Regulatory Information Center Updates: June 28, 2022


These updates are now available on Codify by AAPC. You can access them by selecting Publications/Regulatory Information from the top menu or by clicking the links below.

CMS Center/Transmittals

Document #

Combined Common Edits/Enhancements Modules (CCEM) Code Set Update

R11468CP

Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 28.3, Effective October 1, 2022

R11471CP

Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update

R11466CP

Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) CORE

R11467CP

July 2022 Update of the Ambulatory Surgical Center (ASC) Payment System

R11472CP

 

CMS Center/Claim Processing Manual (100-04)

Document #

Chapter 3 - Inpatient Hospital Billing

clm104c03_0

Chapter 17 - Drugs and Biologicals

clm104c17

Chapter 18 - Preventive and Screening Services

clm104c18

Chapter 19 – Indian Health Services

clm104c19

Chapter 20 - Durable Medical Equipment, Prosthetics,
Orthotics, and Supplies (DMEPOS)

clm104c20

Chapter 22 - Remittance Advice

clm104c22

Chapter 24 – General EDI and EDI Support Requirements, Electronic Claims, and Mandatory Electronic Filing of Medicare Claims

clm104c24

Chapter 26 - Completing and Processing Form CMS-1500 Data Set

clm104c26

Chapter 27 - Contractor Instructions for CWF

clm104c27

Chapter 32 – Billing Requirements for Special Services

clm104c32

Chapter 36 – Competitive Bidding

clm104c36

Chapter 37 - Department of Veterans Affairs (VA) Claims Adjudication Services Project

clm104c37

 

OIG HHS/Reports Document #

Advisory Opinion 22-13

AO-22-13

Office of Refugee Resettlement Influx Care Facility and Emergency Intake Sites Did Not Adequately Safeguard Unaccompanied Children From COVID-19

62107002

An Estimated 91 Percent of Nursing Home Staff Nationwide Received the Required COVID-19 Vaccine Doses, and an Estimated 56 Percent of Staff Nationwide Received a Booster Dose

92202003

 

Federal Register/Proposed Rule Document #

Medicare Program; Calendar Year (CY) 2023 Home Health Prospective Payment System Rate Update; Home Health Quality Reporting Program Requirements; Home Health Value-Based Purchasing Expanded Model Requirements; and Home Infusion Therapy Services Requirements

2022-13376

 

Medicaid/CHIP Document #

Medicaid and CHIP and the COVID-19 Public Health Emergency

covid-19-medicaid