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Transmittals

  • Medicare Administrative Contractors (MACs) Part B, the Multi- Carrier System (MCS) and Durable Medicare Equipment (DME) MACs Updates on Processing Medicare Secondary Payer (MSP) Claims Containing Certain Claim Adjustment Reason Codes (CARCs)
  • Reporting of All Recovery Auditor-Initiated Claim Adjustments and their Subsequent Adjustments for Periodic Interim Payment (PIP) Facilities
  • July 2026 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder
  • Availability of One-Click Provider Statistical and Reimbursement Report (PS&R) Summary Report Downloads in the Medicare Cost Report E-Filing (MCReF) System
  • Update to the Payment for Historically Excepted Tribal Federally Qualified Health Centers (FQHCs) for Calendar Year (CY) 2026
  • International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)- July 2026
  • Noninvasive Positive Pressure Ventilation (NIPPV) in the Home for the Treatment of Chronic Respiratory Failure (CRF) Consequent to Chronic Obstructive Pulmonary Disease (COPD)
  • Noninvasive Positive Pressure Ventilation (NIPPV) in the Home for the Treatment of Chronic Respiratory Failure (CRF) Consequent to Chronic Obstructive Pulmonary Disease (COPD).
  • Update to Pub. 100-02, Chapter 11 End-Stage Renal Disease (ESRD) through Calendar Year (CY) 2026
  • NCD 20.40- Renal Denervation (RDN) for Uncontrolled Hypertension
  • NCD 20.40- Renal Denervation (RDN) for Uncontrolled Hypertension
  • Calendar Year 2026 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
  • Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 32, Sections 150.4, 150.6, 200.2, 300.2, 400.2, 400.2.2, 400.2.3, 400.2.3.1, 400.2.4, and 400.3 for Coding Revisions to National Coverage Determinations (NCDs) - July 2025 Change Request (CR) 13939
  • January 2026 Update of the Hospital Outpatient Prospective Payment System (OPPS).
  • January 2026 Update of the Ambulatory Surgical Center [ASC] Payment System.
  • The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider Statistical & Reimbursement (PS&R) System.
  • Completion of Changes to Remove Reliance on the AX Modifier to Accurately Pay End Stage Renal Disease (ESRD) Claims.
  • Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 7
  • Revisions to Appendix C-Survey Procedures and Interpretive Guidelines for Laboratories and Laboratory Services-Advance Copy
  • Updates of Chapters 3, 4, and Exhibits in Publication (Pub.) 100-08, Including Updates to the Provider Notification Process and Vetting with the CMS Process.
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