Transmittals

PWK System Modifications for Processing Days

Adding Bankruptcy Status Field to the Recovery Audit Contractor Daily and Weekly Reports

Durable Medical Equipment (DME) National Competitive Bidding (NCB): National Mail Order (NMO) Program Implementation for Diabetic Supplies

Affordable Care Act (ACA) Section 3025 expansion of a field in the Inpatient Provider Specific File (PSF)

New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Medicare Beneficiaries Classified as "Unlawfully Present" in the United States

Update to the Fiscal Intermediary Shared Systems (FISS) for the End Stage Renal Disease (ESRD) Quality Incentive Program (QIP) Adjustments for Children’s Hospitals

Enforcing Interim Billing for Partial Hospitalization Services

Manual Updates to Clarify SNF Claims Processing

Manual Updates to Clarify SNF Claims Processing

Manual Updates to Clarify SNF Claims Processing

Editing Update for Annual Wellness Visit (AWV)

Payment of Global Surgical Split Care in a Method II Critical Access Hospital (CAH) Submitted with Modifier 54 and/or 55

Effect of Beneficiary Agreements Not to Use Medicare Coverage and When Payment May be Made to a Beneficiary for Service of an Opt-Out Physician/Practitioner

Updated Billing Requirements for Outpatient Therapy Services --Middle Class Tax Relief and Jobs Creation Act (MCTRJCA) of 2012

Annual Type of Service (TOS) Update

January 2013 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Implementation of the Redesigned MSN

Revisions to the Method of Cost Settlement for Inpatient Services for Rural Hospitals Participating Under Demonstration Authorized by Section 410A of the Medicare Modernization Act. Sections 3123 and 10313 of the Affordable Care Act authirizes and expansion of the demonstration and an extension for an additional 5-year period. This CR makes revisions to CR 7505, which gives instructins for the additional 5-year period.

General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part IX

Medicare Financial Management Manual, Chapter 7, Internal Control Requirements