/2006

Fri, 02 Dec 2005 16:18:00 EST

Transmittal #: R31GI
Subject: Update to Medicare Deductible, Coinsurance and Premium Rates for 2006
Implementation Date: 01/03/2006
CR #: 4132

09/07/2005

Fri, 02 Dec 2005 16:46:00 EST

Transmittal #: R34MSP
Subject: Manualization: Long-Standing MSP Policy in Chapter 1 of the Medicare Secondary Payer (MSP) Internet Only Manual (IOM)
Implementation Date: 09/07/2005
CR #: 4018

12/27/2005

Fri, 02 Dec 2005 17:09:00 EST

Transmittal #: R44MSP
Subject: Updates to the Electronic Correspondence Referral System (ECRS) User Guide v9.0 and Quick Reference Card v9.0
Implementation Date: 12/27/2005
CR #: 4162

N/A

Tue, 06 Dec 2005 09:50:00 EST

Transmittal #: SE0579
Subject: Hurricanes Katrina and Rita-Transportation of Evacuees with Medical Needs
Implementation Date: N/A
CR #: N/A

N/A

Tue, 06 Dec 2005 09:50:00 EST

Transmittal #: SE0580
Subject: Influenza/Flu Season and Available Resources for Providers
Implementation Date: N/A
CR #: N/A

N/A

Tue, 06 Dec 2005 09:50:00 EST

Transmittal #: SE0578
Subject: Providing Medicare with Data for Certain Implantable Cardioverter Defibrillators (ICDs)
Implementation Date: N/A
CR #: N/A

N/A

Tue, 06 Dec 2005 09:50:00 EST

Transmittal #: SE0582
Subject: MMA Sunset of the Provider Nomination Provision and the Policy to Assign Providers to the Local Fiscal Intermediary (FI)
Implementation Date: N/A
CR #: N/A

N/A

Tue, 06 Dec 2005 10:39:00 EST

Transmittal #: SE0575
Subject: Important Message to Nursing Home Administrators About Medicare Prescription Drug Coverage - The Tenth in a Series in the Medlearn Matters Series
Implementation Date: N/A
CR #: N/A

N/A

Tue, 06 Dec 2005 10:46:00 EST

Transmittal #: SE0570
Subject: Important Information about Medicare Coverage of Drugs under Part B and the New Medicare Prescription Drug Coverage(Part D), and Vaccines Administered in a Physician's Office - The Ninth in the Medlearn Matters Series on the New Prescription Drug Plans
Implementation Date: N/A
CR #: N/A

N/A

Tue, 06 Dec 2005 10:50:00 EST

Transmittal #: SE0565
Subject: MMA - The Centers for Medicare & Medicaid Services (CMS) Recovery Audit Contract (RAC) Initiative
Implementation Date: N/A
CR #: N/A

10/03/2005

Tue, 06 Dec 2005 11:02:00 EST

Transmittal #: R656CP
Subject: Full Replacement of Change Request 3607, Payment Edits in Applicable States for DMEPOS Suppliers of Prosthetics and Certain Custom-Fabricated Orthotics. Change Request 3607 is rescinded (DMERC only)
Implementation Date: 10/03/2005
CR #: 3959

01/09/2006

Tue, 06 Dec 2005 11:16:00 EST

Transmittal #: R697CP
Subject: Appeals of Claims Decisions: Redeterminations and Reconsiderations (implementation date May 1, 2005).
Implementation Date: 01/09/2006
CR #: 3942

01/03/2006

Tue, 06 Dec 2005 13:24:00 EST

Transmittal #: R744CP
Subject: File Descriptions and instructions for retrieving the 2006 fee schedules and HCPCS through CMS 's Mainframe Telecommunications system
Implementation Date: 01/03/2006
CR #: 4084

04/03/2006

Tue, 06 Dec 2005 13:24:00 EST

Transmittal #: R741CP
Subject: New Condition Codes 49 and 50
Implementation Date: 04/03/2006
CR #: 4058

12/27/2005

Tue, 06 Dec 2005 13:24:00 EST

Transmittal #: R753CP
Subject: Update of Contact Information for the Do Not Forward Reports
Implementation Date: 12/27/2005
CR #: 4122

04/03/2006

Tue, 06 Dec 2005 13:24:00 EST

Transmittal #: R745CP
Subject: Elimination of the DMERC Information Form (DIF)
Implementation Date: 04/03/2006
CR #: 4040

04/03/2006

Tue, 06 Dec 2005 13:24:00 EST

Transmittal #: R757CP
Subject: Resubmission of Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) Claims with Chronic Renal Failure Comorbid Condition
Implementation Date: 04/03/2006
CR #: 4164

01/03/2006

Tue, 06 Dec 2005 13:24:00 EST

Transmittal #: R743CP
Subject: Remittance Advice Remark Code and Claim Adjustment Reason Code Update
Implementation Date: 01/03/2006
CR #: 4123

N/A

Tue, 06 Dec 2005 13:24:00 EST

Transmittal #: R75MCM
Subject: Deletion of MCM Chapter 3 - Marketing
Implementation Date: N/A
CR #: N/A

01/03/2006

Tue, 06 Dec 2005 13:24:00 EST

Transmittal #: R746CP
Subject: January 2006 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective January 1, 2006, and Revisions to January 2005, April 2005, July 2005, and October 2005 Quarterly ASP Medicare Part B Drug Pricing Files
Implementation Date: 01/03/2006
CR #: 4140

02/14/2005

Tue, 06 Dec 2005 13:24:00 EST

Transmittal #: R93PI
Subject: Medical Review of Rural Air Ambulance Services
Implementation Date: 02/14/2005
CR #: 3571

04/03/2006

Tue, 06 Dec 2005 13:24:00 EST

Transmittal #: R751CP
Subject: National Monitoring Policy for EPO and Aranesp for End Stage Renal Disease (ESRD) Patients Treated in Renal Dialysis Facilities
Implementation Date: 04/03/2006
CR #: 4135

01/03/2006

Tue, 06 Dec 2005 13:24:00 EST

Transmittal #: R742CP
Subject: Quarterly Update to Correct Coding Initiative (CCI) Edits, V12.0, Effective January 1, 2006
Implementation Date: 01/03/2006
CR #: 4168

01/03/2006

Tue, 06 Dec 2005 13:24:00 EST

01/03/2006

Tue, 06 Dec 2005 13:24:00 EST

Transmittal #: R720CP
Subject: Update of HCPCS Codes and File Names, Descriptions and Instructions for Retrieving the 2006 ASC HCPCS Deletions, Additions, and Master Listing
Implementation Date: 01/03/2006
CR #: 4082

10/25/2005

Tue, 06 Dec 2005 13:24:00 EST

Transmittal #: R748CP
Subject: New G Code for Power Mobility Devices (PMDs)
Implementation Date: 10/25/2005
CR #: 4121

01/03/2006

Tue, 06 Dec 2005 15:07:00 EST

Transmittal #: R750CP
Subject: 2006 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
Implementation Date: 01/03/2006
CR #: 4144

01/03/2006

Tue, 06 Dec 2005 15:07:00 EST

Transmittal #: R31DEMO
Subject: Physician's Voluntary Reporting Program (PVRP)
Implementation Date: 01/03/2006
CR #: 4183

N/A

Tue, 06 Dec 2005 16:40:00 EST

Transmittal #: SE0564
Subject: Temporary Hold of Claims with HCPCS Codes G0369 or G0370 Received on or after October 1, 2005, from Maryland Hospitals and Non-OPPS Hospitals and Dialysis Facilities
Implementation Date: N/A
CR #: N/A

N/A

Tue, 06 Dec 2005 16:49:00 EST

Transmittal #: SE0561
Subject: Provider Notification Regarding Adjustments for Home Health Prospective Payment System (HH PPS) Claims Failing to Report Prior Inpatient Discharges
Implementation Date: N/A
CR #: N/A

N/A

Tue, 06 Dec 2005 16:49:00 EST

Transmittal #: SE0559
Subject: New Educational Products Available on Medicare Prescription Drug Coverage - The Eighth in the Medlearn Matters Series
Implementation Date: N/A
CR #: N/A

N/A

Tue, 06 Dec 2005 16:49:00 EST

Transmittal #: SE0557
Subject: Clarification on Part D and Fee-For-Service (FFS) Providers, New Web-based Educational Products, and the Latest Information on Medicare Prescription Drug Coverage - The Seventh in the Medlearn Matters Series
Implementation Date: N/A
CR #: N/A

N/A

Tue, 06 Dec 2005 16:49:00 EST

Transmittal #: SE0563
Subject: Hurricanes Katrina and Rita - Frequently Asked Questions - Medicare Issues
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 07:59:00 EST

Transmittal #: SE0556
Subject: Informational and Educational Materials for the New Preventive Services
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0543
Subject: Key Medicare News for 2006 for Physicians and Other Health Care Professionals
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0506
Subject: How to Locate Specific Transmittals/Change Requests (CRs) of Interest That Are Posted on Centers for Medicare & Medicaid Services (CMS) Web Sites
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0524
Subject: Electronically Requesting and Receiving Information Regarding Claims Using the ASC X12N276/277 Claims Status Inquiry/Response Transactions
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0538
Subject: New Expedited Review Process for Disputed Terminations of Medicare Covered Services in SNFs, HHAs, CORFs and Hospices
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0449
Subject: MMA - Proposed Implementation of the Physician Scarcity Bonus and Revision to the Health Professional Shortage Area (HPSA)
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0502
Subject: MMA - The Facts for Providers Regarding the Medicare Prescription Drug Plans That Will Become Available in 2006
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0507
Subject: Prosthetics and Orthotics Ordered in a Hospital or Home Prior to a Skilled Nursing Facility Admission
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0504
Subject: The Centers for Medicare & Medicaid Services (CMS) Consolidation of the Claims Crossover Process
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0511
Subject: MMA - End Stage Renal Disease (ESRD) Composite Payment Rate System Changes
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0553
Subject: New Guidance Regarding Healthcare Common Procedure Coding System (HCPCS) Code G0297
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 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

