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Transmittals

  • Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99) - Phase 2
  • Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notification for FY 2023Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notification for FY 2023
  • July 2023 Update of the Ambulatory Surgical Center [ASC] Payment System
  • Update to the Payment for Grandfathered Tribal Federally Qualified Health Centers (FQHCs) for Calendar Year (CY) 2023
  • Update to Section 20.2.4.2 on D-SNPS With or Without Medicare Zero-Dollar Cost Sharing.
  • Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 29.3, Effective October 1, 2023
  • CMS Mammography Quality Standards Act (MQSA) File Reformatting
  • Addition of New Data Elements to the National Claims History (NCH) Claims Data Output
  • The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider and Statistical Reimbursement (PS&R) System
  • Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2023
  • Shared System Support Hours for Application Programming Interfaces (APIs) - January 2024
  • Calendar Year 2024 Modifications/Improvements to Value-Based Insurance Design (VBID) Model – Implementation
  • Creation of the Medicare Fee-For-Service (FFS) Companion Guide for 837D (Dental Format)
  • Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front-End Updates for January 2024
  • Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 32 Sections 130.1, for International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)--October 2023 Update Change Request (CR) 13166
  • New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician National Provider Identifier (NPI) - Phase 2
  • Corrections to Home Health Processing - Claims with Condition DR or Claims Receiving Admission Source Edits
  • Technical Revisions Only to the National Coverage Determination (NCD) Manual, Publication (Pub) 100-03
  • Ninth General Update to Provider Enrollment Instructions in Chapter 10 of CMS Publication (Pub.) 100-08
  • The purpose of this Change Request (CR) is to provide changes to and billing instructions for various payment policies implemented in the July 2023 ASC payment system update. As appropriate, this notification also includes updates to the Healthcare Common Procedure Coding System (HCPCS).
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