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Medicare & Medicaid
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FILE | COMM DATE | SUBJECT | IMPL DATE | CR NUM |
---|---|---|---|---|
A-02-129 | 1/3/2003 | 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 1/6/2003 | 2503 |
AB-02-184 | 1/3/2003 | Provider Notification of Denials Based on Local Medical Review Policy (LMRP) | N/A | 2305 |
A-02-128 | 1/3/2003 | Revision to 42CFR 405.371 Suspension, Offset and Recoupment of Medicare Payments to Providers and Suppliers of Services | 1/1/2003 | 2508 |
AB-02-185 | 12/31/2002 | Deletion of Q codes and Reactivation of CPT codes for Hepatitis B Vaccine | N/A | 2536 |
AB-02-178 | 12/27/2002 | Clarification of the Comprehensive Error Rate Testing (CERT) Program Contractor Resolution Process (CCRP) | 12/27/2002 | 2002 |
AB-02-179 | 12/27/2002 | Complaint Screening | 12/27/2002 | 2406 |
AB-02-180 | 12/27/2002 | Coverage and Billing for Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management | 12/27/2002 | 2323 |
AB-02-182 | 12/27/2002 | Coverage and Billing of Sacral Nerve Stimulation | 1/1/2003 | 2532 |
AB-02-183 | 12/27/2002 | Coverage of Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities | 4/1/2003 | 2388 |
B-02-092 | 12/27/2002 | Electromagnetic Stimulation | 4/1/2003 | 2447 |
B-02-091 | 12/27/2002 | Provider Education Article: Requirements for Payment of Medicare Claims for Foot and Nail Care Services | 12/27/2002 | 2374 |
A-02-127 | 12/24/2002 | Indian Health Service (IHS) Hospital Payment Rates for Calendar Year 2002 | 6/18/2002 | 2210 |
AB-02-181 | 12/23/2002 | Medicare Physician Fee Schedule (MPFS) Update and the 2003 Participation Enrollment Process | 12/23/2002 | 2486 |
B-02-089 | 12/20/2002 | Further Instructions Regarding the Reasonable Charge Update for 2003 for Splints and Casts | 1/1/2003 | 2510 |
B-02-090 | 12/20/2002 | Implementation of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standard Version 5.1 and the Equivalent Batch Standard Version 1.1 for Retail Pharmacy Drug Transactions -- CORRECTION | 4/1/2003 | 2455 |
AB-02-177 | 12/20/2002 | Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services to Hospital Patients | 4/1/2001 | 1499 |
A-02-125 | 12/20/2002 | Installation of Version 29.0 of the Provider Statistical and Reimbursement (PS&R) Reporting System | 4/1/2003 | 2506 |
A-02-126 | 12/20/2002 | Instructions Regarding Hospital Outlier Payments | 12/20/2002 | 2528 |
AB-02-176 | 12/20/2002 | Prior Approval Requirement for Data Center and Front End Movement | 6/27/2001 | 1696 |
B-02-088 | 12/13/2002 | Changes to Correct Coding Edits, Version 9.1, Effective April 1, 2003 | 4/1/2003 | 2477 |
A-02-123 | 12/13/2002 | Hospital Billing for Immunosuppressive Drugs Furnished to Transplant Patients--ACTION | 1/1/2003 | 2488 |
A-02-124 | 12/13/2002 | Necessary Changes to Implement Special Add-On Payments for New Technologies | 4/1/2003 | 2301 |
AB-02-175 | 12/11/2002 | Revisions to Common Working File Edits for Skilled Nursing Facility (SNF) Consolidated Billing (CB) to Permit Payments for Certain Diagnostic Services Furnished to Beneficiaries Receiving Treatment for End Stage Renal Disease (ESRD) at an Independent or Provider-Based Dialysis Facility | 4/1/2003 | 2475 |
A-02-122 | 12/3/2002 | Notice Regarding Cost-to-Charge Ratios and Inpatient Outlier Payments | 12/3/2002 | 2500 |
AB-02-174 | 12/3/2002 | Single Drug Pricer (SDP) | N/A | 2381 |
AB-02-173 | 11/29/2002 | Ambulance Fee Schedule Updates for 2003 | 1/1/2003 | 2489 |
AB-02-172 | 11/29/2002 | Next Generation Desktop Data Center Connectivity - Security Information Clarification to Change Request 2079 (AB-02-073) Dated May 16, 2002 | 12/13/2002 | 2390 |
