Transmittals

July Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB)

Updates to Caps and Limitations on Hospice Payments

Modifying the Timely Filing Exceptions on Retroactive Medicare Entitlement and Retroactive Medicare Entitlement Involving State Medicaid Agencies

Request Records Related to the Claim Being Reviewed

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

Clarification of Medicare Conditional Payment Policy and Billing Procedures for Liability, No-Fault and Workers - Compensation Medicare Secondary Payer (MSP) Claims

Automated Tracking and Reporting of Recovery Audit-Associated Reopenings and Appeals

Screening for Sexually Transmitted Infections (STIs) and High Intensity Behavioral Counseling (HIBC) to Prevent STIs (ICD-10)

Extracorporeal Photopheresis (ICD-10)

General Update to Chapter 15 of the Program Integrity Manual (PIM) - Part VI

Extracorporeal Photopheresis (ICD-10)

Instruction for Downloading the Medicare ZIP Code File for October 2012

Medicare Fee – for Service (FFS) Editing and Flat File Utility

Quarterly Update to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS)

Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) – October 2012

Handling Misdirected Claims for Part B Item and Services

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)