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Transmittals

  • Modifications to the National Coordination of Benefits Agreement (COBA) Medicare Claims Crossover Process
  • Revisions to State Operations Manual (SOM), Appendix PP
  • Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) – October 2025
  • Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update
  • Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2025
  • Pub 100-17 Medicare Business Partners Systems Security Manual Update
  • Update of a National Uniform Billing Committee (NUBC) Condition Code “63”, “Incarcerated Beneficiaries”
  • Technical Revisions Only to the Claims Processing Manual (CPM), Publication (Pub) 100-04, Chapter 18 and Chapter 32
  • Notice of New Interest Rate for Medicare Overpayments and Underpayments - 4th Quarter Notification for FY 2025
  • Notice of New Interest Rate for Medicare Overpayments and Underpayments - 4th Quarter Notification for FY 2025
  • Revisions to State Operations Manual (SOM) Chapter 6 - Special Procedures for Laboratories.
  • Transforming Episode Accountability Model (TEAM) 3-Day Skilled Nursing Facility (SNF) Waiver – Implementation
  • Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 7
  • Revisions to State Operations Manual (SOM), Appendix PP
  • Updates to Chapter 1 of the Medicare Claims Processing Manual (Publication (Pub.) 100-04) to Include Newly Created and Utilized Payer Only Codes
  • International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)—July 2025
  • October 2025 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files.
  • April Quarterly Update for 2025 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
  • July 2025 Integrated Outpatient Code Editor (I/OCE) Specifications Version 26.2
  • July 2025 Update of the Hospital Outpatient Prospective Payment System (OPPS)
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