CMS Program Memoranda
Until October 2003, CMS (formerly HCFA) issued Program Memoranda to communicate reminder items, requests for action or information of a one-time non-recurring nature. Program Memoranda for the years 2000-2003 are available at this location.
File Name | Subject | CR # | Implementation Date |
---|---|---|---|
AB-02-150 | Payment of Physician and Nonphysician Services for Certain Indian Providers | 2055 | 10/25/2002 |
A-02-111 | October 2002 Update to the Hospital Outpatient Prospective Payment System (OPPS) -Correction - This instruction replaces PM A-02-076 (CR 2298) issued on August 7, 2002. | 2399 | 11/08/2002 |
A-02-103 | New Electronic Remittance Advice Coding for Home Health Prospective Payment System (HH PPS) Adjustments | 2327 | 04/01/2003 |
A-02-108 | Multiple Patient Ambulance Transport | 2186 | 04/01/2003 |
B-02-069 | Messages for Use With Drug Claims | 2376 | 01/01/2003 |
A-02-102 | Medicare Certified Hospices - Clarification of Acceptable Parameters for Some Contractual Arrangements | 2345 | 01/01/2003 |
A-02-110 | Financially Required Changes for the Fiscal Intermediary Standard System (FISS) Paid Claim File | 2291 | 04/01/2003 |
B-02-072 | Calendar Year (CY) 2003 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures | 2380 | 11/15/2002 |
B-02-066 | Ambulance Services: Maintaining Point-of-Pickup Zip Code | 2242 | 04/01/2003 |
A-02-113 | Transmittal A-02-113 Has Been Rescinded | 2331 | N/A |
B-02-073 | This Program Memorandum corrects Program Memorandum B-02-065, Change Request 2281, dated October 25, 2002. Durable Medical Equipment Regional Carriers (DMERCs)-Establishment Common Working File (CWF) Override for Legitimate Duplicate Claims | 2281 | 04/01/2003 |
B-02-074 | Clarification on Systems Changes in CR 2299 | 2412 | 01/01/2003 |
AB-02-153 | Claims Processing Instructions for the Medicare Disease Management Demonstration | 2414 | 04/01/2003 |
B-02-075 | Carrier Review of Payment Amounts for Portable X-Ray Transportation Services (HCPCS code R0070)--REQUEST | 2421 | 11/01/2002 |
AB-02-155 | Beneficiary Notification of Denials Based on Local Medical Review Policy (LMRP) | 2081 | 01/01/2003 |
B-02-076 | Annual Update for Skilled Nursing Facility (SNF) Consolidated Billing for the Common Working File (CWF) and Medicare Carriers | 2446 | 01/01/2003 |
B-02-087 | Skilled Nursing Facility (SNF) Consolidated Billing - NewRequirements for Claims for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies | 2453 | 04/01/2003 |
B-02-085 | Process All Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Modify the Medicare Claims System (MCS) to Incorporate All Claim Payment and Provider Correspondence Functionality That is Included in the Provider Enrollment System (PES) But Will Not Be a Part of PECOS. Shut Down All Provider Enrollment Functions in PES | 2426 | 07/01/2003 |
B-02-081 | Migrate Medicare Carrier Provider/Supplier Enrollment Data From the Existing Carrier Provider Enrollment System (PES) into the Provider Enrollment Chain Ownership System (PECOS) | 2422 | 04/01/2003 |
B-02-082 | Migrate Medicare Carrier Provider/Supplier Enrollment Data From the Existing Carrier Provider Enrollment System (PENS) into the Provider Enrollment Chain Ownership System (PECOS) and Shut Down All Provider Enrollment Functions in PENS | 2423 | 04/01/2003 |
AB-02-160 | Medicare Telehealth Update | 2403 | 01/01/2003 |
AB-02-159 | Medicare Deductible and Premium Rates for Calendar Year 2003 | 2451 | 01/01/2003 |
AB-02-165 | Levocarnitine for use in the treatment of Carnitine Deficiency in ESRD Patients | 2438 | 01/01/2003 |
AB-02-162 | Deported Medicare Beneficiaries | 2377 | 04/01/2003 |
B-02-086 | Create Import/Export Functionality Between the Viable Medicare System (VMS) and the Provider Enrollment Chain Ownership System (PECOS) | 2427 | 04/01/2003 |
B-02-068 | Revised X12N 4010 837 Professional Flat File | 2265 | 04/01/2003 |
AB-02-130 | Definitions of Ambulance Services | 2295 | 09/27/2002 |
AB-02-128 | Coverage and Billing for Percutaneous Image-Guided Breast Biopsy | 2232 | 01/01/2003 |
AB-02-131 | Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule | 2297 | N/A |
AB-02-129 | Claims Processing Requirements for Clinical Diagnostic Laboratory Services Based on the Negotiated Rulemaking | 2169 | N/A |
A-02-092 | Corrections to: Changes to the Hospital Inpatient Prospective Payment Systems and Rates and Costs of Graduate Medical Education, etc.; as Published in the Federal Register, FY 2002 (66 FR 39828, August 1, 2001) and FY 2003 (67 FR 49982, August 1, 2002). | 2400 | 10/01/2002 |
AB-02-134 | Questions and Answers Related to Implementation of National Coverage Determinations (NCDs) for Clinical Diagnostic Laboratory Services | 2383 | 01/01/2003 |
A-02-095 | Production Dates for the Provider Statistical and Reimbursement (PS&R) Report and Extension of Due Date for Filing Provider Cost Reports for Providers Having Their Claims Processed by the Arkansas Part A Standard System (APASS) and Request for Wage Data for the FY 2004 Wage Index. | 2389 | 10/04/2002 |
B-02-062 | Payment to Registered Dietitians for Diabetes Outpatient Self-Management Training (DSMT) Services | 2386 | 10/04/2002 |
A-02-096 | Payment of Skilled Nursing Facility (SNF) Claims for Beneficiaries Disenrolling from Terminating Medicare+Choice (M+C) Plans Who Have Not Met the 3-Day Hospital Stay Requirement | 1270 | 10/01/2000 |
A-02-094 | Annual Desk Review Program for Hospital Wage Data: Cost Reporting Periods Beginning on or after October 1, 1999, through September 30, 2000 (For FY 2004 Wage Index) | 2394 | 10/04/2002 |
B-02-064 | ViPS Medicare System (VMS) Implementation to Process ICD-9-CM Codes Using Date of Service and Not Date of Receipt | 2209 | 01/01/2003 |
AB-02-135 | System Networking Electronic Correspondence Referral System (SNECRS) 1.3 User and Installation Guides for Testing and Production | 2359 | 10/08/2002 |
A-02-097 | Special Handling of New "K" Codes K0556, K0557, K0558, and K0559 | 2409 | 10/31/2002 |
A-02-099 | Scheduled Release for January Updates to Software Programs and Pricing/Coding Files | 2375 | N/A |
AB-02-136 | Reasonable Charge Update for 2003 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, Therapeutic Shoes, and Certain Intraocular Lenses | 2371 | 01/01/2003 |
AB-02-138 | Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes | 2348 | 01/01/2003 |
A-02-100 | Installation of Version 27.4 of the Provider Statistical and Reimbursement (PS&R) Report | 2401 | 01/01/2003 |
AB-02-140 | Data Center Testing and Production - Electronic Correspondence Referral System (ECRS) User Manual 5.1 and Quick Reference Guide Replacement | 2441 | 10/07/2002 |
A-02-057 | Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Update | 2220 | 10/01/2002 |
A-02-101 | Corrections to: Changes to the Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities - Update as published in the Federal Register, FY 2001 (66 FR 39572, July 31, 2001), and Transmittal A-01-144, December 20, 2001; Hospice Wage Index Fiscal Year 2003, as published in the Federal Register (67 FR 56092, August 30, 2002); and Update to the Prospective Payment System for Home Health Agencies for FY 2003; as Published in the Federal Register, (67 FR 43616, June 28, 2002) | 2428 | 10/10/2002 |
A-02-098 | Changes in Transitional Outpatient Payment (TOP) for 2003 | 2356 | 01/01/2003 |
B-02-063 | Annual Updating of ICD-9-CM Codes Must Be Date of Service Driven | 2108 | 10/01/2002 |
AB-02-094 | Disclosure Desk Reference for Call Centers | 2237 | 09/03/2002 |
AB-02-137 | Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement | 2402 | 10/11/2002 |
B-02-040 | Updating the Deceased Physicians' Unique Physician Identification Numbers (UPINs) List at the Common Working File (CWF) | 2199 | 10/01/2002 |
AB-02-139 | Additional Guidance for Applying the Medicare Self-Administered Drug Exclusion | 2311 | N/A |
AB-02-095 | Prohibition on New Trading Partner Agreements (TPAs) with Certain Entities for the Purpose of Coordination of Benefits (COB) | 2216 | 07/05/2002 |
A-02-058 | Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2003 | 2250 | 10/01/2002 |
AB-02-142 | Remittance Advice Coding Update | 2395 | 01/01/2003 |
AB-02-141 | Charging Fees to Providers for Medicare Education and Training Activities - Program Management | 2129 | 05/01/2002 |
A-02-060 | Revision to Billing for Swing Bed Services Under Skilled Nursing Facility Prospective Payment System (SNF PPS) | 2257 | 07/12/2002 |
A-02-059 | Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2003 | 2248 | 10/01/2002 |
AB-02-144 | Virginia Cardiac Surgery Initiative Demonstration | 2382 | 04/01/2003 |
A-02-061 | Medicare Program- Update to the Prospective Payment System (PPS) for Home Health Agencies for FY 2003 | 2239 | 10/01/2002 |
AB-02-096 | Coverage and Billing of the Diagnosis and Treatment of Peripheral Neuropathy With Loss of Protective Sensation in People With Diabetes | 2269 | 07/19/2002 |
AB-02-144 | Virginia Cardiac Surgery Initiative Demonstration | 2382 | 04/01/2003 |
B-02-071 | Use of the National Drug Code (NDC) for Drug Claims at the Durable Medical Equipment Regional Carriers (DMERCs) | 2339 | 04/01/2003 |
B-02-045 | ViPS Medicare System (VMS) Implementation to Process ICD-9-CM Codes Using Date of Service and Not Date of Receipt | 2209 | 01/01/2003 |
AB-02-149 | Update to the Mammography Quality Standard Act (MQSA) File Record Layout for the Food and Drug Administration (FDA) Certified Digital Mammography Centers | 1729 | 04/01/2002 |
AB-02-099 | Standardize the CICS Level, CICS Transaction Server 1.3 to be Utilized by All Medicare Contractors | 2173 | 01/01/2003 |
A-02-107 | Revisions to Common Working File Editing to Accommodate Home Health Partial Episode Payment Claims and Rescheduling of Payment Adjustment Utility | 2315 | 04/01/2003 |
A-02-063 | Scheduled Release for October Updates to Software Programs and Pricing/Coding Files | 2261 | N/A |
B-02-048 | Reasonable Charge Data Disclosure Requirements for Ambulance Services | 2212 | 01/01/2003 |
AB-02-146 | Revision to the Healthcare Provider Taxonomy Codes (HPTCs) Crosswalk | 2398 | 11/25/2002 |
A-02-067 | Production of Flat Files to Enable CMS to Populate the Online Survey, Certification and Reporting (OSCAR) System with the Provider Taxpayer Identification Number (TIN) | 2097 | 01/01/2003 |
B-02-067 | Revision to Messages for Skilled Nursing Facility (SNF) Consolidated Billing and Implementation of Common Working File (CWF) Edits for Clinical Social Workers (CSWs) for SNF Consolidated Billing | 2360 | 04/01/2003 |
AB-02-115 | Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Changes | 1603 | 07/01/2001 |
AB-02-098 | Process for Entering Local Medical Review Policies (LMRP) and certain articles and Frequently Asked Questions (FAQs) into the Medicare Coverage Database | 2238 | 07/26/2002 |
AB-02-100 | Modification of Medicare Policy for Erythropoietin (EPO) | 2266 | 08/31/2002 |
AB-02-102 | Medicare Secondary Payer (MSP) Debt Referral and Write Off Closed Instructions: 1) Expansion and Clarification of MSP Debt Collection Improvement Act of 1996 (DCIA) Activities; 2) Additional "Write-Off -- Closed" Instructions (Supplemental Instructions for PM AB-01-24) | 2145 | 07/26/2002 |
A-02-065 | Implementation of the Transmission Control Protocol/Internet Protocol (TCP/IP) for the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry and Response Transaction (270/271) Standard | 2234 | 01/02/2003 |
A-02-064 | Excluding Hospitals that Provide Part B Only Services to Their Inpatients from the Outpatient Prospective Payment System (OPPS) | 2204 | 01/01/2003 |
A-02-068 | Enhancements to Home Health Prospective Payment System (HH PPS) Claims Processing | 2095 | 01/01/2003 |
AB-02-116 | Data Center Testing and Production - Electronic Correspondence Referral System (ECRS) User Manual 5.0 | 2293 | 10/07/2002 |
AB-02-080 | Payment for Services Furnished by Audiologists | 2073 | 07/07/2002 |
A-02-075 | Admitting Diagnosis for Observation Services for the Outpatient Prospective Payment System (OPPS) | 2289 | 01/01/2003 |
A-02-066 | Department of Veterans Affairs Claims Adjudication Services Project: Systems Changes Needed | 2109 | 01/01/2003 |
AB-02-118 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 1899 | 08/08/2002 |
A-02-077 | Intermediaries Must Adjust Their Translators for Reporting Line Item Dates, and HCPCS Codes for Part A Outpatient Claims | 2279 | 10/16/2002 |
A-02-078 | Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim - Direct Data Entry (DDE) Updates | 2211 | 01/06/2003 |
A-02-083 | System Tracking for Audit and Reimbursement (STAR) Instructions: End Stage Renal Disease (ESRD) Audits and Hospice Cost Reports | 2285 | 10/01/2002 |
A-02-082 | October Outpatient Code Editor (OCE) Specifications Version (V3.2) | 2322 | 10/01/2002 |
A-02-080 | October Medicare Outpatient Code Editor (OCE) Specifications Version 18.0 for Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) | 2310 | 10/01/2002 |
AB-02-119 | Medicare Coordinated Care Demonstration (MCCD) Payment for Railroad Retirement Beneficiaries | 2334 | 01/02/2003 |
A-02-079 | Data fields that the Fiscal Intermediaries are required to enter into the Provider Enrollment, Chain and Ownership System (PECOS) | 2296 | 08/23/2002 |
B-02-037 | New Medicare Medical Review Guidelines for Claims for Diabetic Testing Supplies | 2133 | 10/01/2002 |
AB-02-081 | Core Security Requirements (CSR) and Associated Responsibilities | 2189 | 06/11/2002 |
AB-02-082 | Coding Changes for Sodium Hyaluronate | 2230 | 10/01/2002 |
A-02-049 | Installation of Version 27.3 of the Provider Statistical and Reimbursement (PS&R) Report | 2201 | 07/01/2002 |
A-02-050 | July 2002 Update to the Hospital Outpatient Prospective Payment System (OPPS) | 2207 | 07/01/2002 |
AB-02-083 | Effective Date Revision for Medicare Intermediary Manual (MIM), Transmittal 1855, dated April 26, 2002, Change Request 2057, and Medicare Carriers Manual (MCM), Transmittal 1749, dated April 26, 2002, Change Request 2057 | 2205 | 07/01/2002 |
A-02-052 | July Outpatient Code Editor (OCE) Specifications Version (V3.1) | 2221 | 07/01/2002 |
AB-02-120 | Coding Instructions for IN-111 Zevalin and Y-90 Zevalin | 2273 | 09/04/2002 |
AB-02-124 | Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2002 | 2316 | 10/01/2002 |
A-02-053 | Indian Health Service (IHS) Hospital Payment Rates for Calendar Year 2002 | 2210 | 06/18/2002 |
B-02-038 | HIPAA Testing and Certification Requirements and Date Changes | 2127 | 07/18/2002 |
AB-02-121 | Provider/Supplier Plan (PSP) Quarterly Report Format | 1740 | 10/11/2001 |
A-02-051 | Health Insurance Portability and Accountability Act (HIPAA) Testing and Certification Requirements and Date Changes | 2128 | 06/18/2002 |
A-02-054 | Use of Medical Review Indicators for Comprehensive Error Rate Testing (CERT) | 2226 | 06/19/2002 |
AB-02-085 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 2194 | 10/01/2002 |
B-02-049 | CWF Change for Billing for Glucose Test Strips and Supplies - Follow-up to Change Request 1612 | 2156 | 01/01/2003 |
AB-02-101 | Changes to Common Working File (CWF) Edits for Skilled Nursing Facility (SNF) Consolidated Billing (CB) | 2270 | 01/01/2003 |
AB-02-084 | Additional Information Regarding Medicare Payment Allowance for Flu Vaccine | 2190 | N/A |
B-02-044 | Change in Jurisdiction for Topical Hyperbaric Oxygen Chamber | 2177 | 217701/01/2003 |
A-02-055 | Extended Repayment Schedules (ERSs) for Home Health Providers Who Received the Special Periodic Interim Payment (PIP) | 2191 | 06/24/2002 |
B-02-041 | October Quarterly Update for 2002 Billing for Implanted Durable Medical Equipment (DME), Prosthetic Devices, Replacement Parts, Accessories and Supplies | 2227 | 07/26/2002 |
AB-02-087 | Delay in Enforcement of National Coverage Determinations (NCDs) for Clinical Diagnostic Laboratory Services | 2203 | 01/01/2003 |
A-02-062 | Applicable Bill Types for Ambulance Services (Revenue Code 540) | 2175 | 01/01/2003 |
AB-02-086 | Change in Procedure for State Requests for Retrospective Medicare Claims | 2218 | 07/26/2002 |
B-02-043 | Acceptance of Special Characters in the Common Working File (CWF) and the Durable Medical Equipment Regional Carrier (DMERC) Standard System | 2096 | 01/01/2003 |
AB-02-088 | System Networking Electronic Correspondence Referral System (SNECRS) 1.2 User and Installation Guides | 2217 | 07/15/2002 |
A-02-056 | Special Handling of End Stage Renal Disease (ESRD) Claims Containing Healthcare Common Procedure Coding System (HCPCS) Code J1955 (Levocarnitine) | 2208 | 06/28/2002 |
A-02-071 | Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims | 2154 | 01/01/2003 |
B-02-054 | Sending Copies of Appeal Notices to Appointed Representatives, Including the Amount in Controversy Remaining in Review Determination Letters, and Using Bullets in Appeals Correspondence | 2299 | 01/01/2003 |
AB-02-089 | New Automatic Notice of Change to Medicare Secondary Payer (MSP) Auxiliary File | 1529 | 07/01/2001 |
AB-02-104 | October Quarterly Update for 2002 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 2245 | 10/01/2002 |
AB-02-107 | Modify Application of "I" Validity MSP Records to the Common Working File (CWF) by Medicare Contractors | 2240 | 01/01/2003 |
AB-02-090 | Medicare Secondary Payer (MSP): (1) Procedures for "Write-Off - Closed" of MSP Accounts Receivable (AR); (2) Elimination of Automated/Systems "Write-Off - Closed" Actions for MSP AR; Zero Backend Tolerance for MSP AR (Reminder); and (3) Date for Establishment of MSP AR (Reminder) | 1280 | N/A |
AB-02-092 | Procedures Subject to Home Health Consolidated Billing | 2247 | 10/01/2002 |
AB-02-106 | Medicare Summary Notice (MSN) - Inclusion of Appeals Information, Removal of Fraud References and Office of Inspector General's (OIG) Hotline Number - ACTION | 2241 | 01/01/2003 |
AB-02-105 | Medical Review of Medicare Payments for Nail Debridement Services | 2272 | 09/14/2002 |
AB-02-091 | New Waived Tests - June 17, 2002 | 2263 | 10/01/2002 |
AB-02-093 | Coverage and Billing for Intravenous Immune Globulin (IVIg) for the Treatment of Autoimmune Mucocutaneous Blistering Diseases | 2192 | 10/01/2002 |
A-02-072 | Implementation of the Provider Enrollment, Chain and Ownership System (PECOS) | 2119 | 07/29/2002 |
B-02-039 | Common Working File (CWF) Category Changes | 2229 | 10/01/2002 |
B-02-052 | Implementation of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standard Version 5.1 and the Equivalent Batch Standard Version 1.1 for Retail Pharmacy Drug Transactions | 2255 | N/A |
B-02-051 | Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry/Response Transaction (270/271) Standard | 2223 | 01/01/2003 |
AB-02-075 | Payment Limit for Drugs and Biologicals | 2123 | 05/22/2002 |
AB-02-074 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 2105 | 05/22/2002 |
B-02-053 | Implementation of the ASC X12N 278 Version 4010 Implementation Guide for Electronic Referral Certification and Authorization | 2276 | 08/01/2002 |
A-02-045 | Frequently Asked Questions (FAQs) About Home Health Advance Beneficiary Notice (HHABN, Form CMS-R-296) | 1698 | 05/23/2003 |
A-02-046 | Clarification of Part B Medicare Payment for 18 HCPCS Codes to Skilled Nursing Facilities (SNF) | 2132 | 05/23/2002 |
AB-02-110 | Implementation of National Coverage Determinations Regarding Clinical Diagnostic Laboratory Services | 2130 | 01/01/2003 |
B-02-036 | Changes to Correct Coding Edits, Version 8.3, Effective October 1, 2002 | 2187 | 10/01/2002 |
A-02-043 | Audit Guidance Pertaining to Write-offs of Small Debit Balances in Patients' Accounts Receivable | 2174 | 10/01/2002 |
AB-02-111 | Implementation of Certain Initial Determination and Appeal Provisions Within Section 521 of the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 | 2251 | N/A |
A-02-070 | Health Insurance Portability and Accountability Act (HIPAA) Transaction 835v4010 Completion Update | 2233 | 01/01/2003 |
A-02-069 | Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim Additional Implementation Direction | 2134 | 01/01/2003 |
AB-02-076 | Registration Process for, and Expectations for Use of, the Healthcare Integrity and Protection Data Bank (HIPDB) | 1554 | 06/18/2001 |
AB-02-078 | Provider Education Article: Medicare Coverage of Rehabilitation Services for Beneficiaries With Vision Impairment | 2083 | 05/29/2002 |
AB-02-077 | Common Working File (CWF) Beneficiary Other Insurer (BOI) Auxiliary (aux) File | 1674 | 10/01/2002 |
A-02-044 | Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases, Changes to the RHC Benefit Made by the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 and Clarification Regarding Drugs Furnished by RHCs/FQHCs. | 1600 | N/A |
A-02-048 | Extension of the Deadline for Hospitals to Make Elections to Reduce Beneficiary Coinsurance for 2002 Under the Outpatient Prospective Payment System (OPPS) | 2195 | 06/04/2002 |
AB-02-079 | Customer Service Representative (CSR) Response to Physician and Provider Correct Coding Initiative (CCI) Questions | 2113 | 06/06/2002 |
A-02-073 | Financial Reporting Instructions for the Fiscal Intermediary Shared System (FISS)/Recovery Tracking System (RTS) | 2275 | 01/01/2003 |
AB-02-112 | Final Update to the 2002 Medicare Physician Fee Schedule Database (MPFSDB) | 2282 | 10/07/2002 |
AB-02-073 | Installation of a New Medicare Customer Service Center (MCSC) Next Generation Desktop (NGD) Application | 2079 | N/A |
AB-02-103 | Expand Standard Date Format and Remove CWF (Common Working File) Y2K Wrapper Logic for Beneficiary Cross Reference Internal Files (XREF) and Satellite File Header and Response Records | 2244 | 01/01/2003 |
A-02-040 | Scheduled Release for July Updates to Software Programs and Pricing/Coding Files | 2172 | N/A |
AB-02-113 | Elimination of Official Level III Healthcare Common Procedure Coding System (HCPCS) Codes/Modifiers and Unapproved Local Codes/Modifiers | 2215 | 01/01/2003 |
AB-02-109 | Common Working File (CWF), Fiscal Intermediary (FI), and Carrier Edits and Policy Clarification for Peripheral Neuropathy With Loss of Protective Sensation (LOPS) in People with Diabetes | 2150 | 01/01/2003 |
B-02-035 | Elimination of Certificate of Medical Necessity (CMN) Requirement for Continuous Positive Airway Pressure (CPAP) Device - Clarification | 2165 | 07/01/2002 |
AB-02-108 | Clarification of Medicare Contractor Financial Reporting Instructions Outlined in Section 1900 - Section 1960.21 of the Medicare Intermediary Manual (MIM) and Section 4900 - Section 4960.14 of the Medicare Carriers Manual (MCM). (Issued May 2001) | 2278 | 01/01/2003 |
A-02-041 | New Patient Status Code 64 | 2093 | 10/01/2002 |
B-02-050 | Additional Remark Code for Claims of Therapy Services Possibly Subject to Home Health Consolidated Billing | 2258 | 01/01/2003 |
A-02-039 | Coverage and Billing of the Diagnosis and Treatment of Peripheral Neuropathy with Loss of Protective Sensation in People with Diabetes | 2184 | 07/01/2002 |
AB-02-114 | ABNs and DMEPOS Refund Requirements - Implementation of Form CMS-R-131, Advance Beneficiary Notice (ABN), and of Limits on Beneficiary Liability for Medical Equipment and Supplies | 2219 | 10/01/2002 |
A-02-042 | Clarification to Periodic Interim Payments (PIP) For Home Health Providers and Clarification on Extension of Due Dates for Filing Provider Cost Reports | 2158 | 06/01/2002 |
