Transmittals

Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases

Reporting of Service Units With HCPCS

Claim Status Category and Claim Status Codes Update

Waiver of Coinsurance and Deductible for Preventive Services in Rural Health Clinics (RHCs), Section 4104 of Affordable Care Act (ACA).

Implementation of Home Health Agency (HHA) Payment Safeguard Provisions

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

Expansion of the Current Scope of Editing for Ordering/Referring Providers for Claims Processed by Medicare Carriers and Part B Medicare Administrative Contractors (MACs)

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