QPU October 2004
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 |
|---|---|---|---|
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| CMS-0008-F | Electronic Medicare Claims Submission | N/A | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R236CP | 2005 DMEPOS PRICING File Layout | 01/03/2005 | 10/01/2004 |
| R237CP | Payment Status Code 65 | 01/03/2005 | 10/01/2004 |
| R238CP | HIPAA XI2 B37 837 Institutional Health Care Implementation Guide | 01/03/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R259CP | Scheduled Release for October Updates to Software Programs and Pricing/Coding Files | 01/03/2005 | 10/01/2004 |
| R301CP | Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R340CP | Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement | 01/03/2005 | 10/01/2004 |
| R361CP | MMA Drug Pricing Update - Payment Limit for J0207 (Amifostine) | 12/06/2004 | 10/01/2004 |
| R362CP | Update to the Prospective Payment System (PPS) for Home Health Agencies for Calendar Year (CY) 2005 | 01/03/2005 | 10/01/2004 |
| R387CP | This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded | 01/03/2004 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R6DEMO | Demonstration to Clarify the Definition of Homebound | 03/05/2005 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/04/2004 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R416 | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Pay Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| R238CP | HIPAA XI2 B37 837 Institutional Health Care Implementation Guide | 01/03/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R387CP | This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) | 01/03/2004 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/04/2004 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 011/03/2005 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| CMS-3844-P | Hospice Care Conditions of Participation*** | N/A | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R28BP | Hospice Pre-Election Evaluation and Counseling Services | 01/03/2005 | 10/01/2004 |
| R231CP | Indian Health Service (IHS) Critical Access Hospital (CAH) payment methodology for inpatient and outpatient services | 01/03/2005 | 10/01/2004 |
| R237CP | Payment Status Code 65 | 01/03/2005 | 10/01/2004 |
| R238CP | HIPAA XI2 B37 837 Institutional Health Care Implementation Guide | 01/03/2005 | 10/01/2004 |
| R239CP | Update to the Frequency Billing | 01/03/2005 | 10/01/2004 |
| R240CP | Extension of Interrupted Stay Policy LTCH/PPS | 01/03/2005 | 10/01/2004 |
| R243CP | Patient Status Codes | 01/03/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R259CP | Scheduled Release for October Updates to Software Programs and Pricing/Coding Files | 01/03/2005 | 10/01/2004 |
| R266CP | CWF Editing for Same-Day/Same Provider Acute Care Readmissions | 01/03/2005 | 10/01/2004 |
| R267CP | Crossover Patients in New Long Term Care Hospitals (LTCH) | 01/03/2005 | 10/01/2004 |
| R276CP | CR3175 Distinct Part Units of Critical Access Hospitals | 01/03/2005 | 10/01/2004 |
| R301CP | Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services | 01/03/2005 | 10/01/2004 |
| R363CP | 2005 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment | 01/03/2005 | 10/01/2004 |
| R380CP | Changes to the Laboratory National Coverage Determination (NCD) edit Software for January 2005 | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R415CP | Temporary Change in Carrier Jurisdictional Pricing Rules for Purchased Diagnostic Services | 01/25/2004 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/04/2004 | 10/01/2004 |
| R309CP | Fiscal Year (FY) 2005 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) and Other Bill Processing Changes Related to the IPPS Final Rule | 10/04/2004 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R380CP | Changes to the Laboratory National Coverage Determination (NCD) edit Software for January 2005 | 01/03/2005 | 10/01/2004 |
| R385CP | January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of OPPS Outpatient Code Editor (OCE) Data Changes and OPPS PRICER Logic Changes; Changes to Payment for Diagnostic Mammography | 01/03/2005 | 10/01/2004 |
| R386CP | Hospice Pre-Election Evaluation and Counseling Services | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R403CP | January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Billing for Devices that do not have Transitional Pass-Through Status, and That Are Not Classified as New Technology Ambulatory Payment Classification (APC) Groups | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded. | 01/03/2004 | 10/01/2004 |