B-02-055 | Updates to the Place of Service (POS) Code Set | 2259 | 01/01/2003 |
AB-02-117 | Transition Schedule for Implementation of the Ambulance Fee Schedule | 2303 | 01/01/2003 |
A-02-038 | Modification of Common Working File (CWF) A/B Crossover Edit 7111 and "Alert" 7531 | 2143 | 10/01/2002 |
A-02-076 | October 2002 Update to the Hospital Outpatient Prospective Payment System (OPPS) | 2298 | 10/01/2002 |
A-01-148 | Changes to Fiscal Year (FY) 2001 Nursing and Allied Health Education Payment Policies as Required by the Benefits Improvement and Protection Act of 2000 (BIPA), P. L. 106-554 | 1988 | 04/01/2002 |
A-01-149 | Amended Production Dates for the Provider Statistical and Reimbursement (PS&R) Report and Extension of Due Date For Filing Provider Cost Reports | 2012 | 12/31/2001 |
A-02-074 | Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions | 1229 | 08/14/2002 |
A-01-150 | Provider Education Article: CY2002 OUTPATIENT PROSPECTIVE PAYMENT SYSTEM RATE IMPLEMENTATION DELAY | 2017 | 12/28/2001 |
A-02-081 | Modification of Audit and Cost Report Settlement Expectations in Change Request (CR) 1468 | 2300 | 10/01/2002 |
AB-02-123 | Information on Medicare+Choice (M+C) Private Fee-for-Service Plans - INFORMATION ONLY | 2206 | 08/28/2002 |
A-01-146 | Inpatient Rehabilitation Facility Prospective Payment System (IRFPPS)--Revenue Code File Update. | 2003 | 01/01/2002 |
A-01-145 | Delay of the 2002 Update to the Outpatient Prospective Payment System (OPPS) | 2008 | 01/07/2002 |
B-02-056 | Furlong Lawsuit Settlement Payments | 2214 | 08/28/2002 |
A-01-147 | Federal Fiscal Year (FY) 2003 Wage Index: Request for FY 1999 Wage Data from Hospitals Affected by the Filing Extensions Provided by Transmittal Numbers A-01-88 and A-01-117 | 1992 | 12/26/2001 |
AB-02-122 | Appeals Quality Improvement and Data Analysis Activities | 2170 | 10/01/2002 |
A-01-140 | This PM has been retracted | 1990 | N/A |
A-02-084 | Fiscal Year (FY) 2003 Prospective Payment System (PPS) Hospital, Skilled Nursing Facility (SNF) and Other Bill Processing Changes | 2306 | 10/01/2002 |
A-02-086 | The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2001 for Inpatient Prospective Payment System (PPS) Hospitals | 2344 | 10/01/2002 |
AB-01-166 | Coverage and Billing of Sacral Nerve Stimulation | 1936 | 01/01/2002 |
A-01-139 | This PM has been retracted | 1989 | N/A |
AB-02-125 | Provider Education Article: Durable Medical Equipment Ordered With Surrogate Unique Physician Identification Numbers (UPIN) | 2268 | 09/11/2002 |
B-02-058 | Changes to Correct Coding Edits, Version 9.0, Effective January 1, 2003 | 2309 | 01/01/2003 |
A-01-133 | Clarification of Payments Made to Hospital Outpatient Departments Under the Outpatient Prospective Payment System (OPPS) | 1940 | 11/20/2001 |
A-02-085 | Applicable Bill Types for Ambulance Services (Revenue Code 540) | 2324 | 01/01/2003 |
AB-01-176 | The Medicare Exclusion Database (MED) Replaces Publication 69 | 1919 | 01/01/2002 |
B-02-057 | Addition of Two "WW" Codes to Identify a New Source for Etoposide | 2283 | 10/01/2002 |
B-01-76 | Issuance of Standard Paper Remittance (SPR) Advice Notices and SPR- X12 835V4010 Crosswalk | 1953 | 07/01/2002 |
A-02-087 | Clarification of Provider Billing Requirements Under the Outpatient Prospective Payment System (OPPS) | 1768 | 10/01/2002 |
AB-01-168 | The Use of Gamma Cameras and Full Ring and Partial Ring Positron Emission Tomography (PET) Scanners for PET Scans | 1886 | 01/01/2002 |
A-02-088 | Installation of Version 28.0 of the Provider Statistical and Reimbursement (PS&R) Report | 2368 | 01/06/2003 |
AB-01-177 | Emergency Changes to the 2002 Medicare Physician Fee Schedule Database | 1971 | 12/14/2001 |
AB-02-126 | Establishing a Uniform Process for the Preparation and Mailing of Case Files From the Contractor to the Office of Hearings and Appeals (OHA) of the Social Security Administration (SSA) | 2304 | 10/01/2002 |
B-02-059 | Activation of the Automated Unsolicited Response for Skilled Nursing Facility (SNF) Consolidated Billing and Global Payment Demonstrations | 2391 | 09/19/2002 |
B-01-77 | Correction to Correct Coding Edits, Version 8.0, Effective January 1, 2002 | 1984 | 01/01/2002 |
AB-01-169 | Transaction Certification and Testing | 1954 | 11/28/2001 |
AB-02-132 | Year 2003 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder | 2358 | 01/01/2003 |
A-01-134 | January Medicare Outpatient Code Editor (OCE) Specifications Version 17.1 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) | 1967 | 01/07/2002 |
A-02-089 | Temporary Procedures for Cost-Based Payments for Certified Registered Nurse Anesthetists (CRNA) Services Furnished by Outpatient Prospective Payment System (OPPS) Hospitals | 2326 | 10/15/2002 |
B-01-78 | Correction to Fee Schedule File for Parenteral and Enteral Nutrition Items and Services (PEN) | 1980 | 01/01/2002 |
AB-01-189 | Medicare Coverage of Non-Invasive Vascular Studies for End Stage Renal Disease (ESRD) Patients | 1855 | 01/01/2002 |
AB-02-133 | Publication and Maintenance of a Directory of Electronic Billing Vendors | 2364 | 12/01/2002 |
AB-02-127 | Program Management Provider/Supplier Education and Training Background | 2125 | 10/01/2001 |
B-02-060 | Payment Policy When More Than One Patient Is Onboard An Ambulance | 1945 | 10/30/2002 |
A-02-091 | Modifications to the Health Care Eligibility Benefit Response (271) and Direct Data Entry (DDE) Screens for Home Health Agencies and Hospice Providers | 2367 | 01/01/2003 |
A-02-093 | Instructions for Implementing the Long-Term Care Hospital Prospective Payment System | 2288 | 01/06/2003 |
A-02-090 | File Descriptions and Instructions for Retrieving the 2003 Physician, Clinical Lab, Durable Medical Equipment, Prosthetics/Orthotics and Supplies (DMEPOS), and Therapy Fee Schedule Payment Amounts through CMS's Mainframe Telecommunications System | 2346 | 01/01/2003 |
AB-01-171 | Request for Contractor's Business Contingency Plan (BCP)-January 15,2002 | 1929 | 01/15/2002 |
AB-01-172 | Promoting Medicare's Screening Pap Test Benefit in Support of Cervical Health Month (January) | 1912 | 01/01/2002 |
B-01-75 | Changes to Correct Coding Edits, Version 8.1, Effective April 1, 2002 | 1916 | 04/01/2002 |
AB-01-170 | Clarification to MCM Section 2130 Prosthetic Devices and CIM Section 60-9 Durable Medical Equipment Reference List--Coverage of Intermittent Catheterization | 939 | 10/01/1999 |
A-01-135 | HCPCS Code Updates and Corrections for SNF Part A PPS Consolidated Billing and SNF Part B Fee Schedule for 2002 | 1935 | 01/01/2002 |
AB-01-173 | Name Transition From Health Care Financing Administration (HCFA) to Centers for Medicare & Medicaid Services (CMS) - CMS Identity Mark Guidelines | 1964 | 06/05/2002 |
AB-01-174 | The Certification Package for Internal Controls for Fiscal Year (FY) Ending September 30, 2002 | 1942 | 12/06/2001 |
A-01-144 | Additional Information Related to Section 212 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 (Public Law 106-554) Affecting Medicare-Dependent, Small Rural Hospitals (MDHs). Also, Clarifications and Corrections to: Changes to the Hospital Inpatient Prospective Payment Systems and Rates and Costs of Graduate Medical Education; Fiscal Year 2002 Rates, Etc.; Final Rules, as Published in the Federal Register on August 1, 2001 (66 FR 39828). | 1917 | 01/07/2002 |
A-01-137 | Modifications to Form CMS-339 Requirements, Provider Cost Report Reimbursement Questionnaire | 1865 | 12/01/2001 |
AB-01-165 | Implementation of an Ambulance Fee Schedule | 1555 | 04/01/2002 |
AB-01-147 | Electronic Correspondence Referral System (ECRS) User Manual 3.0.1 and ECRS Quick Reference Card | 1903 | 10/15/2001 |
B-01-74 | Supplier Billing for Glucose Test Strips and Supplies (Revised) | 1612 | 04/01/2002 |
AB-01-179 | Zip Code File on the Direct Connect | 1941 | 04/01/2002 |
AB-01-144 | ICD-9-CM Coding for Diagnostic Tests | 1724 | 01/01/2002 |
AB-01-178 | April Quarterly Update for 2002 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 1952 | 04/01/2002 |
AB-01-182 | Use of the American Medical Association's (AMA's) Physicians' Current Procedural Terminology, Fourth Edition (CPT) Codes on Contractors' Web Sites | 1415 | 12/15/2000 |
A-01-119 | Correction to Program Memorandum (PM) A-01-94 (CR 1689): Implementation of Fee Schedule for Additional Part B Services Furnished by a Skilled Nursing Facility (SNF) or Another Entity Under Arrangements with the SNF | 1878 | 01/01/2002 |
AB-01-137 | CMS Policy for Disclosure of Individually Identifiable Information: Provider Telephone Inquiries for Medicare Eligibility Information | 1587 | 01/01/2002 |
AB-01-185 | Implementation of the Ambulance Fee Schedule | 1281 | 01/01/2001 |
A-01-121 | Skilled Nursing Facility Adjustment Billing: Adjustments to HIPPS Codes Resulting From MDS Corrections | 1224 | 10/01/2000 |
AB-01-181 | COB Contractor Fact Sheet for Providers | 1460 | 12/31/2000 |
A-01-122 | Payment of Skilled Nursing Facility (SNF) Claims for Beneficiaries Disenrolling from Terminating Medicare+Choice (M+C) Plans Who Have Not Met the 3-Day Hospital Stay Requirement | 1270 | 10/01/2000 |
AB-01-184 | Clarifications to Implementation of the Ambulance Fee Schedule | 1476 | 12/30/2000 |
A-01-123 | FY 2001 Prospective Payment System (PPS) Hospital and Other Bill Processing Changes | 1331 | 10/01/2000 |
A-01-142 | Clarification and HCPCs Coding Update: Part B Fee Schedule And Consolidated Billing For Skilled Nursing Facility (SNF) Services | 1642 | 04/01/2001 |
A-01-124 | Clarification to Health Insurance Prospective Payment System (HIPPS) Coding and Billing Instructions | 1655 | 04/30/2001 |
AB-01-140 | Claims Processing Instructions for the Medicare Participating Centers of Excellence Demonstration and the Medicare Provider Partnership Demonstration | 1849 | 01/01/2002 |
AB-01-139 | Claims Processing Instructions for Claims Submitted with a Written Statement of Intent | 1162 | 10/01/2000 |
AB-01-183 | Appeals of Medicare Part A/Part B Coverage Determinations | 1348 | 12/01/2000 |
A-01-125 | Guidance Regarding a Change in Reimbursement for Part B Inpatient Ancillary Services | 1838 | 09/28/2001 |
A-01-143 | This PM has been retracted. | 1994 | N/A |
A-01-141 | Center for Medicare and Medicaid Services (CMS) Audit and Cost Report Settlement Expectations | 1468 | 09/01/2001 |
AB-01-187 | Update to Waived Tests - November 21, 2001 | 1976 | 01/07/2002 |
AB-01-186 | Suspension of National Coverage Policy on Electrical Stimulation for Wound Healing | 1963 | 12/18/2001 |
AB-01-188 | Coverage and Billing of Ambulatory Blood Pressure Monitoring (ABPM) | 1985 | 04/01/2002 |
A-01-138 | Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases, Changes to the Exception Criteria for the Payment Limit for RHC Based in Rural Hospitals. | 1958 | N/A |
A-01-136 | "Do Not Forward (DNF)” Initiative, Change Request 681, Transmittal No. AB-00-6, Dated February 2000 | 1449 | N/A |
AB-01-175 | Payment for Method II Home Dialysis Supplies | 1288 | 12/15/2000 |
AB-02-055 | Claims Processing Instructions to Conclude the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Demonstration | 2054 | N/A |
AB-01-141 | Update of Codes and Payments for Ambulatory Surgical Centers (ASCs) | 1860 | 01/01/2002 |
A-02-034 | Submission of the Swing Bed Minimum Data Set (MDS) Data for Swing Bed Hospitals | 2159 | 05/01/2002 |
AB-01-143 | Coverage and Billing of Sacral Nerve Stimulation | 1881 | 01/01/2002 |
AB-02-058 | Second Update to the 2002 Medicare Physician Fee Schedule Database | 2161 | 07/01/2002 |
A-02-035 | Revision to the 837 Interface Format for Sending Claims Accounting Information from Fiscal Intermediary Standard System (FISS) to the Healthcare Integrated General Ledger Accounting System (HIGLAS) | 2086 | 10/01/2002 |
B-02-032 | Medical Review (MR) Progressive Corrective Action (PCA) | 2131 | N/A |
AB-01-145 | New Waived Tests - September 13, 2001 | 1877 | 01/01/2002 |
A-01-126 | Scheduled Release for January Updates to Software Programs and Pricing/Coding Files | 1874 | N/A |
AB-02-063 | Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Testing of 835 Interface with the Healthcare Integrated General Ledger Accounting System (HIGLAS) | 2180 | 10/01/2002 |
B-02-033 | Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry/Response Transaction (270/271) Standard | 2182 | 10/01/2002 |
A-01-118 | Clarification of Cost Reporting Policy in Change Request (CR) 1468, Concerning Submission of Home Office Cost Statements (HOCS) for Chain Home Offices | 1847 | 10/31/2001 |
A-02-036 | Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim - Outpatient Hospice Implementation Direction | 2135 | 10/01/2002 |
B-01-62 | Problem Resolution to Issues Raised By Implementation of CR 1646 for the Medicare Carriers Processing on the Multi-Carrier System (MCS) | 1866 | 11/13/2001 |
A-02-037 | Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim - Home Health Implementation Direction | 2137 | 10/01/2002 |
AB-01-146 | Distribution of Revised Form CMS-855s - Medicare Provider/Supplier Enrollment Applications - (Formerly Form HCFA-855) Dated November 1, 2001 | 1835 | 11/01/2001 |
AB-02-061 | CWF Editing of Claims for Medicare Beneficiaries in State or Local Custody Under a Penal Authority | 2139 | 10/01/2002 |
B-01-59 | Clarification of Medicare Contractor Financial Reporting Instructions Outlined in Section 4923.2 of the Medicare Carriers Manual (MCM). (Issued May 2001) | 1836 | 01/01/2002 |
AB-02-060 | Coverage and Billing for Intravenous Immune Globulin (IVIg) for the Treatment of Autoimmune Mucocutaneous Blistering Diseases | 2149 | 10/01/2002 |
AB-02-057 | Charging Fees to Providers for Medicare Education and Training Activities - Program Management | 2129 | 05/01/2002 |
B-02-031 | Cessation of Certain DMERC Activities | 2101 | 05/01/2002 |
A-01-115 | Bypassing Medicare Secondary Payer (MSP) Edits on Indirect Medical Education (IME) Claims for Medicare + Choice Organization (M+CO) Enrollees | 1829 | 09/25/2001 |
B-01-61 | Transmittal B-01-61 dated September 26, 2001, has been re-communicated as AB-01-144. | 1724 | 01/01/2002 |
A-01-120 | Removal of HCPCS/Revenue Code Editing Under the Outpatient Prospective Payment System (OPPS) | 1873 | 09/26/2001 |
A-01-117 | Production Dates for the Provider Statistical and Reimbursement (PS&R) Report and Extension of Due Date for Filing Provider Cost Reports | 1885 | 12/03/2001 |
AB-01-138 | New Zip Code File | 1861 | 01/01/2002 |
AB-02-035 | Notification of Updates to Coding Files on CMS Web Site for Skilled Nursing Facility (SNF) Consolidated Billing (CB) | 2085 | 04/20/2002 |
B-02-011 | Revision and Clarification of Requirements for Quarterly Do Not Forward (DNF) Reports | 1631 | 07/01/2002 |
AB-02-022 | Clarification of Transmittal AB-00-107, Change Request 1163, and Transmittal AB-00-129, Change Request 1460, Regarding the Coordination of Benefits (COB) Contractor and Medicare Secondary Payer (MSP) Prepay Work Activities for Customer Service, MSP and Standard Systems Contractor Staff | 1558 | 02/15/2001 |
AB-02-024 | New Waived Tests - January 18, 2002 | 2033 | 04/01/2002 |
AB-02-025 | Non-Contact Normothermic Wound Therapy (NNWT) | 2027 | 07/01/2002 |
A-02-016 | Conversion of Hospital Swing Bed Facilities to the Skilled Nursing Facility Prospective Payment System (SNF PPS) Effective for Cost Reporting Periods Starting July 1, 2002 | 1666 | 07/01/2002 |
AB-02-026 | System Networking Electronic Correspondence Referral System (SNECRS) User Guide | 2024 | 03/30/2002 |
AB-02-027 | Corrections to Program Memorandum (PM) A-01-135 -- Codes Billable by SNFs and Suppliers for SNF Residents | 2035 | 04/01/2002 |
AB-02-028 | CMS Office of the Inspector General (OIG) Hotline Referrals | 955 | 01/27/2000 |
A-02-017 | Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION | 1596 | 03/01/2001 |
A-02-018 | Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION | 1467 | 03/01/2001 |
AB-02-059 | Additional Clarification for Medical Nutrition Therapy (MNT) Services | 2142 | 10/01/2002 |
AB-02-067 | Remittance Advice Coding and Health Insurance Portability and Accountability Act (HIPAA) Transaction 835v4010 Completion Update | 1959 | 10/01/2002 |
A-02-030 | Revisions to the Home Health Prospective Payment System (HH PPS) Pricer Software -- Regional Home Health Intermediaries (RHHIs) Only | 2070 | 10/01/2002 |
AB-02-049 | New Source of Provider Information Available on CMS Website April 22, 2002 | 1868 | 04/24/2002 |
A-02-031 | Updates to Common Working File (CWF) Editing of Intermediary Claims for Durable Medical Equipment (DME) and Prosthetic/Orthotic Devices | 2092 | 10/01/2002 |
AB-02-051 | Change of Interest Citation in the Overpayment Sections of the Medicare Intermediary Manual (MIM) and the Medicare Carriers Manual (MCM) from 42 CFR Section 405.376 to 42 CFR Section 405.378. | 1623 | 04/30/2002 |
B-02-028 | Sending Payee Information From Multi-Carrier System (MCS) to the Healthcare Integrated General Ledger Accounting System (HIGLAS) | 2089 | 10/01/2002 |
A-02-033 | Sending Payee Information From Fiscal Intermediary Standard System (FISS) to the Healthcare Integrated General Ledger Accounting System (HIGLAS) | 2088 | 10/01/2002 |
B-02-030 | Reporting Claims Accounting Information to the Healthcare Integrated General Ledger Accounting System (HIGLAS) for the Durable Medical Equipment Regional Carriers (DMERC) | 2087 | 10/01/2002 |
AB-02-056 | Expand Standard Date Format and Remove CWF (Common Working File) Y2K Wrapper Logic for Fiscal Intermediary Claims/Trailers and Carrier/DMERC Trailers - Incoming and Response Transactions | 2148 | 10/01/2002 |
B-02-029 | Durable Medical Equipment Regional Carrier (DMERC) - New Message for Advanced Beneficiary Notice (ABNs) Denials | 2084 | 07/01/2002 |
AB-02-066 | Non-coverage of Perception Sensory Threshold/Nerve Conduction Threshold Test (sNCT) | 2153 | 10/01/2002 |
B-02-034 | Implementation of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standard Version 5.1 and the equivalent Batch Standard Version 1.1 for Retail Pharmacy Drug Transactions | 2181 | 10/16/2003 |
B-02-012 | This Transmittal Has Been Rescinded | 2045 | 07/01/2002 |
AB-02-065 | Coverage and Related Claims Processing Requirements for Positron Emission Tomography (PET) Scans - for Breast Cancer and Revised Coverage Conditions for Myocardial Viability | 2138 | 10/01/2002 |
B-02-013 | Changes to Correct Coding Edits, Version 8.2, Effective July 1, 2002 | 2031 | 07/01/2002 |
AB-02-064 | Coverage and Billing for Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management | 2071 | 07/01/2002 |
AB-02-068 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 1898 | 05/08/2002 |
AB-02-069 | July 2002 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule Files | 2162 | 07/01/2002 |
AB-02-070 | New Waived Tests - April 12, 2002 | 2163 | 07/01/2002 |
AB-02-029 | Electronic Medicare Provider/Supplier Enrollment Forms | 2045 | 07/01/2002 |
AB-02-030 | Administrative Policies Related to Processing Claims for Clinical Diagnostic Laboratory Services | 1998 | 04/18/2002 |
AB-02-031 | Payment Policy for Air Ambulance Transportation of Deceased Beneficiary | 1961 | 07/01/2002 |
AB-02-071 | HIPAA Model Compliance Plan and Instructions | 2168 | 05/10/2002 |
AB-02-032 | Data Center Testing and Production- Electronic Correspondence Referral System (ECRS) User Manual 4.0 | 2059 | 04/15/2002 |
AB-02-072 | Medicare Payment for Drugs and Biologicals Furnished Incident to a Physician's Service | 2200 | 08/01/2002 |
SA-02-01 | TITLE XIX OF THE SOCIAL SECURITY ACT, POST-ELIGIBILITY TREATMENT OF INCOME | N/A | N/A |
AB-02-033 | Provider Education Training Activities to Implement Updates to the Ambulance Fee Schedule | 2075 | 03/15/2002 |
AB-02-034 | Managing Medicare Appeals Workloads in FY 2001 | 1392 | 01/12/2001 |
B-02-026 | Revised: New Permanent Modifier for "Specific Required Documentation on File" | 2155 | 07/01/2002 |
B-02-010 | Correct Payment for Medical Nutrition Therapy (MNT) Services Rendered by Registered Dietitians or Nutrition Professionals | 2046 | 01/01/2002 |
AB-02-054 | Generating an Outbound Coordination of Benefits (COB) X12N 837 (4010) When Required Data is Missing or Invalid | 2021 | 10/01/2002 |
A-02-032 | Diabetes Self Management Training (DSMT) Payment | 2049 | 10/01/2002 |
B-02-027 | Annual Updating of ICD-9-CM Codes Must Be Date of Service Driven | 2108 | 10/01/2002 |
A-02-012 | "Do Not Forward" (DNF) Initiative | 1970 | 07/01/2002 |
AB-02-021 | Common Working File (CWF) Unsolicited Response Edit and Carrier Resolution for Consolidated Billing for Skilled Nursing Facility (SNF) Residents | 1955 | 07/01/2002 |
A-02-015 | Installation of Version 27.1 of the Provider Statistical and Reimbursement (PS&R) Report | 2043 | 02/12/2002 |
A-02-014 | Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim Implementation Updates | 2028 | 02/12/2002 |
AB-02-052 | Revision of Medicare Reimbursement for Telehealth Services | 1650 | 10/01/2001 |
AB-02-023 | Common Working File (CWF) Edits with Unsolicited Responses for Skilled Nursing Facility (SNF) Consolidated Billing | 2034 | 07/01/2002 |
AB-02-050 | Program Memorandum on Written Statements of Intent (SOI) to Claim Medicare Benefits | N/A | 04/24/2002 |
AB-02-010 | Promoting Colorectal Cancer Screening as a Part of Colorectal Cancer Awareness Month | 1532 | 03/01/2001 |
A-02-009 | Payment of SNF Claims for Beneficiaries Disenrolling From Terminating Medicare+Choice (M+C) Plans Who Have Not Meet the 3-Day Stay Requirements | 1108 | 01/01/2001 |
B-02-004 | Payment for Services Furnished by Audiologists | 1573 | 05/29/2001 |
AB-02-008 | Form CMS-1522, Monthly Contractor Financial Report, Reconciliation | 1330 | 02/01/2001 |
A-02-006 | Extended Repayment Schedules (ERSs) for Home Health Agencies (HHAs) Affected by the Interim Payment System (IPS) | 975 | 03/02/2002 |
AB-02-009 | Clarification of Physician Certification Requirements for Medicare Hospice | 1502 | 02/01/2001 |
AB-02-053 | Correction to the Revision of Medicare Reimbursement for Telehealth Services | 1827 | 10/01/2001 |
AB-01-163 | Expand Standard Date Format and Remove Common Working File (CWF) Y2K Wrapper Logic for Part B Eligibility File, Part B (HUBC), and DME (HUDC) Incoming and Response Transactions | 1915 | 04/01/2002 |
A-02-007 | Addendum to Periodic Interim Payments (PIP) For Home Health Providers | 1557 | 02/28/2001 |
AB-01-162 | 2002 Clinical Laboratory Fee Schedule and Laboratory Costs Subject to Reasonable Charge Payment Methodology | 1887 | 01/01/2002 |
AB-02-012 | Revised Backup Withholding Tax Rate | 1832 | 02/01/2002 |
AB-01-161 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 1896 | 10/31/2001 |
B-02-006 | Receipt of Payment Data from the Healthcare Integrated General Ledger Accounting System (HIGLAS) by the Multi-Carrier System (MCS) | 2032 | 07/01/2002 |
AB-01-164 | Correction to Program Memorandum (PM) AB-01-53: Elimination of DMEPOS Fee Schedules for Repair Codes E1340, L4205, L7520, and L8049 | 1909 | 01/01/2002 |
B-01-72 | Change in CWF Categories for Two Immunosuppressive Drugs | 1867 | 04/01/2002 |
B-01-71 | American National Standards Institute X12N 837 Professional Health Care Claim Companion Document | 1809 | 11/23/2001 |
A-02-011 | Receipt of Payment Data from the Healthcare Integrated General Ledger Accounting System (HIGLAS) by the Fiscal Intermediary Standard System (FISS). | 2029 | 07/01/2002 |