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0521
Subject: MMA - Expansion of Coverage for Chiropractic Services Demonstration - Information Relevant to Outpatient Hospitals and Independent Clinical Laboratories
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0535
Subject: MMA - CMS' Implementation of Section 1011 of the Medicare Modernization Act - Federal Funding of Emergency Health Services Furnished to Undocumented Aliens
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0537
Subject: New Educational Products Available
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0540
Subject: CMS Releases New Educational Guide on Remittance Advice (RA) Notices
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0469
Subject: MMA - The Centers for Medicare & Medicaid Services (CMS) Recovery Audit Contract (RAC) Initiative
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0536
Subject: Reminder Regarding Medicare Billing Rules for Ambulance Services Rendered to Medicare Patients During an Inpatient Hospital Stay
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0539
Subject: Mass Adjustment of Certain Transplant Claims
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0547
Subject: The Comprehensive Error Rate Testing (CERT) Process for Handling a Provider's Allegation of Medical Record Destruction
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0453
Subject: MMA - Proposed Implementation of the Physician Scarcity Bonus and Revision to the Health Professional Shortage Area (HPSA)
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0463
Subject: Update of Healthcare Common Procedure Coding System (HCPCS) Codes and File Names, Descriptions, and Instruction for Retrieving the 2005 Ambulatory Surgical/Surgery Center (ASC) HCPCS Deletions and Master Listing
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0513
Subject: CMS Seeks Provider Input on Satisfaction with Medicare Fee for Service Contractor Services
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0523
Subject: Resubmission of Outpatient Prospective Payment System (OPPS) Services for Eligible Outlier Payment
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0541
Subject: More Web-based Educational Products Available on Medicare Prescription Drug Coverage - The Fifth in the Medlearn Matters Series
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0501
Subject: MMA - Coming Soon - The New Medicare Prescription Drug Program
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0514
Subject: MMA - Expansion of Coverage for Chiropractic Services Demonstration
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0520
Subject: MMA - Your Important Role
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0522
Subject: MMA - Expansion of Coverage for Chiropractic Services Demonstration - Information for Outpatient Hospitals and Radiologists
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0526
Subject: Centers for Medicare & Medicaid Services (CMS) Comprehensive Error Rate Testing (CERT) Program - The Importance of Complying with Requests for Claim Documentation
Implementation Date: N/A
CR #: N/A

N/A

Wed, 07 Dec 2005 08:42:00 EST

Transmittal #: SE0505
Subject: The Centers for Medicare & Medicaid Services (CMS) Doctors' Office Quality Information Technology Demonstrations: Providing Leadership in the Adoption of Electronic Health Records
Implementation Date: N/A
CR #: N/A

01/03/2006

Thu, 08 Dec 2005 09:36:00 EST

Transmittal #: R771CP
Subject: Revisions to Pub. 100-04, Medicare Claims Processing Manual in Preparation for the National Provider Identifier (NPI)
Implementation Date: 01/03/2006
CR #: 4181

N/A

Wed, 14 Dec 2005 08:42:00 EST

Transmittal #: SE0531
Subject: Medicare Announces Delay in Processing Certain Claims No Later Than April 18, 2005
Implementation Date: N/A
CR #: N/A

N/A

Wed, 14 Dec 2005 08:42:00 EST

Transmittal #: SE0527
Subject: Billing for Syringes Used in the Treatment of End Stage Renal Disease (ESRD) Patients
Implementation Date: N/A
CR #: N/A

N/A

Wed, 14 Dec 2005 08:42:00 EST

Transmittal #: SE0519
Subject: Population - Based Disease Management - 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

Wed, 14 Dec 2005 08:42:00 EST

Transmittal #: SE0544
Subject: Message to Nursing Home Administrators on Medicare Prescription Drug Coverage-The Sixth in the Series of Medlearn Matters Articles on the New Prescription Drug Coverage
Implementation Date: N/A
CR #: N/A

N/A

Wed, 14 Dec 2005 08:42:00 EST

Transmittal #: SE0518
Subject: Skilled Nursing Facility (SNF) Consolidated Billing (CB) as It Relates to Therapy Services
Implementation Date: N/A
CR #: N/A

N/A

Wed, 14 Dec 2005 08:42:00 EST

Transmittal #: SE0517
Subject: Tool Available for Registering Patients with Implantable Cardioverter Defibrillators
Implementation Date: N/A
CR #: N/A

N/A

Wed, 14 Dec 2005 08:42:00 EST

Transmittal #: SE0532
Subject: Announcing the New Booklet: Physician's Guide to Medicare Coverage of Kidney Dialysis and Kidney Transplant Services
Implementation Date: N/A
CR #: N/A

N/A

Wed, 14 Dec 2005 08:42:00 EST

Transmittal #: SE0545
Subject: Correct Coding Initiative (CCI) Edits to Apply to ALL Therapy Providers
Implementation Date: N/A
CR #: N/A

02/22/2005

Wed, 14 Dec 2005 10:09:00 EST

Transmittal #: R100PI
Subject: Review of Documentation During Medical Review
Implementation Date: 02/22/2005
CR #: 3644

02/28/2005

Wed, 14 Dec 2005 10:10:00 EST

Transmittal #: R101PI
Subject: Benefit Integrity (BI) PIM Revisions
Implementation Date: 02/28/2005
CR #: 3579

02/14/2005

Wed, 14 Dec 2005 10:11:00 EST

Transmittal #: R102PI
Subject: Medical Review of Rural Air Ambulance Services
Implementation Date: 02/14/2005
CR #: 3571

10/03/2005

Wed, 14 Dec 2005 10:32:00 EST

Transmittal #: R109PI
Subject: Updated Standard System Changes for Provider Enrollment Chain Ownership System (PECOS) and MCS
Implementation Date: 10/03/2005
CR #: 3725

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R553CP
Subject: Expansion of State Codes for OSCAR Provider Numbers
Implementation Date: 10/03/2005
CR #: 3844

04/11/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R501CP
Subject: Bone Mass Measurements - Procedure Coding
Implementation Date: 04/11/2005
CR #: 3719

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R6P238
Subject: Cost Reporting Forms and Instructions, Form CMS-1984-99
Implementation Date: N/A
CR #: N/A

10/31/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R628CP
Subject: Radiopharmaceutical Diagnostic Imaging Agents Codes Applicable to PET Scan Services Performed on or After January 28, 2005
Implementation Date: 10/31/2005
CR #: 3945

05/25/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R612CP
Subject: Abarelix for Treatment of Prostrate Cancer
Implementation Date: 05/25/2005
CR #: 3775

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R106PI
Subject: Inclusion of Interventional Pain Management Specialists on Carrier Advisory Committee (CAC) Membership
Implementation Date: 04/04/2005
CR #: 3721

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R466CP
Subject: Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.1, Effective April 1, 2005
Implementation Date: 04/04/2005
CR #: 3688

01/09/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R695CP
Subject: General Appeals Process in Initial Determinations (Implementation Dates for FI Initial Determinations Issued on or After May 1, 2005, and Carrier Initial Determinations Issued on or After January 1, 2006).
Implementation Date: 01/09/2006
CR #: 4019

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R691CP
Subject: October 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 10/03/2005
CR #: 4035

02/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R140OTN
Subject: Revisions to January 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File
Implementation Date: 02/04/2005
CR #: 3728

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R69MCM
Subject: Revisions to Chapter 12, "Effect of Change of Ownership," and Chapter 14, "Contract Determination and Appeals
Implementation Date: N/A
CR #: N/A

05/31/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R20GI
Subject: Medicare Authorization to Disclose Personal Health Information" form and "Information to Help You Fill Out the Medicare Authorization to Disclose Personal Health Information Form
Implementation Date: 05/31/2005
CR #: 3485

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R17DEMO
Subject: Demonstration Project for Medical Adult Day-Care Services
Implementation Date: 07/05/2005
CR #: 3660

08/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R9SOM
Subject: Revision of Appendix P and certain Exhibits of the State Operations Manual
Implementation Date: 08/05/2005
CR #: N/A

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R455CP
Subject: Number of Drug Pricing Files That Must Be Maintained Online for Medicare - DMERC Only
Implementation Date: 07/05/2005
CR #: 3584

05/02/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R517CP
Subject: List of Medicare Telehealth Services
Implementation Date: 05/02/2005
CR #: 3747

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R711CP
Subject: Update to Repetitive Billing -- Manualization
Implementation Date: N/A
CR #: 4047

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R482CP
Subject: Manualization of Payment Change for Diagnostic Mammography and Diagnostic Computer Aided Detection
Implementation Date: N/A
CR #: 3662

04/03/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R76FM
Subject: Development of New Report to Capture BIPA and MMA Appeals Data
Implementation Date: 04/03/2006
CR #: 3837

04/03/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R699CP
Subject: Competitive Acquisition Program (CAP) for Part B Drugs
Implementation Date: 04/03/2006
CR #: 4064

12/30/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R125PI
Subject: Medical Review Additional Documentation Requests
Implementation Date: 12/30/2005
CR #: 4022

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R677CP
Subject: Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Dates for FI Initial Determinations Issued on or After May 1, 2005 and Carrier Initial Determinations Issued on or After January 1, 2006)
Implementation Date: N/A
CR #: 3939

10/31/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R78FM
Subject: Coordination of Benefits Agreement (COBA) Process for Contractor Financial Staff Notification
Implementation Date: 10/31/2005
CR #: 4016

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R531CP
Subject: Percutaneous Transluminal Angioplasty (PTA)
Implementation Date: 07/05/2005
CR #: 3811

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R615CP
Subject: Revision of Chapter 24, EDI Support Requirements
Implementation Date: 10/03/2005
CR #: 3875

07/01/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R577CP
Subject: Preliminary Instructions: Expedited Determinations/Reviews for Original Medicare
Implementation Date: 07/01/2005
CR #: 3903

05/25/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R34NCD
Subject: Abarelix for the Treatment of Abarelix for the Treatment of Prostate Cancer Cancer
Implementation Date: 05/25/2005
CR #: 3775

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R29MSP
Subject: Assignment of Non-Payment/Denial Code specific to the Recovery Audit Contractor (RAC) Created Group Health Plan (GHP) Occurrences
Implementation Date: 10/03/2005
CR #: 3770

03/21/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R478CP
Subject: Clarification of the Verification Process to be Used to Determine if the Inpatient Rehabilitation Facility (IRF) Meets The IRF Classification Criteria
Implementation Date: 03/21/2005
CR #: 3704

06/20/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R24DEMO
Subject: Instructions for Affiliated Contractors Involved in the Recovery Audit Contractor (RAC) Demonstrations
Implementation Date: 06/20/2005
CR #: 3773

03/01/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R17GI
Subject: Review of Contractor Implementation of Change Requests (Replacement for expired CR 944).
Implementation Date: 03/01/2005
CR #: 2884

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R23GI
Subject: Procedures for Modifying Shared Systems Edits and Capturing Audit Trail Data
Implementation Date: 10/03/2005
CR #: 3862

