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Transmittals

  • Update to List of ICD-9-CM Diagnosis Codes Not Requiring the Q0 Healthcare Common Procedure Coding System (HCPCS) Modifier for Automatic Implantable Cardiac Defibrillator (ICD) Services Provided in a Clinical Study
  • Ordering/Referring Providers Who Are Not Enrolled in Medicare
  • Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Version 005010 Medicare Administrative Contractors Requirements
  • Reporting of Recoupment for Overpayment on the Remittance Advice (RA)
  • Update to the Medicare Claims Processing Manual (Publication 100-04, Chapter 15, Section 40)
  • Signature Guidelines for Medical Review Purposes
  • April 2010 Update to the Ambulatory Surgical Center (ASC) Payment System
  • Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority and Examples of Application of Government Entity Exclusion. CR6880 rescinds and fully replaces CR 6544.
  • Legislation to Allow Independent Laboratory Billing for the Technical Component of Physician Pathology Services for Hospital Inpatients and Outpatients
  • Extension of Reasonable Cost Payment for Clinical Lab Tests Furnished by Hospitals with Fewer Than 50 Beds in Qualified Rural Areas
  • Revision of the Internet Only Manual (IOM) to Remove References to Purchased Diagnostic Test and Replace with Language Consistent with the Anti-Markup Rule
  • Revision of the Internet Only Manual (IOM) to Remove References to Purchased Diagnostic Test and Replace with Language Consistent with the Anti-Markup Rule
  • New physician specialty code for Geriatric Psychiatry. The new physician specialty code for Geriatric Psychiatry is 27
  • Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.1, effective April 1, 2010
  • Round One Rebid of the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program - Phase 8A: Hospital Exception
  • April 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • Jurisdiction 10 A/B MAC Merge of the Part B Alabama, Georgia, and Tennessee CICS Production and User Acceptance Test Regions
  • Notice of New Interest Rate for Medicare Overpayments and Underpayments
  • Coverage of Kidney Disease Patient Education Services
  • Instructions on How to Process Negative Claim Adjustment Reason Code (CARC) Adjustment Amounts when Certain CARCs Appear on Medicare Secondary Payer Claims
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