2009 Transmittals

06/05/2009

Mon, 08 Jun 2009 13:01:00 EST

Transmittal #: R1750CP
Issue Date: 06/05/2009
Subject: October Quarterly Update to 2009 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
Implementation Date: 10/05/2009
CR #: 6503

06/05/2009

Mon, 08 Jun 2009 13:11:00 EST

Transmittal #: R1754CP
Issue Date: 06/05/2009
Subject: July Quarterly Update for 2009 Durable Medical Equipment, Prosthetics, Orthotics and Suppliers (DMEPOS) Fee Schedule
Implementation Date: 07/06/2009
CR #: 6511

06/05/2009

Mon, 08 Jun 2009 16:46:00 EST

Transmittal #: R1752CP
Issue Date: 06/05/2009
Subject: Addition/Deletion of HCPCS Codes - July 2009 Quarterly Update
Implementation Date: 07/06/2009
CR #: 6477

N/A

Tue, 16 Jun 2009 07:46:00 EST

Transmittal #: SE0910
Issue Date: N/A
Subject: Clarification for Billing Part B versus Part D for the Anti-emetic Aprepitant (Emend)
Implementation Date: N/A
CR #: N/A

05/15/2009

Tue, 16 Jun 2009 07:48:00 EST

Transmittal #: R1734CP
Issue Date: 05/15/2009
Subject: Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update
Implementation Date: 07/06/2009
CR #: 6453

05/22/2009

Tue, 16 Jun 2009 07:50:00 EST

Transmittal #: R1741CP
Issue Date: 05/22/2009
Subject: Update-Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Rate Year 2010
Implementation Date: 07/06/2009
CR #: 6461

05/22/2009

Tue, 16 Jun 2009 07:51:00 EST

Transmittal #: R497OTN
Issue Date: 05/22/2009
Subject: Payment for Maintenance and Servicing of Certain Oxygen Equipment as a Result of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008- THIS CR RESCINDS AND FULLY REPLACES CR 6404
Implementation Date: 07/06/2009
CR #: 6509

06/05/2009

Thu, 18 Jun 2009 09:13:00 EST

Transmittal #: R1749CP
Issue Date: 06/05/2009
Subject: Revised Billing Instructions for Occurrence Span Code 74 on Skilled Nursing Facility (SNF) No Payment Claims
Implementation Date: 10/05/2009
CR #: 6523

06/05/2009

Thu, 18 Jun 2009 09:14:00 EST

Transmittal #: R1751CP
Issue Date: 06/05/2009
Subject: New Waived Tests
Implementation Date: 07/06/2009
CR #: 6459

01/09/2009

Thu, 25 Jun 2009 10:57:00 EST

Transmittal #: R1666CP
Issue Date: 01/09/2009
Subject: Instructions for Fiscal Intermediary Standard System (FISS), Multi-Carrier System (MCS) and Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes
Implementation Date: 01/05/2009
CR #: 6148

06/23/2009

Thu, 25 Jun 2009 11:02:00 EST

Transmittal #: R1760CP
Issue Date: 06/23/2009
Subject: July 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 07/06/2009
CR #: 6492

06/19/2006

Thu, 25 Jun 2009 11:56:00 EST

Transmittal #: R440PR1
Issue Date: 06/19/2006
Subject: Section 2231, Regional Medicare Swing-Bed-Rates
Implementation Date: N/A
CR #: N/A

06/26/2009

Thu, 25 Jun 2009 15:59:00 EST

Transmittal #: R509OTN
Issue Date: 06/26/2009
Subject: DME MAC Instructions for Therapy Caps 2009
Implementation Date: 07/27/2009
CR #: 6497

06/26/2009

Thu, 25 Jun 2009 15:59:00 EST

Transmittal #: R508OTN
Issue Date: 06/26/2009
Subject: Implementation of the Next Version of the Health Insurance Portability and Accountability Act (HIPAA) 835 Transaction
Implementation Date: N/A
CR #: 6034

06/12/2009

Fri, 26 Jun 2009 07:39:00 EST

Transmittal #: R291PI
Issue Date: 06/12/2009
Subject: Reassignment and Ambulatory Surgical Centers (ASCs)
Implementation Date: 10/05/2009
CR #: 6470

06/26/2009

Wed, 01 Jul 2009 08:53:00 EST

Transmittal #: R70MSP
Issue Date: 06/26/2009
Subject: Instructions on utilizing 837 Institutional CAS segments for Medicare Secondary Payer (MSP) Part A Claims
Implementation Date: N/A
CR #: 6426

06/26/2009

Wed, 01 Jul 2009 09:00:00 EST

Transmittal #: R1761CP
Issue Date: 06/26/2009
Subject: Billing Routine Cost of Clinical Trials
Implementation Date: 09/28/2009
CR #: 6431

07/02/2009

Thu, 02 Jul 2009 10:32:00 EST

Transmittal #: R1762CP
Issue Date: 07/02/2009
Subject: Appeals Revisions
Implementation Date: 08/03/2009
CR #: 6377

07/02/2009

Thu, 02 Jul 2009 10:45:00 EST

Transmittal #: R514OTN
Issue Date: 07/02/2009
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Common Edits and Enhancements Module: File preparation (for MCS ONLY)
Implementation Date: 10/05/2009
CR #: 6565

07/02/2009

Thu, 02 Jul 2009 11:15:00 EST

Transmittal #: R512OTN
Issue Date: 07/02/2009
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Common Edits and Enhancements Module - ICN Generator (for MCS ONLY)
Implementation Date: 10/05/2009
CR #: 6558

07/02/2009

Thu, 02 Jul 2009 11:36:00 EST

Transmittal #: R102NCD
Issue Date: 07/02/2009
Subject: Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient
Implementation Date: N/A
CR #: 6405

N/A

Mon, 06 Jul 2009 09:29:00 EST

Transmittal #: SE0912
Issue Date: N/A
Subject: Expiration of Medicare Processing of Certain Indian Health Service (IHS) Part B Claims - Sunset of Section 630 of the Medicare Modernization Act (MMA) of 2003 for Payment of Indian Health Services (IHS)
Implementation Date: N/A
CR #: N/A

06/19/2009

Mon, 06 Jul 2009 09:30:00 EST

Transmittal #: R1758CP
Issue Date: 06/19/2009
Subject: Correction to Fiscal Year (FY) 2009 Medicare Severity Long- Term Care Diagnosis-Related Group (MS-LTC-DRG) Weights
Implementation Date: 07/06/2009
CR #: 6552

06/19/2009

Mon, 06 Jul 2009 10:12:00 EST

Transmittal #: R505OTN
Issue Date: 06/19/2009
Subject: Medicare Part B Radiation Therapy Centers Supplier Enrollment Revalidation
Implementation Date: 07/20/2009
CR #: 6517

07/01/2009

Mon, 06 Jul 2009 11:56:00 EST

Transmittal #: R511OTN
Issue Date: 07/01/2009
Subject: Standard Paper Remittance (SPR) Update for Health Insurance Portability and Accountability Act (HIPAA) Version 005010
Implementation Date: N/A
CR #: 6376

06/12/2009

Mon, 06 Jul 2009 14:59:00 EST

Transmittal #: R293PI
Issue Date: 06/12/2009
Subject: Review of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)
Implementation Date: 07/13/2009
CR #: 6468

01/07/2009

Tue, 07 Jul 2009 08:36:00 EST

Transmittal #: R1662CP
Issue Date: 01/07/2009
Subject: Home Health Prospective Payment System Rate Update for Calendar Year 2009
Implementation Date: 01/05/2009
CR #: 6341

06/19/2009

Wed, 08 Jul 2009 11:18:00 EST

Transmittal #: R507OTN
Issue Date: 06/19/2009
Subject: Jurisdiction 13 A/B MAC Merge of the three Part B New York and the Part B Connecticut CICS Production and User Acceptance Test Regions.
Implementation Date: 12/12/2009
CR #: 6513

07/10/2009

Fri, 10 Jul 2009 08:52:00 EST

Transmittal #: R1768CP
Issue Date: 07/10/2009
Subject: Update to Pub 100-04, Chapter 24, Section 40.7 of the Claims Processing Manual
Implementation Date: 08/10/2009
CR #: 6531

07/10/2009

Fri, 10 Jul 2009 08:52:00 EST

Transmittal #: R1767CP
Issue Date: 07/10/2009
Subject: IOM Chapter 25 Revenue Code 076X Description Change
Implementation Date: 08/10/2009
CR #: 6561

07/10/2009

Fri, 10 Jul 2009 10:17:00 EST

Transmittal #: R296PI
Issue Date: 07/10/2009
Subject: Provider Enrollment Verification Activities
Implementation Date: 08/10/2009
CR #: 6499

07/10/2009

Fri, 10 Jul 2009 11:15:00 EST

Transmittal #: R50SOMA
Issue Date: 07/10/2009
Subject: Revisions to Chapter 5, Complaint Procedures
Implementation Date: 07/10/2009
CR #: N/A

07/10/2009

Fri, 10 Jul 2009 15:38:00 EST

Transmittal #: R154FM
Issue Date: 07/10/2009
Subject: Notice of New Interest Rate for Medicare Overpayments and Underpayments-Fourth Notification for FY 2009
Implementation Date: 07/17/2009
CR #: 6241

06/26/2009

Mon, 13 Jul 2009 13:21:00 EST

Transmittal #: R295PI
Issue Date: 06/26/2009
Subject: Revision to Certain Instructions Related to Provider Enrollment Deactivations and Revocations
Implementation Date: 07/27/2009
CR #: 6491

06/12/2009

Mon, 13 Jul 2009 13:24:00 EST

Transmittal #: R153FM
Issue Date: 06/12/2009
Subject: Implementation of the Redesigned Provider Statistical and Reimbursement (PS&R) System
Implementation Date: 07/13/2009
CR #: 6519

06/19/2009

Mon, 13 Jul 2009 13:26:00 EST

Transmittal #: R61DEMO
Issue Date: 06/19/2009
Subject: Method of Payment for Extended Stay Services under the Frontier Extended Stay Clinic Demonstration, Authorized by Section 434 of the Medicare Modernization Act. This Change Request provides additional information to CR 6057.
Implementation Date: 10/01/2009
CR #: 6452

07/02/2009

Mon, 13 Jul 2009 13:28:00 EST

Transmittal #: R1764CP
Issue Date: 07/02/2009
Subject: Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient
Implementation Date: N/A
CR #: 6405

01/16/2009

Tue, 14 Jul 2009 12:36:00 EST

Transmittal #: R1671CP
Issue Date: 01/16/2009
Subject: Clarification of Requirements for New and Material Evidence as Good Cause for Reopening
Implementation Date: 02/16/2009
CR #: 6157

01/30/2009

Tue, 14 Jul 2009 12:53:00 EST

Transmittal #: R433OTN
Issue Date: 01/30/2009
Subject: FISS, CWF and NCH System Requirements for All Outpatient 837 I Claims Related to Rendering Physicians/Practitioners
Implementation Date: 07/06/2009
CR #: 6335

02/06/2009

Tue, 14 Jul 2009 12:57:00 EST

Transmittal #: R436OTN
Issue Date: 02/06/2009
Subject: Re-design of FISS Edits for Hemophilia Clotting Factors on Inpatient Claims
Implementation Date: 07/06/2009
CR #: 6354

02/06/2009

Tue, 14 Jul 2009 12:58:00 EST

Transmittal #: R437OTN
Issue Date: 02/06/2009
Subject: Health Insurance Portability and Accountability Act (HIPAA) 837 5010 Coordination of Benefits (COB) Requirements---Multi-Carrier System (MCS)
Implementation Date: 10/05/2009
CR #: 6308

02/06/2009

Tue, 14 Jul 2009 12:59:00 EST

Transmittal #: R438OTN
Issue Date: 02/06/2009
Subject: New "";WW""; Code to Identify a New Source for Topotecan
Implementation Date: 07/06/2009
CR #: 6294

02/06/2009

Tue, 14 Jul 2009 13:00:00 EST

Transmittal #: R440OTN
Issue Date: 02/06/2009
Subject: Facet Joints
Implementation Date: 03/09/2009
CR #: 6317

02/06/2009

Tue, 14 Jul 2009 13:00:00 EST

Transmittal #: R147FM
Issue Date: 02/06/2009
Subject: Chapter 7-Internal Control Requirements Update
Implementation Date: 03/09/2009
CR #: 6249

02/06/2009

Tue, 14 Jul 2009 13:01:00 EST

Transmittal #: R439OTN
Issue Date: 02/06/2009
Subject: Influenza Pandemic Emergency- Additional Guidance Concerning the Medicare Prescription Drug Program (Part D) and Medicare Advantage (Part C)
Implementation Date: 03/09/2009
CR #: 6284

02/13/2009

Tue, 14 Jul 2009 16:30:00 EST

Transmittal #: R442OTN
Issue Date: 02/13/2009
Subject: Modifier 79
Implementation Date: 03/16/2009
CR #: 6334

02/13/2009

Tue, 14 Jul 2009 16:31:00 EST

Transmittal #: R1680CP
Issue Date: 02/13/2009
Subject: Instructions for Downloading the Medicare ZIP Code Files for July 2009
Implementation Date: 07/06/2009
CR #: 6369

02/13/2009

Tue, 14 Jul 2009 16:32:00 EST

Transmittal #: R441OTN
Issue Date: 02/13/2009
Subject: Influenza Pandemic Emergency Preparedness -- Additional Guidance Concerning Medicare Fee-For-Service Payment Policies and Billing Instructions
Implementation Date: 03/16/2009
CR #: 6280

07/17/2009

Fri, 17 Jul 2009 10:18:00 EST

Transmittal #: R10SS
Issue Date: 07/17/2009
Subject: Business Partners Systems Security Manual
Implementation Date: 08/17/2009
CR #: 6410

07/17/2009

Fri, 17 Jul 2009 10:18:00 EST

Transmittal #: R517OTN
Issue Date: 07/17/2009
Subject: System Network Architecture (SNA) Requirements for New CMS-Net Wide Area Network (WAN)
Implementation Date: 10/05/2009
CR #: 6367

07/17/2009

Fri, 17 Jul 2009 10:41:00 EST

Transmittal #: R516OTN
Issue Date: 07/17/2009
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 837 Institutional (837I) Edits
Implementation Date: N/A
CR #: 6476

07/17/2009

Fri, 17 Jul 2009 11:18:00 EST

Transmittal #: R1771CP
Issue Date: 07/17/2009
Subject: Interest Payment on Clean Non-PIP Claims Not Paid Timely
Implementation Date: 08/17/2009
CR #: 6542

07/17/2009

Fri, 17 Jul 2009 14:32:00 EST

Transmittal #: R518OTN
Issue Date: 07/17/2009
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA)Version 005010 837 Professional (837P) Edits
Implementation Date: N/A
CR #: 6475

01/16/2009

Mon, 20 Jul 2009 09:50:00 EST

Transmittal #: R1670CP
Issue Date: 01/16/2009
Subject: Claim Status Category Code and Claim Status Code Update
Implementation Date: 04/06/2009
CR #: 6325

01/09/2009

Mon, 20 Jul 2009 09:50:00 EST

Transmittal #: R64MSP
Issue Date: 01/09/2009
Subject: New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers""; Compensation Medicare Set-aside Arrangements (WCMSAs), to Stop Conditional Payments
Implementation Date: N/A
CR #: 5371

01/30/2009

Mon, 20 Jul 2009 09:51:00 EST

Transmittal #: R1675CP
Issue Date: 01/30/2009
Subject: Standard System Change to Allow Claims Processing Contractors Flexibility with 9-Digit ZIP Code
Implementation Date: 07/06/2009
CR #: 6293

01/30/2009

Mon, 20 Jul 2009 09:52:00 EST

Transmittal #: R1672CP
Issue Date: 01/30/2009
Subject: Payment for Co-surgeons in a Method II Critical Access Hospital (CAH
Implementation Date: 07/06/2009
CR #: 6319

01/30/2009

Mon, 20 Jul 2009 09:52:00 EST

Transmittal #: R1676CP
Issue Date: 01/30/2009
Subject: Change in the Amount in Controversy Requirement for Administrative Law Judge Hearings and Federal District Court Appeals
Implementation Date: 05/04/2009
CR #: 6295