AB-01-155 | Medicare Summary Notice (MSN) Implementation for Contractors Using APASS and HPBSS - ACTION | 1920 | 04/01/2002 |
AB-01-154 | Medicare Deductible and Premium Rates for Calendar Year 2002 | 1906 | 01/01/2002 |
AB-02-011 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 1897 | 02/01/2002 |
AB-01-160 | Standardize Common Working File (CWF) Hosts' Processes and Procedures With Standard Software (AMEN Program) | 1930 | 04/01/2002 |
AB-02-013 | Improve the Out-of-Service-Area (OSA) Claims Process in the Common Working File (CWF) | 2023 | 202307/01/2002 |
A-01-130 | Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims | 1769 | 04/01/2002 |
A-02-010 | Changes to Common Working File (CWF) Beneficiary Eligibility Checks for Medicare+Choice Encounter Data | 1926 | 07/01/2002 |
AB-01-157 | New Common Working File (CWF) Medicare Secondary Payer (MSP) Edit to Reject MSP Records for Medicare Beneficiaries Who Are Only Entitled to Medicare Part B, and Are Covered by a Group Health Plan (GHP). | 1922 | 04/01/2002 |
AB-01-158 | New Common Working File (CWF) Edits and Standard System Responses on Skilled Nursing Facility (SNF) Claims | 1778 | 04/01/2002 |
AB-02-014 | Implementation of Common Working File (CWF) Edits for Flu and Pneumonia Claims | 1691 | 07/01/2002 |
AB-01-156 | Expanding the Number of Source Identifiers for Common Working File (CWF) MSP Records | 1923 | 04/01/2002 |
B-02-007 | Use of Statistical Sampling for Overpayment Estimation When Performing Administrative Reviews of Part B Claims | 1363 | 02/09/2001 |
B-02-008 | Type of Service (TOS) Corrections | 2040 | 02/25/2002 |
AB-01-159 | Common Working File (CWF) Reject and Utilization Edits and Carrier Resolution for Consolidated Billing for Skilled Nursing Facility (SNF) Residents | 1764 | 04/01/2002 |
A-01-131 | Additional Ins tructions for Implementing the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) | 1921 | 01/01/2002 |
AB-02-016 | Effective Date for Q3017 | 2014 | 02/07/2002 |
A-01-132 | Screening Glaucoma Services | 1914 | 04/01/2002 |
AB-02-015 | Clarification of Payment Responsibilities of Fee-for-Service Contractors as it Relates to Hospice Members Enrolled in Managed Care Organizations (MCOs) and Claims Processing Instructions for Processing Rejected Claims | 2013 | 04/01/2002 |
B-01-63 | New Modifier for Rental Items | 1813 | 04/01/2002 |
AB-02-019 | Supplemental Systems Security Information For FY 02 | 2010 | 02/08/2002 |
AB-01-148 | Ambulance Inflation Factor for 2002 | 1875 | 04/01/2002 |
AB-02-017 | Sending of HUSC files from Common Working File (CWF) to Recovery Management and Accounting System (ReMAS) | 2026 | 07/01/2002 |
AB-02-020 | Revised Timelines for Health Insurance Portability and Accountability Act (HIPAA) Requirements | 2039 | N/A |
AB-01-149 | Unsolicited Response and Auto Adjustment of Claims for the Medicare Participating Centers of Excellence Demonstration and the Medicare Provider Partnership Demonstration | 1752 | 04/01/2002 |
B-02-009 | Payment for Therapy Services Wrongfully Denied | 2039 | 05/09/2002 |
A-02-013 | Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry/Response Transaction (270/271) Standard | 2009 | 07/01/2002 |
A-01-127 | Common Working File (CWF) Processing of Home Health Prospective Payment System (HH PPS) Transfer Episodes Received Out of Sequence | 1758 | 04/01/2002 |
A-01-128 | Comprehensive Error Rate Testing (CERT) Program - Requirements Update for Medicare Part A Contractor Operations | 1911 | 01/01/2002 |
AB-01-150 | Facility Requirements for Transplantation Centers -- INFORMATION ONLY | 1374 | 10/01/00 |
A-02-004 | Critical Access Hospitals (CAH) Exempt From the Ambulance Fee Schedule | 1951 | 07/01/2002 |
A-02-005 | Correction of Production Problem with Home Health Prospective Payment Systems (HH PPS) Claims Involving Medicare Secondary Payer (MSP) | 19777 | 03/01/2002 |
AB-02-007 | Children's Hospital Graduate Medical Education (CHGME) Amendment to Change Request 1736 | 2011 | 03/01/2002 |
A-02-008 | Processing of Home Health Prospective Payment System (HH PPS) Mass Adjustments -- Regional Home Health Intermediaries (RHHIs) Only | 1973 | 07/01/2002 |
AB-01-151 | Clarification of Common Working File (CWF) Y2K Wrapper Logic Removal Changes (CR 1774) | 1904 | 01/01/2002 |
B-02-005 | This PM has been retracted. It has not been printed and the transmittal number will not be used in the future. The new transmittal number for Change Request 1691 is AB-02-014. Implementation of Common Working File (CWF) Edits for Flu and Pneumonia Claims | 1691 | 07/01/2002 |
B-02-042 | This transmittal number has never been used and will not be used in the future | N/A | N/A |
B-01-65 | Calendar Year (CY) 2002 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures | 1900 | 11/26/2001 |
B-02-001 | Transmittal B-02-001 Has Been Rescinded | 1993 | N/A |
B-01-67 | Updated Correct Coding Initiative (CCI) Coding Policy Manual | 1883 | 10/30/2001 |
AB-01-152 | Breakdown of the American Medical Association's (AMA) Physicians' Current Procedural Terminology, Fourth Edition (CPT) 2002 Codes | 1902 | 01/01/2002 |
B-01-70 | Reporting Claims Accounting Information to the Healthcare Integrated General Ledger Accounting System (HIGLAS) | 1924 | 04/01/2002 |
B-02-002 | Notification to Carriers and Providers of Skilled Nursing Facility (SNF) Consolidated Billing (CB) Coding Information on CMS Web site | 1997 | 01/31/2002 |
AB-02-001 | New Temporary "K" Codes for Ostomy Devices and Supplies | 1993 | 04/01/2002 |
B-01-68 | Providing Upgrades of Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Without Any Extra Charge | 1894 | 04/01/2002 |
A-02-003 | Handling of Inpatient Claims Containing HCPCS Codes J7198, J7199, and Q2022 for Payment for Blood Clotting Factor Administered to Hemophilia Inpatients | 2000 | 01/11/2002 |
B-01-66 | Program Integrity Sampling Module for Part B and DME Carriers | 1397 | 04/01/2001 |
AB-02-040 | Intestinal and Multi-Visceral Transplantation | 1629 | 07/01/2001 |
A-02-002 | Discontinuance of Contract With Integriguard (Division of CMRI) to Conduct Community Mental Health Centers (CMHC) Site Visits After January 15, 2002 | 2001 | 01/15/2002 |
B-02-018 | Implementation of Carrier Jurisdiction Manual Instructions Based on the Medicare Carriers Manual (MCM) Part 3, Section Section 3100 - 3101 for the Multi-Carrier System (MCS) Standard System and Associated Medicare Carriers | 1646 | 07/01/2001 |
AB-02-002 | Claims Processing Instructions For The Medicare Quality Partnerships Demonstration (formerly referred to as "Centers of Excellence") and The Medicare Provider Partnership Demonstration | 1995 | 04/01/2002 |
B-02-020 | Coding for Non-Covered Services and Services Not Reasonable and Necessary | 1820 | 01/01/2002 |
AB-02-003 | This Transmittal Has Been Rescinded | 1260 | N/A |
AB-02-038 | Billing for Audiologic Function Tests For Beneficiaries That Are Patients of a Skilled Nursing Facility (SNF) | 1677 | 07/01/2001 |
AB-02-004 | Harkin Grantees: Aggregate Report Dates | 1983 | 01/17/2002 |
A-02-025 | April Outpatient Code Editor (OCE) Specifications Version (V3.0) | 2103 | 04/01/2001 |
AB-02-005 | Elimination of Official Level III Healthcare Common Procedure Coding System (HCPCS) Codes/Modifiers and Unapproved Local Codes/Modifiers | 1957 | 10/16/2002 |
B-02-019 | Accelerated Referral of Non-MSP Active Delinquent Debts to the Debt Collection Center (DCC) for Cross Servicing and Treasury Offset Program (TOP) | 1683 | 04/26/2001 |
AB-02-006 | Customer Service Assessment Management System (CSAMS) for Medicare Call Centers | 1996 | 02/10/2002 |
B-02-003 | New Permanent Modifier for "Specific Required Documentation on File" | 1948 | 07/01/2002 |
AB-02-048 | Program Management Provider/Supplier Education and Training | 2125 | N/A |
B-01-57 | New Specialty Code for Pain Management | 1872 | 01/01/2002 |
AB-01-132 | Further Guidance Concerning Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Transactions | 1828 | N/A |
A-02-023 | Accelerated Referral of Non-MSP Active Delinquent Debts to the Debt Collection Center (DCC) for Cross Servicing and Treasury Offset Program (TOP) | 1683 | 04/26/2001 |
AB-01-131 | Fiscal Intermediary (FI) Instructions on Applying Payment Bans on Skilled Nursing Facility (SNF) Admissions | 1761 | 10/22/2001 |
A-02-026 | 2002 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 2102 | 04/08/2002 |
AB-01-133 | Interim Instructions - Document and Correspondence Name Transition from Health Care Financing Administration (HCFA) to Centers for Medicare & Medicaid Services (CMS) | 1870 | 09/24/2001 |
AB-01-136 | Supplemental Instructions on CMS Business Partners Systems Security Requirements | 1844 | 09/25/2001 |
B-01-60 | Schedule for Completing the Calendar Year (CY) 2002 Fee Schedule Updates and the Participating Physician Enrollment Procedures | 1826 | N/A |
A-01-116 | Medicare Secondary Payer (MSP) Policies Relaxed for Hospitals | 1685 | 01/01/2002 |
A-01-114 | Handling of Claims Containing HCPCS Codes G0204 and G0205 | 1871 | 01/01/2002 |
AB-02-041 | Correction of Remark Code Message for Home Health Consolidated Billing | 2080 | 03/29/2002 |
B-02-022 | Elimination of Certificate of Medical Necessity (CMN) Requirement for Continuous Positive Airway Pressure (CPAP) Device | 2076 | 03/29/2002 |
B-01-58 | Coding for Non-Covered Services and Services Not Reasonable and Necessary | 1820 | 01/01/2002 |
AB-02-042 | Coverage and Billing of the Diagnosis and Treatment of Peripheral Neuropathy with Loss of Protective Sensation in People with Diabetes | 2060 | 07/01/2002 |
A-01-111 | Clarification of Activity Therapy (HCPC G0176) and Patient Education/Training Services (HCPC G0177) Under the Hospital Outpatient Prospective Payment System (OPPS) | 1798 | 09/14/2001 |
AB-02-044 | July Quarterly Update for 2002 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 2090 | 07/01/2002 |
AB-01-125 | Clarification and Update to Medicare Payment for Code Q3014 (Telehealth Facility Fee) | 1846 | 10/01/2001 |
A-02-027 | Installation of Version 27.2 of the Provider Statistical and Reimbursement (PS&R) Report | 2146 | 04/15/2002 |
AB-01-128 | Annual Update of Non-Routine Medical Supply and Therapy Codes for Home Health Consolidated Billing (CB) | 1854 | 01/01/2002 |
AB-01-129 | Medicare Coverage of Non-Invasive Vascular Studies for End Stage Renal Disease (ESRD) Patients | 1855 | 12/06/2001 |
AB-02-043 | Corrections to Program Memorandum (PM) A-01-135 -- Codes Billable by SNFs and Suppliers for SNF Residents | 2035 | 04/01/2002 |
B-02-023 | Revision-The Do Not Forward (DNF) Initiative-Using "Return Service Requested" Envelopes for Remittance Advice | 2038 | 10/01/2002 |
B-02-024 | Deceased Physician UPIN Information - (Transmittal B-01-73) | 2042 | 10/01/2002 |
A-01-112 | Removal of Category Code C1723 from the Pass-Through Device Category List Under the Hospital Outpatient Prospective Payment System (OPPS) | 1842 | 01/01/2002 |
AB-02-045 | Clarification of the Allocation of Initial Claim Entry Activities Where the Claim is Paid Secondary by Medicare | 2074 | 04/12/2002 |
A-01-113 | Prospective Payment System (PPS) Patient Transfers Improperly Paid as Hospital Discharges----ACTION | 1340 | 10/31/2001 |
AB-02-046 | Availability of Deceased Beneficiary Date of Death Files (Calendar Years 2000 and 2001) | 2065 | 04/12/2002 |
AB-01-130 | Claims Processing Instructions for Carriers, DMERCS, Intermediaries and Regional Home Health Intermediaries (RHHIs) for Claims Submitted for Medicare Beneficiaries Participating in Medicare Qualifying Clinical Trials | 1241 | 09/19/2000 |
A-02-028 | Upcoming Train-the-Trainer Session for Hospital Swing Bed Facility Prospective Payment System (SB PPS) | 2147 | 04/16/2002 |
A-01-101 | Changes to Fiscal Year (FY) 2001 Hospital Inpatient and Outpatient Prospective Payment System (PPS) Policies As Required by the Medicare, Medicaid, and SCHIP Balanced Budget Refinement Act (BBRA) of 1999, P.L. 106-113 | 1723 | 11/30/2001 |
B-02-025 | Reporting the Obligated to Accept as Payment in Full (OTAF) Amount on the ANSI X12N 837 Version 4010 as Adopted Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) for Medicare Secondary Payer (MSP) Claims. | 2007 | 10/01/2002 |
A-01-103 | October Medicare Outpatient Code Editor (OCE) Specifications Version 17.0 for Bills from Hospitals that are not Paid Under the Outpatient Prospective Payment System (OPPS) | 1723 | 11/30/2001 |
A-02-029 | Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry/Response Transaction (270/271) Standard | 2111 | N/A |
AB-02-047 | Amended Contractor Assessment Security Tool (CAST) Submission Instructions and Due Dates | 2094 | 04/17/2002 |
B-01-53 | Change in Jurisdiction for Pessary Codes | 1788 | 01/01/2002 |
B-02-021 | Problem Resolution to Issues Raised By Implementation of CR 1646 for the Medicare Carriers Processing on the Multi-Carrier System (MCS) | 1866 | 11/13/2001 |
B-01-56 | Payment for Home Dialysis Supplies and Equipment | 1858 | 01/01/2002 |
A-02-024 | Off Label Use of Oral Chemotherapy Drugs Methotrexate and Cyclophosphamide | 1408 | 04/01/2001 |
AB-02-037 | Reissue of information in CR 1955, Transmittal AB-02-021, Common Working File (CWF) Unsolicited Response Edit and Carrier Resolution for Consolidated Billing for Skilled Nursing Facility (SNF) Residents | 2082 | 07/01/2002 |
AB-01-123 | Useful Lifetime Expectancy for Breast Prosthesis | 1787 | 04/01/2002 |
A-02-021 | Medicare Secondary Payer (MSP) Information Collection Policies Changed for Hospitals | 2104 | 03/31/2002 |
A-01-110 | Instructions for Implementing the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) | 1851 | 01/01/2002 |
AB-01-126 | nstructions for Implementing and Updating 2002 Payment Amounts for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) | 1856 | 01/01/2002 |
AB-01-124 | Health Insurance Portability and Accountability Act (HIPAA) Budget Requests for Electronic Data Interchange Testing and Reporting | 1802 | 10/01/2001 |
A-02-022 | Clarification of PM-A-01-86, New Patient Status Codes 62 and 63 | 2069 | 03/22/2002 |
A-01-105 | Screening Glaucoma Services | 1783 | 01/01/2002 |
A-01-104 | File Descriptions and Instructions for Retrieving the 2002 Physician, Clinical Lab, Durable Medical Equipment, Prosthetics/Orthotics and Supplies (DMEPOS), and Therapy Fee Schedule Payment Amounts through Centers for Medicare & Medicaid Services Telecommunications System (CMSTS) | 1811 | 01/01/2002 |
B-02-016 | Addition of Four "WW" Codes to Identify a New Source for Methotrexate | 2064 | 07/01/2002 |
B-02-015 | 2002 Jurisdiction List | 2051 | 07/01/2002 |
A-01-106 | Instructions for Billing and Processing of Hospital \Outpatient Claims Containing Charges for Epoetin Alfa (EPO), Tradenames: Epogen and Procrit | 1839 | 09/21/2001 |
AB-02-039 | Amplification of Annual Compliance Audit Requirements | 2072 | 03/26/2002 |
B-02-017 | Standard System Acceptance of Primary Payer Information at the Line Level | 1287 | 01/01/2001 |
AB-01-116 | Provider/Supplier Plan (PSP) Quarterly Report Format | 1740 | 10/11/2001 |
B-01-54 | Implementation of New Fee Schedule for Parenteral and Enteral Nutrition Items and Services | 1777 | 01/01/2002 |
AB-01-114 | Data Center Testing - Electronic Correspondence Referral System (ECRS) Software Version 3.0 | 1821 | 10/12/2001 |
AB-01-117 | Instruction Implementation Reporting | 944 | 11/01/1999 |
AB-01-118 | Reasonable Charge Update for 2002 for Items and Services, Other Than Ambulance and Laboratory Services | 1803 | 01/01/2002 |
AB-01-113 | Clarification of Comprehensive Error Rate Testing (CERT) Program Requirements for Medicare Contractor Operations Regarding Prepayment Random Medical Review | 1754 | 08/16/2001 |
A-01-99 | Changes in the Paid Claim Record - Notification Process | 1810 | 09/01/2001 |
AB-01-119 | New Zip Code File | 1771 | 10/01/2001 |
AB-01-120 | Correction to the Revision of Medicare Reimbursement for Telehealth Services | 1827 | 10/01/2001 |
AB-01-121 | Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2001 | 1763 | 10/01/2001 |
A-01-102 | Fiscal Year (FY) 2002 Prospective Payment System (PPS) Hospital, Skilled Nursing Facility (SNF) and Other Bill Processing Changes | 1817 | 10/01/2001 |
A-01-108 | The Report of Benefit Savings | 1824 | 10/01/2001 |
A-01-98 | October Outpatient Code Editor (OCE) Specifications Version (V2.3) | 1819 | 10/01/2001 |
A-01-107 | October 2001 Update to the Hospital Outpatient Prospective Payment System (OPPS) | 1822 | 10/01/2001 |
AB-01-112 | Installation of Digital Satellite Dishes at Medicare Contractors | 1804 | 09/14/2001 |
AB-01-122 | Procedures for Re-issuance and Stale Dating of Medicare Checks | 1364 | 10/01/2001 |
B-01-52 | Changes to the Centers for Medicare & Medicaid Services (CMS) Part B Standard System Carrier (HPBSS) Responsibility (Accelerate, Claims Collection Software) | 1800 | 10/16/2001 |
A-01-109 | The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2000 for Prospective Payment System (PPS) Hospitals | 1845 | 10/01/2001 |
A-01-100 | Upcoming Train the Trainer Session for Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) | 1812 | 08/16/2001 |
B-01-50 | Attestation Option for Submission Requirement for Clinical Laboratories Billing the Technical Component of Physician Pathology Services to Hospital Patients | 1781 | 08/08/2001 |
B-01-51 | Common Working File (CWF) Changes Required for Processing Native American (NA) and Alaskan Native (AN) Railroad Retiree Claims | 1805 | 01/01/2002 |
A-01-94 | Implementation of Fee Schedule for Additional Part B Services Furnished by a Skilled Nursing Facility (SNF) or Another Entity Under Arrangements with the SNF | 1689 | 01/01/2002 |
A-01-93 | Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions | 1229 | 08/14/2001 |
B-01-47 | Comprehensive Error Rate Testing (CERT) Program -- Requirements Update for Medicare Part B Contractor Operations | 1636 | 08/14/2001 |
AB-01-34 | HCFA Office of the Inspector General (OIG) Hotline Referrals | 955 | 01/27/2000 |
A-01-83 | Skilled Nursing Facility (SNF) Annual Update for FY 2002 | 1759 | 10/01/2001 |
AB-01-35 | Delay of Carrier and Intermediary Action Required in Change Request (CR) 1412, Transmittal AB-00-112 dated November 16, 2000, Consolidated Billing for Home Health Agencies | 1559 | 04/01/2001 |
AB-01-95 | New Waived Tests -- July 12, 2001 NEW VERSION | 1751 | 10/01/2001 |
AB-01-96 | Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange Testing and Reporting Requirements | 1704 | 10/01/2001 |
B-01-16 | Clarification of Medicare Policies Concerning Ambulance Services | 1065 | 02/29/2000 |
A-01-27 | Problems with Processing of Non-Outpatient Prospective Payment System (OPPS) Claims Through the Outpatient Code Editor (OCE) | 1583 | 04/01/2001 |
A-01-84 | Problems With Processing Certain Clinical Diagnostic Laboratory Claims and Other Claims Through the July Outpatient Code Editor (OCE) | 1785 | 07/13/2001 |
AB-01-36 | Extension of Moratorium on the Application of the Financial Limitation for Outpatient Rehabilitation Services | 1491 | 01/01/2002 |
AB-01-97 | Claims Processing Instructions for the Medicare Participating Centers of Excellence Demonstration and the Medicare Provider Partnership Demonstration | 1525 | 01/01/2002 |
B-01-44 | Medicare TeleMedicine Demonstration Ending Date | 1720 | 10/01/2001 |
AB-01-37 | Verteporfin | 1549 | 07/01/2001 |
B-01-43 | Clarification of Payment and Place of Service Requirements for ASC Claims | 1680 | 09/04/2001 |
B-01-45 | Tracking and Reporting Requirements for Advance Determinations of Medicare Coverage | 1730 | 10/01/2001 |
A-01-85 | Notification of Access to Eligibility Vendors NEW VERSION | 1749 | 07/19/2001 |
A-01-29 | Medical Review of Certification and Re-certifications of Residents in Skilled Nursing Facilities (SNFs) | 1454 | 04/02/2001 |
AB-01-98 | Durable Medical Equipment Regional Carrier (DMERC) Denial Code for Durable Medical Equipment (DME) Furnished in Skilled Nursing Facilities (SNFs) | 1692 | 10/01/2001 |
A-01-30 | Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION | 1596 | 03/01/2001 |
A-01-28 | Addendum to Periodic Interim Payments (PIP) For Home Health Providers NEW VERSION | 1557 | 02/28/2001 |
A-01-95 | Workaround for Home Health Prospective Payment System (HH PPS) Transfer Claims Received Out of Sequence-Regional Home Health Intermediaries (RHHIs) Only | 1757 | 08/02/2001 |
AB-01-107 | Customer Service Plans (CSP) Reporting Procedures | 1726 | 09/17/2001 |
A-01-31 | Clinical Diagnostic Laboratory Tests Furnished by Critical Access Hospitals (CAHs) | 1568 | 07/01/2001 |
AB-01-108 | Final Update to the 2001 Medicare Physician Fee Schedule Database | 1790 | 10/01/2001 |
B-01-17 | Durable Medical Equipment Regional Carrier (DMERC) Systems Changes to Enforce Medicare Requirements for Payment for Medicare-Covered Drugs | 1484 | 07/01/2001 |
AB-01-109 | Correction of Payment for Diabetes Outpatient Self-Management Training Services | 1789 | 08/03/2001 |
AB-01-39 | Salary Equivalency Guidelines Update Factors NEW VERSION | 1578 | N/A |
AB-01-110 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 1387 | 08/01/2001 |
B-01-21 | Durable Medical Equipment Regional Carrier (DMERC) Systems Requirements to Implement Section 114 of BIPA (Additional Requirements for Change Request (CR) 1562, Transmittal B-01-15) | 1621 | 07/01/2001 |
B-01-48 | Medical Nutrition Therapy Services for Beneficiaries with Diabetes or Renal Disease | 1776 | 01/01/2002 |
A-01-96 | Clarification of the Application of the Regulations at 42 CFR 413.134(l) to Mergers and Consolidations Involving Non-profit Providers | 1290 | 10/19/2000 |
A-01-45 | Clarification And HCPCs Coding Update: Part B Fee Schedule And Consolidated Billing For Skilled Nursing Facility (SNF) Services | 1642 | 04/01/2001 |
B-01-49 | Additional Information Regarding Medicare Payment Allowance for Flu Vaccine | 1797 | N/A |
AB-01-50 | Release of Version 2.1.1 of the Electronic Correspondence Referral System (ECRS) | 1654 | 04/09/2001 |
A-01-97 | Technical Corrections Under the Hospital Outpatient Prospective Payment System (OPPS) | 1743 | 08/22/2001 |
AB-01-111 | Completion of Home Health Prospective Payment System (HH PPS) Consolidated Billing Enforcement | 1711 | 01/01/2002 |
A-01-86 | New Patient Status Codes | 1753 | 01/01/2002 |
AB-01-99 | This Transmittal Has Been Rescinded | 1681 | N/A |
B-01-24 | Notification to Providers of Centralized Influenza and Pneumococcal Vaccination Billing | 1616 | 04/15/2001 |
B-01-46 | Instructions for Billing for Claims for Screening Glaucoma Services | 1717 | 01/01/2002 |
B-01-23 | New Temporary “K” Code for the Residual Limb Support System | 1608 | 07/01/2001 |
AB-01-101 | Harkin Grantees: Complaint Tracking System | 1715 | 01/01/2002 |
AB-01-51 | Clarification Related to Troponin | 1627 | 05/01/2001 |
A-01-49 | Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases, Changes to the RHC Benefit Made by the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 and Clarification Regarding Drugs Furnished by RHCs/FQHCs. | 1600 | N/A |
B-01-25 | Implementation of Carrier Jurisdiction Manual Instructions Based on the Medicare Carriers Manual (MCM) Part 3, Section Section 3100 - 3101 for the Multi-Carrier System (MCS) Standard System and Associated Medicare Carriers | 1646 | 07/01/2001 |
AB-01-100 | CWF Health Insurance Master Record Redesign & Beneficiary Master File Expansion | 1775 | 01/01/2002 |
AB-01-07 | CONTRACTOR TESTING REQUIREMENTS--ACTION | 1462 | N/A |
