Transmittals

Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 17.1, Effective April 1, 2011

Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)

New Hospice Certification Requirements and Revised Conditions of Participation (CoPs)

Manual Clarifications for Skilled Nursing Facility (SNF) Part A Billing

April 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS)

April 2011 Update of the Ambulatory Surgical Center (ASC) Payment System

April 2011 Integrated Outpatient Code Editor (I/OCE) Specifications Version 12.1

July Quarterly Update to 2011 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement

Claim Status Category and Claim Status Codes Update

New Waived Tests

Implementation of Provider Enrollment Provisions in CMS-6028-FC

July 2011 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

Section 1833 (a)(1)(F) of the Social Security Act - Payment of Licensed Clinical Social Worker (LCSW) in a Method II Critical Access Hospital (CAH)

2011 Update to the Therapy Code List

Transition Budget Neutrality Adjustment - Correction

Home Health Therapy Services

Updates to Pub 100-04, Medicare Claims Processing Manual, Chapter 3: Inpatient Hospital Billing

End Stage Renal Disease (ESRD) Low Volume Adjustment and Establishing Quarterly Updates to the ESRD Prospective Payment System (PPS)

Corrections to Home Health Prospective Payment System (HH PPS) Outlier Limitation

Home Health Requests for Anticipated Payment and Timely Claims Filing