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Transmittals

  • July 2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2010
  • Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2009
  • Manual Clarifications for Skilled Nursing Facility (SNF) and Therapy Billing
  • List of Medicare Telehealth Services
  • Health Insurance Portability and Accountability Act (HIPAA) American National Standards Institute (ANSI) 837 5010 Coordination of Benefits (COB) Requirements--Part II
  • April 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • Rural Health Clinic (RHC) and Federally Qualified Health Clinic (FQHC) Updates
  • Correction to Editing of Health Insurance Prospective Payment System (HIPPS) Codes on Home Health Prospective Payment System (HH PPS) Claims
  • New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Workers" Compensation Medicare Set-aside Arrangements (WCMSAs), to Stop Conditional Payments
  • Speech-Language Pathology Private Practice Payment Policy
  • Manualization of the Medicare Physician Fee Schedule (MPFS) Record Layouts for Contractors Processing Institutional Claims
  • Assignment of Initial Enrollment FQHCs, ESRD Facilities, and RHCs
  • Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process
  • Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
  • Shipboard Services Billed to the Carrier and Services Not Provided Within the United States. This CR rescinds and fully replaces CR 6217.
  • Heartsbreath Test for Heart Transplant Rejection
  • New Waived Tests
  • Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 15.1, Effective April 1, 2009
  • April 2009 Integrated Outpatient Code Editor (I/OCE) Specifications Version 10.1
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