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R19DEMO
Subject: Notification to Affiliated Contractors of the establishment of Medicare Secondary Payer (MSP) Recovery Audit Contractors (RACs) and the impact to the Affiliated Contractors current MSP recovery processes
Implementation Date: 04/04/2005
CR #: 3724

01/03/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R116PI
Subject: Revise the Fiscal Intermediary Shared System (FISS) to Allow Reporting of Data for the Comprehensive Error Rate Testing (CERT) Program Resolution File at a Line Level
Implementation Date: 01/03/2006
CR #: 3997

02/22/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R98PI
Subject: Psychotherapy Notes
Implementation Date: 02/22/2005
CR #: 3457

02/14/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R96PI
Subject: Consent Settlements
Implementation Date: 02/14/2005
CR #: 3626

07/11/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R587CP
Subject: New Location for Contractor ID Number on Medicare Summary Notices (MSNs)
Implementation Date: 07/11/2005
CR #: 3895

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R435CP
Subject: Enforcement of Mandatory Electronic Submission of Medicare Claims.
Implementation Date: 07/05/2005
CR #: 3440

04/18/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R518CP
Subject: New Coding for FDG PET Scans and Billing Requirements for Specific Indications of Cervical Cancer
Implementation Date: 04/18/2005
CR #: 3741

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R519CP
Subject: Flu/PPV Revisions
Implementation Date: N/A
CR #: 3733

05/16/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R524CP
Subject: Clarification to the Health Professional Shortage Area Language in the Medicare Claims Processing Manual
Implementation Date: 05/16/2005
CR #: 3736

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R552CP
Subject: Changing the Order of Medicare System Edits Affecting Hospice Claims
Implementation Date: 10/03/2005
CR #: 3825

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R503CP
Subject: April Update to the Medicare Non-OPPS Outpatient Code Editor (OCE) Specifications Version 20.2
Implementation Date: 04/04/2005
CR #: 3750

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R7P229
Subject: Cost Reporting Forms and Instructions, Form CMS-222-92
Implementation Date: N/A
CR #: N/A

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R642CP
Subject: New Waived Tests
Implementation Date: 10/03/2005
CR #: 3984

09/06/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R636CP
Subject: Instructions for Implementation of CMS Ruling 05-01; Presbyopia-Correcting Intraocular Lens (P-C IOLs)
Implementation Date: 09/06/2005
CR #: 3927

01/03/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R634CP
Subject: Guidelines for Payment of Vaccines (Pneumococcal Pneumonia Virus (PPV), Influenza Virus, and Hepatitis B Virus) and their Administration at Renal Dialysis Facilities (RDFs)
Implementation Date: 01/03/2006
CR #: 3936

10/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R606CP
Subject: Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2005
Implementation Date: 10/04/2005
CR #: 3386

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R603CP
Subject: Modification to the Appeals Language on the Medicare Summary Notice; Full Replacement of Change Request 3808
Implementation Date: 10/03/2005
CR #: 3924

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R562CP
Subject: Smoking and Tobacco-Use Cessation Counseling
Implementation Date: 07/05/2005
CR #: 3834

02/15/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R139OTN
Subject: Update to the Evaluation Plan for the CD-ROM Initiative Used in the Mailing of the 2005 Annual Participation Enrollment Material
Implementation Date: 02/15/2005
CR #: 3700

06/27/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R70FM
Subject: Revision to the Beneficiary Notification Process when Recovery is Sought from the Provider
Implementation Date: 06/27/2005
CR #: 3795

06/06/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R36BP
Subject: Pub. 100-02, Chapter 15, Sections 220 and 230 Therapy Services
Implementation Date: 06/06/2005
CR #: 3648

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R475CP
Subject: 1st Update to the 2005 Medicare Physician Fee Schedule Database
Implementation Date: 04/04/2005
CR #: 3726

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R19GI
Subject: Revisions to Chapter 5, Section 50 of Publication 100-01 in the IOM to Clarify Current Policy
Implementation Date: N/A
CR #: 3698

06/28/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R8SOM
Subject: Revision of Appendix PP - Section 483.25(d) - Urinary Incontinence, Tags F315 and F316
Implementation Date: 06/28/2005
CR #: N/A

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R586CP
Subject: Modifications to the National Coordination of Benefits Agreement (COBA) File Transfer and Financial Reporting Processes
Implementation Date: 10/03/2005
CR #: 3906

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R542CP
Subject: Modification of Roster Billing for Mass Immunizers Billing for Inpatient Part B Services (Type of Bills 12x and 22x)
Implementation Date: 10/03/2005
CR #: 3735

09/26/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R29GI
Subject: 2005 Scheduled Release for October Updates to Software Programs and Pricing/Coding Files
Implementation Date: 09/26/2005
CR #: 3999

09/06/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R75FM
Subject: New Thresholds for 2nd Demand Letter for Physicians/Suppliers
Implementation Date: 09/06/2005
CR #: 3932

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R463CP
Subject: Update to 100-04 and Therapy Code Lists
Implementation Date: 07/05/2005
CR #: 3647

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R680CP
Subject: Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2006
Implementation Date: 10/03/2005
CR #: 4037

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R121PI
Subject: Evidence of Medical Necesity: Wheelchair and Power Operated Vehicle (POV) Claims
Implementation Date: N/A
CR #: 3952

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R510CP
Subject: Update to Fiscal Year 2005 Pricer for IPPS Hospitals
Implementation Date: 04/04/2005
CR #: 3784

05/20/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R28MSP
Subject: Working Aged Exception for Small Employers in Multi-Employer Group Health Plans (GHPs)
Implementation Date: 05/20/2005
CR #: 3768

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R16GI
Subject: Standard Terminology for Claims Processing Systems
Implementation Date: 04/04/2005
CR #: 3596

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R22GI
Subject: Provider Extract File
Implementation Date: 10/03/2005
CR #: 3801

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R18DEMO
Subject: Demonstration Project to Clarify the Definition of Homebound, the Home Health Independence Demonstration
Implementation Date: 07/05/2005
CR #: 3665

06/06/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R9COM
Subject: Additions and Corrections to Provider Inquiry and Provider Communications Program Requirements
Implementation Date: 06/06/2005
CR #: 3777

02/22/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R99PI
Subject: Program Integrity Manual Modification - Changes Waivers Approved by the Regional Office (RO) by Replacing Regional Office with Central Office (CO)
Implementation Date: 02/22/2005
CR #: 3646

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R184OTN
Subject: National Modifier and Condition Code To Be Used To Identify Disaster Related Claims
Implementation Date: N/A
CR #: 4106

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R171OTN
Subject: Preliminary system updates in preparation for ending the Medicare contingency plan in October 2005
Implementation Date: 10/03/2005
CR #: 3956

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R532CP
Subject: Abarelix for the Treatment of Prostate Cancer
Implementation Date: 07/05/2005
CR #: 3775

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R661CP
Subject: October Update to the 2005 Medicare Physician Fee Schedule Database
Implementation Date: 10/03/2005
CR #: 4031

01/03/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R624CP
Subject: Common Working File (CWF) Unsolicited Response Adjustments for Certain Claims Denied Due to an Open Medicare Secondary Payer (MSP) Group Health Plan (GHP) Record Where the GHP Record was Subsequently Deleted
Implementation Date: 01/03/2006
CR #: 3916

06/01/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R566CP
Subject: Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 06/01/2005
CR #: 3848

10/31/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R694CP
Subject: Update to the Healthcare Provider Taxonomy Codes (HPTC) Version 5.1
Implementation Date: 10/31/2005
CR #: 4072

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R690CP
Subject: Fiscal Year (FY) 2006 Payment for Services Furnished in Ambulatory Surgical Centers (ASCs)
Implementation Date: 10/03/2005
CR #: 4075

03/14/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R29BP
Subject: Telehealth Originating Site Facility Fee Payment Amount Update
Implementation Date: 03/14/2005
CR #: 3713

01/03/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R689CP
Subject: One Time Update To The NCPDP Companion Document Regarding Crossover Claims To Medicaid
Implementation Date: 01/03/2006
CR #: 3975

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R28DEMO
Subject: The Medicare Care Management for High Cost Beneficiaries (CMHCB) Demonstration
Implementation Date: 10/03/2005
CR #: 4100

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R563CP
Subject: Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 11.2, Effective July 1, 2005
Implementation Date: 07/05/2005
CR #: 3823

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R564CP
Subject: July Update to the Medicare Outpatient Code Editor (OCE) Version 20.3 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS)
Implementation Date: 07/05/2005
CR #: 3867

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R159OTN
Subject: Requirements for Voided, Canceled, and Deleted Claims
Implementation Date: 10/03/2005
CR #: 3627

04/25/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R146OTN
Subject: Appeals Transition- BIPA Section 521 App
Implementation Date: 04/25/2005
CR #: 3530

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R68MCM
Subject: Initial Publication of Chapter 1 - General Provisions
Implementation Date: N/A
CR #: N/A

02/08/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R63FM
Subject: Notice of New Interest Rate for Medicare Overpayments and Underpayments
Implementation Date: 02/08/2005
CR #: 3454

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R454CP
Subject: Definitions of Electronic and Paper Claims
Implementation Date: 04/04/2005
CR #: 3653

01/03/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R649CP
Subject: Competitive Acquisition Program for Part B Drugs - Coding, Testing, and Implementation
Implementation Date: 01/03/2006
CR #: 4000

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R427CP
Subject: Revision of Change Request 2928: Implementation of Payment Safeguards for Home Health Prospective Payment System (HH PPS) Claims Failing to Report Prior Hospitalizations
Implementation Date: 07/05/2005
CR #: 3616

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R428CP
Subject: Update to Billing Requirements for FDG-PET Scans for Use in the Differential Diagnosis of Alzheimer's Disease (AD) and Fronto-Temporal Dementia (FTD) and Update to the FI Billing Requirements for Special Payment Procedures for ALL PET Scan Claims for Services Performed in a Critical Access Hospital (CAH)
Implementation Date: 04/04/2005
CR #: 3640

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R558CP
Subject: July Update to the 2005 Medicare Physician Fee Schedule Database
Implementation Date: 07/05/2005
CR #: 3870

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R663CP
Subject: Update To The Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer For FY 2006
Implementation Date: 10/03/2005
CR #: 3977

05/20/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R33MSP
Subject: Working Aged Exception for Small Employers in Multi-Employer Group Health Plans (GHPs)
Implementation Date: 05/20/2005
CR #: 3768

