QPU July 2003
The Quarterly Provider Update provides a listing of Agency regulations and meeting notices. Non-regulatory changes to the Medicare and Medicaid programs, consisting of manual instructions, are also included in this listing.
File Name | Subject | Publication/Implementation Date | Quarterly Release Date |
---|---|---|---|
R1793B3 | Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") | 10/01/2003 | 07/01/2003 |
R1881A3 | Section 3604, Review of Form HCFA-1450 for Inpatient and Outpatient Bills | 10/16/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-123 | Scheduled Release for October Updates to Software Programs and Pricing/Coding Files | N/A | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
AB-03-106 | Third Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule | 08/08/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
AB-03-092 | Expanded Coverage of Position Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
B-03-039 | Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Bypass to Allow Separate Payment for Drugs | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
R171CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-123 | Scheduled Release for October Updates to Software Programs and Pricing/Coding Files | N/A | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
A-03-071 | Retroactive Correction of Provider Statistical and Reimbursement (PS&R) System Report Data Related to Mammography and Outpatient Therapy Services | 10/01/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
AB-03-116 | Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2003 | 10/01/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
AB-03-092 | Expanded Coverage of Position Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
R1881A3 | Section 3604, Review of Form HCFA-1450 for Inpatient and Outpatient Bills | 10/16/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
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 | 10/01/2003 | 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 | 10/01/2003 | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
B-03-064 | CLARIFICATION-ICD-9 Coding | 10/01/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
AB-03-104 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 1, 2003 | 10/01/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
AB-03-092 | Expanded Coverage of Position Emission Tomography (PET) Scans and Related Claims Processing Requirements for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
AB-03-076 | Remittance Advice Message for Denial of Clinical Diagnostic Laboratory Services Denied Due to Frequency Edits | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
B-03-040 | Update of the Place of Service (POS) Code Set | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
R1793B3 | Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") | 10/01/2003 | 07/01/2003 |
B-03-052 | Addition of Temporary "Q" Codes for Drugs Used in Infusion Pumps | 10/01/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
B-03-040 | Update of the Place of Service (POS) Code Set | 10/01/2003 | 07/01/2003 |
AB-03-090 | Coverage of Compression Garments in the Treatment of Venous Stasis Ulcers | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
AB-03-100 | October Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 10/01/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
R1809B3 | Section 3012, Durable Medical Equipment Regional Carriers (DMERCS) - Billing Procedures Related to Advanced Beneficiary Notice (ABN) Upgrades and Section 3012.1, Providing Upgrades of DMEPOS Without Any Extra Charge | 07/18/2003 | 07/01/2003 |
R1818B3 | Section 3000, Filing the Request for Payment | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
B-03-064 | CLARIFICATION-ICD-9 Coding | 10/01/2003 | 07/01/2003 |
B-03-067 | National Council for Prescription Drug Programs (NCPDP) Batch Transaction Standard 1.1 Billing Request Companion Document | 09/08/2003 | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
AB-03-136 | Correction to Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement | 10/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
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 | 10/16/2003 | 07/01/2003 |
R1803B3 | Section 4270, ESRD Bill Processing Procedures | 10/01/2003 | 07/01/2003 |
R1881A3 | Section 3604, Review of Form HCFA-1450 for Inpatient and Outpatient Bills | 10/16/2003 | 07/01/2003 |
AB-03-136 | Correction to Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement | 10/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-123 | Scheduled Release for October Updates to Software Programs and Pricing/Coding Files | N/A | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
AB-03-097 | Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 | 07/21/2003 | 07/01/2003 |
AB-03-057 | Implementation of the Financial Limitation for Outpatient Rehabilitation Services | 10/01/2003 | 07/01/2003 |
