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Transmittals

  • Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
  • Update to Provider Enrollment Appeals and Rebuttals Processing Instructions and Model Letters
  • Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04 Chapter 3, Inpatient Hospital Billing, Section 20.2.1
  • Rejections in the Medicare Adjudication Portal (MAP)
  • Phase 5: Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99)
  • Principal Diagnosis Code Reporting Update for Hospice and Manual Updates to Sections 30.3, 40.2, and 50 of Chapter 11 of the Claims Processing Manual: Processing Hospice Claims
  • Updates to the Internet Only Manual (IOM) Publication100-06 Chapters 3 Overpayments and 4 Debt Collection
  • Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Create a New Additional Development Request (ADR) Location Prior Authorization (PA) Claims
  • File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions
  • Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid Treatment Programs (OTPs)
  • Manual Updates Regarding Home Health Adjustments and Skilled Nursing Facility, Home Health and Hospice Pricer Information
  • Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid Treatment Programs (OTPs)
  • Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens and New Updates for 2025
  • Roster Billing for Hepatitis B - July 2025 Release
  • Instructions for Downloading the Medicare ZIP Code File for April 2025 Files
  • April 2025 Coding Updates for the Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS)
  • "Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Creation of New Reason Codes to Validate the National Provider Identifier (NPI) on Prior Authorization (PA) Unique Tracking Numbers (UTNs) and Claims."
  • User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Updates to the Automated Paperless Exception System (APEX) Request Screen (APEX/1).
  • Documentation for Claims for Replacement of Essential Accessories for Beneficiary-Owned Continuous Glucose Monitors (CGMs)
  • nternet Only Manual Update, Pub. 100-04, Chapter 3 (Inpatient Hospital Billing), Sections 20.1.2.7, 140.2.10, 150.28, 190.7.2.5, and Chapter 4 (Part B Hospital) Section 10.7.2.4 Procedures for Medicare Contractors to Perform and Record Outlier Reconciliation Adjustments
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