01/30/2009

Mon, 20 Jul 2009 09:53:00 EST

Transmittal #: R434OTN
Issue Date: 01/30/2009
Subject: Correction to Home Health Prospective Payment System (HH PPS) Episode Sequence Edits
Implementation Date: 07/06/2009
CR #: 6305

07/20/2009

Mon, 20 Jul 2009 15:06:00 EST

Transmittal #: R51SOMA
Issue Date: 07/20/2009
Subject: Revisions to Appendix PP - Interpretive Guidelines for Long-Term Care Facilities, Tag F441
Implementation Date: 09/30/2009
CR #: N/A

07/20/2009

Mon, 20 Jul 2009 15:06:00 EST

Transmittal #: R519OTN
Issue Date: 07/20/2009
Subject: Implementation of the Health Care Claim Status Inquiry and Response (276/277) Version 005010 - Durable Medical Equipment (DME) Shared System Change
Implementation Date: N/A
CR #: 6399

07/10/2009

Wed, 22 Jul 2009 15:40:00 EST

Transmittal #: R1766CP
Issue Date: 07/10/2009
Subject: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2009
Implementation Date: 10/05/2009
CR #: 6548

02/20/2009

Thu, 23 Jul 2009 10:27:00 EST

Transmittal #: R284PI
Issue Date: 02/20/2009
Subject: Model Letter Updates
Implementation Date: 03/20/2009
CR #: 6244

02/20/2009

Thu, 23 Jul 2009 10:28:00 EST

Transmittal #: R448OTN
Issue Date: 02/20/2009
Subject: Request for Common Working File (CWF) to Continue Sending Common Working File Medicare Quality Assurance (CWFMQA) the Existing 4010 File Formats after the CWF July Implementation of 5010 File Formats
Implementation Date: 07/06/2009
CR #: 6373

02/20/2009

Thu, 23 Jul 2009 10:29:00 EST

Transmittal #: R1688CP
Issue Date: 02/20/2009
Subject: Clarification of the Medicare Redetermination Notice for Partly or Fully Unfavorable Redeterminations
Implementation Date: 03/20/2009
CR #: 6302

02/20/2009

Thu, 23 Jul 2009 10:29:00 EST

Transmittal #: R57GI
Issue Date: 02/20/2009
Subject: Implementing Validated Workarounds for Shared System Claims Processing by Medicare Administrative Contractors (A/B MACs), Durable Medical Equipment Medicare Administrative Contractors (DMEMACs), Carriers, Regional Home Health Intermediaries (RHHIs) and Fiscal Intermediaries (FIs)
Implementation Date: 03/20/2009
CR #: 6379

07/24/2009

Thu, 23 Jul 2009 12:49:00 EST

Transmittal #: R520OTN
Issue Date: 07/24/2009
Subject: Annual Systematic Synchronization of Medicare Participating Physician or Supplier Agreement (PAR) Status Between the Multi Carrier System (MCS) Provider Enrollment, Chain and Ownership System (PECOS)
Implementation Date: 01/04/2010
CR #: 6449

07/24/2009

Thu, 23 Jul 2009 15:30:00 EST

Transmittal #: R521OTN
Issue Date: 07/24/2009
Subject: Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process
Implementation Date: 01/04/2010
CR #: 6498

07/24/2009

Thu, 23 Jul 2009 15:30:00 EST

Transmittal #: R522OTN
Issue Date: 07/24/2009
Subject: Migrating the CMS Medicare Data Communication Network (MDCN) to the New Multi Protocol Label Switching (MPLS)
Implementation Date: 10/05/2009
CR #: 6389

N/A

Fri, 24 Jul 2009 07:50:00 EST

Transmittal #: SE0915
Issue Date: N/A
Subject: Take Action Now to Prepare for the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program
Implementation Date: N/A
CR #: N/A

06/12/2009

Fri, 24 Jul 2009 07:52:00 EST

Transmittal #: R1756CP
Issue Date: 06/12/2009
Subject: Claim Status Category Code and Claim Status Code Update
Implementation Date: 07/06/2009
CR #: 6525

07/02/2009

Fri, 24 Jul 2009 07:54:00 EST

Transmittal #: R1763CP
Issue Date: 07/02/2009
Subject: ESRD: Placement of a List of Diagnostic Tests that are Considered End Stage Renal Disease (ESRD)
Implementation Date: 07/02/2009
CR #: 6515

07/10/2009

Fri, 24 Jul 2009 07:55:00 EST

Transmittal #: R1769CP
Issue Date: 07/10/2009
Subject: ESRD: Placement of a List of Diagnostic Tests that are Considered End Stage Renal Disease (ESRD)
Implementation Date: 07/31/2009
CR #: 6515

06/12/2009

Mon, 27 Jul 2009 17:09:00 EST

Transmittal #: R1755CP
Issue Date: 06/12/2009
Subject: Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient
Implementation Date: N/A
CR #: 6405

01/16/2009

Tue, 28 Jul 2009 11:27:00 EST

Transmittal #: R101BP
Issue Date: 01/16/2009
Subject: January 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 01/05/2009
CR #: 6320

01/09/2009

Tue, 28 Jul 2009 11:28:00 EST

Transmittal #: R1664CP
Issue Date: 01/09/2009
Subject: January 2009 Integrated Outpatient Code Editor (I/OCE) Specifications Version 10.0
Implementation Date: 01/05/2009
CR #: 6315

01/08/2009

Tue, 28 Jul 2009 12:59:00 EST

Transmittal #: R1663CP
Issue Date: 01/08/2009
Subject: Correction to Prothrombin Time (PT/INR) Monitoring for Home Anticoagulation Management
Implementation Date: 02/09/2009
CR #: 6313

01/13/2009

Tue, 28 Jul 2009 13:01:00 EST

Transmittal #: R1669CP
Issue Date: 01/13/2009
Subject: January 2009 Update of the Ambulatory Surgical Center (ASC) Payment System
Implementation Date: 01/05/2009
CR #: 6323

01/16/2009

Tue, 28 Jul 2009 13:07:00 EST

Transmittal #: R430OTN
Issue Date: 01/16/2009
Subject: Long Term Care Hospital (LTCH) Special Project
Implementation Date: 02/17/2009
CR #: 6324

01/02/2009

Tue, 28 Jul 2009 13:08:00 EST

Transmittal #: R1661CP
Issue Date: 01/02/2009
Subject: Emergency Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB)
Implementation Date: 01/05/2009
CR #: 6351

01/30/2009

Tue, 28 Jul 2009 13:13:00 EST

Transmittal #: R1673CP
Issue Date: 01/30/2009
Subject: Correction to the Common Working File (CWF) for Late Recertifications
Implementation Date: 07/06/2009
CR #: 6332

02/13/2009

Tue, 28 Jul 2009 14:38:00 EST

Transmittal #: R1684CP
Issue Date: 02/13/2009
Subject: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2009
Implementation Date: 04/06/2009
CR #: 6383

02/27/2009

Tue, 28 Jul 2009 15:19:00 EST

Transmittal #: R451OTN
Issue Date: 02/27/2009
Subject: Incorporation of the National Provider Identifier (NPI) into the National Supplier Clearinghouse (NSC) Enrollment System and Related Instructions
Implementation Date: 07/06/2009
CR #: 6314

02/25/2009

Tue, 28 Jul 2009 15:19:00 EST

Transmittal #: R24COM
Issue Date: 02/25/2009
Subject: Implementation of New Provider Authentication Requirements for Medicare Contractor Provider Telephone and Written Inquiries.
Implementation Date: N/A
CR #: 6139

N/A

Wed, 29 Jul 2009 11:14:00 EST

Transmittal #: SE0902
Issue Date: N/A
Subject: Important Information for Providers Serving Medicare Beneficiaries Enrolled in Private Fee-for-Service Plans
Implementation Date: N/A
CR #: N/A

07/24/2009

Wed, 29 Jul 2009 12:37:00 EST

Transmittal #: R1780CP
Issue Date: 07/24/2009
Subject: Update-Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Rate Year 2010
Implementation Date: 07/06/2009
CR #: 6461

07/10/2009

Thu, 30 Jul 2009 07:58:00 EST

Transmittal #: R1770CP
Issue Date: 07/10/2009
Subject: Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)
Implementation Date: 10/05/2009
CR #: 6520

07/10/2009

Thu, 30 Jul 2009 08:06:00 EST

Transmittal #: R103NCD
Issue Date: 07/10/2009
Subject: Sleep Testing for Obstructive Sleep Apnea (OSA)
Implementation Date: 08/10/2009
CR #: 6534

07/10/2009

Thu, 30 Jul 2009 08:11:00 EST

Transmittal #: R515OTN
Issue Date: 07/10/2009
Subject: 2009 Reminder for Roster Billing and Centralized Billing for Influenza and Pneumococcal Vaccinations
Implementation Date: 08/10/2009
CR #: 6539

07/29/2009

Fri, 31 Jul 2009 10:30:00 EST

Transmittal #: R1781CP
Issue Date: 07/29/2009
Subject: Payment for Co-surgeons in a Method II Critical Access Hospital (CAH)
Implementation Date: 07/06/2009
CR #: 6319

07/31/2009

Fri, 31 Jul 2009 10:41:00 EST

Transmittal #: R108BP
Issue Date: 07/31/2009
Subject: New Reporting Requirements for the Quarterly Opt Out Report in Contractor Reporting of Operational Workload Data (CROWD)
Implementation Date: 01/04/2010
CR #: 6562

07/31/2009

Fri, 31 Jul 2009 10:41:00 EST

Transmittal #: R20P236
Issue Date: 07/31/2009
Subject: Update Form CMS-2552-96 and further clarifications
Implementation Date: N/A
CR #: N/A

07/31/2009

Fri, 31 Jul 2009 10:41:00 EST

Transmittal #: R155FM
Issue Date: 07/31/2009
Subject: New Reporting Requirements for the Quarterly Opt Out Report in Contractor Reporting of Operational Workload Data (CROWD)
Implementation Date: 01/04/2010
CR #: 6562

07/31/2009

Fri, 31 Jul 2009 11:43:00 EST

Transmittal #: R525OTN
Issue Date: 07/31/2009
Subject: Phase 2 Base System Changes for Implementation of the Next Version of the Health Insurance Portability and Accountability Act (HIPAA)Multi Carrier System (MCS) Only
Implementation Date: N/A
CR #: 6576

08/03/2009

Mon, 03 Aug 2009 14:38:00 EST

Transmittal #: R528OTN
Issue Date: 08/03/2009
Subject: New Workload Number for and Transition of the Part A Louisiana and Mississippi Workloads to PBSI, an Existing Title XVIII Fiscal Intermediary
Implementation Date: 09/30/2009
CR #: 6590

07/31/2009

Tue, 04 Aug 2009 09:19:00 EST

Transmittal #: R1785CP
Issue Date: 07/31/2009
Subject: Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 15.3, Effective October 1, 2009
Implementation Date: 10/05/2009
CR #: 6587

05/22/2009

Tue, 04 Aug 2009 09:33:00 EST

Transmittal #: R1744CP
Issue Date: 05/22/2009
Subject: Manual Update to Include Billing Instructions for Professional Component (PC) and Technical Component (TC) in Regards to One Line Global Billing for Pathology Services
Implementation Date: 08/24/2009
CR #: 6457

02/20/2009

Tue, 04 Aug 2009 09:51:00 EST

Transmittal #: R1685CP
Issue Date: 02/20/2009
Subject: April 2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
Implementation Date: 04/06/2009
CR #: 6380

03/04/2009

Tue, 04 Aug 2009 12:19:00 EST

Transmittal #: R1691CP
Issue Date: 03/04/2009
Subject: April Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB)
Implementation Date: 04/06/2009
CR #: 6397

03/06/2009

Tue, 04 Aug 2009 12:38:00 EST

Transmittal #: R148FM
Issue Date: 03/06/2009
Subject: Recovery Audit Contractors (RACs)
Implementation Date: 03/13/2009
CR #: 6273

03/06/2009

Tue, 04 Aug 2009 12:38:00 EST

Transmittal #: R454OTN
Issue Date: 03/06/2009
Subject: Influenza Pandemic Emergency Preparedness Waiver of Certain Medicare Requirements
Implementation Date: 04/06/2009
CR #: 6378

08/07/2009

Fri, 07 Aug 2009 12:57:00 EST

Transmittal #: R1792CP
Issue Date: 08/07/2009
Subject: Instructions for Downloading the Medicare ZIP Code Files for January 2010
Implementation Date: 01/04/2010
CR #: 6536

08/07/2009

Fri, 07 Aug 2009 12:57:00 EST

Transmittal #: R91MCM
Issue Date: 08/07/2009
Subject: Chapter 3, Medicare Marketing Guidelines
Implementation Date: 08/07/2009
CR #: N/A

08/07/2009

Fri, 07 Aug 2009 12:57:00 EST

Transmittal #: R1793CP
Issue Date: 08/07/2009
Subject: Revision to the Selection Criteria for Recovery Audit Contractor (RAC) Adjustment Crossover Claims and for Fully Reimbursable Part B Claims
Implementation Date: 01/04/2010
CR #: 6567

08/07/2009

Fri, 07 Aug 2009 14:22:00 EST

Transmittal #: R156FM
Issue Date: 08/07/2009
Subject: Recovery Audit Contractors
Implementation Date: 09/08/2009
CR #: 6582

08/07/2009

Fri, 07 Aug 2009 14:22:00 EST

Transmittal #: R530OTN
Issue Date: 08/07/2009
Subject: Update Fiscal Intermediary Standard System (FISS) to Deactivate Billing Numbers for Non-Frequent Billers
Implementation Date: 01/04/2010
CR #: 6312

08/07/2009

Mon, 10 Aug 2009 10:23:00 EST

Transmittal #: R26COM
Issue Date: 08/07/2009
Subject: Provider Customer Service Program Updates
Implementation Date: 09/08/2009
CR #: 6482

07/24/2009

Tue, 11 Aug 2009 08:41:00 EST

Transmittal #: R1774CP
Issue Date: 07/24/2009
Subject: The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2007 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs)
Implementation Date: 08/07/2009
CR #: 6530

03/06/2009

Tue, 11 Aug 2009 08:42:00 EST

Transmittal #: R1696
Issue Date: 03/06/2009
Subject: Updates to the Medicare Claims Processing Manual Publication 100-04, Chapter 15.
Implementation Date: 04/06/2009
CR #: 6347

07/24/2009

Tue, 11 Aug 2009 08:46:00 EST

Transmittal #: R1775CP
Issue Date: 07/24/2009
Subject: Point of Origin Codes Update to the UB-04 (CMS-1450) Manual Code List
Implementation Date: 01/04/2010
CR #: 6478

07/24/2009

Tue, 11 Aug 2009 08:50:00 EST

Transmittal #: R1773CP
Issue Date: 07/24/2009
Subject: Revised Processing of Osteoporosis Drugs Under the Home Health Benefit
Implementation Date: 01/04/2010
CR #: 6512

07/02/2009

Tue, 11 Aug 2009 09:10:00 EST

Transmittal #: R513OTN
Issue Date: 07/02/2009
Subject: Coding and Reporting Principles for the Physician Quality Reporting Initiative (PQRI) and the Electronic Prescribing (E-Prescribing) Incentive Programs
Implementation Date: 09/02/2009
CR #: 6514

07/24/2009

Tue, 11 Aug 2009 10:06:00 EST

Transmittal #: R1776CP
Issue Date: 07/24/2009
Subject: Telehealth Services in Indian Health Service (IHS) or Tribal Providers
Implementation Date: 01/04/2010
CR #: 6493

07/24/2009

Tue, 11 Aug 2009 10:10:00 EST

Transmittal #: R1777CP
Issue Date: 07/24/2009
Subject: Payment of Bilateral Procedures in a Method II Critical Access Hospital (CAH)
Implementation Date: 01/04/2010
CR #: 6526

07/17/2009

Wed, 12 Aug 2009 14:03:00 EST

Transmittal #: R1772CP
Issue Date: 07/17/2009
Subject: FDG PET for Solid Tumors and Myeloma and Additional Manual Updates
Implementation Date: N/A
CR #: 6464

08/14/2009

Thu, 13 Aug 2009 10:18:00 EST

Transmittal #: R1794CP
Issue Date: 08/14/2009
Subject: Healthcare Provider Taxonomy Codes (HPTC) Update October 2009
Implementation Date: 10/05/2009
CR #: 6598