A-02-121 | 11/29/2002 | Skilled Nursing Facility Adjustments Billing: Adjustments to HIPPS Codes Resulting From MDS Corrections | 10/1/2000 | 1224 |
AB-02-171 | 11/25/2002 | X12N Health Care Eligibility Benefit Inquiry/Response (270/271) Transaction Security and Connectivity Instructions | 4/1/2003 | 2452 |
AB-02-168 | 11/22/2002 | Advance Beneficiary Notice and DMEPOS Refund Requirements - Corrections to PM AB-02-114 | 12/2/2002 | 2415 |
A-02-120 | 11/22/2002 | Change in Requirements for Medicare Payment for Low Osmolar Contrast Material (LOCM) Under the Outpatient Prospective Payment System (OPPS) | 4/1/2003 | 2185 |
AB-02-170 | 11/22/2002 | File Descriptions and Instructions for Retrieving the 2003 Ambulatory Surgical Center (ASC) HCPC Code Additions and Deletions | 1/1/2003 | 2454 |
AB-02-169 | 11/22/2002 | Notice Requirement Related to Local Medical Review Policies (LMRP) | 11/22/2002 | 2472 |
AB-02-167 | 11/19/2002 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 11/19/2002 | 2429 |
AB-02-166 | 11/12/2002 | Editing of the Healthcare Provider Taxonomy Codes (HPTCs) and Use of the HPTC Crosswalk | 4/1/2003 | 2437 |
A-02-119 | 11/8/2002 | 0001 Revenue Line Direction for the Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim | 4/1/2003 | 2387 |
AB-02-163 | 11/8/2002 | 2003 Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment Method | 1/1/2003 | 2420 |
A-02-118 | 11/8/2002 | Annual Update of HCPCS Codes Used for Skilled Nursing Facility Consolidated Billing Enforcement, Updated SNF Help File | 1/1/2003 | 2459 |
AB-02-164 | 11/8/2002 | Carrier, DMERC, Intermediary and RHHI Processing Requirements for Claims Edited by CWF for Medicare Beneficiaries in State or Local Custody Under a Penal Authority | 4/1/2003 | 2022 |
AB-02-158 | 11/8/2002 | Common Working File (CWF), Fiscal Intermediary (FI), and Carrier Edits and Policy Clarification for Peripheral Neuropathy With Loss of Protective Sensation (LOPS) in People With Diabetes | 1/1/2003 | 2444 |
AB-02-161 | 11/8/2002 | Coverage and Billing Requirements for Electrical Stimulation for the Treatment of Wounds | 4/1/2003 | 2313 |
B-02-084 | 11/8/2002 | Create Import/Export Functionality Between the Medicare Claims System (MCS) and the Provider Enrollment Chain Ownership System (PECOS) | 7/1/2003 | 2425 |
B-02-083 | 11/8/2002 | Create Import/Export Functionality Between the Unique Provider Identification Number System (UPIN) and the Provider Enrollment Chain Ownership System (PECOS) | 4/1/2003 | 2424 |
B-02-086 | 11/8/2002 | Create Import/Export Functionality Between the Viable Medicare System (VMS) and the Provider Enrollment Chain Ownership System (PECOS) | 4/1/2003 | 2427 |
AB-02-162 | 11/8/2002 | Deported Medicare Beneficiaries | 4/1/2003 | 2377 |
AB-02-165 | 11/8/2002 | Levocarnitine for use in the treatment of Carnitine Deficiency in ESRD Patients | 1/1/2003 | 2438 |
AB-02-159 | 11/8/2002 | Medicare Deductible and Premium Rates for Calendar Year 2003 | 1/1/2003 | 2451 |
AB-02-160 | 11/8/2002 | Medicare Telehealth Update | 1/1/2003 | 2403 |
B-02-082 | 11/8/2002 | Migrate Medicare Carrier Provider/Supplier Enrollment Data From the Existing Carrier Provider Enrollment System (PENS) into the Provider Enrollment Chain Ownership System (PECOS) and Shut Down All Provider Enrollment Functions in PENS | 4/1/2003 | 2423 |
B-02-081 | 11/8/2002 | Migrate Medicare Carrier Provider/Supplier Enrollment Data From the Existing Carrier Provider Enrollment System (PES) into the Provider Enrollment Chain Ownership System (PECOS) | 4/1/2003 | 2422 |
