2017 Transmittals
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| Transmittal # | Issue Date | Subject | Implementation Date | CR # | MM Article # | MM Article Release Date |
|---|---|---|---|---|---|---|
| R3688CP | 2017-01-03 | Update to the Federally Qualified Health Centers (FQHC) Prospective Payment System (PPS) - Recurring File Updates | 2017-01-03 | 9831 | MM9831 | 2017-01-05 |
| SE17002 | Additional Guidance for Clinical Laboratories as Data Reporting Begins | SE17002 | 2017-01-04 | |||
| SE17004 | Revised Centers for Medicare & Medicaid Services (CMS) 855S Application – Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Suppliers | SE17004 | 2017-01-05 | |||
| R3689CP | 2017-01-05 | 2017 Durable Medical Equipment Prosthetics, Orthotics, and Supplies Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List | 2017-01-24 | 9903 | MM9903 | 2017-01-06 |
| R1768OTN | 2017-01-06 | Shared System Enhancement 2015: Reslove Operating Report (ORPT) Issues - Development and Implementation | N/A | 9734 | ||
| R165DEMO | 2017-01-06 | Shared System Enhancement 2015: Archive/Remove Inactive Medicare Demonstration Projects - Common Working File Analysis Only | 2017-07-01 | 9890 | ||
| R1767OTN | 2017-01-06 | Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for July 2017 | 2017-07-03 | 9881 | ||
| R1769OTN | 2017-01-06 | eMSN and Alternate Format MSN Service Improvements | N/A | 9731 | ||
| R1770OTN | 2017-01-06 | Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process | 2017-04-03 | 9681 | MM9681 | 2017-01-09 |
| R1771OTN | 2017-01-10 | Fraud Prevention System (FPS) 2 Edit Migration Testing | 2017-02-21 | 9920 | ||
| R1772OTN | 2017-01-11 | Common Working File (CWF) Reorganization of Daily Beneficiary Extract Files | N/A | 9787 | ||
| R280FM | 2017-01-11 | Notice of New Interest Rate for Medicare Overpayments and Underpayments -2nd Qtr Notification for FY 2017 | 2017-01-19 | 9978 | ||
| R3691CP | 2017-01-13 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2017 | 2017-04-03 | 9934 | MM9934 | 2017-01-17 |
| R3692CP | 2017-01-13 | April 2017 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files | 2017-04-03 | 9945 | MM9945 | 2017-01-13 |
| R166DEMO | 2017-01-13 | Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 April 2017 Updates | 2017-04-03 | 9927 | ||
| R1774OTN | 2017-01-12 | Shared System Enhancement 2014 – Identification of Fiscal Intermediary Standard System (FISS) Obsolete Reports - Analysis Only | N/A | 9564 | ||
| R3693CP | 2017-01-13 | Medicare Physician Fee Schedule Database (MPFSDB) 2017 File Layout Manual | 2017-01-03 | 9784 | ||
| R3695CP | 2017-01-20 | Medicare Outpatient Observation Notice (MOON) Instructions | 2017-02-17 | 9935 | MM9935 | 2017-01-24 |
| R698PI | 2017-01-20 | The Process of Prior Authorization | 2017-02-21 | 9940 | MM9940 | 2017-01-23 |
| R3696CP | 2017-01-20 | New Waived Tests | 2017-04-03 | 9956 | MM9956 | 2017-01-23 |
| R1775OTN | 2017-01-27 | Updated Editing of Professional Therapy Services | 2017-07-03 | 9933 | MM9933 | 2017-02-21 |
| R1776OTN | 2017-01-27 | Instructions to Hospitals on the Election of a Medicare-Supplemental Security Income (SSI) Component of the Disproportionate Share (DSH) Payment Adjustment for Cost Reports that Involve SSI Ratios for Fiscal Year (FY) 2004 and earlier, or SSI Ratios for Hospital Cost-reporting Periods for Patient Discharges Occurring before October 1, 2004. | 2017-01-19 | 9896 | ||
| R3698CP | 2017-01-27 | Medicare Outpatient Observation Notice (MOON) Instructions | 2017-02-21 | 9935 | MM9935 | 2017-01-24 |
| R166SOMA | 2017-02-03 | Revisions to State Operations Manual (SOM), Appendix C-Survey Procedures and Interpretive Guidelines for Laboratories and Laboratory Services | 2017-03-03 | N/A | ||
| R3714CP | 2017-02-03 | Changes to the National Coordination of Benefits Agreement (COBA) Crossover Process as a Result of the Social Security Number Removal Initiative (SSNRI) | 2017-07-03 | 9885 | ||
| R3701CP | 2017-02-03 | Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits | 2017-04-03 | 9946 | MM9946 | 2017-02-14 |
| R3702CP | 2017-02-03 | Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - April 2017 | 2017-04-03 | 9971 | MM9971 | 2017-02-14 |
| R3710CP | 2017-02-03 | New “K” Code for Continuous Positive Airway Pressure Device Bundle | 2017-04-03 | 9874 | ||
| R3708CP | 2017-02-03 | Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) Edits, Version 23.1, Effective April 1, 2017 | 2017-04-03 | 9970 | MM9970 | 2017-02-14 |
| R3709CP | 2017-02-03 | Internet Only Manual (IOM) Chapter 25 Revision | 2017-04-04 | 9964 | ||
| R1785OTN | 2017-02-03 | Payment for Oxygen Volume Adjustments and Portable Oxygen Equipment- FISS | 2017-07-03 | 9928 | MM9928 | 2017-02-14 |
| R3711CP | 2017-02-03 | Implementation of New Influenza Virus Vaccine Code | 2017-07-03 | 9876 | MM9876 | 2017-02-21 |
| R1791OTN | 2017-02-03 | Change to Beneficiary Liability and Cost Report Days for Subclause (II) Long Term Care Hospitals (LTCHs) | 2017-07-03 | 9912 | MM9912 | 2017-02-14 |
| R1787OTN | 2017-02-03 | New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) | N/A | 9893 | MM9893 | 2017-02-21 |
| R3715CP | 2017-02-03 | Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System | N/A | 9911 | MM9911 | 2017-02-14 |
| R1790OTN | 2017-02-03 | Shared System Enhancement 2016: Complete Disablement of Health Maintenance Organization (HMO) Inquiry Transaction, HIHO, and Related Vestige Within Common Working File (CWF) | 2017-07-03 | 9974 | ||
| R1786OTN | 2017-02-03 | Update for Additional International Classification of Diseases (ICD)-10 Codes for the System Changes to Implement Section 231 of the Consolidated Appropriations Act, 2016, Temporary Exception for Certain Severe Wound Discharges From Certain Long-Term Care Hospitals (LTCHs) | 2017-02-03 | 9872 | MM9872 | 2017-02-14 |
| R3712CP | 2017-02-03 | New Fields in the Fiscal Intermediary Shared System (FISS) Inpatient and Outpatient Provider Specific Files (PSF) | 2017-07-03 | 9926 | ||
| R1789OTN | 2017-02-03 | Shared System Enhancement 2016: Common Working File (CWF) to Show Date for Informational Unsolicited Response (IUR) Indicator on Claim History | 2017-07-03 | 9965 | ||
| R1788OTN | 2017-02-03 | Combined Common Edits/Enhancements (CCEM) Proxool and Apache Software Upgrades | 2017-07-03 | 9929 | ||
| R3713CP | 2017-02-03 | Extension of Payment Change for Group 3 Complex Rehabilitative Power Wheelchairs Accessories and Seat and Back Cushions under Section 16005 of the 21st Century Cures Act | 2017-07-03 | 9966 | MM9966 | 2017-02-14 |
| R1792OTN | 2017-02-03 | ICD-10 Coding Revisions to National Coverage Determination (NCDs) | N/A | 9861 | MM9861 | 2017-02-21 |
| R1793OTN | 2017-02-08 | Analysis Only - Modification of Process for Handling the Provider Enrollment Chain Ownership System (PECOS) Extract File | 2017-04-03 | 9560 | ||
| R3716CP | 2017-02-10 | Extension of the Transition to the Fully Adjusted Durable Medical Equipment, Prosthetics, Orthotics and Supplies Payment Rates under Section 16007 of the 21st Century Cures Act | 2017-07-03 | 9968 | MM9968 | 2017-02-27 |
| R1794OTN | 2017-02-10 | Provider Enrollment, Chain and Ownership System (PECOS) Extract File - Analysis | 2017-07-03 | 9949 | ||
| R1796OTN | 2017-02-10 | Processing Updates for VMS From Provider Enrollment, Chain and Ownership System (PECOS) Extract File | 2017-07-03 | 9962 | ||
| R167SOMA | 2017-02-10 | Revision to State Operations Manual (SOM) Appendix PP - Incorporate revised Requirements of Participation for Medicare and Medicaid certified nursing facilities | 2017-02-10 | N/A | ||
| R1797OTN | 2017-02-10 | Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) | N/A | 9904 | MM9904 | 2017-02-17 |
| R3717CP | 2017-02-10 | Clinical Laboratory Fee Schedule - Medicare Travel Allowance Fees for Collection of Specimens | 2017-05-12 | 9960 | MM9960 | 2017-02-21 |
| R125MCM | 2017-02-10 | Update of Chapter 1 | 2017-02-10 | N/A | ||
| R1795OTN | 2017-02-10 | Advance Care Planning (ACP) Implementation for Outpatient Prospective Payment System (OPPS) Claims | 2017-07-03 | 9862 | MM9862 | 2017-02-21 |
| R3718CP | 2017-02-14 | Instructions to Process Services Not Authorized by the Veterans Administration (VA) in a Non-VA Facility Reported With Value Code (VC) 42 | 2017-04-03 | 9818 | MM9818 | 2016-10-31 |
| R3719CP | 2017-02-15 | Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April CY 2017 Update | 2017-04-03 | 9977 | MM9977 | 2017-02-21 |
| R169DEMO | 2017-02-17 | Episode Payment Model Operations | 2017-07-03 | 9916 | MM9916 | 2017-02-27 |
| R1799OTN | 2017-02-17 | Preventing Hospice Notices of Election with Future Dates | 2017-07-03 | 9932 | MM9932 | 2017-02-21 |
| R1798OTN | 2017-02-17 | ICD-10 Coding Revisions to National Coverage Determinations (NCDs) | 2017-07-03 | 9982 | MM9982 | 2017-02-23 |
| R13P229 | 2017-02-17 | Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 29, Form CMS-222-92 | 2017-02-17 | N/A | ||
| R1803OTN | 2017-02-17 | Innovation Payment Contractor (IPC) for D1 D4 File Exchange | 2017-07-03 | 9899 | ||