08/14/2009

Thu, 13 Aug 2009 14:44:00 EST

Transmittal #: R532OTN
Issue Date: 08/14/2009
Subject: Deactivation Letter for the Multi-Carrier System (MCS)
Implementation Date: 01/04/2010
CR #: 6467

08/14/2009

Thu, 13 Aug 2009 15:48:00 EST

Transmittal #: R533OTN
Issue Date: 08/14/2009
Subject: Phase 2 Base System Changes for Implementation of the Next Version of the Health Insurance Portability and Accountability Act (HIPAA)Viable Medicare System (VMS) Only
Implementation Date: 01/04/2009
CR #: 6602

06/12/2009

Fri, 14 Aug 2009 12:30:00 EST

Transmittal #: R503OTN
Issue Date: 06/12/2009
Subject: Reporting Non-Tax Withholding Due to Federal Payment Levy Program (FPLP)
Implementation Date: N/A
CR #: 6228

02/06/2009

Fri, 14 Aug 2009 13:21:00 EST

Transmittal #: R435OTN
Issue Date: 02/06/2009
Subject: VMS Modifications to Implement the Common Electronic Data Interchange (CEDI) System, Final Implementation
Implementation Date: 04/06/2009
CR #: 6357

02/13/2009

Fri, 14 Aug 2009 13:22:00 EST

Transmittal #: R102BP
Issue Date: 02/13/2009
Subject: Shipboard Services Billed to the Carrier and Services Not Provided Within the United States. This CR rescinds and fully replaces CR 6217.
Implementation Date: 03/13/2009
CR #: 6327

02/13/2009

Fri, 14 Aug 2009 13:22:00 EST

Transmittal #: R1677CP
Issue Date: 02/13/2009
Subject: Shipboard Services Billed to the Carrier and Services Not Provided Within the United States. This CR rescinds and fully replaces CR 6217.
Implementation Date: 03/13/2009
CR #: 6327

02/13/2009

Fri, 14 Aug 2009 13:23:00 EST

Transmittal #: R447OTN
Issue Date: 02/13/2009
Subject: Corrections to the Inpatient Prospective Payment System (IPPS) Wage Index for Fiscal Year (FY) 2009 and the Outpatient Prospective Payment System (OPPS) Wage Index for Calendar Year (CY) 2009
Implementation Date: 05/18/2009
CR #: 6363

02/13/2009

Fri, 14 Aug 2009 13:24:00 EST

Transmittal #: R1683CP
Issue Date: 02/13/2009
Subject: Heartsbreath Test for Heart Transplant Rejection
Implementation Date: 04/06/2009
CR #: 6366

02/13/2009

Fri, 14 Aug 2009 13:24:00 EST

Transmittal #: R1681CP
Issue Date: 02/13/2009
Subject: Payments to Institutional Providers with Multiple Service Delivery Locations
Implementation Date: 07/06/2009
CR #: 6300

02/13/2009

Fri, 14 Aug 2009 13:24:00 EST

Transmittal #: R99NCD
Issue Date: 02/13/2009
Subject: Heartsbreath Test for Heart Transplant Rejection
Implementation Date: 04/06/2009
CR #: 6366

02/20/2009

Fri, 14 Aug 2009 13:25:00 EST

Transmittal #: R1686CP
Issue Date: 02/20/2009
Subject: New Non-physician Practitioner Specialty Code for Speech Language Pathologists
Implementation Date: 07/06/2009
CR #: 6292

02/13/2009

Fri, 14 Aug 2009 13:25:00 EST

Transmittal #: R1682CP
Issue Date: 02/13/2009
Subject: Clarification of Date of Service (DOS) of Ambulance Services.
Implementation Date: 03/13/2009
CR #: 6372

01/30/2009

Fri, 14 Aug 2009 13:26:00 EST

Transmittal #: R1674CP
Issue Date: 01/30/2009
Subject: Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update
Implementation Date: 04/06/2009
CR #: 6336

02/20/2009

Fri, 14 Aug 2009 13:26:00 EST

Transmittal #: R1687CP
Issue Date: 02/20/2009
Subject: Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
Implementation Date: 04/06/2009
CR #: 6356

02/13/2009

Fri, 14 Aug 2009 13:27:00 EST

Transmittal #: R443OTN
Issue Date: 02/13/2009
Subject: Payment for Repair, Maintenance and Servicing of Oxygen Equipment as a Result of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008
Implementation Date: 04/06/2009
CR #: 6296

02/20/2009

Fri, 14 Aug 2009 13:55:00 EST

Transmittal #: R103BP
Issue Date: 02/20/2009
Subject: Ambulance Services and Expiration of the Ambulance Fee Schedule Transition Period
Implementation Date: 03/20/2009
CR #: 6318

02/27/2009

Fri, 14 Aug 2009 13:55:00 EST

Transmittal #: R1689CP
Issue Date: 02/27/2009
Subject: New Waived Tests
Implementation Date: 04/06/2009
CR #: 6370

02/27/2009

Fri, 14 Aug 2009 13:56:00 EST

Transmittal #: R1690CP
Issue Date: 02/27/2009
Subject: Reporting the National Provider Identifier (NPI) on Claims for Reference Laboratory and Purchased Diagnostic Services Performed Outside the Billing Jurisdiction.
Implementation Date: 03/27/2009
CR #: 6362

02/13/2009

Fri, 14 Aug 2009 13:56:00 EST

Transmittal #: R445OTN
Issue Date: 02/13/2009
Subject: Claims Processing Instructions for Diagnostic Tests Subject to the Anti-Markup Pricing Limitation
Implementation Date: 07/06/2009
CR #: 6371

02/13/2009

Fri, 14 Aug 2009 13:57:00 EST

Transmittal #: R1678CP
Issue Date: 02/13/2009
Subject: Outpatient Therapy Caps With Exceptions in CY 2009
Implementation Date: 04/06/2009
CR #: 6321

05/08/2009

Mon, 17 Aug 2009 07:59:00 EST

Transmittal #: R1733CP
Issue Date: 05/08/2009
Subject: Manual Clarifications for Skilled Nursing Facility (SNF) and Therapy Billing
Implementation Date: 04/27/2009
CR #: 6407

03/13/2009

Mon, 17 Aug 2009 08:12:00 EST

Transmittal #: R1699CP
Issue Date: 03/13/2009
Subject: Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 15.1, Effective April 1, 2009
Implementation Date: 04/06/2009
CR #: 6388

03/13/2009

Mon, 17 Aug 2009 08:12:00 EST

Transmittal #: R1700CP
Issue Date: 03/13/2009
Subject: April 2009 Integrated Outpatient Code Editor (I/OCE) Specifications Version 10.1
Implementation Date: 04/06/2009
CR #: 6413

03/13/2009

Mon, 17 Aug 2009 08:13:00 EST

Transmittal #: R1702CP
Issue Date: 03/13/2009
Subject: April 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 04/06/2009
CR #: 6416

03/13/2009

Mon, 17 Aug 2009 08:22:00 EST

Transmittal #: R104BP
Issue Date: 03/13/2009
Subject: April 2009 Update to the ASC Payment System; Summary of Payment Policy Changes/Manual Revisions.
Implementation Date: 04/06/2009
CR #: 6424

08/14/2009

Tue, 18 Aug 2009 08:20:00 EST

Transmittal #: R1798CP
Issue Date: 08/14/2009
Subject: Health Service (IHS) Hospital Payment Rates for Calendar Year 2009
Implementation Date: 09/15/2009
CR #: 6572

08/03/2009

Fri, 21 Aug 2009 08:11:00 EST

Transmittal #: R527OTN
Issue Date: 08/03/2009
Subject: Program Instructions Designating the Competitive Bidding Areas and Product Categories Included in the DMEPOS Competitive Bidding Program Round One Rebid in CY 2009
Implementation Date: 09/03/2009
CR #: 6571

08/21/2009

Fri, 21 Aug 2009 10:55:00 EST

Transmittal #: R541OTN
Issue Date: 08/21/2009
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 837 Institutional (837I) Edits for J10 and J14 Only
Implementation Date: 01/04/2010
CR #: 6610

08/21/2009

Fri, 21 Aug 2009 10:55:00 EST

Transmittal #: R540OTN
Issue Date: 08/21/2009
Subject: 5010-D.0 Project Receipt, Control and Balancing Initial Phase for Durable Medical Equipment (DME) Only
Implementation Date: 01/04/2010
CR #: 6591

08/21/2009

Fri, 21 Aug 2009 10:55:00 EST

Transmittal #: R536OTN
Issue Date: 08/21/2009
Subject: Part B Individual Practitioner Supplier Enrollment Revalidation
Implementation Date: 09/22/2009
CR #: 6574

08/21/2009

Fri, 21 Aug 2009 10:55:00 EST

Transmittal #: R535OTN
Issue Date: 08/21/2009
Subject: Part B Organizational Supplier Enrollment Revalidation
Implementation Date: 09/22/2009
CR #: 6485

08/21/2009

Fri, 21 Aug 2009 11:41:00 EST

Transmittal #: R157FM
Issue Date: 08/21/2009
Subject: Add Specialty Codes to CROWD Form F (Participating Physicians Data)
Implementation Date: 01/04/2009
CR #: 6580

08/21/2009

Fri, 21 Aug 2009 11:44:00 EST

Transmittal #: R537OTN
Issue Date: 08/21/2009
Subject: 5010-D.0 Project Receipt, Control and Balancing Initial Phase for A/B Medicare Administrative Contractor (MAC) Only
Implementation Date: N/A
CR #: 6597

08/21/2009

Fri, 21 Aug 2009 11:49:00 EST

Transmittal #: R538OTN
Issue Date: 08/21/2009
Subject: PC Print Update for ASC X12 835 Version 005010
Implementation Date: 01/04/2010
CR #: 6601

08/21/2009

Fri, 21 Aug 2009 11:52:00 EST

Transmittal #: R539OTN
Issue Date: 08/21/2009
Subject: Medicare Part B Slide Preparation Facility Supplier enrollment Revalidation
Implementation Date: 09/21/2009
CR #: 6494

08/21/2009

Fri, 21 Aug 2009 13:29:00 EST

Transmittal #: R542OTN
Issue Date: 08/21/2009
Subject: Skilled Nursing Facility (SNF) Provider Enrollment Revalidation
Implementation Date: 09/21/2009
CR #: 6486

08/21/2009

Fri, 21 Aug 2009 13:33:00 EST

Transmittal #: R543OTN
Issue Date: 08/21/2009
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 837 Professional (837P) Edits Medicare Administrative Contractor (MAC) - Jurisdictions 10 and 14 Only
Implementation Date: 01/04/2010
CR #: 6611

07/17/2009

Fri, 21 Aug 2009 14:20:00 EST

Transmittal #: R104NCD
Issue Date: 07/17/2009
Subject: FDG PET for Solid Tumors and Myeloma and Additional Manual Updates
Implementation Date: 08/17/2009
CR #: 6464

05/04/2009

Fri, 21 Aug 2009 14:56:00 EST

Transmittal #: R1728CP
Issue Date: 05/04/2009
Subject: Surgery for Diabetes
Implementation Date: 05/18/2009
CR #: 6419

04/17/2009

Mon, 24 Aug 2009 12:25:00 EST

Transmittal #: R100NCD
Issue Date: 04/17/2009
Subject: Surgery for Diabetes
Implementation Date: 05/18/2009
CR #: 6419

04/17/2009

Mon, 24 Aug 2009 12:38:00 EST

Transmittal #: R1711CP
Issue Date: 04/17/2009
Subject: Surgery for Diabetes
Implementation Date: 05/18/2009
CR #: 6419

03/13/2009

Mon, 24 Aug 2009 14:21:00 EST

Transmittal #: R1698CP
Issue Date: 03/13/2009
Subject: April 2009 Update to the ASC Payment System; Summary of Payment Policy Changes/Manual Revisions.
Implementation Date: 04/06/2009
CR #: 6424

03/13/2009

Mon, 24 Aug 2009 14:22:00 EST

Transmittal #: R456OTN
Issue Date: 03/13/2009
Subject: Addition of the Jurisdiction 5 Medicare Administrative Contractor (MAC) Roll Up Number (05001) to the CWF Contractor Table for Provider Inquiry Usage (Only)
Implementation Date: 04/13/2009
CR #: 6396

03/10/2009

Mon, 24 Aug 2009 14:24:00 EST

Transmittal #: R455OTN
Issue Date: 03/10/2009
Subject: Health Insurance Portability and Accountability Act (HIPAA) 837 5010 Coordination of Benefits (COB) Requirements--Multi-Carrier Systems (MCS)
Implementation Date: N/A
CR #: 6308

02/10/2009

Tue, 25 Aug 2009 08:11:00 EST

Transmittal #: R23COM
Issue Date: 02/10/2009
Subject: Implementation of New Provider Authentication Requirements for Medicare Contractor Provider Telephone and Written Inquiries
Implementation Date: N/A
CR #: 6139

03/04/2009

Tue, 25 Aug 2009 08:12:00 EST

Transmittal #: R25COM
Issue Date: 03/04/2009
Subject: Implementation of New Provider Authentication Requirements for Medicare Contractor Provider Telephone and Written Inquiries
Implementation Date: N/A
CR #: 6139

03/06/2009

Wed, 26 Aug 2009 12:36:00 EST

Transmittal #: R1692CP
Issue Date: 03/06/2009
Subject: Healthcare Provider Taxonomy Codes (HPTC) Update April 2009
Implementation Date: 04/06/2009
CR #: 6382

03/20/2009

Wed, 26 Aug 2009 12:49:00 EST

Transmittal #: R462OTN
Issue Date: 03/20/2009
Subject: Emergency Change to the CWF Pacific Host's Internal Control File for the A/B Medicare Administrative Contractor Jurisdiction 3 Part B Merge
Implementation Date: 06/01/2009
CR #: 6403

03/20/2009

Wed, 26 Aug 2009 12:49:00 EST

Transmittal #: R457OTN
Issue Date: 03/20/2009
Subject: Hemophilia Clotting Factor Indicator on Average Sales Price (ASP) Drug Pricing File
Implementation Date: 07/06/2009
CR #: 6402

03/20/2009

Wed, 26 Aug 2009 12:52:00 EST

Transmittal #: R460OTN
Issue Date: 03/20/2009
Subject: J12 Production Region Merge of the District of Columbia, Maryland, New Jersey, and Pennsylvania Part A Workloads
Implementation Date: 04/06/2009
CR #: 6345

03/20/2009

Wed, 26 Aug 2009 12:52:00 EST

Transmittal #: R1704CP
Issue Date: 03/20/2009
Subject: Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process
Implementation Date: N/A
CR #: 6343

03/20/2009

Wed, 26 Aug 2009 15:34:00 EST

Transmittal #: R40SOMA
Issue Date: 03/20/2009
Subject: Revisions to Chapter 2, "";The Certification Process,""; Sections Relating to Federally Qualified Health Centers, and Exhibits 177 and 179
Implementation Date: 03/20/2009
CR #: N/A

03/24/2009

Wed, 26 Aug 2009 16:03:00 EST

Transmittal #: R464OTN
Issue Date: 03/24/2009
Subject: Customer Information Control System (CICS) Production Region Merge of the Alaska, Washington, Idaho and Oregon Medicare Part A Workloads in Preparation for the J2 Medicare Administrative Contractor (MAC) Implementation
Implementation Date: 04/06/2009
CR #: 6339

03/24/2009

Wed, 26 Aug 2009 16:04:00 EST

Transmittal #: R463OTN
Issue Date: 03/24/2009
Subject: J14 Part A and Part B Medicare Administrative Contractor (A/B MAC) New Workload Numbers for the States of Maine, Massachusetts, New Hampshire, Rhode Island, and Vermont
Implementation Date: 05/02/2009
CR #: 6406

08/28/2009

Thu, 27 Aug 2009 16:11:00 EST

Transmittal #: R299PI
Issue Date: 08/28/2009
Subject: Updates to Model Rejection, Returned Application, Revalidation, Approval, Denial/Revocation Letters and Identity Theft Prevention Letter
Implementation Date: 09/28/2009
CR #: 6527

08/28/2009

Thu, 27 Aug 2009 16:11:00 EST

Transmittal #: R545OTN
Issue Date: 08/28/2009
Subject: 5010-D.0 Project Healthcare Claims Acknowledgement 277CA Generator (FISS and MCS ONLY)
Implementation Date: 01/04/2010
CR #: 6622