AB-01-102 | Common Working File (CWF) Y2K Wrapper Logic Removal Changes | 1774 | 01/01/2002 |
AB-01-52 | Payment of Physician and Nonphysician Services in Certain Indian Providers | 1576 | 07/01/2001 |
AB-01-103 | Revised Guidelines for Processing Claims for Clinical Trial Routine Care Services | 1637 | 01/01/2002 |
AB-01-10 | Elimination of Time Limit for Coverage of Immunosuppressive Drugs Under Medicare | 1513 | 04/01/2001 |
A-01-87 | Comprehensive Error Rate Testing (CERT) Program - Requirements for Medicare Part A Contractor Operations | 1588 | 01/01/2002 |
AB-01-53 | July Updates for 2001 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 1619 | 07/01/2001 |
AB-01-104 | Modifications to the Common Working File (CWF) to: (1) Suppress HUST Type TC Transactions for Medicare+Choice and Adjustment Claims; and (2) Activate Coordination of Benefits Contractor #11100. | 1779 | 01/01/2002 |
AB-01-54 | Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Changes | 1603 | 07/01/2001 |
A-01-14 | Clarifications to Transmittal A-01-03, Change Request 1437, Temporary 2-Month Extension of Periodic Interim Payments (PIPs) for Home Health Providers | 1544 | 01/31/2001 |
A-01-88 | Extension of Due Date for Filing Provider Cost Reports | 1770 | 11/30/2001 |
AB-01-09 | Clarification of Physician Certification Requirements for Medicare Hospice | 1502 | 02/01/2001 |
B-01-26 | Claims Processing Instructions for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Demonstration | 1634 | 10/01/2001 |
AB-01-56 | Questions and Answers Regarding Payment for the Services of Therapy Students Under Part B of Medicare | 1498 | N/A |
A-01-12 | Provider Statistical and Reimbursement Report (PS&R) | 1359 | 10/02/2000 |
A-01-92 | Instructions for Implementing the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) | 1657 | 01/01/2002 |
AB-01-55 | Information Collection Requirements from Medicare Contractor Call Centers NEW VERSION | 1569 | 05/15/2001 |
A-01-90 | Home Health Agency (HHA) Prospective Payment System (PPS) Correction in Financial Reporting for Trust Funds | 1786 | 01/01/2002 |
B-01-11 | This Transmittal Has Been Rescinded NEW VERSION | 1300 | N/A |
A-01-91 | Clarification of Provider Billing Requirements Under the Outpatient Prospective Payment System (OPPS) | 1768 | 10/01/2001 |
AB-01-58 | Intestinal and Multi-Visceral Transplantation | 1629 | 07/01/2001 |
A-01-89 | Payment for Blood Clotting Factor Administered to Hemophilia Inpatients | 1695 | 10/01/2001 |
AB-01-105 | Medical Review (MR) Progressive Corrective Action (PCA)--ACTION | 1694 | 01/01/2002 |
AB-01-08 | Program Safeguard Contractor for Corporate Integrity Agreements (PSC-CIA) | 1143 | 09/05/2000 |
AB-01-106 | Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Claims Status Request/Response Transaction Standard | 1784 | 01/01/2002 |
A-01-50 | Further Guidance Regarding Billing Under the Outpatient Prospective Payment System (OPPS) | 1585 | 07/01/2001 |
B-01-05 | Matrix to Complete Provider/Supplier Enrollment Application (HCFA-855) | 777 | N/A |
A-01-51 | Calculating Payment-to-Cost Ratios (PCR) for Purposes of Determining Transitional Corridor Payments Under the Outpatient Prospective Payment System (OPPS) and Revising the Criteria Under Which a Provider May Request a Recalculation of Its Cost-to-Charge Ratio | 1664 | 06/15/2001 |
A-01-81 | Change in Hospice Payment Rates, Update to the Hospice Cap, Revised Hospice Wage Index and Hospice Pricer | 1755 | 10/01/2001 |
A-01-52 | Medicare Payment for Ambulance Services Furnished by Certain Critical Access Hospitals (CAH) | 1609 | 07/01/2001 |
AB-01-94 | Profiling Medicare Contractor Call Centers | 1747 | 08/06/2001 |
A-01-82 | Center for Medicare and Medicaid Services (CMS) Audit and Cost Report Settlement Expectations | 1468 | 09/01/2001 |
AB-01-85 | HIPAA Release Testing/Production Schedule | 1718 | N/A |
A-01-13 | Clarification of Allowable Medicaid Days in the Medicare Disproportionate Share Hospital (DSH) Adjustment Calculation--ACTION | 1052 | 01/01/2000 |
B-01-41 | Clarification-Durable Medical Equipment Regional Carrier (DMERC) Implementation of Mandatory Assignment for Drug Claims | 1742 | 07/01/2001 |
AB-01-12 | Charging Fees to Providers for Medicare Education and Training Activities - Program Management | 1431 | 02/26/2001 |
AB-01-86 | Deletion of Temporary “K” Codes K0008 and K0013 | 1693 | 10/01/2001 |
AB-01-17 | Medicare Coverage of Epoetin Alfa (Procrit) for Preoperative Use | 903 | 08/01/1999 |
AB-01-11 | HCFA Has Revised Its Information Technology (IT) Security Requirements | 1439 | 01/26/2001 |
A-01-76 | Scheduled Release for October Updates to Software Programs and Pricing/Coding Files | 1716 | N/A |
A-01-65 | HCPCS Codes for Wheelchairs and Accessories - Instructions for Regional Home Health Intermediaries (RHHIs) NEW VERSION | 1640 | 10/01/2001 |
AB-01-13 | Pap Test for Women Aged 65 and Older: Dispelling the Myths | 1452 | 01/29/2001 |
AB-01-80 | Data Center Management Controls and Standard System Source Code | 1625 | 06/01/2001 |
AB-01-14 | Notification to Beneficiaries About Cervical Cancer Month and the Benefit of Pap Tests | 1446 | 01/29/2001 |
AB-01-78 | Common Working File (CWF) Beneficiary Other Insurer (BOI) Auxiliary (aux) File | 1674 | 10/01/2001 |
A-01-66 | July Outpatient Code Editor (OCE) Specifications Version (V2.2) | 1671 | 07/01/2001 |
AB-01-15 | Instructions to All Medicare Contractors for Reporting Audited Year 2000 Costs on the Final Administrative Costs Proposals | 1062 | 02/01/2000 |
A-01-67 | July Medicare Outpatient Code Editor (OCE) Version 16.2 | 1709 | 07/01/2001 |
A-01-15 | mplementation of Sections 111, 401, 403, and 405 of the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 | 1518 | 04/01/2001 |
AB-01-82 | Clarification of HCFA Core Security Requirements | 1705 | 05/17/2001 |
A-01-68 | Adjusting Clinical Diagnostic Laboratory Test Claims Furnished by Critical Access Hospitals (CAHs) | 1630 | 06/15/2001 |
AB-01-16 | Implementation of Benefits Improvement and Protection Act of 2000 (BIPA) Requirements for Drugs and Biologicals Covered by Medicare | 1514 | 04/01/2001 |
A-01-69 | Inclusion of Medicare Paid Provider Message and Removal of the Ambulatory Payment Classification (APC) Code from Medicare Summary Notice (MSN) | 1668 | 10/01/2001 |
A-01-17 | Impact of the Benefits Improvement and Protection Act on Devices Eligible for Transitional Pass-Through Payments Under the Hospital Outpatient Prospective Payment System | 1541 | 01/31/2001 |
A-01-16 | Claims Guidance Related to Outpatient Code Editor (OCE) Edit 27 | 1551 | 01/31/2001 |
AB-01-20 | Payment Revisions For Diagnostic and Screening Mammograms Performed With New Technologies - Effectuated By Benefits Improvement and Protection Act 2000 | 1520 | 04/01/2001 |
A-01-19 | New Composite Payment Rates Effective April 1, 2001, through December 31, 2001, and the Application of Exceptions Under the End Stage Renal Disease Composite Rate System | 1527 | 04/01/2001 |
AB-01-18 | New Automatic Notice of Change to Medicare Secondary Payer (MSP) Auxiliary File | 1529 | 07/01/2001 |
AB-01-21 | Form HCFA-1522, Monthly Contractor Financial Report, Reconciliation | 1330 | 02/01/2001 |
B-01-34 | Payment for Services Furnished by Audiologists | 1573 | 05/29/2001 |
B-01-35 | Health Insurance Portability and Accountability Act of 1996 (HIPAA) Administrative Simplification - Implementation of Version 4010 of the Accredited Standards Committee X12 835 (Payment/Remittance Advice) Transaction Standard Format. | 1523 | 10/01/2001 |
A-01-57 | Health Insurance Portability Accountability Act of 1996 (HIPAA) Administrative Simplification - Implementation of Version 4010 of the Accredited Standards Committee X12N 835 (Payment/Remittance Advice) Transaction Standard Format | 1522 | 10/01/2001 |
A-01-56 | Clarification to Health Insurance Prospective Payment System (HIPPS) Coding and Billing Instructions | 1655 | 04/30/2001 |
AB-01-19 | First Update to the 2001 Medicare Physician Fee Schedule Database--INFORMATION | 1508 | 04/01/2001 |
AB-01-90 | This Transmittal Has Been Rescinded | 1214 | N/A |
A-01-78 | Special Handling of Outpatient Prospective Payment System (OPPS) Claims Containing HCPCS Code G0121 (Screening Colonoscopy) | 1746 | 07/01/2001 |
AB-01-88 | Prior Approval Requirement for Data Center and Front End Movement | 1696 | 06/27/2001 |
A-01-18 | Effective Dates for all Medicare Secondary Payer (MSP) Sub-Modules Found in the MSP Pay (MSPPAY) Module | 1492 | 04/01/2001 |
AB-01-89 | FUTURE SOFTWARE RELEASES | 1216 | 07/01/2000 |
AB-01-69 | Revision of Medicare Reimbursement for Telehealth Services | 1650 | 10/01/2001 |
AB-01-70 | Revision of Existing Home Health Prospective Payment System (HH PPS) Consolidated Billing Edits | 1644 | 10/01/2001 |
A-01-77 | Advance Beneficiary Notices (ABNs) for Services for Which Institutional Part B Claims Will be Processed by Fiscal Intermediaries | 1192 | 07/01/2000 |
AB-01-67 | Program Memorandum on Written Statements of Intent (SOI) to Claim Medicare Benefits | 1050 | N/A |
AB-01-92 | Use of the American Dental Association 's (ADA)Current Dental Terminology- Third Edition (CDT-3)Codes on Medicare Contractors Web Sites | 1699 | N/A |
AB-01-68 | Consolidation of Program Memorandums for Outpatient Rehabilitation Therapy Services | 1155 | N/A |
A-01-58 | Clarification of Provider Cost Report Filing Requirements | 429 | N/A |
A-01-79 | Medicare Program-Update to the Prospective Payment System (PPS)for Home Health Agencies for FY 2002 | 1745 | 10/01/2001 |
AB-01-91 | Contractor Updating of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 1661 | 10/01/2001 |
AB-01-71 | Billing for Audiologic Function Tests For Beneficiaries That Are Patients of a Skilled Nursing Facility (SNF) | 1677 | 07/01/2001 |
AB-01-93 | Claims Processing Instructions for the Medicare Coordinated Care Demonstration --Correction and Enhancement | 1750 | 06/28/2001 |
AB-01-72 | New Zip Code File | 1663 | 07/01/2001 |
B-01-42 | Changes to Correct Coding Edits, Version 7.3, Effective October 1, 2001 | 1712 | 10/01/2001 |
AB-01-22 | 2001 Payment Limit Update for Ambulance Services | 1542 | 07/01/2001 |
B-01-36 | Corrections to the Correct Coding Edits, Version 7.2, Effective July 1, 2001 | 1766 | 07/01/2001 |
A-01-62 | The Certification Package for Internal Controls for Fiscal Year (FY) Ending September 30, 2001 | 1673 | N/A |
AB-01-77 | The Certification Package for Internal Controls for Fiscal Year (FY) Ending September 30, 2001 | 1652 | 10/15/2001 |
AB-01-23 | Medicare Summary Notices (MSNs) Programming Errors | 1545 | 02/05/2001 |
A-01-63 | Further Guidance Regarding Health Insurance Portability and Accountability Act (HIPAA) Health Care Claim and Coordination of Benefits (COB) | 1611 | 07/01/2001 |
A-01-60 | Revised Processing and Reporting Requirement Timeframes for Resolution of Outpatient Prospective Payment System (OPPS) Implementation Issues | 1662 | 06/08/2001 |
AB-01-81 | Update of Codes and Payments for Ambulatory Surgical Centers (ASCs) NEW VERSION | 1670 | 10/01/2001 |
B-01-37 | Systems Changes for New Oxygen Testing Requirements | 1686 | 10/01/2001 |
A-01-60 | Revised Processing and Reporting Requirement Timeframes for Resolution of Outpatient Prospective Payment System (OPPS) Implementation Issues | 1662 | 06/08/2001 |
AB-01-24 | Medicare Secondary Payer (MSP): (1) Procedures for “Write-Off - Closed” of MSP Accounts Receivable (AR); (2) Elimination of Automated/Systems “Write-Off - Closed” Actions for MSP AR; Zero Backend Tolerance for MSP AR (Reminder); and (3) Date for Establishment of MSP AR (Reminder) | 1280 | N/A |
A-01-64 | Provider Statistical and Reimbursement Report (PS&R) | 1188 | 05/22/2000 |
A-01-20 | Health Insurance Portability and Accountability Act (HIPAA) Health Care Claim and Coordination of Benefits (COB) | 1533 | 07/01/2001 |
AB-01-79 | Instructions for Coverage and Billing of Biofeedback Training for the Treatment of Urinary Incontinence | 1535 | 07/01/2001 |
AB-01-73 | Payment Instructions for Intestinal Transplants Furnished to Beneficiaries Enrolled in Medicare+Choice (M+C) Plans With Dates of Service on or After April 1, 2001, but Before January 1, 2002 | 1564 | 07/01/2001 |
AB-01-83 | Medicare Secondary Payer (MSP) Debt Collection Improvement Act of 1996 (DCIA) Activities | 1538 | 05/31/2001 |
AB-01-66 | Implementation of Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act of 2000 (BIPA) Requirements for Payment Allowance of Drugs and Biologicals Covered by Medicare | 1653 | 05/03/2001 |
AB-01-76 | COB Contractor Fact Sheet for Providers | 1460 | 06/18/2001 |
A-01-59 | Correction of Some Fiscal Year (FY) 2001 Hospice Wage Indices | 1647 | 06/18/2001 |
A-01-71 | Medicare Transitional Pass-Through Payments Under the Hospital Outpatient Prospective Payment System (OPPS) for Pacemakers and Neurostimulators | 1690 | 06/01/2001 |
A-01-70 | Frequently Asked Questions (FAQs) About Home Health Advance Beneficiary Notice (HHABN, Form HCFA-R-296) NEW VERSION | 1698 | 05/25/2001 |
AB-01-74 | Claims Processing Instructions for Clinical Trials on Carotid Stenting With Category B Investigational Device Exemptions (IDEs) | 1660 | 07/01/2001 |
A-01-73 | July 2001 Update to the Hospital Outpatient Prospective Payment System (OPPS) | 1707 | 07/01/2001 |
AB-01-75 | Common Working File (CWF) Access Change | 1168 | 10/01/2001 |
A-01-72 | Additional Problems with Processing of Non-Outpatient Prospective Payment System (OPPS) Claims Through the OPPS Outpatient Code Editor (OCE) | 1722 | N/A |
A-01-61 | Processing of 1999 Bills Under the End Stage Renal Disease (ESRD) Composite Rate System - ACTION | 1651 | 05/08/2001 |
AB-01-84 | Correction to Second Update to the 2001 Medicare Physician Fee Schedule Database | 1708 | 07/01/2001 |
A-01-34 | Salary Equivalency Guidelines Update Factors | 1578 | 04/01/2001 |
A-01-74 | Replacement Therapy Abstract File | 1713 | 07/01/2001 |
B-01-18 | Changes to Correct Coding Edits, Version 7.2, Effective July 1, 2001 | 1571 | 07/01/2001 |
A-01-32 | Biweekly Interim Payments for Certain Hospital Outpatient Items and Services That Are Paid on a Cost Basis, and Direct Medical Education Payments, Not Included in the Hospital Outpatient Prospective Payment System (OPPS) | 1507 | 05/07/2001 |
B-01-38 | Adjustment to Messages Required by Change Request (CR) 1553, Transmittal B-01-10, Systems Requirements for the Benefits Improvement and Protection Act of 2000 (BIPA) for Drugs and Biologicals Covered by Medicare, Section 114, Mandatory Submission of Assigned Claims for Drugs and Biologicals | 1701 | 07/01/2001 |
B-01-19 | Additional Information for TrailBlazer Health Enterprises (TBHE) for Centralized Billing of Flu and Pneumococcal (PPV) Vaccinations | 1586 | 03/08/2001 |
B-01-39 | Quarterly Do Not Forward (DNF) Reports | 1697 | 06/14/2001 |
B-01-40 | Expanded Coverage of Diabetes Outpatient Self-Management Training (This change request replaces the draft change request 1423 and includes full implementation instructions.) | 1455 | 07/17/2001 |
AB-01-40 | Correction to Change Request (CR) 1500 (Transmittal AB-01-26) -- Changes to the 2001 Payment Amounts for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) | 1577 | 07/01/2001 |
A-01-75 | Children's Hospital Graduate Medical Education (CHGME) | 1736 | 07/01/2001 |
AB-01-41 | Correction to April Quarterly Update for 2001 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 1580 | 04/01/2001 |
B-01-20 | Two New “K” Codes for Heavy Duty Hospital Beds | 1530 | 07/01/2001 |
AB-01-43 | Revision to Carrier/Intermediary Provider Training for Skilled Nursing Facility Prospective Payment System (SNF PPS) and Consolidated Billing | 1589 | 03/14/2001 |
B-01-36 | Corrections to the Correct Coding Edits, Version 7.2, Effective July 1, 2001 | 1766 | 07/01/2001 |
A-01-33 | Fiscal Intermediary (FI) Community Mental Health Center (CMHC) Enrollment and Change of Ownership (CHOW) Site Visit Process and Coordination with National CMHC Site Visit Contractor | 1597 | 03/14/2001 |
A-01-80 | Use of Modifier 25 and Modifier 27 in the Hospital Outpatient Prospective Payment System (OPPS) | 1725 | 10/01/2001 |
AB-03-050 | Data Center Testing and Production - Electronic Correspondence Referral System (ECRS) User Manual 5.1 and Quick Reference Guide Replacement | 2441 | 10/07/2002 |
AB-01-42 | Changes to 2001 Clinical Laboratory Fee Schedule Required by the Benefits Improvement and Protection Act (BIPA) of 2000 | 1574 | 04/01/2001 |
AB-01-45 | Retention of HCPCS Level III Codes | 1528 | 04/29/2001 |
AB-01-44 | Binding Contractor Hearing Officers to Local and Regional Medical Review Policies (L/RMRP) | 1540 | 03/15/2001 |
A-01-35 | Medicare + Choice Inpatient Encounter Data--Migration of Data Processing to the HCFA Data Center (HDC) | 1606 | 03/16/2001 |
A-01-37 | Change in the Standard Paper Remittance Advice (SPR) for Home Health Agencies | 1614 | 07/01/2001 |
A-01-36 | April Outpatient Code Editor (OCE) Specifications Version (V2.1) | 1567 | 04/01/2001 |
A-01-38 | Changes to FY 2001 and FY 2002 Graduate Medical Education (GME) Policies as Required by the Medicare, Medicaid, and State Child Health Insurance Program Balanced Budget Refinement Act of 1999 (BBRA), P. L. 106-113, and the Medicare, Medicaid, and State Child Health Insurance Program Benefits Improvement and Protection Act (BIPA) of 2000, P. L. 106-554 | 1369 | 05/05/2001 |
A-01-39 | Postacute Care Transfer Policy | 1565 | N/A |
A-01-42 | Indian Health Service Hospital Payment Rates for Calendar Years 2000 and 2001. | 1590 | 03/22/2001 |
A-01-26 | Clarification of Exclusions to the Temporary 2-Month Extension of Periodic Interim Payments (PIP) For Home Health Providers | 1579 | 02/28/2001 |
AB-01-33 | Delay of Carrier and Intermediary Actions Required in CRs 1256 and 1323, Consolidated Billing for Skilled Nursing Facility (SNF) Residents, and Fee Schedule for Part B Residents and Outpatients | 1560 | 04/01/2001 |
B-01-15 | Durable Medical Equipment Regional Carrier (DMERC) Systems Requirements to Implement Section 114 of the Benefits Improvement and Protection Act of 2000 (BIPA) | 1562 | 07/01/2001 |
B-01-14 | New Oral Anti-Cancer Drugs Approved for Use by Medicare | 1472 | 07/01/2001 |
B-01-13 | Explanation of Medicare Benefits (EOMB), Medicare Summary Notice (MSN) and Supplier Remittance Messages Durable Medical Equipment Regional Carriers (DMERCs) Must Use on Claims for Drugs and Related Equipment Supplied by a Supplier Not Licensed to Dispense the Drug | 1531 | 04/01/2001 |
AB-01-31 | Fraud Investigation Database (FID) | 1493 | 03/15/2001 |
AB-01-32 | Promoting Colorectal Cancer Screening as a Part of Colorectal Cancer Awareness Month | 1532 | 03/01/2001 |
AB-01-28 | Current Status of Medicare Program Memoranda Issued Before Calendar Year (CY) 2001 | N/A | N/A |
B-01-12 | Initial VIPS Medicare System (VMS) Changes Necessary to Allow for “Full” Program Safeguard Contractor (PSC) Implementation | 1450 | 07/01/2001 |
AB-01-30 | Claims Processing Instructions for the Medicare Coordinated Care Demonstration--Correction and Enhancement | 1548 | 07/01/2001 |
A-01-25 | Claims Processing Instructions for the Medicare Coordinated Care Demonstration--Correction and Enhancement | 1570 | 02/15/2001 |
A-01-23 | Modification to Home Health Prospective Payment System (HH PPS) Date Matching Edit in Medicare Standard Systems Software | 1539 | 07/01/2001 |
B-01-10 | Systems Requirements for the Benefits Improvement and Protection Act of 2000 (BIPA) for Drugs and Biologicals Covered by Medicare, Section 114, Mandatory Submission of Assigned Claims for Drugs and Biologicals | 1553 | 07/01/2001 |
B-01-08 | Change In Effective Date For Five “WW” Codes For Methotrexate | 1481 | 07/01/2001 |
B-01-33 | Suspend the Transmission of Box 10 Development Inquiries to the Coordination of Benefits (COB) Contractor | 1678 | 05/14/2001 |
AB-01-47 | Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Patients | 1499 | 04/01/2001 |
A-01-55 | Accelerated Referral of Non-MSP Active Delinquent Debts to the Debt Collection Center (DCC) for Cross Servicing and Treasury Offset Program (TOP) | 1683 | 04/26/2001 |
A-01-41 | Categories for Use in Coding Devices Eligible for Transitional Pass-Through Payments Under the Hospital Outpatient Prospective Payment System | 1610 | 04/01/2001 |
A-01-24 | Further Guidance on Handling OCE Error 13 | 1561 | 02/08/2001 |
AB-01-29 | Free Electronic Billing Software | 1483 | N/A |
A-01-40 | Additional Information on Transitional Pass-Through Devices and Drugs | 1601 | 04/01/2001 |
AB-01-27 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 1385 | 02/07/2001 |
B-01-09 | Suspension of Recently Implemented Correct Coding Initiative (CCI) Edits Bundling E&M Codes and Ophthalmologic Codes - Revision to Version 7.0 | 1546 | 02/12/2001 |
B-01-07 | Apligraf (Graftskin) | 1521 | 02/07/2001 |
AB-01-46 | New Waived Tests -- Effective Date of Receipt | 1575 | 07/01/2001 |
AB-01-26 | Changes to the 2001 Payment Amounts for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) | 1500 | 07/01/2001 |
A-01-43 | This Transmittal Has Been Rescinded | 1109 | N/A |
AB-01-25 | Clarification of Transmittal AB-00-107, Change Request 1163, and Transmittal AB-00-129, Change Request 1460, Regarding the Coordination of Benefits (COB) Contractor and Medicare Secondary Payer (MSP) Prepay Work Activities for Customer Service, MSP and Standard Systems Contractor Staff | 1558 | 02/15/2001 |
A-01-21 | Clarification of the Homebound Definition Under the Medicare Home Health Benefit | 1503 | 02/06/2001 |
AB-01-48 | Remittance Advice and Medicare Summary Notice Messages for the Home Health Prospective Payment System (HH PPS) | 1584 | 03/27/2001 |
B-01-31 | Accelerated Referral of Non-MSP Active Delinquent Debts to the Debt Collection Center (DCC) for Cross Servicing and Treasury Offset Program (TOP) | 1683 | 04/26/2001 |
B-01-06 | Health Insurance Portability and Accountability Act (HIPAA) Health Care Claim and Coordination of Benefits | 1534 | 07/01/2001 |
AB-01-63 | Change of Interest Citation in the Overpayment Sections of the Medicare Intermediary Manual (MIM) and the Medicare Carriers Manual (MCM) from 42 CFR Section 405.376 to 42 CFR Section 405.378. | 1623 | 04/30/2001 |
B-01-22 | Initial VIPS Medicare System (VMS) Changes Necessary to Allow for Full Program Safeguard Contractor (PSC) Implementation | 1592 | 10/01/2001 |
B-01-30 | Deletion of the HCFA Common Procedure Coding System (HCPCS) Codes A9160, A9170, and A9190 and the GX Modifier and Replacement with New Codes and Modifiers; Status Change to HCPCS Code A9270 | 1371 | 01/01/2002 |
AB-01-61 | Fiscal Intermediary (FI), Durable Medical Equipment Regional Carrier (DMERC) and Common Working File (CWF) Changes Required for Processing Method II Home Dialysis Claims | 1591 | 10/01/2001 |
B-01-32 | Health Insurance Portability and Accountability Act Health Care Claim and Coordination of Benefits | 1656 | 07/01/2001 |
AB-01-64 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 1386 | 04/26/2001 |
AB-01-65 | Procedures Subject to Home Health Consolidated Billing | 1622 | 07/01/2001 |
A-01-47 | Implementation of Updates to the Federal Fiscal Year (FY) 2001 Inpatient Hospital Payments and Disproportionate Share Hospital (DSH) Thresholds and Adjustments as Required by the Benefits Improvement and Protection Act (BIPA) of 2000 (Public Law 106-554) | 1635 | 04/01/2001 |