B-03-065 | Changes to Code List for Therapy Services | 09/01/2003 | 08/08/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 08/08/2003 |
A-03-072 | Instructions for Provider Credit Balance Reporting Activities | 08/08/2003 | 08/08/2003 |
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 | 10/01/2003 | 08/08/2003 |
A-03-071 | Retroactive Correction of Provider Statistical and Reimbursement (PS&R) System Report Data Related to Mammography and Outpatient Therapy Services | 10/01/2003 | 08/08/2003 |
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 | 10/01/2003 | 08/08/2003 |
R306HHA | Instructions for Provider Credit Balance Reporting Activities | N/A | 08/08/2003 |
R31SOM | Regional Office Assignment of Provider and Supplier Identification Numbers | N/A | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
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. | 08/28/2003 | 07/01/2003 |
A-03-061 | Tentative Settlement Requirements for Cost Reports from Home Health Agencies (HHAs) and Skilled Nursing Facilities (SNFs) that have No Reimbursement Impact | 07/01/2003 | 07/01/2003 |
A-03-034 | Modification to Medicare Timely Filing Edit for Claims Paid Under Certain Prospective Payment Systems | 10/01/2003 | 07/01/2003 |
A-03-060 | Medicare Program - Update to the Prospective Payment System (PPS) for Home Health Agencies for FY 2004 | 10/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 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 | 10/01/2003 | 07/01/2003 |
R67HSP | Section 303.5, Frequency of Billing | 10/01/2003 | 07/01/2003 |
AB-03-136 | Correction to Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement | 10/01/2003 | 07/01/2003 |
R1892A3 | Update to Frequency of Billing Sections | 10/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
R304HHA | Section 446, Frequency of Billing | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
AB-03-123 | Scheduled Release for October Updates to Software Programs and Pricing/Coding Files | N/A | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
AB-03-097 | Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 | 07/21/2003 | 07/01/2003 |
AB-03-057 | Implementation of the Financial Limitation for Outpatient Rehabilitation Services | 10/01/2003 | 07/01/2003 |
B-03-065 | Changes to Code List for Therapy Services | 09/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
AB-03-104 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 1, 2003 | 10/01/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
R1793B3 | Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") | 10/01/2003 | 07/01/2003 |
R1881A3 | Section 3604, Review of Form HCFA-1450 for Inpatient and Outpatient Bills | 10/16/2003 | 07/01/2003 |
R67HSP | Section 303.5, Frequency of Billing | 10/01/2003 | 07/01/2003 |
R1793B3 | Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") | 10/01/2003 | 07/01/2003 |
R1881A3 | Section 3604, Review of Form HCFA-1450 for Inpatient and Outpatient Bills | 10/16/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
R304HHA | Section 446, Frequency of Billing | 10/01/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
A-03-057 | Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2004 | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 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 | 10/01/2003 | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
R67HSP | Section 303.5, Frequency of Billing | 10/01/2003 | 07/01/2003 |
R1892A3 | Update to Frequency of Billing Sections | 10/01/2003 | 07/01/2003 |
R304HHA | Section 446, Frequency of Billing | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
B-03-040 | Update of the Place of Service (POS) Code Set | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
R1808B3 | Manualizing PMS CR 2380 and 2337 | N/A | 07/01/2003 |
R1793B3 | Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") | 10/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
R1793B3 | Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") | 10/01/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
R4QIO | Transfers information from the Peer Review Organization Manual to the new Internet-Only Manual equivalent. Clarifies review responsibilities and type of cases to be selected for review. | N/A | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
AB-03-123 | Scheduled Release for October Updates to Software Programs and Pricing/Coding Files | N/A | 07/01/2003 |
AB-03-136 | Correction to Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement | 10/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
AB-03-102 | Clarification Regarding Coverage of Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities | 08/08/2003 | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-097 | Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 | 07/21/2003 | 07/01/2003 |
AB-03-102 | Clarification Regarding Coverage of Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities | 08/08/2003 | 07/01/2003 |
