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Transmittals

  • 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
  • Medicare Fee For Service (FFS) National Provider Identifier (NPI) Crosswalk Status Review
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