| R3722CP | 2017-02-24 | Instructions for Downloading the Medicare ZIP Code File for July 2017 | 2017-07-03 | 9969 | ||
| R233BP | 2017-02-24 | Clarification of Payment Policy Changes for Negative Pressure Wound Therapy (NPWT) Using a Disposable Device and the Outlier Payment Methodology for Home Health Services | 2017-03-27 | 9898 | MM9898 | 2017-02-27 |
| R3721CP | 2017-02-24 | Updates to Pub. 100-04, Chapters 12, 17 and 23 to Correct Remittance Advice Messages | 2017-05-25 | 9906 | MM9906 | 2017-02-27 |
| R3723CP | 2017-02-24 | Healthcare Provider Taxonomy Codes (HPTCs) April 2017 Code Set Update | 2017-07-03 | 9869 | MM9869 | 2017-02-27 |
| R3724CP | 2017-02-24 | Common Edits and Enhancements Modules (CEM) Code Set Update | 2017-07-03 | 9870 | ||
| R3725CP | 2017-02-24 | Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update | 2017-07-03 | 9878 | MM9878 | 2017-02-27 |
| R3726CP | 2017-03-03 | April 2017 Update of the Ambulatory Surgical Center (ASC) Payment System | 2017-04-03 | 9998 | MM9998 | 2017-03-06 |
| R194NCD | 2017-03-03 | Gender Dysphoria and Gender Reassignment Surgery | 2017-04-04 | 9981 | MM9981 | 2017-03-06 |
| R14P229 | 2017-03-03 | To reflect clarifications and corrections to existing instructions. The effective dates for changes vary. For cost reporting periods beginning on or after October 1, 2014, Freestanding FQHCs are required to file using the Freestanding FQHC Cost Report (Form CMS 224 14), not the Independent (RHC)/Freestanding FQHC Cost Report (Form CMS-222-92). | N/A | N/A | ||
| R3729CP | 2017-03-03 | April Quarterly Update for 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 2017-04-03 | 9988 | MM9988 | 2017-03-06 |
| R170DEMO | 2017-03-03 | Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 July 2017 Updates | 2017-07-03 | 9996 | ||
| R3728CP | 2017-03-03 | April 2017 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 2017-04-03 | 10005 | MM10005 | 2017-03-10 |
| R3730CP | 2017-03-03 | Payment for Oxygen Volume Adjustments and Portable Oxygen Equipment | 2017-04-03 | 9848 | MM9848 | 2017-03-06 |
| R168SOMA | 2017-03-08 | Revision to State Operations Manual (SOM) Appendix PP - Incorporate revised Requirements of Participation for Medicare and Medicaid certified nursing facilities. | 2017-03-08 | N/A | ||
| R234BP | 2017-03-10 | Clarification of Admission Order and Medical Review Requirements | 2017-06-12 | 9979 | MM9979 | 2017-03-13 |
| R3732CP | 2017-03-10 | Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2017 | 2017-04-10 | 9991 | ||
| R3733CP | 2017-03-10 | Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - July 2017 | 2017-07-03 | 10004 | MM10004 | 2017-03-15 |
| R3734CP | 2017-03-10 | Federally Qualified Health Centers (FQHC) Prospective Payment System (PPS) - Recurring File Updates | 2017-07-03 | 10021 | MM10021 | 2017-03-15 |
| R3735CP | 2017-03-10 | April 2017 Integrated Outpatient Code Editor (I/OCE) Specifications Version 18.1 | 2017-04-03 | 10002 | MM10002 | 2017-03-13 |
| R1806OTN | 2017-03-14 | Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for July 2017 | 2017-07-03 | 9881 | ||
| R3737CP | 2017-03-17 | Quarterly Updates to ESRD PRICER | 2017-07-03 | 10037 | ||
| R3738CP | 2017-03-17 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2017 | 2017-07-03 | 10036 | MM10036 | 2017-03-20 |
| R3739CP | 2017-03-17 | Billing for Advance Care Planning (ACP) Claims | 2017-06-19 | 10000 | MM10000 | 2017-03-20 |
| R1807OTN | 2017-03-17 | Intern and Resident Information System (IRIS) Data Upload into STAR | 2017-04-17 | 9984 | ||
| R704PI | 2017-03-17 | Home Health (HH) Language in Pub. 100-8 | 2017-04-17 | 10006 | ||
| R3740CP | 2017-03-23 | FISS Implementation of the Restructured Clinical Lab Fee Schedule | N/A | 9837 | MM9837 | 2017-03-23 |
| R705PI | 2017-03-24 | Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Order Requirements for Changing Suppliers | 2017-04-24 | 9886 | MM9886 | 2017-03-28 |
| R1808OTN | 2017-03-24 | Advanced Provider Screening (APS) Phase 1 Go-Live | 2017-05-15 | 9983 | ||
| R1809OTN | 2017-03-24 | Client Letter v5.2 Upgrade - DME MAC Training and Testing | 2017-04-24 | 10027 | ||
| SE17009 | Denial of Home Health Payments When Required Patient Assessment Is Not Received – Additional Information | SE17009 | 2017-03-24 | |||
| R1811OTN | 2017-03-29 | Shared System Enhancement 2014 – Identification of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Analysis Only | N/A | 9566 | ||
| R1812OTN | 2017-03-31 | HIGLAS Connectivity Updates and Testing | 2017-05-30 | 10042 | ||
| R1813OTN | 2017-03-31 | Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF) | 2018-01-02 | 10017 | ||
| R1814OTN | 2017-03-30 | Shared System Enhancement 2014 – Identification of Fiscal Intermediary Standard System (FISS) Obsolete Reports - Analysis Only | 2018-01-02 | 9564 | ||
| R3741CP | 2017-03-30 | New Waived Tests | 2017-04-03 | 9956 | MM9956 | 2017-04-03 |
| R1815OTN | 2017-04-07 | Common Working File (CWF) to Archive Inactive Part B Consistency Edits | 2017-10-02 | 9975 | ||
| R1818OTN | 2017-04-07 | Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for Generating Reports | 2017-10-02 | 9995 | ||
| R1819OTN | 2017-04-07 | Update to Common Working File (CWF) Blood Editing on Medicare Advantage (MA) Enrollees' Inpatient Claims for Indirect Medical Education (IME) Payment | 2017-10-02 | 10012 | MM10012 | 2017-04-10 |
| R1817OTN | 2017-04-07 | Enrollment Data Base (EDB) and Common Working File (CWF) Data Resync - Analysis and Design | 2017-10-02 | 9994 | ||
| R3746CP | 2017-04-07 | July 2017 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files | 2017-07-03 | 10016 | MM10016 | 2017-04-10 |
| R119MSP | 2017-04-07 | Implement the International Classification of Diseases, Tenth Revision (ICD-10) 2018 General Equivalence Mappings (GEMs) Tables in the Common Working File (CWF) for Purposes of Processing Non-Group Health Plan (NGHP) Medicare Secondary Payer (MSP) Records and Claims | 2017-10-02 | 9947 | ||
| R282FM | 2017-04-11 | Notice of New Interest Rate for Medicare Overpayments and Underpayments -3rd Qtr Notification for FY 2017 | 2017-04-18 | 10099 | ||
| R3747CP | 2017-04-14 | Payment for Moderate Sedation Services | 2017-05-15 | 10001 | MM10001 | 2017-04-17 |
| R3748CP | 2017-04-14 | Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) Edits, Version 23.2, Effective July 1, 2017 | 2017-07-03 | 10082 | MM10082 | 2017-04-17 |
| R710PI | 2017-04-14 | Update to Pub. 100-08, Chapter 15 | 2017-05-15 | 9953 | ||
| R3750CP | 2017-04-19 | New Fields in the Fiscal Intermediary Shared System (FISS) Inpatient and Outpatient Provider Specific Files (PSF) | 2017-07-03 | 9926 | ||
| SE17011 | Next Generation Accountable Care Organization (NG ACO) – All Inclusive Population Based Payment (AIPBP) Implementation | SE17011 | 2017-04-20 | |||
| R30QIO | 2017-04-21 | QIO Manual Chapter 16 – “Healthcare Quality Improvement Program” | 2017-04-21 | N/A | ||
| R3751CP | 2017-04-21 | Two New “K” Codes for Therapeutic Continuous Glucose Monitors | 2017-07-10 | 10013 | MM10013 | 2017-05-01 |
| R1782OTN | 2017-02-02 | OPPS Pricer Interface Update | 2017-07-03 | 9882 | ||
| R3754CP | 2017-04-21 | Implementation of New Influenza Virus Vaccine Code | 2017-07-03 | 9876 | MM9876 | 2017-04-26 |
| R711PI | 2017-04-25 | Update to Pub. 100-08, Chapter 15 | 2017-05-15 | 9953 | ||
| SE17010 | Improvements to the Adjudication Process of Serial Claims | SE17010 | 2017-04-27 | |||
| R3760CP | 2017-04-28 | July Quarterly Update for 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | N/A | 10071 | MM10071 | 2017-05-03 |
| R3761CP | 2017-04-28 | Screening for Hepatitis B Virus (HBV) Infection | N/A | 9859 | MM9859 | 2017-05-04 |
| R1831OTN | 2017-04-28 | Introductory Letters for Suppliers and Providers Related to the Prior Authorization for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items | 2017-05-30 | 10068 | ||
| R195NCD | 2017-04-28 | Screening for Hepatitis B Virus (HBV) Infection | N/A | 9859 | MM9859 | 2017-05-04 |
| R1833OTN | 2017-04-28 | Implementing the remittance advice messaging for the 20-hour weekly minimum for Partial Hospitalization Program services. | 2017-10-02 | 9880 | MM9880 | 2017-05-01 |
| R1839OTN | 2017-04-28 | Implementation of Section 1557 for Medicare Redetermination Notices (MRNs) by Adding a Notice and Tagline Sheet | 2017-10-02 | 9938 | ||
| R1837OTN | 2017-04-28 | Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System (Analysis Only) | 2017-10-02 | 10019 | ||
| R3763CP | 2017-04-28 | Payment for Moderate Sedation Services Furnished with Colorectal Cancer Screening Tests | 2017-10-02 | 10075 | MM10075 | 2017-05-01 |
| R1832OTN | 2017-04-28 | Update FISS Editing to Include the Admitting Diagnosis Code Field | 2017-10-02 | 9753 | MM9753 | 2017-05-01 |
| R283FM | 2017-04-28 | New Physician Specialty Code for Advanced Heart Failure and Transplant Cardiology, Medical Toxicology, and Hematopoietic Cell Transplantation and Cellular Therapy | 2017-10-02 | 9957 | MM9957 | 2017-05-01 |
