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Transmittals

  • Provider Reimbursement Manual - Part 2, Provider Cost Reporting Forms and Instructions, Chapter 43, Form CMS-1984-14
  • Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October CY 2015 Update
  • Instructions for the Shared Systems and Medicare Administrative Contractors (MACs) to follow when a Medicare Residual Payment must be Paid on Workers’ Compensation Medicare Set-aside Arrangement (WCMSA) or for Ongoing Responsibility of Medicals (ORM) Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) Claims.
  • Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update
  • Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - October 2015 Update
  • Update for Paper Claims Processing Under the Administrative Simplification Compliance Act (ASCA)
  • Add Original Common Working Files (CWF) Occurrence Number to the CWF Feed to MBD
  • Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2015
  • Claims Processing Instructions for Diagnostic Digital Breast Tomosynthesis
  • Reporting of Anti-Cancer and Anti-Emetic Drugs
  • End Stage Renal Disease (ESRD) Home Dialysis Policy
  • New and Revised Place of Service Codes (POS) for Outpatient Hospital
  • Applying Therapy Caps to Maryland Hospitals
  • Update the Contractor Reporting of Operational and Workload Data (CROWD) CMS-2592 Report to Indicate Requests Received in Claims and Requests Received That Are Recovery Audit Related
  • Medicare Remit Easy Print (MREP) Upgrade
  • QIO Manual Chapter 14 – “Hospital-Generated Data Reporting”
  • Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for January 2016
  • Update Hard Coded Audit 205A MSP Return Code 3925 and Edit 152D
  • Signature Requirements
  • CMS Information Security Acceptable Risk Safeguards Update - Multifactor Authentication
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