Transmittals

Quarterly Update to Home Health (HH) Grouper

January 2025 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder

Updates to Chapter 1 of the Medicare Claims Processing Manual (Publication (Pub.) 100-04) to Include Newly Created and Utilized Payer Only Codes

Instructions for Processing Requests for SSI Realignment for Cost Reporting Periods Starting Before October 1, 2013

The Recovery and Adjustment of Medicare Claims where the Department of Veteran Affairs (VA) also Made Payment Using the Medicare Duplicate Payment (DP) Process

Updates of Chapter 1, Chapter 2, Chapter 3, Chapter 4, and Chapter 9 in Publication (Pub.) 100-08, Including Complaint Referral Coordination Between Contractors

Updates to the Medicare Carrier System (MCS), the Viable Information Processing Systems Medicare Systems (VMS) and the Common Working File (CWF) Processes to Capture and Further Automate the Medicare Secondary Payer (MSP) Processes

New Place of Service (POS) Code 66 - "Programs of All-Inclusive Care for the Elderly (PACE) Center

Revisions to State Operations Manual (SOM), Appendix PP

Replacement Wheelchair Equipment When the Manufacturer Exits Wheelchair Business

Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for January 2025

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) and Update to the Appropriate Use Criteria (AUC) Program--January 2025

Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for Fiscal Year (FY) 2025

July 2024 Update of the Hospital Outpatient Prospective Payment System (OPPS)

October 2024 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Internet-Only Manual Update for Billing Code G0444 for Annual Depression Screening

Fiscal Intermediary Shared System (FISS) – Implement Common Working File (CWF) Reply Generator for Contractor User Acceptance Testing

Updating Coding List Included in CRs 11914 and 11915

Revisions to the Skilled Nursing Facility (SNF) Advance Beneficiary Notice of Non-Coverage (ABN)

Modernize the Vaccine Process and Roster Billing - Full Agile Pilot CR