A-01-46 | Further Guidance on Handling the Outpatient Code Editor (OCE) Edit 43 | 1648 | 03/30/3001 |
AB-01-49 | Follow On Instructions to HCFA Business Partners Systems Security Requirements | 1605 | 03/30/2001 |
AB-01-62 | Administrative Law Judge (ALJ) Case File Preparation, Requests from the Departmental Appeals Board (DAB) for Case Files, and Retrieval of Master Files for the DAB | 1617 | 05/11/2001 |
AB-01-60 | New Temporary “Q” Codes for Splints and Casts Used for Reduction of Fractures and Dislocations | 1641 | 07/01/2001 |
AB-01-57 | Registration Process for, and Expectations for Use of, the Healthcare Integrity and Protection Data Bank (HIPDB) | 1554 | 06/18/2001 |
B-01-01 | Use of Statistical Sampling for Overpayment Estimation When Performing Administrative Reviews of Part B Claims | 1363 | 02/09/2001 |
AB-01-59 | Second Update to the 2001 Medicare Physician Fee Schedule Database | 1638 | 07/01/2001 |
AB-01-01 | Upcoming Train the Trainer Sessions on Skilled Nursing Facility Prospective Payment System and Consolidated Billing Update | 1473 | 01/09/2001 |
B-01-29 | 2001 Jurisdiction List NEW VERSION | 1607 | 07/01/2001 |
B-01-28 | Physician Supervision of Diagnostic Tests | 850 | 07/01/2001 |
B-01-02 | Medicare Requirements for Payment for Medicare-Covered Drugs | 1426 | 01/09/2001 |
A-01-53 | Discontinuing the Recognition and Financial Reporting of Accounts Receivables Due to Unfiled Cost Reports | 1645 | 04/18/2001 |
B-01-03 | Request for Carriers to Include a Message on Paper Remittance Notices-- ACTION | 1445 | 07/01/2001 |
B-01-27 | Durable Medical Equipment Regional Carrier (DMERC) Common Working File (CWF) | 1566 | 07/01/2001 |
A-01-02 | Use of Telehealth In Delivery of Home Health Services | 1490 | 01/12/2001 |
A-01-54 | Elimination of the Initial Request for Anticipated Payment (RAP) Medicare Summary Notice (MSN)/Explanation of Medicare Benefits (EOMB) | 1615 | 07/01/2001 |
A-01-03 | Temporary Two-Month Extension of Periodic Interim Payments for Home Health Providers | 1437 | 01/31/2001 |
A-01-11 | Changes to Federal Fiscal Year (FY) 2001 Inpatient Hospital Payments As Required By The Benefits Improvement And Protection Act (BIPA) Of 2000 (Public Law 106-554) | 1519 | 04/01/2001 |
AB-01-02 | Managing Medicare Appeals Workloads in FY 2001 | 1392 | 01/12/2001 |
AB-01-04 | Implementation of the National Drug Code (NDC) to Process Claims for Prescription Drugs and Biologicals and Request for Comments -- ADVANCE NOTICE | 1441 | N/A |
AB-01-03 | April Quarterly Update for 2001 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 1488 | 04/01/2001 |
B-01-04 | New Temporary “K” Code for Insulin Lispro | 1448 | 04/01/2001 |
A-01-10 | Technical Corrections to the January 2001 Update: Coding Information for Hospital Outpatient Prospective Payment System (OPPS) | 1495 | 01/30/2001 |
AB-01-05 | New Waived Tests -- Effective Date of Receipt NEW VERSION | 1413 | 01/18/2001 |
AB-01-06 | Replacement of Prosthetic Devices and Parts | 1505 | 04/01/2001 |
A-01-06 | Restoration of Full Home Health Market Basket Update for Home Health Services for Fiscal Year 2001 and Temporary 10 Percent Payment Increase for Home Health Services Furnished in a Rural Area For 24 Months Under the Home Health Prospective Payment System (HH PPS) | 1489 | 04/01/2001 |
A-01-01 | January Outpatient Code Editor (OCE) Specifications Version (V2.0) | 1466 | 01/08/2001 |
A-01-08 | Adjustments to the Federal Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Rates for FY 2001 | 1510 | 04/01/2001 |
A-01-09 | Exemption of Critical Access Hospital Swing Beds From Skilled Nursing Facility Prospective Payment System NEW VERSION | 1509 | 03/04/2001 |
A-01-05 | Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION | 1467 | 03/01/2001 |
A-01-07 | Application of Wage Index for Wichita, Kansas, Metropolitan Statistical Area (MSA) Hospice Providers | 1504 | 04/01/2001 |
A-01-04 | Change in Hospice Payment Rates As Required by the Benefits Improvement and Protection Act | 1506 | 04/01/2001 |
A-03-041 | Health Insurance Portability and Accountability Act (HIPAA) Version 4010A1 Institutional 837 Health Care Claim Additional Implementation Direction | 2706 | 05/27/2003 |
B-03-059 | Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) | 2755 | 01/01/2004 |
A-03-040 | Clarification of Bill Types 22x and 23x Submitted by Skilled Nursing Facilities (SNFs) | 2674 | See PM |
A-03-039 | Clarification to Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittals A-02-071, A-02-117) - CHANGE IN EFFECTIVE AND IMPLEMENTATION DATE ONLY | 2590 | 10/01/2003 |
B-03-060 | Expansion of Beneficiary History and Claims In Process (CIP) Files in the VIPS Medicare System (VMS). Phase 2 - Pre-Adjudication CIP File Expansion | 2666 | 01/01/2004 |
A-03-038 | Program Integrity Management Reporting (PIMR) System for Part A -Phase 2 | 2495 | 10/01/2003 |
B-03-061 | DMERCs - NCPDP Crosswalk Requirements | 2806 | 01/01/2004 |
B-03-062 | Procedures for Non-MSP Overpayments with Original Balances Less than $10.00 | 2292 | 01/01/2004 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 2766 | 07/25/2003 |
B-03-064 | CLARIFICATION-ICD-9 Coding | 2857 | 10/01/2003 |
A-03-064 | X12N 837 Institutional Health Care Claim Companion Document | 2505 | 07/25/2003 |
B-03-065 | Changes to Code List for Therapy Services | 2821 | 09/01/2003 |
A-03-062 | Department of Veterans Affairs (VA) Claims Adjudication Services Project:Systems Changes Needed | 2783 | 08/06/2003 |
B-03-066 | Durable Medical Equipment Regional Carriers (DMERCs) - Eliminate Combined Working File (CWF) Edit for Cancer Diagnosis for National Drug Codes (NDCs) | 2904 | 10/01/2003 |
B-03-067 | National Council for Prescription Drug Programs (NCPDP) Batch Transaction Standard 1.1 Billing Request Companion Document | 2839 | 09/08/2003 |
B-03-068 | 2004 Annual Update for Skilled Nursing Facility (SNF) Consolidated Billing for the Common Working File (CWF) and Medicare Carriers | 2858 | 01/01/2003 |
A-03-061 | Tentative Settlement Requirements for Cost Reports from Home Health Agencies (HHAs) and Skilled Nursing Facilities (SNFs) that have No Reimbursement Impact | 2714 | 07/01/2003 |
A-03-060 | Medicare Program - Update to the Prospective Payment System (PPS) for Home Health Agencies for FY 2004 | 2832 | 10/01/2003 |
A-03-059 | Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65 | 2638 | 10/01/2003 |
A-03-058 | Change in Methodology for Determining Payment for Outliers Under the Acute Care Hospital Inpatient and Long-Term Care Hospital Prospective Payment Systems | 2785 | 07/10/2003 |
B-03-043 | Diabetes Outpatient Self-Management Training (DSMT) and the "Incident to" Provision | 2157 | 06/06/2003 |
B-03-044 | CORRECTION TO BUSINESS REQUIREMENT # 2 | See PM | 10/01/2003 |
A-03-056 | Payment Update for Long-term Care Hospital Prospective Payment System Rate Year 2004 | 2807 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 2725 | 10/01/2003 |
A-03-055 | Disclosure of Information Requirements Related to Hospice Claims | 2732 | 07/11/2003 |
B-03-046 | Provider Education: Establishing New Requirements for ICD-9-CM Coding on Claims Submitted to Medicare Carriers - Increased Role for Physicians/Practitioners | 2784 | 06/24/2003 |
B-03-047 | Changes to Correct Coding Edits, Version 9.3, Effective October 1, 2003 | 2756 | 10/01/2003 |
B-03-048 | Addition of Temporary Codes Q4052 and Q4053 | 2798 | 07/01/2003 |
A-03-054 | Revision to CR 2573, Transmittal A-03-013, dated February 14, 2003: 3-Day Payment Window Refinements Under the Short-Term Hospital Inpatient Prospective Payment System | 2803 | 07/01/2003 |
B-03-050 | Multiple Primary Payers on Part B Claims - REVISION TO Change Request 2050 | 2758 | 07/18/2003 |
A-03-053 | Nurse Practitioner Services Under Medicare Hospice | 2750 | 07/01/2003 |
B-03-049 | Additional Instructions to Assist in the Implementation of Program Memorandum B-02-75 - Carrier Review of Payment Amounts for Portable X-Ray Transportation Services (HCPCS Code R0070) | 2741 | 07/07/2003 |
A-03-052 | Revision to Billing for Swing Bed Services Under Skilled Nursing Facility Prospective Payment System (SNF PPS) | 2257 | 07/12/2002 |
B-03-051 | Therapy Modifier Bypass for Ambulance Claims | 2849 | 09/01/2003 |
A-03-051 | July 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 2771 | 07/01/2003 |
B-03-052 | Addition of Temporary "Q" Codes for Drugs Used in Infusion Pumps | 2805 | 10/01/2003 |
B-03-054 | Establishing and Maintaining Provider and Supplier Enrollment Data in Provider Enrollment, Chain and Ownership System (PECOS) as Needed for Use by the Railroad Medicare Carrier (RMC) to Pay Claims | 2777 | 08/08/2003 |
B-03-055 | Common Working File (CWF) Crossover Editing for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims During an Inpatient Stay | 2613 | 01/01/2004 |
A-03-050 | July Medicare Outpatient Code Editor (OCE) Specifications Version 18.2 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) | 2768 | 07/01/2003 |
B-03-056 | Durable Medical Equipment Regional Carriers (DMERCs -- Additional Instructions for Health Insurance Portability and Accountability Act (HIPAA) Implementation of National Drug Codes (NDCs) and the NCPDP Format | 2760 | 01/01/2004 |
A-03-049 | Fiscal Intermediaries (FIs) Must Install and Use SuperOp with the Fiscal Intermediary Standard System (FISS) | 2718 | 06/20/2003 |
B-03-057 | Additional Guidelines for Implementing the National Council for Prescription Drug Program (NCPDP) Format | 2844 | 01/01/2004 |
A-03-048 | July Outpatient Code Editor (OCE) Specifications Version (V4.2) | 2762 | 07/01/2003 |
B-03-058 | Procedures for the Reconciliation of Total Funds Expended for Multi-Carrier System (MCS) Medicare Contractors Used in the Preparation of Form CMS-1522, Monthly Contractor Financial Report | 2795 | 01/01/2004 |
B-03-041 | National Council for Prescription Drug Programs (NCPDP) Batch Transaction Standard 1.1 Billing Request Companion Documen | 2713 | 06/06/2003 |
A-03-047 | Medicare's Coordination of Benefits Contractor (COBC) Shall Discontinue the Dissemination of the Right of Recovery Letter to Intermediaries | 2752 | 06/20/2003 |
A-03-046 | Demonstration--Settlement of Payments for Home Health Services to Beneficiaries Eligible for both Medicare and Medicaid in Connecticut, and Massachusetts. Regional Home Health Intermediaries (RHHIs) Only. | 2710 | 06/13/2003 |
B-03-042 | Bi-Annual Updates to the Health Care Provider Taxonomy Code (HPTC) | 2698 | 06/16/2003 |
A-03-045 | Payment to Hospitals and Units Excluded from the Acute Inpatient Prospective Payment System (IPPS) for Direct Graduate Medical Education (DGME) and Nursing and Allied Health (N&AH) Education for Medicare+Choice (M+C) Enrollees | 2754 | 10/01/2003 |
A-03-044 | Audit Guidance Pertaining to Write-offs of Small Debit Balances in Patients' Accounts Receivable | 2174 | 10/01/2002 |
A-03-043 | Changes to Fiscal Year (FY) 2001 Nursing and Allied Health Education Payment Policies | 2692 | See PM |
B-03-033 | Continuation of April and July 2003 Change Requests (CRs 2425 and 2525): Create Import/Export Functionality Between the Medicare Claims System (MCS) and the Provider Enrollment Chain Ownership System (PECOS) | 2643 | See PM |
B-03-034 | Continuation of April and July 2003 Change Requests (CRs 2426 and 2526): Process all Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Modify the Medicare Claims System (MCS) to Incorporate all Claim Payment and Provider Correspondence Functionality that is Included in the Provider Enrollment System (PES) but will not be a part of PECOS | 2644 | See PM |
A-03-042 | Updated Revision to Change Request (CR) 2508, Suspension, Offset, and Recoupment of Medicare Payments to Providers and Suppliers of Services | 2677 | 06/01/2005 |
B-03-035 | Continuation of April and July 2003 Change Requests (CRs 2427 and 2527): Process all Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Create Import/Export Functionality Between the VIPS Medicare System (VMS) and PECOS | 2645 | See PM |
B-03-036 | Expansion of Beneficiary History and Claims In Process (CIP) Files in the VIPS Medicare System (VMS). Phase 1 - Beneficiary History File Expansion | 2656 | 10/01/2003 |
AB-03-071 | July Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 2702 | 07/01/2003 |
B-03-030 | Type of Service (TOS) Corrections | 2703 | 07/01/2003 |
AB-03-038 | Reporting Benefit Integrity (BI) Workload in CROWD | 2588 | 04/11/2003 |
AB-03-070 | Second Update to the 2003 Medicare Physician Fee Schedule Database | 2734 | 07/01/2003 |
AB-03-069 | Clarification of the Criteria for a Valid Written Statement of Intent (SOI) To File a Medicare Claim | 2596 | 05/23/2003 |
B-03-031 | Multi-Carrier System (MCS) Reporting of 2003 Participating Data to the Contractor Reporting of Operational & Workload Data (CROWD) System | 2629 | 10/01/2003 |
B-03-032 | Continuation of April and July 2003 Change Requests (CRs 2424 and 2524): Create Import/Export Functionality Between the Unique Provider Identification Number System (UPIN) and the Provider Enrollment Chain Ownership System (PECOS) | 2642 | 07/01/2003 |
B-03-037 | Excluding from Home Health Consolidated Billing Edits Claims for Therapy Services Rendered by Physicians | 2705 | 10/01/2003 |
AB-03-037 | Provider Education Article: Medicare Payments for Part B Mental Health Services | 2520 | 03/28/2003 |
AB-03-024 | Clarification of the Allocation of Initial Claim Entry Activities Where the Claim is Paid Secondary by Medicare | 2074 | 04/12/2002 |
B-03-038 | Oral Anti-Cancer Drugs | 2705 | 10/01/2003 |
B-03-039 | Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Bypass to Allow Separate Payment for Drugs | 2707 | See PM |
B-03-040 | Update of the Place of Service (POS) Code Set | 2730 | 10/01/2003 |
AB-03-023 | Deep Brain Stimulation for Essential Tremor and Parkinson's Disease | 2553 | 04/01/2003 |
AB-03-022 | Use of the American Medical Association's (AMA's) Physicians' Current Procedural Terminology, Fourth Edition (CPT) Codes on Contractors' Web Sites | 2583 | See PM |
B-03-029 | Managed Care Reasonable Charge Data Disclosure Requirements for Ambulance Services | 2561 | 05/09/2003 |
B-03-028 | Durable Medical Equipment Regional Carriers (DMERC) - ICD-9-CM Coding | 2672 | 05/01/2003 |
AB-03-021 | Additional Documentation Requests (ADR) Requirements for Ordering Providers of Laboratory Services | 2504 | 07/01/2003 |
AB-03-126 | SUBJECT: Change in Type of Service for L0480 | 2736 | 01/01/2004 |
AB-03-020 | Clarification of Transmittal AB-00-107, Change Request 1163, and Transmittal AB-00-129, Change Request 1460, Regarding the Coordination of Benefits (COB) Contractor and Medicare Secondary Payer (MSP) Prepay Work Activities for Customer Service, MSP and Standard Systems Contractor Staff | 1558 | 02/15/2001 |
AB-03-019 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 2430 | 02/11/2003 |
AB-03-018 | Implementation of the Financial Limitation for Outpatient Rehabilitation Services | 2183 | 07/01/2003 |
AB-03-017 | Scheduled Release for April Updates to Software Programs and Pricing/Coding Files | 2572 | See PM |
AB-03-016 | CR 2240 Question and Answer Document and Claims Processing Instructions for Processing Rejected Claims | 2552 | 02/07/2003 |
AB-03-015 | Shared Systems Changes for Name Change from HCFA to CMS (MCS and CWF external changes only) | 2280 | 07/01/2003 |
AB-03-127 | Payment for the Fecal Leukocyte Examination Under a Clinical Laboratory Improvement Amendments of 1988 (CLIA) Certificate for Provider-Performed Microscopy (PPM) Procedures During CY 2003 | 2843 | 10/01/2003 |
AB-03-128 | Clarification to Transmittal AB-03-044 (CR 2611), Addition of New Temporary "K" Codes | 2818 | 01/01/2004 |
AB-03-113 | Update of Codes in the Program Integrity Management Reporting System (PIMR) and the Contractor Administrative Cost and Financial Management System (CAFM II) | 2704 | 01/01/2004 |
AB-03-114 | Claims Processing and Payment of Incomplete Screening Colonoscopies | 2822 | 01/01/2004 |
AB-03-014 | Single Drug Pricer(SDP) | 2544 | 02/14/2003 |
AB-03-013 | New Waived Tests - December 17, 2002 | 2533 | 04/01/2003 |
AB-03-115 | Payment Denial for Medicare Services furnished to Alien Beneficiaries Who are Not Lawfully Present in the United States | 2825 | 01/01/2004 |
AB-03-116 | Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2003 | 2871 | 10/01/2003 |
AB-03-012 | Remittance Advice Remark and Reason Code Update | 2546 | 04/01/2003 |
AB-03-117 | Contractor Guidance For Connection to the Medicare Data Communication Network (MDCN) for Real-time Eligibility Inquiries (270/271) via a Route Other Than IVANS | 2845 | 08/22/2003 |
AB-03-118 | Cease Further Work on the Eligibility File-Based Standard Trading Partner Agreement (STPA) for the Purpose of Coordination of Benefits (COB) | 2864 | 08/08/2003 |
AB-03-011 | Identifying the Primary Payer Amounts to Send to the Medicare Secondary Payer Pay Module (MSPPAY) and the Shared Systems When There Are Multiple Primary Payers on Electronic and Hardcopy Claims | 2050 | 07/01/2003 |
AB-03-119 | Final Update to the 2003 Medicare Physician Fee Schedule Database | 2853 | 10/01/2003 |
AB-03-120 | Medicare Secondary Payer (MSP) - (1) Copy of Recovery Demand Packages Resulting From A Data Match or Non-Data Match Group Health Plan (GHP) Recovery Action to Insurers/Third Party Administrators (TPAs) of Employers; (2) Documentation Required When an Insurer/TPA Wishes to Resolve a Debt on Behalf of its Client, an Employer Debtor | 2729 | 10/01/2003 |
AB-03-068 | CWF Change For The 270/271 Eligibility Transaction | 2699 | 10/06/2003 |
AB-03-010 | Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing | 2523 | 07/01/2003 |
AB-03-121 | Requirement to Cross Claims Over to Multiple Supplemental Insurers | 2534 | 01/01/2004 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 2432 | 08/11/2003 |
AB-03-009 | The Medicare Exclusion Database (MED) Replaces Publication 69 | 1919 | 01/01/2002 |
AB-03-124 | REMINDER -- Standard System Automation of the "Notice of Change to Medicare Secondary Payer (MSP) Auxiliary File" Process | 2608 | 01/01/2004 |
AB-03-125 | Consolidation of Claims Cross-over Process | 2836 | 01/01/2004 |
AB-03-008 | Clarification of Physician Certification Requirements for Medicare Hospice | 1502 | 02/01/2001 |
B-03-016 | Continuation of April 2003 Change Request 2427: Process all Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Shut Down All Provider Enrollment Functions in the Carrier Enrollment System (PENS). Create Import/Export Functionality Between the Viable Medicare System (VMS) and the Provider Enrollment Chain Ownership System (PECOS) | 2527 | 07/01/2003 |
AB-03-007 | Second Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule | 2470 | 02/24/2003 |
B-03-017 | Add-On-Codes for Anesthesia | 2539 | 07/01/2003 |
AB-03-006 | April Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 2535 | 04/01/2003 |
B-03-018 | Changes to Correct Coding Edits, Version 9.2, Effective July 1, 2003 | 2565 | 07/01/2003 |
AB-03-005 | FY 2003 Systems Security Activities and Due Dates | 2518 | 02/24/2003 |
A-03-069 | October Outpatient Code Editor (OCE) Specifications Version (V4.3) | 2861 | 10/01/2003 |
B-03-019 | Durable Medical Equipment Regional Carriers (DMERCs) and Part B Carriers on the VMS Standard System-Short Descriptions of National Modifiers on the Healthcare Common Procedure Coding System (HCPCS) Tape | 2343 | 07/01/2003 |
AB-03-064 | System Networking Electronic Correspondence Referral System (SNECRS) User Guide | 2024 | 03/30/2002 |
B-03-020 | 2003 DMEPOS Jurisdiction List | 2567 | 04/01/2003 |
B-03-021 | Provider Education Regarding Home Health Consolidated Billing (HH CB) and Provider Liability | 2619 | 03/13/2003 |
A-03-068 | Informing Beneficiaries About Which Local Medical Review Policy (LMRP) and/or National Coverage Determination (NCD) is Associated with Their Claim Denial | 2342 | 01/01/2004 |
A-03-067 | The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2002 for Inpatient Prospective Payment System (IPPS) Hospitals | 2868 | 10/01/2003 |
B-03-022 | Use of Statistical Sampling for Overpayment Estimation When Performing Administrative Reviews of Part B Claims | 1363 | 02/09/2001 |
B-03-023 | Correct Payment of January and February 2003 Physician Services | 2669 | 07/01/2003 |
AB-03-004 | Installation of a Security Firewall for Deceased Beneficiary Files (Options B & C) | 2516 | 01/24/2003 |
B-03-024 | Follow up to Implementation of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standard Version 5.1 and the Equivalent Batch Standard Version 1.1 for Retail Pharmacy Drug Transactions | 2581 | 07/01/2003 |
AB-03-003 | Noncoverage of Multiple Electroconvulsive Therapy (MECT) | 2499 | 04/01/2003 |
AB-03-002 | Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement | 2515 | 04/01/2003 |
B-03-025 | Durable Medical Equipment Regional Carriers (DMERCs) - DeWall Posture Protector Orthotic Body Jacket (L0430) | 2711 | 04/11/2003 |
B-03-011 | Correct Payment of January and February 2003 Physician Services | 2549 | 07/01/2003 |
AB-03-001 | Medicare Coverage of Non-Invasive Vascular Studies for End Stage Renal Disease (ESRD) Patients | 1855 | 01/01/2002 |
A-03-082 | Clarification for billing under the 2300 Provider Number by Hospital-Based Renal Dialysis Facilities (RDF) | 2877 | 01/01/2004 |
B-03-012 | Use of the National Drug Code (NDC) for Drug Claims at the Durable Medical Equipment Regional Carriers (DMERCs) | 2339 | 07/01/2003 |
B-03-013 | Continuation of April 2003 Change Request 2424: Create Import/Export Functionality Between the Unique Provider Identification Number System (UPIN) and the Provider Enrollment Chain Ownership System (PECOS) | 2524 | 07/01/2003 |
AB-03-063 | New Common Working File (CWF) Medicare Secondary Payer (MSP) Edit to Reject MSP Records for Medicare Beneficiaries Who Are Only Entitled to Medicare Part B, and Are Covered by a Group Health Plan (GHP) | 1922 | See PM |
B-03-014 | Continuation of April 2003 Change Request 2425: Create Import/Export Functionality Between the Medicare Claims System (MCS) and the Provider Enrollment Chain Ownership System (PECOS) | 2525 | 07/01/2003 |
A-03-081 | Conflicting Policies with Provider Reimbursement Manual 15-1, Section 2771 | 2847 | 10/10/2003 |
B-03-015 | Continuation of April 2003 Change Request 2426: Process all Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Modify the Medicare Claims System (MCS) to Incorporate All Claim Payment and Provider Correspondence Functionality That is Included in the Carrier Provider Enrollment System (PES) But Will Not Be a Part of PECOS. Shut Down All Provider Enrollment Functions in PES | 2526 | 07/01/2003 |
AB-03-062 | New Common Working File (CWF) Edits and Standard System Responses on Skilled Nursing Facility (SNF) Claims | 1778 | 04/01/2002 |
B-03-026 | Standard System Acceptance of Primary Payer Information at the Line Level | 1287 | N/A |
A-03-080 | End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests | 2277 | 10/01/2003 |
A-03-066 | Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions | 1229 | 08/14/2000 |
B-03-027 | Implementation of Carrier Jurisdiction Manual Instructions Based on the Medicare Carriers Manual (MCM) Part 3, Section Section 3100 - 3101 for the Multi-Carrier System (MCS) Standard System and Associated Medicare Carriers | 1646 | 07/01/2003 |
