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Transmittals

  • Incentive Payment Related to Prior authorization for Power Mobility Devices (PMD)
  • Change of Address for Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting Facility approval and Recertification Letter Submission
  • Standardizing the standard – Operating Rules for code usage in Remittance Advice
  • Updates to Claims Processing Instructions Regarding Religious Nonmedical Health Care Institutions (RNHCI)
  • Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) National Competitive Bidding (NCB): Using the “KY” modifier to bill for accessories for non-CB wheelchair base units
  • Revision to CWF and VMS: Reject or Informational Unsolicited Response (IUR) Edit for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Provided During an Inpatient Stay
  • FISS Prepayment Review Report
  • Update To Publication 100-04, Claims Processing Instructions For Chapter 12, Non-Physician Practitioners (NPPs)
  • Summary of Policies in the CY 2013 Medicare Physician Fee Schedule (MPFS) Final Rule and the Telehealth Originating Site Facility Fee Payment Amount
  • Expansion of Medicare Telehealth Services for CY 2013
  • Expansion of Medicare Telehealth Services for CY 2013
  • Implementation Support and Payment Processing for the Multi-payer Advanced Primary Care Practice (MAPCP) Demonstration- Processing of Shared Savings Payments for Practices in Pennsylvania
  • Changes to the Laboratory National Coverage Determination (NCD) Software for ICD-10
  • Emergency Update to the CY 2013 Medicare Physician Fee Schedule Database (MPFSDB)
  • Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program: Correction to the Medicare Summary Notice Message for PEN Items Furnished to Traveling Beneficiaries
  • Data Reporting on Home Health Prospective Payment System (HH PPS) Claims
  • Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2013
  • Inpatient Hospital Claims and Medicare Secondary Payer (MSP) Claims with Medicare Coinsurance Days and/or Medicare Lifetime Reserve Days Occurring in the Third or More Calendar Years
  • Adjustment to fiscal Intermediary Shared system (FISS) Consistency Edit to Validate Attention Physician NPI
  • Streamlining the Process for Updating the Abstract Files Used to Price Institutional Claims
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