AB-03-057 | Implementation of the Financial Limitation for Outpatient Rehabilitation Services | 10/01/2003 | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-065 | Changes to Code List for Therapy Services | 09/01/2003 | 07/01/2003 |
R67HSP | Section 303.5, Frequency of Billing | 10/01/2003 | 07/01/2003 |
AB-03-097 | Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 | 07/21/2003 | 07/01/2003 |
R1807B3 | ICD-9-CM Coding for Diagnostic Tests | 10/01/2003 | 07/01/2003 |
AB-03-057 | Implementation of the Financial Limitation for Outpatient Rehabilitation Services | 10/01/2003 | 07/01/2003 |
R1892A3 | Update to Frequency of Billing Sections | 10/01/2003 | 07/01/2003 |
B-03-065 | Changes to Code List for Therapy Services | 09/01/2003 | 07/01/2003 |
B-03-064 | CLARIFICATION-ICD-9 Coding | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
R1818B3 | Section 3000, Filing the Request for Payment | 10/01/2003 | 07/01/2003 |
R1810B3 | Daily Visit charges & Non-ESRD Patients Requiring Hemodialysis | 10/01/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
AB-03-119 | Final Update to the 2003 Medicare Physician Fee Schedule Database | 10/01/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
AB-03-094 | October 2003 Quarterly Update for Skilled Nursing Facility (SNF) Consolidated Billing | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R1891A3 | ICD-9-CM Coding for Diagnostic Tests | 10/01/2003 | 07/01/2003 |
AB-03-076 | Remittance Advice Message for Denial of Clinical Diagnostic Laboratory Services Denied Due to Frequency Edits | 10/01/2003 | 07/01/2003 |
R805HO | ICD-9-CM Coding for Diagnostic Tests | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
R304HHA | Section 446, Frequency of Billing | 10/01/2003 | 07/01/2003 |
R802HO | Section 402, Frequency of Billing | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
R171CIM | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 10/01/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-123 | Scheduled Release for October Updates to Software Programs and Pricing/Coding Files | N/A | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
AB-03-057 | Implementation of the Financial Limitation for Outpatient Rehabilitation Services | 10/01/2003 | 07/01/2003 |
AB-03-097 | Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 | 07/21/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
B-03-065 | Changes to Code List for Therapy Services | 09/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
A-03-072 | Instructions for Provider Credit Balance Reporting Activities | 08/08/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-076 | Remittance Advice Message for Denial of Clinical Diagnostic Laboratory Services Denied Due to Frequency Edits | 10/01/2003 | 07/01/2003 |
R69HSP | Instructions for Provider Credit Balance Reporting Activities | 08/08/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
B-03-050 | Multiple Primary Payers on Part B Claims - REVISION TO Change Request 2050 | 07/18/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
B-03-040 | Update of the Place of Service (POS) Code Set | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
B-03-037 | Excluding from Home Health Consolidated Billing Edits Claims for Therapy Services Rendered by Physicians | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
A-03-081 | Conflicting Policies with Provider Reimbursement Manual 15-1, Section 2771 | 10/01/2003 | 07/01/2003 |
R1808B3 | Manualizing PMS CR 2380 and 2337 | N/A | 07/01/2003 |
A-03-071 | Retroactive Correction of Provider Statistical and Reimbursement (PS&R) System Report Data Related to Mammography and Outpatient Therapy Services | 10/01/2003 | 07/01/2003 |
R1807B3 | ICD-9-CM Coding for Diagnostic Tests | 10/01/2003 | 07/01/2003 |
R1793B3 | Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R1891A3 | ICD-9-CM Coding for Diagnostic Tests | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R92PRO | Deletes transferred material and provides crosswalk to corresponding QIO chapter. | N/A | 07/01/2003 |
R1810B3 | Daily Visit charges & Non-ESRD Patients Requiring Hemodialysis | 10/01/2003 | 07/01/2003 |
R806HO | Instructions for Provider Credit Balance Reporting Activities | 08/08/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
AB-03-136 | Correction to Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement | 10/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
AB-03-104 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 1, 2003 | 10/01/2003 | 07/01/2003 |
AB-03-096 | Quarterly Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement | 10/01/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
AB-03-054 | Diagnosis Code for Screening Pap Smear and Pelvic Examination Services | 10/01/2003 | 07/01/2003 |
AB-03-097 | Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 | 07/21/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
AB-03-057 | Implementation of the Financial Limitation for Outpatient Rehabilitation Services | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