A-03-065 | New Common Working File (CWF) Edits to Ensure Accurate Coding and Payments for Discharge and/or Transfer Policies Under the Inpatient Prospective Payment System (IPPS) | 2716 | 01/01/2004 |
B-03-001 | Emergency Update to the 2003 Medicare Physician Fee Schedule DatabaseB-03-001 | 2530 | 03/10/2003 |
AB-03-067 | Revision to CR 2170: Appeals Quality Improvement and Data Analysis Activities | 2740 | 07/24/2003 |
AB-03-066 | Issuance of the Eligibility File-Based Standard Trading Partner Agreement (TPA) for the Purpose of Coordination of Benefits (COB) | 2542 | 05/23/2003 |
A-03-079 | Installation of Version 31 of the Provider Statistical and Reimbursement (PS&R) Reporting System | 2899 | 01/01/2003 |
AB-03-061 | Program Memorandum on Written Statements of Intent (SOI) to Claim Medicare Benefits | 1050 | 04/24/2002 |
AB-03-060 | Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions | 2657 | 10/01/2003 |
A-03-077 | October Medicare Outpatient Code Editor (OCE) Specifications Version 19.0 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) | 2897 | 10/01/2003 |
B-03-002 | DMERCs - VIPS Medicare System (VMS) Implementation to Process ICD-9 CM Codes Using Date of Service and Not Date of Receipt. | 2558 | 04/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 2887 | 10/01/2003 |
B-03-003 | Section II.8, Processing Initial Denials, of the DMEPOS Refund Requirements - Implementation of Limits on Beneficiary Liability for Medical Equipment and Supplies - Change | 2416 | 07/01/2003 |
AB-03-065 | Scheduled Release for July Updates to Software Programs and Pricing/Coding Files | 2744 | See PM |
A-03-075 | Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Update | 2893 | 10/01/2003 |
B-03-004 | CWF Change for Billing for Glucose Test Strips and Supplies - Follow-up to CR 2156 | 2363 | 07/01/2003 |
AB-03-059 | Shared Systems Changes for Name Change from HCFA to CMS (FISS and VMS external changes only) | 2633 | 10/01/2003 |
A-03-074 | Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2004 | 2894 | 10/01/2003 |
B-03-005 | Reporting of Accident Date and Ambulance Certification Information on the X12N 837 (version 4010) Coordination of Benefits (COB) Transaction | 2449 | 07/01/2003 |
A-03-073 | Fiscal Year (FY) 2004 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH), and Other Bill Processing Changes | 2891 | 10/01/2003 |
B-03-006 | Program Integrity Management Reporting (PIMR) System for Part B - Correction of Multiple Reports of Savings By VIPS Standard Systems (i.e., VIPS Medicare System (VMS) and Durable Medical Equipment Regional Contractor (DMERC) System) | 2493 | 07/01/2003 |
B-03-007 | Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Physician Fee Schedule (MPFS) Services | 2460 | 07/01/2003 |
AB-03-143 | Implementation of Certain Initial Determination and Appeal Provisions Within Section 521 of the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 | 2251 | N/A |
AB-03-144 | Establishing a Uniform Process for the Preparation and Mailing of Case Files From the Contractor to the Office of Hearings and Appeals (OHA) of the Social Security Administration (SSA) | 2304 | 10/01/2003 |
AB-03-145 | Instructions for Contractors Other Than the Religious Nonmedical Health Care Institution (RNHCI) Specialty Intermediary Regarding Claims For Beneficiaries With RNHCI Elections | 2881 | 01/01/2004 |
AB-03-146 | Reminder Notice of the Implementation of the Ambulance Transition Schedule | 2834 | 01/01/2004 |
B-03-008 | Medical Review (MR) Progressive Corrective Action (PCA) Continuation of Work Begun In Compliance with Change Request (CR) 2433 | 2496 | N/A |
B-03-009 | Durable Medical Equipment Regional Carriers (DMERCs)-New Modifier Needed to Invoke Advanced Beneficiary Notice (ABN) Logic for Hard Copy and Electronic Claims | 2048 | 07/01/2003 |
B-03-010 | Transmittal B-03-010 has been rescinded | 2501 | N/A |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 2562 | 10/01/2003 |
AB-03-147 | Core Elements and Required Statements for a Valid Privacy Authorization | 2816 | 10/10/2003 |
A-03-072 | Instructions for Provider Credit Balance Reporting Activities | 2810 | 08/08/2003 |
AB-03-133 | Managing Medicare Appeals Workloads in FY 2004 | 2811 | 10/01/2003 |
AB-03-057 | Implementation of the Financial Limitation for Outpatient Rehabilitation Services | 2709 | 10/01/2003 |
A-03-071 | Retroactive Correction of Provider Statistical and Reimbursement (PS&R) System Report Data Related to Mammography and Outpatient Therapy Services | 2827 | 10/01/2003 |
AB-03-134 | Modifier and Condition Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 2880 | 01/01/2004 |
AB-03-136 | Correction to Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement | 2892 | 10/01/2003 |
A-03-070 | Inclusion of the State of New York in Demonstration for Settlement of Payments for Home Health Services to Dual Eligibles and Instructions for Processing Fiscal Year 2000 Claims Under the Demonstration. Regional Home Health Intermediaries (RHHIs) Only. | 2804 | 08/28/2003 |
AB-03-056 | New Waived Tests - March 21, 2003 | 2685 | 07/01/2003 |
AB-03-137 | Update of HCPCS Codes and Payments for Ambulatory Surgical Centers (ASCs) and File Names, Descriptions and Instructions for Retrieving the 2004 ASC HCPCS Additions, Deletions and Master Listing | 2890 | 01/01/2004 |
AB-03-055 | Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing | 2654 | 10/01/2003 |
AB-03-138 | Modification of Medicare Policy for Erythropoietin (EPO) | 2266 | 08/31/2003 |
AB-03-054 | Diagnosis Code for Screening Pap Smear and Pelvic Examination Services | 2637 | 10/01/2003 |
AB-03-140 | 2004 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder | 2896 | 01/01/2003 |
AB-03-053 | Availability of Online Screens for the Laboratory National Coverage Determinations (NCDs) | 2615 | 10/01/2003 |
AB-03-141 | CMS Companion Document for the Accredited Standards Committee (ASC) X12N 276/277 Health Care Claim Status Request And Response | 2742 | 10/27/2003 |
AB-03-052 | Managing Medicare Appeals Workloads in FY 2003 | 2330 | 05/15/2003 |
AB-03-142 | The Coordination of Benefits Contractor (COBC) Will Post the Lead Medicare Contractor in the Group Name Field on the Common Working File (CWF) and Expansion of Lead Contractor Viewing in the Electronic Correspondence Referral System (ECRS) | 2867 | 10/10/2003 |
AB-03-051 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 2431 | 04/28/2003 |
AB-03-129 | Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update. | 2842 | 10/01/2003 |
AB-03-131 | Update to Health Care Claims Status Category Codes and Health Care Claim Status Codes for Use with the Health Care Claim Status Request and Response ASC X12N 276/277 | 2786 | 09/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 2841 | 09/05/2003 |
AB-03-049 | Clarification of Payment Responsibilities of Fee-for-Service Contractors as it Relates to Hospice Members Enrolled in Managed Care Organizations (MCOs) and Claims Processing Instructions for Processing Rejected Claims | 2013 | 04/01/2002 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 2801 | 10/01/2003 |
AB-03-048 | End Stage Renal Disease (ESRD) Coordination Period | 2543 | 05/09/2003 |
AB-03-102 | Clarification Regarding Coverage of Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities | 2769 | 08/08/2003 |
AB-03-047 | Single Drug Pricer (SDP) Clarifications | 2659 | 04/18/2003 |
AB-03-103 | Medicare Secondary Payer (MSP) Debt Referral and Write Off Closed Instructions | 2749 | 08/08/2003 |
AB-03-036 | 270/271 Implementation and Direct Date Entry (DDE) Eligibility | 2576 | 07/01/2003 |
AB-03-104 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 1, 2003 | 2814 | 10/01/2003 |
AB-03-046 | Expanding the Number of Source Identifiers for Common Working File (CWF) MSP Records | 1923 | 04/01/2002 |
AB-03-045 | Addition of Temporary "K" Codes | 2623 | 07/01/2003 |
AB-03-105 | Harkin Grantees: Complaint Tracking System and Aggregate Reports | 2787 | 08/08/2003 |
AB-03-044 | Addition of Temporary "K" Codes | 2611 | 07/01/2003 |
AB-03-106 | Third Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule | 2770 | 08/08/2003 |
AB-03-107 | Federal Bankruptcy/State Insurer Liquidation Actions and Medicare Secondary Payer (MSP) Debt | 2697 | 09/02/2003 |
AB-03-035 | Emergency Changes to the 2003 Medicare Physician Fee Schedule Database | 2609 | 03/03/2003 |
AB-03-108 | Medicare Secondary Payer (MSP) - 1) Use of Inter-Contractor Notices (ICNs) and the Common Working File (CWF) for the Development of the MSP Conditional Payment Amount for Liability, No-Fault, Workers' Compensation, and Federal Tort Claims Act (FTCA) Cases; 2) Reminder Regarding Termination Updates to the CWF; 3) Reminder Regarding Savings Information to Non-Lead Contractors | 2715 | 08/09/2003 |
AB-03-034 | Medicare Fee for Service Contractor Guidance on the HIPAA Privacy Rule | 2484 | 04/14/2003 |
AB-03-109 | Discontinue Use of the Healthcare Integrity and Protection Data Bank (HIPDB) for Provider Enrollment Only | 2808 | 08/15/2003 |
AB-03-110 | Adjustment to the Rural Mileage Payment Rate for Ground Ambulance Services | 2767 | 01/01/2004 |
AB-03-033 | Promoting Colorectal Cancer Screening as a Part of National Colorectal Cancer Awareness Month | 2580 | 03/10/2003 |
AB-03-111 | Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing | 2789 | 01/01/2004 |
AB-03-032 | File Names, Descriptions and Instructions for Retrieving the 2003 Ambulatory Surgical Center (ASC) HCPCS Additions, Deletions and Master Listing | 2574 | 07/01/2003 |
AB-03-031 | Addition or Modification of Temporary "K" Codes and Change in Status for Code A4232 | 2584 | 04/01/2003 |
AB-03-112 | Informing Beneficiaries About Which Local Medical Review Policy (LMRP) and/or National Coverage Determination (NCD) is Associated with Their Claim Denial | 2342 | 01/01/2004 |
AB-03-099 | Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes | 2773 | 10/01/2003 |
AB-03-043 | Addition of "K" Codes for Surgical Dressings | 2678 | 07/01/2003 |
AB-03-100 | October Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 2802 | 07/17/2003 |
AB-03-081 | Data Center Testing and Production - Electronic Correspondence Referral System (ECRS) User Manual 6.0 | 2748 | 08/04/2003 |
AB-03-097 | Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 | 2837 | 07/21/2003 |
AB-03-042 | Coverage and Billing for Percutaneous Image-Guided Breast Biopsy | 2575 | 04/18/2003 |
AB-03-098 | Medicare Summary Notice (MSN) Implementation for Contractors Using APASS and HPBSS - ACTION | 1920 | 07/01/2002 |
AB-03-080 | Single Drug Pricer (SDP) Clarification for Code J7342l | 2772 | 06/06/2003 |
AB-03-083 | Screening of Complaints Alleging Fraud and Abuse | 2719 | 06/13/2003 |
AB-03-078 | Medicare Fee-for-Service (FFS) Contractor Guidance on the HIPAA Privacy Rule Business Associate Provisions | 2712 | 05/31/2003 |
AB-03-077 | Revised Disclosure Desk Reference for Call Centers | 2566 | 06/23/2003 |
AB-03-084 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 1, 2003 | 2737 | 07/01/2003 |
AB-03-085 | Beneficiary Notice of Implementation of Outpatient Therapy Service Limitations | 2792 | 07/01/2003 |
AB-03-086 | New Automatic Notice of Change to Medicare Secondary Payer (MSP) Auxiliary File | 1529 | 07/01/2001 |
AB-03-087 | Common Working File (CWF) Edits with Unsolicited Responses for Skilled Nursing Facility (SNF) Consolidated Billing | 2034 | 07/01/2002 |
AB-03-041 | Common Working File (CWF) Reject and Utilization Edits and Carrier Resolution for Consolidated Billing for Skilled Nursing Facility (SNF) Residents | 1764 | 04/01/2002 |
AB-03-089 | Coverage and Billing for Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management | 2323 | 12/27/2002 |
AB-03-076 | Remittance Advice Message for Denial of Clinical Diagnostic Laboratory Services Denied Due to Frequency Edits | 2701 | 10/01/2003 |
AB-03-090 | Coverage of Compression Garments in the Treatment of Venous Stasis Ulcers | 2739 | 10/01/2003 |
AB-03-030 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 1, 2003 | 2578 | 04/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 2763 | 10/01/2003 |
AB-03-088 | Prohibition on New Trading Partner Agreements (TPAs) with Certain Entities for the Purpose of Coordination of Benefits (COB) | 2216 | 07/05/2005 |
AB-03-075 | Provider Education Article: Quarterly Provider Update | 2686 | 05/23/2003 |
AB-03-092 | Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements-for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 | 2687 | 10/01/2003 |
AB-03-029 | Health Care Claims Status Category Codes and Health Care Claim Status Codes for Use with the Health Care Claim Status Request and Response ASC X12N 276/277 | 2555 | 03/28/2003 |
AB-03-093 | Correction: Coverage and Billing Requirements for Electrical Stimulation for the Treatment of Wounds | 2733 | 07/11/2003 |
AB-03-094 | October 2003 Quarterly Update for Skilled Nursing Facility (SNF) Consolidated Billing | 2781 | 10/01/2003 |
AB-03-074 | Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes | 2618 | 05/23/2003 |
AB-03-028 | Coverage and Billing of Sacral Nerve Stimulation | 2532 | 01/01/2002 |
AB-03-027 | Payment Change for the 2003 Medicare Physician Fee Schedule (MPFS) and Further Extension of the 2003 Participation Enrollment Process | 2601 | 03/01/2003 |
AB-03-026 | Implementation of the Modifications (4010A1) to Transactions and Code Set Standards for Electronic Transactions Adopted Under the Health Insurance Portability and Accountability Act (HIPAA) | 2385 | 04/01/2003 |
AB-03-025 | System Networking Electronic Correspondence Referral System (SNECRS) 1.3 User and Installation Guides for Testing and Production | 2359 | 10/08/2002 |
AB-03-040 | Provider Education Article: "Hospice Care Enhances Dignity and Peace As Life Nears Its End" | 2570 | 04/11/2003 |
AB-03-039 | Procedure for Granting Extensions to File Requests for Appeal Under the New 120-day Timeframe Created by Section 521 of the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 | 2492 | 04/15/2003 |
AB-03-073 | Provider Education Article: Financial Limitation of Claims for Outpatient Rehabilitation Services | 2603 | 06/06/2003 |
AB-03-072 | Mammography Computer Aided Detection (CAD) Equipment | 2743 | 05/31/2003 |
AB-03-096 | Quarterly Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement | 2776 | 10/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 2788 | 10/01/2003 |
AB-00-134 | Cervical or Vaginal Smear Tests (Pap Smears) in Calendar Year (CY) 2001 Clinical Diagnostic Laboratory Fee Schedule | 1479 | 01/01/2001 |
AB-00-29.60 | Comprehensive Error Rate Testing (CERT) Program -- Medicare Contractor Change Requirements and Medicare Part B/DMERC Standard System Change Requirements | 1173 | 10/01/2000 |
AB-00-30.60 | Implementing Instructions for Services Provided in Religious Nonmedical Health Care Institutions (RNHCIs) | 1106 | 07/01/2000 |
AB-00-31.60 | Sending Common Working File (CWF) Referrals for Initial Enrollment Questionnaire (IEQ) and IRS/SSA/HCFA Data Match Records to the Coordination of Benefits (COB) Contractor | 1175 | 05/01/2000 |
AB-00-32-60 | New Waived Tests -- Effective Date of Receipt | 885 | N/A |
AB-00-33.60 | Processing of Medicare+Choice Encounter Data at the HCFA Data Center | 1182 | 07/01/2000 |
AB-00-34.60 | Program Integrity Management Reporting System | 1035 | 10/02/2000 |
AB-00-37.60 | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 1038 | 05/03/2000 |
AB-00-39.60 | Consolidation of Program Memorandums for Outpatient Rehabilitation Therapy Services | 1155 | N/A |
AB-00-42.60 | Rescinded | 1116 | N/A |
AB-00-43.60 | Program Memorandum on Written Statements of Intent (SOI) to Claim | 1050 | N/A |
AB-00-44.60 | Medicare Coverage of Non-Invasive Vascular Studies When Used to Monitor the Access Site of End Stage Renal Disease (ESRD) Patients | 1118 | 10/01/2000 |
AB-00-79 | Establishment of Contractor Numbers for Program Safeguard Contractors (PSCs) | 1284 | 09/01/2000 |
AB-00-76 | Modification of Medicare Policy for Erythropoietin (EPO) | 1243 | 09/15/2000 |
AB-00-68 | Current Status of Medicare Program Memoranda Issued Before Calendar Year (CY) 2000 | N/A | N/A |
AB-00-63.60 | Ocular Photodynamic Therapy (OPT) | 1214 | 07/01/2000 |
AB-00-61.60 | New Waived Tests -- Effective Date of Receipt | 1209 | 08/14/2000 |
AB-00-55.60 | Hemodialysis Flow Study | 1117 | 07/01/2000 |
AB-00-85 | GUIDANCE ON IMPLEMENTATION OF THE CY 2000 FOURTH QUARTER RELEASE | 1308 | N/A |
AB-00-75 | The Internal Control Certification Statement Required by the Budget and Performance Requirements (BPR) for the Fiscal Year (FY) Ending September 30, 2000 | 1239 | 09/01/2000 |
AB-00-67 | Implementation of 4105 of the Balanced Budget Act Regarding Coverage of Diabetes Outpatient Self-Management Training Services--ACTION | 606 | N/A |
AB-00-51.60 | Claims Processing Instructions for Claims Submitted With A Written Statement of Intent | 1162 | 10/01/2000 |
AB-00-86 | An Additional Source of Average Wholesale Price Data in Pricing Drugs and Biologicals Covered by the Medicare Program | 1232 | 09/08/2000 |
AB-00-77 | New State Code for Maryland Provider Numbers | 1269 | 08/15/2000 |
AB-00-69 | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 1039 | 08/01/2000 |
AB-00-62.60 | Rescinding Change Requests Numbers 1001, 1108, 1116, and 1163 | N/A | N/A |
AB-00-52.60 | Assisted Suicide Funding Restriction Act of 1997 (P.L. 105-12) | 851 | N/A |
AB-00-78 | Reasonable Charge Update for 2001 for Items and Services, Other Than Ambulance Services, Still Subject to the Reasonable Charge Payment Methodology | 1282 | 01/01/2001 |
AB-00-70 | Program Safeguard Contractor for Corporate Integrity Agreements (PSC-CIA) | 1143 | 09/05/2000 |
AB-00-53.60 | Suspension of National Coverage Policy on Electrostimulation for Wound Healing | 577 | N/A |
AB-00-60.60 | Future Software Releases | 1216 | 07/01/2000 |
AB-00-50.60 | Medicare Fraud Information Specialist (MFIS) Position | 1172 | 10/01/2000 |
AB-00-98 | Medicare Deductible and Premium Rates for Calendar Year 2001 | 1405 | 01/01/2001 |
AB-00-96 | Clarification of Fiscal Intermediary (FI) and Durable Medical Equipment Regional Carrier (DMERC) Responsibilities Concerning Home Dialysis Method Election and Claims Processing | 1275 | N/A |
AB-00-93 | Coordination with the Y2K Program Safeguard Contractor (PSC) | 1334 | 10/06/2000 |
AB-00-84 | Provider Toll-Free Telephone Inquiry Service | 1289 | 09/30/2000 |
AB-00-74 | Transfer of Initial Medicare Secondary Payer (MSP) Development Activities to the Coordination of Benefits (COB) Contractor | 1163 | N/A |
AB-00-95 | Facility Requirements for Transplantation Centers -- INFORMATION ONLY | 1374 | 10/11/2000 |
AB-00-71 | Claims Processing Instructions for the Medicare Coordinated Care Demonstration | 1116 | 01/01/2001 |
AB-00-99 | Glucose MOnitoring Note | 1407 | 11/01/2000 |
AB-00-94 | Urokinase (Abbokinase) Shortage | 1335 | 11/01/2000 |
AB-00-89 | Claims Processing Instructions for Carriers, DMERCS, Intermediaries and Regional Home Health Intermediaries (RHHIs) for Claims Submitted for Medicare Beneficiaries Participating in Medicare Qualifying Clinical Trials | 1241 | 09/19/2000 |
AB-00-80 | Instruction Implementation Reporting | 944 | 11/01/2000 |
AB-00-81 | Self-Administered Injectable Drugs and Biologicals | 1164 | 03/17/2000 |
AB-00-56.60 | Memorandum of Understanding (MOU) between the Office of Inspector General and the Department of Justice-Sharing Fraud Referrals | 1160 | N/A |
A-00-47 | Skilled Nursing Facility (SNF) Annual Update: Prospective Payment System (PPS) Pricer and Health Insurance Prospective Payment System (HIPPS) Coding Changes | 1223 | 10/01/2000 |
AB-00-92 | Sending Common Working File (CWF) Referrals for Initial Enrollment Questionnaire (IEQ) and RS/SSA/HCFA Data Match Records to the Coordination of Benefits (COB) Contractor | 1175 | 05/01/2000 |
AB-00-83 | Verteporfin (Visudyne) | 1278 | 09/04/2000 |
AB-00-65.60 | Business and System Requirements for the Home Health Prospective Payment system (HH PPS) | 514 | 10/01/2000 |
AB-00-58.60 | Guidance on Implementation of the CY 2000 Third Quarter Release | 1237 | 07/01/2000 |
AB-00-46.60 | HCFA Policy for Disclosure of Individually Identifiable Information | 1156 | N/A |
AB-00-90 | Year 2001 HCFA Common Procedure Coding System (HCPCS) Annual Update Reminder | 1314 | 01/01/2001 |
AB-00-72 | Medical Review Progressive Corrective Action (PCA) -- ACTION | 1285 | N/A |
AB-00-64.60 | Medicare Summary Notice (MSN) Implementation at Seven Contractor Sites -- ACTION | 1233 | N/A |
AB-00-57.60 | Contractor Updating of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 1204 | 10/01/2000 |
AB-00-48.60 | Model Acknowledgment Letters for Valid and Invalid Written Statements of Intent to Claim Medicare Benefits (As Referenced in PM Transmittal AB-99-88) | 1090 | 12/23/1999 |
AB-00-91 | Mammography Screening Payment Limit for Calendar Year 2001 | 1276 | 01/01/2001 |
AB-00-82 | Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2000 | 1295 | 10/01/2000 |
AB-00-73 | Proper Billing of Outpatient Pathology Services Under the Outpatient Prospective Payment System (OPPS) | 1309 | 08/14/2000 |
AB-00-49.60 | Program Memorandum on Statements of Intent To File Claims For Claims Filing Periods That End On December 31, 1999 | 1054 | 12/31/1999 |
AB-00-45.60 | Award of Medicare+Choice (M+C) Contract to Sterling Life Insurance Co., Inc. for M+C Private Fee-for-Service (PFFS) Plan -- INFORMATION ONLY | 1197 | 07/01/2000 |
AB-00-88 | Implementation of the Ambulance Fee Schedule | 1281 | 01/01/2001 |
AB-00-01.60 | Prospective Payment System for Outpatient Rehabilitation Services and Application of Financial Limitation | 483 | 01/01/2000 |
AB-00-02.60 | DMERCs -- Pre-Discharge Delivery of DMEPOS for Fitting and Training | 901 | 04/01/2000 |
AB-00-03.60 | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 1037 | 02/02/2000 |
AB-00-04.60 | April Quarterly Update for 2000 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 1053 | 04/01/2000 |
AB-00-05.60 | Operating Instructions for Expanded Coverage of the Electrical Osteogenic Stimulator for Fracture Healing. Effective for Services Performed on or After 4/l/2000 | 1085 | 04/01/2000 |
AB-00-06.60 | Do Not Forward (DNF). Initiative | 681 | 07/01/2000 |
AB-00-07.60 | Moratorium on Data Center Movements | 1089 | 02/11/2000 |
AB-00-08.60 | Payment for All Comprehensive Outpatient Rehabilitation Facility (CORF) Services Under the Medicare Physician Fee Schedule (MPFS) | 1113 | 07/01/2000 |
AB-00-10.60 | Implementing Instructions for Services Provided in Religious Nonmedical Health Care Institutions (RNHCIs) | 1106 | 07/01/2000 |
AB-00-101 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 1384 | 10/24/2000 |
AB-00-102 | Clarification to MCM Section 2130 Prosthetic Devices and CIM Section 60-9 Durable Medical Equipment Reference List--Coverage of Intermittent Catheterization | 939 | 10/01/1999 |
AB-00-103 | Final Rule Revising and Updating Medicare Policies Concerning Ambulance Services | 905 | N/A |
AB-00-104 | Autologous Stem Cell Transplantation (AuSCT) for Patients With Multiple Myeloma | 1375 | 11/30/2000 |
AB-00-105 | New Waived Tests -- November 9, 2000 | 1339 | 01/01/2001 |
AB-00-106 | Establishment of Provider/Supplier Information and Education Resource Directory | 1352 | 12/09/2000 |
AB-00-107 | Transfer of Initial Medicare Secondary Payer (MSP) Development Activities to the Coordination of Benefits (COB) Contractor | 1163 | N/A |
