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Transmittals

  • Update to Chapter 20, Billing for Oxygen and Oxygen Equipment, Section 130.6
  • Clarification of Instructions in Pub. 100-6, Chapter 5 Financial Reporting, Section 310.4 - Line 4(a) through (e), Reclassified CNC Debt (Principal & Interest)
  • Type of Service (TOS) Corrections
  • Medicare Part B Drug Pricing Update - Payment Limit for J7620 (Albuterol and Ipratropium Bromide, non-compounded)
  • Remittance Advice Remark Code and Claim Adjustment Reason Code Update
  • System Edits for Respiratory Assist Devices (RADs) with Bi-Level Capability and a Back-Up Rate
  • January 2006 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective January 1, 2006, and Revisions to April 2005, July 2005, and October 2005 Quarterly ASP Medicare Part B Drug Pricing Files
  • Teaching Physician Services
  • Claim Status Category Code and Claim Status Code Update
  • Change Payment Floor Date for Paper Claims
  • Revisions to Chapter 13, Medicare Managed Care Beneficiary Grievances, Organization Determinations, and Appeals Applicable to Medicare Advantage Plans, Cost Plans, and Health Care Prepayment Plans (HCPPs), (collectively referred to as Medicare health plans)
  • CAP for Part B Drugs
  • Nat'l Monitoring Policy for EPO and Aranesp for ESRD Patients in Dialysis Facilities
  • Repeat Tests for Automated Muli-Channel Chemistries for ESRD Beneficaries
  • Technical Corrections to the NCD Manual
  • Revisions to Chapter 5, Quality Improvement.
  • Changes in MCM Chapter 11, Medicare Advantage Application Procedures and Contract Requirements
  • Expansion of Glaucoma Screening Services
  • Redefined Type of Bill (TOB) 14X for Non-Patient Laboratory Specimens-CR 3835 Manualization
  • Termination of the Medicare HIPAA Incoming Claim Contingency Plan, Addition of a Self-Assessable Unusual Circumstance, Modification of the OTAF Exception, and Modification of ASCA Exhibit Letters A, B and C.
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