Transmittals

NCD 20.38 - Transcatheter Edge-to-Edge Repair for Tricuspid Valve Regurgitation (T-TEER)

NCD 20.37 - Transcatheter Tricuspid Valve Replacement (TTVR)

NCD 20.37 - Transcatheter Tricuspid Valve Replacement (TTVR)

Send 'Reason for Denial' Value in Prior Authorization Data to the Integrated Data Repository (IDR)

Updates to Publication 100-04, Chapter 4, Section 250.3.3.1 and 250.18 of the Internet Only Manual (IOM) for Critical Access Hospital (CAH) Line Level Rendering Providers

"This transmittal updates Chapter 44, Federally Qualified Health Center (FQHC) Cost Report, Form CMS-224-14, by clarifying the existing instructions, forms, and electronic cost report (ECR) specifications."

"This transmittal updates Chapter 46, Rural Health Clinic (RHC) Cost Report, Form CMS-222-17, by clarifying the existing instructions, forms, and electronic cost report (ECR) specifications."

This transmittal updates Chapter 47, Home Health Agency Cost Report, Form CMS-1728-20, by clarifying the existing instructions, forms, and electronic cost report (ECR) specifications

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

Update to the End Stage Renal Disease Prospective Payment System (ESRD PPS)

October 2026 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder

Creating Additional Medicare Secondary Payer (MSP) Error Codes to Better Identify Incoming MSP Claims that Conflict with MSP Records Found on the Common Working File (CWF)

The purpose of this Change Request (CR) is to establish a new physician code for Physician Nutrition Specialist (F7).

New Physician Specialty Code for Physician Nutrition Specialist (F7)

Updates of Chapters 4 and 8 in Publication (Pub.) 100-08, Including Updates to the Existing Payment Suspension Process Guidance

Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE

Combined Common Edits/Enhancements Modules (CCEM) Code Set Update

Claims Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), Medicare Remit Easy Print (MREP), and PC Print Update

File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions

Fiscal Intermediary Shared System (FISS) - Modify the Expert Claims Processing System (ECPS) to Process More Than 10 Medical Policy Reason Codes