Transmittals

IDR Shared Systems Daily Claims Feeds Expansion to Accommodate Medical Review Data Elements

Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for October 2015

Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process

Modification to Telehealth Originating Site Facility Fee Billing Requirements for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs)

Section 504: Implement National Medicare Summary Notices (MSNs) in Alternate Formats

Updates to the Model 4 Bundled Payments for Care Improvement (BPCI) Initiative to Clarify the Payment Calculation to Include New Technology Add-On Payments, Validate Only Claims with Medicare as Primary Payer, Allowing Medical Necessity Denial Claims to Process Effectively, and Correct Processing of Claims Submitted as Model 4 for Beneficiaries Determined to be Ineligible.

Update of Provider Enrollment Instructions in Chapter 15 of Pub. 100-08

Transcatheter Mitral Valve Repair (TMVR)-National Coverage Determination (NCD)

Transcatheter Mitral Valve Repair (TMVR)-National Coverage Determination (NCD)

Medicare Claims Processing Manual - Chapter 15, Section 40, Ambulance - Medical Conditions List

Medicare Claims Processing Manual - Chapter 15, Section 40, Ambulance - Medical Conditions List

Update of CMS-855A, Physician-Owned Hospital Reporting Via the CMS-855POH and Indirect Payment Procedure Registration Via the CMS-855C in Chapter 15 of Pub. 100-08

Revisions to the Medicare State Operations Manual (SOM), Chapter 2, Rural Health Clinic Certification

Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update

Remittance Advice Remark and Claims Adjustment Reason Code and Medicare Remit Easy Print and PC Print Update

QIO Manual Chapter 1 – "Background, Eligibility and Responsibilities"

Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 July 2015 Updates

Provider Reimbursement Manual Part 1, Chapter 9, Compensation of Owners

April 2015 Update of the Hospital Outpatient Prospective Payment System (OPPS)

Manual Updates to Clarify Requirements for Physician Certification and Recertification of Patient Eligibility for Home Health Services