Transmittals

  • Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October 2020 Update
  • Telehealth Expansion Benefit Enhancement under the Pennsylvania Rural Health Model (PARHM) - Implementation
  • Quarterly Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
  • Primary Care First (PCF) and Serious Illness Patient (SIP) Models: Part 2: FFS Payments and other claims-based adjustments
  • Billing for Home Infusion Therapy Services On or After January 1, 2021
  • Correction to Editing Update for Vaccine Services
  • Billing for Home Infusion Therapy Services On or After January 1, 2021
  • Update to Osteoporosis Drug Codes Billable on Home Health Claims
  • Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October 2020 Update
  • Expand Retention of Claims History for Outpatient, Part B, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) to 5 years
  • Influenza Vaccine Payment Allowances - Annual Update for 2020-2021 Season
  • Implementation of Nurse Practitioners Certifying Diabetic Shoe Orders Under the Primary Care First (PCF) Model
  • International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--January 2021 Update
  • Reason Code Updates for the 2020 Annual Therapy Current Procedural Terminology (CPT) Codes in Change Request
  • Updating the Common Working File (CWF) to allow for a Medicare Secondary Payer (MSP) Termination Date Greater than the Current Date Plus Six Months for non-Group Health Plan (NGHP) MSP Auxiliary Records
  • New Waived Tests
  • Addition of the QW modifier to Healthcare Common Procedure Coding System (HCPCS) code 87426
  • Modify Edits in the Fee for Service (FFS) System When a Beneficiary has a Medicare Advantage (MA) Plan
  • File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions
  • July 2020 Update of the Hospital Outpatient Prospective Payment System (OPPS)
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