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Transmittals

  • Edit to Deny Claims for Repairs to Capped Rental Durable Medical Equipment (DME)
  • Clarifications to Appendix L, Center Interpretive Guidelines. Comprehensive Medical History and Physical (H&P) Assessment and Anesthetic Risk and Evaluation.
  • Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 17.2, Effective July 1, 2011
  • Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 17.2, Effective July 1, 2011
  • Modifications to the COBA Process For Other Federal Payer Payment Order and the Special State Coordinated Care Project
  • Implementation of Client Letter to ViPS Medicare System (VMS)
  • Addendum to CR 7362 to Require Hours for Research and Conference Calls With Maintainers, MACs, and EDCs
  • Processing Claims Spanning More than Ten Years with Unlimited Occurrence Span Codes (OSCs): Final Completion
  • HIPAA 5010 National Testing Days
  • Screening for the Human Immunodeficiency Virus (HIV) Infection
  • Waiver of Coinsurance and Deductible for Preventive Services, Section 4104 of the Patient Protection and Affordable Health Care Act (the Affordable Care Act), Removal of Barriers to Preventive Services in Medicare
  • Updates to the Internet Only Manual Pub. 100-04, Chapter 1 - General Billing Requirements, Chapter 15 - Ambulance, and Chapter 26 - Completing and Processing Form CMS-1500 Data Set
  • Implementation of the PWK (paperwork) segment for X12N Version 5010
  • Expansion of Medicare Telehealth Services for CY 2011
  • Incentive Payment Program for Primary Care Services, Section 5501(a) of the ACA
  • Implementation of edits for the Emergency Department (ED) adjustment policy under the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS)
  • Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS)
  • Incentive Payment Program for Primary Care Services, Section 5501(a) of the Patient Protection and Afforable Care Act (the ACA), Payment to a CAH Paid Under the Optional Method
  • Payment Update and Common Working File (CWF) Editing for Influenza Virus Vaccine and Pneumococcal Vaccine Codes
  • New Specialty Code for Advanced Diagnostic Imaging Accreditation
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