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R467CP
Subject: Modifications to Duplicate Editing for Dispensing/Supply Fee Codes for Oral Anti-Cancer, Oral Anti-Emetic, Immunosuppressive and Inhalation Drugs
Implementation Date: 07/05/2005
CR #: 3666

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R468CP
Subject: Appeals Transition- BIPA Section 521 Appeals
Implementation Date: 07/05/2005
CR #: 3635

01/03/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R79FM
Subject: Discovery Code Indication for Recovery Audit Contractor (RAC) Non-MSP Identified Overpayments
Implementation Date: 01/03/2006
CR #: 3938

12/27/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R685CP
Subject: Discontinuation of the Skilled Nursing Facility (SNF) HCPCS Help File and Notification to Fiscal Intermediaries (FIs) and Providers of the Redesigned SNF Consolidated Billing (CB) Annual Update File Posted on CMS Web Site
Implementation Date: 12/27/2005
CR #: 4044

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R678CP
Subject: Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Dates for All Requests for Redetermination Received by FIs on or After May 1, 2005, And All Requests for Redetermination Received by Carriers on or After January 1, 2006)
Implementation Date: N/A
CR #: 3944

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R183OTN
Subject: National Modifier and Condition Code To Be Used To Identify Disaster Related Claims
Implementation Date: N/A
CR #: 4106

01/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R712CP
Subject: Correction to Change Request 3949, Section 50.3.3 in IOM to Add 23x Type of Bill
Implementation Date: 01/03/2005
CR #: 4116

06/13/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R559CP
Subject: Override of Automated Health Professional Shortage Area (HRSA) and/or Physician Scarcity Area (PSA) Bonus Payments for Globally Billed Services
Implementation Date: 06/13/2005
CR #: 3827

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R525CP
Subject: Flu/PPV Revision
Implementation Date: N/A
CR #: 3733

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R546CP
Subject: Number of DMEPOS Pricing Files That Must Be Maintained Online for Medicare - DMERC, FI, and RHHI Only
Implementation Date: 10/03/2005
CR #: 3792

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R549CP
Subject: Update to the Place of Service (POS) Code Set to Add a Code for Pharmacy
Implementation Date: 10/03/2005
CR #: 3819

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R489CP
Subject: Correction to Healthcare Common Procedure Coding System (HCPCS) Code A4217
Implementation Date: 07/05/2005
CR #: 3714

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R492CP
Subject: Adding an Indicator to the National Claims History (NCH) to Indicate that DMERCs, Carriers, and FIs have Reviewed a Potentially Duplicate Claim
Implementation Date: 07/05/2005
CR #: 2965

08/01/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R41NCD
Subject: Osteogenic Stimulators
Implementation Date: 08/01/2005
CR #: 3836

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R495CP
Subject: Inpatient Psychiatric Facility Prospective Payment System (IPF PPS)--Further Clarifications
Implementation Date: 04/04/2005
CR #: 3752

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R500CP
Subject: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2005
Implementation Date: 04/04/2005
CR #: 3722

01/03/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R626CP
Subject: Common Working File Expansion of Duplicate Claim Edit for Clinical Diagnostic Services
Implementation Date: 01/03/2006
CR #: 3946

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R613CP
Subject: New HCPCS Codes and Systems Edits for Supplies and Accessories for Ventricular Assist Devices - Full Replacement of CR 3761
Implementation Date: 10/03/2005
CR #: 3931

01/03/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R608CP
Subject: New Health Professional Shortage Area (HPSA) Modifier
Implementation Date: 01/03/2006
CR #: 3935

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R576CP
Subject: Correction to Chapter 17, Section 80.2.3, MSN/ANSI X12N Denial Messages for Anti-Emetic Drugs
Implementation Date: N/A
CR #: 3918

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R568CP
Subject: July Quarterly Update to 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
Implementation Date: 07/05/2005
CR #: 3873

04/18/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R31NCD
Subject: PET for Brain, Cervical, Ovarian, Pancreatic, Small Cell Lung, and Testicular Cancers
Implementation Date: 04/18/2005
CR #: 3741

06/06/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R35NCD
Subject: Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea (OSA)
Implementation Date: 06/06/2005
CR #: 3843

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R561CP
Subject: New April 2005 Quarterly ASP Medicare Part B Drug Pricing File and Revisions to January 2005 Quarterly ASP Medicare Part B Drug Pricing File
Implementation Date: 07/05/2005
CR #: 3846

08/08/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R162OTN
Subject: Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes
Implementation Date: 08/08/2005
CR #: 3757

05/16/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R148OTN
Subject: Revised Coding Guidelines for Drug Administration Codes
Implementation Date: 05/16/2005
CR #: 3818

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R151OTN
Subject: Common Working File (CWF) Calculation of Next Eligible Date for Preventive Services
Implementation Date: 10/03/2005
CR #: 3776

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R141OTN
Subject: Shared System and CWF Renovation of Override Code Process (Phase 3)
Implementation Date: 07/05/2005
CR #: 3718

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R142OTN
Subject: Frequent Hemodialysis Network Payment Changes for Approved Clinical Trial Co
Implementation Date: 07/05/2005
CR #: 3730

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R66FM
Subject: Chapter 7, Internal Control Requirements Update
Implementation Date: 04/04/2005
CR #: 3655

04/25/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R67FM
Subject: Notice of New Interest Rate for Medicare Overpayments and Underpayments
Implementation Date: 04/25/2005
CR #: 3455

02/18/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R513CP
Subject: Infusion Pumps: C-Peptide Levels as A Criterion for Use
Implementation Date: 02/18/2005
CR #: 3705

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R515CP
Subject: Update to 100-04 and Therapy Code Lists
Implementation Date: 07/05/2005
CR #: 3647

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R476CP
Subject: Type of Service (TOS) Correctionss
Implementation Date: 04/04/2005
CR #: 3717

06/06/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R26MSP
Subject: Clarification for Change Request (CR) 3267 for Change Request (CR) 3267
Implementation Date: 06/06/2005
CR #: 3729

10/20/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R26DEMO
Subject: The Medicare Chronic Care improvement, "Medicare Health Support," Program
Implementation Date: 10/20/2005
CR #: 3953

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R21DEMO
Subject: Full Replacement of CR 3639, Expansion of Coverage for Chiropractic Services Demonstration
Implementation Date: 04/04/2005
CR #: 3758

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R22DEMO
Subject: Assignment of Non-Payment/Denial Code specific to the Recovery Audit Contractor (RAC) Created Group Health Plan (GHP) Occurrences
Implementation Date: 10/03/2005
CR #: 3770

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R599CP
Subject: July 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 07/05/2005
CR #: 3915

08/01/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R597CP
Subject: Coverage and Billing for Ultrasound Stimulation for Nounion Fracture Healing
Implementation Date: 08/01/2005
CR #: 3836

02/22/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R97PI
Subject: Provider Enrollment and Inpatient Rehabilitation Facility (IRF) Compliance Reviews
Implementation Date: 02/22/2005
CR #: 3582

05/31/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R114PI
Subject: Change in Statistical Sampling Instructions
Implementation Date: 05/31/2005
CR #: 3734

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R589CP
Subject: Cochlear Implantation
Implementation Date: 07/05/2005
CR #: 3796

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R447CP
Subject: CWF Editing for Method Selection on DMERC Claims for EPO and Aranesp
Implementation Date: 07/05/2005
CR #: 3547

05/09/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R521CP
Subject: Hemophilia Blood Clotting Fact
Implementation Date: 05/09/2005
CR #: 3755

08/01/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R540CP
Subject: Addition to Chapter 6 of the Claims Processing Manual - Skilled Nursing Facility (SNF) Inpatient Part A Billing: SNF Prospective Payment System (PPS) Pricer Software
Implementation Date: 08/01/2005
CR #: 3774

04/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R459CP
Subject: Full Replacement of Change Request (CR) 3427, Transmittal 342, Issued on October 29, 2004- 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: 04/05/2005
CR #: 3676

11/17/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R654CP
Subject: Services Not Provided Within United States
Implementation Date: 11/17/2005
CR #: 3781

01/03/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R633CP
Subject: Guidelines For Payment of Vaccines (Pneumococcal Pneumonia Virus (PPV), Influenza Virus, And Hepatitis B Virus) and Their Administration Provided by Indian Health Service (IHS)/Tribally Owned and/or Operated Hospitals and Hospital Based Facilities
Implementation Date: 01/03/2006
CR #: 3967

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R530CP
Subject: Billing Requirements for Physician Services Rendered in Method II Critical Access Hospitals (CAHs)
Implementation Date: 07/05/2005
CR #: 3800

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R660CP
Subject: October 2005 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 6.3
Implementation Date: 10/03/2005
CR #: 4007

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R551CP
Subject: Dispensing/Supply Fee Code, Payment, and Common Working File (CWF) Editing for Immunosuppressive Drugs
Implementation Date: 10/03/2005
CR #: 3830

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R555CP
Subject: Fiscal Intermediary (FI) Reporting of Add-on-Payments that do not Result in a Specific Increase or Decrease in the Amount Reported as Payable for a Claim or a Service on a Remittance Advice
Implementation Date: 10/03/2005
CR #: 3866

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R487CP
Subject: Medicare Qualifying Clinical Trials
Implementation Date: N/A
CR #: 3625

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R488CP
Subject: Implantable Automatic Defibrillators
Implementation Date: 04/04/2005
CR #: 3604

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R490CP
Subject: Claims Status Code/Claims Status Category Code Update
Implementation Date: 07/05/2005
CR #: 3715

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R493CP
Subject: Revision to Chapter 1, and Removal of Section 70 from Chapter 25 of the Medicare Claims Processing Manual
Implementation Date: 04/04/2005
CR #: 3671

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R494CP
Subject: April 2005 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 6.1
Implementation Date: 04/04/2005
CR #: 3743

08/12/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R10SOM
Subject: Revision - Appendix J - Interpretive Guidelines Intermediate Care Facilities With Mental Retardation
Implementation Date: 08/12/2005
CR #: N/A

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R496CP
Subject: Billing for Blood and Blood Products Under the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 07/05/2005
CR #: 3681

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R14P236
Subject: Cost Reporting Forms and Instructions, Form CMS-2552-96
Implementation Date: N/A
CR #: N/A

10/31/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R627CP
Subject: New Low Osmolar Contrast Material (LOCM) HCPCS Codes/Payment Criteria/Payment Level
Implementation Date: 10/31/2005
CR #: 3902

01/03/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R625CP
Subject: Competitive Acquisition Program for Part B Drugs - Coding, Testing, and Implementation
Implementation Date: 01/03/2006
CR #: 4000