| R419CP | January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes | 01/03/2005 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R426PR1 | For Assets Acquired On or After May 1, 2004 | N/A | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R24BP | Revision of Section 300.5.1, Chapter 15 of the Medicare Benefit Policy Manual to include 22x TOB as an applicable TOB for Diabetes Self-Management Training | 01/03/2005 | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R24NCD | Update to Chapter 1, Section 220.6 - Dementia and Neurodegenerative Diseases | 10/01/2004 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/04/2004 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R347CP | Inpatient Rehabilitation Facility (IRF) Classification Requirements | 01/03/2005 | 10/01/2004 |
| R351CP | Editing of Hospitals and Skilled Nursing Facilities Part B Inpatient Services (Full Replacement of Change Request 3366) | 01/03/2004 | 10/01/2004 |
| R377CP | Hospital Outpatient Prospective Payment System (OPPS): Misclassified Drugs and Biologicals, Ganciclovir Long Act Implant, Bcg Live Intravesical Vac, and Gallium ga 67; Adjustments Due to Misclassification | 12/28/2004 | 10/01/2004 |
| R392CP | The Supplemental Security Income (SSI) Medicare Beneficiary Data for Fiscal Year 2003 for Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) | 01/03/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R399CP | Expansion of the Existing Interrupted Stay Policy Under Long Term Care Hospital (LTCH) Prospective Payment System | 01/03/2005 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/15/2004 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R422CP | Update to FY 2005 Wage Index for Inpatient Prospective Payment System (IPPS) and Outpatient Prospective Payment System (OPPS) Hospitals | 01/31/2005 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| CMS-3835-P | Hospital Conditions of Participation: Requirements for Approval and Reapproval of Transplant Centers to Perform Organ Transplant | N/A | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R198CP | End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry Test(s) | 01/03/2005 | 10/01/2004 |
| R241CP | DMEPOS FOR INDIAN HEALTH | 01/03/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R415CP | Temporary Change in Carrier Jurisdictional Pricing Rules for Purchased Diagnostic Services | 01/25/2004 | 10/01/2004 |
| R415CP | Temporary Change in Carrier Jurisdictional Pricing Rules for Purchased Diagnostic Services | 01/25/2004 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded | 01/03/2004 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/04/2004 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R318CP | Clarification of CR 3176 - Payment amounts for ESRD drug administration supplies: HCPCS A4657 and A4913 | 11/22/2004 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deativated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R241CP | DMEPOS FOR INDIAN HEALTH | 01/03/2005 | 10/01/2004 |
| R248CP | MMA Drugs Paid by ASP Beginnning January 1, 2005 | 01/01/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R328CP | 2005 Annual Update for Skilled Nursing Facility (SNF) Consolidated Billing for the Common Working File (CWF) and Medicare Carriers | 01/03/2005 | 10/01/2004 |
| R334CP | Payment of Beneficiary Submitted Flu Claims and Flu Claims Submitted by Non-Enrolled Providers | 11/26/2004 | 10/01/2004 |
| R339CP | Calendar Year (CY) 2005 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures | 11/10/2004 | 10/01/2004 |
| R380CP | Changes to the Laboratory National Coverage Determination (NCD) edit Software for January 2005 | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R414CP | Emergency Update to the 2005 Medicare Physician Fee Schedule Database | 01/03/2004 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded | 01/03/2004 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/04/2004 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R316CP | Clarification of Messgaes in Chapter 1, Section 10.1.1.1 to Match Official Listing on the WPC-EDI Web Site | N/A | 10/01/2004 |
| R317CP | Clarification to Chapter 26 of the Internet Only Manual (IOM) | 11/22/2004 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R420CP | Good Cause Waiver of Late Claim Filing Payment Reduction Penalty and Monitoring of Late Claims Submissions. Full Replacement of CR 3402, Which Was Rescinded | 01/31/2005 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R14DEMO | Chemotherapy Demonstration Project | 01/17/2005 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deqctivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| R325CP | New Waived Tests-January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| CMS-3112-FN | CY 2004 Review of the Appropriateness of Payment Amounts for New Technology Intraocular Lenses (NTIOLs) Furnished by Ambulatory Surgical Centers (ASCs) | N/A | 10/01/2004 |
