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Transmittals

  • Transitional Drug Add-on Payment Adjustment (TDAPA) for patients with Acute Kidney Injury (AKI)
  • Common Working File (CWF) to Medicare Beneficiary Database (MBD) Extract File Changes for Detailed Skilled Nursing Facility Data to Support HIPAA Eligibility Transaction System (HETS)
  • Fiscal Intermediary Shared Systems (FISS) Enhancements to the Mass Adjustment of Process Recovery Audit Contractor (RAC) Claims
  • Assign the Correct 935 Indicator on Adjustment Claims Submitted through the Provider Portal
  • New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs)
  • Correction to Prevent Payment on Inpatient Information Only Claims for Beneficiaries Enrolled in Medicare Advantage Plans
  • Correction to Prevent Payment on Inpatient Information Only Claims for Beneficiaries Enrolled in Medicare Advantage Plans
  • Remove Obsolete Edits from the Fiscal Intermediary Shared Systems (FISS)
  • Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 1
  • Calculating Interim Rates for Graduate Medical Education (GME) Payments to New Teaching Hospitals
  • Calculating Interim Rates for Graduate Medical Education (GME) Payments to New Teaching Hospitals
  • Fiscal Intermediary Shared System (FISS) and VIPS Medicare Shared System (VMS) to Update Records Based on the Automation of Prior Authorization (PA) Requests/Pre-Claim Reviews (PCR) and their Responses with Multiple Services (for programs like Home Health (HH))
  • Shared System Enhancement 2015: Removing/Archiving Obsolete On Request Jobs within the Multi-Carrier System (MCS)
  • Add Date of Receipt to the Beneficiary Data Streamlining (BDS) Part A Claims Layout
  • MCS Analysis Only: Undeliverable Medicare Summary Notices (UMSNs) - Beneficiary Do Not Forward Process
  • Ambulance Inflation Factor for CY 2018 and Productivity Adjustment
  • Ambulance Inflation Factor for CY 2018 and Productivity Adjustment
  • Next Generation ACO Model -Weekly AIPBP Reduction File Change
  • Pulmonary Rehabilitation (PR) Services Addition to Chapter 19, Indian Health Services (IHS)
  • Provider Education and Referral Reporting
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