01/03/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R616CP
Subject: Certified Registered Nurse Anesthetist (CRNA) Pass-Through Payments
Implementation Date: 01/03/2006
CR #: 3833

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R609CP
Subject: Remittance Advice Remark Code and Claim Adjustment Reason Code Update
Implementation Date: 10/03/2005
CR #: 3923

02/18/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R27NCD
Subject: Infusion Pumps: C-Peptide Levels as A Criterion for Use
Implementation Date: 02/18/2005
CR #: 3705

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R575CP
Subject: New Remittance Advice (RA) Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims
Implementation Date: 07/05/2005
CR #: 3679

04/18/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R567CP
Subject: Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials
Implementation Date: 04/18/2005
CR #: 3742

05/16/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R32NCD
Subject: Autologous Stem Cell Transplantation (AuSCT)
Implementation Date: 05/16/2005
CR #: 3797

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R157OTN
Subject: CD-ROM Initiative for Distribution of the Annual Disclosure, "Dear Doctor" Letter and Participation Enrollment Material
Implementation Date: 07/05/2005
CR #: 3891

10/24/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R123PI
Subject: Chapter 3, MMA Section 935
Implementation Date: 10/24/2005
CR #: 3703

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R181OTN
Subject: National Modifier and Condition Code To Be Used To Identify Disaster Related Claims
Implementation Date: N/A
CR #: 4106

05/06/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R147OTN
Subject: Medicare HIPAA Electronic Claims Report - Second Reporting Timeframe Extension
Implementation Date: 05/06/2005
CR #: 3780

06/20/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R68FM
Subject: Instructions for Affiliated Contractors Involved in the Recovery Audit Contractor (RAC) Demonstrations
Implementation Date: 06/20/2005
CR #: 3773

04/18/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R511CP
Subject: Type of Service (TOS) Corrections
Implementation Date: 04/18/2005
CR #: 3788

04/18/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R512CP
Subject: Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials
Implementation Date: 04/18/2005
CR #: 3742

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R514CP
Subject: April 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes
Implementation Date: 04/04/2005
CR #: 3756

04/25/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R27MSP
Subject: Updates to the Electronic Correspondence Referral System (ECRS) User Guide v8.0 and Quick Reference Card v8.0
Implementation Date: 04/25/2005
CR #: 3787

03/01/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R15GI
Subject: Review of Contractor Implementation of Change Requests (Replacement for expired CR 944).
Implementation Date: 03/01/2005
CR #: 2884

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R21GI
Subject: Removal of Medicare Number from Reimbursement Checks
Implementation Date: 10/03/2005
CR #: 3760

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R600CP
Subject: New Healthcare Common Procedure Coding System (HCPCS) Drug Codes
Implementation Date: 07/05/2005
CR #: 3847

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R598CP
Subject: Implementation of Carrier Guidelines for End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests (Supplemental to Change Request 2813)
Implementation Date: 07/05/2005
CR #: 3890

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R6SOM
Subject: Expansion of State Codes for OSCAR Provider Numbers
Implementation Date: 10/03/2005
CR #: 3844

03/14/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R8COM
Subject: Medicare Beneficiary Call Centers Will Begin Offering Preventive Services Information
Implementation Date: 03/14/2005
CR #: 3706

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R588CP
Subject: Coverage of Colorectal Anti-Cancer Drugs Included in Clinical Trials
Implementation Date: N/A
CR #: 3742

09/12/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R579CP
Subject: Update to the National Council for Prescription Drug Program (NCPDP) Batch Standard 1.1 Billing Request Companion Document
Implementation Date: 09/12/2005
CR #: 3882

05/09/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R520CP
Subject: Payment Policy Clarification Regarding the Healthcare Common Procedure Coding System (HCPCS) Q3001 Performed in an Ambulatory Surgery Center (ASC)
Implementation Date: 05/09/2005
CR #: 3789

01/14/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R38MSP
Subject: Hospital Audit Workload Updates
Implementation Date: 01/14/2006
CR #: 4056

01/03/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R708CP
Subject: 2006 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments
Implementation Date: 01/03/2006
CR #: 4113

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R662CP
Subject: October 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 10/03/2005
CR #: 4035

08/12/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R11SOM
Subject: Revised Chapter 2--"The Certification Process," Sections 2180E thru 2200F, and Appendix B--"Interpretive Guidelines: Home Health Agencies"
Implementation Date: 08/12/2005
CR #: N/A

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R692CP
Subject: Fiscal Year (FY) 2006 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH PPS) Changes
Implementation Date: 10/03/2005
CR #: 4046

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R124PI
Subject: Evidence of Medical Necessity: Wheelchair and Power Operated Vehicle (POV) Claim
Implementation Date: N/A
CR #: 3952

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R679CP
Subject: Medicare Redetermination Notice and Effect of the Redetermination
Implementation Date: N/A
CR #: 4006

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R1P239
Subject: Chapter 39, Form CMS 287-05
Implementation Date: N/A
CR #: N/A

02/22/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R62FM
Subject: Timeframe for Continued Execution of Crossover Agreements and Updated on the Transition to the National Coordination of Benefits Agreement (COBA) Program
Implementation Date: 02/22/2005
CR #: 3658

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R453CP
Subject: Instructions for Downloading the Medicare Zip Code File
Implementation Date: 07/05/2005
CR #: 3593

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R443CP
Subject: Unprocessable Unassigned Form CMS-1500 Claim
Implementation Date: 07/05/2005
CR #: 3500

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R647CP
Subject: The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2004 for Inpatient Prospective Payment System (IPPS) Hospitals
Implementation Date: 10/03/2005
CR #: 4003

03/07/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R103PI
Subject: Discontinuation of Medical Review Reports -The Medicare Status Report MRS-1), the Report of Benefit Savings (RBS), the Medicare Focused Medical Review Status Report (MFSR), and the Focused Medical Review (FMR) Report
Implementation Date: 03/07/2005
CR #: 3701

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R18GI
Subject: Billing for Blood and Blood Products Under the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 07/05/2005
CR #: 3681

03/18/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R20DEMO
Subject: Full Replacement of CR 3220, Method of Reimbursement for Inpatient Services for Rural Hospitals Participating Under Demonstration Authorized by Section 410A of the Medicare Modernization Act. CR 3220 is rescinded.
Implementation Date: 03/18/2005
CR #: 3707

01/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R117PI
Subject: Revise the Medicare Contractor System (MCS) and the VIPS Medicare System (VMS) to Allow Update of the Comprehensive Error Rate Testing (CERT) Program Resolution File Within Five Business Days of a CERT Request
Implementation Date: 01/03/2005
CR #: 3996

08/22/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R115PI
Subject: PIM Revision
Implementation Date: 08/22/2005
CR #: 3786

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R545CP
Subject: The Teaching Adjustment for Inpatient Psychiatric Facility Prospective Payment System (IPF PPS)
Implementation Date: 10/03/2005
CR #: 3809

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R502CP
Subject: New Contrast Agents Healthcare Common Procedure Coding System (HCPCS) Codes
Implementation Date: 04/04/2005
CR #: 3748

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R504CP
Subject: Update to Pub 100-04, Chapter 12, Section 200 of the Internet Only Manual
Implementation Date: N/A
CR #: 3732

11/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R635CP
Subject: Financial Liability for Services Subject to Home Health Consolidated Billing
Implementation Date: 11/03/2005
CR #: 3948

01/03/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R614CP
Subject: Medicare Physician Fee Schedule Database (MPFSDB) 2006 File Layout
Implementation Date: 01/03/2006
CR #: 3889

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R578CP
Subject: Update-Long Term Care Hospital Prospective Payment System (LTCH PPS) Rate Year 2006
Implementation Date: 07/05/2005
CR #: 3884

08/22/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R565CP
Subject: Access Process for HIPAA 270/271 (Extranet Only)
Implementation Date: 08/22/2005
CR #: 3883

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R702CP
Subject: Manualization for Physician/Practitioner/Supplier Participation Agreement and Assignment Carrier Claims and Carrier Rules for Limiting Charge
Implementation Date: N/A
CR #: 4030

10/31/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R693CP
Subject: Updates to the IRF and SNF Provider Specific File and Changes in Inpatient Rehabilitation Facility Prospective Payment System For FY 2006
Implementation Date: 10/31/2005
CR #: 4099

08/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R161OTN
Subject: Kansas Blue Cross Blue Shield Carrier Numbering Issue
Implementation Date: 08/03/2005
CR #: 3876

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R150OTN
Subject: Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing
Implementation Date: 10/03/2005
CR #: 3821

01/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R90PI
Subject: Prepayment Review of Claims for MR Purposes
Implementation Date: 01/03/2005
CR #: 3560

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R477CP
Subject: New Case-Mix Adjusted End Stage Renal Disease (ESRD) Composite Payment Rates and New Composite Rate Exceptions Window for Pediatric ESRD Facilities
Implementation Date: 04/04/2005
CR #: 3720

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R590CP
Subject: Aprepitant for Chemotherapy-Induced Emesis
Implementation Date: 07/05/2005
CR #: 3831

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R461CP
Subject: Processing Durable Medical Equipment (DME), Orthotics, Prosthetics, Drugs, and Surgical Dressings Claims for Indian Health Services (IHS) and Tribally Owned and Operated Hospitals or Hospital Based Facilities including Critical Access Hospitals (CAHs)
Implementation Date: 07/05/2005
CR #: 3674

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R429CP
Subject: Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Critical Access Hospitals (CAHs) that have Elected Method II Payment Option and Bill Physician Services to their Fiscal Intermediaries (FIs)
Implementation Date: 07/05/2005
CR #: 3561

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R541CP
Subject: Correction to the use of Group Codes for The Enforcement of Mandatory Electronic Submission of Medicare Claims
Implementation Date: 07/05/2005
CR #: 3815

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R497CP
Subject: Implantable Automatic Defibrillators
Implementation Date: 04/04/2005
CR #: 3604

11/07/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R707CP
Subject: IPPS Outlier Reconciliation
Implementation Date: 11/07/2005
CR #: 3966

01/03/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R681CP
Subject: Guidelines For Payment of Vaccines (Pneumococcal Pneumonia Virus (PPV), Influenza Virus, And Hepatitis B Virus) and Their Administration Provided by Indian Health Service (IHS)/Tribally Owned and/or Operated Hospitals and Hospital Based Facilities
Implementation Date: 01/03/2006
CR #: 3967

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R505CP
Subject: Unprocessable Unassigned Form CMS-1500 Claims
Implementation Date: 07/05/2005
CR #: 3500