| R1834OTN | 2017-04-28 | Analysis and Design Working Sessions for the Development of a Pre-Payment Common Additional Documentation Request (ADR) Letter | 2017-10-02 | 9936 | ||
| R3762CP | 2017-04-28 | New Physician Specialty Code for Advanced Heart Failure and Transplant Cardiology, Medical Toxicology, and Hematopoietic Cell Transplantation and Cellular Therapy | 2017-10-02 | 9957 | MM9957 | 2017-05-01 |
| R1835OTN | 2017-04-28 | Reason Codes 36233 and 36330 Bypass for Claims Submitted on the 72x Type of Bill for Services Provided to Beneficiaries with Acute Kidney Injury (AKI) and edits related to not separately payable drugs | 2017-10-02 | 9987 | ||
| R1836OTN | 2017-04-28 | Analysis Only-Provider Number Validation Update for the Shared Systems Maintainer (SSM) | 2017-10-02 | 100-20 | ||
| R1838OTN | 2017-04-28 | Part B Detail Line Expansion - Common Working File (CWF) | N/A | 10031 | ||
| R3764CP | 2017-04-28 | Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System | N/A | 9911 | MM9911 | 2017-02-14 |
| R1840OTN | 2017-05-05 | Update FISS Editing to Include All Three Patient Reason for Visit Code Fields | N/A | 9672 | MM9672 | 2017-05-05 |
| R1841OTN | 2017-05-05 | Medicare Fee-for-Service Recovery Audit Contractor (RAC) Data Centers | 2017-06-06 | 10051 | ||
| R1842OTN | 2017-05-05 | Remove HSQLDB from the Combined Common Edits/Enhancements Module (CCEM) | 2017-10-02 | 10088 | ||
| R3765CP | 2017-05-05 | Modifications to the Common Working File (CWF) In Support of the Coordination of Benefits Agreement (COBA) Crossover Process | 2017-10-02 | 9967 | ||
| R1843OTN | 2017-05-05 | Analysis for Common Working File (CWF) to Medicare Beneficiary Database (MBD) Extract File Changes for Detailed Skilled Nursing Facility Data to Support HIPAA Eligibility Transaction System (HETS) 1002 | 2017-10-02 | 10050 | ||
| R1844OTN | 2017-05-05 | Modification to Two Fiscal Intermediary Shared System (FISS) Edits Created Through Change Request (CR) 9681 | 2017-08-07 | 10103 | ||
| R713PI | 2017-05-05 | Scribe Services Signature Requirements | 2017-06-06 | 10076 | ||
| R1705OTN | 2017-05-05 | Outlier Limitation on Outpatient Prospective Payment System (OPPS) Community Mental Health Centers (CMHC) Services | N/A | 9671 | MM9671 | 2017-05-12 |
| R3766CP | 2017-05-05 | Screening for the Human Immunodeficiency Virus (HIV) Infection | 2017-10-02 | 9980 | ||
| R3768CP | 2017-05-05 | April Quarterly Update for 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 2017-04-03 | 9988 | MM9988 | 2017-05-08 |
| R1845OTN | 2017-05-10 | New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) | N/A | 9893 | MM9893 | 2017-05-10 |
| R715PI | 2017-05-11 | Update to Pub. 100-08, Chapter 15 | 2017-06-13 | 9953 | SE17012 | 2017-05-16 |
| R716PI | 2017-05-12 | Clarifying Medical Review of Hospital Claims for Part A Payment | 2017-06-13 | 10080 | MM10080 | 2017-05-16 |
| R172DEMO | 2017-05-12 | Suppression of G9678 (Oncology Care Model Monthly Enhanced Oncology Services) Claims OCM Beneficiary Medicare Summary Notice | 2017-10-02 | 10054 | ||
| R1847OTN | 2017-05-12 | Common Working File (CWF) to reject CWF Provider Queries containing Health Insurance Claim Numbers (HICNs) starting with '9' | 2017-10-02 | 10097 | ||
| R1849OTN | 2017-05-12 | Implementation of Modifier CG for Type of Bill 72x | 2017-10-02 | 9989 | MM9989 | 2017-05-15 |
| R3772CP | 2017-05-12 | Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July CY 2017 Update | 2017-07-03 | 10104 | MM10104 | 2017-05-15 |
| R3774CP | 2017-05-12 | Changes to the Payment Policies for Reciprocal Billing Arrangements and Fee-For-Time Compensation Arrangements (formerly referred to as Locum Tenens Arrangements) | 2017-06-13 | 10090 | MM10090 | 2017-05-15 |
| R1846OTN | 2017-05-12 | MCS Implementation of the Restructured Clinical Lab Fee Schedule | N/A | 10057 | MM10057 | 2017-05-15 |
| R3771CP | 2017-05-12 | New Waived Tests | 2017-07-03 | 10055 | MM10055 | 2017-05-15 |
| R714PI | 2017-05-12 | Comprehensive Error Rate Testing (CERT) File Layout for Social Security Number Removal Initiative (SSNRI) | N/A | 9835 | ||
| R717PI | 2017-05-12 | Update to Pub. 100-08, Chapter 15 | 2017-05-15 | 9953 | ||
| R1850OTN | 2017-05-16 | Common Working File (CWF) to Archive Inactive Part B Consistency Edits | 2017-05-16 | 9975 | ||
| SE17022 | Hurricane Irma and Medicare Disaster Related United States Virgin Islands, Commonwealth of Puerto Rico and State of Florida Claims | SE17022 | 2017-09-08 | |||
| R1851OTN | 2017-05-17 | Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF) | N/A | 10017 | ||
| R1852OTN | 2017-05-17 | Update FISS Editing to Include All Three Patient Reason for Visit Code Fields | 2017-10-02 | 9672 | MM9672 | 2017-05-18 |
| R3775CP | 2017-05-18 | Two New “K” Codes for Therapeutic Continuous Glucose Monitors | 2017-07-03 | 10013 | MM10013 | 2017-05-01 |
| R718PI | 2017-05-19 | Reviewing for Adverse Legal Actions (ALA) | 2017-06-20 | 9879 | ||
| R174DEMO | 2017-05-19 | Payment of G9678 (Oncology Care Model Monthly Enhanced Oncology Services) Claims for Beneficiaries Receiving Care in an Inpatient Setting | 2017-10-02 | 10053 | ||
| R3776CP | 2017-05-19 | Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - July 2017 Update | 2017-07-03 | 10107 | MM10107 | 2017-05-18 |
| R173DEMO | 2017-05-19 | Medicare Care Choices Model - Per Beneficiary per Month Payment (PBPM) - Implementation (eligibility updates and clarification) | 2017-10-02 | 10094 | MM10094 | 2017-05-18 |
| R3777CP | 2017-05-19 | July 2017 Integrated Outpatient Code Editor (I/OCE) Specifications Version 18.2 | 2017-07-03 | 10115 | MM10115 | 2017-05-18 |
| R3778CP | 2017-05-24 | Screening for the Human Immunodeficiency Virus (HIV) Infection | 2017-10-02 | 9980 | MM9980 | 2017-06-06 |
| R3779CP | 2017-05-24 | Instructions to Process Services Not Authorized by the Veterans Administration (VA) in a Non-VA Facility Reported With Value Code (VC) 42 | 2017-04-03 | 9818 | MM9818 | 2016-10-31 |
| SE17014 | Required Workaround for Hospices Submitting Routine Home Care (RHC) and Service Intensity Add-On (SIA) Payments at the End of Life | SE17014 | 2017-05-24 | |||
| SE17008 | Scheduled End of the Intravenous Immune Globulin (IVIG) Demonstration | SE17008 | 2017-05-30 | |||
| R3782CP | 2017-05-26 | Claim Status Category and Claim Status Codes Update | 2017-10-02 | 10043 | MM10043 | 2017-05-30 |
| R3781CP | 2017-05-26 | Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE) | 2017-10-02 | 10041 | MM10041 | 2017-05-30 |
| R3780CP | 2017-05-26 | Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update | 2017-10-02 | 10040 | MM10040 | 2017-05-30 |
| R719PI | 2017-05-25 | Update to Reporting Requirements | 2017-06-27 | 9924 | ||
| R722PI | 2017-05-26 | Clarifying Date and Timing Requirements for Certain Durable Medical Equipment Prosthetics Orthotics and Supplies (DMEPOS) | 2017-06-27 | 10106 | ||
| R1854OTN | 2017-05-26 | ICD-10 Coding Revisions to National Coverage Determinations (NCDs) | N/A | 10086 | MM10086 | 2017-06-13 |
| R196NCD | 2017-05-26 | Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS) | 2017-06-27 | 10089 | MM10089 | 2017-06-05 |
| R3783CP | 2017-05-26 | July 2017 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 2017-07-03 | 10122 | MM10122 | 2017-05-30 |
| R3784CP | 2017-05-26 | Instructions for Downloading the Medicare ZIP Code File for October Files | 2017-10-02 | 10052 | ||
| R3786CP | 2017-05-26 | Common Edits and Enhancements Modules (CEM) Code Set Update | 2017-10-02 | 10039 | ||
| R3787CP | 2017-05-26 | Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS) | 2017-06-27 | 10089 | MM10089 | 2017-06-05 |
| R104GI | 2017-05-26 | Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 October 2017 Updates | 2017-10-02 | 10123 | ||
| R3788CP | 2017-06-02 | July 2017 Update of the Ambulatory Surgical Center (ASC) Payment System | 2017-07-03 | 10138 | MM10138 | 2017-06-06 |
| R285FM | 2017-06-02 | Pub. 100-6, Chapter 3 and 4 Revisions | 2017-07-01 | 10079 | ||
| R105GI | 2017-06-02 | Update to General Information, Eligibility, and Entitlement, Chapter 7 - Contract Administrative Requirements, Section 40 – Shared System Maintainer Responsibilities for Systems Releases | 2017-07-03 | 10062 | ||
| R1855OTN | 2017-06-02 | Targeted Probe and Educate Pilot | 2017-07-03 | 10073 | ||
| SE17015 | Guidance to Providers that Submit Outpatient Facility Claims and Those That Enter Claims Data via Direct Data Entry (DDE) Screens to Reduce Incidence of Claims Not Crossing Over | SE17015 | 2017-06-07 | |||
| SE17031 | Updates to Medicare’s Cost Report Worksheet S-10 to Capture Uncompensated Care Data | SE17031 | 2017-09-29 | |||
| R287FM | 2017-06-09 | Removal of Contractor Requirement to Submit Opt Out Data into the Contractor Reporting of Operational and Workload Data (CROWD) System (Form 8) | 2017-07-11 | 10121 | ||
| R286FM | 2017-06-09 | Medicare Financial Management Manual Chapter 4, Section 20 Demand Letter Updates | 2017-07-03 | 10023 | ||
| R169SOMA | 2017-06-09 | New to State Operations Manual (SOM) Appendix Z, Emergency Preparedness for All Provider and Certified Supplier Types | 2017-06-09 | N/A | ||
