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Transmittals

  • Revisions to Appendix PP Guidance to Surveyors for Long Term Care Facilities
  • Shared Systems Medicare Secondary Payer (MSP) Balancing Edit and Administrative Simplification Compliance Act (ASCA) Enforcement Update
  • Immunosuppressive Therapy For Kidney Transplant
  • Clarification on Billing Requirements for Percutaneous Transluminal Angioplasty (PTA) Concurrent With the Placement of an Investigational or FDA-Approved Carotid Stent
  • Cavernous Nerves Electrical Stimulation with Penile Plethysmography
  • Additional Clarification of CR 3816 Business Requirements
  • Modification of Roster Billing for Mass Immunizers Billing for Inpatient Part B Services (Type of Bills (TOB) 12X and 22X)
  • Optical Character Recognition (OCR) Interface in the Fiscal Intermediary Standard System (FISS)
  • Competitive Acquisition Program (CAP)Instructions on Special CAP Appeals Requirements and Delivery of Dispute Resolution Services
  • Correction of Common Working File Edit D903 for Wheelchair and Power Operated Vehicle Codes
  • Modifications to the Common Working File Interrupted Stay Edits for Long Term Care Hospital Claims for Discharges to an Acute Care Hospital
  • Outpatient Therapy Cap Exceptions Process for Calendar Year (CY) 2007
  • Update to Medicare Deductible, Coinsurance and Premium Rates for 2007
  • Payment Allowances for the Influenza Virus Vaccine (CPT 90655, 90656, 90657, and 90658) and the Pneumococcal Vaccine CPT 90732 When Payment is Based on 95 Percent of the Average Wholesale Price
  • Claims Submitted With Only a National Provider Identifier (NPI) During the Stage 2 NPI Transition Period
  • Update to the Place of Service (POS) Code Set to Add a Code for Prison/Correctional Facility
  • Uniform Billing (UB-04) Implementation
  • Division of Provider and Supplier Enrollment Issued Revocations
  • Medicare Payment for Preadministration-Related Services Associated with IVIG Administration-Payment Extended through CY 2007
  • New DMEPOS Certificates of Medical Necessity (CMNs) and DME Information Forms (DIFS) for Claims Processing
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