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Transmittals

  • Payment Repairs to Capped Rental Equipment Prior to the End of the 13-Month Cap
  • Payment Repairs to Capped Rental Equipment Prior to the End of the 13-Month Cap
  • Payment Repairs to Capped Rental Equipment Prior to the End of the 13-Month Cap
  • Durable Medical Equipment Prosthetics Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP): Additional Instructions for Grandfathered Items Subject to CBP
  • Durable Medical Equipment Prosthetics Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP): Additional Instructions for Grandfathered Items Subject to CBP
  • Update to the Federally Qualified Health Centers (FQHC) Prospective Payment System (PPS) - Recurring File Updates
  • Identification of Obsolete Shared System Maintainer (SSM) Reports
  • Reporting Force Balance Claim Payment on the Electronic Remittance Advice (ERA) 835 and Cross Over Beneficiary (COB) 837 Claim Transactions
  • Reporting Force Balance Claim Payment on the Electronic Remittance Advice (ERA) 835 and Cross Over Beneficiary (COB) 837 Claim Transactions
  • Use of Modifiers KK, KG, KU, and KW under the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program
  • Use of Modifiers KK, KG, KU, and KW under the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program
  • Rescinds/Replaces CR 7468 - Updated Instructions for the Change Request Implementation Report (CRIR) and Technical Direction Letter (TDL) Compliance Report (TCR)
  • Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens
  • Identification of Obsolete Shared System Maintainer (SSM) On-Request Jobs
  • Identifying “No Documentation” Medical Necessity Denials for Claims Flagged for Recovery Auditor Review
  • CY 2015 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule
  • Language Only Update to Pub 100-04, Chapter 30 for ASC X12 and Claim References
  • Revisions to the State Operations Manual (SOM) - Appendix PP – Guidance to Surveyors for Long-Term Care Facilities
  • Continuation of Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Assessments
  • Renaming PPS-FLX6- PAYMENT Field in the Inpatient Prospective Payment System (IPPS) Pricer Output
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