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Transmittals

  • Updates of Chapter 4 and Exhibits in Publication (Pub.) 100-08, Including the Unified Program Integrity Contractor (UPIC) and Medical Review Accuracy Contractor (MRAC) Coordination Process.
  • Implementation CR - To Send Provider-Based Practice Location Types to the Fiscal Intermediary Shared System (FISS) on Provider Enrollment Chain & Ownership System (PECOS) Extract Files and for FISS to Process so Medicare Administrative Con
  • Implementation of System Changes for the End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (AKI) for Calendar Year (CY) 2025
  • All-Inclusive Rate (AIR) Add-On Payment for High-Cost Drugs Provided by Indian Health Service (IHS) and Tribal Hospitals
  • Revisions to Chapter 12 (The Comprehensive Error Rate Testing (CERT) Program) of Publication (Pub.) 100-08 (Medicare Program Integrity Manual)
  • Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2025
  • Updates to the Publication 100-04 Claims Processing Manual in the Internet Only Manual (IOM) to Remove Obsolete Language Related to Medicare Fee-for-Service (FFS) Systems Claims Edits
  • User Management in the Medicare Adjudication Portal (MAP) for 837D Dental Claims
  • January 2025 Annual Rural Emergency Hospital (REH) Monthly Facility Payment Amount
  • Update to Medicare Deductible, Coinsurance and Premium Rates for Calendar Year (CY) 202501
  • Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS) National Coverage Determination (NCD) 110.23
  • Medicare Financial Management Manual Chapter 3 - Overpayments 10-90 Updates 2024
  • Medicare Financial Management Manual Chapter 3 - Overpayments 10-90 Updates 2024
  • Ambulance Inflation Factor AIF for Calendar Year CY 2025 and Productivity Adjustment
  • Implementation of the Award for the Jurisdiction J J-J Part A and Part B Medicare Administrative Contractor JJ AB MAC
  • Fiscal Intermediary Shared System FISS Delete Obsolete Reason Codes Part 6
  • User Enhancement Change Request UECR Update Multi-Carrier System MCS Import File Copy Request Screen
  • Implementation of the Award for the Jurisdiction D Durable Medical Equipment Medicare Administrative Contractor JD DME MAC)
  • Payments to Long Term Care Hospitals That Do Not Submit Required Quality Data - This CR Rescinds and Fully Replaces CR 9544.
  • Fiscal Intermediary Shared System FISS User Enhancement Change Request UECR - Expand Reason Code Narrative Length
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