Transmittals

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

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