Transmittals

  • Common Working File (CWF) Edits for Medicare Telehealth Services and Manual
  • April 2021 Update of the Ambulatory Surgical Center (ASC) Payment System
  • Penalty for Delayed Request for Anticipated Payment (RAP) Submission -- Implementation
  • Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 27.2, Effective July 1, 2021
  • Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) - July 2021
  • April 2021 Quarterly Update to HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
  • Modifications to the National Coordination of Benefits Agreement (COBA) Claims Crossover Process
  • Common Working File (CWF) Edits for Medicare Telehealth Services and Manual Update
  • Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2021
  • Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid Treatment Programs (Manual Updates Only)
  • July 2021 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder
  • April 2021 Quarterly Update to HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement
  • Updated Billing Requirements for Home Infusion Therapy (HIT) Services on or After January 1, 2021
  • Update to the Manual for Telephone Services, Physician Assistant (PA) Supervision, and Medical Record Documentation for Part B Services
  • Submission of Condition Codes to the Inpatient Prospective Payment System (IPPS) Pricer to Report Services Provided as Part of an Expanded Access Approval or Emergency Use Authorization
  • April Quarterly Update for 2021 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
  • Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for July 2021
  • Modification to Existing Common Working File (CWF) Edits for Osteoporosis Drug Codes Billable on Home Health Claims
  • Fiscal Year (FY) 2021 Annual Update to the Medicare Code Editor (MCE) and International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) and Procedure Coding System (ICD-10-PCS)
  • Revisions to the State Operations Manual (SOM), Chapter 2 for Federally Qualified Health Centers (FQHCs)
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