AB-00-108 | Glucose Monitoring | 1362 | 01/01/2001 |
AB-00-11.60 | Medicare Secondary Payer (MSP) -- Identification and Write Off/Adjustment of MSP Settlement Related Group Health Plan (GHP) Based Accounts Receivable (AR), and Write Off of Unsupportable MSP AR | 899 | 01/01/2000 |
AB-00-14.60 | Questions and Answers Regarding the Prospective Payment System (PPS) for Outpatient Rehabilitation Services and Physical Medicine Current Procedural Terminology (CPT) Coding Guidance | 842 | 01/01/2000 |
AB-00-110 | Implementation of the New Payment Limit for Drugs and Biologicals | 745 | N/A |
AB-00-111 | Revised Claims Processing Instructions for Medicare Qualifying Clinical Trial Claims for Managed Care (M+C) Enrollees | 1424 | 04/02/2001 |
AB-00-15.60 | Delay of Hyperbaric Oxygen Therapy Coverage Policy | 1138 | 04/01/2000 |
AB-00-112 | Home Health Prospective Payment System/Consolidated Billing (PPSCB) Edits and Systems Changes; Instructions for Standard Systems, CWF, and Contractors Part II | 1412 | 04/01/2001 |
AB-00-16.60 | Instructions to All Medicare Contractors for Reporting Audited Year 2000 Costs on the Final Administrative Costs Proposals | 1062 | 02/01/2000 |
AB-00-113 | Instructions for Implementing and Updating 2001 Payment Amounts for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) | 1388 | 01/01/2001 |
AB-00-17.60 | Clarification of Liver Transplant Policy | 1112 | 01/01/2000 |
AB-00-114 | Update of Codes and Payments for Ambulatory Surgical Centers (ASCs) | 1416 | 01/01/2001 |
AB-00-18.60 | Consolidated Billing for Skilled Nursing Facilities (SNFs)--The Balanced Budget Refinement Act of 1999 | 1070 | 04/01/2000 |
AB-00-115 | Source of Average Wholesale Price Data in Pricing Drugs and Biologicals Covered by the Medicare Program | 1447 | 11/17/2000 |
AB-00-19.60 | Instructions to All Medicare Contractors for Reporting Audited Year 2000 Costs on the Final Administrative Costs Proposals | 1137 | 03/31/2000 |
AB-00-116 | Local Medical Review Policy (LMRP) Development and Format | 1021 | N/A |
AB-00-20.60 | GUIDANCE ON APRIL RELEASE IMPLEMENTATION | 1157 | 01/01/2000 |
AB-00-21.60 | Self-Administered Injectable Drugs and Biologicals | 1164 | 03/17/2000 |
AB-00-22.60 | "NO FEE" POLICY FOR MEDICARE CONTRACTORS' PROVIDER EDUCATION AND TRAINING ACTIVITIES - PROGRAM MANAGEMENT AND MEDICARE INTEGRITY PROGRAM FUNDED ACTIVITIES | 1146 | 03/23/2000 |
AB-00-117 | Payment of Drugs, Biologicals and Supplies in a Comprehensive Outpatient Rehabilitation Facility (CORF) | 1166 | 04/01/2001 |
AB-00-23.60 | Medigap (Medicare supplemental insurance) Insurers Fraud Referrals | 1105 | 04/01/2000 |
AB-00-24.60 | Development and Dissemination of a Product Classification List for HCPCS Code L0430 | 1083 | 06/01/2000 |
AB-00-118 | Delay Implementation of the Ambulance Fee Schedule | 1461 | 01/01/2001 |
AB-00-119 | Change in the Collection of Comprehensive Encounter Data for the Medicare Choices Demonstration, Long-Term Care Demonstrations (Social Health Maintenance Organization (SHMO), Evercare), Department of Defense (DOD) Subvention Demonstration, and Dual Eligible Demonstrations | 1400 | 01/01/2001 |
AB-00-25.60 | CONTRACTOR TESTING REQUIREMENTS--ACTION | 1027 | 01/01/2001 |
AB-00-26.60 | July Quarterly Update for 2000 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 1169 | 07/01/2000 |
AB-00-12.60 | CORRECTION to Coordination of Benefits (COB) Contractor Numbers | 1126 | 05/15/2000 |
AB-00-120 | Operating Instructions for Coverage of Non-Implantable Pelvic Floor Electrical Stimulators | 1419 | 04/01/2001 |
AB-00-121 | Medicare Intermediary Claims Processing Standard Systems Delay of CY 2001 First Quarter Release | 1464 | 01/08/2001 |
AB-00-27.60 | Medicare Secondary Payer (MSP) Government Performance and Results Act (GPRA) Goal for Fiscal Year (FY) 2000 | 1142 | 05/01/2000 |
AB-00-28.60 | Update of Rates for Ambulatory Surgical Center (ASC) Payments--ACTION | 1145 | 01/01/2000 |
AB-00-122 | Appeals of Medicare Part A/Part B Coverage Determinations | 1348 | 12/07/2000 |
AB-00-123 | Use of Beneficiary Question & Answers on cms.hhs.gov | 1418 | 12/12/2000 |
AB-00-124 | Payment for Method II Home Dialysis Supplies | 1288 | 12/15/2000 |
AB-00-125 | Accelerated Referral of Non-MSP Delinquent Debts (Active and Currently Not Collectible (CNC)) to Debt | 1260 | 01/01/2001 |
AB-00-126 | Use of the American Medical Associations (AMAs) Physicians Current Procedural Terminology, Fourth | 1415 | N/A |
AB-00-127 | Reimbursement for Ambulance Services to Nonhospital-Based Dialysis Facilities | 868 | N/A |
AB-00-128 | Extension of the Limitation on Payment for Services to Individuals Entitled to Benefits on the Basis of End Stage Renal Disease (ESRD) Who Are Covered by Group Health Plans (GHPs) | 817 | N/A |
AB-00-129 | COB Contractor Fact Sheet for Providers | 1460 | 12/31/2000 |
AB-00-130 | Intestinal Transplantation | 1436 | 04/01/2001 |
AB-00-131 | Clarifications to Implementation of the Ambulance Fee Schedule | 1476 | 01/01/2001 |
AB-00-132 | Clarification Regarding Release of Medicare Eligibility Data | 1494 | N/A |
AB-00-133 | Coordination With Provider Educatin Program Safeguard Contractor | 1428 | 12/26/2000 |
A-00-44 | OUTPATIENT PROSPECTIVE PAYMENT SYSTEM (OPPS) CONTINGENCY PLANS AND INSTRUCTIONS | 1277 | N/A |
A-00-34.60 | Provider Statistical and Reimbursement Report (PS&R) | 1242 | 08/01/2000 |
A-00-25.60 | Provider Statistical and Reimbursement Report (PS&R) | 1188 | 05/22/2000 |
A-02-104 | Provider Education Article: Home Health Agencies' (HHAs) Responsibilities Regarding Patient Notification | 2320 | 10/25/2002 |
AB-02-168 | Advance Beneficiary Notice and DMEPOS Refund Requirements - Corrections to PM AB-02-114 | 2415 | 12/02/2002 |
AB-02-158 | Common Working File (CWF), Fiscal Intermediary (FI), and Carrier Edits and Policy Clarification for Peripheral Neuropathy With Loss of Protective Sensation (LOPS) in People With Diabetes | 2444 | 01/01/2003 |
AB-02-157 | Codes Billable by SNFs and Suppliers for SNF Residents-Notice of New File Available via CMS Mainframe Telecommunication System (DMSMTS) | 2393 | 04/01/2003 |
A-02-127 | Indian Health Service (IHS) Hospital Payment Rates for Calendar Year 2002 | 2210 | 06/18/2002 |
B-02-088 | Changes to Correct Coding Edits, Version 9.1, Effective April 1, 2003 | 2477 | 04/01/2003 |
AB-02-175 | Revisions to Common Working File Edits for Skilled Nursing Facility (SNF) Consolidated Billing (CB) to Permit Payments for Certain Diagnostic Services Furnished to Beneficiaries Receiving Treatment for End Stage Renal Disease (ESRD) at an Independent or Provider-Based Dialysis Facility | 2475 | 04/01/2003 |
A-00-70 | Provider Statistical and Reimbursement Report (PS&R) | 1359 | 10/02/2000 |
A-00-60 | Standard Questions and Answers for Beneficiary Inquiries Related to the Hospital Outpatient Prospective Payment System (OPPS) | 1311 | 09/01/2000 |
A-00-46 | Skilled Nursing Facility Adjustment Billing: Adjustments to HIPPS Codes Resulting From MDS Corrections | 1224 | 10/01/2000 |
A-00-36.60 | Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions | 1229 | 08/14/2000 |
A-00-20.60 | The Report of Benefit Savings | 1019 | 10/01/2000 |
A-00-17.60 | Changes to FY 2000 Hospital Inpatient Prospective Payment System (PPS)Policies As Required by the Medicare, Medicaid, and State-Child Health Insurance Program Balanced Budget Refinement Act of 1999 (BBRA), P.L. 106-113 | 1129 | 05/15/2000 |
A-00-15.60 | Hospital Outpatient Procedures: Medicare Changes for Radiology and Other Diagnostic Coding Due to the 1998 HCPCS Update; Miscellaneous Changes | 1110 | 07/01/2000 |
A-00-101 | Medicare Outpatient Code Editor (OCE) Version 16.1 | 1465 | 01/01/2001 |
A-00-09.60 | Hospital Outpatient Services Prospective Payment System (PPS) Background | 1012 | 07/01/2000 |
A-00-07.60 | Addition of Modifiers 25, 58, 78, and 79 to the List of Modifiers Approved for Hospital Outpatient Use and Correction to Program Memorandum (PM)A-99-41 | 1079 | 05/15/2000 |
AB-03-139 | Appeals Quality Improvement and Data Analysis Activities | 2854 | 10/01/2003 |
A-00-85 | The Report of Benefit Savings (RBS) | 1394 | 01/01/2001 |
A-00-80 | Notification to Outpatient Hospital Service Providers Concerning Deductible and Coinsurance Amounts on Electronic Remittance Advice Version 3051.4a | 1406 | 10/31/2000 |
A-00-77 | Change in Hospice Payment Rates, Update to the Hospice Cap, Revised Hospice Wage Index and Hospice Pricer | 1235 | 10/01/2000 |
A-00-67 | Deactivation of Inactive Community Mental Health Center (CMHC) Medicare Numbers | 900 | 11/01/1999 |
A-00-55 | Provider Statistical and Reimbursement Report (PS&R) | 1329 | 08/28/2000 |
A-00-52 | COMMUNITY MENTAL HEALTH CENTERS (CMHCS) PAYMENT INSTRUCTIONS FOR OUTPATIENT PROSPECTIVE PAYMENT SYSTEM (OPPS) CONTINGENCY PLANS | 1319 | 08/14/2000 |
A-00-41 | Transition to the Home Health Prospective Payment System (HHPPS)-- INFORMATION | 1264 | 10/01/2000 |
A-00-38.60 | Change in Hospice Payment Rates, Update to the Hospice Cap, Revised Hospice Wage Index and Hospice Pricer | 1235 | 10/01/2000 |
A-00-31.60 | Reporting a Patient's Reason for Visit on a Part A Outpatient Claim - INFORMATION | 1184 | N/A |
A-00-28.60 | Clarification of Provider Cost Report Filing Requirements | 429 | N/A |
A-00-11.60 | Medicare Home Health Benefit - Section 4615 of the Balanced Budget Act of 1997. Clarification That No Home Health Benefits Are Authorized Based Solely on Drawing Blood. | 401 | N/A |
A-00-04.60 | Provider Statistical and Reimbursement Report (PS&R) Unibill Record | 1095 | 05/15/2000 |
A-00-02.60 | Installation of the Medicare Outpatient Code Editor (OCE) Version 15.1 | 1096 | 01/31/2000 |
B-02-065 | Durable Medical Equipment Regional Carriers (DMERCs)-Establishment Common Working File (CWF) Override for Legitimate Duplicate Claims | 2281 | 04/01/2003 |
A-02-119 | 0001 Revenue Line Direction for the Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim | 2387 | 04/01/2003 |
B-02-078 | Medical Review (MR) Progressive Corrective Action (PCA)--ACTION | 2433 | N/A |
AB-02-185 | Deletion of Q codes and Reactivation of CPT codes for Hepatitis B Vaccine | 2536 | N/A |
AB-02-182 | Coverage and Billing of Sacral Nerve Stimulation | 2532 | 01/01/2003 |
B-02-089 | Further Instructions Regarding the Reasonable Charge Update for 2003 for Splints and Casts | 2510 | 01/01/2003 |
AB-02-177 | Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Patients | 1499 | 04/01/2001 |
A-00-89 | Implementation of HIPAA Transaction Standards - Overview and Specific Instructions for Implementing the Inbound Claim | 1391 | 07/01/2001 |
A-00-87 | Off Label Use of Oral Chemotherapy Drugs Methotrexate and Cyclophosphamide | 1408 | 04/01/2001 |
A-00-74 | October OCE | 1353 | 10/01/2000 |
A-00-64 | Terminating State Access to the Common Working File (CWF) Eligibility Data | 1317 | 10/01/2000 |
A-00-58 | Destroy Outdated Stock Of Medicare Summary Notices (MSNs) and Part A Explanation of Medicare Benefits (EOMBs) Under the Hospital Outpatient Prospective Payment System (OPPS) | 1321 | 08/31/2000 |
A-00-91 | Inpatient Rehabilitation Facility Prospective Payment System | 1343 | N/A |
A-00-71 | Medical Review (MR) of Home Health Services--For Regional Home Health Intermediaries (RHHIs) Only-Action | 1356 | 10/30/2000 |
A-00-61 | Update 1--Coding Information for Hospital Outpatient Prospective Payment System (OPPS) | 1307 | 10/01/2000 |
A-00-50 | Department of Veterans Affairs (VA) Claims Adjudication Services Project: Systems Changes Needed | 1272 | 01/01/2001 |
A-00-37.60 | Line Item Denials and the Reporting of Savings Generated by Claim Expansion and Line Item Processing | 1203 | 10/01/2000 |
A-00-21.60 | Revised Outpatient Code Editor (OCE) Specifications for the Outpatient Prospective Payment System (OPPS) | 1140 | 07/01/2000 |
A-00-18.60 | Fiscal Intermediary (FI) Community Mental Health Center (CMHC)Enrollment and Change of Ownership (CHOW) Site Visit Process and Coordination with National CMHC Site Visit Contractor | 1109 | 04/01/2000 |
AB-01-167 | Correction to 2nd Update to 2001 Medicare Physician Fee Schedule Database | 1937 | 12/20/2001 |
AB-02-151 | Clarification Regarding Non-physician Practitioners Billing on Behalf of a Diabetes Outpatient Self-Management Training Services (DSMT) Program and the Common Working File Edits for DSMT & Medical Nutrition Therapy (MNT). (NOTE: APASS has received a waiver for this CR) | 2373 | 04/01/2003 |
A-02-109 | Cost Based Payment for Certified Registered Nurse Anesthetists (CRNA) Services Furnished by Outpatient Prospective Payment System (OPPS) Hospitals | 2325 | 04/01/2003 |
AB-02-143 | Provider Education Article: Psychotropic Drug Use in Skilled Nursing Facilities (SNF) | 2318 | 10/25/2002 |
B-02-070 | Reporting of Admission Date and Additional Edit Requirements for the X12N 837 (version 4010) Coordination of Benefits (COB) Transaction | 2361 | 04/01/2003 |
AB-02-173 | Ambulance Fee Schedule Updates for 2003 | 2489 | 01/01/2003 |
A-02-121 | Skilled Nursing Facility Adjustments Billing: Adjustments to HIPPS Codes Resulting From MDS Corrections | 1224 | 10/01/2000 |
AB-02-163 | 2003 Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment Method | 2420 | 01/01/2003 |
A-02-118 | Annual Update of HCPCS Codes Used for Skilled Nursing Facility Consolidated Billing Enforcement, Updated SNF Help File | 2459 | 01/01/2003 |
AB-02-183 | Coverage of Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities | 2388 | 04/01/2003 |
B-02-092 | Electromagnetic Stimulation | 2447 | 04/01/2003 |
AB-02-181 | Medicare Physician Fee Schedule (MPFS) Update and the 2003 Participation Enrollment Process | 2486 | 12/23/2002 |
B-02-090 | Implementation of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standard Version 5.1 and the Equivalent Batch Standard Version 1.1 for Retail Pharmacy Drug Transactions -- CORRECTION | 2455 | 04/01/2003 |
A-02-125 | Installation of Version 29.0 of the Provider Statistical and Reimbursement (PS&R) Reporting System | 2506 | 04/01/2003 |
A-02-126 | Instructions Regarding Hospital Outlier Payments | 2528 | 12/20/2002 |
A-02-123 | Hospital Billing for Immunosuppressive Drugs Furnished to Transplant Patients--ACTION | 2488 | 01/01/2003 |
AB-02-169 | Notice Requirement Related to Local Medical Review Policies (LMRP) | 2472 | 11/22/2002 |
AB-02-156 | Coverage and Billing for Neuromuscular Electrical Stimulation (NMES) | 2314 | 04/01/2003 |
A-02-114 | Revisions to the Outpatient Prospective Payment System (OPPS) Pricer Software and OCE for Blood Deductble and Technical Charges | 2112 | 10/01/2002 |
A-02-129 | 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 2503 | 01/06/2003 |
AB-02-179 | Complaint Screening | 2406 | 12/27/2002 |
B-02-061 | Schedule for Completing the Calendar Year (CY) 2003 Fee Schedule Updates and the Participating Physician Enrollment Procedures | 2357 | N/A |
AB-02-145 | Electronic Patient Records Via Non-Internet Means | 2264 | 10/25/2002 |
A-02-105 | Removal of Common Working File (CWF) Edit on Non-Covered Hospice Claims | 2328 | N/A |
AB-02-167 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 2429 | 11/19/2002 |
B-02-080 | MCS Standard System Financial Data Report Requirements for the Production Performance Monitoring System, Pulse System | 2317 | 04/01/2003 |
AB-02-154 | New Waived Tests - September 27, 2002 | 2413 | 01/01/2003 |
AB-02-184 | Provider Notification of Denials Based on Local Medical Review Policy (LMRP) | 2305 | N/A |
AB-02-180 | Coverage and Billing for Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management | 2323 | 12/27/2002 |
A-00-78 | Provider Statistical and Reimbursement Report (PS&R) | 1404 | 10/30/2000 |
A-00-73 | Clarification of Modifier Usage in Reporting Outpatient Hospital Services | 973 | 04/01/2000 |
A-00-72 | Technical Corrections to Coding Information for Hospital Outpatient Prospective Payment System (OPPS) | 1376 | 10/17/2000 |
A-00-63 | Cost-to-Charge Ratios (CCRs) for Calculating Certain Payments Under the Hospital Outpatient Prospective Payment System (OPD PPS) | 1310 | 09/08/2000 |
A-00-62 | File Descriptions and Instructions for Retrieving the 2001 Physician, Clinical Lab, Durable Medical Equipment, Prosthetics/Orthotics and Supplies (DMEPOS) Fee Schedule Payment Amounts Through HCFA Mainframe Telecommunications Systems | 1302 | 01/01/2001 |
A-00-59 | HOME HEALTH PROSPECTIVE PAYMENT SYSTEM (HHPPS) PHASE IN PLAN, CONTINGENCY PLAN, AND INSTRUCTIONS | 1315 | 08/31/2000 |
A-00-57 | Payment of Skilled Nursing Facility (SNF) Claims for Beneficiaries Disenrolling from Terminating Medicare+Choice (M+C) Plans Who Have Not Met the 3-day Stay Requirement | 1108 | 01/01/2001 |
A-00-51 | Q Codes For Use Under the Hospital Outpatient Prospective Payment System (OPPS) | 1318 | 08/14/2000 |
A-00-49 | Payment of Skilled Nursing Facility (SNF) Claims for Beneficiaries Disenrolling from Terminating Medicare+Choice (M+C) Plans Who Have Not Met the 3-Day Hospital Stay Requirement | 1270 | 10/01/2000 |
A-00-48 | Drugs, Biologicals, Devices and New Technology HCFA Common Procedure Coding System (HCPCS) Codes For Use Under the Hospital Outpatient Prospective Payment System (OPPS) | 1304 | 08/14/2000 |
A-00-45 | Interim Process for Certain 'Inpatient Only' Code Changes | 1296 | 11/30/2000 |
A-00-43 | Advance Beneficiary Notices (ABNs) for Services for Which Institutional Part B Claims Will be Processed by Fiscal Intermediaries | 1192 | 07/01/2000 |
A-00-35.60 | Revised Outpatient Code Editor (OCE) Specifications for the Outpatient Prospective Payment System (OPPS) | 1220 | 08/14/2000 |
A-00-33.60 | Education and Outreach to Coordination of Benefits Trading Partners | 1200 | 07/17/2000 |
A-00-23.60 | Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions | 1141 | 07/01/2000 |
A-00-22.60 | Instructions For Reporting Additional Detailed Information on Form HCFA-750 Contractor Financial Report (Fiscal Intermediaries Only) | 1174 | 04/20/2000 |
A-00-12.60 | Revision of Final Date to Accept Abbreviated Version of the UB-92 for Encounter Data Collection | 1122 | 07/01/2000 |
A-00-06.60 | Instructions for an End Stage Renal Disease (ESRD) Facility to Retain Its Previously Approved Exception Payment Rate | 1102 | 01/30/2000 |
AB-02-148 | Remittance Advice Message for Ambulance Services | 2262 | 04/01/2003 |
AB-02-172 | Next Generation Desktop Data Center Connectivity - Security Information Clarification to Change Request 2079 (AB-02-073) Dated May 16, 2002 | 2390 | 12/13/2002 |
AB-02-171 | X12N Health Care Eligibility Benefit Inquiry/Response (270/271) Transaction Security and Connectivity Instructions | 2452 | 04/01/2003 |
AB-02-164 | Carrier, DMERC, Intermediary and RHHI Processing Requirements for Claims Edited by CWF for Medicare Beneficiaries in State or Local Custody Under a Penal Authority | 2022 | 04/01/2003 |
AB-02-176 | Prior Approval Requirement for Data Center and Front End Movement | 1696 | 06/27/2001 |
A-02-124 | Necessary Changes to Implement Special Add-On Payments for New Technologies | 2301 | 04/01/2003 |
AB-02-152 | Fee Schedule Update for 2003 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) | 2378 | 01/01/2003 |
AB-02-166 | Editing of the Healthcare Provider Taxonomy Codes (HPTCs) and Use of the HPTC Crosswalk | 2437 | 04/01/2003 |
A-02-115 | Medical Nutrition Therapy (MNT) Services for Beneficiaries With Diabetes or Renal Disease - POLICY CHANGE | 2404 | 04/01/2003 |
A-02-112 | Program Integrity Management Reporting (PIMR) System for Part A -- Phase 1 | 2308 | 04/01/2003 |
A-02-128 | Revision to 42CFR 405.371 Suspension, Offset and Recoupment of Medicare Payments to Providers and Suppliers of Services | 2508 | 01/01/2003 |
A-02-106 | Provider Education Article: Hospitals' Responsibilities re: Patient Notification at Discharge Planning and Home Health Consolidated Billing | 2319 | 10/25/2002 |
A-02-120 | Change in Requirements for Medicare Payment for Low Osmolar Contrast Material (LOCM) Under the Outpatient Prospective Payment System (OPPS) | 2185 | 04/01/2003 |
AB-02-161 | Coverage and Billing Requirements for Electrical Stimulation for the Treatment of Wounds | 2313 | 04/01/2003 |
B-02-079 | Contractor Reporting of Operational and Workload Data (CROWD) for Electronic Data Interchange (EDI and Manual Transactions | 2249 | 04/01/2003 |
B-02-077 | Program Integrity Management Reporting (PIMR) System for Part B | 2307 | 04/01/2003 |
B-02-084 | Create Import/Export Functionality Between the Medicare Claims System (MCS) and the Provider Enrollment Chain Ownership System (PECOS) | 2425 | 07/01/2003 |
A-02-122 | Notice Regarding Cost-to-Charge Ratios and Inpatient Outlier Payments | 2500 | 12/03/2002 |
A-00-69 | Background and Documentation for Correct Coding Initiative (CCI) and Unit of Service Edits | 1332 | 09/21/2000 |
A-00-38 | Change in Hospice Payment Rates, Update to the Hospice Cap, Revised Hospice Wage Index and Hospice Pricer | 1235 | 10/01/2000 |
A-00-30.60 | Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers FQHCs) Payment Rate Increases and Policy Clarifications and Guidance for Services Furnished by RHCs and FQHCs. | 1133 | N/A |
A-00-19.60 | Implementation of Provider Enrollment, Chain and Ownership System (PECOS) | 1120 | 06/12/2000 |
A-00-14.60 | Hospital Outpatient Radiology Services | 1114 | 07/01/2000 |
A-00-100 | Conversion to the UB-92 Version 6.0 and Continued Use of Version 5.0 - ACTION | 1478 | 12/22/2000 |
A-00-08.60 | Payment Safeguard Review of Skilled Nursing Facility Prospective Payment Bills--Updated Instructions | 1064 | 03/01/2000 |
A-00-76 | Clarification of the Application of the Regulations at 42 CFR 413.134(l) to Mergers and Consolidations Involving Non-profit Providers | 1290 | 10/19/2000 |
A-00-66 | FY 2001 Prospective Payment System (PPS) Hospital and Other Bill Processing Changes | 1331 | 10/01/2000 |
A-00-54 | The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 1999 for Prospective Payment System (PPS) Hospitals | 1299 | 10/01/2000 |
A-00-40 | Further Information on the Use of Modifier -25 in Reporting Hospital Outpatient Services | 1250 | N/A |
A-00-27.60 | Permitting Reclassification of Certain Urban Hospitals as Rural Application Procedures | 1180 | 05/01/2000 |
A-00-99 | Medicare Contractor Use of the Regional Home Health Intermediary (RHHI) Outcomes and Assessment Information Set Verification Protocol for Review of Home Health Agency (HHA) Prospective Payment Bills | 1453 | N/A |
A-00-92 | Corrections to Calculation of Federal Fiscal Year (FY) 2001 Inpatient Payment Amounts | 1435 | 12/01/2000 |
A-00-93 | 'Do Not Forward (DNF)' Initiative, Change Request 681, Transmittal No. AB-00-6, Dated February 2000 | 1449 | N/A |
A-00-90 | This Program Memorandum re-issues A-99-50, Change Request 1007 dated November 1999. The only change is the discard date; all other material remains the same. | 1007 | 12/01/1999 |
A-00-88 | FEE SCHEDULE AND CONSOLIDATED BILLING FOR SKILLED NURSING FACILITY (SNF) SERVICES | 1323 | 04/01/2001 |
A-00-84 | Medicare + CHOICE Inpatient Encounter Data---Migration of Data Processing to the HCFA Data Center (HDC) | 1427 | 02/01/2001 |
A-00-75 | Corrections to Calculation of Inpatient Payment Amounts | 1399 | 10/13/2000 |
A-00-65 | Release of Internal Revenue Service (IRS) Data Elements on Eligibility Queries | 1316 | 09/12/2000 |
A-00-42 | Coding Information for Hospital Outpatient Prospective Payment System | 1259 | 08/14/2000 |
