Transmittals

Updates to Provider Enrollment Processing Instructions in Chapter 15 of Publication (Pub.) 100-08, Program Integrity Manual, and to the CMS-855R Processing Guide

Implementation of the Medicare Performance Adjustment (MPA) for the Maryland Total Cost of Care (MD TCOC) Model

2020 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update

October 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.3

Influenza Vaccine Payment Allowances - Annual Update for 2019-2020 Season

Updates to Chapter 1 Payer Only Codes in the Medicare Claims Processing Manual

October Quarterly Update for 2019 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule

October 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS)

Next Generation and Vermont ACO Model - AIPBP Reduction File and BE Modifications

Implementation to Send Post-Pay Electronic Medical Documentation Requests (eMDR) to Participating Providers via the Electronic Submission of Medical Documentation (esMD) System

2020 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder

Healthcare Provider Taxonomy Codes (HPTCs) October 2019 Code Set Update

Combined Common Edits/Enhancements Modules (CCEM) Code Set Update

Home Health (HH) Patient-Driven Groupings Model (PDGM) - Revised and Additional Manual Instructions

Next Generation and Vermont ACO Model - AIPBP Reduction File and BE Modifications

Manual Update to Sections 1.2 and 10.2.1 in Chapter 18 of Publication (Pub.) 100-04

Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2020

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October 2019 Update

Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - October 2019 Update

Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2020