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Transmittals

  • October 2022 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder
  • July 2022 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • July 2022 Integrated Outpatient Code Editor (I/OCE) Specifications Version 23.2
  • Update to 'J' Drug Code List for Billing Home Infusion Therapy (HIT) Services
  • Claims Processing Manual Update - Pub. 100.04 for Elimination of Certificates of Medical Necessity (CMNs) and Durable Medical Equipment Forms (DIFs)
  • An Omnibus CR Covering: (1) Removal of Two National Coverage Determination (NCDs), (2) Updates to the Medical Nutrition Therapy (MNT) Policy, and (3) Updates to the Pulmonary Rehabilitation (PR), Cardiac Rehabilitation (CR), and Intensive Cardiac Rehabilitation (ICR) Conditions of Coverage
  • An Omnibus CR Covering: (1) Removal of Two National Coverage Determination (NCDs), (2) Updates to the Medical Nutrition Therapy (MNT) Policy, and (3) Updates to the Pulmonary Rehabilitation (PR), Cardiac Rehabilitation (CR), and Intensive Cardiac Rehabilitation (ICR) Conditions of Coverage
  • Quarterly Update to the End-Stage Renal Disease Prospective Payment System (ESRD PPS)
  • Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for Generating Reports
  • Update the International Classification of Diseases, Tenth Revision (ICD-10) 2023 Tables in the Common Working File (CWF) for Purposes of Processing Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) Records and Claims
  • Quarterly Update to Home Health (HH) Grouper
  • Claims Processing Manual Update - Pub. 100-04 for Elimination of Certificates of Medical Necessity (CMNs) and Durable Medical Equipment Forms (DIFs)
  • Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2022 Update
  • Automation of the Medicare Duplicate Primary Payment (DPP) Process
  • Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment
  • Revisions to Medicare Part B Coverage of Pneumococcal Vaccinations for the Medicare Benefit Policy Manual Chapter 15, Section 50.4.4.2
  • Update to Chapters 3, 4, 27 and 37 of Publication (Pub.) 100-04 Medicare Claims Processing Manual to Remove Reference to the Term "OSCAR"
  • Updated Instructions for the Change Request Implementation Report (CRIR) and Technical Direction Letter (TDL) Compliance Report (TCR)
  • Quarterly Update to the End-Stage Renal Disease Prospective Payment System (ESRD PPS)
  • International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--October 2022 Update
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