| R235BP | 2017-06-09 | Removal of Contractor Requirement to Submit Opt Out Data into the Contractor Reporting of Operational and Workload Data (CROWD) System (Form 8) | 2017-07-11 | 10121 | ||
| R1857OTN | 2017-06-08 | New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) | N/A | 9893 | MM9893 | 2017-06-09 |
| R3792CP | 2017-06-09 | July 2017 Update of the Ambulatory Surgical Center (ASC) Payment System | 2017-07-03 | 10138 | MM10138 | 2017-06-09 |
| R721PI | 2017-06-09 | Elimination of Routine Reviews Including Documentation Compliance Reviews and Instituting Three Medical Reviews7 | 2017-07-11 | 9809 | ||
| R3793CP | 2017-06-09 | Screening for Hepatitis B Virus (HBV) Infection | 2018-01-02 | 9859 | MM9859 | 2017-06-12 |
| R197NCD | 2017-06-09 | Screening for Hepatitis B Virus (HBV) Infection | 2018-01-02 | 9859 | MM9859 | 2017-06-12 |
| R3797CP | 2017-06-16 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2017 | 2017-10-02 | 10156 | MM10156 | 2017-06-21 |
| R236BP | 2017-06-16 | Medicare Benefit Policy Manual - Chapter 10, Ambulance Locality and Advanced Life Support (ALS) Assessment | 2017-09-18 | 10110 | MM10110 | 2017-06-16 |
| R3798CP | 2017-06-16 | Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - October 2017 | 2017-10-02 | 10128 | MM10128 | 2017-06-16 |
| R3799CP | 2017-06-16 | Annual Update of the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) | 2017-10-02 | 10153 | ||
| R3795CP | 2017-06-16 | Updates in the Fiscal Intermediary Shared System (FISS) Inpatient and Outpatient Provider Specific Files (PSF) | 2018-01-02 | 10165 | ||
| R3796CP | 2017-06-16 | Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2018 | 2017-10-02 | 10118 | MM10118 | 2017-06-19 |
| R726PI | 2017-06-16 | Comprehensive Error Rate Testing (CERT) File Layout for Social Security Number Removal Initiative (SSNRI) | N/A | 9835 | ||
| R3800CP | 2017-06-23 | Internet Only Manual Update to Pub. 100-04, Chapter 15 | 2017-07-25 | 10143 | MM10143 | 2017-07-18 |
| R1859OTN | 2017-06-22 | Common Working File (CWF) to Archive Inactive Part B Consistency Edits | 2017-10-02 | 9975 | ||
| R1860OTN | 2017-06-23 | Updates to the CMS-855R Processing Guide | 2017-07-25 | 10114 | ||
| R1783OTN | 2017-06-23 | Implementing FISS Updates to Accommodate Section 603 Bipartisan Budget Act of 2015 - Phase 2 | 2017-07-03 | 9907 | MM9907 | 2017-06-27 |
| SE17016 | Modernized National Plan and Provider Enumeration System | SE17016 | 2017-06-27 | |||
| R3801CP | 2017-06-28 | Extension of the Transition to the Fully Adjusted Durable Medical Equipment, Prosthetics, Orthotics and Supplies Payment Rates under Section 16007 of the 21st Century Cures Act | N/A | 9968 | MM9968 | 2017-02-27 |
| R3802CP | 2017-06-28 | Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System | A/N | 9911 | MM9911 | 2017-02-14 |
| R1861OTN | 2017-06-29 | Targeted Probe and Educate Pilot | 2017-07-03 | 10073 | ||
| R3804CP | 2017-06-29 | Screening for Hepatitis B Virus (HBV) Infection | 2018-01-02 | 9859 | MM9859 | 2017-05-04 |
| R198NCD | 2017-06-29 | Screening for Hepatitis B Virus (HBV) Infection | 2018-01-02 | 9859 | MM9859 | 2017-05-04 |
| R1862OTN | 2017-06-30 | Introductory Letters for Suppliers and Providers Related to the Prior Authorization for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items | 2017-07-31 | 10146 | ||
| R175DEMO | 2017-06-30 | Suppression of G9678 (Oncology Care Model Monthly Enhanced Oncology Services) Claims OCM Beneficiary Medicare Summary Notice | 2017-10-02 | 10054 | ||
| R1863OTN | 2017-06-30 | The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2015 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCH) | 2017-07-31 | 10026 | MM10026 | 2017-07-07 |
| R120MSP | 2017-07-07 | Electronic Correspondence Referral System (ECRS) User Guide Medicare Beneficiary Identifier (MBI) Modifications including Updated Enterprise Identity Management (EIDM) Multi-Factor Authentication (MFA)/Remote Identity Proofing (RIDP) Screen Shots | 2017-07-07 | 10154 | ||
| R3805CP | 2017-07-11 | Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS) | 2017-08-11 | 10089 | ||
| R199NCD | 2017-07-11 | Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS) | 2017-08-11 | 10089 | ||
| R289FM | 2017-07-11 | Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notification for FY 2017 | 2017-07-18 | 10227 | ||
| R3807CP | 2017-07-14 | Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) Edits, Version 23.3, Effective October 1, 2017 | 2017-10-02 | 10183 | MM10183 | 2017-07-17 |
| R67QRI | 2017-07-14 | Fiscal Year 2018 and After Payments to Skilled Nursing Facilities That Do Not Submit Required Quality Data | 2017-08-14 | 9944 | MM9944 | 2017-07-17 |
| R290FM | 2017-07-14 | New Specialty Code for Pharmacy | 2018-01-02 | 9821 | ||
| R291FM | 2017-07-13 | Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notification for FY 2017 | 2017-07-18 | 10227 | ||
| R1865OTN | 2017-07-14 | Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for January 2018 | 2018-01-02 | 10162 | ||
| R1866OTN | 2017-07-14 | National Provider Identification Crosswalk System (NPICS) Retirement Analysis Only - Engage Shared Systems Maintainers (SSMs) and Medicare Administrative Contractors (MACs) in Meetings and Correspondence Related to the NPICS Retirement with the Integrated Data Repository (IDR) Team | 2018-01-02 | 10007 | ||
| R1867OTN | 2017-07-14 | Renovate MCS Correspondence Entry Driver Program H99P1C00 | 2018-01-02 | 9828 | ||
| R1868OTN | 2017-07-14 | Fee For Service (FFS) Applications Upgrade Customer Information Control System (CICS) to Transaction Server (TS) v5.2 | 2018-01-02 | 9961 | ||
| R3809CP | 2017-07-21 | October 2017 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files | 2017-10-02 | 10187 | MM10187 | 2017-07-24 |
| R732PI | 2017-07-21 | Clarifying the Instructions for Amending or Correcting Entries in Medical Records | 2017-08-22 | 10120 | ||
| R36COM | 2017-07-21 | Updates to Pub. 100-09, Chapter 6 Beneficiary and Provider Communications Manual, Chapter 6, Provider Customer Service Program | 2017-08-22 | 10168 | ||
| R1P223 | 2017-07-21 | Instructions for the Prepaid Health Plan Cost Report and the applicable cost reports. | N/A | N/A | ||
| R474PR1 | 2017-07-21 | The guidelines in section 905.7 are provided beginning with cost reporting periods beginning in Federal Year (FY) 2009. | N/A | N/A | ||
| R31QIO | 2017-07-21 | QIO Manual Chapter 15 – “Performance Evaluation” | 2017-07-21 | N/A | ||
| R3811CP | 2017-07-25 | Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS) | 2017-06-27 | 10089 | MM10089 | 2017-06-05 |
| R200NCD | 2017-07-25 | Percutaneous Image-guided Lumbar Decompression (PILD) for Lumbar Spinal Stenosis (LSS) | 2017-06-27 | 10089 | MM10089 | 2017-06-05 |
| R3812CP | 2017-07-27 | New Waived Tests | 2017-10-02 | 10198 | MM10198 | 2017-07-28 |
| R3814CP | 2017-07-27 | Updated Editing of Always Therapy Services - MCS | 2018-01-02 | 10176 | MM10176 | 2017-08-01 |
| R3813CP | 2017-07-27 | Accepting Hospice Notices of Election via Electronic Data Interchange | 2018-01-02 | 10064 | ||
| R733PI | 2017-07-27 | Clarification of Certificate of Medical Necessity (CMN) and Durable Medical Equipment Information Forms (DIFs) | 2017-08-28 | 10148 | ||
| R1875OTN | 2017-07-27 | ICD-10 Coding Revisions to National Coverage Determinations (NCDs) | 2018-01-02 | 10184 | MM10184 | 2017-08-09 |
| R1876OTN | 2017-07-27 | Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process | 2018-01-02 | 10155 | ||
| R201NCD | 2017-07-28 | National Coverage Determination (NCD20.8.4): Leadless Pacemakers | N/A | 10117 | MM10117 | 2017-08-02 |
| R1873OTN | 2017-07-28 | Line Level versus Claim Level Reporting – Analysis Only | 2018-01-02 | 10150 | ||
| R1877OTN | 2017-07-27 | Common Working File (CWF) to Modify CWF Provider Queries to Only Accept National Provider Identifier (NPI) as valid Provider Number | 2018-01-02 | 10098 | MM10098 | 2017-07-28 |
| R3815CP | 2017-07-28 | National Coverage Determination (NCD20.8.4): Leadless Pacemakers | N/A | 10117 | MM10117 | 2017-08-02 |
| R1870OTN | 2017-07-27 | Correcting Payment of Inpatient Prospective Payment System (IPPS) Transfer Claims Assigned to Medicare Severity-Diagnosis Related Group (MS DRG) 385 and Allowing Part A Deductible on Medicare Secondary Payer (MSP) Same Day Transfer Inpatient Claims | 2018-01-02 | 10145 | MM10145 | 2017-07-28 |
| R1871OTN | 2017-07-27 | FISS Process Enhancements – Analysis Only | 2018-01-02 | 10119 | ||
| R1872OTN | 2017-07-27 | Common Working File (CWF) to Add User Identification (ID) Information to CWF Provider Queries Audit File(s) | 2018-01-02 | 10130 | ||
| R1874OTN | 2017-07-27 | Implementation CR: Integrating NLR into the HQR system | 2018-01-02 | 10134 | ||
| R1880OTN | 2017-07-27 | Shared Savings Program (SSP) Demonstration Code 77 Modification | 2018-01-02 | 10144 | ||
| R1879OTN | 2017-07-27 | Common Working File (CWF) to Increase the Next Eligible Date Occurrences for Preventive Services to 99 Occurrences - Analysis | 2018-01-02 | 10022 | ||