B-03-064 | CLARIFICATION-ICD-9 Coding | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
R1818B3 | Section 3000, Filing the Request for Payment | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
R1810B3 | Daily Visit charges & Non-ESRD Patients Requiring Hemodialysis | 10/01/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
A-03-074 | Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2004 | 10/01/2003 | 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 | 10/01/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
A-03-072 | Instructions for Provider Credit Balance Reporting Activities | 08/08/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
A-03-067 | The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2002 for Inpatient Prospective Payment System (IPPS) Hospitals | 10/01/2003 | 07/01/2003 |
AB-03-119 | Final Update to the 2003 Medicare Physician Fee Schedule Database | 10/01/2003 | 07/01/2003 |
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 | 07/10/2003 | 07/01/2003 |
AB-03-104 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 1, 2003 | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
A-03-035 | Reporting of Revenue Codes Under the Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
AB-03-094 | October 2003 Quarterly Update for Skilled Nursing Facility (SNF) Consolidated Billing | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
B-03-065 | Changes to Code List for Therapy Services | 09/01/2003 | 07/01/2003 |
A-03-034 | Modification to Medicare Timely Filing Edit for Claims Paid Under Certain Prospective Payment Systems | 10/01/2003 | 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 | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
A-03-072 | Instructions for Provider Credit Balance Reporting Activities | 08/08/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R18OPT | Instructions for Provider Credit Balance Reporting Activities | 08/08/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
AB-03-096 | Quarterly Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement | 10/01/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
R1793B3 | Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") | 10/01/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-123 | Scheduled Release for October Updates to Software Programs and Pricing/Coding Files | N/A | 07/01/2003 |
AB-03-102 | Clarification Regarding Coverage of Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities | 08/08/2003 | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
AB-03-097 | Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 | 07/21/2003 | 07/01/2003 |
AB-03-057 | Implementation of the Financial Limitation for Outpatient Rehabilitation Services | 10/01/2003 | 07/01/2003 |
B-03-065 | Changes to Code List for Therapy Services | 09/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
A-03-033 | End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests | 10/01/2003 | 07/01/2003 |
R95RDF | Section 323.1, Frequency of Billing | 10/01/2003 | 07/01/2003 |
R67HSP | Section 303.5, Frequency of Billing | 10/01/2003 | 07/01/2003 |
R1793B3 | Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") | 10/01/2003 | 07/01/2003 |
R1892A3 | Update to Frequency of Billing Sections | 10/01/2003 | 07/01/2003 |
R304HHA | Section 446, Frequency of Billing | 10/01/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
A-03-072 | Instructions for Provider Credit Balance Reporting Activities | 08/08/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R96RDF | Instructions for Provider Credit Balance Reporting Activities | 08/08/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
AB-03-097 | Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 | 07/21/2003 | 07/01/2003 |
AB-03-057 | Implementation of the Financial Limitation for Outpatient Rehabilitation Services | 10/01/2003 | 07/01/2003 |
B-03-065 | Changes to Code List for Therapy Services | 09/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
A-03-072 | Instructions for Provider Credit Balance Reporting Activities | 08/08/2003 | 07/01/2003 |
A-03-071 | Retroactive Correction of Provider Statistical and Reimbursement (PS&R) System Report Data Related to Mammography and Outpatient Therapy Services | 10/01/2003 | 07/01/2003 |
A-03-069 | October Outpatient Code Editor (OCE) Specifications Version (V4.3) | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R377SNF | Instructions for Provider Credit Balance Reporting Activities | 08/08/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
AB-03-119 | Final Update to the 2003 Medicare Physician Fee Schedule Database | 10/01/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
AB-03-094 | October 2003 Quarterly Update for Skilled Nursing Facility (SNF) Consolidated Billing | 10/01/2003 | 07/01/2003 |
R67HSP | Section 303.5, Frequency of Billing | 10/01/2003 | 07/01/2003 |
R1793B3 | Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") | 10/01/2003 | 07/01/2003 |
