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Transmittals

  • New Codes for Therapist Assistants Providing Maintenance Programs in the Home Health Setting
  • Updates to Ensure the Original 1-Day and 3-Day Payment Window Edits are Consistent With Current Policy
  • Addition of the QW modifier to Healthcare Common Procedure Coding System (HCPCS) code U0002 and 87635
  • Quarterly Update to the Long Term Care Hospital (LTCH) Prospective Payment System (PPS) Fiscal Year (FY) 2020 Pricer
  • July 2020 Quarterly Update to the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2020 Pricer
  • Provider Education for Required Prior Authorization (PA) of Hospital Outpatient Department (OPD) Services
  • Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2020 - Recurring July File Update
  • New Waived Tests
  • New Waived Tests
  • Implementation of the Award for the Jurisdiction 5 Part A and Part B Medicare Administrative Contractor (J-5 A/B MAC)
  • Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update
  • April 2020 Integrated Outpatient Code Editor (I/OCE) Specifications Version 21.1
  • Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update
  • April 2020 Update of the Ambulatory Surgical Center (ASC) Payment System
  • Notice of New Interest Rate for Medicare Overpayments and Underpayments -3rd Qtr Notification for FY 2020
  • File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions
  • Quarterly Update to the Fiscal Year 2020 Inpatient Psychiatric Facilities Pricer
  • Implementation of Additional Requirement to add Healthcare Common Procedure Coding System (HCPC) and Current Procedural Terminology (CPT) - HCPC/CPT as Paired Items of Service for Prior Authorization and Medicare Claims Processing for Part A and Home Health and Hospice
  • Claim Status Category and Claim Status Codes Update
  • Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2020 Update
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