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Transmittals

  • Additional Payable
  • Use of HCPCS V2787 When Billing Approved Astigmatism-Correcting Intraocular Lens (A-CIOLs) in Ambulatory Surgery Centers (ASCs), Physician Offices, and Hospital Outpatient Departments (HOPDs)
  • Clarification of Bone Mass Measurement (BMM) Billing Requirements
  • Annual Type of Service (TOS) Update
  • Modification to the Model Medicare Redetermination Notice (for partly or fully unfavorable redeterminations)
  • January 2008 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
  • Reporting of Hematocrit or Hemoglobin Levels on All Claims for the Administration of Erythropoiesis Stimulating Agents (ESAs), Implementation of New Modifiers for Non-ESRD Indications, and Reporting of Hematocrit/Hemoglobin Levels on all Non-ESRD, Non-ESA Claims Requesting Payment for Anti-Anemia Drugs
  • Medicare Shared Systems Modifications Necessary to Accept and Crossover to Medicaid National Drug Codes (NDC) And Corresponding Quantities Submitted on Form CMS-1500 Paper Claims
  • 2008 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
  • 2008 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payment
  • Manual Updates to Chapter 6, Skilled Nursing Facility (SNF) Inpatient Part A Billing, for No Payment and Medicare Advantage (MA) Claims
  • Handling Personally Identifiable Information on the Medicare Summary Notice
  • New Medicare Summary Notice (MSN) General Information Section Message Regarding Medicare Records for New Retirees, and Modification to Update the MSN Messages
  • Part B Drug Competitive Acquisition Program (CAP) Quarterly Drug Updates and Annual Price Updates
  • Fee Schedule Update for 2008 for Durable Medical Equipment, Prosthetics, Orthotics and Supplies
  • Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 14.0, Effective January 1, 2008
  • Crossover of Assignment of Benefits Indicator (CLM08) From Paper Claim Input
  • Mammography: Change Certification-Based Action from Return to Provider (RTP)/Return as Unprocessable to Reject/Denial
  • Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update
  • 2008 Annual Update to the Therapy Code List
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