08/28/2009

Fri, 28 Aug 2009 07:32:00 EST

Transmittal #: R1802CP
Issue Date: 08/28/2009
Subject: Expansion of the Number of Services Fields in Medicare Summary Notices (MSNs)
Implementation Date: 01/04/2010
CR #: 6577

08/28/2009

Fri, 28 Aug 2009 09:16:00 EST

Transmittal #: R548OTN
Issue Date: 08/28/2009
Subject: HIPAA 5010 Activity - Medicare Administrative Contractor (MAC) Certification Test Package Development
Implementation Date: 09/29/2009
CR #: 6600

03/06/2009

Mon, 31 Aug 2009 08:30:00 EST

Transmittal #: R1695CP
Issue Date: 03/06/2009
Subject: Providers Submitting Information Regarding Medicare Beneficiaries Entitled to Medicare Advantage (MA) for Fiscal Year (FY) 2006 for the Medicare/Supplemental Security Income (SSI) Fraction
Implementation Date: 07/06/2009
CR #: 6329

03/13/2009

Mon, 31 Aug 2009 08:30:00 EST

Transmittal #: R1701CP
Issue Date: 03/13/2009
Subject: Revision of the Hospice Wage Index and the Hospice Pricer for FY 2009
Implementation Date: 04/03/2009
CR #: 6418

03/06/2009

Mon, 31 Aug 2009 08:30:00 EST

Transmittal #: R58GI
Issue Date: 03/06/2009
Subject: Disclosure of Physician Ownership in Hospitals
Implementation Date: 06/08/2009
CR #: 6306

01/09/2009

Mon, 31 Aug 2009 08:37:00 EST

Transmittal #: R1665CP
Issue Date: 01/09/2009
Subject: New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers""; Compensation Medicare Set-aside Arrangements (WCMSAs), to Stop Conditional Payments
Implementation Date: N/A
CR #: 5371

03/20/2009

Mon, 31 Aug 2009 08:37:00 EST

Transmittal #: R1703CP
Issue Date: 03/20/2009
Subject: New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers""; Compensation Medicare Set-aside Arrangements (WCMSAs), to Stop Conditional Payments
Implementation Date: N/A
CR #: 5371

03/20/2009

Mon, 31 Aug 2009 08:37:00 EST

Transmittal #: R65MSP
Issue Date: 03/20/2009
Subject: New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers""; Compensation Medicare Set-aside Arrangements (WCMSAs), to Stop Conditional Payment
Implementation Date: 07/06/2009
CR #: 5371

03/12/2009

Mon, 31 Aug 2009 08:38:00 EST

Transmittal #: R1697CP
Issue Date: 03/12/2009
Subject: Heartsbreath Test for Heart Transplant Rejection
Implementation Date: 04/06/2009
CR #: 6366

08/28/2009

Tue, 01 Sep 2009 08:03:00 EST

Transmittal #: R1801CP
Issue Date: 08/28/2009
Subject: October Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB)
Implementation Date: 10/05/2009
CR #: 6617

08/28/2009

Tue, 01 Sep 2009 08:13:00 EST

Transmittal #: R1805CP
Issue Date: 08/28/2009
Subject: Addition/Deletion of HCPCS Codes October 2009 Quarterly Update
Implementation Date: 10/05/2009
CR #: 6594

08/28/2009

Tue, 01 Sep 2009 08:19:00 EST

Transmittal #: R1809CP
Issue Date: 08/28/2009
Subject: October 2009 Integrated Outpatient Code Editor (I/OCE) Specifications Version 10.3
Implementation Date: 10/05/2009
CR #: 6618

08/28/2009

Tue, 01 Sep 2009 10:05:00 EST

Transmittal #: R1803CP
Issue Date: 08/28/2009
Subject: October 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 10/05/2009
CR #: 6626

08/28/2009

Tue, 01 Sep 2009 10:07:00 EST

Transmittal #: R1806CP
Issue Date: 08/28/2009
Subject: October 2009 Update to the Ambulatory Surgical Center (ASC) Payment System; Summary of Payment Policy Changes
Implementation Date: 10/05/2009
CR #: 6629

03/27/2009

Tue, 01 Sep 2009 11:25:00 EST

Transmittal #: R468OTN
Issue Date: 03/27/2009
Subject: Limitation of Recoupment - VMS Recoupment and Claims Adjustment Process
Implementation Date: N/A
CR #: 6204

03/27/2009

Tue, 01 Sep 2009 11:26:00 EST

Transmittal #: R465OTN
Issue Date: 03/27/2009
Subject: New "";WW""; Code to Identify a New Source for Topotecan
Implementation Date: 07/06/2009
CR #: 6423

03/27/2009

Tue, 01 Sep 2009 11:27:00 EST

Transmittal #: R467OTN
Issue Date: 03/27/2009
Subject: J10 Part A and Part B Medicare Administrative Contractor (A/B MAC) Part B Tennessee and Idaho CICS UAT and Production Region Split and New Workload Numbers for the States of Alabama, Georgia and Tennessee
Implementation Date: 05/04/2009
CR #: 6436

03/27/2009

Tue, 01 Sep 2009 11:27:00 EST

Transmittal #: R149FM
Issue Date: 03/27/2009
Subject: Instruction for Credits for Medicare Administrative Contractors on Complementary Credit Reporting
Implementation Date: 04/27/2009
CR #: 6348

05/08/2009

Wed, 02 Sep 2009 07:22:00 EST

Transmittal #: R1729CP
Issue Date: 05/08/2009
Subject: Section 148 of The Medicare Improvements for Patients and Providers Act (MIPPA)
Implementation Date: 07/06/2009
CR #: 6395

07/30/2009

Wed, 02 Sep 2009 07:27:00 EST

Transmittal #: R1782CP
Issue Date: 07/30/2009
Subject: Section 148 of The Medicare Improvements for Patients and Providers Act (MIPPA)
Implementation Date: 07/06/2009
CR #: 6395

07/10/2009

Wed, 02 Sep 2009 08:04:00 EST

Transmittal #: R1765CP
Issue Date: 07/10/2009
Subject: 2009 Durable Medical Equipment Prosthetics, Orthotics, and Supply Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List
Implementation Date: 08/10/2009
CR #: 6522

07/31/2009

Wed, 02 Sep 2009 08:10:00 EST

Transmittal #: R1786CP
Issue Date: 07/31/2009
Subject: Appropriate Use of Modifier 50 and Add-On Codes for Facet Joint Injections Services
Implementation Date: 08/31/2009
CR #: 6518

07/31/2009

Wed, 02 Sep 2009 08:12:00 EST

Transmittal #: R526OTN
Issue Date: 07/31/2009
Subject: Appropriate Use of Modifier 50 and Add-On Codes for Facet Joint Injections Services
Implementation Date: 08/31/2009
CR #: 6518

N/A

Wed, 02 Sep 2009 08:17:00 EST

Transmittal #: SE0914
Issue Date: N/A
Subject: Guidance on Using Internet-based Provider Enrollment, Chain and Ownership System (PECOS)
Implementation Date: N/A
CR #: N/A

08/07/2009

Wed, 02 Sep 2009 08:28:00 EST

Transmittal #: R109BP
Issue Date: 08/07/2009
Subject: Diabetes Self-Management Training (DSMT) Certified Diabetic Educator
Implementation Date: 09/08/2009
CR #: 6510

08/07/2009

Wed, 02 Sep 2009 08:32:00 EST

Transmittal #: R297PI
Issue Date: 08/07/2009
Subject: Compliance Standards for Consignment Closets and Stock and Bill Arrangements
Implementation Date: 09/08/2009
CR #: 6528

04/02/2009

Wed, 02 Sep 2009 09:36:00 EST

Transmittal #: R150FM
Issue Date: 04/02/2009
Subject: Chapter 7 - Internal Control Requirements Update
Implementation Date: 03/09/2009
CR #: 6249

04/03/2009

Wed, 02 Sep 2009 09:37:00 EST

Transmittal #: R1709CP
Issue Date: 04/03/2009
Subject: Manualization of the Medicare Physician Fee Schedule (MPFS) Record Layouts for Contractors Processing Institutional Claims
Implementation Date: 07/06/2009
CR #: 6443

08/14/2009

Wed, 02 Sep 2009 11:04:00 EST

Transmittal #: R1796CP
Issue Date: 08/14/2009
Subject: Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index, and the Hospice Pricer for FY 2010
Implementation Date: 10/05/2009
CR #: 6606

08/14/2009

Wed, 02 Sep 2009 11:08:00 EST

Transmittal #: R1795CP
Issue Date: 08/14/2009
Subject: October 2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
Implementation Date: 10/05/2009
CR #: 6585

08/07/2009

Wed, 02 Sep 2009 11:11:00 EST

Transmittal #: R1790CP
Issue Date: 08/07/2009
Subject: Clinical Laboratory Fee Schedule - Medicare Travel Allowance Fees for Collection of Specimens
Implementation Date: 10/05/2009
CR #: 6524

09/01/2009

Wed, 02 Sep 2009 11:12:00 EST

Transmittal #: R1810CP
Issue Date: 09/01/2009
Subject: October Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB)
Implementation Date: 10/05/2009
CR #: 6617

07/31/2009

Wed, 02 Sep 2009 13:31:00 EST

Transmittal #: R1784CP
Issue Date: 07/31/2009
Subject: The Use of the CR Modifier and DR Condition Code on Disaster/Emergency-Related Claims
Implementation Date: 08/31/2009
CR #: 6451

08/07/2009

Wed, 02 Sep 2009 13:33:00 EST

Transmittal #: R1789CP
Issue Date: 08/07/2009
Subject: 2010 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments
Implementation Date: 01/04/2010
CR #: 6581

08/28/2009

Wed, 02 Sep 2009 13:36:00 EST

Transmittal #: R546OTN
Issue Date: 08/28/2009
Subject: Ambulatory Surgical Center Payment Indicator (ASCPI) File Error; and Reiteration of CMS Policy Regarding Beneficiary Liability for V2787 and V2788
Implementation Date: 09/29/2009
CR #: 6630

08/14/2009

Wed, 02 Sep 2009 13:37:00 EST

Transmittal #: R531OTN
Issue Date: 08/14/2009
Subject: Additional Instructions on Processing Claims for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Items Submitted Under the Guidelines Established in Change Request (CR) 5917
Implementation Date: 01/04/2010
CR #: 6573

08/21/2009

Wed, 02 Sep 2009 13:39:00 EST

Transmittal #: R1799CP
Issue Date: 08/21/2009
Subject: New Waived Tests
Implementation Date: 10/05/2009
CR #: 6570

09/01/2009

Wed, 02 Sep 2009 14:46:00 EST

Transmittal #: R300PI
Issue Date: 09/01/2009
Subject: Compliance Standards for Consignment Closets and Stock and Bill Arrangements
Implementation Date: 03/01/2010
CR #: 6528

07/31/2009

Wed, 02 Sep 2009 14:51:00 EST

Transmittal #: R1787CP
Issue Date: 07/31/2009
Subject: Fractional Mileage Amounts Submitted on Ambulance Claims
Implementation Date: 01/04/2010
CR #: 6543

09/04/2009

Fri, 04 Sep 2009 08:43:00 EST

Transmittal #: R1813CP
Issue Date: 09/04/2009
Subject: 2010 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder
Implementation Date: 01/04/2010
CR #: 6620

09/04/2009

Fri, 04 Sep 2009 08:55:00 EST

Transmittal #: R1811CP
Issue Date: 09/04/2009
Subject: Verification of Status for all Hospitals Qualifying for Disproportionate Share Hospital (DSH) Payments under 42 CFR Section 412.106(c)(2), also known as the "";Pickle Amendment"";
Implementation Date: 10/05/2009
CR #: 6564

09/04/2009

Fri, 04 Sep 2009 10:04:00 EST

Transmittal #: R551OTN
Issue Date: 09/04/2009
Subject: Creation of Receipt Date for Multi-Carrier System (MCS)
Implementation Date: 01/04/2010
CR #: 6612

09/04/2009

Fri, 04 Sep 2009 10:04:00 EST

Transmittal #: R552OTN
Issue Date: 09/04/2009
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Common Edits and Enhancements Module File Preparation (for FISS Only)
Implementation Date: 01/04/2010
CR #: 6636

09/04/2009

Fri, 04 Sep 2009 10:55:00 EST

Transmittal #: R553OTN
Issue Date: 09/04/2009
Subject: New Workload Number for and Transition of the Part A Louisiana and Mississippi Workloads to PBSI, an Existing Title XVIII Fiscal Intermediary.
Implementation Date: 09/30/2009
CR #: 6590

09/04/2009

Fri, 04 Sep 2009 14:40:00 EST

Transmittal #: R554OTN
Issue Date: 09/04/2009
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Common Edits and Enhancements Module: File preparation (for MCS ONLY)
Implementation Date: N/A
CR #: 6565

04/09/2009

Thu, 10 Sep 2009 08:25:00 EST

Transmittal #: R151FM
Issue Date: 04/09/2009
Subject: Notice of New Interest Rate for Medicare Overpayments and Underpayments--3rd Notification for FY 2009
Implementation Date: 04/16/2009
CR #: 6240

09/11/2009

Thu, 10 Sep 2009 15:44:00 EST

Transmittal #: R555OTN
Issue Date: 09/11/2009
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Common Edits and Enhancements Module - ICN Generator (for MCS ONLY)
Implementation Date: N/A
CR #: 6558

08/28/2009

Fri, 11 Sep 2009 08:20:00 EST

Transmittal #: R1808CP
Issue Date: 08/28/2009
Subject: Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2010
Implementation Date: 10/05/2009
CR #: 6607

09/11/2009

Fri, 11 Sep 2009 13:56:00 EST

Transmittal #: R302PI
Issue Date: 09/11/2009
Subject: Local Coverage Determinations (LCD) Exceptions
Implementation Date: 10/13/2009
CR #: 6586

08/14/2009

Mon, 14 Sep 2009 10:24:00 EST

Transmittal #: R1797CP
Issue Date: 08/14/2009
Subject: Claim Status Category Code and Claim Status Code Update
Implementation Date: 10/05/2009
CR #: 6609

N/A

Mon, 14 Sep 2009 10:26:00 EST

Transmittal #: SE0920
Issue Date: N/A
Subject: Billing for the Administration of the Influenza A (H1N1) Virus Vaccine
Implementation Date: N/A
CR #: N/A

08/28/2009

Mon, 14 Sep 2009 10:28:00 EST

Transmittal #: R1807CP
Issue Date: 08/28/2009
Subject: Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2010
Implementation Date: 10/05/2009
CR #: 6568

N/A

Mon, 14 Sep 2009 10:29:00 EST

Transmittal #: SE0918
Issue Date: N/A
Subject: Value of Family History under the Initial Preventive Physical Exam (IPPE) Benefit
Implementation Date: N/A
CR #: N/A

N/A

Mon, 14 Sep 2009 10:45:00 EST

Transmittal #: SE0916
Issue Date: N/A
Subject: Medicare Parts A and B Coverage and Prior Authorization
Implementation Date: N/A
CR #: N/A

08/07/2009

Mon, 14 Sep 2009 10:48:00 EST

Transmittal #: R105NCD
Issue Date: 08/07/2009
Subject: Screening Computed Tomography Colonography (CTC) for Colorectal Cancer
Implementation Date: 09/08/2009
CR #: 6578

09/14/2009

Mon, 14 Sep 2009 13:57:00 EST

Transmittal #: R558OTN
Issue Date: 09/14/2009
Subject: Skilled Nursing Facility (SNF) Provider Enrollment Revalidation
Implementation Date: 10/23/2009
CR #: 6486

09/14/2009

Mon, 14 Sep 2009 13:57:00 EST

Transmittal #: R556OTN
Issue Date: 09/14/2009
Subject: Part B Organizational Supplier Enrollment Revalidation
Implementation Date: 10/23/2009
CR #: 6485

09/14/2009

Mon, 14 Sep 2009 13:57:00 EST

Transmittal #: R557OTN
Issue Date: 09/14/2009
Subject: Part B Individual Practitioner Supplier Enrollment Revalidation
Implementation Date: 10/23/2009
CR #: 6574

06/26/2009

Tue, 15 Sep 2009 08:02:00 EST

Transmittal #: R510OTN
Issue Date: 06/26/2009
Subject: Expansion of the Current Scope of Editing for Ordering/Referring Providers for claims processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs)
Implementation Date: 10/05/2009
CR #: 6417