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R428PR1
Subject: Inflation Factor
Implementation Date: N/A
CR #: N/A

01/03/2006

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R638CP
Subject: New Medicare Summary Notice (MSN) Messages
Implementation Date: 01/03/2006
CR #: 3957

06/20/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R30MSP
Subject: Process to Address Freedom of Information and Subpoena Requests
Implementation Date: 06/20/2005
CR #: 3869

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R138OTN
Subject: Production of Provider Flat Files, including Taxpayer Identification Numbers (TIN), from the Fiscal Intermediary Standard System (FISS), Financial Master Files
Implementation Date: 07/05/2005
CR #: 3553

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R516CP
Subject: Clarification for OPPS Hospitals Billing Initial Preventive Physical Exam (IPPE)
Implementation Date: 10/03/2005
CR #: 3771

06/27/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R69FM
Subject: Update to Debt Collection System (DCS) User Guide
Implementation Date: 06/27/2005
CR #: 3868

N/A

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R67MCM
Subject: Changes in Requirements for Periodic Surveys of Current and Former Enrollees, and in the CMS Method for Calculating Interest on Overpayments and Underpayments to HMOs, CMPs and HCPPS.
Implementation Date: N/A
CR #: N/A

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R596CP
Subject: Indian Health Service (IHS) or Tribal Hospitals Including Critical Access Hospital (CAH) Payment Methodology for Inpatient Social Admissions and Outpatient Services Occurring During Concurrent Stays
Implementation Date: 04/04/2005
CR #: 3452

06/27/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R7SOM
Subject: Revision of Appendix PP - Section 483.25(d) - Urinary Incontinence, Tags F315 and F316
Implementation Date: 06/27/2005
CR #: N/A

01/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R94PI
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: 01/05/2005
CR #: 3602

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R465CP
Subject: Billing Requirements for Physician Services in Method II Critical Access Hospitals (CAHs)
Implementation Date: 07/05/2005
CR #: 3559

11/07/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R701CP
Subject: New Diagnosis Code Requirements for Method II Home Dialysis Claims
Implementation Date: 11/07/2005
CR #: 4095

07/18/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R158OTN
Subject: Instructions for Fiscal Intermediaries (FIs) to Process Payment Adjustments Resulting from Data Assessment and Verification (DAVE) Program Safeguard Contractor (PSC) Medical Review
Implementation Date: 07/18/2005
CR #: 3799

10/17/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R77FM
Subject: Non-Medicare Secondary Payer (Non-MSP) Debt Referral and Debt Collection Improvement Act of 1996 (DCIA) Activities
Implementation Date: 10/17/2005
CR #: 3964

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R452CP
Subject: New Remittance Advice (RA) Message for Referred Clinical Diagnostic/Purchased Diagnostic Service Duplicate Claims
Implementation Date: 07/05/2005
CR #: 3679

09/12/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R118PI
Subject: Various Benefit Integrity (BI) Clarifications
Implementation Date: 09/12/2005
CR #: 3896

10/03/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R539CP
Subject: Expansion of Various Alpha and Numeric Fields with in the Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE)
Implementation Date: 10/03/2005
CR #: 3767

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R434CP
Subject: Addition of CLIA Edits to Certain Health Care Procedure Coding System (HCPCS) Codes for Mohs Surgery
Implementation Date: 07/05/2005
CR #: 3458

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R431CP
Subject: Updated Skilled Nursing Facility (SNF) No Pay File for April 2005
Implementation Date: 04/04/2005
CR #: 3642

07/05/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R458CP
Subject: Hospice Physician Recertification Requirements
Implementation Date: 07/05/2005
CR #: 3686

04/04/2005

Wed, 14 Dec 2005 10:40:00 EST

Transmittal #: R451CP
Subject: April 2005 Quarterly Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
Implementation Date: 04/04/2005
CR #: 3669

07/03/2006

Wed, 14 Dec 2005 10:58:00 EST

Transmittal #: R761CP
Subject: Competitive Acquisition Program (CAP) for Part B Drugs. This CR rescinds and fully replaces CR 4000
Implementation Date: 07/03/2006
CR #: 4173

04/03/2006

Wed, 14 Dec 2005 11:45:00 EST

Transmittal #: R765CP
Subject: Instructions for Downloading the Medicare Zip Code File
Implementation Date: 04/03/2006
CR #: 4180

01/03/2006

Wed, 14 Dec 2005 11:45:00 EST

Transmittal #: R759CP
Subject: Therapy Caps to be Effective January 1, 2006
Implementation Date: 01/03/2006
CR #: 4115

01/09/2006

Wed, 14 Dec 2005 11:45:00 EST

Transmittal #: R6SS
Subject: Business Partners Systems Security Manual (BPSSM)
Implementation Date: 01/09/2006
CR #: 4111

07/03/2006

Wed, 14 Dec 2005 11:45:00 EST

Transmittal #: R777CP
Subject: Competitive Acquisition Program (CAP) for Part B Drugs
Implementation Date: 07/03/2006
CR #: 4064

01/03/2006

Wed, 14 Dec 2005 11:45:00 EST

Transmittal #: R762CP
Subject: Ambulance Inflation Factor for CY 2006
Implementation Date: 01/03/2006
CR #: 4061

01/03/2006

Wed, 14 Dec 2005 11:45:00 EST

Transmittal #: R769CP
Subject: Surrogate UPINs Reported on IDTF Claims
Implementation Date: 01/03/2006
CR #: 4096

N/A

Wed, 14 Dec 2005 11:45:00 EST

Transmittal #: R763CP
Subject: Update to Repetitive Billing -- Manualization
Implementation Date: N/A
CR #: 4047

01/03/2006

Wed, 14 Dec 2005 11:45:00 EST

Transmittal #: R764CP
Subject: Update to the Prospective Payment System (PPS) for Home Health Agencies for Calendar Year (CY) 2006
Implementation Date: 01/03/2006
CR #: 4186

01/03/2006

Wed, 14 Dec 2005 11:45:00 EST

Transmittal #: R758CP
Subject: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2006
Implementation Date: 01/03/2006
CR #: 4161

11/28/2005

Wed, 14 Dec 2005 14:27:00 EST

Transmittal #: R42MSP
Subject: Updates to MSP Accounts Receivable (AR) Write Off Procedures
Implementation Date: 11/28/2005
CR #: 4027

12/12/2005

Wed, 14 Dec 2005 14:27:00 EST

Transmittal #: R130PI
Subject: Correction/Clarification of Chapter 11 Medicare Auditors.
Implementation Date: 12/12/2005
CR #: 4020

01/03/2006

Wed, 14 Dec 2005 14:27:00 EST

Transmittal #: R774CP
Subject: Implementation of Changes in End Stage Renal Disease (ESRD) Payment for Calendar Year 2006
Implementation Date: 01/03/2006
CR #: 4196

N/A

Wed, 14 Dec 2005 14:27:00 EST

Transmittal #: R77MCM
Subject: Changes in MCM Chapter 17, Subchapter F - Benefits and Beneficiary Protections
Implementation Date: N/A
CR #: N/A

12/19/2005

Wed, 14 Dec 2005 14:27:00 EST

Transmittal #: R32GI
Subject: Scheduled Release for January 2006 Software Programs and Pricing/Coding Files
Implementation Date: 12/19/2005
CR #: 4179

04/03/2006

Wed, 14 Dec 2005 14:27:00 EST

Transmittal #: R82FM
Subject: Expansion of Form 5 of the Contractor Reporting of Operational and Workload Data (CROWD) Report
Implementation Date: 04/03/2006
CR #: 3864

02/16/2006

Wed, 14 Dec 2005 14:27:00 EST

Transmittal #: R40BP
Subject: Skilled Nursing Facility Prospective Payment System
Implementation Date: 02/16/2006
CR #: 4079

04/03/2006

Wed, 14 Dec 2005 14:27:00 EST

Transmittal #: R752CP
Subject: Eliminate the Use of Surrogate UPINs OTH000) on Medicare Claims
Implementation Date: 04/03/2006
CR #: 4177

12/05/2005

Wed, 14 Dec 2005 14:27:00 EST

Transmittal #: R83FM
Subject: Revised Instructions on Contractor Procedures for Provider Audit, and Clarification of CET Requirements for Medicare Auditors.
Implementation Date: 12/05/2005
CR #: 4060

N/A

Wed, 14 Dec 2005 14:27:00 EST

Transmittal #: R128PI
Subject: Evidence of Medical Necessity: Wheelchair and Power Operated Vehicle (POV) Claims
Implementation Date: N/A
CR #: 3952

04/03/2006

Wed, 14 Dec 2005 14:27:00 EST

Transmittal #: R43MSP
Subject: Expanding the Voluntary Data Sharing Agreement (VDSA) Coordination of Benefit (COB) Contractor Numbers for the Common Working File (CWF).
Implementation Date: 04/03/2006
CR #: 3826

12/19/2005

Wed, 14 Dec 2005 14:27:00 EST

Transmittal #: R15COM
Subject: Provider Customer Service Program
Implementation Date: 12/19/2005
CR #: 4137

12/19/2005

Wed, 14 Dec 2005 14:27:00 EST

Transmittal #: R132PI
Subject: New Process for Web Maintenance of Provider Enrollment Contractor Contact Information
Implementation Date: 12/19/2005
CR #: 4141

03/02/2006

Wed, 14 Dec 2005 14:27:00 EST

Transmittal #: R44NCD
Subject: Lung Volume Reduction Surgery
Implementation Date: 03/02/2006
CR #: 4149

04/03/2006

Wed, 14 Dec 2005 14:27:00 EST

Transmittal #: R755CP
Subject: CWF Updates for Carrying National Provider Identifier (NPI)
Implementation Date: 04/03/2006
CR #: 4175

02/10/2006

Wed, 14 Dec 2005 14:27:00 EST

Transmittal #: R131PI
Subject: Medical Review Matching of Electronic Claims and Additional Documentation in the Medical Review Proces
Implementation Date: 02/10/2006
CR #: 4052

07/03/2006

Wed, 14 Dec 2005 14:27:00 EST

Transmittal #: R86FM
Subject: Development of New Report to Capture BIPA and MMA Appeals Data.
Implementation Date: 07/03/2006
CR #: 4148

N/A

Wed, 14 Dec 2005 14:27:00 EST

Transmittal #: R4P233
Subject: Organ Procurement Organization and Tissue Typing Laboratory Cost Report
Implementation Date: N/A
CR #: N/A

