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Transmittals

  • Immediate Recoupment for Fee for Service Claims Overpayments
  • Updates to Editing of Patient Discharge Status Codes on Hospice Claims
  • Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes - July 2012
  • Analysis of Improper Overpayments to Design Edits to Correct these Overpayments in CWF, MCS, and FISS
  • Screening for Sexually Transmitted Infections (STIs) and High Intensity Behavioral Counseling (HIBC) to Prevent STIs (ICD-10)
  • Screening for Sexually Transmitted Infections (STIs) and High Intensity Behavioral Counseling (HIBC) to Prevent STIs (ICD-10)
  • Update to Abortion Condition Codes Associated With Reason Code 32809
  • Clarification for Skilled Nursing Facility (SNF) and Swing Bed (SB) Part A Billing - Updating System Requirements for Assessment Date Reporting and Removal of the Occurrence Code 16 Reporting Requirement
  • Medicare System Update to Include a Rendering Provider Field to Allow Correct Physician National Provider Identifier (NPI) Reporting for the Primary Care Incentive Program (PCIP) for Critical Access Hospitals (CAHs) Reimbursed Under the Optional Method
  • Multiple Procedure Payment Reduction (MPPR) for Physician Services for Certain Diagnostic Imaging Procedures in Critical Access Hospitals (CAH)
  • Health Insurance Portability and Accountability Act (HIPAA) 5010 837 Institutional (837I) Edits and 5010 837 Professional (837P) Edits - July 2012 Versio4
  • Revisions to the Hospice Medicare Summary Notice (MSN)
  • April 2012 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • Implementation of the HIPAA Version 5010 276/277 Claim Status Edits July 2012 Release
  • Enterprise Electronic Change Information Management Portal (ECHIMP)
  • Contractor Instructions to Implement International Classification of Diseases-10th Revision (ICD-10) Plans
  • Fee for Service Common Eligibility Services Conference Calls and Research
  • Analysis and Design of Edits to Correct Recovery Auditor Identified Improper Payments in MCS.
  • General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part III
  • Implementation Support and Payment Processing for the Multi-Payer Advanced Primary Care Practice (MAPCP) Demonstration- Additional Requirements
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