04/17/2009

Tue, 15 Sep 2009 11:08:00 EST

Transmittal #: R439PR1
Issue Date: 04/17/2009
Subject: Sec. 905.6, Inflation Factor
Implementation Date: N/A
CR #: N/A

04/15/2009

Wed, 16 Sep 2009 10:02:00 EST

Transmittal #: R289PI
Issue Date: 04/15/2009
Subject: Incorporation of Physician Fee Schedule Regulatory Changes
Implementation Date: 04/01/2009
CR #: 6310

03/27/2009

Wed, 16 Sep 2009 10:03:00 EST

Transmittal #: R287PI
Issue Date: 03/27/2009
Subject: Surety Bonds for Suppliers of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
Implementation Date: 04/06/2009
CR #: 6392

09/04/2009

Fri, 18 Sep 2009 07:41:00 EST

Transmittal #: R1814CP
Issue Date: 09/04/2009
Subject: 2010 Annual Update of Healthcare Common Procedure Code System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update
Implementation Date: 01/04/2010
CR #: 6619

08/28/2009

Fri, 18 Sep 2009 07:45:00 EST

Transmittal #: R549OTN
Issue Date: 08/28/2009
Subject: Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 5010-MAC Jurisdictions 10 and 14 Only
Implementation Date: 10/05/2009
CR #: 6595

N/A

Fri, 18 Sep 2009 07:48:00 EST

Transmittal #: SE0924
Issue Date: N/A
Subject: Announcing the Release of the Revised CMS-855 Medicare Enrollment Applications
Implementation Date: N/A
CR #: N/A

09/04/2009

Fri, 18 Sep 2009 07:52:00 EST

Transmittal #: R1812CP
Issue Date: 09/04/2009
Subject: Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority and Examples of Application of Government Entity Exclusion
Implementation Date: 12/07/2009
CR #: 6544

09/04/2009

Fri, 18 Sep 2009 07:54:00 EST

Transmittal #: R110BP
Issue Date: 09/04/2009
Subject: Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority and Examples of Application of Government Entity Exclusion
Implementation Date: 12/07/2009
CR #: 6544

09/18/2009

Fri, 18 Sep 2009 10:00:00 EST

Transmittal #: R106NCD
Issue Date: 09/18/2009
Subject: FDG PET for Solid Tumors and Myeloma
Implementation Date: 10/19/2009
CR #: 6632

09/18/2009

Fri, 18 Sep 2009 10:00:00 EST

Transmittal #: R1817CP
Issue Date: 09/18/2009
Subject: FDG PET for Solid Tumors and Myeloma
Implementation Date: 10/19/2009
CR #: 6632

09/18/2009

Fri, 18 Sep 2009 10:00:00 EST

Transmittal #: R71MSP
Issue Date: 09/18/2009
Subject: The Coordination of Benefits Contractor (COBC) Discontinues Dissemination of the Right to Recovery Letters
Implementation Date: 10/01/2009
CR #: 6615

09/18/2009

Fri, 18 Sep 2009 15:19:00 EST

Transmittal #: R560OTN
Issue Date: 09/18/2009
Subject: HIPAA 5010 Activity - Medicare Administrative Contractor (MAC) Certification Test Package Development
Implementation Date: 09/29/2009
CR #: 6600

03/27/2009

Mon, 21 Sep 2009 14:49:00 EST

Transmittal #: R466OTN
Issue Date: 03/27/2009
Subject: Implementation of Indirect Medical Education (IME) and Long Term Care Hospital (LTCH) Provisions from the American Recovery and Reinvestment Act (ARRA) of 2009
Implementation Date: 04/06/2009
CR #: 6444

03/27/2009

Mon, 21 Sep 2009 14:49:00 EST

Transmittal #: R67MSP
Issue Date: 03/27/2009
Subject: Instructions For Utilizing 837 Professional Claim Adjustment (CAS) Segments for Medicare Secondary Payer (MSP) Part B Claims. (This CR rescinds and fully replaces CR 6211)
Implementation Date: N/A
CR #: 6427

03/27/2009

Mon, 21 Sep 2009 14:50:00 EST

Transmittal #: R66MSP
Issue Date: 03/27/2009
Subject: Instructions on utilizing 837 Institutional CAS segments for Medicare Secondary Payer (MSP) Part A Claims
Implementation Date: N/A
CR #: 6426

03/27/2009

Mon, 21 Sep 2009 14:51:00 EST

Transmittal #: R1707CP
Issue Date: 03/27/2009
Subject: Assignment of Initial Enrollment FQHCs, ESRD Facilities, and RHCs
Implementation Date: 04/27/2009
CR #: 6207

03/13/2009

Mon, 21 Sep 2009 14:51:00 EST

Transmittal #: R286PI
Issue Date: 03/13/2009
Subject: Incorporation of Physician Fee Schedule Regulatory Changes.
Implementation Date: 04/01/2009
CR #: 6310

04/02/2009

Mon, 21 Sep 2009 14:52:00 EST

Transmittal #: R288PI
Issue Date: 04/02/2009
Subject: Incorporation of Physician Fee Schedule Regulatory Changes
Implementation Date: 04/01/2009
CR #: 6310

04/03/2009

Mon, 21 Sep 2009 14:52:00 EST

Transmittal #: R1708CP
Issue Date: 04/03/2009
Subject: Hospice Cap Calculations Letters and Administrative Appeals
Implementation Date: 07/06/2009
CR #: 6400

07/24/2009

Tue, 22 Sep 2009 06:47:00 EST

Transmittal #: R1778CP
Issue Date: 07/24/2009
Subject: Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient
Implementation Date: N/A
CR #: 6405

N/A

Tue, 22 Sep 2009 07:23:00 EST

Transmittal #: SE0907
Issue Date: N/A
Subject: Clarification on Provider Information Required on Medicare Claims for Routine Foot Care Services
Implementation Date: N/A
CR #: N/A

09/18/2009

Tue, 22 Sep 2009 10:31:00 EST

Transmittal #: R559OTN
Issue Date: 09/18/2009
Subject: Version 005010 Inbound 837 Institutional (837I) and Inbound 837 Professional (837P) Flat Files Implementation
Implementation Date: 01/04/2010
CR #: 6575

09/18/2009

Tue, 22 Sep 2009 11:16:00 EST

Transmittal #: R1818CP
Issue Date: 09/18/2009
Subject: Revised Processing of Osteoporosis Drugs Under the Home Health Benefit
Implementation Date: 01/04/2010
CR #: 6512

04/24/2009

Wed, 23 Sep 2009 13:13:00 EST

Transmittal #: R480OTN
Issue Date: 04/24/2009
Subject: Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplier (DMEPOS) Suppliers Claims Process by Durable Medical Equipment Medicare Administrative Contractors (DMEMACs)
Implementation Date: N/A
CR #: 6421

N/A

Wed, 23 Sep 2009 13:15:00 EST

Transmittal #: SE0921
Issue Date: N/A
Subject: Visit Requirements Clarification for CR 5931 "";Manualization of Payment for Outpatient ESRD Related Services"";
Implementation Date: N/A
CR #: N/A

09/25/2009

Fri, 25 Sep 2009 14:58:00 EST

Transmittal #: R563OTN
Issue Date: 09/25/2009
Subject: Allow Zoned Program Integrity Contractor (ZPIC) to access Durable Medical Equipment Medicare Administrative Contractor (DME MAC) by ZPIC Zone
Implementation Date: N/A
CR #: 6430

09/25/2009

Fri, 25 Sep 2009 15:30:00 EST

Transmittal #: R303PI
Issue Date: 09/25/2009
Subject: Local Coverage Determinations (LCD) Exceptions
Implementation Date: 10/13/2009
CR #: 6586

09/25/2009

Fri, 25 Sep 2009 15:30:00 EST

Transmittal #: R304PI
Issue Date: 09/25/2009
Subject: Inter-Contractor Communication and Provider Enrollment Revocations
Implementation Date: 10/26/2009
CR #: 6642

09/25/2009

Fri, 25 Sep 2009 15:30:00 EST

Transmittal #: R52SOMA
Issue Date: 09/25/2009
Subject: Revisions to Appendix PP Interpretive Guidelines for Long-Term Care Facilities, Tag F441
Implementation Date: 09/30/2009
CR #: N/A

09/25/2009

Fri, 25 Sep 2009 15:58:00 EST

Transmittal #: R1820CP
Issue Date: 09/25/2009
Subject: Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes
Implementation Date: 01/04/2010
CR #: 6647

09/25/2009

Fri, 25 Sep 2009 15:58:00 EST

Transmittal #: R158FM
Issue Date: 09/25/2009
Subject: Revised Bank Account Analysis Procedure and Letter-of-Credit List
Implementation Date: 10/26/2009
CR #: 6644

09/25/2009

Mon, 28 Sep 2009 10:54:00 EST

Transmittal #: R561OTN
Issue Date: 09/25/2009
Subject: Implementation of a File-Based RAC Mass Adjustment Process in MCS
Implementation Date: N/A
CR #: 6554

02/13/2009

Tue, 29 Sep 2009 06:57:00 EST

Transmittal #: R446OTN
Issue Date: 02/13/2009
Subject: Clarification on Use of National Drug Codes (NDCS) in 837 I Billing
Implementation Date: 07/06/2009
CR #: 6330

09/25/2009

Tue, 29 Sep 2009 09:56:00 EST

Transmittal #: R1819CP
Issue Date: 09/25/2009
Subject: Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient
Implementation Date: N/A
CR #: 6405

04/24/2009

Tue, 29 Sep 2009 11:50:00 EST

Transmittal #: R1716CP
Issue Date: 04/24/2009
Subject: List of Medicare Telehealth Services
Implementation Date: 05/26/2009
CR #: 6458

04/24/2009

Tue, 29 Sep 2009 11:51:00 EST

Transmittal #: R1717CP
Issue Date: 04/24/2009
Subject: Speech-Language Pathology Private Practice Payment Policy
Implementation Date: 07/06/2009
CR #: 6381

04/24/2009

Tue, 29 Sep 2009 11:52:00 EST

Transmittal #: R475OTN
Issue Date: 04/24/2009
Subject: Modification to Accommodate Acute Care Episode (ACE) Demonstration
Implementation Date: 10/05/2009
CR #: 6408

04/24/2009

Tue, 29 Sep 2009 11:52:00 EST

Transmittal #: R472OTN
Issue Date: 04/24/2009
Subject: Request for Common Working Files (CWF) to Send Common Working Files Medicare Quality Assurance (CWFMQA) the 5010 File Formats as of October 5, 2009
Implementation Date: 10/05/2009
CR #: 6439

04/24/2009

Tue, 29 Sep 2009 11:53:00 EST

Transmittal #: R68MSP
Issue Date: 04/24/2009
Subject: Claim Adjustment Reason Code (CARC) Update for Medicare Secondary Payer (MSP) Claims Processing
Implementation Date: 10/05/2009
CR #: 6364

04/24/2009

Tue, 29 Sep 2009 11:54:00 EST

Transmittal #: R478OTN
Issue Date: 04/24/2009
Subject: Internet-based Provider Enrollment, Chain and Ownership System (PECOS) Outreach to Academic Medical Institutions (AMIs) and Large Group Practices
Implementation Date: 05/26/2009
CR #: 6415

04/24/2009

Tue, 29 Sep 2009 11:55:00 EST

Transmittal #: R473OTN
Issue Date: 04/24/2009
Subject: Deductible Application on Clinical Trial Claims
Implementation Date: 10/05/2009
CR #: 6326

04/24/2009

Tue, 29 Sep 2009 11:56:00 EST

Transmittal #: R474OTN
Issue Date: 04/24/2009
Subject: Ten (10) percent Write-off from the Nine (9) CWF data bases for the Tables called: Medicare Secondary Payment and Beneficiary ESRD Dialysis Auxiliary, for the Calendar Years 2000 - 2008
Implementation Date: 10/05/2009
CR #: 6412

04/24/2009

Tue, 29 Sep 2009 11:57:00 EST

Transmittal #: R476OTN
Issue Date: 04/24/2009
Subject: Implementation of the Health Care Claim Status Inquiry and Response (276/277) Version 005010 - Part B Shared System Change
Implementation Date: 10/05/2009
CR #: 6411

04/24/2009

Tue, 29 Sep 2009 11:58:00 EST

Transmittal #: R481OTN
Issue Date: 04/24/2009
Subject: Implementation of the Health Care Claim Status Inquiry and Response (276/277) Version 005010 - Durable Medical Equipment (DME) Shared System Change
Implementation Date: 10/05/2009
CR #: 6399

04/24/2009

Tue, 29 Sep 2009 11:58:00 EST

Transmittal #: R482OTN
Issue Date: 04/24/2009
Subject: Mainframe Integrated Outpatient Code Editor (IOCE) Tool Set Upgrade
Implementation Date: 10/05/2009
CR #: 6401

04/24/2009

Tue, 29 Sep 2009 11:59:00 EST

Transmittal #: R42SOMA
Issue Date: 04/24/2009
Subject: Revision to Appendix P, Survey Protocol for Long Term Care Facilities Part I, Investigative Protocol Unintended Weight Loss
Implementation Date: 04/24/2009
CR #: N/A

04/24/2009

Tue, 29 Sep 2009 12:00:00 EST

Transmittal #: R483OTN
Issue Date: 04/24/2009
Subject: Fiscal Intermediary Shared System (FISS) Analysis for System-Related Outpatient Prospective Payment System (OPPS) Processing Issues
Implementation Date: 10/05/2009
CR #: 6432

04/24/2009

Tue, 29 Sep 2009 15:37:00 EST

Transmittal #: R484OTN
Issue Date: 04/24/2009
Subject: Archiving and Retrieving of the Integrated Outpatient Code Editor (IOCE) and the Medicare Code Editor (MCE) for Processing Claims.
Implementation Date: 10/05/2009
CR #: 6390

04/24/2009

Tue, 29 Sep 2009 15:38:00 EST

Transmittal #: R1720CP
Issue Date: 04/24/2009
Subject: Health Insurance Portability and Accountability Act (HIPAA) American National Standards Institute (ANSI) 837 5010 Coordination of Benefits (COB) Requirements--Part II
Implementation Date: N/A
CR #: 6374

08/28/2009

Fri, 02 Oct 2009 09:58:00 EST

Transmittal #: R1804CP
Issue Date: 08/28/2009
Subject: Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update
Implementation Date: 10/05/2009
CR #: 6604

N/A

Fri, 02 Oct 2009 10:00:00 EST

Transmittal #: SE0923
Issue Date: N/A
Subject: Reminder about Correct Billing Changes for Certain Skilled Nursing Facility (SNF) Residents
Implementation Date: N/A
CR #: N/A

09/04/2009

Fri, 02 Oct 2009 10:05:00 EST

Transmittal #: R550OTN
Issue Date: 09/04/2009
Subject: Implementation of Health Insurance Portability and Accountability Act of 1996 (HIPAA) version 5010 for Transaction 835 - Health Care Claim Payment/Advice and Updated Standard Paper Remit (SPR)
Implementation Date: N/A
CR #: 6589

08/28/2009

Fri, 02 Oct 2009 10:09:00 EST

Transmittal #: R544OTN
Issue Date: 08/28/2009
Subject: Medicare Administrative Contractor (MAC) Transition and Outbound Health Insurance Portability and Accountability Act (HIPAA) Transactions
Implementation Date: 01/04/2010
CR #: 6599

09/25/2009

Fri, 02 Oct 2009 10:24:00 EST

Transmittal #: R562OTN
Issue Date: 09/25/2009
Subject: Activation of New Coordination of Benefits Agreement (COBA) Trading Partner Dispute Error Code Within the National Crossover Process
Implementation Date: 10/26/2009
CR #: 6640

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R306PI
Issue Date: 10/02/2009
Subject: Site Verifications
Implementation Date: 11/02/2009
CR #: 6639

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R573OTN
Issue Date: 10/02/2009
Subject: Implementation of a File-Based RAC Mass Adjustment Process in VMS
Implementation Date: 04/05/2010
CR #: 6549

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R567OTN
Issue Date: 10/02/2009
Subject: Home Health Agency (HHA) Provider Enrollment Revalidation
Implementation Date: 11/02/2009
CR #: 6669

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R569OTN
Issue Date: 10/02/2009
Subject: Community Mental Health Center (CMHC), Comprehensive Outpatient Rehabilitation Facility (CORF), Federally Qualified Health Center (FQHC) and Rural Health Clinic (RHC) Provider Enrollment Revalidation
Implementation Date: 11/02/2009
CR #: 6665