N/A

Wed, 14 Dec 2005 16:12:00 EST

Transmittal #: SE0509
Subject: Fact Sheet Available on "Inpatient Rehabilitation Facility Classification Requirements"
Implementation Date: N/A
CR #: N/A

01/14/2005

Wed, 14 Dec 2005 17:05:00 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

01/03/2006

Thu, 15 Dec 2005 11:45:00 EST

Transmittal #: R767CP
Subject: SNF PPS Revisions to IOM 100-4--Manualization
Implementation Date: 01/03/2006
CR #: 4080

04/03/2006

Fri, 16 Dec 2005 12:31:00 EST

Transmittal #: R780CP
Subject: Common Working File (CWF) Database Extract into Next Generation Desktop (NGD) Data Mart
Implementation Date: 04/03/2006
CR #: 4207

01/17/2006

Fri, 16 Dec 2005 12:31:00 EST

Transmittal #: R45MSP
Subject: Interest on MSP Debts
Implementation Date: 01/17/2006
CR #: 4125

05/09/2005

Fri, 16 Dec 2005 13:24:00 EST

Transmittal #: R107PI
Subject: Updated Chapter 1 to Reflect Changes in Program Requirements
Implementation Date: 05/09/2005
CR #: 3754

01/03/2006

Fri, 16 Dec 2005 15:28:00 EST

Transmittal #: R170OTN
Subject: Updates to the Coordination of Benefits Agreement Insurance File (COIF) For Use in the National Claims Crossover Program
Implementation Date: 01/03/2006
CR #: 3976

01/03/2006

Fri, 16 Dec 2005 15:33:00 EST

Transmittal #: R174OTN
Subject: Fiscal Intermediary Shared System (FISS) Modification
Implementation Date: 01/03/2006
CR #: 3970

01/17/2006

Fri, 16 Dec 2005 16:24:00 EST

Transmittal #: R782CP
Subject: Consultation Services (Codes 99241 - 99255)
Implementation Date: 01/17/2006
CR #: 4215

01/03/2006

Mon, 19 Dec 2005 13:24:00 EST

Transmittal #: R754CP
Subject: Supplying Fee and Inhalation Drug Dispensing Fee Revisions and Clarifications
Implementation Date: 01/03/2006
CR #: 3990

01/03/2006

Wed, 21 Dec 2005 10:02:00 EST

Transmittal #: R722CP
Subject: 2006 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments
Implementation Date: 01/03/2006
CR #: 4113

03/02/2006

Wed, 21 Dec 2005 11:45:00 EST

Transmittal #: R768CP
Subject: Lung Volume Reduction Surgery
Implementation Date: 03/02/2006
CR #: 4149

01/03/2006

Wed, 21 Dec 2005 11:45:00 EST

Transmittal #: R766CP
Subject: Stem Cell Transplantation
Implementation Date: 01/03/2006
CR #: 4173

01/03/2006

Wed, 21 Dec 2005 14:21:00 EST

Transmittal #: R710CP
Subject: Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement
Implementation Date: 01/03/2006
CR #: 4114

01/03/2006

Wed, 21 Dec 2005 14:27:00 EST

Transmittal #: R775CP
Subject: Home Care and Domiciliary Care Visits Codes 99324 - 99350)
Implementation Date: 01/03/2006
CR #: 4212

01/03/2006

Thu, 22 Dec 2005 09:12:00 EST

Transmittal #: SE0587
Subject: Multiple Procedure Reduction of the Technical Component (TC) of Certain Diagnostic Imaging Procedures
Implementation Date: 01/03/2006
CR #: N/A

10/04/2004

Thu, 22 Dec 2005 09:54:00 EST

Transmittal #: R18NCD
Subject: Islet Cell Transplantation
Implementation Date: 10/04/2004
CR #: 3385

01/03/2006

Thu, 22 Dec 2005 11:45:00 EST

Transmittal #: R770CP
Subject: Fee Schedule Update for 2006 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
Implementation Date: 01/03/2006
CR #: 4194

01/03/2006

Fri, 23 Dec 2005 10:10:00 EST

Transmittal #: R785CP
Subject: January 2006 Update of the Hospital Outpatient Prospective Payment System (OPPS) Manual Instruction: Changes to Coding and Payment for Drug Administration -- MANUALIZATION
Implementation Date: 01/03/2006
CR #: 4258

01/03/2006

Fri, 23 Dec 2005 10:10:00 EST

Transmittal #: R784CP
Subject: January 2006 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 7.0
Implementation Date: 01/03/2006
CR #: 4238

01/03/2006

Fri, 23 Dec 2005 10:10:00 EST

Transmittal #: R788CP
Subject: Consultation Services (Codes 99241 - 99255)
Implementation Date: 01/03/2006
CR #: 4215

01/03/2006

Fri, 23 Dec 2005 10:10:00 EST

Transmittal #: R42BP
Subject: January 2006 Update of the Hospital Outpatient Prospective Payment System (OPPS) Manual Instruction: Changes to Coding and Payment for Observation
Implementation Date: 01/03/2006
CR #: 4259

01/03/2006

Fri, 23 Dec 2005 10:10:00 EST

Transmittal #: R787CP
Subject: January 2006 Update of the Hospital Outpatient Prospective Payment System (OPPS) Manual Instruction: Changes to Coding and Payment for Observation
Implementation Date: 01/03/2006
CR #: 4259

01/03/2006

Fri, 23 Dec 2005 10:10:00 EST

Transmittal #: R786CP
Subject: January 2006 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes, OPPS PRICER Logic Changes, and Instructions for Updating the Outpatient Provider Specific File (OPSF
Implementation Date: 01/03/2006
CR #: 4250

01/03/2006

Fri, 23 Dec 2005 10:47:00 EST

Transmittal #: R46MSP
Subject: Updates to the Electronic Correspondence Referral System (ECRS) User Guide v9.0 and Quick Reference Card v9.0
Implementation Date: 01/03/2006
CR #: 4162

01/03/2006

Tue, 27 Dec 2005 11:02:00 EST

Transmittal #: R35DEMO
Subject: Physician's Voluntary Reporting Program (PVRP)
Implementation Date: 01/03/2006
CR #: 4183

N/A

Tue, 27 Dec 2005 11:02:00 EST

Transmittal #: R429PR1
Subject: PRM, Provider Reimbursement Manual - Part 1, Rev. 429 Section 2231, Regional Swing Bed Rates
Implementation Date: N/A
CR #: N/A

01/23/2006

Tue, 27 Dec 2005 11:02:00 EST

Transmittal #: R792CP
Subject: Nursing Facility Services (Codes 99304 - 99318)
Implementation Date: 01/23/2006
CR #: 4246

03/27/2006

Tue, 27 Dec 2005 11:02:00 EST

Transmittal #: R789CP
Subject: Ambulance Fee Schedule - Medical Conditions List: Manualization
Implementation Date: 03/27/2006
CR #: 4221

01/03/2006

Thu, 29 Dec 2005 09:36:00 EST

Transmittal #: R772CP
Subject: Fiscal Intermediary Shared System (FISS) Edit Updates for Epoetin Alfa and Darbepoetin Alfa HCPCS Changes Effective January 1, 2006
Implementation Date: 01/03/2006
CR #: 4206

01/03/2006

Thu, 29 Dec 2005 12:31:00 EST

Transmittal #: R779CP
Subject: New Waived Tests
Implementation Date: 01/03/2006
CR #: 4136

01/17/2006

Thu, 29 Dec 2005 13:42:00 EST

Transmittal #: r34demo
Subject: 2006 Oncology Demonstration Project
Implementation Date: 01/17/2006
CR #: 4219

01/17/2006

Thu, 29 Dec 2005 13:42:00 EST

Transmittal #: R781CP
Subject: Revised Manual Instructions for Processing End Stage Renal Disease (ESRD) Exceptions Under the Composite Rate Reimbursement System
Implementation Date: 01/17/2006
CR #: 4188

N/A

Thu, 29 Dec 2005 14:12:00 EST

Transmittal #: SE0588
Subject: Documentation and Coding Guidelines for Medicare's 2006 Oncology Demonstration
Implementation Date: N/A
CR #: 4219

01/03/2006

Thu, 29 Dec 2005 14:14:00 EST

Transmittal #: SE0589
Subject: 2006 Oncology Demonstration Project
Implementation Date: 01/03/2006
CR #: N/A

01/03/2006

Thu, 29 Dec 2005 16:24:00 EST

Transmittal #: R783CP
Subject: January 2006 Non-Outpatient Prospective Payment System Outpatient Code Editor (Non-OPPS OCE) Specifications Version 21.1
Implementation Date: 01/03/2006
CR #: 4236

04/03/2006

Fri, 30 Dec 2005 10:05:00 EST

Transmittal #: R794cp
Subject: Announcement of Medicare Supplemental Payments to Federally Qualified Health Centers (FQHCs) Under Contract with Medicare Advantage (MA) Plans
Implementation Date: 04/03/2006
CR #: 3886

04/03/2006

Fri, 30 Dec 2005 10:05:00 EST

Transmittal #: R795CP
Subject: Redefined Type of Bill (TOB) 14X for Non-Patient Laboratory Specimens-CR 3835 Manualization
Implementation Date: 04/03/2006
CR #: 4208

N/A

Fri, 30 Dec 2005 13:19:00 EST

Transmittal #: R8P234
Subject: Renal Dialysis Facility for Cost Reporting Form CMS-265-94
Implementation Date: N/A
CR #: N/A

04/03/2006

Fri, 30 Dec 2005 13:23:00 EST

Transmittal #: R800CP
Subject: Clinical Diagnostic Laboratory Date of Service (DOS) for Archived Specimens
Implementation Date: 04/03/2006
CR #: 4156

N/A

Fri, 30 Dec 2005 13:23:00 EST

Transmittal #: R199OTN
Subject: New Medicare Summary Notice (MSN) Message Used for the Physician's Voluntary Reporting Program (PVRP)
Implementation Date: N/A
CR #: 4230

01/03/2006

Fri, 30 Dec 2005 13:23:00 EST

Transmittal #: R798CP
Subject: Emergency Update to the 2006 Medicare Physician Fee Schedule Database
Implementation Date: 01/03/2006
CR #: 4268

01/03/2006

Tue, 03 Jan 2006 17:27:00 EST

Transmittal #: R33GI
Subject: Change Management Process -- Electronic Change Information Management Portal (eChimp)
Implementation Date: 01/03/2006
CR #: 4092

01/03/2006

Tue, 03 Jan 2006 17:27:00 EST

Transmittal #: R87FM
Subject: Update to Carrier Demand Letter Appeals Language
Implementation Date: 01/03/2006
CR #: 4211

