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Transmittals

  • Health Insurance Portability and Accountability Act (HIPAA) 005010 837 Institutional (837I) Edits and 005010 837 Professional (837P) Edits - January 2011 Version
  • Common Working File (CWF) Override Edit for Kidney Transplant Donor Claims When the Kidney Recipient is Deceased
  • Home Health Agencies (HHAs)Providing Durable Medical Equipment(DME)in Competitive Bidding Areas
  • Revised Instructions for Reporting Assessment Dates under the Inpatient Rehabilitation Facility (IRF), Skilled Nursing Facility (SNF), and Swing Bed (SB) Prospective Payment Systems (PPS)
  • Timely Claims Filing: Additional Instructions
  • Revisions to Claims Processing Instructions for Services Rendered in Place of Service Home
  • 5010 Implementation--Processing Additional International Classification of Diseases, 9th Revision-Clinical Modification (ICD-9-CM) Diagnosis and Procedure Codes in Pricer, Grouper, and the Medicare Code Editor (MCE)
  • Changes to the Medicare Fraud Edit Modules
  • Payment for Implantable Tissue Markers (HCPCS Code A4648) and Implantable Radiation Dosimeters (HCPCS Code A4650)
  • National Council for Prescription Drug Programs (NCPDP) code set updates.
  • Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2011
  • 5010 Implementation-Changes to Present on Admission (POA) Indicator "";1""; and the K3 Segment
  • 5010 Implementation--Processing Additional International Classification of Diseases, 9th Revision-Clinical Modification (ICD-9-CM) Diagnosis and Procedure Codes in Pricer, Grouper, and the Medicare Code Editor (MCE)
  • End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Consolidated Billing for Limited Part B Services
  • Discarded Drugs and Biological Policy at Contractor Discretion
  • 2011 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder
  • Notification to State Medicaid Agencies and Child Health Plans of Medicare Terminations for Certified Providers and Suppliers
  • Health Insurance Portability and Accountability Act (HIPAA) Version 5010-D.0 Transition Reporting
  • New Waived Tests
  • Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.3, Effective October 1, 2010
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