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Transmittals

  • July 2009 Update to the ASC Payment System; Summary of Payment Policy Changes
  • Manual Update to Include Billing Instructions for Professional Component (PC) and Technical Component (TC) in Regards to One Line Global Billing for Pathology Services
  • Additional Data Collection on Hospice Claims
  • Ensuring Only Clinical Trial Services Receive Fee-For-Service Payment on Claims Billed for Managed Care Beneficiaries
  • Surgery for Diabetes
  • Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update
  • Pricing Claims for Services Rendered in Place of Service Home
  • July 2009 Integrated Outpatient Code Editor (I/OCE) Specifications Version 10.2
  • Coordination of Benefits Agreement (COBA) Repair and Claims Recovery Requirements Stemming from the Health Insurance Portability and Accountability Act (HIPAA) 5010 Claims Transactions
  • July 2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2010
  • Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2009
  • Manual Clarifications for Skilled Nursing Facility (SNF) and Therapy Billing
  • List of Medicare Telehealth Services
  • Health Insurance Portability and Accountability Act (HIPAA) American National Standards Institute (ANSI) 837 5010 Coordination of Benefits (COB) Requirements--Part II
  • April 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • Rural Health Clinic (RHC) and Federally Qualified Health Clinic (FQHC) Updates
  • Correction to Editing of Health Insurance Prospective Payment System (HIPPS) Codes on Home Health Prospective Payment System (HH PPS) Claims
  • New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers" Compensation Medicare Set-aside Arrangements (WCMSAs), to Stop Conditional Payments
  • Speech-Language Pathology Private Practice Payment Policy
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