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Transmittals

  • July Common Edits and Enhancements Module (CEM) and Receipt, Control, and Balancing Updates
  • Auto Denial of Claim Line(s) Items Submitted With a GZ Modifier
  • Auto Denial of Claim Line(s) Items Submitted With a GZ Modifier
  • Accreditation for Physicians and Non-Physician Practitioners Supplying the Technical Component of Advanced Diagnostic Imaging Services
  • Quarterly HCPCS Drug/Biological Code Changes - April 2011 Update
  • April Update to the CY 2011 Medicare Physician Fee Schedule Database (MPFSDB)
  • Additions To and Revisions of Existing G-Codes for the Reporting of Skilled Nursing Services and Skilled Therapy Services in the Home Health or Hospice Setting
  • Implementation of edits for the Emergency Department (ED) adjustment policy under the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS)
  • Clinical Laboratory Fee Schedule -edicare Travel Allowance Fees for Collection of Specimens
  • Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
  • Payment Update and Common Working File (CWF) Editing for Influenza Virus Vaccine and Pneumococcal Vaccine Codes
  • Primary Care Incentive Payment Program (PCIP) Eligibility for New Providers Enrolled in Medicare
  • New Waived Tests
  • Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS)
  • Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS)
  • Clarifications for Home Health Face-to-Face Encounter Provisions
  • Common Working File (CWF) Requires More Space for the Health Insurance Master Record (HIMR) Auxiliary File Menu
  • Updates to the Electronic Correspondence Referral System (ECRS) Web User Guide v1.0 and Quick Reference Card v1.0
  • Analysis and Design for Additional Fields for Additional Documentation Request (ADR) Letters for CR7254
  • Integrated Data Repository (IDR) Claims Sourcing from Shared System Implementation Based on Further Conference Calls and Further Research
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