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R571OTN
Issue Date: 10/02/2009
Subject: Modification of the File-Based RAC Mass Adjustment Process in FISS
Implementation Date: N/A
CR #: 6555

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R565OTN
Issue Date: 10/02/2009
Subject: Common Edits and Enhancements Module (CEM) Continued Analysis and Design and Implementation for the Multi Carrier System (MCS) Contractor Only
Implementation Date: N/A
CR #: 6646

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R564OTN
Issue Date: 10/02/2009
Subject: Medicare Part B Portable X-ray Supplier Enrollment Revalidation
Implementation Date: 11/02/2009
CR #: 6666

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R566OTN
Issue Date: 10/02/2009
Subject: Annual Systematic Synchronization of Medicare Participating Physician or Supplier Agreement (PAR) Status Between the Multi Carrier System (MCS) Provider Enrollment, Chain and Ownership System (PECOS)
Implementation Date: 01/04/2010
CR #: 6449

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R1822CP
Issue Date: 10/02/2009
Subject: Medicare Physician Fee Schedule Database (MPFSDB) 2010 File Layout
Implementation Date: 01/04/2010
CR #: 6648

10/02/2009

Fri, 02 Oct 2009 12:10:00 EST

Transmittal #: R1823CP
Issue Date: 10/02/2009
Subject: Place of Service (POS) and Date of Service (DOS) Instructions for the Interpretation (Professional Component) and Technical Component of Diagnostic Tests
Implementation Date: 01/04/2010
CR #: 6375

05/01/2009

Mon, 05 Oct 2009 14:28:00 EST

Transmittal #: R43SOMA
Issue Date: 05/01/2009
Subject: Revised Chapter 2, "";The Certification Process,""; Section 2008A.
Implementation Date: 05/01/2009
CR #: N/A

05/01/2009

Mon, 05 Oct 2009 14:29:00 EST

Transmittal #: R486OTN
Issue Date: 05/01/2009
Subject: Jurisdiction 5 A/B MAC Merge of the Part B East Missouri, West Missouri, Nebraska, Kansas and Iowa CICS Production and User Acceptance Test Regions
Implementation Date: 07/06/2009
CR #: 6361

05/01/2009

Mon, 05 Oct 2009 14:31:00 EST

Transmittal #: R489OTN
Issue Date: 05/01/2009
Subject: Require Medicare Administrative Contractors (MACs), Fiscal Intermediaries (FIs), and Carriers to Provide Program Safeguard Contractors (PSCs)/Zoned Program Integrity Contractors (ZPICs) with Monthly Updates of Deactivated Crosswalk File Entries
Implementation Date: 10/05/2009
CR #: 6437

05/01/2009

Mon, 05 Oct 2009 14:32:00 EST

Transmittal #: R485OTN
Issue Date: 05/01/2009
Subject: Implementation -- Systems Improvements to Streamline Updates to the Place of Service (POS) Code Set
Implementation Date: 10/05/2009
CR #: 6442

05/01/2009

Mon, 05 Oct 2009 14:33:00 EST

Transmittal #: R1722CP
Issue Date: 05/01/2009
Subject: Instructions for Downloading the Medicare ZIP Code Files for October 2009
Implementation Date: 10/05/2009
CR #: 6414

05/01/2009

Mon, 05 Oct 2009 14:34:00 EST

Transmittal #: R1727CP
Issue Date: 05/01/2009
Subject: Coordination of Benefits Agreement (COBA) Repair and Claims Recovery Requirements Stemming from the Health Insurance Portability and Accountability Act (HIPAA) 5010 Claims Transactions
Implementation Date: 10/05/2009
CR #: 6420

10/02/2009

Tue, 06 Oct 2009 06:20:00 EST

Transmittal #: R572OTN
Issue Date: 10/02/2009
Subject: Expansion of the Current Scope of Editing for Ordering/Referring Providers for claims processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs)
Implementation Date: 10/05/2009
CR #: 6417

05/08/2009

Tue, 06 Oct 2009 08:45:00 EST

Transmittal #: R1731CP
Issue Date: 05/08/2009
Subject: Clarification of CMS Publication 100-04, Chapter 32, Section 80.8 Billing of Routine Foot Care When Payment Ceases for Loss of Protective Sensation Evaluation and Management
Implementation Date: 06/08/2009
CR #: 6456

05/08/2009

Tue, 06 Oct 2009 08:47:00 EST

Transmittal #: R1732CP
Issue Date: 05/08/2009
Subject: Pricing Claims for Services Rendered in Place of Service Home
Implementation Date: 10/05/2009
CR #: 6429

05/08/2009

Tue, 06 Oct 2009 08:47:00 EST

Transmittal #: R44SOMA
Issue Date: 05/08/2009
Subject: Revisions to Exhibit 286, "";Hospital/CAH Medicare Database Worksheet"";
Implementation Date: 05/08/2009
CR #: N/A

05/08/2009

Tue, 06 Oct 2009 08:48:00 EST

Transmittal #: R45SOMA
Issue Date: 05/08/2009
Subject: Revisions to Chapter 6 - "";Special Procedures for Laboratories"";
Implementation Date: 05/08/2009
CR #: n/a

04/10/2009

Wed, 07 Oct 2009 08:37:00 EST

Transmittal #: R41SOMA
Issue Date: 04/10/2009
Subject: Revisions to Appendices P and PP
Implementation Date: 04/10/2009
CR #: N/A

09/09/2009

Thu, 08 Oct 2009 16:23:00 EST

Transmittal #: R1815CP
Issue Date: 09/09/2009
Subject: Fiscal Year (FY) 2010 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes
Implementation Date: 10/05/2009
CR #: 6634

09/17/2009

Thu, 08 Oct 2009 16:45:00 EST

Transmittal #: R1816CP
Issue Date: 09/17/2009
Subject: Fiscal Year (FY) 2010 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes
Implementation Date: 10/05/2009
CR #: 6634

05/15/2009

Fri, 09 Oct 2009 07:10:00 EST

Transmittal #: R1738CP
Issue Date: 05/15/2009
Subject: Additional Data Collection on Hospice Claims
Implementation Date: 10/05/2009
CR #: 6440

N/A

Fri, 09 Oct 2009 08:02:00 EST

Transmittal #: SE0926
Issue Date: N/A
Subject: 2009 - 20010 Seasonal Influenza (Flu) Resources for Health Care Professionals
Implementation Date: N/A
CR #: N/A

10/09/2009

Fri, 09 Oct 2009 10:58:00 EST

Transmittal #: R574OTN
Issue Date: 10/09/2009
Subject: Various OIG Reports that have Medical Review Implications
Implementation Date: 11/09/2009
CR #: 6655

10/09/2009

Fri, 09 Oct 2009 10:58:00 EST

Transmittal #: R159FM
Issue Date: 10/09/2009
Subject: Add Physician Specialty Code 27 (Geriatric Psychiatry) to CROWD Form F (Participating Physicians/Supplier Report)
Implementation Date: 04/05/2010
CR #: 6613

10/09/2009

Fri, 09 Oct 2009 10:58:00 EST

Transmittal #: R1825CP
Issue Date: 10/09/2009
Subject: Medicare Physician Fee Schedule Database (MPFSDB) 2010 File Layout
Implementation Date: 01/04/2010
CR #: 6648

10/09/2009

Fri, 09 Oct 2009 10:58:00 EST

Transmittal #: R1828CP
Issue Date: 10/09/2009
Subject: Verification of Status for all Hospitals Qualifying for Disproportionate Share Hospital (DSH) Payments under 42 CFR Section 412.106(c)(2), also known as the "";Pickle Amendment"";
Implementation Date: 10/05/2009
CR #: 6564

10/09/2009

Fri, 09 Oct 2009 10:58:00 EST

Transmittal #: R575OTN
Issue Date: 10/09/2009
Subject: Version 005010 Inbound 837 Institutional (837I) and Inbound 837 Professional (837P) Flat Files Implementation
Implementation Date: N/A
CR #: 6575

10/09/2009

Fri, 09 Oct 2009 10:58:00 EST

Transmittal #: R1826CP
Issue Date: 10/09/2009
Subject: Instructions for Retrieving the 2010 Pricing and HCPCS Data Files through CMS""; Mainframe Telecommunications Systems
Implementation Date: 01/04/2010
CR #: 6661

09/25/2009

Tue, 13 Oct 2009 14:22:00 EST

Transmittal #: R1821CP
Issue Date: 09/25/2009
Subject: Billing for an Ambulance Transport with More Than One Patient Onboard
Implementation Date: 10/26/2009
CR #: 6621

09/25/2009

Tue, 13 Oct 2009 14:23:00 EST

Transmittal #: R111BP
Issue Date: 09/25/2009
Subject: Comprehensive Outpatient Rehabilitation Facility (CORF) Services
Implementation Date: 10/26/2009
CR #: 6005

10/02/2009

Tue, 13 Oct 2009 14:25:00 EST

Transmittal #: R568OTN
Issue Date: 10/02/2009
Subject: One-Time Mailing of Supplier Responsibilities Letter - Individual Practitioners Only
Implementation Date: 11/02/2009
CR #: 6278

10/02/2009

Tue, 13 Oct 2009 14:26:00 EST

Transmittal #: R1824CP
Issue Date: 10/02/2009
Subject: Influenza Vaccine Payment Allowances - Annual Update for 2009-2010 Season
Implementation Date: 11/02/2009
CR #: 6608

09/21/2009

Tue, 13 Oct 2009 14:28:00 EST

Transmittal #: SE0925
Issue Date: 09/21/2009
Subject: Important Medicare Information about DMEPOS Supplier Accreditation and the Round 1 Rebid of the DMEPOS Competitive Bidding Program
Implementation Date: N/A
CR #: N/A

N/A

Tue, 13 Oct 2009 14:29:00 EST

Transmittal #: SE0927
Issue Date: N/A
Subject: Clarification of the Use of Modifiers When Billing "";Wrong Surgery on a Patient"";
Implementation Date: N/A
CR #: N/A

05/01/2009

Wed, 14 Oct 2009 09:48:00 EST

Transmittal #: R1723CP
Issue Date: 05/01/2009
Subject: Ensuring Only Clinical Trial Services Receive Fee-For-Service Payment on Claims Billed for Managed Care Beneficiaries
Implementation Date: 10/05/2009
CR #: 6455

04/24/2009

Thu, 15 Oct 2009 10:35:00 EST

Transmittal #: R1718CP
Issue Date: 04/24/2009
Subject: New Patient Discharge Status Code 21 to Define Discharges or Transfers to Court/Law Enforcement
Implementation Date: 10/05/2009
CR #: 6385

04/24/2009

Thu, 15 Oct 2009 10:36:00 EST

Transmittal #: R1715CP
Issue Date: 04/24/2009
Subject: New Physician Specialty Code for Hospice and Palliative Care
Implementation Date: 10/05/2009
CR #: 6311

04/24/2009

Thu, 15 Oct 2009 10:36:00 EST

Transmittal #: R471OTN
Issue Date: 04/24/2009
Subject: Revision to Processing Hospice Visit Charges on Remittance Advices and Medicare Summary Notices (MSNs)
Implementation Date: 10/05/2009
CR #: 6386

04/24/2009

Thu, 15 Oct 2009 10:36:00 EST

Transmittal #: R477OTN
Issue Date: 04/24/2009
Subject: Change Type of Bill (TOB) for Federally Qualified Health Centers (FQHCs) from 73x to 77x
Implementation Date: N/A
CR #: 6338

04/24/2009

Thu, 15 Oct 2009 10:37:00 EST

Transmittal #: R1713CP
Issue Date: 04/24/2009
Subject: Additional Data Collection on Hospice Claims
Implementation Date: 10/05/2009
CR #: 6440

04/10/2009

Thu, 15 Oct 2009 10:37:00 EST

Transmittal #: R1710CP
Issue Date: 04/10/2009
Subject: Billing Routine Cost of Clinical Trials
Implementation Date: 07/10/2009
CR #: 6431

04/29/2009

Thu, 15 Oct 2009 10:37:00 EST

Transmittal #: R1721CP
Issue Date: 04/29/2009
Subject: Billing Routine Cost of Clinical Trials
Implementation Date: 07/10/2009
CR #: 6431

N/A

Thu, 15 Oct 2009 10:38:00 EST

Transmittal #: SE0904
Issue Date: N/A
Subject: An Introductory Overview of the HIPAA 5010
Implementation Date: N/A
CR #: N/A

10/15/2009

Fri, 16 Oct 2009 08:12:00 EST

Transmittal #: R160FM
Issue Date: 10/15/2009
Subject: Notice of New Interest Rate for Medicare Overpayments and Underpayments - 1st Notification for FY 2010
Implementation Date: 10/22/2009
CR #: 6651

10/16/2009

Fri, 16 Oct 2009 08:12:00 EST

Transmittal #: R1831CP
Issue Date: 10/16/2009
Subject: Magnetic Resonance Imaging (MRI)
Implementation Date: 01/04/2010
CR #: 6672

10/16/2009

Fri, 16 Oct 2009 08:12:00 EST

Transmittal #: R576OTN
Issue Date: 10/16/2009
Subject: Replacement of New York State BSIs to Support the Jurisdiction 13 A/B MAC Merge of the Three Part B New York and the Part B Connecticut CICS Production and User Acceptance Test Regions
Implementation Date: 12/12/2009
CR #: 6694

10/16/2009

Fri, 16 Oct 2009 08:12:00 EST

Transmittal #: R1830CP
Issue Date: 10/16/2009
Subject: Annual Type of Service (TOS) Update
Implementation Date: 01/04/2010
CR #: 6693

10/16/2009

Fri, 16 Oct 2009 14:32:00 EST

Transmittal #: R578OTN
Issue Date: 10/16/2009
Subject: 5010-D.0 Project Receipt, Control and Balancing Initial Phase for Durable Medical Equipment (DME) Only
Implementation Date: N/A
CR #: 6591

10/16/2009

Fri, 16 Oct 2009 14:32:00 EST

Transmittal #: R529OTN
Issue Date: 10/16/2009
Subject: Physician Quality Reporting Initiative (PQRI) and E-Prescribing Alternative Feedback Report Request Process
Implementation Date: 10/05/2009
CR #: 6441

10/16/2009

Fri, 16 Oct 2009 14:32:00 EST

Transmittal #: R53SOMA
Issue Date: 10/16/2009
Subject: Revising Chapter 2, "";The Certification Process""; - Ascertaining Compliance With the Office for Civil Rights (OCR) Requirements
Implementation Date: 10/16/2009
CR #: N/A

05/15/2009

Sun, 18 Oct 2009 11:54:00 EST

Transmittal #: R494OTN
Issue Date: 05/15/2009
Subject: Update for 835 Version 5010
Implementation Date: 10/05/2009
CR #: 6473

05/15/2009

Sun, 18 Oct 2009 11:55:00 EST

Transmittal #: R69MSP
Issue Date: 05/15/2009
Subject: Update to the Electronic Correspondence Referral System (ECRS) User Guide v10.0 and Quick Reference Card v10.0
Implementation Date: 07/06/2009
CR #: 6479

05/15/2009

Sun, 18 Oct 2009 11:55:00 EST

Transmittal #: R1736CP
Issue Date: 05/15/2009
Subject: Chapter 24 Update to Restore Inadvertently Deleted Information and to Remove Outdated Information
Implementation Date: 08/17/2009
CR #: 6201

05/15/2009

Sun, 18 Oct 2009 11:56:00 EST

Transmittal #: R496OTN
Issue Date: 05/15/2009
Subject: Fiscal Intermediary Standard System (FISS) Analysis and Technical Consultation - to be Performed by the FISS Maintainer for the Planning and Execution of the J1 WPS Legacy Part A Pilot Split and Subsequent Workload Reporting Requirements
Implementation Date: 07/06/2009
CR #: 6425

05/15/2009

Sun, 18 Oct 2009 11:57:00 EST

Transmittal #: R495OTN
Issue Date: 05/15/2009
Subject: Further Instruction for Implementation of the Next Version of the Health Insurance Portability and Accountability Act (HIPAA) 835 Transaction and Related Standard Paper Remittance (SPR)
Implementation Date: 10/05/2009
CR #: 6460