| CMS-4064-IFC | Revisions to the Appeals Process for Initial Claim Determinations | N/A | 10/01/2004 |
| CMS-3145-IFC | Fire Safety Requirement for Certain Health Care Facilities; Alcohol-Base Hand Sanitizer & Smoke Detector Amendment | N/A | 10/01/2004 |
| CMS-2203-N | Recognition of NAIC Standards for Regulation of Medicare Supplemental Insurance | N/A | 10/01/2004 |
| CMS-2158-P | HIPAA Titles I and IV: Tolling Certain Time Periods and Interactions with Family and Medical Leave Act | N/A | 10/01/2004 |
| CMS-2151-F | HIPAA Titles I and IV: Health Coverage Portability for Group Health Plans and Group Health Insurance Issuers | N/A | 10/01/2004 |
| CMS-2150-NC | Request for Information on Benefit-Specific Waiting Periods | N/A | 10/01/2004 |
| CMS-2202-FN | Medicare and Medicaid Programs; Approval of Application for Deeming Authority for Ambulatory Surgical Centers by the American Association for Accreditation of Ambulatory Surgery Facilities, Inc | 11/26/2004 | 10/01/2004 |
| CMS-1478-P | Medicare Program; Update of Ambulatory Surgical Center List of Covered Procedures | 11/26/2004 | 10/01/2004 |
| CMS-4004-FC | Medicare Program; Expedited Determination Procedures for Provider Service Terminations | 11/26/2004 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deqctivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R317CP | Clarification to Chapter 26 of the Internet Only Manual (IOM) | 11/22/2004 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/04/2004 | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R380CP | Changes to the Laboratory National Coverage Determination (NCD) edit Software for January 2005 | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded | 01/03/2004 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded. | 01/03/2004 | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/10/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R238CP | HIPAA XI2 B37 837 Institutional Health Care Implementation Guide | 01/03/2005 | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/04/2004 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| CMS-3064-P | Organ Procurement Organization Conditions for Coverage | N/A | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R266CP | CWF Editing for Same-Day/Same Provider Acute Care Readmissions | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R387CP | This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded | 01/03/2004 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R11GI | Manual Revision Regarding Waiver of Annual Deductible and Coinsurance for Both ASC Facility, and ASC/Hospital Outpatient Department Physician Services | 11/22/2004 | 10/04/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/04/2004 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R259CP | Scheduled Release for October Updates to Software Programs and Pricing/Coding Files | 01/03/2005 | 10/01/2004 |
| R266CP | CWF Editing for Same-Day/Same Provider Acute Care Readmissions | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R301CP | Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded | 01/03/2004 | 10/01/2004 |
| R387CP | This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions | 01/03/2005 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded | 01/03/2004 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) | 01/03/2004 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R328CP | 2005 Annual Update for Skilled Nursing Facility (SNF) Consolidated Billing for the Common Working File (CWF) and Medicare Carriers | 01/03/2005 | 10/01/2004 |
| R320CP | Reminder Notice of the Implementation of the Ambulance Transition Schedule | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R241CP | DMEPOS FOR INDIAN HEALTH | 01/03/2005 | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R315CP | Temporary Change in Carrier Jurisdictional Pricing Rules for Purchased Diagnostic Services | 11/12/2004 | 10/01/2004 |
