Transmittals

Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2012

Ordering and Certifying Documentation - Maintenance Requirements

Timeframe for Handling OIG Hotline Complaints Uploaded into the OIG Hotline Database; Requirements for the Transfer and Closing of Cases in the OIG Hotline Complaint Database System

Annual Medicare Physician Fee Schedule (MPFS) Files Delivery and Implementation

Change in Creation Date for CMS Standard Edit/Audit/Reason Code Reports.

Process for Handling Electronic Submission of Medical Documentation (esMD).

Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number

October Quarterly Update to 2012 Annual Update of Healthcare Common Procedure Coding System (HPCPS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement.

July 2012 Update of the Ambulatory Surgical Center Payment System (ASC)

Chapter 4, Benefits and Beneficiary Protections

Chapter 3, “Medicare Marketing Guidelines”

Attending Provider Identifiers on Religious Nonmedical Health Care Institution Claims

Addition of New Common Working File (CWF) Medicare Secondary Payer (MSP) Utilization Edit Codes for CWF to Send the Shared Systems When the Diagnosis Code on the Claim is Considered a Match with the Family of DX Codes in CWF for Non-Group Health Plan (NGHP) MSP Claims.

Contractor and Common Working File (CWF) Additional Instructions Related to Change Request (CR) 7633 - Screening and Behavioral Counseling Interventions in Primary Care to Reduce Alcohol Misuse

Provider Self Audits.

July 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)

July 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)

October Quarterly Update to 2012 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)

Internet Only Manual (IOM) Update for Laboratory Services and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims Processed under the End Stage Renal Disease Prospective Payment System (ESRD PPS)