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Transmittals

  • Manual Updates to Clarify Requirements for Physician Certification and Recertification of Patient Eligibility for Home Health Services
  • Increasing Tax Withholding to 30% for IRS Federal Payment Levy Program (FPLP)
  • Private Contracting: Definition of Emergency Care Services and Appeals of Opt Out Determinations
  • Manual Updates to Clarify Requirements for Physician Certification and Recertification of Patient Eligibility for Home Health Services
  • Final MSN Redesign-Related Update to Chapter 21 of the Medicare Claims Processing Manual
  • April 2015 Integrated Outpatient Code Editor (I/OCE) Specifications Version 16.1
  • April 2015 Integrated Outpatient Code Editor (I/OCE) Specifications Version 16.1
  • Identifying “No Documentation” Medical Necessity Denials for Claims Flagged for Recovery Auditor Review
  • April 2015 Update of the Ambulatory Surgical Center (ASC) Payment System
  • April 2015 Update of the Ambulatory Surgical Center (ASC) Payment System
  • Revisions to State Operations Manual (SOM) Appendices A, G, L and T related to Hospitals, Rural Health Clinics, Ambulatory Surgical Centers and Swing Beds
  • Use of Modifiers KK, KG, KU, and KW under the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program
  • Revisions to State Operations Manual (SOM) Appendices A, G, L and T related to Hospitals, Rural Health Clinics, Ambulatory Surgical Centers and Swing Beds
  • Update to Pub. 100-04 Chapter 13 to Provide Language-Only Changes for Updating ICD-10 and ASC X12
  • Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2015
  • Removal of Multiple National Coverage Determinations Using Expedited Process
  • Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 21.2, Effective July 1, 2015
  • Update to Pub. 100-04, Chapters 5 and 6 to Provide Language-Only Changes for Updating ICD-10, ASC X12, and Medicare Administrative Contractor (MAC) Implementation
  • Automation of the Request for Reopening Claims Process
  • Automation of the Request for Reopening Claims Process
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