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Transmittals

  • Omnibus Change Request (CR) Covering Updates for the Medicare Physician Fee Schedule (MPFS) Rule 2025: (1) Updates to Colorectal Cancer Screening and Hepatitis B Vaccine Policies
  • Omnibus Change Request (CR) Covering Updates for the Medicare Physician Fee Schedule (MPFS) Rule 2025: (1) Updates to Colorectal Cancer Screening and Hepatitis B Vaccine Policies
  • Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 32, Sections 150.4, 150.6, 200.2, 300.2, 400.2, 400.2.2, 400.2.3, 400.2.3.1, 400.2.4, and 400.3 for Coding Revisions to National Coverage Determinations (NCDs) - July 2025 Change Request (CR) 13939.
  • Updates to Chapter 1, Section 1.4 of Publication (Pub) 100-08 - Program Integrity Manual (PIM) To Clarify the Contractor Medical Director's Primary Functions
  • Updates to the Medical Record Documentation Guidance Within Publication (Pub.) 100-08, Program Integrity Manual (PIM)
  • Update to Publication 100-04, Chapter 12, Section 30.6.7 to Establish Payment Criteria for Healthcare Common Procedure Coding System (HCPCS) Add-on Code G2211 Billed on the Same Day as Identified Preventive Services
  • Laboratory Specimen Collection Travel Allowance Billing to the Tenth of a Mile
  • Allowing Additional Revenue Codes for Payment for Renal Dialysis Services Furnished to Individuals with Acute Kidney Injury (AKI) beginning in Calendar Year (CY) 2025
  • Modifications to the National Coordination of Benefits Agreement (COBA) Medicare Claims Crossover Process
  • Revisions to State Operations Manual (SOM), Appendix PP
  • Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) – October 2025
  • Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update
  • Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2025
  • Pub 100-17 Medicare Business Partners Systems Security Manual Update
  • Update of a National Uniform Billing Committee (NUBC) Condition Code “63”, “Incarcerated Beneficiaries”
  • Technical Revisions Only to the Claims Processing Manual (CPM), Publication (Pub) 100-04, Chapter 18 and Chapter 32
  • Notice of New Interest Rate for Medicare Overpayments and Underpayments - 4th Quarter Notification for FY 2025
  • Notice of New Interest Rate for Medicare Overpayments and Underpayments - 4th Quarter Notification for FY 2025
  • Revisions to State Operations Manual (SOM) Chapter 6 - Special Procedures for Laboratories.
  • Transforming Episode Accountability Model (TEAM) 3-Day Skilled Nursing Facility (SNF) Waiver – Implementation
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