Transmittals

Model Letter Revisions

Rescind and Replaced of CR 6452: Termination of Frontier Extended Stay Clinic Demonstration

Requirement for Sending Immediate Advisements to the to the OIG/OI (Office of the Inspector General/Office of Investigations)

Reopening Claims with Additional Information or Denied due to Late or No Submission of Requested Information

Use of a Rubber Stamp for Signature

Update to Chapter 15 of the Program Integrity Manual (PIM)

Adding MSP Validity Indicator to the CWF to MBD Feed

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