R304HHA | Section 446, Frequency of Billing | 10/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
A-03-080 | End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
AB-03-054 | Diagnosis Code for Screening Pap Smear and Pelvic Examination Services | 10/01/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
A-03-075 | Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Update | 10/01/2003 | 07/01/2003 |
A-03-061 | Tentative Settlement Requirements for Cost Reports from Home Health Agencies (HHAs) and Skilled Nursing Facilities (SNFs) that have No Reimbursement Impact | 07/01/2003 | 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 | 10/01/2003 | 07/01/2003 |
R67HSP | Section 303.5, Frequency of Billing | 10/01/2003 | 07/01/2003 |
R1793B3 | Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") | 10/01/2003 | 07/01/2003 |
R1892A3 | Update to Frequency of Billing Sections | 10/01/2003 | 07/01/2003 |
R376SNF | Section 561, Frequency of Billing | 10/01/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
R304HHA | Section 446, Frequency of Billing | 10/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
AB-03-132 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 09/05/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-101 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
A-03-072 | Instructions for Provider Credit Balance Reporting Activities | 08/08/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R39RHC | Instructions for Provider Credit Balance Reporting Activities | 08/08/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 10/01/2003 | 07/01/2003 |
AB-03-104 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 1, 2003 | 10/01/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
CMS-1185-P | Medicare Program; Elimination of Statement of Intent Procedures for Filing Medicare Claims | 07/25/2003 | 07/01/2003 |
CMS-0008-IFC | Medicare Program; Electronic Submission of Medicare Claims | 08/15/2003 | 07/01/2003 |
CMS-3124-WN | Medicare Program; Withdrawal of Medicare Coverage of Multiple-Seizure Electroconvulsive Therapy, Electrodiagnostic Sensory Nerve Conduction Threshold Testing, and Noncontact Normothermic Wound Therapy | 07/25/2003 | 07/01/2003 |
CMS-4018-P | Medicare Program; Continuation of Medicare Entitlement When Disability Benefit Entitlement Ends Because of Substantial Gainful Activity | 07/25/2003 | 07/01/2003 |
CMS-2136-FN | Medicaid Program; State Allotments for Payment of Medicare Part B Premiums for Qualifying Individuals: Federal Fiscal Year 2002 | 08/22/2003 | 07/01/2003 |
CMS-2131-F | Medicare and Medicaid Programs; Requirements for Paid Feeding Assistants in Long Term Care Facilities | 09/26/2003 | 07/01/2003 |
CMS-1476-CN | Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004; Correction | 09/26/2003 | 07/01/2003 |
CMS-2226-CN | Medicare, Medicaid, and CLIA Programs; Laboratory Requirements Relating to Quality Systems and Certain Personnel Qualifications; Correction | 08/22/2003 | 07/01/2003 |
CMS-1473-NC | Medicare Program; Home Health Prospective Payment System Rate Update for FY 2004 | 07/02/2003 | 07/01/2003 |
CMS-6014-P | Medicare Program; Interest Calculation | 07/25/2003 | 07/01/2003 |
CMS-1475-FC | Medicare Program; Third Party Liability Insurance Regulations | 07/25/2003 | 07/01/2003 |
CMS-1476-P | Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2004 | 08/15/2003 | 07/01/2003 |
CMS-1199-F | Medicare Program; Electronic Submission of Cost Reports | 08/22/2003 | 07/01/2003 |
CMS-2182-FN | Medicare and Medicaid Programs; Reapproval of the Community Health Accreditation Program (CHAP) for Deeming Authority for Hospices | 09/26/2003 | 07/01/2003 |
CMS-1473-NC CORRECTION | Medicare Program; Home Health Prospective Payment System Rate Update for FY 2004 - Correction | 09/30/2003 | 07/01/2003 |
CMS-1262-P | Medicare Program; Changes to the Criteria for Being Classified as an Inpatient Rehabilitation Facility | 09/09/2003 | 07/01/2003 |
CMS-1063-F | Medicare Program; Clarifying Policies Related to the Responsibilities of Medicare-Participating Hospitals in Treating Individuals with Emergency Medical Conditions | 09/09/2003 | 07/01/2003 |
CMS-1233-N | Medicare Program; Hospice Wage Index for Fiscal Year 2004 | 09/30/2003 | 07/01/2003 |
CMS-4041-F | Medicare Program; Modifications to Managed Care Rules | 08/22/2003 | 07/01/2003 |
CMS-2166-N | State Children's Health Insurance Program; Final Allotments to States, the District of Columbia, and U.S. Territories and Commonwealths for Fiscal Year 2004 | 08/22/2003 | 07/01/2003 |
CMS-1474-F | Medicare Program; Changes to the Inpatient Rehabilitation Facility Prospective Payment System and Fiscal Year 2004 Rates | 08/01/2003 | 07/01/2003 |
CMS-1472-CN | Medicare Program; Prospective Payment System for Long-Term Care Hospitals: Annual Payment Rate Updates and Policy Changes | 07/15/2003 | 07/01/2003 |
CMS-1471-P | Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2004 Payment Rates | 08/12/2003 | 07/01/2003 |