| R1884OTN | 2017-07-27 | Analysis Only- Medicare Reporting on the Return of Self-Identified Overpayments | 2018-01-02 | 10127 | ||
| R1885OTN | 2017-07-27 | Shared System Maintainers (SSMs) Standardized Release Identification (ID) Format Analysis and Design | 2018-01-02 | 10129 | ||
| R1887OTN | 2017-07-28 | Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF) | 2018-04-02 | 10017 | ||
| R734PI | 2017-07-28 | Update to Reporting Requirements | 2017-06-27 | 9924 | ||
| R3824CP | 2017-08-02 | July Quarterly Update for 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 2017-07-03 | 10071 | MM10071 | 2017-08-03 |
| R1890OTN | 2017-08-04 | Suppression of the Standard Paper Remittance Advice (SPR) in 45 Days if also receiving Electronic Remittance Advice (ERA) | 2018-01-02 | 10151 | MM10151 | 2017-08-07 |
| R3827CP | 2017-08-04 | Quarterly Influenza Virus Vaccine Code Update - January 2018 | 2018-01-02 | 10196 | MM10196 | 2017-08-08 |
| R3825CP | 2017-08-04 | October Quarterly Update to 2017 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement | 2017-10-02 | 10163 | MM10163 | 2017-08-07 |
| R3826CP | 2017-08-04 | Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Fiscal Year (FY) 2018 | 2017-10-02 | 10214 | MM10214 | 2017-08-08 |
| R1893OTN | 2017-08-04 | Combined Common Edits/Enhancements Module (CCEM) Updates to Business and Holiday Tables | 2018-01-02 | 10201 | ||
| R1892OTN | 2017-08-04 | Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System | 2018-01-02 | 10126 | ||
| R1891OTN | 2017-08-04 | Provider-Based Determination | 2017-11-06 | 10095 | MM10095 | 2017-08-07 |
| R1896OTN | 2017-08-04 | Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System - (Removing/Archiving demonstration codes 03, 04 and 15) | 2018-04-02 | 10171 | ||
| R3831CP | 2017-08-04 | Screening for Hepatitis B Virus (HBV) Infection | 2018-01-02 | 9859 | MM9859 | 2017-08-08 |
| R177DEMO | 2017-08-04 | Next Generation Accountable Care Organization (NGACO) Year Three Benefit Enhancements | 2018-01-02 | 10044 | MM10044 | 2017-08-07 |
| R3829CP | 2017-08-04 | Revisions to the Home Health Pricer to Support Value-Based Purchasing and Payment Standardization | 2018-01-02 | 10167 | MM10167 | 2017-08-07 |
| R3832CP | 2017-08-09 | Fiscal Year (FY) 2017 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes | 2017-10-03 | 9723 | MM9723 | 2016-10-27 |
| R737PI | 2017-08-11 | Credentials of Reviewers | 2017-09-12 | 10157 | ||
| R1901OTN | 2017-08-11 | Automating the HCPCS Load Process | 2018-01-02 | 10215 | ||
| R1903OTN | 2017-08-11 | Implement Changes to Effect the Functionality of Combination Force Codes in the ViPS Medicare System (VMS) | 2018-01-02 | 10225 | ||
| R3833CP | 2017-08-11 | Quarterly Update to the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) | 2017-10-02 | 10193 | MM10193 | 2017-08-14 |
| R3828CP | 2017-08-11 | Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2018 | 2017-10-02 | 10131 | MM10131 | 2017-08-15 |
| R1900OTN | 2017-08-11 | CICS Region Merge(s) for A/B MACs - Analysis Only | 2018-01-02 | 10191 | ||
| R1883OTN | 2017-07-28 | System Changes to Implement Section 15009 of the 21st Century Cures Act, Temporary Exception for Certain Spinal Cord Specialty Hospitals under the Long Term Care Hospital (LTCH) Prospective Payment System (PPS) | 2017-01-02 | 10182 | ||
| R1895OTN | 2017-08-04 | System Changes to Implement Section 15010 of the 21st Century Cures Act, Temporary Exception for Certain Severe Wound Discharges from Certain Long-Term Care Hospitals (LTCHs) | 10185 | |||
| R3835CP | 2017-08-16 | Screening for the Human Immunodeficiency Virus (HIV) Infection | 2017-10-02 | 9980 | MM9980 | 2017-06-06 |
| R3840CP | 2017-08-18 | Common Edits and Enhancements Modules (CEM) Code Set Update | 2018-01-02 | 10135 | ||
| R3841CP | 2017-08-18 | Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE) | 2018-01-02 | 10140 | MM10140 | 2017-08-18 |
| R3842CP | 2017-08-18 | Healthcare Provider Taxonomy Codes (HPTCs) October 2017 Code Set Update | 2018-01-02 | 10141 | MM10141 | 2017-08-18 |
| R3843CP | 2017-08-18 | 2018 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder | 2018-01-02 | 10202 | ||
| R107GI | 2017-08-18 | Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 January 2018 Updates | 2018-01-09 | 10243 | ||
| R738PI | 2017-08-18 | Provider Error Rate Formula | 2017-09-19 | 10210 | ||
| R1904OTN | 2017-08-18 | Multi-Carrier System (MCS), Fiscal Intermediary Shared System (FISS) and VIPS Medicare Shared System (VMS) Automation of Prior Authorization (PA) Requests/Pre-Claim Reviews (PCR) and their Responses with Multiple Services (for programs like Home Health (HH)) via the Electronic Submission of Medical Documentation (esMD) System | N/A | 10087 | ||
| R1905OTN | 2017-08-18 | Modify VMS Accreditation Logic to Accept Additional Modifiers | 2018-01-02 | 10217 | ||
| R1906OTN | 2017-08-18 | Out-of-Jurisdiction Providers (OJP) and Qualified Chain Providers (QCP) Move to Correct A/B MAC Jurisdiction - Analysis CR Only | 2018-01-02 | 10192 | ||
| R3836CP | 2017-08-18 | Home Health Value-Based Purchasing Implementation | 2017-11-21 | 9939 | ||
| R3837CP | 2017-08-18 | Influenza Vaccine Payment Allowances - Annual Update for 2017-2018 Season | 2017-10-02 | 10224 | MM10224 | 2017-08-18 |
| R3839CP | 2017-08-18 | 2018-01-02 | 10132 | MM10132 | 2017-08-18 | |
| R1910OTN | 2017-08-18 | Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) | N/A | 9904 | MM9904 | 2017-02-17 |
| R1909OTN | 2017-08-18 | Implementation of Section 1557 for Medicare Redetermination Notices (MRNs) by Adding a Notice and Tagline Sheet | 2017-10-02 | 9938 | ||
| R1911OTN | 2017-08-22 | Part B Detail Line Expansion - Common Working File (CWF) | 2018-07-02 | 10031 | ||
| R202NCD | 2017-08-25 | Updates to Pub. 100-04, Chapter 18 Preventive and Screening Services and Chapter 32 Billing Requirements for Special Services and Publication 100-03, Chapter 1 Coverage Determinations Part 4 | 2017-09-26 | 10199 | ||
| R3851CP | 2017-08-25 | File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions | 2017-10-02 | 10228 | ||
| R3849CP | 2017-08-25 | Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2018 | 2017-10-02 | 10125 | MM10125 | 2017-08-29 |
| R3848CP | 2017-08-25 | Updates to Pub. 100-04, Chapter 18 Preventive and Screening Services and Chapter 32 Billing Requirements for Special Services and Publication 100-03, Chapter 1 Coverage Determinations Part 4 | 2017-09-26 | 10199 | ||
| R3850CP | 2017-08-25 | Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes - October 2017 Update | 2017-10-02 | 10234 | MM10234 | 2017-09-27 |
| R3852CP | 2017-08-25 | October 2017 Integrated Outpatient Code Editor (I/OCE) Specifications Version 18.3 | 2017-10-02 | 10230 | MM10230 | 2017-08-29 |
| R3853CP | 2017-08-25 | October 2017 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 2017-10-02 | 10236 | MM10236 | 2017-08-29 |
| R292FM | 2017-09-01 | Revision to Publication 100-06, Chapter 3, Medicare Overpayment Manual, Section 200, Limitation on Recoupment | 2018-04-02 | 9815 | MM9815 | 2017-09-01 |
| R1912OTN | 2017-09-01 | HIGLAS Enhancement Required for Implementation of Overpayment based Denials | 2018-04-02 | 10166 | ||
| SE17020 | Hurricane Harvey and Medicare Disaster Related Texas Claims | SE17020 | 2017-08-31 | |||
| SE17021 | Tropical Storm Harvey and Medicare Disaster Related Louisiana Claims | SE17021 | 2017-08-31 | |||
| R3854CP | 2017-09-01 | October 2017 Update of the Ambulatory Surgical Center (ASC) Payment System | 2017-10-02 | 10259 | MM10259 | 2017-09-05 |
| R3855CP | 2017-09-01 | Internet Only Manual (IOM) Update to Pub. 100-04, Chapter 15 - Ambulance, to Restore Multiple Patients on One Trip Instructions | 2017-10-02 | 10245 | MM10245 | 2017-09-01 |
| R3856CP | 2017-09-01 | Clarification of the Billing of Immunosuppressive Drugs | 2017-10-02 | 10235 | MM10235 | 2017-09-01 |
| R1914OTN | 2017-09-07 | Shared System Enhancement 2014 – Identification of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Analysis Only | 2017-10-02 | 9566 | ||
| R3858CP | 2017-09-08 | Fiscal Year (FY) 2018 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes | 2017-10-02 | 10273 | MM10273 | 2017-09-11 |
| R3857CP | 2017-09-08 | 2018 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update | 2018-01-02 | 10262 | MM10262 | 2017-09-08 |
| R1915OTN | Medicare Administrative Contractor (MAC) and Pricing, Data Analysis and Coding (PDAC) Contractor Implementation of the New Medicare Card Project | 2018-04-05 | 10112 | |||
| R3859CP | 2017-09-08 | October Quarterly Update for 2017 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 2017-10-02 | 10248 | MM10248 | 2017-09-12 |
| SE17017 | Office of Inspector General Reports Highlight Hospital Billing Issues | SE17017 | 2017-09-07 | |||
| R170SOMA | 2017-09-08 | Revisions to the State Operations Manual (SOM) Appendix A –Survey Protocol, Regulations and Interpretive Guidelines for Hospitals | 2017-09-08 | N/A | ||
| SE17024 | Hurricane Irma and Medicare Disaster Related South Carolina and Georgia Claims | SE17024 | 2017-09-11 | |||