| R317CP | Clarification to Chapter 26 of the Internet Only Manual (IOM) | 11/22/2004 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/04/2004 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R322CP | Release Medlearn Article for Change Request (CR) 2813 (End Stage Renal Disease Reimbursement for Automated Multi-channel Chemistry Test(s)) | 10/29/2004 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R420CP | Good Cause Waiver of Late Claim Filing Payment Reduction Penalty and Monitoring of Late Claims Submissions. Full Replacement of CR 3402, Which Was Rescinded | 01/31/2005 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| CMS-2490-N | CLIA Program; Continued Approval of the American Association of Blood Banks for Deeming Authority | 12/30/2004 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R259CP | Scheduled Release for October Updates to Software Programs and Pricing/Coding Files | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R301CP | Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R387CP | This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded | 01/03/2004 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R7P218 | Cost Reporting Forms, Chapter 18 | N/A | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/04/2004 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/01/2004 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Pay Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R236CP | 2005 DMEPOS PRICING File Layout | 01/03/2005 | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R238CP | HIPAA XI2 B37 837 Institutional Health Care Implementation Guide | 01/03/2005 | 10/01/2004 |
| R241CP | DMEPOS FOR INDIAN HEALTH | 01/03/2005 | 10/01/2004 |
| R244CP | Minimum Number of Drug Pricing Files that Must be Maintained on Line for Medicare | 01/03/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R297CP | Reasonable Charge for Splints, etc. | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R369CP | Fee Schedule Update for 2005 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) | 01/03/2005 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R394CP | New Dispensing/Supply Fee Codes for Oral Anti-Cancer, Oral Ant- Emetic, Immunosuppressive, and Inhalation Drugs | 01/03/2005 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) | 01/03/2004 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R306CP | Full replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Dtabase | 10/04/2004 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deqctivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R28BP | Hospice Pre-Election Evaluation and Counseling Services | 01/03/2005 | 10/01/2004 |
| R244CP | Minimum Number of Drug Pricing Files that Must be Maintained on Line for Medicare | 01/03/2005 | 10/01/2004 |
| R241CP | DMEPOS for Indian Health | 01/03/2005 | 10/01/2004 |
| R248CP | MMA Drugs Paid by ASP Beginnning January 1, 2005 | 01/01/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R297CP | Reasonable Charge for Splints, etc. | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R328CP | 2005 Annual Update for Skilled Nursing Facility (SNF) Consolidated Billing for the Common Working File (CWF) and Medicare Carriers | 01/03/2005 | 10/01/2004 |
| R334CP | Payment of Beneficiary Submitted Flu Claims and Flu Claims Submitted by Non-Enrolled Providers | 11/26/2004 | 10/01/2004 |
| R339CP | Calendar Year (CY) 2005 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures | 11/10/2004 | 10/01/2004 |
| R380CP | Changes to the Laboratory National Coverage Determination (NCD) edit Software for January 2005 | 01/03/2005 | 10/01/2004 |
| R386CP | Hospice Pre-Election Evaluation and Counseling Services | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R414CP | Emergency Update to the 2005 Medicare Physician Fee Schedule Database | 01/03/2004 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) | 01/03/2004 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R129OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R24NCD | Update to Chapter 1, Section 220.6 - Dementia and Neurodegenerative Diseases | 10/01/2004 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/04/2004 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/05/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R315CP | Temporary Change in Carrier Jurisdictional Pricing Rules for Purchased Diagnostic Services | 11/22/2004 | 10/01/2004 |
| R316CP | Clarification of Messgaes in Chapter 1, Section 10.1.1.1 to Match Official Listing on the WPC-EDI Web Site | N/A | 10/01/2004 |
| R317CP | Clarification to Chapter 26 of the Internet Only Manual (IOM) | 11/22/2004 | 10/01/2004 |
| R382CP | Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Patients | 01/03/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R420CP | Good Cause Waiver of Late Claim Filing Payment Reduction Penalty and Monitoring of Late Claims Submissions. Full Replacement of CR 3402, Which Was Rescinded | 01/31/2005 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/04/2004 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded | 01/03/2004 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R390CP | Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases - Skilled Nursing Facility (SNF) Consolidated Billing (CB) as it Applies to RHC and FQHC Service | 01/03/2005 | 10/01/2004 |
