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Transmittals

  • July 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2019
  • Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2019 Update
  • April 2019 Integrated Outpatient Code Editor (I/OCE) Specifications Version 20.1
  • April 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • Implementation of the Medicare Performance Adjustment (MPA) for the Maryland Total Cost of Care (MD TCOC) Model
  • Ensuring Only the Active Billing Hospice Can Submit a Revocation
  • Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM)
  • Update to Chapter 30 in Publication (Pub.) 100-04 to Provide Language-Only Changes for the New Medicare Card Project
  • Medicare Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 42, Form CMS-265-11
  • New State Code for CA, FL, LA, MI, MS, OH, PA, TN and TX
  • National Coverage Determination (NCD90.2): Next Generation Sequencing (NGS)
  • Update to Publication 100-04 Chapters 2, 6, and 18 to Provide Language-Only Changes for the New Medicare Card Project
  • Implementation of the Award for the Jurisdiction 8 (J-8) Part A and Part B Medicare Administrative Contractor (J8 A/B MAC)
  • Evaluation and Management (E/M) when Performed with Superficial Radiation Treatment
  • Evaluation and Management (E/M) when Performed with Superficial Radiation Treatment
  • Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
  • Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
  • Ensuring Organ Acquisition Charges Are Not Included in the Inpatient Prospective Payment System (IPPS) Payment Calculation
  • National Coverage Determination (NCD) 20.4 Implantable Cardiac Defibrillators (ICDs)
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