Transmittals

To clarify and correct existing instructions, incorporate statutory changes and comply with an Executive order. The effective dates vary.

Phase III ERA Enrollment Operating Rules.

MSP Claims and use of CARC 23 - Analysis and Design

Ambulance Payment Reduction for Non-Emergency Basic Life Support (BLS) Transports to and from Renal Dialysis Facilities

Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 19.2, Effective July 1, 2013

Updates to Medicare Coverage of Hepatitis B Vaccine and its Administration and Medicare Coverage of the Annual Wellness Visit (AWV) Providing Personalized Prevention Plan Services (PPPS)

Standardizing the standard - Operating Rules for code usage in Remittance Advice

Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for October 2013

New Healthcare Common Procedure Coding System (HCPCS) Codes for Customized Durable Medical Equipment

Discontinuation of Home Health Type of Bill 33X

New Non – Physician Specialty Code for Complimentary Insurer

Billing Social Work and Psychological Services in Comprehensive Outpatient Rehabilitation Facilities (CORFs)

National Competitive Bidding Program (CBP): Instructions for Processing CBP Oxygen and Capped Rental Item Claims with the Start of the Round One Recompete

American Recovery and Reinvestment Act of 2009 Electronic Health Record (EHR) Incentive : New Critical Access Hospital Banking Information File Transfer for Eligible Professional Payment

Common Working file (CWF) Informational Unsolicited Response (IUR) or Reject for a new patien visit billed by the same physician or physician group within the past three years

National Coverage Determination (NCD) for Transcatheter Aortic Valve Replacement (TAVR) – Implementation of Mandatory Reporting of Clinical Trial Number

CWF Editing for Vaccines Furnished at Hospice

Applying Multiple Procedure Payment Reductions to Therapy Cap Amounts for Critical Access Hospital Claims

Phase lll ERA Enrollment Operating Rules

VMS Prepayment Review Report