Transmittals
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Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 January 2016 Updates
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2016 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments
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State Operations Manual (SOM) for All Types of Providers and Suppliers Subject to Certification
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Revisions and Deletion to the State Operations Manual (SOM) Chapter 9 Exhibits
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QIO Manual Chapter 6 – “Medicare + Choice Organizations (M+COs)”
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Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October CY 2015 Update
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Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October CY 2015 Update
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Procedures for Processing Under Tolerance Part A 935, Part A-Other, Part A and B Healthcare Professional Shortage Area (HPSA), and Part A-Provider Recovery Audit Contractor (RAC) Identified debts in the Healthcare Integrated General Ledger Accounting System (HIGLAS)
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2016 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder
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Postpayment Review Requirements
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October 2015 Update of the Ambulatory Surgical Center (ASC) Payment System
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October 2015 Integrated Outpatient Code Editor (I/OCE) Specifications Version 16.3
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October 2015 Integrated Outpatient Code Editor (I/OCE) Specifications Version 16.3
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Implementation of Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Based on Specific Clinical Criteria
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Implementation of Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Based on Specific Clinical Criteria
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Claims Processing Medicare Secondary Payer (MSP) Policy and Procedures Regarding Ongoing Responsibility for Medicals (ORM)
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Claims Processing Medicare Secondary Payer (MSP) Policy and Procedures Regarding Ongoing Responsibility for Medicals (ORM)
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Annual Medicare Physician Fee Schedule (MPFS) Files Delivery and Implementation
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Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 22.0, Effective January 1, 2016
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Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 22.0, Effective January 1, 2016