Transmittals

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

Common Working File (CWF) Informational Unsolicited Response (IUR) or Reject for place of service billed by physician office and either ambulatory surgical center or inpatient hospital, for the same beneficiary, same date of service, and same procedure, based on sequence received of the Part B claim.

Reorganization of Chapter 13

Update MCS HVSRPARC - Participating Physicians/Suppliers Report - Group Codes

Hospice Monthly Billing Requirement

Modification of Payment Window Edit in the Common Working File (CWF) to Modify Diagnostic Service List

Correction to Common Working File (CWF) A/B Crossover Edit 7272 for Transfer to Home for Home Health Services

Deletion of MR Operations mailbox

Instructions to Contractors for Implementing Section 5506 of the Affordable Care Act (ACA)-Preservation of Resident Cap Positions from Closed Teaching Hospitals - Round 1 and Round 2 Only

Bariatric Surgery for the Treatment of Morbid Obesity National Coverage Determination, Addition of Laparoscopic Sleeve Gastrectomy (LSG)

Bariatric Surgery for the Treatment of Morbid Obesity National Coverage Determination, Addition of Laparoscopic Sleeve Gastrectomy (LSG)

Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA)Edits

2013 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List

International Classification of Diseases (ICD)-10 Conversion from ICD-9 and Related Code Infrastructure of the Medicare Shared Systems as They Relate to CMS National Coverage Determinations (NCDs)

Implementation of New and Revised Medicare Summary Notice (MSN) Messages and Discontinuation of Obsolete MSN Messages

Medical Review Timeliness Requirements

Manual Updates of Clarify IRF Claims Processing