Transmittals

Expansion of the Current Scope of Editing for Ordering/Referring Providers for Durable Medical Equipment, Prosthetics, Orthotics, and Supplier (DMEPOS) Suppliers Claims Process by Durable Medical Equipment Medicare Administrative Contractors (DMEMACs)

Revisions to Chapter 2, The Certification Process, Sections 2080 - 2089- Hospices, and Appendix M, Guidance to Surveyors, Hospices

Medicare Physician Fee Schedule Database (MPFSDB) 2011 File Layout Manual

Revision to Common Working File (CWF) Edit for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Provided During an Inpatient Stay

Revisions to the Medicare Code Editor (MCE) and Integrated Outpatient Code Editor (IOCE) Reporting Requirements

Implementation of Changes in End Stage Renal Disease (ESRD) Payment for Calendar Year (CY) 2011

Home Health Prospective Payment System Rate (HH PPS) Update for Calendar Year (CY) 2011

Face Validity Assessment of Advance Beneficiary Notices (ABN) for Complex Medical Record Reviews

Payment for 510k Post-Approval Extension Studies Using 510k-Cleared Embolic Protection Devices during Carotid Artery Stenting (CAS) Procedures

Pharmacy Billing for Drugs Provided Incident to a Physician Service

CY 2011 Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)

Ventricular Assist Devices (VAD) as Destination Therapy

Outlier Reconciliation and other Outlier Manual Updates for the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), Inpatient Rehabilitation Facility (IRF) PPS, Inpatient Psychiatric Facility (IPF) PPS and Long Term Care Hospital (LTCH) PPS

Currently Not Collectable (CNC) Type Development for 93 Appealed Claims

Add Supplier Specialty Code 95 (Advanced Diagnostic Imaging (ADI) Accreditation) to CROWD Form F (Participating Physician/Supplier Report)

Chapter 4, Benefits and Beneficiary Protections

Clinical Laboratory Fee Schedule- Medicare Travel Allowance Fees for Collection of Specimens

Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS)

Primary Care Incentive Payment Program (PCIP), Section 5501(a) of the Patient Protection and Affordable Care Act (the ACA), Payment to a CAH Paid Under the Optional Method

Annual Wellness Visit (AWV), Including Personalized Prevention Plan Services (PPPS)