Multi Carrier System (MCS) Modifications to Liability assignment Regarding Therapy Cap Claim Denial
Coding Requirements for Laboratory Specimen Collection Update
Correction to the Medicare Claims Processing Manual
July 2013 Integrated Outpatient Code Editor (I/OCE) Specifications Version 14.2
New Non-Physician Specialty code for Indirect Payment Procedure(IPP)
New Non-Physician Specialty Code for Indirect Payment Procedure (IPP)
Update to Chapter 15 of the Program Integrity Manual (PIM)
Changes to Contractor Designation in Processing Foreign, Emergency and Shipboard Claims
Autologous Platelet-Rich Plasma (PRP) for Chronic Non-Healing Wounds
Implementation of CMS Ruling 1455-R (Medicare Program; Part B Billing in Hospitals)
Pass-through Payments for Certified Registered Nurse Anesthetist Anesthesia Services and Related Care
Revised Appendix A, Interpretive Guidelines for Hospitals, Appendix L, Interpretive Guidelines for Ambulatory Surgical Centers and Appendix W, Interpretive Guidelines for Critical Access Hospitals
Implementation of the Award for the Jurisdiction K (JK) Part A and Part B Medicare Administrative Contractor (A/B MAC) to National Government Services.
Implementing the Recompetition Award for the Jurisdiction L (formerly Jurisdiction 12) Part A/Part B Medicare Administrative Contractor (A/B MAC) Workload
Removal of POR and PSOR instructions and the Glossary of Acronyms from the Internet Only Manual, Publication 100.06, Chapter 3
Implementation of the End Stage Renal Disease (ESRD) Prospective Payment System (PPS)
Chapter 7 – Risk Adjustment
To clarify existing instructions, incorporate statutory changes and comply with an Executive Order. The effective dates vary
October 2013 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
Implementation of CMS Ruling 1455-R (Medicare Program; Part B Billling in Hospitals)