Transmittals

Modify VMS Accreditation Logic to Accept Additional Modifiers

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

Provider Error Rate Formula

Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 January 2018 Updates

2018 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder

Healthcare Provider Taxonomy Codes (HPTCs) October 2017 Code Set Update

Healthcare Provider Taxonomy Codes (HPTCs) October 2017 Code Set Update

Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): 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) Committee on Operating Rules for Information Exchange (CORE)

Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): 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) Committee on Operating Rules for Information Exchange (CORE)

Common Edits and Enhancements Modules (CEM) Code Set Update

Part B Detail Line Expansion - Common Working File (CWF)

Credentials of Reviewers

Automating the HCPCS Load Process

Implement Changes to Effect the Functionality of Combination Force Codes in the ViPS Medicare System (VMS)

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

Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2018

CICS Region Merge(s) for A/B MACs - Analysis Only

Fiscal Year (FY) 2017 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes

Fiscal Year (FY) 2017 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes

Suppression of the Standard Paper Remittance Advice (SPR) in 45 Days if also receiving Electronic Remittance Advice (ERA)