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Transmittals

  • 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.
  • Application of All Diagnosis Codes Reported in Processing Carrier Claims
  • List of Medicare Telehealth Services
  • Cardiac Catheterization Performed in Other Than a Hospital Setting
  • 2006 Oncology Demonstration Project
  • 2006 Oncology Demonstration Project---Inclusion of Gynecological Oncology (Supplement to CR 4219)
  • Payment for Islet Cell Transplantation in NIH-Sponsored Clinical Trials
  • Creation of a Second Participation Enrollment Period for 2006
  • Cardiovascular System Codes 92950-93799
  • Q4080 - Change in HCPCS Code Descriptor
  • Stage 1 Use and Editing of National Provider Identifier Numbers Received in Electronic Data Interchange Transactions, via Direct Data Entry Screens, or on Paper Claim Forms
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