A-00-26.60 | Rescinded | 1108 | N/A |
A-00-16.60 | The Balanced Budget Refinement Act (BBRA) Revision to PM Trasmittal No. A-99-51: FY 2000 Prospective Payment System and Excluded Hospital Bill Processing Changes--Wage Adjust 75th Percentile Cap of the Target Amounts or Excluded Hospitals and Units | 1128 | 07/01/2000 |
A-00-102 | Hospital Outpatient Prospective Payment System Pass-Through Payment Corrections for Two Radiopharmaceuticals | 1496 | 01/01/2001 |
A-00-10.60 | Discarding Program Memoranda on Surety Bonds | N/A | N/A |
AB-02-170 | File Descriptions and Instructions for Retrieving the 2003 Ambulatory Surgical Center (ASC) HCPC Code Additions and Deletions | 2454 | 01/01/2003 |
A-02-117 | Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittal A-02-071) | 2336 | 01/01/2003 |
AB-02-147 | Promoting Influenza Vaccinations | 2396 | 11/08/2002 |
B-02-083 | Create Import/Export Functionality Between the Unique Provider Identification Number System (UPIN) and the Provider Enrollment Chain Ownership System (PECOS) | 2424 | 04/01/2003 |
AB-02-178 | Clarification of the Comprehensive Error Rate Testing (CERT) Program Contractor Resolution Process (CCRP) | 2002 | 12/27/2002 |
B-02-091 | Provider Education Article: Requirements for Payment of Medicare Claims for Foot and Nail Care Services | 2374 | 12/27/2002 |
AB-02-174 | Single Drug Pricer (SDP) | 2381 | N/A |
A-00-97 | Partial Implementation of Change Request 1119 | 1396 | 12/19/2000 |
A-00-95 | Renewal of Program Memorandum (PM) A-97-8--Instructions to Implement the New Medicare Summary Notice (MSN) Combined with Program Memorandum AB-98-31 - ACTION | 651 | N/A |
A-00-68 | Provider Statistical and Reimbursement Report (PS&R) | 1329 | 08/28/2000 |
A-00-56 | Update of Rates for Ambulatory Surgical Center (ASC) Payments | 1268 | N/A |
A-00-53 | Proper Billing of Units for Intrathecal Baclofen under the Outpatient Prospective Payment System (OPPS) | 1320 | N/A |
A-00-39 | Monitoring Process for Skilled Nursing Facility Exception Determinations | 1215 | N/A |
A-00-32.60 | Effectuating Favorable Final Appellate Decisions That a Beneficiary is "Confined to Home"-- Regional Home Health Intermediaries (RHHIs) Only | 1034 | 07/01/2000 |
A-00-29.60 | Electronic Filing of Provider Cost Reports; Home Health Agencies (HHAs) and Skilled Nursing Facilities (SNFs) | 1153 | 05/30/2000 |
A-00-13.60 | Procedures for Financial Reporting of Medicare Letter of Credit Draws and Collections between the Hospital Insurance (HI) and Supplemental Medical Insurance (SMI) Trust Funds | 1152 | 03/31/2000 |
A-00-05.60 | This Program Memorandum re-issues Program Memorandum A-99-5, Change Request 789 dated February 1999. | 789 | N/A |
A-00-03.60 | Implementation of H.R. 3426, the Medicare, Medicaid, and the State Child Health Insurance Program Balanced Budget Refinement Act of 1999 (BBRA '99), P.L. 106-113, Section 301(a) | 1078 | 04/01/2000 |
A-00-96 | Clarification of C-Codes Reportable Under the Hospital Outpatient Prospective Payment System (OPPS) | 1458 | 12/29/2000 |
A-00-94 | New ESRD Composite Payment Rates Effective January 1, 2001 | 1451 | 01/01/2001 |
A-00-82 | January 2001 Update: Coding Information for Hospital Outpatient Prospective Payment System (OPPS) | 1420 | 01/01/2001 |
A-00-98 | Reporting of Outpatient Prospective Payment System (OPPS) and Home Health Prospective Payment System (HH PPS) Data in Provider Remittance Advice Transactions | 1430 | 12/01/2000 |
A-00-86 | Changes to Fiscal Year (FY) 2000 Nursing and Allied Health Education Payment Policies as Required by the Medicare, Medicaid, and State-Child Health Insurance Program Balanced Budget Refinement Act of 1999 (BBRA), P. L. 106-113 | 1379 | 12/18/2000 |
A-00-81 | Resolution of Outpatient Prospective Payment System (OPPS) Implementation Issues | 1368 | 01/01/2001 |
A-00-83 | Business Requirements for Processing Outpatient Encounter Data in the HCFA Data Center | 1193 | 04/01/2001 |
B-00-01.60 | Paramedic Intercept Provisions of the Balanced Budget Act (BBA) of 1997 | 783 | N/A |
B-00-02.60 | Payment for Teleconsultations in Rural Health Professional Shortage Areas | 545 | N/A |
B-00-03.60 | Emergency Changes to the 2000 Medicare Physician Fee Schedule Database-- ACTION | 1104 | 01/17/2000 |
B-00-04.60 | Fee-for-Service Enrollment of Managed Care Organizations (MCOs) for the Indirect Payment Procedure | 954 | 02/07/2000 |
B-00-06.60 | This Program Memorandum re-issues Program Memorandum B-99-6, Change Request 777 dated March 1999. | 777 | N/A |
B-00-05.60 | Adjustment to Remittance Advice (RA), Explanation of Medicare Benefits (EOMB) and Medicare Summary Notice (MSN) Messages Generated by Carriers for Services Subject to the Facility/Non-Facility Payment Differential on the Medicare Physician Fee Schedule Database (MPFSDB) | 1058 | 07/01/2000 |
B-00-44 | SITE VISITS AND ENROLLMENT OF INDEPENDENT DIAGNOSTIC TESTING FACILITIES (IDTFs) | 935 | 09/15/1999 |
B-00-33.60 | Changes to Correct Coding Edits, Version 6.2, Effective July 1, 2000 | 1176 | 07/01/2000 |
B-00-24.60 | Issues Involving Certificates of Medical Necessity (CMN) and Cover Letters for CMNs | 866 | N/A |
B-00-14.60 | Revisions to DMERC Information Form (DIF): Immunosuppressive Drugs DMERC Form 08.02 (latest revision 7/25/95). | 1130 | 10/01/2000 |
B-00-59 | Durable Medical Equipment Regional Carrier - Common Working File (CWF) Revision for Oxygen Certificate of Medical Necessity | 1149 | 04/01/2001 |
B-00-49 | Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Transaction Standards | 1094 | 04/01/2001 |
B-00-39 | Department of Veterans Affairs (VA) Claims Adjudication Services Project: Systems Changes Needed | 1219 | 01/01/2001 |
B-00-29.60 | Correct Effective Date for Adjustment in Payment Amounts for New Technology Intraocular Lenses (NTIOLs) Furnished by Medicare Approved Ambulatory Surgical Centers (ASCs)- CLARIFICATION | 1202 | 07/01/2000 |
B-00-19.60 | DMERCs -- Report on Expansion of Immunosuppressive Drugs | 1144 | 07/01/2000 |
B-00-09.60 | Clarification of Medicare Policies Concerning Ambulance Services | 1065 | 01/31/2000 |
B-00-62 | Promoting Influenza and Pneumococcal Vaccinations | 1398 | 10/01/2000 |
B-00-61 | Comprehensive Error Rate Testing (CERT) Program -- Requirements for Medicare Contractor Operations | 1338 | N/A |
B-00-52 | Schedule for Completing the Calendar Year (CY) 2001 Fee Schedule Updates and the Participating Physician Enrollment Procedures | 1355 | N/A |
B-00-51 | Changes to Correct Coding Edits, Version 7.0, Effective January 1, 2001 | 1312 | 01/01/2001 |
B-00-42 | Analysis of Services Provided in Congregate Settings | 1247 | 10/01/2000 |
B-00-41 | Changes to Correct Coding Edits, Version 6.3, Effective October 1, 2000 | 1271 | 10/01/2000 |
B-00-31.60 | Use of CPT Code 33999 for Transmyocardial Revascularization (TMR) | 1210 | 07/01/2000 |
B-00-30.60 | Clarification of Billing for G0170 and G0171 | 1196 | N/A |
B-00-22.60 | Durable Medical Equipment Carriers (DMERCs) - New Oral Anti-Cancer Drugs Approved for Use by Medicare | 1125 | 07/01/2000 |
B-00-21.60 | 2000 Jurisdiction List | 1139 | 07/01/2000 |
B-00-12.60 | Notification Process for Changes to Health Professional Shortage Area (HPSA) Designations | 1100 | 04/01/2000 |
B-00-11.60 | Paramedic Intercept -- New Definition for Rural | 1107 | 03/01/2000 |
B-00-60 | New Temporary 'K' Codes for Augmentative and Alternative Communication (AAC) Devices | 1380 | 01/01/2001 |
B-00-50 | Home Health Prospective Payment System (PPS) | 1350 | 10/30/2000 |
B-00-40 | Final Update to the 2000 Medicare Physician Fee Schedule Database (MPFSDB) | 1261 | 10/05/2000 |
B-00-29 | Correct Effective Date for Adjustment in Payment Amounts for New Technology Intraocular Lenses (NTIOLs) Furnished by Medicare Approved Ambulatory Surgical Centers (ASCs)- CLARIFICATION | 1202 | 07/01/2000 |
B-00-20.60 | Collection and Submission of Data for the Provider Enrollment and Chain Ownership System (PECOS) -- ACTION | 918 | 07/01/2000 |
B-00-10.60 | First Quarterly Update to the 2000 Medicare Physician Fee Schedule Database--INFORMATION | 1134 | 04/01/2000 |
B-00-58 | Durable Medical Equipment Regional Carriers - Change in Common Working File (CWF) for Code K0009 | 1366 | 01/01/2001 |
B-00-48 | Claims Processing Instructions for the DMEPOS Competitive Bidding Demonstration | 1297 | 01/01/2001 |
B-00-38 | Addition of 'WW' Codes to Identify a New Source for an Oral Anti-Cancer Drug in dosages of 25mg and 100mg | 1262 | 10/01/2000 |
B-00-28.60 | Billing of Influenza (Flu) and Pneumococcal (PPV) Virus Claims for Authorized Centralized Billing Providers to be Processed Through One Designated Carrier | 1194 | 10/01/2000 |
B-00-18.60 | Emergency Changes to the 2000 Medicare Physician Fee Schedule Database | 1092 | 01/17/2000 |
B-00-08.60 | Instruction for Usage of the Revised Oxygen Certificate of Medical Necessity Form 484.2 (dated 11/99)-----ACTION | 1082 | 10/01/2000 |
B-00-57 | Part B Outbound X12N 837 Coordination of Benefits (COB) Mapping | 1327 | 01/01/2001 |
B-00-47 | Addition of Special Processing Number 39, (Centralized Billing of Flu and Pneumococcal (PPV) Claims), to the Common Working File (CWF) | 1325 | 10/01/2000 |
B-00-37 | Standard System Acceptance of Primary Payer Information at the Line Level | 1287 | N/A |
B-00-27.60 | Durable Medical Equipment Regional Carriers (DMERCs) - Common Working File (CWF) Changes for Codes J8999, E0784, E0781, A4230-4232, E0616, and E0749 | 1148 | 07/01/2000 |
B-00-17.60 | Emergency Changes to the 2000 Medicare Physician Fee Schedule Database | 1104 | 01/17/2000 |
B-00-07.60 | Changes to Correct Coding Edits, Version 6.1, Effective April 1, 2000 | 1004 | 05/15/2000 |
B-00-63 | Medicare Payment Allowance for Flu Vaccine | 1440 | N/A |
B-00-53 | Calendar Year (CY) 2001 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures (CORRECTED VERSION) | 1373 | 11/17/2000 |
B-00-43 | New Temporary 'K' Codes for Negative Pressure Wound Therapy Pumps | 1273 | 01/01/2001 |
B-00-32.60 | CPT Codes 99214 and 99233 | 1234 | N/A |
B-00-23.60 | Requirements For Processing Physician Encounter Data In The HCFA Data Center | 1183 | 10/01/2000 |
B-00-13.60 | Calculation of National Standard Format (NSF) for Electronic Remittance Advice (ERA) Amount Fields and Balancing of NSF Data; and Clarification to Claim NSF Field EAO 21 for Coordination of Benefits--Modification of Program Memorandum (PM) B-99-42 (CR1016) of December 1999 | 1130 | 05/15/2000 |
B-00-56 | DMERCs - Common Working File (CWF) Edit #5211 - Services After the Date of Death (DOD) for Durable Medical Equipment (DME) Rental Items | 1190 | 01/01/2001 |
B-00-46 | Changes to Correct Coding Edits, Version 6.2, Effective September 5, 2000 | 1337 | 09/05/2000 |
B-00-36 | Returned Mail - Unique Physician Identification Number (UPIN) | 1253 | 09/15/2000 |
B-00-26.60 | Carrier Adjustments to be Made for Payment for HCPCS Code 90669, Pneumococcal (PPV) Conjugate Vaccine, Polyvalent, for Intramuscular Use | 1185 | 06/12/2000 |
B-00-16.60 | Provider Education Article: Role of Physicians in the Home Health Prospective Payment System | 1088 | 04/01/2000 |
B-00-55 | DMERCs - Common Working File to Add ICD-9 Diagnosis Code for Oral Anti-Cancer Drugs | 1150 | 01/01/2001 |
B-00-45 | Reporting of Carrier Pricing Methodology for Influenza (flu) and Pneumococcal (PPV) Vaccinations to HCFA | 1293 | 10/01/2000 |
B-00-35 | Addition of Five 'WW' Codes to Identify a New Source for Methotrexate | 1228 | 10/01/2000 |
B-00-25.60 | New Temporary K Codes for Hydrogel Impregnated Gauze | 1159 | 07/01/2000 |
B-00-15.60 | Change to Health Insurance Claim Form HCFA-1500 Instructions for Processing Physician Claims in Global Payment Systems | 457 | N/A |
B-00-54 | Program Integrity Management Reporting (PIMR) System | 1306 | 01/01/2001 |
B-00-64 | Program Integrity Sampling Module for Part B and DME Carriers | 1397 | 04/01/2001 |
B-00-65 | 2001 Physician Fee Schedule for Payment Policies | 1438 | 01/01/2001 |
B-00-67 | Consolidated Billing for SNF Residents | 1256 | 04/01/2001 |
B-00-68 | X12N Professional Flat File | 1417 | 04/01/2001 |
B-00-71 | Addition of a Miscellaneous 'WW' Code and National Drug Code (NDC) for Oral Anti-Cancer Drugs | 1395 | 01/01/2001 |
B-00-70 | Changes to Correct Coding Edits, Version 7.1, Effective April 1, 2001 | 1422 | 04/01/2001 |
B-00-69 | Blood Glucose Test Strips - Marketing to Medicare Beneficiaries | 1336 | 03/01/2001 |
B-00-73 | CCI Edits Correction: Influenza (G0008), Pneumococcal (G0009), and Hepatitis B (G0010) Vaccine Codes | 1459 | 12/18/2000 |
B-00-76 | Revised 2001 Anesthesia Conversion Factors -- ACTION | 1477 | 01/01/2001 |
B-00-66 | Durable Medical Equipment Regional Carrier (DMERC) Operating Instructions for Coverage of the Ultrasonic Osteogenic Stimulators for Fracture Healing. Effective for Services Performed on or After 1/1/2001. | 1383 | 01/01/2001 |
B-00-72 | Instructions to Implement the New Medicare Summary Notice (MSN)-- Program Memorandum (PM) B-98-4 and PM AB-98-31--ACTION | 809 | 01/01/2000 |
B-00-75 | Emergency Changes to the 2001 Medicare Physician Fee Schedule Database | 1470 | 01/01/2001 |
B-00-74 | Claims Processing Instructions for Carriers To Make Available Claims and Medical Records for a PSC Task Order Request for Medical Record Review | 1433 | 12/21/2000 |
A-00-01.60 | Consolidated Billing for Skilled Nursing Facility (SNF) Patients When Receiving Outpatient/Emergency Care in a Medicare-Participating Hospital or Critical Access Hospital (CAH) | 711 | N/A |
A-03-026 | April Outpatient Code Editor (OCE) Specifications Version (V4.1) | 2675 | 04/15/2003 |
A-03-016 | Continuous Home Care Under Medicare Hospice | 2556 | 04/01/2003 |
A-03-003 | January Outpatient Code Editor (OCE) Specifications Version (V4.0) | 2521 | 01/17/2003 |
A-03-031 | Medicare Secondary Payer (MSP) Information Collection Policies Changed for Hospitals | 2104 | 03/31/2002 |
A-03-021 | Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases, Clarification on Coverage and Payment of Diabetes Self-Management Training Services and Medical Nutrition Therapy Services | 2511 | 07/01/2003 |
A-03-009 | Medical Nutrition Therapy (MNT) Services for Beneficiaries with Diabetes or Renal Disease - CORRECTION | 2550 | 04/01/2003 |
A-03-012 | The Report of Benefit Savings (RBS) | 2557 | 03/31/2003 |
A-03-034 | Modification to Medicare Timely Filing Edit for Claims Paid Under Certain Prospective Payment Systems | 2593 | 10/01/2003 |
A-03-033 | End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests | 2277 | 10/01/2003 |
A-03-024 | Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION | 1467 | 03/01/2001 |
A-03-023 | Implementation of the Temporary Equalization of Urban and Rural Standardized Payment Amounts Under the Medicare Inpatient Hospital Prospective Payment System (IPPS) as Required By Section 402(b) of Public Law 108-7 | 2661 | 04/01/2003 |
A-03-011 | Changes in Payment for Certain Services Provided by Outpatient Physical Therapy (OPT) Providers Under the Medicare Physician Fee Schedule (MPFS) | 2366 | 07/01/2003 |
A-03-032 | Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65 | 2638 | 10/01/2003 |
A-03-022 | Installation of Version 29.0 of the Provider Statistical and Reimbursement (PS&R) Reporting System-Modification | 2660 | 05/05/2003 |
A-03-010 | Manual Medical Review Indicator for the Comprehensive Error Rate Testing (CERT) Program | 2434 | 07/01/2003 |
A-03-030 | Provider-based Status On or After October 1, 2002 | 2411 | 05/01/2003 |
A-03-020 | April 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 2671 | 04/01/2003 |
A-03-008 | Clarification of 3-Day Payment Window vs. 1-Day Payment Window for Hospitals Excluded from Inpatient Prospective Payment System (IPPS) | 2537 | 07/01/2003 |
A-03-029 | Corrections to: Changes to the Hospital Inpatient Prospective Payment Systems and Rates and Costs of Graduate Medical Education, etc.; as Published in the Federal Register, FY 2003 (67 FR 49982, August 1, 2002) | 2665 | 04/01/2003 |
A-03-019 | Reactivation of Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) Edit 15, "Service Unit Out Of Range" and Guidance on Editing for Low Osmolar Contrast Media (LOCM) Procedures | 2612 | 04/01/2003 |
A-03-007 | Payment to Hospitals and Units Excluded from the Acute Inpatient Prospective Payment System (IPPS) for Direct Graduate Medical Education (DGME) and Nursing and Allied Health (N&AH) Education for Medicare+Choice (M+C) Enrollees | 2476 | 07/01/2003 |
A-03-017 | Payment for Services To Be Paid on a Fee Schedule But For Which There Is No Price--ACTION | 2541 | 03/14/2003 |
A-03-035 | Reporting of Revenue Codes Under the Outpatient Prospective Payment System (OPPS) | 2614 | 10/01/2003 |
A-03-025 | Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION | 1596 | 03/01/2001 |
A-03-014 | Further Guidance Regarding Billing Under the Outpatient Prospective Payment System (OPPS) | 1585 | 08/01/2000 |
A-03-028 | January Medicare Outpatient Code Editor (OCE) Specifications Version 18.1R1 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) | 2676 | 04/15/2003 |
A-03-018 | Installation of Version 28.0 Second Add-On of the Provider Statistical and Reimbursement (PS&R) Report | 2605 | 03/31/2003 |
A-03-006 | Update the Medicare Secondary Payment Module (MSPPAY) to Apportion Prospective Payment System (PPS) Outlier Amounts to all Service Lines With Medicare Reimbursement That are PRICER Related and Potential Outlier Service Lines | 2053 | 07/01/2003 |
A-03-037 | Contractor Reporting of Operational and Workload Data (CROWD) for Electronic Data Interchange (EDI) and Manual Transactions | 2547 | 10/01/2003 |
A-03-027 | Updated Outpatient Prospective Payment System (OPPS): Requirements for Provider Education and Training | 2607 | 04/25/2003 |
A-03-036 | This Program Memorandum has been rescinded and the number will be used in the future. | 2680 | 07/07/2003 |
A-03-005 | Health Insurance Portability and Accountability Act (HIPAA) Transaction 835v4010 Companion Document Update for Intermediaries. | 2498 | 07/01/2003 |
AB-03-082 | Medicare Secondary Payer (MSP) Prepayment and Post Payment Workload Reporting -Activity Code (AC) Definitions | 2548 | 10/01/2003 |
AB-03-123 | Scheduled Release for October Updates to Software Programs and Pricing/Coding Files | 2850 | N/A |
A-03-015 | Electromagnetic Stimulation | 2559 | 04/01/2003 |
A-03-057 | Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2004 | 2797 | 10/01/2003 |
A-03-002 | Installation of Version 28.0 Add-On of the Provider Statistical and Reimbursement (PS&R) Report | 2529 | 01/24/2003 |
A-03-004 | Calculating Provider-Specific Medicare Outpatient Cost-to-Charge Ratios (CCRs) and Instructions on Cost Report Treatment of Hospital Outpatient Services Paid on a Reasonable Cost Basis | 2197 | 04/30/2003 |
A-03-013 | 3-Day Payment Window Refinements Under the Short-Term Hospital Inpatient Prospective Payment System | 2573 | 07/01/2003 |
A-03-063 | Installation of Version 30 of the Provider Statistical and Reimbursement (PS&R) Reporting System. | 2833 | 10/01/2003 |
A-02-020 | Coverage and Billing of Sacral Nerve Stimulation | 2098 | 03/21/2002 |
A-02-019 | Scheduled Release for April Updates to Software Programs and Pricing/Coding Files | 2052 | N/A |
B-02-014 | Common Working File (CWF) Changes for Emergency Home Dialysis Supplies For Method II Beneficiaries | 2044 | 10/01/2002 |
B-02-047 | DMERCs - Appeal Messages on Medicare Summary Notice (MSN) and Medicare Remit Notice | 1986 | 01/01/2003 |
AB-02-036 | Temporary Codes for Ambulance Fee Schedule | 2047 | 04/01/2002 |
A-01-22 | Extension of Due Date for Filing Provider Cost Reports | 1501 | N/A |
AB-01-115 | Payment Instructions for Intestinal Transplants Furnished to Beneficiaries Enrolled in Medicare+Choice (M+C) Plans With Dates of Service on or After April 1, 2001, but Before January 1, 2002. | 1760 | 08/16/2001 |
AB-01-127 | Year 2002 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder | 1852 | 01/01/2002 |
AB-01-38 | This Transmittal Has Been Rescinded | 1556 | N/A |
A-01-44 | Standard Systems Changes Required to Incorporate Provider-Specific Payment-to-Cost Ratios into the Calculation of Interim Transitional Corridor Payments Under OPPS | 1618 | 07/01/2001 |
A-01-48 | Requirement for Line-Item Dates of Service for Ambulance Claims | 1556 | 07/01/2001 |
B-01-69 | 2002 Anesthesia Conversion Factors | 1908 | 01/01/2002 |
AB-01-87 | Disclosure Desk Reference for Call Centers | 1706 | 08/29/2001 |
AB-00-40.60 | Written Statements of Intent (SOI) to Claim Medicare Benefits; 60-Day Grace Period | 1165 | N/A |
AB-00-97 | Notification to Providers and Suppliers of Transaction and Code Set Rule Promulgated In Accordance With the Health Insurance Portability and Accountability Act (HIPAA) | 1367 | 10/18/2000 |
AB-00-36.60 | Rescinded | 1163 | N/A |
AB-00-87 | 2001 Payment Limit for Ambulance Services | 1326 | 01/01/2001 |
AB-00-54.60 | Modified Procedures for Sharing HCFA Data with the Department of Justice (DOJ) | 876 | 08/23/1999 |
AB-00-47.60 | RELEASE TO BE IMPLEMENTED JUNE 5, 2000 | 1201 | N/A |
AB-00-59.60 | Correction to July Quarterly Update for 2000 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 1212 | 07/01/2000 |
AB-00-41.60 | Procedures for the Benefit Integrity (BI) and Medical Review (MR) Units on Unsolicited/Voluntary Refund Checks | 1024 | 07/01/2000 |
AB-00-35.60 | Further Guidance on April Release Implementation | 1195 | 05/15/2000 |
A-03-001 | January Medicare Outpatient Code Editor (OCE) Specifications Version 18.1 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) | 2522 | 01/01/2003 |
A-02-047 | July Medicare Outpatient Code Editor (OCE) Specifications Version 17.2 for Bills from Hospitals that are not Paid Under the Outpatient Prospective Payment System (OPPS) | 2188 | 07/01/2002 |
AB-02-018 | First Update to the 2002 Medicare Physician Fee Schedule Database | 2036 | 04/01/2002 |
B-01-55 | Changes to Correct Coding Edits, Version 8.0, Effective January 1, 2002 | 1833 | 01/01/2002 |
AB-00-100 | Mandatory Training on Ambulance Fee Schedule (AFS) | 1414 | 10/24/2000 |
AB-00-38.60 | Hard Coding of Duplicate Edits in the Fiscal Intermediary Standard System (FISS) and the VIPS Medicare Systems (VMS) Standard Systems | 1158 | 10/01/2000 |
AB-00-13.60 | New Waived Tests -- Effective Date of Receipt | 1091 | 05/15/2000 |
AB-00-109 | 2001 Clinical Laboratory Fee Schedule and Laboratory Costs Subject to Reasonable Charge Payment Methodology | 1377 | 01/01/2001 |
AB-01-135 | Medical Review of Services for Patients with Dementia | 1793 | 09/01/2001 |
B-01-64 | DMERCs - Advance Beneficiary Notices (ABNs) for "Upgrades" | 1893 | 04/01/2002 |
AB-03-130 | Levocarnitine for Use in the Treatment of Carnitine Deficiency in ESRD Patients | 2554 | 01/01/2004 |
B-01-73 | Reviewing Deceased Physicians' Unique Physician Identification Numbers (UPINs) on DMERC Claims | 1735 | 04/01/2002 |
AB-00-66 | Coverage of Diabetes Outpatient Self-Management Training Services, Effective: July 1, 1998 | 199 | N/A |
AB-01-142 | Revised Guidelines for Processing Claims for Clinical Trial Routine Care Services | 1637 | 01/01/2002 |
Physician Quality Reporting System and Electronic Presenting )eRx) Incentitive Program Pub. 100-22 Medicare Quality reporting Incentitive Programs Manual Update. | 7879 | 10/29/2012 |
- Page last Modified: 03/14/2012 5:26 PM
- Help with File Formats and Plug-Ins