Regulatory Information Center Updates: September 12, 2023


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 #

Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2024

R12219CP

Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Program (CBP) – January 2024

R12221CP

Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY) 2024

R12222CP

New Dental Specialty Codes for Medicare01022024

R12231CP

October Quarterly Update for 2023 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule

R12228CP

Instructions for Retrieving the January 2024 Medicare Physician Fee Schedule Database (MPFSDB) Files Through the CMS Mainframe Telecommunications System R12233CP
October 2023 Update of the Hospital Outpatient Prospective Payment System (OPPS) R12227CP
October 2023 Update of the Ambulatory Surgical Center (ASC) Payment System R12229CP
Patient Responsibility Reporting with Medicare Secondary Payer (MSP) R12240OTN
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 R12191CP
OIG/Fraud Document #

Minnesota Medicaid Fraud Control Unit: 2022 Inspection

OEI-06-22-00430

OIG HHS/Reports Document #

Medicare Part B Drug Payments: Impact of Price Substitutions Based on 2021 Average Sales Prices

OEI-03-23-00120

Florida Did Not Refund $106 Million Federal Share of Medicaid Managed Care Rebates It Received for Calendar Years 2015 Through 2020

42204089

Nursing Homes Reported Wide-Ranging Challenges Preparing for Public Health Emergencies and Natural Disasters

72103250

Home Health Agencies Failed To Report Over Half of Falls With Major Injury and Hospitalization Among Their Medicare Patients OEI-05-22-00290
OIG/Corporate Integrity Agreement Documents Document #

Nevels, M.D., Charles T.

Charles_T_Nevels_MD_08292023