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Transmittals

  • File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions
  • NCD 20.37 - Transcatheter Tricuspid Valve Replacement (TTVR)
  • NCD 20.37 - Transcatheter Tricuspid Valve Replacement (TTVR)
  • Hold Split Claims Pulled for Review in ViPS Medicare System (VMS) Online Quality Control (OQC)
  • Effective Date Change for Bypass of Common Working File (CWF) Edits on Inpatient Ancillary 12X Claims for Part A Benefits Exhaust
  • Patient Driven Payment Model (PDPM) Corrections to Interrupted Stay Edits to Include Prospective Payment System (PPS) Swing Bed Providers
  • Update the Multi-Carrier System (MCS) Full Procedure Code Inquiry (PL Segment) Screen I.
  • Update the Multi-Carrier System (MCS) Criteria Location Movement Maintenance (CM) Screen
  • Addressing Potential Underpayment Issues For Critical Access Hospitals With Part A Rates That Exceeds Fiscal Intermediary Shared System (FISS) Field Size Limitation
  • Display Testing/Production Region Identifier in ViPS Medicare System (VMS) Automated Parameters (VMAP) Phase 1
  • The Fiscal Year 2025 CMS Internet Only Manual (IOM) Update to Publication (Pub.) 100-06, Chapter 5, 400.14 - Exhibit 14 - Protocol for Estimating Allowance for Uncollectible Accounts and 400.22 - Exhibit 22 - Accounts Receivable Trending Analysis Procedures.
  • International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) - October 2025.
  • Omnibus Change Request (CR) Covering Updates for the Medicare Physician Fee Schedule (MPFS) Rule 2025: (1) Updates to Colorectal Cancer Screening and Hepatitis B Vaccine Policies
  • Omnibus Change Request (CR) Covering Updates for the Medicare Physician Fee Schedule (MPFS) Rule 2025: (1) Updates to Colorectal Cancer Screening and Hepatitis B Vaccine Policies
  • Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 32, Sections 150.4, 150.6, 200.2, 300.2, 400.2, 400.2.2, 400.2.3, 400.2.3.1, 400.2.4, and 400.3 for Coding Revisions to National Coverage Determinations (NCDs) - July 2025 Change Request (CR) 13939.
  • Updates to Chapter 1, Section 1.4 of Publication (Pub) 100-08 - Program Integrity Manual (PIM) To Clarify the Contractor Medical Director's Primary Functions
  • Updates to the Medical Record Documentation Guidance Within Publication (Pub.) 100-08, Program Integrity Manual (PIM)
  • Update to Publication 100-04, Chapter 12, Section 30.6.7 to Establish Payment Criteria for Healthcare Common Procedure Coding System (HCPCS) Add-on Code G2211 Billed on the Same Day as Identified Preventive Services
  • Laboratory Specimen Collection Travel Allowance Billing to the Tenth of a Mile
  • Allowing Additional Revenue Codes for Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (AKI) beginning in Calendar Year (CY) 2025
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