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Transmittals

  • 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
  • Certificates of Medical Necessity (CMN) and Durable Medical Equipment (DME) Information Forms (DIF)
  • Archiving National Provider Identifier Crosswalk System (NPICS) System Logic in the Durable Medical Equipment (DME) Claims Processing System
  • Archiving National Provider Identifier Crosswalk System (NPICS) System Logic in the Muti-Carrier System (MCS)
  • Shared System Enhancement 2015: Removing/Archiving Obsolete Reports within the Multi-Carrier System (MCS)
  • Notice of New Interest Rate for Medicare Overpayments and Underpayments -1st Qtr. Notification for FY 2018
  • Payment for Services Furnished by Qualified Nonphysician Anesthetists
  • Clinical Laboratory Fee Schedule Not Otherwise Classified, Not Otherwise Specified, or Unlisted Service or Procedure Code Data Collection
  • Clinical Laboratory Fee Schedule Not Otherwise Classified, Not Otherwise Specified, or Unlisted Service or Procedure Code Data Collection
  • Defending Medical Review Decisions at Administrative Law Judge (ALJ) Hearings
  • Pharmacy Billing of Immunosuppressive Drugs
  • Fiscal Year (FY) 2018 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes
  • FISS Process Enhancements – Analysis Only
  • Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process
  • Clarifying Signature Requirements
  • Proof of Delivery Documentation Requirements
  • Update to Reporting Requirements
  • Multi-Carrier System (MCS), Fiscal Intermediary Shared System (FISS) and VIPS Medicare Shared System (VMS) Automation of Prior Authorization (PA) Requests/Pre-Claim Reviews (PCR) and their Responses with Multiple Services (for programs like Home Health (HH)) via the Electronic Submission of Medical Documentation (esMD) System
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