Acute Inpatient PPS Transmittals
The list below shows the transmittals that are directed to the Acute Inpatient provider community, but the list may not include all instructions for which Acute Inpatient providers are responsible. For a list of all instructions, view the Transmittals web page under Regulations and Guidance.
CR # | Release Date | Subject | MLN Article # |
---|---|---|---|
5428 | 12/22/2006 | Medicare Payment for Preadministration-Related Services Associated with IVIG Administration-Payment Extended through CY 2007 | MM5428 |
5764 | 11/02/2007 | New Patient Status Discharge Code 70 to Define Discharges or Transfers to Other Types of Health Care Institutions not Defined Elsewhere in the UB-04 (CMS-1450) Manual Code List | MM5764 |
5285 | 03/21/2007 | Provider/Supplier Enrollment Approval Letters | N/A |
7244 | 01/21/2011 | Off-Cycle Release of the Inpatient Prospective Payment System (IPPS) Pricer to Accept Diagnosis Codes and to Pass a Low-Volume Payment Amount | MM7244 |
7280 | 01/28/2011 | Update to the Fiscal Intermediary Shared System (FISS) End of Present on Admission (POA) Indicator Logic for Version 5010 837I Electronic Health Care Claim Submissions | MM7280 |
5597 | 06/29/2007 | IOM Pub 100-09, Chapters 3, Provider Inquiries and Chapter 6 - Provider Customer Service Program Updates | MM5597 |
5597 | 07/13/2007 | IOM Pub. 100-09, Chapters 3- Provider Inquiries and Chapter6- Provider Customer Service Program Updates | N/A |
7278 | 03/10/2011 | Affordable Care Act-Section 3113- Laboratory Demonstration for Certain Complex Diagnostic Tests | N/A |
7278 | 03/10/2011 | Affordable Care Act-Section 3113- Laboratory Demonstration for Certain Complex Diagnostic Tests | N/A |
6968 | 08/06/2010 | Payment for Implantable Tissue Markers (HCPCS Code A4648) and Implantable Radiation Dosimeters (HCPCS Code A4650) | MM6968 |
7029 | 07/08/2010 | Updates to the Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, Outpatient Prospective Payment System (OPPS), and Inpatient Rehabilitation Facility (IRF) PPS Changes due to the Affordable Care Act (ACA) | N/A |
7029 | 07/15/2010 | Updates to the Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, Outpatient Prospective Payment System (OPPS), and Inpatient Rehabilitation Facility (IRF) PPS Changes due to the Affordable Care Act (ACA) | MM7029 |
7004 | 08/13/2010 | 5010 Implementation--Processing Additional International Classification of Diseases, 9th Revision-Clinical Modification (ICD-9-CM) Diagnosis and Procedure Codes in Pricer, Grouper, and the Medicare Code Editor (MCE) | MM7004 |
7024 | 08/13/2010 | 5010 Implementation-Changes to Present on Admission (POA) Indicator '1' and the K3 Segment | MM7024 |
7134 | 09/17/2010 | Fiscal Year (FY) 2011 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes | MM7134 |
7134 | 10/01/2010 | Fiscal Year (FY) 2011 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes | MM7134 |
7172 | 10/15/2010 | Submission of Informational Only Claims by Maryland Waiver Hospitals and Critical Access Hospitals (CAHs) for Electronic Health Records (EHR) Purposes | MM7172 |
6885 | 06/04/2010 | Hospital Provider Enrollment Revalidation | N/A |
7232 | 03/25/2011 | Effective Date of Certified Provider or Supplier Agreement or Approval | MM7232 |
6002 | 07/25/2008 | Clarification on the Correct Condition Code to Report on Provider Adjustment Requests to Indicate a Health Insurance Prospective Payment System (HIPPS) Code Change | N/A |
6107 | 07/29/2008 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | MM6107 |
7142 | 10/29/2010 | Clarification of Payment Window for Outpatient Services Treated as Inpatient Services | MM7142 |
7385 | 04/22/2011 | Updates to Pub 100-04, Medicare Claims Processing Manual, Chapter 3: Inpatient Hospital Billing | N/A |
7141 | 11/12/2010 | Expansion of Inpatient Prospective Payment System Transfer Policy to Include Critical Access Hospitals (CAHs) and Non-Participating Hospitals | MM7141 |
7224 | 11/19/2010 | Update to Medicare Deductible, Coinsurance and Premium Rates for 2011 | MM7224 |
7192 | 12/03/2010 | Outlier Reconciliation and other Outlier Manual Updates for the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), Inpatient Rehabilitation Facility (IRF) PPS, Inpatient Psychiatric Facility (IPF) PPS and Long Term Care Hospital (LTCH) PPS | N/A |
6634 | 10/05/2009 | Fiscal Year (FY) 2010 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes | MM6634 |
6634 | 09/17/2009 | Fiscal Year (FY) 2010 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes | MM6634 |
7379 | 05/20/2011 | Pass-through Payment for Certified Registered Nurse Anesthetist Services | N/A |
7404 | 05/27/2011 | Critical Access Hospital (CAH) Optional Method Election for Outpatient Services | MM7404 |
