Transmittals

User Enhancement Change Request UECR Update Multi-Carrier System MCS Portal Re-Openings Negative/Zero Adjustments Report H99RBPRZ)

Ambulance Inflation Factor (AIF) for Calendar Year (CY) 2025 and Productivity Adjustment

Chapter 3 Revisions (Segment 1) in Publication (Pub.) 100-08 Program Integrity Manual (PIM)

Migration of the Contractor Reporting of Operational and Workload Data (CROWD) to the Centers for Medicare & Medicaid Services (CMS) Enterprise Portal – Internet-Only Manual (IOM) Updates

Migration of the Contractor Reporting of Operational and Workload Data (CROWD) to the Centers for Medicare & Medicaid Services (CMS) Enterprise Portal – Internet-Only Manual (IOM) Updates

Guiding an Improved Dementia Experience (GUIDE) Model Implementation

Implementation of a New National Uniform Billing Committee (NUBC) Condition Code “KX”, “Documentation on file. Requirements specified in the medical policy have been met.” and Implementation of a New NUBC Value Code “92”, “Invoice Cost of Drug/Biologic. For use with Revenue Category 0636 when required by federal regulation.”

Reporting Identifiers for the Healthcare Integrated General Ledger Accounting System (HIGLAS) Payments Reported for Periodic Interim Payment (PIP) Claims

Updates of Chapter 1, Chapter 2, Chapter 3, Chapter 4, and Appendices in Publication (Pub.) 100-15, Including Auditing of Program Integrity Activities in Managed Care Plans

Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 18 Section 170.1 and Chapter 32 Section 340.2 for Coding Revisions to the National Coverage Determinations (NCDs) - January 2025 Change Request (CR) 13706

Notice of New Interest Rate for Medicare Overpayments and Underpayments -1st Quarter Notification for FY 2025

Phase 4: Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99)

The Recovery and Adjustment of Medicare Claims where the Department of Veteran Affairs (VA) also Made Payment Using the Medicare Duplicate Payment (DP) Process

Correction to Pulmonary Rehabilitation Services for Indian Health Services (IHS)

Tax Equity and Fiscal Responsibility Act (TEFRA) Reimbursement to Inpatient Prospective Payment System (IPPS) -Excluded Hospitals for Excess Costs Related to Providing CAR T-cell Therapy

Changes to The Electronic Correspondence Referral System (ECRS) Web to Remove the Drug Supplemental Type ‘O’ (Other) as a Valid Option from Batch Submissions

Allowing Home Health (HH) Telehealth Services During an Inpatient Stay

Correction to Editing for Inpatient Part B Ancillary 12X Claims When Part A Benefits Exhaust and Manual Updates for Billing of Inpatient Pre-Entitlement Days

Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update Fiscal Year (FY) 2025

Fiscal Year (FY) 2025 Inpatient Prospective Payment System (IPPS) and Long-Term Care Hospital (LTCH) PPS Changes