Transmittals

Elimination of the 50/50 Payment Rule for Laboratory Services on End Stage Renal Disease (ESRD) Claims

Additional Instruction on the Use of Claims Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs) with Regard to Operating Rule: 360 Compliance

Payment for G0101 and Q0091 in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) that Bill under the All-Inclusive Rate (AIR) 

Payment for G0101 and Q0091 in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) that Bill under the All-Inclusive Rate (AIR) 

New Informational Unsolicited Response (IUR) Process for Durable Medical Equipment (DME) Items Furnished during a Part A Hospital Inpatient Stay

New Informational Unsolicited Response (IUR) Process for Durable Medical Equipment (DME) Items Furnished during a Part A Hospital Inpatient Stay

Implementation Instructions for the A/B and DME Medicare Administrative Contractors (MACs) and their Designated Shared Systems to Send the Correct Cost Avoided Indicator and Special Project Type to the Common Working File (CWF) To Ensure Correct Savings is Applied Both to the Medicare Secondary Payer (MSP) Savings Report and the Originating Contractor

Implementing the payment policies related to Patient Status from the CMS-1599-F

Implementing the payment policies related to Patient Status from the CMS-1599-F

Medicare Shared Systems Modifications Necessary to Capture various HIPAA compliant fields

Medicare Shared Systems Modifications Necessary to Capture various HIPAA compliant fields

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

Fee for Service Beneficiary Data Streamlining (FFS BDS) Phase II Analysis

Inpatient Hospital Claims and Medicare Secondary Payer (MSP) Claims with Medicare Coinsurance Days and/or Medicare Lifetime Reserve Days Occurring in the Seventh to Fifteenth Years

Data Quality between the Fiscal Intermediary Shared System (FISS) and the Common Working File (CWF)

Data Quality Between the Multi Carrier System (MCS) and ViPS Medicare System (VMS) and the Common Working File (CWF)

Medicare Coverage of Items and Services in Category A and B Investigational Device Exemption (IDE) Studies

Medicare Coverage of Items and Services in Category A and B Investigational Device Exemption (IDE) Studies

Medicare Coverage of Items and Services in Category A and B Investigational Device Exemption (IDE) Studies

Medicare Coverage of Items and Services in Category A and B Investigational Device Exemption (IDE) Studies