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Transmittals

  • Revision to State Operations Manual (SOM) Appendix PP - Incorporate revised Requirements of Participation for Medicare and Medicaid certified nursing facilities
  • Processing Updates for VMS From Provider Enrollment, Chain and Ownership System (PECOS) Extract File
  • Provider Enrollment, Chain and Ownership System (PECOS) Extract File - Analysis
  • Extension of the Transition to the Fully Adjusted Durable Medical Equipment, Prosthetics, Orthotics and Supplies Payment Rates under Section 16007 of the 21st Century Cures Act
  • Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April CY 2017 Update
  • ICD-10 Coding Revisions to National Coverage Determination (NCDs)
  • Extension of Payment Change for Group 3 Complex Rehabilitative Power Wheelchairs Accessories and Seat and Back Cushions under Section 16005 of the 21st Century Cures Act
  • Combined Common Edits/Enhancements (CCEM) Proxool and Apache Software Upgrades
  • Shared System Enhancement 2016: Common Working File (CWF) to Show Date for Informational Unsolicited Response (IUR) Indicator on Claim History
  • New Fields in the Fiscal Intermediary Shared System (FISS) Inpatient and Outpatient Provider Specific Files (PSF)
  • Update for Additional International Classification of Diseases (ICD)-10 Codes for the System Changes to Implement Section 231 of the Consolidated Appropriations Act, 2016, Temporary Exception for Certain Severe Wound Discharges From Certain Long-Term Care Hospitals (LTCHs)
  • Shared System Enhancement 2016: Complete Disablement of Health Maintenance Organization (HMO) Inquiry Transaction, HIHO, and Related Vestige Within Common Working File (CWF)
  • Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System
  • New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs)
  • Change to Beneficiary Liability and Cost Report Days for Subclause (II) Long Term Care Hospitals (LTCHs)
  • Implementation of New Influenza Virus Vaccine Code
  • Payment for Oxygen Volume Adjustments and Portable Oxygen Equipment- FISS
  • Internet Only Manual (IOM) Chapter 25 Revision
  • Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) Edits, Version 23.1, Effective April 1, 2017
  • New “K” Code for Continuous Positive Airway Pressure Device Bundle
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