04/03/2006

Tue, 03 Jan 2006 17:27:00 EST

Transmittal #: R802CP.pdf
Subject: Termination of the Medicare HIPAA Incoming Claim Contingency Plan, Addition of a Self-Assessable Unusual Circumstance, Modification of the OTAF Exception, and Modification of ASCA Exhibit Letters A, B and C
Implementation Date: 04/03/2006
CR #: 4119

01/03/2006

Tue, 03 Jan 2006 17:44:00 EST

Transmittal #: R804CP
Subject: January 2006 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes, OPPS PRICER Logic Changes, and Instructions for Updating the Outpatient Provider Specific File (OPSF)
Implementation Date: 01/03/2006
CR #: 4250

04/03/2006

Tue, 03 Jan 2006 17:44:00 EST

Transmittal #: R803CP
Subject: Administration of Drugs and Biologicals in a Method II Critical Access Hospital (CAH) - RESCINDS AND REPLACES Change Request (CR) 3911
Implementation Date: 04/03/2006
CR #: 4234

01/23/2006

Wed, 04 Jan 2006 15:28:00 EST

Transmittal #: R791CP
Subject: Revision to Chapter 31 - Addition of Hospice Data HIPAA 270/271 Eligibility
Implementation Date: 01/23/2006
CR #: 4193

04/03/2006

Wed, 04 Jan 2006 15:37:00 EST

Transmittal #: R796CP
Subject: Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increase
Implementation Date: 04/03/2006
CR #: 4232

10/03/2005

Wed, 04 Jan 2006 15:43:00 EST

Transmittal #: R25DEMO
Subject: Low Vision Rehabilitation Demonstration
Implementation Date: 10/03/2005
CR #: 3816

01/03/2006

Wed, 04 Jan 2006 15:46:00 EST

Transmittal #: R799CP
Subject: Reminder Notice of the Implementation of Ambulance Transition Schedule
Implementation Date: 01/03/2006
CR #: 4217

01/23/2006

Thu, 05 Jan 2006 07:12:00 EST

Transmittal #: R793CP
Subject: Revision to Chapter 31 - Addition of Hospice Data HIPAA 270/271 Eligibility
Implementation Date: 01/23/2006
CR #: 4193

04/03/2006

Fri, 06 Jan 2006 13:26:00 EST

Transmittal #: R736CP
Subject: Clarification and Update to Hospital Billing Instructions and Payment for Epoetin Alfa (EPO) and Darbepoetin Alfa (Aranesp) for Beneficiaries with End Stage Renal Disease (ESRD)
Implementation Date: 04/03/2006
CR #: 4103

10/03/2005

Mon, 09 Jan 2006 08:14:00 EST

Transmittal #: R23DEMO
Subject: Low Vision Rehabilitation Demonstration
Implementation Date: 10/03/2005
CR #: 3816

12/12/2005

Thu, 12 Jan 2006 08:33:00 EST

Transmittal #: R39BP
Subject: Auditory Osseointegrated and Auditory Brainstem Devices
Implementation Date: 12/12/2005
CR #: 4038

N/A

Thu, 12 Jan 2006 12:20:00 EST

Transmittal #: R763CP
Subject: Update to Repetitive Billing -- Manualization
Implementation Date: N/A
CR #: 4047

04/03/2006

Thu, 12 Jan 2006 14:42:00 EST

Transmittal #: R790CP
Subject: List of Medicare Telehealth Services
Implementation Date: 04/03/2006
CR #: 4204

04/03/2006

Thu, 12 Jan 2006 14:43:00 EST

Transmittal #: R43BP
Subject: List of Medicare Telehealth Services
Implementation Date: 04/03/2006
CR #: 4204

01/03/2006

Thu, 12 Jan 2006 14:48:00 EST

Transmittal #: R776CP
Subject: Stem Cell Transplantation
Implementation Date: 01/03/2006
CR #: 4173

01/03/2006

Thu, 12 Jan 2006 14:49:00 EST

Transmittal #: R45NCD
Subject: Stem Cell Transplantation
Implementation Date: 01/03/2006
CR #: 4173

01/03/2006

Thu, 12 Jan 2006 14:51:00 EST

Transmittal #: R801CP
Subject: Instructions for Reporting New HCPCS Code V2788 for Presbyopia-Correcting Intraocular Lenses (P-C IOLs)
Implementation Date: 01/03/2006
CR #: 4184

N/A

Thu, 12 Jan 2006 15:16:00 EST

Transmittal #: R9P234
Subject: Renal Dialysis Facility for Cost Reporting Form CMS-265-94
Implementation Date: N/A
CR #: N/A

01/30/2006

Thu, 12 Jan 2006 15:23:00 EST

Transmittal #: R797CP
Subject: Full Replacement of CR 4095, Diagnosis Code Requirements for Method II Home Dialysis Claims. CR 4095 is Rescinded.
Implementation Date: 01/30/2006
CR #: 4227

11/25/2005

Fri, 27 Jan 2006 15:30:00 EST

Transmittal #: R15SOMA
Subject: Medical Director Guidance
Implementation Date: 11/25/2005
CR #: N/A

04/03/2006

Fri, 27 Jan 2006 15:59:00 EST

Transmittal #: R85FM
Subject: Expansion of Form 5 of the Contractor Reporting of Operational and Workload Data (CROWD)
Implementation Date: 04/03/2006
CR #: 3864

12/05/2005

Fri, 27 Jan 2006 15:59:00 EST

Transmittal #: R84FM
Subject: Revised Instructions on Contractor Procedures for Provider Audit, and Clarification of CET Requirements for Medicare Auditors.
Implementation Date: 12/05/2005
CR #: 4060

N/A

Tue, 27 Mar 2007 10:27:00 EST

Transmittal #: R12SOM
Subject: SOM Appendix PP - Guidance to Surveyors for Long Term Care Facilities
Implementation Date: N/A
CR #: N/A

07/05/2005

Tue, 21 Aug 2007 07:14:00 EST

Transmittal #: R509CP
Subject: Number of Drug Pricing Files That Must Be Maintained Online for Medicare - DMERC Only
Implementation Date: 07/05/2005
CR #: 3584

04/03/2006

Tue, 21 Aug 2007 07:14:00 EST

Transmittal #: R133PI
Subject: Enrolling Indian Health Service (IHS) Facilities as Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Suppliers
Implementation Date: 04/03/2006
CR #: 3845

01/19/2006

Tue, 21 Aug 2007 07:15:00 EST

Transmittal #: R739CP
Subject: Erroneous Guidance - Basis to Waive Penalty
Implementation Date: 01/19/2006
CR #: 3898

07/05/2005

Tue, 28 Aug 2007 07:47:00 EST

Transmittal #: R426CP
Subject: Modification to Reporting of Diagnosis Codes for Screening Mammography Claims
Implementation Date: 07/05/2005
CR #: 3562

07/05/2005

Tue, 28 Aug 2007 07:47:00 EST

Transmittal #: R705CP
Subject: Modification to Reporting of Diagnosis Codes for Screening Mammography Claims
Implementation Date: 07/05/2005
CR #: 3562

03/01/2006

Fri, 31 Aug 2007 10:34:00 EST

Transmittal #: R134PI
Subject: Change in Provider Enrollment Timeliness Standards
Implementation Date: 03/01/2006
CR #: 4213

09/01/2005

Fri, 07 Sep 2007 14:25:00 EST

Transmittal #: R13COM
Subject: Provider Contact Centers Training Program
Implementation Date: 09/01/2005
CR #: 3951

N/A

Fri, 07 Sep 2007 14:35:00 EST

Transmittal #: R14COM
Subject: Provider Inquiry Reporting Standardization
Implementation Date: N/A
CR #: 4048

04/03/2006

Thu, 02 Jul 2009 07:21:00 EST

Transmittal #: R190OTN
Subject: Stage 2 Requirements for Use and Editing of National Provider Identifier (NPI) Numbers Received in Electronic Data Interchange (EDI) Transactions, via Direct Data Entry (DDE) Screens, or Paper Claim Forms
Implementation Date: 04/03/2006
CR #: 4023

N/A

Wed, 22 Jul 2009 07:36:00 EST

Transmittal #: SE0528
Subject: CMS Announces the National Provider Identifier (NPI) Enumerator Contractor and Information on Obtaining NPIs
Implementation Date: N/A
CR #: N/A

11/09/2005

Tue, 28 Jul 2009 13:19:00 EST

Transmittal #: R730CP
Subject: Calendar Year (CY) 2006 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures
Implementation Date: 11/09/2005
CR #: 4051

06/01/2005

Fri, 07 Aug 2009 10:37:00 EST

Transmittal #: R573CP
Subject: Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 06/01/2005
CR #: 3848

N/A

Tue, 22 Sep 2009 07:10:00 EST

Transmittal #: SE0555
Subject: Medicare's Implementation of the National Provider Identifier (NPI): The Second in the Series of Special Edition Medlearn Matters Articles on NPI- Related Activities
Implementation Date: N/A
CR #: N/A

01/01/2006

Wed, 21 Oct 2009 15:29:00 EST

Transmittal #: R724CP
Subject: Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Dates for FI Initial Determinations Issued on or After May 1, 2005 and Carrier Initial Determinations Issued on or After January 1, 2006).
Implementation Date: 01/01/2006
CR #: 3939

N/A

Wed, 21 Oct 2009 15:30:00 EST

Transmittal #: R688CP
Subject: Appeals of Claims Decisions: Redeterminations and Reconsiderations (Implementation Dates for All Requests for Redetermination Received by FIs on or After May 1, 2005, And All Requests for Redetermination Received by Carriers on or After January 1, 2006)
Implementation Date: N/A
CR #: 3944

10/03/2005

Wed, 21 Oct 2009 15:57:00 EST

Transmittal #: R655CP
Subject: Update To The Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer For FY 2006
Implementation Date: 10/03/2005
CR #: 3977

09/02/2005

Mon, 02 Nov 2009 13:34:00 EST

Transmittal #: R669CP
Subject: Schedule for Completing the Calendar Year 2006 Fee Updates and the Participating Physician Enrollment Procedures.
Implementation Date: 09/02/2005
CR #: 4013

N/A

Fri, 20 Nov 2009 08:04:00 EST

Transmittal #: SE0529
Subject: Importance of Supplying Correct Provider Identification Information Required in Items 17, 17a, 24K, and 33 of the Form CMS-1500, and the Electronic Equivalent
Implementation Date: N/A
CR #: N/A