Transmittals

Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Allow Override for Reason Code 37221.

Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Allow Override for Reason Code 31407.

User Enhancement Change Request (UECR): Update Multi-Carrier System (MCS) Correspondence Entry (CE) Screens and MCS Desktop Tool (MCSDT) to Include Edit, Audit, Common Working File (CWF) - (EAC) Error Code Search Field.

Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Modify the Healthcare Common Procedure Code (HCPC) Type of Bill (TOB) Table, MAP1I51, to Allow Automation to Update Date Fields

The Medicare Secondary Payer (MSP) Systems Contractor (MSPSC) and Common Working File (CWF) to Delete or Close Pre-Section 111 Non-Ongoing Responsibility for Medicals (ORM) Non-Group Health Plan (NGHP) MSP Records and to Purge all MSP Records that Contain an ‘N’ Validity Indicator.

Updates to Medicare Claims Processing Manual for Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC) Chapter 9

User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Update No Related Logic to Set Using FROM Date of Service (DOS)

This transmittal updates Chapter 49, Skilled Nursing Facility and Skilled Nursing Facility Healthcare Complex Cost Report, Form CMS-2540-24, revising the existing instructions, worksheets, and electronic cost report (ECR) specifications.

Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid Treatment Programs (OTPs)

Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid Treatment Programs (OTPs)

Allow Payment for Healthcare Common Procedure Coding System (HCPCS) Code G2211 when Certain Part B Preventive Services are Provided on the Same Day

Rejections in the Medicare Adjudication Portal (MAP)

Hospice Claims Billed by Terminated Hospices

100-06 Internet Only Manual (IOM) Updates - Chapter 3 - Beneficiary Liability

Update to the All-Inclusive Rate (AIR) Add-On Payment for High-Cost Drugs Provided by Indian Health Service (IHS) and Tribal Hospitals

Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment

April 2025 Update of the Ambulatory Surgical Center (ASC) Payment System

Instructions for Downloading the Medicare ZIP Code File for July 2025 Files

This transmittal updates Chapter 41, Skilled Nursing Facility and Skilled Nursing Facility Health Care Complex Cost Reports, Form CMS-2540-10 to clarify or revise the following and sunset the form set:

Revisions to State Operations Manual (SOM), Appendix PP