| R387CP | This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions | 01/03/2005 | 10/01/2004 |
| R380CP | Changes to the Laboratory National Coverage Determination (NCD) edit Software for January 2005 | 01/03/2005 | 10/01/2004 |
| R361CP | MMA Drug Pricing Update - Payment Limit for J0207 (Amifostine) | 12/06/2004 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R238CP | HIPAA XI2 B37 837 Institutional Health Care Implementation Guide | 01/03/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) | 01/03/2005 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/04/2004 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R238CP | HIPAA XI2 B37 837 Institutional Health Care Implementation Guide | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R361CP | MMA Drug Pricing Update - Payment Limit for J0207 (Amifostine) | 12/06/2004 | 10/01/2004 |
| R387CP | This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) | 01/03/2004 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/05 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) | 01/03/2004 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/04/2004 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| CMS-3017-IFC | Conditions for Coverage of Power Mobility Devices, including Powered Wheelchairs and Power-Operated Vehicles (Scooters) | N/A | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R237CP | Payment Status Code 65 | 01/03/2005 | 10/01/2004 |
| R238CP | HIPAA XI2 B37 837 Institutional Health Care Implementation Guide | 01/03/2005 | 10/01/2004 |
| R253CP | FISS Changes to Allow for Provider Liability Days on the SNF Inpatient Bills | 01/03/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R266CP | CWF Editing for Same-Day/Same Provider Acute Care Readmissions | 01/03/2005 | 10/01/2004 |
| R301CP | Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R338CP | Removal of the Skilled Nursing Facility (SNF) No Pay File | 01/03/2005 | 10/01/2004 |
| R361CP | MMA Drug Pricing Update - Payment Limit for J0207 (Amifostine) | 12/06/2004 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/04/2004 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R351CP | Editing of Hospitals and Skilled Nursing Facilities Part B Inpatient Services (Full Replacement of Change Request 3366) | 01/03/2005 | 10/01/2004 |
| R378CP | Full Replacement of CR 3308, Fiscal Intermediary Shared System (FISS) Changes to Allow for Provider Liability Days on Skilled Nursing Facility (SNF) and Swing Bed Facility Inpatient Bills | 01/03/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R413CP | Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2005 for 9 Metropolitan Statistical Areas (MSAs) with New Wage Index Values Effective January 1, 2005 | 01/17/2004 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R4SOM | Guidance to Surveyors for Long Term Care Facilities | 11/12/2004 | 10/01/2004 |
| R5SOM | Revisions to Appendix P (Survey Protocols for Long Term Care Facilities) and Appendix PP (Guidance to Surveyors for Long Term Care Facilities) | 11/19/2004 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| CMS-3818-P | End Stage Renal disease (ESRD) Conditions for Coverage | N/A | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/04/2004 | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/04/2004 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R373CP | New ESRD Composite Payment Rates Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | -1/24/2005 | 10/01/2004 |
| R401 CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2004 |
| R238CP | HIPAA XI2 B37 837 Institutional Health Care Implementation Guide | 01/03/2005 | 10/01/2004 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2004 |
| R313CP | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 01/03/2005 | 10/01/2004 |
| R324CP | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 11.0, Effective January 1, 2005 | 01/03/2005 | 10/01/2004 |
| R387CP | This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions | 01/03/2005 | 10/01/2004 |
| R380CP | Changes to the Laboratory National Coverage Determination (NCD) edit Software for January 2005 | 01/03/2005 | 10/01/2004 |
| R387CP | This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions | 01/03/2005 | 10/01/2004 |
| R390CP | Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases - Skilled Nursing Facility (SNF) Consolidated Billing (CB) as it Applies to RHC and FQHC Service | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) | 01/03/2004 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R387CP | This instruction is to inform the fiscal intermediaries that the January 2005 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications have been updated with new additions, changes, and deletions | 01/03/2005 | 10/01/2004 |
