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Transmittals

  • New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Incarcerated Medicare Beneficiaries
  • Medicare System Update to Include Rendering Line Level National Provider Identifiers (NPIs) for Primary Care Incentive Program (PCIP) Payments to Critical Access Hospitals (CAHs)
  • National Correct Coding Initiative (NCCI) Associated Modifier Changes (Additions)
  • 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
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