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Transmittals

  • Updating Overpayment Manual, Chapter 3, Sections 200.2.6-200.4.7, Limitation on Recoupment
  • 2024 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments
  • Instructions for Retrieving the January 2024 Opioid Treatment Program (OTP) Payment Rates Through the CMS Mainframe Telecommunications System
  • January 2024 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • Instructions for Retrieving the 2024 Pricing and Healthcare Common Procedure Coding System (HCPCS) Data Files through CMS Mainframe Telecommunications Systems
  • Influenza Vaccine Payment Allowances - Annual Update for 2023-2024 Season
  • New Place of Service (POS) Code 27 - "Outreach Site/Street”
  • Modernize the Vaccine Process and Roster Billing - Full Agile Pilot CR
  • Revision to Implementation of Consolidated Appropriations Act (CAA) of 2023, Section 4143: Waiver of Cap on Annual Payments for Nursing and Allied Health Education Payments
  • Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 30.0, Effective January 1, 2024
  • Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE
  • Patient Responsibility Reporting with Medicare Secondary Payer (MSP)
  • October 2023 Update of the Ambulatory Surgical Center (ASC) Payment System
  • October 2023 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • Instructions for Retrieving the January 2024 Medicare Physician Fee Schedule Database (MPFSDB) Files Through the CMS Mainframe Telecommunications System
  • October Quarterly Update for 2023 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
  • New Dental Specialty Codes for Medicare01022024
  • Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2024
  • Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) – January 2024
  • Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2024
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