10/16/2009

Tue, 20 Oct 2009 09:21:00 EST

Transmittal #: R577OTN
Issue Date: 10/16/2009
Subject: Implementation of Health Insurance Portability and Accountability Act of 1996 (HIPAA) version 5010 for Transaction 835 - Health Care Claim Payment/Advice and Updated Standard Paper Remit (SPR)
Implementation Date: N/A
CR #: 6589

10/19/2009

Tue, 20 Oct 2009 10:01:00 EST

Transmittal #: R579OTN
Issue Date: 10/19/2009
Subject: Version 005010 Inbound 837 Institutional (837I) and Inbound 837 Professional (837P) Flat Files Implementation
Implementation Date: N/A
CR #: 6575

05/22/2009

Tue, 20 Oct 2009 14:27:00 EST

Transmittal #: R1742CP
Issue Date: 05/22/2009
Subject: Clarification of Chapter 32, Section 80.8 Billing of Routine Foot Care When Payment Ceases for Loss of Protective Sensation Evaluation and Management
Implementation Date: 06/08/2009
CR #: 6456

05/22/2009

Tue, 20 Oct 2009 14:32:00 EST

Transmittal #: R1745CP
Issue Date: 05/22/2009
Subject: July 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 07/06/2009
CR #: 6492

05/15/2009

Wed, 21 Oct 2009 05:58:00 EST

Transmittal #: R1739CP
Issue Date: 05/15/2009
Subject: July 2009 Integrated Outpatient Code Editor (I/OCE) Specifications Version 10.2
Implementation Date: 07/06/2009
CR #: 6480

05/15/2009

Wed, 21 Oct 2009 05:59:00 EST

Transmittal #: R1735CP
Issue Date: 05/15/2009
Subject: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2009
Implementation Date: 07/06/2009
CR #: 6481

05/15/2009

Wed, 21 Oct 2009 06:00:00 EST

Transmittal #: R1737CP
Issue Date: 05/15/2009
Subject: July 2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
Implementation Date: 07/06/2009
CR #: 6471

N/A

Wed, 21 Oct 2009 06:01:00 EST

Transmittal #: SE0903
Issue Date: N/A
Subject: Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Supplier Accreditation
Implementation Date: N/A
CR #: N/A

N/A

Wed, 21 Oct 2009 12:27:00 EST

Transmittal #: SE0922
Issue Date: N/A
Subject: Alternative Process for Individual Eligible Professionals to Access Physician Quality Reporting Initiative (PQRI) and Electronic Prescribing (E-Prescribing) Feedback Reports
Implementation Date: N/A
CR #: N/A

N/A

Fri, 23 Oct 2009 08:41:00 EST

Transmittal #: SE0905
Issue Date: N/A
Subject: Training Medicare Patients on Use of Home Glucose Monitors and Related Billing Information
Implementation Date: N/A
CR #: N/A

04/24/2009

Fri, 23 Oct 2009 08:42:00 EST

Transmittal #: R105BP
Issue Date: 04/24/2009
Subject: List of Medicare Telehealth Services
Implementation Date: 05/26/2009
CR #: 6458

N/A

Fri, 23 Oct 2009 08:43:00 EST

Transmittal #: SE0908
Issue Date: N/A
Subject: Mandatory Claims Submission and its Enforcement
Implementation Date: N/A
CR #: N/A

04/24/2009

Fri, 23 Oct 2009 08:43:00 EST

Transmittal #: R1714CP
Issue Date: 04/24/2009
Subject: Correction to Editing of Health Insurance Prospective Payment System (HIPPS) Codes on Home Health Prospective Payment System (HH PPS) Claims
Implementation Date: 10/05/2009
CR #: 6393

04/24/2009

Fri, 23 Oct 2009 08:44:00 EST

Transmittal #: R1719CP
Issue Date: 04/24/2009
Subject: Rural Health Clinic (RHC) and Federally Qualified Health Clinic (FQHC) Updates
Implementation Date: 10/05/2009
CR #: 6445

05/01/2009

Fri, 23 Oct 2009 08:44:00 EST

Transmittal #: R1725CP
Issue Date: 05/01/2009
Subject: Requirements for Specialty Codes
Implementation Date: 07/06/2009
CR #: 6303

04/24/2009

Fri, 23 Oct 2009 08:45:00 EST

Transmittal #: R106BP
Issue Date: 04/24/2009
Subject: Speech-Language Pathology Private Practice Payment Policy
Implementation Date: 07/06/2009
CR #: 6381

N/A

Fri, 23 Oct 2009 08:46:00 EST

Transmittal #: SE0909
Issue Date: N/A
Subject: Important Information Regarding the Centers for Medicare & Medicaid Services (CMS) National Claims Crossover Process
Implementation Date: N/A
CR #: N/A

03/20/2009

Fri, 23 Oct 2009 08:46:00 EST

Transmittal #: R459OTN
Issue Date: 03/20/2009
Subject: Program Overview: 2009 Physician Quality Reporting Initiative (PQRI) and the 2009 Electronic Prescribing (E-Prescribing) Incentive Program
Implementation Date: 06/22/2009
CR #: 6394

03/27/2009

Fri, 23 Oct 2009 08:47:00 EST

Transmittal #: R1706CP
Issue Date: 03/27/2009
Subject: Manual Clarifications for Skilled Nursing Facility (SNF) and Therapy Billing
Implementation Date: 04/27/2009
CR #: 6407

10/16/2009

Fri, 23 Oct 2009 09:30:00 EST

Transmittal #: R1829CP
Issue Date: 10/16/2009
Subject: Annual Clotting Factor Furnishing Fee Update
Implementation Date: 01/04/2010
CR #: 6673

10/23/2009

Fri, 23 Oct 2009 11:59:00 EST

Transmittal #: R307PI
Issue Date: 10/23/2009
Subject: Establishing New Practice Locations in a Different State
Implementation Date: 01/25/2010
CR #: 6649

10/23/2009

Fri, 23 Oct 2009 11:59:00 EST

Transmittal #: R580OTN
Issue Date: 10/23/2009
Subject: Allow Zoned Program Integrity Contractors (ZPICs) to Access Medicare Administrative Contractors (MACs) by ZPIC Zone
Implementation Date: N/A
CR #: 6550

10/23/2009

Fri, 23 Oct 2009 11:59:00 EST

Transmittal #: R161FM
Issue Date: 10/23/2009
Subject: Chapter 7, Internal Control Requirements Update
Implementation Date: 11/23/2009
CR #: 6659

05/22/2009

Fri, 23 Oct 2009 15:00:00 EST

Transmittal #: R1747CP
Issue Date: 05/22/2009
Subject: Beneficiary-Submitted Claims
Implementation Date: 06/23/2009
CR #: 6434

05/22/2009

Fri, 23 Oct 2009 17:35:00 EST

Transmittal #: R1746CP
Issue Date: 05/22/2009
Subject: Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 15.2, Effective July 1, 2009
Implementation Date: 07/06/2009
CR #: 6469

05/22/2009

Fri, 23 Oct 2009 17:36:00 EST

Transmittal #: R107BP
Issue Date: 05/22/2009
Subject: July 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)
Implementation Date: 07/06/2009
CR #: 6492

03/20/2009

Tue, 27 Oct 2009 07:58:00 EST

Transmittal #: R461OTN
Issue Date: 03/20/2009
Subject: Payment for Maintenance and Servicing of Certain Oxygen Equipment as a Result of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008
Implementation Date: 07/06/2009
CR #: 6404

05/22/2009

Tue, 27 Oct 2009 07:59:00 EST

Transmittal #: R1743CP
Issue Date: 05/22/2009
Subject: Billing Routine Cost of Clinical Trials
Implementation Date: 07/10/2009
CR #: 6431

10/27/2009

Tue, 27 Oct 2009 10:51:00 EST

Transmittal #: R1835CP
Issue Date: 10/27/2009
Subject: Instructions for Downloading the Medicare ZIP Code Files for January 2010
Implementation Date: 01/04/2010
CR #: 6536

10/28/2009

Wed, 28 Oct 2009 14:46:00 EST

Transmittal #: R1837CP
Issue Date: 10/28/2009
Subject: 2010 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder
Implementation Date: 01/04/2010
CR #: 6620

10/28/2009

Wed, 28 Oct 2009 16:39:00 EST

Transmittal #: R581OTN
Issue Date: 10/28/2009
Subject: For Analysis Only --Clarification on the Proper Billing of the Statement Covers From and Admission/Start of Care Dates on Institutional Claims
Implementation Date: 04/05/2010
CR #: 6584

10/28/2009

Wed, 28 Oct 2009 16:44:00 EST

Transmittal #: R582OTN
Issue Date: 10/28/2009
Subject: Update to the Common Working File (CWF) Edits to Recognize the "";RA""; and "";RB""; Modifiers for Durable Medical Equipment (DME) Repairs and Replacements
Implementation Date: 04/05/2010
CR #: 6688

10/23/2009

Thu, 29 Oct 2009 08:52:00 EST

Transmittal #: R1834CP
Issue Date: 10/23/2009
Subject: Reasonable Charge Update for 2010 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, and Certain Intraocular Lenses
Implementation Date: 01/04/2010
CR #: 6691

10/29/2009

Thu, 29 Oct 2009 12:57:00 EST

Transmittal #: R72MSP
Issue Date: 10/29/2009
Subject: Claim Adjustment Reason Code (CARC) Update for Medicare Secondary Payer (MSP) Claims Processing
Implementation Date: 04/05/2010
CR #: 6501

10/29/2009

Thu, 29 Oct 2009 15:03:00 EST

Transmittal #: R1841CP
Issue Date: 10/29/2009
Subject: National Council for Prescription Drug Programs (NCPDP) Version D.0 Coordination of Benefits (COB) Requirements for the National Claims Crossover Process
Implementation Date: 04/05/2010
CR #: 6664

10/23/2009

Fri, 30 Oct 2009 10:45:00 EST

Transmittal #: R112BP
Issue Date: 10/23/2009
Subject: Coverage of Inpatient Rehabilitation Services
Implementation Date: 01/04/2009
CR #: 6699

10/16/2009

Fri, 30 Oct 2009 10:48:00 EST

Transmittal #: R1833CP
Issue Date: 10/16/2009
Subject: FDG PET for Solid Tumors and Myeloma
Implementation Date: 10/30/2009
CR #: 6632

10/16/2009

Fri, 30 Oct 2009 10:51:00 EST

Transmittal #: R108NCD
Issue Date: 10/16/2009
Subject: FDG PET for Solid Tumors and Myeloma
Implementation Date: 10/30/2009
CR #: 6632

10/16/2009

Fri, 30 Oct 2009 10:54:00 EST

Transmittal #: R107NCD
Issue Date: 10/16/2009
Subject: Magnetic Resonance Imaging (MRI)
Implementation Date: 01/04/2010
CR #: 6672

10/30/2009

Fri, 30 Oct 2009 13:36:00 EST

Transmittal #: R584OTN
Issue Date: 10/30/2009
Subject: Reporting Requirements for the Fiscal Intermediary Shared System (FISS) Medicare Fraud Edit Module
Implementation Date: 04/05/2010
CR #: 6551

10/30/2009

Fri, 30 Oct 2009 13:42:00 EST

Transmittal #: R585OTN
Issue Date: 10/30/2009
Subject: The shared system maintainer shall not report services on the 1565C lines 5-7 when the Medicare allowed amount is greater than zero and the Medicare paid amount is zero
Implementation Date: 04/05/2010
CR #: 6680

10/30/2009

Fri, 30 Oct 2009 13:47:00 EST

Transmittal #: R588OTN
Issue Date: 10/30/2009
Subject: Reflecting the Payment Ambulatory Payment Classification (APC) on the Remittance Advice (RA)
Implementation Date: 04/05/2010
CR #: 6641

10/30/2009

Fri, 30 Oct 2009 14:17:00 EST

Transmittal #: R59GI
Issue Date: 10/30/2009
Subject: The CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS)
Implementation Date: 04/05/2010
CR #: 6529

10/30/2009

Fri, 30 Oct 2009 14:27:00 EST

Transmittal #: R162FM
Issue Date: 10/30/2009
Subject: Recovery Audit Contractors (RACs)
Implementation Date: 12/15/2009
CR #: 6398

10/30/2009

Fri, 30 Oct 2009 14:29:00 EST

Transmittal #: R308PI
Issue Date: 10/30/2009
Subject: Rural Air Ambulance
Implementation Date: 11/30/2009
CR #: 6682

10/28/2009

Fri, 30 Oct 2009 15:08:00 EST

Transmittal #: R583OTN
Issue Date: 10/28/2009
Subject: Pilot to Transition a Segment of the WPS Legacy Workload (formerly processed by Mutual of Omaha) to the J1 A/B Medicare Administrative Contractor
Implementation Date: 04/05/2010
CR #: 6569

05/29/2009

Tue, 03 Nov 2009 10:29:00 EST

Transmittal #: R498OTN
Issue Date: 05/29/2009
Subject: Reporting Gross Payments on IRS Form-1099
Implementation Date: 10/05/2009
CR #: 6466

05/29/2009

Tue, 03 Nov 2009 10:31:00 EST

Transmittal #: R499OTN
Issue Date: 05/29/2009
Subject: Placing Medicare Florida Fraud Hotline Number on the Medicare Summary Notices for Zip Codes in Florida
Implementation Date: 10/05/2009
CR #: 6504

05/29/2009

Tue, 03 Nov 2009 10:39:00 EST

Transmittal #: R46SOMA
Issue Date: 05/29/2009
Subject: Revisions to Appendix V, "";Emergency Medical Treatment and Labor Act (EMTALA) Interpretive Guidelines"";
Implementation Date: 05/29/2009
CR #: N/A

06/05/2009

Tue, 03 Nov 2009 10:39:00 EST

Transmittal #: R47SOMA
Issue Date: 06/05/2009
Subject: Revised Appendix A, "";Interpretive Guidelines for Hospitals"";
Implementation Date: 06/05/2009
CR #: N/A

06/05/2009

Tue, 03 Nov 2009 10:41:00 EST

Transmittal #: R501OTN
Issue Date: 06/05/2009
Subject: Allow Zoned Program Integrity Contractor (ZPIC) to access Durable Medical Equipment Medicare Administrative Contractor (DME MAC) by ZPIC Zone
Implementation Date: 10/05/2009
CR #: 6430

06/05/2009

Tue, 03 Nov 2009 10:42:00 EST

Transmittal #: R500OTN
Issue Date: 06/05/2009
Subject: VMS Modifications to Implement the Common Electronic Data Interchange (CEDI) System, Part III, NCPDP 5.1 Implementation
Implementation Date: N/A
CR #: 6507

10/16/2009

Tue, 03 Nov 2009 15:18:00 EST

Transmittal #: R1832CP
Issue Date: 10/16/2009
Subject: Calendar Year(CY) 2010 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures
Implementation Date: 11/09/2009
CR #: 6637

11/06/2009

Thu, 05 Nov 2009 15:49:00 EST

Transmittal #: R1844CP
Issue Date: 11/06/2009
Subject: Additional Health Insurance Portability and Accountability Act (HIPAA) 837 5010 Transitional Changes and Further Modifications to the Coordination of Benefits Agreement (COBA) National Crossover Process
Implementation Date: 01/05/2010
CR #: 6658

11/06/2009

Thu, 05 Nov 2009 15:49:00 EST

Transmittal #: R1846CP
Issue Date: 11/06/2009
Subject: Implementation of Common Working File (CWF) Editing for Diabetes Self-Management Training (DSMT) and Medical Nutrition Therapy (MNT)
Implementation Date: 04/05/2010
CR #: 6553

11/06/2009

Fri, 06 Nov 2009 09:25:00 EST

Transmittal #: R591OTN
Issue Date: 11/06/2009
Subject: Incorporation of the National Provider Identifier (NPI) into the National Supplier Clearinghouse (NSC) Enrollment System and Related Instructions
Implementation Date: 04/05/2010
CR #: 6488

11/06/2009

Fri, 06 Nov 2009 09:25:00 EST

Transmittal #: R62DEMO
Issue Date: 11/06/2009
Subject: Payments to Practices Participating in the Electronic Health Records (EHR) Demonstration
Implementation Date: 04/05/2010
CR #: 6603

11/06/2009

Fri, 06 Nov 2009 14:22:00 EST

Transmittal #: R441PR1
Issue Date: 11/06/2009
Subject: Medicare Swing-Bed-Rates, adds Table 21
Implementation Date: N/A
CR #: N/A