| R1917OTN | 2017-09-13 | Shared System Enhancement 2014 – Identification of Fiscal Intermediary Standard System (FISS) Obsolete Reports - Analysis Only | N/A | 9564 | ||
| R1918OTN | 2017-09-13 | Correcting Payment of Inpatient Prospective Payment System (IPPS) Transfer Claims Assigned to Medicare Severity-Diagnosis Related Group (MS DRG) 385 and Allowing Part A Deductible on Medicare Secondary Payer (MSP) Same Day Transfer Inpatient Claims | 2018-01-02 | 10145 | MM10145 | 2017-07-28 |
| R3838CP | 2017-08-25 | Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October 2017 Update | 2017-10-02 | 10222 | MM10222 | 2017-08-29 |
| R1919OTN | 2017-09-15 | Targeted Probe and Educate | N/A | 10249 | ||
| R3860CP | 2017-09-15 | Instructions for Downloading the Medicare ZIP Code File for January 2018 | 2018-01-02 | 10277 | ||
| R3861CP | 2017-09-15 | Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - January 2018 | 2018-01-02 | 10233 | MM10233 | 2017-09-18 |
| R293FM | 2017-09-14 | Revision to Publication 100-06, Chapter 3, Medicare Overpayment Manual, Section 200, Limitation on Recoupment | 2018-04-02 | 9815 | MM9815 | 2017-09-18 |
| R3862CP | 2017-09-15 | Annual Clotting Factor Furnishing Fee Update 2018 | 2018-01-02 | 10254 | MM10254 | 2017-09-18 |
| R9P211 | 2017-09-15 | Section 1100 is being revised to identify providers that must continue to complete Form CMS-339 | N/A | N/A | ||
| R3863CP | 2017-09-15 | Updated Editing of Always Therapy Services - MCS | 2018-01-02 | 10176 | MM10176 | 2017-09-18 |
| R3864CP | 2017-09-15 | October 2017 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 2017-10-02 | 10236 | MM10236 | 2017-09-18 |
| SE17023 | Guidance on Coding and Billing Date of Service on Professional Claims | SE17023 | 2017-09-19 | |||
| SE17018 | Billing in Medicare Secondary Payer (MSP) Liability Insurance Situations | SE17018 | 2017-09-19 | |||
| SE17019 | Accepting Payment from Patients with a Medicare Set-Aside Arrangement | SE17019 | 2017-09-19 | |||
| R1921OTN | 2017-09-20 | Implementation of Section 1557 for Medicare Redetermination Notices (MRNs) by Adding a Notice and Tagline Sheet | 2017-10-02 | |||
| SE17027 | Clarification of Billing and Payment Policies for Negative Pressure Wound Therapy (NPWT) Using a Disposable Device | SE17027 | 2017-09-21 | |||
| R3865CP | 2017-09-22 | Instructions for Retrieving the 2018 Pricing and HCPCS Data Files through CMS' Mainframe Telecommunications Systems | 2018-01-02 | 10302 | ||
| R1923OTN | 2017-09-22 | Calculating Interim Rates for Graduate Medical Education (GME) Payments to New Teaching Hospitals | 2017-10-23 | 10240 | MM10240 | 2017-09-26 |
| R1922OTN | 2017-09-22 | Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Financial and Expert Claims Processing System (ECPS) Reports | N/A | 10253 | ||
| R475PR1 | 2017-09-22 | Medicare Payment Rates for routine SNF-type services by swing-bed hospitals during calendar year 2018 | N/A | N/A | ||
| R39COM | 2017-09-22 | Updates to Pub. 100-09, Chapter 6 Beneficiary and Provider Communications Manual, Chapter 6, Provider Customer Service Program | 2017-10-23 | 10258 | ||
| SE17028 | Hurricane Maria and Medicare Disaster Related United States Virgin Islands and Commonwealth of Puerto Rico Claims | SE17028 | 2017-09-21 | |||
| SE17026 | 2017-2018 Influenza (Flu) Resources for Health Care Professionals | SE17026 | 2017-09-21 | |||
| R13SS | 2017-09-22 | IOM 100-17 Update | N/A | 10216 | ||
| SE17029 | Process for Hospices to Submit a List of Claims Requiring Adjustments | SE17029 | 2017-09-26 | |||
| R3866CP | 2017-09-26 | Accepting Hospice Notices of Election via Electronic Data Interchange | 2018-01-02 | 10064 | ||
| R3867CP | 2017-09-28 | New Waived Tests | 2017-10-02 | 10198 | MM10198 | 2017-09-28 |
| R1925OTN | 2017-09-28 | Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) | 2017-10-02 | 9904 | MM9904 | |
| R3869CP | 2017-09-29 | Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP) Edits, Version 24.0, Effective January 1, 2018 | 2018-01-02 | 10306 | MM10306 | 2017-10-02 |
| R3870CP | 2017-09-29 | 2018 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments | 2018-01-02 | 10317 | MM10317 | 2017-10-02 |
| R1927OTN | 2017-09-29 | Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Core Reports | N/A | 10252 | ||
| R3871CP | 2017-09-29 | Revisions to Medicare Claims Processing Manual for Foreign, Emergency and Shipboard Claims | 2017-10-30 | 10287 | ||
| R11p240 | 2017-09-29 | Medicare Provider Reimbursement Manual Part 2, Provider Cost Reporting Forms and Instructions, Chapter 40, Form CMS-2552-10 | N/A | N/A | ||
| R747PI | 2017-10-03 | Update to Reporting Requirements | 2017-06-27 | 9924 | ||
| R1928OTN | 2017-10-04 | Multi-Carrier System (MCS), Fiscal Intermediary Shared System (FISS) and VIPS Medicare Shared System (VMS) Automation of Prior Authorization (PA) Requests/Pre-Claim Reviews (PCR) and their Responses with Multiple Services (for programs like Home Health (HH)) via the Electronic Submission of Medical Documentation (esMD) System | 2018-01-02 | 10087 | ||
| R3873CP | 2017-10-06 | Place of Service Codes | 2018-04-02 | 10272 | ||
| R3872CP | 2017-10-06 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2018 | 2018-01-02 | 10309 | MM10309 | 2017-10-12 |
| R1933OTN | 2017-10-06 | Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System - (Removing/Archiving demonstration codes 38, 42 and 43) | 2018-07-02 | 10250 | ||
| R1930OTN | 2017-10-06 | Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 1 | 2018-01-08 | 10305 | ||
| R7p233 | 2017-10-06 | Provider Reimbursement Manual Part 2, Provider Cost Reporting Form and Instructions, Chapter 33, Form CMS-216-94 | 2017-10-06 | N/A | ||
| R3876CP | 2017-10-06 | Decommission the MCS Maintained HBCRB081 Report (“Correct Coding Quarterly Savings Report”) | 2018-04-02 | 10284 | ||
| R3878CP | 2017-10-06 | January 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files | 2018-01-02 | 10320 | MM10320 | 2017-10-10 |
| R294FM | 2017-10-06 | Pub. 100-06, Chapter 3 and 4 Revisions | 2017-10-01 | 10079 | ||
| SE17034 | Hurricane Nate and Medicare Disaster Related Alabama, Florida, Louisiana and Mississippi ClaimsHurricane Nate and Medicare Disaster Related Alabama, Florida, Louisiana and Mississippi Claims | SE17034 | 2017-10-12 | |||
| R295FM | 2017-10-12 | https://www.cms.gov/center/freedom-of-information-act/regional-contacts.html | 2017-10-18 | 10359 | ||
| R748PI | 2017-10-13 | Defending Medical Review Decisions at Administrative Law Judge (ALJ) Hearings | 2017-11-14 | 10226 | ||
| R3881CP | 2017-10-13 | Clinical Laboratory Fee Schedule Not Otherwise Classified, Not Otherwise Specified, or Unlisted Service or Procedure Code Data Collection | 2018-01-16 | 10232 | MM10232 | 2017-10-16 |
| R3883CP | 2017-10-13 | Payment for Services Furnished by Qualified Nonphysician Anesthetists | 2018-01-16 | 10275 | ||
| R3885CP | 2017-10-17 | Fiscal Year (FY) 2018 Inpatient Prospective Payment System (IPPS) and Long Term Care Hospital (LTCH) PPS Changes | 2017-10-02 | 10273 | ||
| SE17032 | 2017-10-17 | Pharmacy Billing of Immunosuppressive Drugs | 2017-10-17 | |||
| SE17035 | Medicare Fee-for-Service (FFS) Response to the 2017 California Wildfires | SE17035 | 2017-10-18 | |||
| R1936OTN | 2017-10-19 | Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process | 2018-01-02 | 10155 | ||
| R1935OTN | 2017-10-19 | FISS Process Enhancements – Analysis Only | 2018-01-02 | 10119 | ||
| R750PI | 2017-10-20 | Proof of Delivery Documentation Requirements | 2017-11-20 | 10324 | ||
| R751PI | 2017-10-20 | Clarifying Signature Requirements | 2017-11-20 | 10322 | ||
| R1943OTN | 2017-10-27 | Assign the Correct 935 Indicator on Adjustment Claims Submitted through the Provider Portal | 2018-04-02 | 10301 | ||
| R1939OTN | 2017-10-27 | Fiscal Intermediary Shared Systems (FISS) Enhancements to the Mass Adjustment of Process Recovery Audit Contractor (RAC) Claims | 2018-04-02 | 10304 | ||
| R1942OTN | 2017-10-27 | Common Working File (CWF) to Medicare Beneficiary Database (MBD) Extract File Changes for Detailed Skilled Nursing Facility Data to Support HIPAA Eligibility Transaction System (HETS) | 2018-04-02 | 10111 | ||
| R1941OTN | 2017-10-27 | Transitional Drug Add-on Payment Adjustment (TDAPA) for patients with Acute Kidney Injury (AKI) | 2018-04-02 | 10281 | MM10281 | 2017-10-30 |
| R3894CP | 2017-10-27 | File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding System (HCPCS) Descriptions | 2018-01-02 | 10313 | ||
| R1947OTN | 2017-10-27 | Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for April 2018 | 2018-04-02 | 10260 | ||
| R1946OTN | 2017-10-27 | Shared System Enhancement 2015: Removing/Archiving Obsolete Reports within the Multi-Carrier System (MCS) | 2018-04-02 | 10289 | ||
| R1948OTN | 2017-10-27 | Archiving National Provider Identifier Crosswalk System (NPICS) System Logic in the Muti-Carrier System (MCS) | 2018-04-02 | 10278 | ||
