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Transmittals

  • 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
  • Medicare System Update to Include Line Level National Provider Identifier (NPI) Sanction Editing on Critical Access Hospital (CAH) Method II Outpatient Claims.
  • Updating the Shared System and Common Working File (CWF) to no Longer Create Veteran Affairs (VA) “I” record in the Medicare Secondary Payer (MSP) Auxiliary File
  • MCS Prepayment Review Report
  • Modification to CR7254
  • New Non-Physician Specialty code for Complimentary Insurer
  • Chapter 9, Employee/Union-Sponsored Group Health Plans
  • Update to the Common Working File (CWF) Qualifying Stay Edit for Skilled Nursing Facility (SNF) and Swing Bed (SB) Providers
  • Debts Referred to Treasury through the Healthcare Integrated General Ledger Accounting System (HIGLAS)
  • Reporting of Principal and Interest when returning previously recouped money
  • Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2013 Update
  • Part 2, Provider Cost Reporting Form and Instructions, Chapter 33, Form CMS-216-94
  • Reporting End Stage Renal Disease (ESRD) Drugs Administered Through the Dialysate
  • Update to Chapter 15 of the Program Integrity Manual (PIM)
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