11/06/2009

Fri, 06 Nov 2009 16:23:00 EST

Transmittal #: R596OTN
Issue Date: 11/06/2009
Subject: Phase 2 Base System Changes for Implementation of the Next Version of the Health Insurance Portability And Accountability Act (HIPAA) - Multi Carrier System (MCS) Only
Implementation Date: N/A
CR #: 6576

10/27/2009

Mon, 09 Nov 2009 07:41:00 EST

Transmittal #: R1836CP
Issue Date: 10/27/2009
Subject: New Physician Specialty Code for Geriatric Psychiatry
Implementation Date: 04/05/2010
CR #: 6533

10/29/2009

Mon, 09 Nov 2009 07:43:00 EST

Transmittal #: R1840CP
Issue Date: 10/29/2009
Subject: Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncoverage (ABNs)
Implementation Date: 04/05/2010
CR #: 6563

05/29/2009

Mon, 09 Nov 2009 08:37:00 EST

Transmittal #: R1748CP
Issue Date: 05/29/2009
Subject: July Update to the 2009 Medicare Physician Fee Schedule Database (MPFSDB)
Implementation Date: 07/06/2009
CR #: 6484

04/24/2009

Mon, 09 Nov 2009 08:37:00 EST

Transmittal #: R470OTN
Issue Date: 04/24/2009
Subject: Expansion of the Current Scope of Editing for Ordering/Referring Providers for Claims Processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs)
Implementation Date: 10/05/2009
CR #: 6417

05/08/2009

Mon, 09 Nov 2009 10:57:00 EST

Transmittal #: R492OTN
Issue Date: 05/08/2009
Subject: Fiscal Year (FY) 2009 Inpatient Prospective Payment System (IPPS) Claims with Medicare Severity Diagnosis Related Group (MS-DRG) 956
Implementation Date: 04/27/2009
CR #: 6483

05/01/2009

Mon, 09 Nov 2009 10:58:00 EST

Transmittal #: R487OTN
Issue Date: 05/01/2009
Subject: Modification of the Common Working File (CWF) Copybook to Transmit a "";WC""; Qualifier to Distinguish Workers Compensation Medicare Set-Aside Arrangement (WCMSA) MSP Records
Implementation Date: 10/05/2009
CR #: 6438

05/01/2009

Mon, 09 Nov 2009 10:58:00 EST

Transmittal #: R488OTN
Issue Date: 05/01/2009
Subject: Processing and Payment of Physician and Non-Physician Practitioner Services Reassigned to ASCs
Implementation Date: 10/05/2009
CR #: 6358

11/06/2009

Tue, 10 Nov 2009 12:50:00 EST

Transmittal #: R590OTN
Issue Date: 11/06/2009
Subject: Round One Rebid of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program - Phase 8A: Hospital Exception
Implementation Date: 04/05/2010
CR #: 6677

10/09/2009

Tue, 10 Nov 2009 15:45:00 EST

Transmittal #: R1827CP
Issue Date: 10/09/2009
Subject: Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcemen
Implementation Date: 01/04/2010
CR #: 6662

11/06/2009

Thu, 12 Nov 2009 07:16:00 EST

Transmittal #: R593OTN
Issue Date: 11/06/2009
Subject: Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program Round One Rebid Implementation--Phase 8B: Oxygen Modality
Implementation Date: 04/05/2010
CR #: 6692

11/06/2009

Thu, 12 Nov 2009 07:19:00 EST

Transmittal #: R592OTN
Issue Date: 11/06/2009
Subject: Round One Rebid of the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program Phase 8C of Implementation: Repairs and Replacements
Implementation Date: 04/05/2010
CR #: 6678

11/13/2009

Fri, 13 Nov 2009 11:07:00 EST

Transmittal #: R311PI
Issue Date: 11/13/2009
Subject: Recovery Audit Contractors (RACs)
Implementation Date: 12/14/2009
CR #: 6684

11/13/2009

Fri, 13 Nov 2009 14:29:00 EST

Transmittal #: R1855CP
Issue Date: 11/13/2009
Subject: Instructions for Downloading the Medicare ZIP Code Files for April 2010
Implementation Date: 04/05/2010
CR #: 6697

11/13/2009

Tue, 17 Nov 2009 06:46:00 EST

Transmittal #: R1851CP
Issue Date: 11/13/2009
Subject: Therapy Cap Values for Calendar Year (CY) 2010
Implementation Date: 01/04/2010
CR #: 6660

11/13/2009

Tue, 17 Nov 2009 06:49:00 EST

Transmittal #: R61GI
Issue Date: 11/13/2009
Subject: Update to Medicare Deductible, Coinsurance and Premium Rates for 2010
Implementation Date: 01/04/2010
CR #: 6690

11/13/2009

Tue, 17 Nov 2009 07:10:00 EST

Transmittal #: R115BP
Issue Date: 11/13/2009
Subject: Ambulance Services
Implementation Date: 01/04/2010
CR #: 6707

11/13/2009

Tue, 17 Nov 2009 07:16:00 EST

Transmittal #: R1853CP
Issue Date: 11/13/2009
Subject: CY 2010 Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
Implementation Date: 01/04/2010
CR #: 6720

11/13/2009

Tue, 17 Nov 2009 07:20:00 EST

Transmittal #: R1852CP
Issue Date: 11/13/2009
Subject: Claim Status Category Code and Claim Status Code Update
Implementation Date: 01/04/2010
CR #: 6723

11/13/2009

Tue, 17 Nov 2009 07:23:00 EST

Transmittal #: R1854CP
Issue Date: 11/13/2009
Subject: January 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
Implementation Date: 01/04/2010
CR #: 6708

10/30/2009

Tue, 17 Nov 2009 07:53:00 EST

Transmittal #: R1843CP
Issue Date: 10/30/2009
Subject: Outpatient Mental Health Treatment Limitation
Implementation Date: 01/04/2010
CR #: 6686

10/30/2009

Tue, 17 Nov 2009 07:56:00 EST

Transmittal #: R60GI
Issue Date: 10/30/2009
Subject: Outpatient Mental Health Treatment Limitation
Implementation Date: 01/04/2010
CR #: 6686

10/30/2009

Tue, 17 Nov 2009 07:59:00 EST

Transmittal #: R114BP
Issue Date: 10/30/2009
Subject: Outpatient Mental Health Treatment Limitation
Implementation Date: 01/04/2010
CR #: 6686

N/A

Tue, 17 Nov 2009 08:13:00 EST

Transmittal #: SE0929
Issue Date: N/A
Subject: 2010 Annual Participation Enrollment Program Extension
Implementation Date: N/A
CR #: N/A

01/08/2009

Tue, 17 Nov 2009 10:54:00 EST

Transmittal #: R282PI
Issue Date: 01/08/2009
Subject: Zone Program Integrity Contractor (ZPIC) Updates
Implementation Date: 01/26/2009
CR #: 6170

01/09/2009

Tue, 17 Nov 2009 10:55:00 EST

Transmittal #: R145FM
Issue Date: 01/09/2009
Subject: Recovery Audit Contractors (RACs)
Implementation Date: 03/13/2009
CR #: 6273

01/09/2009

Tue, 17 Nov 2009 10:55:00 EST

Transmittal #: R1667CP
Issue Date: 01/09/2009
Subject: Instructions for Fiscal Intermediary Standard System (FISS), Multi-Carrier System (MCS) and Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes
Implementation Date: 10/06/2008
CR #: 6147

01/09/2009

Tue, 17 Nov 2009 10:56:00 EST

Transmittal #: R428OTN
Issue Date: 01/09/2009
Subject: Influenza Pandemic Emergency Preparedness Additional Guidance Concerning Tentative and Final Settlements, Periodic Interim Payments (PIP) and Pass Through Payments, Medicare Secondary Payer (MSP), Accelerated Payments, Repayments and Financial Management
Implementation Date: 02/13/2009
CR #: 6256

06/12/2009

Tue, 17 Nov 2009 10:56:00 EST

Transmittal #: R101NCD
Issue Date: 06/12/2009
Subject: Wrong Surgical or Other Invasive Procedure Performed on a Patient; Surgical or Other Invasive Procedure Performed on the Wrong Body Part; Surgical or Other Invasive Procedure Performed on the Wrong Patient
Implementation Date: N/A
CR #: 6405

06/12/2009

Tue, 17 Nov 2009 10:57:00 EST

Transmittal #: R48SOMA
Issue Date: 06/12/2009
Subject: Revisions to Appendix PP, "";Guidance to Surveyors of Long Term Care Facilities"";
Implementation Date: 06/12/2009
CR #: N/A

06/12/2009

Tue, 17 Nov 2009 10:58:00 EST

Transmittal #: R49SOMA
Issue Date: 06/12/2009
Subject: New Critical Access Hospital (CAH) Requirements Under 42 CFR 485.610(e) Related to CAH Co-location and CAH Provider-based Locations
Implementation Date: 06/12/2009
CR #: N/A

06/12/2009

Tue, 17 Nov 2009 10:59:00 EST

Transmittal #: R292PI
Issue Date: 06/12/2009
Subject: Submission of Paper and Electronic CMS-855 Enrollment Applications
Implementation Date: 07/13/2009
CR #: 6490

06/12/2009

Tue, 17 Nov 2009 10:59:00 EST

Transmittal #: R152FM
Issue Date: 06/12/2009
Subject: Recovery Audit Contractors (RACs)
Implementation Date: 07/13/2009
CR #: 6384

06/12/2009

Tue, 17 Nov 2009 11:00:00 EST

Transmittal #: R502OTN
Issue Date: 06/12/2009
Subject: Jurisdiction 4 A/B MAC Merge of the Part B Oklahoma, New Mexico and Colorado CICS Production and User Acceptance Test Regions
Implementation Date: 11/21/2009
CR #: 6508

01/16/2009

Tue, 17 Nov 2009 11:24:00 EST

Transmittal #: R146FM
Issue Date: 01/16/2009
Subject: Notice of New Interest Rate for Medicare Overpayments and underpayments 2nd Notification for FY 2009
Implementation Date: 01/23/2009
CR #: 6239

01/16/2009

Tue, 17 Nov 2009 11:25:00 EST

Transmittal #: R431OTN
Issue Date: 01/16/2009
Subject: Jurisdiction 3 A/B MAC Merge of the Part B Arizona, Montana and Utah CICS Production and User Acceptance Testing Regions
Implementation Date: 04/06/2009
CR #: 6279

01/16/2009

Tue, 17 Nov 2009 11:27:00 EST

Transmittal #: R429OTN
Issue Date: 01/16/2009
Subject: Update to Change Request 5927--Shared Systems Active and Non-Active Edits/Reason Codes and Audit Trail Reporting
Implementation Date: 04/06/2009
CR #: 6344

06/19/2009

Tue, 17 Nov 2009 11:33:00 EST

Transmittal #: R1757CP
Issue Date: 06/19/2009
Subject: Claims Processing for Skilled Nursing Facility Consolidated Billing
Implementation Date: 07/20/2009
CR #: 6521

06/19/2009

Tue, 17 Nov 2009 11:34:00 EST

Transmittal #: R1759CP
Issue Date: 06/19/2009
Subject: July 2009 Update to the ASC Payment System; Summary of Payment Policy Changes.
Implementation Date: 07/06/2009
CR #: 6496

06/15/2009

Thu, 19 Nov 2009 09:35:00 EST

Transmittal #: R504OTN
Issue Date: 06/15/2009
Subject: J12 Production Region Merge of the District of Columbia, Maryland, New Jersey, and Pennsylvania Part A Workloads
Implementation Date: 04/06/2009
CR #: 6345

11/20/2009

Thu, 19 Nov 2009 15:08:00 EST

Transmittal #: R313PI
Issue Date: 11/20/2009
Subject: Program Integrity Manual (PIM) Reorganization Chapters 1, 2, and 7
Implementation Date: 12/21/2009
CR #: 6546

11/20/2009

Thu, 19 Nov 2009 15:08:00 EST

Transmittal #: R1857CP
Issue Date: 11/20/2009
Subject: New Waived Tests
Implementation Date: 01/04/2010
CR #: 6685

11/20/2009

Thu, 19 Nov 2009 15:08:00 EST

Transmittal #: R312PI
Issue Date: 11/20/2009
Subject: Home Health Agency (HHA) Capitalization Requirements
Implementation Date: 12/21/2009
CR #: 6732

05/22/2009

Fri, 20 Nov 2009 08:13:00 EST

Transmittal #: R1740CP
Issue Date: 05/22/2009
Subject: July 2009 Update to the ASC Payment System; Summary of Payment Policy Changes
Implementation Date: 07/06/2009
CR #: 6496

11/20/2009

Fri, 20 Nov 2009 11:36:00 EST

Transmittal #: R600OTN
Issue Date: 11/20/2009
Subject: Elimination of National Standard Format (NSF) Code from the VMS System
Implementation Date: N/A
CR #: 6689

11/20/2009

Fri, 20 Nov 2009 11:36:00 EST

Transmittal #: R1858CP
Issue Date: 11/20/2009
Subject: Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.0, Effective January 1, 2010
Implementation Date: 01/04/2010
CR #: 6728

11/20/2009

Mon, 23 Nov 2009 06:38:00 EST

Transmittal #: R1859CP
Issue Date: 11/20/2009
Subject: MIPPA Section 139 Teaching Anesthesiologists
Implementation Date: 01/04/2010
CR #: 6706

11/05/2009

Mon, 23 Nov 2009 06:43:00 EST

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

10/28/2009

Mon, 23 Nov 2009 06:45:00 EST

Transmittal #: R1838CP
Issue Date: 10/28/2009
Subject: Processing of Non-Covered International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Procedure codes on Inpatient Hospital Claims
Implementation Date: 04/05/2010
CR #: 6547

11/06/2009

Mon, 23 Nov 2009 06:48:00 EST

Transmittal #: R1845CP
Issue Date: 11/06/2009
Subject: Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases
Implementation Date: 01/04/2010
CR #: 6605

10/28/2009

Mon, 23 Nov 2009 06:51:00 EST

Transmittal #: R1839CP
Issue Date: 10/28/2009
Subject: Instructions regarding processing claims rejecting for gender/procedure conflict
Implementation Date: 04/05/2010
CR #: 6638

10/30/2009

Mon, 23 Nov 2009 06:54:00 EST

Transmittal #: R586OTN
Issue Date: 10/30/2009
Subject: Validating the Billing of End Stage Renal Disease (ESRD) 50/50 Rule Modifier
Implementation Date: 04/05/2010
CR #: 6683

10/30/2009

Mon, 23 Nov 2009 06:56:00 EST

Transmittal #: R1842CP
Issue Date: 10/30/2009
Subject: Instructions for Processing Claims Containing Anti-Markup Services but with Partial Information Completed in Item 20 of the Form CMS-1500
Implementation Date: 04/05/2010
CR #: 6670

11/02/2009

Mon, 23 Nov 2009 06:59:00 EST

Transmittal #: R589OTN
Issue Date: 11/02/2009
Subject: Continuation of Maintenance and Servicing Payments in CY 2010 for Certain Oxygen Equipment as a Result of the Medicare Improvements for Patients and Providers Act (MIPPA) of 2008
Implementation Date: 01/04/2010
CR #: 6716

11/06/2009

Mon, 23 Nov 2009 07:03:00 EST

Transmittal #: R1847CP
Issue Date: 11/06/2009
Subject: Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2010
Implementation Date: 01/04/2010
CR #: 6717

11/06/2009

Mon, 23 Nov 2009 07:05:00 EST

Transmittal #: R595OTN
Issue Date: 11/06/2009
Subject: Ensuring the Denial of Claims for Ambulance Services Rendered to Beneficiaries in Part A Skilled Nursing Facility Stays
Implementation Date: 04/05/2010
CR #: 6700

11/20/2009

Mon, 23 Nov 2009 07:07:00 EST

Transmittal #: R599OTN
Issue Date: 11/20/2009
Subject: Integrated Outpatient Code Editor (IOCE) PC (interactive and batch) Re-Write
Implementation Date: 04/05/2010
CR #: 6709

10/30/2009

Mon, 23 Nov 2009 07:12:00 EST

Transmittal #: R113BP
Issue Date: 10/30/2009
Subject: Implementation of Changes in End Stage Renal Disease (ESRD) Payment for Calendar Year (CY) 2010
Implementation Date: 01/04/2010
CR #: 6679