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Transmittals

  • This transmittal removes those provisions in Chapter 28, relating to low volume prospective payment rates for skilled nursing facilities because they are obsolete. In also includes revisions to the instructions for the skilled nursing facility (SNF) prospective payment system (PPS).
  • Kidney Care Choices (KCC) Kidney Care First (KCF) - Payment Mechanism (PM) and Benefit Enhancements (BEs) - Implementation
  • Kidney Care Choices (KCC) Comprehensive Kidney Care Contracting (CKCC) - Payment and Benefit Enhancements - Implementation
  • International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--January 2022
  • Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2022
  • Quarterly Update to the End-Stage Renal Disease Prospective Payment System (ESRD PPS)
  • October Quarterly Update for 2021 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
  • October 2021 Update of the Ambulatory Surgical Center [ASC] Payment System
  • October 2021 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • October 2021 Integrated Outpatient Code Editor (I/OCE) Specifications Version 22.3
  • Additional Payment Edits for DMEPOS Suppliers of Custom Fabricated and Prefabricated (Custom Fitted) Orthotics. Update to Change Request
  • Quarterly Update to Home Health (HH) Grouper
  • Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment
  • Instructions for Retrieving the January 2022 Medicare Physician Fee Schedule Database (MPFSDB) Files Through the CMS Mainframe Telecommunications System
  • 2022 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments
  • Influenza Vaccine Payment Allowances - Annual Update for 2021-2022 Season
  • Instructions for Retrieving the January 2022 Opioid Treatment Program (OTP) Payment Rates Through the CMS Mainframe Telecommunications System
  • Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October 2021 Update
  • National Coverage Determination (NCD) 270.3 Blood-Derived Products for Chronic, Non-Healing Wounds
  • Annual Clotting Factor Furnishing Fee Update 2022
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