| R402CP | January Update to the Medicare Outpatient Code Editor (OCE) Version 20.1 for Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System (Non-OPPS) | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2004 |
| R409CP | Diabetes Screening Tests | 01/03/2005 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) | 01/03/2004 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R123OTN | Instructions For Pricing Trepostinil (Q4077) | 11/29/2004 | 10/01/2004 |
| R131OTN | 2005 Drug Administration Coding Revisions | 01/03/2005 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R24BP | Revision of Section 300.5.1, Chapter 15 of the Medicare Benefit Policy Manual to include 22x TOB as an applicable TOB for Diabetes Self-Management Training | 01/03/2005 | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
| CMS-1374-GNC | Medicare Program; Criteria and Standards For Evaluating Intermediary, Carrier, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Regional Carrier Performance During Fiscal Year 2005 | 11/26/2004 | 10/01/2004 |
| CMS-1267-N | Medicare Program; Coverage and Payment of Ambulance Services; Recalibration of Conversion Factor; Inflation Update for CY 2005 | 11/15/2004 | 10/01/2004 |
| CMS-4077-FN | Medicare Program; Approval of the National Committee for Quality Assurance Deeming Authority for Medicare Advantage Local Preferred Provider Organizations | 12/30/2004 | 10/01/2004 |
| CMS-4041-IFC | Medicare Program; Modifications to Managed Care Rules | 12/30/2004 | 10/01/2004 |
| CMS-1265-F | Medicare Program; Home Health Prospective Payment System Rate Update for Calendar Year 2005 | 10/22/2004 | 10/01/2004 |
| CMS-1428-N | Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates; Extension for the Hospital Applications To Receive Increases in Full Time Equivalent Resident Caps for Graduate Medical Education Payment | 11/30/2004 | 10/01/2004 |
| CMS-1428-F2 | Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates; Correcting Amendment | 12/30/2004 | 10/01/2004 |
| CMS-1213-F | Medicare Program; Prospective Payment System for Inpatient Psychiatric Facilities | 11/15/2004 | 10/01/2004 |
| CMS-1428-CN2 | Medicare Program; Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates; Corrections | 10/07/2004 | 10/01/2004 |
| CMS-1427-CN | Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates; Wage Index Tables and Corrections | 12/30/2004 | 10/01/2004 |
| CMS-1427-FC | Medicare Program; Changes to the Hospital Outpatient Prospective Payment System and Calendar Year 2005 Payment Rates | 11/15/2004 | 10/01/2004 |
| R328CP | 2005 Annual Update for Skilled Nursing Facility (SNF) Consolidated Billing for the Common Working File (CWF) and Medicare Carriers | 01/03/2005 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 01/12/2005 | 12/10/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| CMS-2175-F | Medicaid Program; Time Limitation on Recordkeeping Requirements Under the Drug Rebate Program | 11/26/2004 | 10/01/2004 |
| CMS-1249-CN2 | Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Corrections | 12/30/2004 | 10/01/2004 |
| CMS-1249-CN | Medicare Program; Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities; Corrections | 10/07/2004 | 10/01/2004 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| CMS-1360-CN | Medicare Program; Inpatient Rehabilitation Facility Prospective Payment System for Fiscal Year 2005; Correction | 10/07/2004 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT) | 10/01/2004 | 10/01/2004 |
| R3GI | New Part B Annual Deductible | 01/03/2005 | 10/01/2005 |
| R256CP | Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF | 01/03/2005 | 10/01/2005 |
| R10GI | Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 | 03/05/2005 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R113OTN | Implementation of Section 921 of the MMA - Provider Customer Service Program | 01/05/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| R408CP | Cardiovascular Disease Screening | 01/03/2005 | 10/01/2005 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R59FM | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 11/12/2004 | 10/01/2004 |
| R303CP | Instructions for Completion of Form CMS-1450 | 01/05/2005 | 10/01/2004 |
| R417CP | Initial Preventive Physical Examination (IPPE)-(Note: This is a full replacement of CR 3413, transmittal 294, dated September 3, 2004. CR 3413 is rescinded.) | 01/03/2004 | 10/01/2004 |
| R91PI | Revision of Program Integrity Manual (PIM), Section 3.11.1.4 | 01/03/2005 | 10/01/2004 |
