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Transmittals

  • Review and Analysis of draft Accredited Standards Committee X12 Technical Report 3s
  • Manual Revision to Chapter 6, Section 20.1.1 Physician's Services and Other Professional Services Excluded From Part A PPS Payment and the Consolidated Billing Requirement
  • January 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • January 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • January 2012 Update of the Ambulatory Surgery Center Payment System (ASC)
  • Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program: Allowing Contract or Non-contract Suppliers to Maintain and Service the Enteral Nutrition Equipment that They Provided in the 15th Continuous Month of Rental .
  • Claim Status Category and Claim Status Codes Update
  • Additional Instructions Regarding Demand Bills Under the Home Health Prospective Payment System
  • Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) and PC Print Update
  • Annual Type of Service (TOS) Update
  • Revised Appendix A, Interpretive Guidelines for Hospitals, and Revised Appendix W, Interpretive Guidelines for Critical Access Hospitals (CAHs)
  • Revised Appendix A, Interpretive Guidelines for Hospitals
  • Clarifications to Appendix L, Ambulatory Surgical Center Interpretive Guidelines - Obtaining Consent before Observing Surgical Procedures
  • Bundling of Payments for Services Provided to Outpatients Who Later Are Admitted as Inpatients: 3-Day Payment Window Policy and the Impact on Wholly Owned or Wholly Operated Physician Practices
  • Summary of Policies in the CY 2012 Medicare Physician Fee Schedule (MPFS) Final Rule and the Telehealth Originating Site Facility Fee Payment Amount
  • Update to Medicare Deductible, Coinsurance and Premium Rates for 2012
  • January 2012 Integrated Outpatient Code Editor (I/OCE) Specifications Version 13.0
  • Pharmacy Billing for Drugs Provided "Incident To" a Physician Service This CR rescinds and fully replaces CR 7109.
  • Off-Cycle Release of the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2012 Pricer
  • Calendar Year (CY) 2012 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
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