Transmittals

Annual Type of Service (TOS) Update

Retirement of the Program Integrity Management Reporting (PIMR) System

Revision to Appeals Section of Chapter 15 of the Program Integrity Manual (PIM)

Announcement of Medicare Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Payment Rates Increases

Annual Update to the Therapy Code List

Importance of Preparing/Maintaining Legible Medical Records

Part 2, Provider Cost Reporting Forms and Instructions, Chapter 41, Form CMS-2540-10

Instructions for Downloading the Medicare ZIP Code File for April 2013

Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2013

New Screens and Processes for ICD-9/ICD-10, ICD-10/ICD-9 Diagnosis and Procedure codes Conversions for Medicare Secondary (MSP) Claims Using the General Equivalence Mappings (GEMS) 2012 Table in CWF

Testing HIPAA Transactions following a system change

Use of Q6 Modifier for Locum Tenens by Providing Performing Provider NPI - Analysis only CR

Bariatric Surgery for the Treatment for the Treatment of Morbid Obesity National Coverage Determination, Addition of Laparoscopic Sleeve Gastrostomy (LSG)

Bariatric Surgery for the Treatment for the Treatment of Morbid Obesity National Coverage Determination, Addition of Laparoscopic Sleeve Gastrostomy (LSG)

Progress Notes and Forms

Multiple Procedure Payment Reduction (MPPR) on the Technical Component (TC) of Diagnostic Cardiovascular and Ophthalmology Procudures

Implementation of Changes to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) Consolidated Billing Requirements and a Clarification of Outlier Services for Calendar Year 2013

New Erythropoietin Stimulating Agent(ESA)Peginesatide Requirements for End Stage Renal Disease (ESRD)

Erroneous Partial Episode Payment Adjustments on Certain Home Health Dual-Eligible Claims

Implementation of the Revised Health Insurance Claim Form CMS-1500 (02/12) (Analysis Only)