| R407CP | Hospital Billing for Repetitive Services | 01/03/2005 | 10/01/2005 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R63MCM | Chapter 5 and Chapter 17B | N/A | 10/01/2004 |
| R306CP | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database. | 10/04/2004 | 10/01/2004 |
| R5DEMO | Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare | 03/05/2005 | 10/01/2004 |
| R64MCM | Surveys, Contracting Strategy, Grievances and Appeals | N/A | 10/01/2004 |
| R314CP | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deactivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| CMS-4067-FN | Approval of the Utilization Review Accreditation Commission (URAC) for Deeming Authority for M+C | N/A | 10/01/2004 |
| CMS-1429-FC | Medicare Program; Revisions to Payment Policies Under the Physician Fee Schedule for Calendar Year 2005 | 11/15/2004 | 10/01/2004 |
| R421CP | Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 01/03/2005 | 10/01/2004 |
| R114OTN | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT | 10/01/2004 | 10/01/2004 |
| R412CP | Skilled Nursing Facility (SNF) Consolidated Billing Service Furnished under an "Arrangement" with an Outside Entity | 01/24/2004 | 10/01/2004 |
| R90PI | Prepayment Review of Claims for MR Purposes | 01/10/2005 | 10/01/2004 |
| R420CP | Good Cause Waiver of Late Claim Filing Payment Reduction Penalty and Monitoring of Late Claims Submissions. Full Replacement of CR 3402, Which Was Rescinded | 01/31/2005 | 10/01/2004 |
| R401CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/24/2005 | 10/01/2004 |
| R393CP | 2005 Part B Deductible Update to the Back Page of Medicare Summary Notices | 01/03/2005 | 10/01/2004 |
| R416CP | Interest Payment on Clean Non-PIP Claims Not Paid Timely | 01/25/2004 | 10/01/2004 |
| R100OTN | Carrier 835 Flat File Change & Replacement of Deqctivated Reason Code A2 | 03/05/2005 | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R25NCD | Percutaneous Transluminal Angioplasty (PTA) | 01/12/2005 | 10/01/2004 |
| R252CP | FI 835 Flat File and Companion Document Change | 01/03/2005 | 10/01/2004 |
| R12DEMO | Chemotherapy Demonstration Project | 01/17/2005 | 10/01/2004 |
| R23NCD | Treatment of Obesity | 10/01/2004 | 10/01/2004 |
| R361CP | MMA Drug Pricing Update - Payment Limit for J0207 (Amifostine) | 12/06/2004 | 10/01/2004 |
| R26NCD | Electrocardiographic Services | 12/10/2004 | 10/01/2004 |
| R411CP | Ambulance Inflation Factor (AIF) | 01/03/2004 | 10/01/2004 |
| CMS-1285-N | Meeting of the Advisory Panel on Ambulatory Payment Classification (APC) Groups (Panel)--February 23, 24, and 25, 2005, and Re-chartering of APC Panel on November 8, 2004 | 12/30/2004 | 10/01/2004 |
| CMS-1292-N | Town Hall Meeting on the Fiscal Year 2006 Applications for New Medical Services and Technologies Add-on Payments Under the Hospital Inpatient Prospective Payment System Scheduled for February 23, 2005 | 12/30/2004 | 10/01/2004 |
| CMS-1265-CN2 | Home Health Prospective Payment System Rate Update for Calendar Year 2005; Correction | 11/30/2004 | 10/01/2004 |
| CMS-9026-N | Timeline for Publication of Medicare Final Regulations After Proposed or Interim Final Regulations | 12/30/2004 | 10/01/2004 |
| CMS-9024-N | Quarterly Listing of Program Issuances--July 2004 Through September 2004 | 12/30/2004 | 10/01/2004 |
| CMS-5036-N | Solicitation for Proposals for the Cancer Prevention and Treatment Demonstration for Ethnic and Racial Minorities | 12/23/2004 | 10/01/2004 |
| CMS-1428-N | Changes to the Hospital Inpatient Prospective Payment Systems and Fiscal Year 2005 Rates; Extension for the Hospital Applications To Receive Increases in Full Time Equivalent Resident Caps for Graduate Medical Education Payment | 11/30/2005 | 10/01/2004 |
| CMS-5011-WN | Notice of Withdrawal of the Solicitation of Proposals for the Private, for-Profit Demonstration Project for the Program of All-nclusive Care for the Elderly (PACE) | 11/26/2005 | 10/01/2004 |
| CMS-3149-N | Meeting of the Medicare Coverage Advisory Committee--January 25, 2005 | 11/26/2005 | 10/01/2004 |
| CMS-4078-N | Meeting of the Advisory Panel on Medicare Education--November 30, 2004 | 10/22/2004 | 10/01/2004 |
| CMS-1484-N | November 22, 2004, Meeting of the Practicing Physicians Advisory Council | 10/22/2004 | 10/01/2004 |
| CMS-1302-N | Town Hall Meeting on the Medicare Provider Feedback Group (MPFG) November 16, 2004 | 10/22/2004 | 10/01/2004 |
| CMS-5015-N | Care Management for High-Cost Beneficiaries (CMHCB) Demonstration | 10/06/2004 | 10/01/2004 |
| R311CP | Instructions for Completion of Form CMS-1450 | 01/05/2004 | 10/01/2004 |
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