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Transmittals

  • Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for Fiscal Year (FY) 2011
  • Collagen Meniscus Implant
  • Validating the Billing of End Stage Renal Disease (ESRD) 50/50 Rule Modifier
  • Positron Emission Tomography (NaF-18) to Identify Bone Metastasis of Cancer
  • Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting
  • Positron Emission Tomography (PET) (FDG) for Cervical Cancer
  • Change in Provider Enrollment Timeliness Standards for Certain Paper Applications
  • Requirements for Hospital Attestation and Billing of Fiscal Year 2007 and 2008 Informational Only Inpatient Claims for Medicare Advantage Beneficiaries
  • Requirements for Hospital Attestation and Billing of Fiscal Year 2007 and 2008 Informational Only Inpatient Claims for Medicare Advantage Beneficiaries
  • Revised Payment Files for the 2010 Medicare Physician Fee Schedule Database (MPFSDB) and Retroactive Provisions under the Patient Protection and Affordable Care Act (Pub. L. 111-148) (the Affordable Care Act)
  • Revised Payment Files for the 2010 Medicare Physician Fee Schedule Database (MPFSDB) and Retroactive Provisions under the Patient Protection and Affordable Care Act (Pub. L. 111-148) (the Affordable Care Act)
  • Clinical Review Judgment
  • Clinical Review Judgment (CRJ)
  • April 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • July 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • Repeal of Section 20.10, Publication 100-03, National Coverage Determinations (NCD) Manual, Cardiac Rehabilitation Programs
  • Accumulation of Claims with Condition Code 04 on the Provider Statistical and Reimbursement Report (PS and R)
  • Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting
  • Additional ICD-9 Codes Analysis and Processing Direction (Institutional Claims Only)
  • April 2010 Integrated Outpatient Code Editor (I/OCE) Specifications Version 11.0
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