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Transmittals

  • ZIP Code Files by Date of Service
  • Clarification to CR 5744 - Payment Allowance Update for the Influenza Virus Vaccine CPT 90660 and Further Instruction Regarding the Pneumococcal Vaccine CPT 90669
  • Payment for Hospital Observation Services (Codes 99217 - 99220) and Observation or Inpatient Care Services (Including Admission and Discharge Services - Codes 99234 - 99236)
  • Subsequent Hospital Visits and Hospital Discharge Day Management Services (Codes 99231 - 99239)
  • MANUALIZATION of Payment for Outpatient ESRD-Related Services
  • Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits
  • Medicare, Medicaid, and SCHIP Extension Act of 2007 Changes to Independent Laboratory Billing for the Technical Component of Physician Pathology Services
  • Part B Drug Competitive Acquisition Program (CAP) Quarterly Drug List Update
  • Systems Changes for Prescription Order Numbers for the Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals
  • Clinical Lab: New Automated Test for the AMCC Panel Payment Algorithm
  • Extension of the Dates of Service Eligible for the Physician Scarcity Area (PSA) Bonus Payment
  • Adjudicating Claims for Immunosuppressive Drugs When Medicare Did Not Pay for the Original Transplant
  • Medicare Fee For Service Legacy Provider IDs Prohibited on Form CMS-1500 and Form CMS-1450 (UB-04) Claims
  • January 2008 Update of the Hospital Outpatient Prospective Payment System (OPPS)- Manualization
  • Modification of Payment Window Edits in the Common Working File (CWF) to Look at Line Item Dates of Service (LIDOS) on Outpatient Claims
  • Smoking and Tobacco Use Cessation Counseling Billing Code Update
  • Emergency Update to the 2008 Medicare Physician Fee Schedule Database
  • New HCPCS Modifiers when Billing for Patient Care in Clinical Research Studies
  • Summary of Policies in the 2008 Medicare Physician Fee Schedule and the Telehealth Originating Site Facility Fee Payment Amount
  • Clarification Regarding the Coordination of Benefits Agreement (COBA) Medigap Claim-Based Crossover Process
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