Transmittals

July 2024 Update of the Hospital Outpatient Prospective Payment System (OPPS)

July 2024 Integrated Outpatient Code Editor (I/OCE) Specifications Version 25.2

Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update

Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE

Medical Review Policies for Signature Requirements

Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to Reasonable Charge Payment

October 2024 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder

Quarterly Update to Home Health (HH) Grouper

Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits

October 2024 (2025 File) Update of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM)

Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for Generating Reports

National Coverage Determination (NCD) 200.3 - Monoclonal Antibodies Directed Against Amyloid for the Treatment of Alzheimer’s Disease (AD)

Guiding an Improved Dementia Experience (GUIDE) Model Implementation

Updates to the Recovery Audit Contractor Data Warehouse (RACDW) Suppression Upload File Format

Update to Pub. 100-04 Medicare Claims Processing Manual, Chapter 23, Section 60.3 Gap-filling Durable Medical Equipment Prosthetics Orthotics Supplies (DMEPOS) Fees

Twelfth General Update to Provider Enrollment Instructions in Chapter 10 of CMS Publication (Pub.) 100-08

Revisions to Chapter 12 (The Comprehensive Error Rate Testing (CERT) Program) of Publication (Pub.) 100-08 (Medicare Program Integrity Manual) and Deletions to Exhibit 34 in the Exhibits Chapter of Pub. 100-08

Making Care Primary (MCP) Model Implementation

Additional Implementation Edits on Hospice Claims for Hospice Certifying Physician Medicare Enrollment

Implement Edits on Hospice Claims