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Transmittals

  • Payment for Hospital Observation Services (Codes 99217 - 99220) and Observation or Inpatient Care Services (Including Admission and Discharge Services - Codes 99234 - 99236)
  • Use of Healthcare Common Procedure Coding System (HCPCS) V2787 When Billing Approved Astigmatism-Correcting Intraocular Lens (A-C IOLs) in Ambulatory Surgery Centers (ASCs), Physician Offices, and Hospital Outpatient Departments (HOPDs)
  • Modification of Payment Window Edits in the Medicare
  • Summary of Policies in the 2008 Medicare Physician Fee Schedule (MPFS) and the Telehealth Originating Site Facility Fee Payment Amount
  • October Update to the 2008 Medicare Physician Fee Schedule Database (MPFSDB)
  • Items and Special Services Having Special DME Review Considerations
  • January 2008 Update of the Hospital Outpatient Prospective Payment System (OPPS)
  • Clarification to CR 5744 - Payment Allowance Update for the Influenza Virus Vaccine CPT 90660 and further instruction regarding the Pneumococcal Vaccine Current Procedural Terminology (CPT) 90669
  • Collapsing Medicare Provider Transaction Access Numbers (PTANs) to Ensure a One-to-One National Provider Identifier (NPI) Match
  • New Waived Tests
  • New Requirement for Ordering/Referring Information on Ambulatory Surgical Center (ASC) Claims for Diagnostic Services
  • Part B Drug Competitive Acquisition Program (CAP) Quarterly Drug Update
  • Screening DNA Stool Test for Colorectal Cancer
  • 2009 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments
  • Implementation of a New Claim Adjustment Reason Code (CARC) No.213. "Non-compliance with the physician self-referral prohibition legislation or payer policy"
  • Medicare Coverage of Artificial Hearts
  • Revisions to the Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals
  • Phase 2 Manual Revisions for the Medicare Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program
  • 2008 Reminder for Roster Billing and Centralized Billing for Influenza and Pneumococcal Vaccinations
  • Payment for Complex Rehabilitative Power Mobility Device (PMD) Services that Span the Implementation Date of DMEPOS Competitive Bidding Programs in Competitive Bidding Areas
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