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Transmittals

  • Validation of Recovery Audit Program New Issues
  • Coding Changes to Ultrasound Diagnostic for Tranesophageal Doppler Monitoring
  • Common Edits and Enhancements Modules (CEM) Code Set Update
  • 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)
  • Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the Fiscal Intermediary Shared System (FISS)
  • Assigned Codes for Home Oxygen Use for Cluster Headache (CH) in a Clinical Trial (ICD-10)
  • Implement Fraud Prevention Predictive Modeling Prepayment Edits
  • Calendar Year 2013 and After Payments to Home Health Agencies That Do Not Submit Required Quality Data
  • July Quarterly Update for 2012 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule
  • July 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.2
  • Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number
  • Enhance the Multi-Carrier System (MCS) and ViPS Medicare System (VMS) to maintain five full years of pricing data and to automatically price claims/adjustments at the rates in effect at the dates of service.
  • Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the ViPS Medicare System (VMS)
  • Fiscal Intermediary Shared System (FISS) and Common Working File (CWF) System Enhancement for Storing Line Level Rendering Physicians/Practitioners National Provider Identifier (NPI) and Physician Specialty Code Information
  • July 2012 Quarterly Updates to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS)
  • Instructions for Downloading the Medicare ZIP Code File for July 2012
  • Immediate Recoupment for Fee for Service Claims Overpayments
  • Advanced Diagnostic Imaging (ADI) Accreditation Enrollment Procedures (This CR Fully Rescinds and Replaces CR 7177.)
  • Intensive Behavioral Therapy for Obesity
  • Intensive Behavioral Therapy for Obesity
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