| R1938OTN | 2017-10-27 | Archiving National Provider Identifier Crosswalk System (NPICS) System Logic in the Durable Medical Equipment (DME) Claims Processing System | 2018-04-02 | 10279 | ||
| R753PI | 2017-10-27 | Certificates of Medical Necessity (CMN) and Durable Medical Equipment (DME) Information Forms (DIF) | 2017-11-28 | 10244 | ||
| R1937OTN | 2017-10-27 | Provider Education and Referral Reporting | 2017-11-27 | 10263 | ||
| R3897CP | 2017-10-27 | Pulmonary Rehabilitation (PR) Services Addition to Chapter 19, Indian Health Services (IHS) | 2018-04-02 | 10276 | MM10276 | 2017-11-01 |
| R181DEMO | 2017-10-27 | Next Generation ACO Model -Weekly AIPBP Reduction File Change | 2018-04-02 | 10339 | ||
| R3893CP | 2017-10-27 | Ambulance Inflation Factor for CY 2018 and Productivity Adjustment | 2018-01-02 | 10323 | MM10323 | 2017-10-30 |
| R1944OTN | 2017-10-27 | MCS Analysis Only: Undeliverable Medicare Summary Notices (UMSNs) - Beneficiary Do Not Forward Process | 2018-04-02 | 10332 | ||
| R1945OTN | 2017-10-27 | Add Date of Receipt to the Beneficiary Data Streamlining (BDS) Part A Claims Layout | 2018-04-02 | 10326 | ||
| R1951OTN | 2017-10-27 | Shared System Enhancement 2015: Removing/Archiving Obsolete On Request Jobs within the Multi-Carrier System (MCS) | 2018-04-02 | 10290 | ||
| R1950OTN | 2017-10-27 | Fiscal Intermediary Shared System (FISS) and VIPS Medicare Shared System (VMS) to Update Records Based on the Automation of Prior Authorization (PA) Requests/Pre-Claim Reviews (PCR) and their Responses with Multiple Services (for programs like Home Health (HH)) | 2018-04-02 | 10282 | ||
| R1952OTN | 2017-10-27 | Calculating Interim Rates for Graduate Medical Education (GME) Payments to New Teaching Hospitals | 2017-10-23 | 10240 | MM10240 | 2017-09-26 |
| R1953OTN | 2017-10-27 | Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 1 | N/A | 10305 | ||
| R1949OTN | 2017-10-27 | Remove Obsolete Edits from the Fiscal Intermediary Shared Systems (FISS) | 2018-04-01 | 10274 | ||
| R3898CP | 2017-10-27 | Correction to Prevent Payment on Inpatient Information Only Claims for Beneficiaries Enrolled in Medicare Advantage Plans | 2018-04-02 | 10238 | MM10238 | 2017-10-30 |
| R1954OTN | 2017-10-27 | New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) | N/A | 9893 | ||
| R1956OTN | 2017-11-01 | Analysis and Design Working Sessions for the Development of a Pre-Payment Common Additional Documentation Request (ADR) Letter | 2017-10-02 | 9936 | ||
| R3901CP | 2017-11-03 | Update to Pub 100-04, Chapter 18 Preventive and Screening Services - Screening for Lung Cancer with Low Dose Computed Tomography (LDCT) | 2017-12-04 | 10338 | ||
| R3902CP | 2017-11-03 | New Waived Tests | 2018-01-02 | 10321 | MM10321 | 2017-11-06 |
| R1960OTN | 2017-11-03 | Implementation of the Award for the Jurisdiction Part A and Part B Medicare Administrative Contractor (JJ A/B MAC) | 2018-02-26 | 10316 | ||
| R1959OTN | 2017-11-03 | Analysis Only: VMS Accreditation Logic Related to HCPCS Codes Contained in Multiple Product and Service Codes | 2018-04-02 | 10300 | ||
| R237BP | 2017-11-03 | Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Payment for Dialysis Furnished for Acute Kidney Injury (AKI) in ESRD Facilities for Calendar Year (CY) 2018 | 2018-01-02 | 10312 | MM10312 | 2017-11-06 |
| R1958OTN | 2017-11-03 | Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Financial and Expert Claims Processing System (ECPS) Reports - Phase 1 | 2018-04-02 | 10293 | ||
| R1957OTN | 2017-11-03 | Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF) - Removing/Archiving demonstration codes 51 and 56 | 2018-04-02 | 10251 | ||
| R3903CP | 2017-11-03 | Annual Medicare Physician Fee Schedule (MPFS) Files Delivery and Implementation and Medicare Physician Fee Schedule Database (MPFSDB) 2018 File Layout Manual | 2018-01-02 | 10218 | ||
| R1962OTN | 2017-11-03 | Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Core Reports - Phase 1 | 2018-04-02 | 10294 | ||
| R108GI | 2017-11-03 | MAC Transition Workload Handbook | 2017-12-04 | 10329 | ||
| R185DEMO | 2017-11-03 | IVIG Demonstration: Payment Update for 2018 | N/A | 10343 | MM10343 | 2017-11-06 |
| R1964OTN | 2017-11-03 | Fee For Service (FFS) Applications Upgrade Customer Information Control System (CICS) to Transaction Server (TS) v5.2 | 2018-01-02 | 9961 | ||
| R3908CP | 2017-11-03 | Influenza Vaccine Payment Allowances - Annual Update for 2017-2018 Season | N/A | 10224 | MM10224 | 2017-08-17 |
| R3907CP | 2017-11-03 | October 2017 Integrated Outpatient Code Editor (I/OCE) Specifications Version 18.3 | 2017-10-02 | 10230 | MM10230 | 2017-08-29 |
| R1966OTN | 2017-11-03 | Out-of-Jurisdiction Providers (OJP) and Qualified Chain Providers (QCP) Move to Correct A/B MAC Jurisdiction - Analysis CR Only | N/A | 10192 | ||
| R1966OTN | 2017-11-03 | The purpose of this Change Request (CR) is for the Common Working File (CWF) Maintainer to redesign and implement the Operating Report (ORPT). | N/A | 9734 | ||
| R1830OTN | 2017-04-27 | Development of a Centralized Method for Durable Medical Equipment Medicare Administrative Contractors (DME MACs) to Authenticate the Supplier and Billing Agency/Clearinghouse Relationship in the Provider Portals | N/A | 9921 | ||
| R1899OTN | 2017-08-11 | Care Coordination Services and Payment for Rural Health Clinics (RHCs) and Federally-Qualified Health Centers (FQHCs) | 2018-01-02 | 10175 | MM10175 | 2017-11-09 |
| R3877CP | 2017-10-06 | Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement | 2018-01-02 | 10308 | MM10308 | 2017-11-13 |
| R743PI | 2017-09-08 | Comprehensive Error Rate Testing (CERT) Program Dispute Process | 2017-10-10 | 10242 | ||
| R3888CP | 2017-10-20 | Home Health Prospective Payment System (HH PPS) Rate Update for Calendar Year (CY) 2018 | 2018-01-02 | 10310 | MM10310 | 2017-11-09 |
| R3909CP | 2017-11-08 | Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - January 2018 | 2018-01-02 | 10233 | MM10233 | 2017-09-18 |
| R1967OTN | 2017-11-08 | CICS Region Merge(s) for A/B MACs - Analysis Only | 2018-04-02 | 10191 | ||
| R755PI | 2017-11-09 | Tracking Medicare Contractors' Prepayment and Postpayment Reviews | 2017-12-11 | 10177 | ||
| R3916CP | 2017-11-09 | Claim Status Category and Claim Status Codes Update | 2018-04-02 | 10271 | MM10271 | 2017-11-13 |
| R1973OTN | 2017-11-09 | Multi-Carrier System (MCS) Modernization Proof of Concept Number 8 | 2018-04-02 | 10375 | ||
| R1972OTN | 2017-11-09 | Analysis Only: Develop Enhanced Claims Search Reporting in Fiscal Intermediary Shared System (FISS) | 2018-04-02 | 10364 | ||
| R3915CP | 2017-11-09 | Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule - Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE) | 2018-04-02 | 10268 | MM10268 | 2017-11-13 |
| R3912CP | 2017-11-09 | Off-Cycle Update to the Long Term Care Hospital (LTCH) Prospective Payment System (PPS) Fiscal Year (FY) 2018 Pricer | 2018-01-02 | 10368 | ||
| R3913CP | 2017-11-09 | Common Edits and Enhancements Modules (CEM) Code Set Update | 2018-04-02 | 10267 | ||
| R3917CP | 2017-11-08 | Calendar Year (CY) 2018 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures | N/A | 10351 | ||
| R1968OTN | 2017-11-09 | Tracking Status of Claims Adjustments | N/A | 10288 | ||
| R1969OTN | 2017-11-09 | Partial Settlement of 2-Midnight Policy Court Cases | 2017-12-11 | 10337 | ||
| R3911C[ | 2017-11-09 | New Positron Emission Tomography (PET) Radiopharmaceutical/Tracer Unclassified Codes | N/A | 10319 | MM10319 | 2017-11-16 |
| R3910CP | 2017-11-09 | Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update | 2018-04-02 | 10270 | MM10270 | 2017-11-13 |
| R1971OTN | 2017-11-09 | Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process | 2018-04-02 | 10292 | ||
| R1970OTN | 2011-11-09 | Establish an Automated Process For Creating Mass Adjustments Utilizing Expert Claims Processing System (ECPS) - Analysis Only | 2018-04-02 | 10363 | ||
| R1974OTN | 2017-11-09 | Revision of PWK (Paperwork) Fax/Mail Cover Sheets | 2018-04-02 | 10124 | MM10124 | 2017-11-13 |
| R1975OTN | 2017-11-09 | ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs) | 2018-07-02 | 10318 | MM10318 | 2017-11-17 |
| R3919CP | 2017-11-09 | Update to Rural Health Clinic (RHC) All Inclusive Rate (AIR) Payment Limit for Calendar Year (CY) 2018 | 2018-01-02 | 10333 | MM10333 | 2017-11-13 |
| R3918CP | 2017-11-09 | Therapy Cap Values for Calendar Year (CY) 2018 | 2018-01-02 | 10341 | MM10341 | 2017-11-13 |
| R1976OTN | 2017-11-09 | Common Working File (CWF) to Modify CWF Provider Queries to Only Accept National Provider Identifier (NPI) as valid Provider Number | 2018-01-02 | 10098 | MM10098 | 2017-11-13 |
| R3920CP | 2017-11-15 | Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System | N/A | 9911 | MM9911 | 2017-11-15 |
| R1979OTN | 2017-11-16 | Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF) | 2018-07-02 | 10017 | ||
| R3922CP | 2017-11-16 | Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for Calendar Year (CY) 2018 - Recurring File Update | 2018-01-02 | 10334 | MM10334 | 2017-11-20 |
