Transmittals

April 2008 Integrated Outpatient Code Editor (I/OCE) Specifications Version 9.1

Teaching Physician Requirements for End Stage Renal Disease Monthly Capitation Payment (ESRD MCP)

Prolonged Services (Codes 99354 - 99359)

Nursing Facility Services (Codes 99304 - 99318)

Establish Pre-Payment Auto-denial Edits in Applicable States for DMEPOS Suppliers of Oxygen and Oxygen Equipment (DME MACs only)

January 2008 Update of the Hospital Outpatient Prospective Payment System (OPPS) - Manualization

Medicare, Medicaid and State Children

Manualization of Payment for Outpatient End Stage Renal Disease (ESRD) Related Services

Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits

October 2007 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes

Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes

Adjustment to Payment under Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for Partial Device Credit

Calendar Year (CY) 2008 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures

Updating the Internet Only Manual (IOM) to Include Language "or NPI When Required"

Sunset of the Physician Scarcity Area (PSA) Bonus Payment

Billing and Payment in a Health Professional Shortage Area (HPSA)

Medicare Physician Fee Schedule Database (MPFSDB) 2008 File

October 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files

July Quarterly Update for 2007 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule

Claims Processing Change for Services Submitted with the Health Professional Shortage Area (HPSA) Modifiers QB or QU for Claims with Dates of Service On or After January 1, 2006