Transmittals

Updates to the Recovery Audit Contractor Data Warehouse (RACDW) Suppression Upload File Format

The purpose of this Change Request (CR) is to provide information and implementation instructions for CMS-1739-F issued June 9, 2023 which concerned the treatment of Medicare Part C days for the purposes of calculating Medicare DSH.

Clarification of Actions to Be Taken When Automated Duplicate Primary Payer (DPP) Claims Cannot Be Processed Due to Previous Secondary Payment Actions and Advanced Dates of Service on Claims

Updating IOM 100-06, Chapter 4, Section 70.16 - Debt Close-Out

Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Expand the Home Health Payment Totals Screens to Display 6 Years of Claims Payment Information

The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider and Statistical Reimbursement (PS&R) System

Revision to the Cost Report Acceptability Checklists - This CR Rescinds and Fully Replaces CR 11644.

User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) Criteria File (CRIT) Maintenance/Criteria Location Movement Maintenance (CT/CM)

File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions

In this transmittal, the factor for CY 2023 has been added and the factor for CY 2013 has been deleted. The factors are applied on a calendar year basis.

This transmittal updates Exhibit C-3 by adding factors for the months of January 2023 through December 2023, based on the Composite Therapy Index from IHS Global Insight, Inc.

Update to the Patient-Driven Payment Model (PDPM) Claim Editing

Implementation of Common Working File (CWF) Edits to Prevent Duplicate Payments for Compression Bandaging Systems

Revisions to Home Health Edit Matching Claims to Notices of Admission

Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 5

Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment

Thirteenth General Update to Provider Enrollment Instructions in Chapter 10 of CMS Publication (Pub.) 100-08

Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 4

Changing the Frequency of No-Pay Medicare Summary Notice (MSN) Mailings from Every 90 Days to Every 120 Days

Accommodating 10-Digit Dollar Amounts on All Part A Medicare Summary Notices (MSNs)