| R12P240 | 2017-11-17 | Clarifies and corrects the existing instructions, incorporates additional statutory and regulatory changes, and adds a checkbox that allows a provider to elect and sign the Certification and Settlement Summary page of the Medicare cost report using an electronic signature pursuant to 42 CFR 413.24(f)(4)(iv). (See also 82 FR 38493.) Effective dates will vary. | N/A | N/A | ||
| R1978OTN | 2017-11-17 | Implementation of Changes to Certificate of Medical Necessity (CMN) and CMN DME Information Form (CMN DIF) as a result of the New Medicare Card Project | 2018-04-02 | 10367 | ||
| R203NCD | 2017-11-17 | Hyperbaric Oxygen (HBO) Therapy (Section C, Topical Application of Oxygen) | 2017-12-18 | 10220 | MM10220 | 2017-11-21 |
| R3924CP | 2017-11-16 | 2018 Annual Update to the Therapy Code List | 2018-01-02 | 10303 | MM10303 | 2017-11-21 |
| R3921CP | 2017-11-17 | Hyperbaric Oxygen (HBO) Therapy (Section C, Topical Application of Oxygen) | 2017-12-18 | 10220 | MM10220 | 2017-11-21 |
| R238BP | 2017-11-17 | Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Medicare Benefit Policy Manual Chapter 13 Update | 2018-02-15 | 10350 | MM10350 | 2017-11-17 |
| R3923CP | 2017-11-17 | Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement | 2018-04-02 | 10374 | MM10374 | 2017-11-17 |
| R171SOMA | 2017-11-17 | Revisions to State Operations Manual (SOM), Appendix U - Survey Procedures and Interpretive Guidelines for Responsibilities of Medicare Participating Religious Nonmedical Healthcare Institutions | 2017-11-20 | N/A | ||
| R172SOMA | 2017-11-17 | Revision to State Operations Manual (SOM) Appendix A – Survey Protocol, Regulations and Interpretive Guidelines for Hospitals | 2017-11-17 | N/A | ||
| R3844CP | 2017-11-21 | Replacement of Mammography HCPCS Codes, Waiver of Coinsurance and Deductible for Preventive and Other Services, and Addition of Anesthesia and Prolonged Preventive Services | 2018-01-02 | 10181 | MM10181 | 2017-11-27 |
| R3820CP | 2017-07-28 | Payment Reduction for X-Rays Taken Using Computed Radiography | 2018-01-02 | 10188 | MM10188 | 2017-11-28 |
| R3925CP | 2017-11-21 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2018 | 2018-01-02 | 10309 | MM10309 | 2017-11-22 |
| R173SOMA | 2017-11-21 | Revisions to State Operation Manual (SOM), Appendix PP Guidance to Surveyors for Long Term Care FacilitiesRevisions to State Operation Manual (SOM), Appendix PP Guidance to Surveyors for Long Term Care FacilitiesRevisions to State Operation Manual (SOM), Appendix PP Guidance to Surveyors for Long Term Care Facilities | 2017-11-28 | N/A | ||
| R3927CP | 2017-11-22 | Instructions for Downloading the Medicare ZIP Code File for April 2018 | 2018-04-02 | 10382 | ||
| R3928CP | 2017-11-22 | Off-Cycle Update to the Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Fiscal Year (FY) 2018 Pricer | 2018-01-02 | 10377 | MM10377 | 2017-11-22 |
| R110GI | 2017-11-22 | Affordable Care Act Bundled Payments for Care Improvement Initiative - Recurring File Updates Models 2 and 4 April 2018 Updates | 2018-04-02 | 10383 | ||
| R186DEMO | 2017-11-22 | IVIG Demonstration: Payment Update for 2018 | 2018-01-02 | 10343 | MM10343 | 2017-11-27 |
| R187DEMO | 2017-11-22 | Next Generation Accountable Care Organization (NGACO) Year Three Benefit Enhancements | 2018-01-02 | 10044 | MM10044 | 2018-08-07 |
| R1980OTN | 2017-11-29 | Shared System Enhancement 2015: Removing/Archiving Obsolete On Request Jobs within the Multi-Carrier System (MCS) | 2018-04-02 | 10290 | ||
| R3929CP | 2017-11-29 | Elimination of the GT Modifier for Telehealth Services | 2018-01-02 | 10152 | MM10152 | 2017-12-04 |
| R3930CP | 2017-12-01 | Hospice Manual Update Only for Section 30.3 | 2018-03-01 | 10361 | ||
| R1981OTN | 2017-12-01 | Fiscal Year (FY) 2014 and 2015 Worksheet S-10 Revisions: Further Extension for All Inpatient Prospective Payment System (IPPS) Hospitals | 2018-01-02 | 10378 | MM10378 | 2017-12-04 |
| R1982OTN | 2017-12-01 | Line Level versus Claim Level Reporting – Analysis Only | 2018-01-01 | 10150 | ||
| SE17033 | Medicare Does Not Pay Acute-Care Hospitals for Outpatient Services They Provide to Beneficiaries in a Covered Part A Inpatient Stay at Other Facilities | SE17033 | 2017-12-06 | |||
| R1983OTN | 2017-12-07 | Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System - (Removing/Archiving demonstration codes 38, 42 and 43) | 2018-04-02 | 10250 | ||
| R111GI | 2017-12-08 | Update to Medicare Deductible, Coinsurance and Premium Rates for 2018 | 2018-01-02 | 10405 | MM10405 | 2017-12-08 |
| R3932CP | 2017-12-08 | Special Requirements for Immunosuppressive Drugs | 2018-03-09 | 10370 | MM10370 | 2017-12-08 |
| R3933CP | 2017-12-08 | Revisions to the Home Health Pricer to Support Value-Based Purchasing and Payment Standardization | 2018-01-02 | 10167 | MM10167 | 2017-08-07 |
| R174SOMA | 2017-12-08 | Revisions to the State Operations Manual (SOM) Appendix P | 2017-12-08 | N/A | ||
| SE17036 | Inpatient Rehabilitation Facility (IRF) Medical Review Changes | SE17036 | 2017-12-11 | |||
| R1913OTN | 2017-09-06 | FISS Integrated Outpatient Code Editor (IOCE) Claim and Return Buffer Interface Changes Related to OPPS 2018 Annual Updates | 2018-01-02 | 10116 | ||
| R3934CP | 2017-12-15 | Calendar Year (CY) 2018 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment | 2018-01-02 | 10409 | MM10409 | 2017-12-15 |
| R1987OTN | 2017-12-15 | Archiving National Provider Identifier Crosswalk System (NPICS) System Logic in the Durable Medical Equipment (DME) Claims Processing System | 2018-07-02 | 10279 | ||
| SE17037 | Medicare Fee-for-Service (FFS) Response to the 2017 Southern California Wildfires | SE17037 | 2017-12-18 | |||
| R3935CP | 2017-12-19 | Instructions for Retrieving the 2018 Pricing and HCPCS Data Files through CMS' Mainframe Telecommunications Systems | 2018-01-02 | 10302 | ||
| R1988OTN | 2017-12-19 | National Provider Identification Crosswalk System (NPICS) Retirement Analysis Only - Engage Shared Systems Maintainers (SSMs) and Medicare Administrative Contractors (MACs) in Meetings and Correspondence Related to the NPICS Retirement with the Integrated Data Repository (IDR) Team | 2018-01-02 | 10007 | ||
| R1989OTN | 2017-12-20 | Fiscal Intermediary Shared Systems (FISS) Enhancements to the Mass Adjustment of Process Recovery Audit Contractor (RAC) Claims | 2018-04-02 | 10304 | ||
| R3936CP | 2018-12-21 | Updated Editing of Always Therapy Services - MCS | 2018-01-02 | 10176 | MM10176 | |
| R3940CP | 2017-12-22 | January 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.0 | 2018-01-02 | 10385 | MM10385 | 2017-12-26 |
| R3941CP | 2017-12-22 | January 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 2018-01-02 | 10417 | MM10417 | 2017-12-26 |
| R175SOMA | 2017-12-22 | Revisions to State Operations Manual (SOM) Appendix J, Part II – Interpretive Guidelines – Responsibilities of Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICF/IID) | 2017-12-22 | N/A | ||
| R3942CP | 2017-12-22 | Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens | 2018-01-22 | 10448 | MM10448 | 2018-01-02 |
| R3937CP | 2017-12-22 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2018 | 2018-04-02 | 10424 | MM10424 | 2018-01-03 |
| R3938CP | 2017-12-22 | Summary of Policies in the Calendar Year (CY) 2018 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, and CT Modifier Reduction List | 2018-01-02 | 10393 | MM10393 | 2017-12-26 |
| R3939CP | 2017-12-22 | January 2018 Update of the Ambulatory Surgical Center (ASC) Payment System | 2018-01-02 | 10441 | MM10441 | 2018-01-02 |
| R1990OTN | 2017-12-21 | Suppression of the Standard Paper Remittance Advice (SPR) in 45 Days if Also Receiving Electronic Remittance Advice (ERA) | 2018-01-01 | 10151 | MM10151 | 2017-12-22 |
| R3943CP | 2017-12-22 | Correction to Prevent Payment on Inpatient Information Only Claims for Beneficiaries Enrolled in Medicare Advantage Plans | 2018-04-02 | 10238 | MM10238 | 2017-12-22 |
| R1991OTN | 2017-12-29 | Method of Cost Settlement for Inpatient Services for Rural Hospitals Participating Under the Rural Community Hospital Demonstration | 2018-01-29 | 10373 | ||
| R176SOMA | 2017-12-29 | Revisions to State Operations Manual (SOM) Appendix A – Survey Protocol, Regulations and Interpretive Guidelines for Hospitals | 2017-12-29 | N/A | ||
| R1993OTN | 2017-12-29 | Analyze the Common Working File (CWF) System and Identify Customer Information Control System (CICS) Screens Requiring Expansion | 2018-04-02 | 10389 | ||
| R762PI | 2017-12-29 | Update to Chapter 15 of Pub. 100-08 | 2018-01-29 | 10386 | ||
| R1994OTN | 2017-12-28 | Suppression of the Standard Paper Remittance Advice (SPR) in 45 Days if Also Receiving Electronic Remittance Advice (ERA) | 2018-01-02 | 10151 | MM10151 | 2017-12-29 |
| R1985OTN | 2017-12-13 | Analysis Only- Medicare Reporting on the Return of Self-Identified Overpayments | 2018-07-02 | 10127 | ||
| R3931CP | 2017-12-01 | CY 2018 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule | 2018-01-02 | 10395 | MM10395 | 2018-01-05 |
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