Transmittals
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Exhibit 286, Hospital, Critical Access Hospital (CAH) and Rural Emergency Hospital (REH) Database Worksheet
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Revisions to the Edits to Prevent Overpayment of Long-term Stay in Hospice
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Home Health Reason Code 19963 Edit – Notice of Admission Not Found
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Enhancing Compliance and Payment Accuracy for Physician Services in Skilled Nursing Facilities-Update
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Revisions to Chapter 29 Appeals of Claims Decisions in Publication (Pub.) 100-04, Medicare Claims Processing Manual
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The Fiscal Year 2027 Updates for the CMS Internet Only Manual (IOM) Publication (Pub.) 100-06, Medicare Financial Management Manual, Chapter 7 - Internal Control Requirements
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October 2026 Update of the Ambulatory Surgical Center (ASC) Payment System
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Combined Common Edits/Enhancements Modules (CCEM) Code Set Update
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Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement
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Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2027
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Federal Annuitants Under the Federal Employees Health Benefit Program (FEHBP) Receiving Federal Workers’ Compensation (WC) Benefits
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Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for Fiscal Year (FY) 2027
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Quarterly Update to Home Health (HH) Grouper
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Updates to Chapter 6, Sections 6.2 of Publication (Pub) 100-08 - Program Integrity Manual (PIM) to Include Allowed Practitioners in the Home Health Manual Instruction
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Updates to Chapter 3, Section 3.7.1.1 of Publication (Pub) 100-08 - Medicare Program Integrity Manual
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October 2026 Update of the Hospital Outpatient Prospective Payment System (OPPS)
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October 2026 Integrated Outpatient Code Editor (I/OCE) Specifications Version 27.3
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Updates to Internet Only Manual (IOM) Publication (Pub.) 100-04 Medicare Claims Processing Manual, Chapter 9 -Rural Health Clinics/Federally Qualified Health Centers
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Annual Instructions for Downloading the Medicare ZIP Code Files for the Calendar Year 2027
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January 2027 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files