CMS-1470-F CORRECTION | Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2004 Rates | 08/11/2003 | 07/01/2003 |
CMS-1470-F | Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2004 Rates | 08/01/2003 | 07/01/2003 |
CMS-4053-N | Medicare Program: Meeting of the Advisory Panel on Medicare Education - September 18, 2003 | 08/22/2003 | 07/01/2003 |
CMS-3117-N | Medicare Program; Meeting of the Medicare Coverage Advisory Committee on September 9, 2003 | 07/25/2003 | 07/01/2003 |
CMS-1260-N | Medicare Program; Meeting of the Advisory Panel on Ambulatory Payment Classification Groups on August 22, 2003 | 07/25/2003 | 07/01/2003 |
CMS-1229-P | Medicare Program; Payment Reform for Part B Drugs | 08/20/2003 | 07/01/2003 |
CMS-3062-N | Medicare Program; Revised Process for Making Medicare National Coverage Determinations | 09/26/2003 | 07/01/2003 |
CMS-2175-FC | Medicaid Program; Time Limitation on Price Recalculations and Recordkeeping Requirements Under the Drug Rebate Program | 08/29/2003 | 07/01/2003 |
CMS-1167-P | Medicare Program; Payment for Respiratory Assist Devices with Bi-level Capability and a Back-up Rate | 08/22/2003 | 07/01/2003 |
CMS-1469-CN | Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Correction | 09/29/2003 | 07/01/2003 |
AB-03-058 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/01/2003 | 07/01/2003 |
CMS-1469-F | Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities--Update | 08/04/2003 | 07/01/2003 |
B-03-045 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/01/2003 | 07/01/2003 |
R1793B3 | Section 2050.1, Incident to Physician's Professional Services, (Subsection A--"Commonly Furnished in Physicians' Offices") | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
CMS-1910-F | Rural Health Clinics: Amendments to Participation Requirements and Payment Provisions and Establishment of a Quality Assessment and Improvement Program | N/A | 07/01/2003 |
CMS-3063-F | Review of National Coverage Determinations and Local Coverage Determinations | N/A | 07/01/2003 |
CMS-3118-N | Notice of the Medicare Coverage Advisory Committee/Executive Committee for October 2003 | N/A | 07/01/2003 |
CMS-3099-NC | CY 2003 Review of the Appropriateness of Payment Amounts for New Technology Intraocular Lenses (NTIOLs) Furnished by Ambulatory Surgical Centers | N/A | 07/01/2003 |
CMS-1213-P | Prospective Payment System for Inpatient Psychiatric Facilities for FY 2004 | N/A | 07/01/2003 |
R92PRO | Deletes transferred material and provides crosswalk to corresponding QIO chapter. | N/A | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
R31MCM | Chapter 19, Managed Care and M+C Systems Requirements | N/A | 07/01/2003 |
R30MCM | Chapter 18, Health Care Prepayment Plans | N/A | 07/01/2003 |
R29MCM | Chapter 5-Quality Assessment | N/A | 07/01/2003 |
R28MCM | Chapter 3-Marketing | N/A | 07/01/2003 |
R27MCM | Chapter 13 - Medicare + Choice Beneficiary Grievances, Organization Determinations, and Appeals | N/A | 07/01/2003 |
R26MCM | Chapter 2 - Medicare + Choice Enrollment and Disenrollment | 08/11/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
AB-03-091 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
AB-03-122 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 08/11/2003 | 07/01/2003 |
AB-03-095 | Remittance Advice Remark and Reason Code Update | 10/01/2003 | 07/01/2003 |
R1OTSN | Payment for Tositumomab and Iodine I-131 | 08/11/2003 | 07/01/2003 |
A-03-071 | Retroactive Correction of Provider Statistical and Reimbursement (PS&R) System Report Data Related to Mammography and Outpatient Therapy Services | 10/01/2003 | 07/01/2003 |
R3OTN | Payment Amount for the Influenza Virus Vaccine | 10/01/2003 | 07/01/2003 |
A-03-071 | Retroactive Correction of Provider Statistical and Reimbursement (PS&R) System Report Data Related to Mammography and Outpatient Therapy Services | 10/01/2003 | 07/01/2003 |
B-03-063 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 07/25/2003 | 07/01/2003 |
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 | 10/01/2003 | 07/01/2003 |
R171CIM | Section 50-36, Positron Emission Tomography (PET) Scans | 10/01/2003 | 07/01/2003 |
R173CIM | Modifier and Conditions Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 10/01/2003 | 07/01/2003 |
A-03-076 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/01/2003 | 07/01/2003 |
R4QIO | Transfers information from the Peer Review Organization Manual to the new Internet-Only Manual equivalent. Clarifies review responsibilities and type of cases to be selected for review. | N/A | 07/01/2003 |
CMS-2175-CN | Time Limitation on Price Recalculations and Recordkeeping Requirements Under the Drug Rebate Program; Correction | 09/26/2003 | 07/01/2003 |
CMS-9018-N | Quarterly Listing of Program Issuances--April 2003 Through June 2003 | 09/26/2003 | 07/01/2003 |
CMS-1236-N | September 15 and 16, 2003, Meeting of the Practicing Physicians Advisory Council and Request for Nominations | 08/22/2003 | 07/01/2003 |
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