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Transmittals

  • Manual Update for Quarterly Reporting Requirements for Do Not Forward Reports
  • Chapter 16B. Medicare Managed Care Special Needs Plans chapter
  • Chapter 4, Benefits and Beneficiary Protections
  • Chapter 3. "Medicare Marketing Guidelines"
  • Pharmacy Billing for Drugs Provided, Incident To,a Physician Service(This CR rescinds and fully replaces CR 7109.)
  • Pharmacy Billing for Drugs Provided, Incident To,a Physician Service(This CR rescinds and fully replaces CR 7109.)
  • Edit to Deny Claims for Repairs to Capped Rental Durable Medical Equipment (DME)
  • 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
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