7553 | 10/28/2011 | Diagnosis Code Update for Add-on Payments for Blood Clotting Factor Administered to Hemophilia Inpatients | MM7553 |
7464 | 06/17/2011 | Revision to Formula to Compute the Time Value of Money under the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), Inpatient Rehabilitation Facility (IRF PPS), Inpatient Psychiatric Facility (IPF PPS) and Long Term Care Hospital (LTCH PPS) | N/A |
7508 | 08/26/2011 | Fiscal Year (FY) 2012 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Critical Access Hospital (CAH) Changes | MM7508 |
7567 | 11/18/2011 | Update to Medicare Deductible, Coinsurance and Premium Rates for 2012 | MM7567 |
NA | 12/02/2011 | Revised Appendix A, Interpretive Guidelines for Hospitals, and Appendix W, Interpretive Guidelines for Critical Access Hospitals (CAHs) | N/A |
7666 | 12/09/2011 | Off-Cycle Release of the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2012 Pricer | MM7666 |
6564 | 12/09/2011 | Verification of Status for all Hospitals Qualifying for Disproportionate Share Hospital (DSH) Payments under 42 CFR Section 412.106(c)(2), also known as the "Pickle Amendment" | N/A |
7671 | 12/16/2011 | Summary of Policies in the CY 2012 Medicare Physician Fee Schedule (MPFS) Final Rule and the Telehealth Originating Site Facility Fee Payment Amount | MM7671 |
7567 | 12/16/2011 | Update to Medicare Deductible, Coinsurance and Premium Rates for 2012 | MM7567 |
7505 | 07/22/2011 | Method of Cost Settlement for inpatient Services for Rural Hospitals Participating Under Demonstrations Authorized by Section 410A of the Medicare Modernization Act. Sections 3123 and 10313 of the Affordable Care Act authorized an expansion of the demonstration and an extension for additional 5-year period. This CR gives instructions for this additional 5-year period. This CR is an extension of CR 5020 for additional 5-year period. | N/A |
7685 | 12/30/2011 | Instruction to Teaching Hospital for Reporting the Internal Revenue Service (IRS) - Refund of Medical Resident FICA Taxes | MM7685 |
7502 | 01/03/2012 | Bundling of Payments for Services Provided to Outpatients Who Later Are Admitted as Inpatients: 3-Day Payment Window Policy and the Impact on Wholly Owned or Wholly Operated Physician Practices | MM7502 |
7671 | 01/18/2012 | Summary of Policies in the CY 2012 Medicare Physician Fee Schedule (MPFS) Final Rule and the Telehealth Originating Site Facility Fee Payment Amount | N/A |
7706 | 01/20/2012 | Update to Pub 100-04, Medicare Claims Processing Manual, Chapter 3: Inpatient Hospital Billing | N/A |
7457 | 07/29/2011 | Addition of Medical Severity Diagnosis Related Group (MS-DRG) 265 to the list subject to Inpatient Prospective Payment System (IPPS) Replaced Devices Offered Without Cost or With a Credit Policy | MM7457 |
7661 | 01/27/2012 | Analysis of Improper Overpayments to Design Edits to Correct these Overpayments in CWF, MCS, and FISS | |
7680 | 01/25/2012 | Update to the Fiscal Year (FY) 2012 List of Codes Exempt from Reporting Present on Admission (POA) | MM7680 |
7685 | 01/24/2012 | Instructions to Teaching Hospitals for Reporting the Internal Revenue Service (IRS) Refund of Medical Resident FICA Taxes | MM7685 |
7863 | 2012-06-08 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | MM7863 |
8041 | 2012-08-31 | Fiscal Year (FY) 2013 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital | MM8041 |
8067 | 2012-11-01 | Affordable Care Act (ACA) Section 3025 expansion of a field in the Inpatient Provider Specific File (PSF) | MM8067 |
8009 | 2012-11-01 | New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Medicare Beneficiaries Classified as "Unlawfully Present" in the United States | MM8009 |
8007 | 2012-11-01 | New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Incarcerated Medicare Beneficiaries | MM8007 |
8078 | 2012-11-02 | The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2010 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs) | MM8078 |
7849 | 2012-11-02 | Payment System (IPPS) Hospital Admission | |
8052 | 2012-12-07 | Update to Medicare Deductible, Coinsurance and Premium Rates for 2013 | MM8052 |
8076 | 2012-12-21 | Implementation of the Hospital Value-Based Purchasing Program and Hospital Readmission Reduction Program for the Rural Community Hospital Demonstration for FY 2013 | MM8076 |
8041 | 2013-01-04 | Fiscal Year (FY) 2013 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS Changes | MM8041 |
8139 | 2013-01-31 | Correction to Common Working File (CWF) A/B Crossover Edit 7272 for Transfer to Home for Home Health Services | |
8046 | 2013-01-31 | Modification of Payment Window Edit in the Common Working File (CWF) to Modify Diagnostic Service List | MM8046 |
- Page last Modified: 08/01/2012 2:24 PM
- Help with File Formats and Plug-Ins