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Transmittals

  • Waiver of Coinsurance and Deductible for Screening for Lung Cancer with Low Dose Computed Tomography (LDCT)
  • Skilled Nursing Facility (SNF) Claims Processing Updates
  • Clinical Laboratory Fee Schedule (CLFS) - Instructions to Remove Co-insurance/Deductible Multi-Carrier System (MCS) Logic
  • Clarifying Instructions for Billing and Processing Claims with Multiple Units to Indicate the Length of Time Per Home Infusion Therapy Service Visit
  • New Waived Tests
  • Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2022
  • Medicare Fee-for-Service (FFS) Coverage of Costs for Kidney Acquisitions in Maryland Waiver (MW) Hospitals for Medicare Advantage (MA) Beneficiaries
  • National Coverage Determination (NCD) Removal
  • Additional Payment Edits for DMEPOS Suppliers of Custom Fabricated and Prefabricated (Custom Fitted) Orthotics. Update to Change Request
  • National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) T-cell Therapy - This CR Rescinds and Fully Replaces
  • National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) T-cell Therapy - This CR Rescinds and Fully Replaces
  • Replacing Home Health Requests for Anticipated Payment (RAPs) with a Notice of Admission (NOA) -- Implementation
  • National Coverage Determination (NCD) Removal
  • Changes to the Laboratory National Coverage Determination [NCD] Edit Software for October 2021
  • October 2021 Quarterly Average Sales Price [ASP] Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notification for FY 2021
  • Quarterly Update to the National Correct Coding Initiative [NCCI] Procedure-to-Procedure [PTP] Edits, Version 27.3, Effective October 1, 2021
  • Annual (2022) Update of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)
  • Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Prior Authorization Coversheet Requirements
  • Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for Generating Reports
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