B-02-085 | 11/8/2002 | Process All Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Modify the Medicare Claims System (MCS) to Incorporate All Claim Payment and Provider Correspondence Functionality That is Included in the Provider Enrollment System (PES) But Will Not Be a Part of PECOS. Shut Down All Provider Enrollment Functions in PES | 7/1/2003 | 2426 |
B-02-087 | 11/8/2002 | Skilled Nursing Facility (SNF) Consolidated Billing - NewRequirements for Claims for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies | 4/1/2003 | 2453 |
B-02-076 | 11/1/2002 | Annual Update for Skilled Nursing Facility (SNF) Consolidated Billing for the Common Working File (CWF) and Medicare Carriers | 1/1/2003 | 2446 |
AB-02-155 | 11/1/2002 | Beneficiary Notification of Denials Based on Local Medical Review Policy (LMRP) | 1/1/2003 | 2081 |
B-02-075 | 11/1/2002 | Carrier Review of Payment Amounts for Portable X-Ray Transportation Services (HCPCS code R0070)--REQUEST | 11/1/2002 | 2421 |
AB-02-153 | 11/1/2002 | Claims Processing Instructions for the Medicare Disease Management Demonstration | 4/1/2003 | 2414 |
B-02-074 | 11/1/2002 | Clarification on Systems Changes in CR 2299 | 1/1/2003 | 2412 |
AB-02-157 | 11/1/2002 | Codes Billable by SNFs and Suppliers for SNF Residents-Notice of New File Available via CMS Mainframe Telecommunication System (DMSMTS) | 4/1/2003 | 2393 |
B-02-079 | 11/1/2002 | Contractor Reporting of Operational and Workload Data (CROWD) for Electronic Data Interchange (EDI and Manual Transactions | 4/1/2003 | 2249 |
A-02-117 | 11/1/2002 | Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittal A-02-071) | 1/1/2003 | 2336 |
AB-02-156 | 11/1/2002 | Coverage and Billing for Neuromuscular Electrical Stimulation (NMES) | 4/1/2003 | 2314 |
B-02-080 | 11/1/2002 | MCS Standard System Financial Data Report Requirements for the Production Performance Monitoring System, Pulse System | 4/1/2003 | 2317 |
A-02-115 | 11/1/2002 | Medical Nutrition Therapy (MNT) Services for Beneficiaries With Diabetes or Renal Disease - POLICY CHANGE | 4/1/2003 | 2404 |
B-02-078 | 11/1/2002 | Medical Review (MR) Progressive Corrective Action (PCA)--ACTION | N/A | 2433 |
AB-02-154 | 11/1/2002 | New Waived Tests - September 27, 2002 | 1/1/2003 | 2413 |
A-02-112 | 11/1/2002 | Program Integrity Management Reporting (PIMR) System for Part A -- Phase 1 | 4/1/2003 | 2308 |
B-02-077 | 11/1/2002 | Program Integrity Management Reporting (PIMR) System for Part B | 4/1/2003 | 2307 |
AB-02-147 | 11/1/2002 | Promoting Influenza Vaccinations | 11/8/2002 | 2396 |
A-02-114 | 11/1/2002 | Revisions to the Outpatient Prospective Payment System (OPPS) Pricer Software and OCE for Blood Deductble and Technical Charges | 10/1/2002 | 2112 |
B-02-073 | 11/1/2002 | This Program Memorandum corrects Program Memorandum B-02-065, Change Request 2281, dated October 25, 2002. Durable Medical Equipment Regional Carriers (DMERCs)—Establishment Common Working File (CWF) Override for Legitimate Duplicate Claims | 4/1/2003 | 2281 |
A-02-113 | 11/1/2002 | Transmittal A-02-113 Has Been Rescinded | N/A | 2331 |
B-02-066 | 10/25/2002 | Ambulance Services: Maintaining Point-of-Pickup Zip Code | 4/1/2003 | 2242 |
B-02-072 | 10/25/2002 | Calendar Year (CY) 2003 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures | 11/15/2002 | 2380 |
AB-02-151 | 10/25/2002 | Clarification Regarding Non-physician Practitioners Billing on Behalf of a Diabetes Outpatient Self-Management Training Services (DSMT) Program and the Common Working File Edits for DSMT & Medical Nutrition Therapy (MNT). (NOTE: APASS has received a waiver for this CR) | 4/1/2003 | 2373 |
A-02-109 | 10/25/2002 | Cost Based Payment for Certified Registered Nurse Anesthetists (CRNA) Services Furnished by Outpatient Prospective Payment System (OPPS) Hospitals | 4/1/2003 | 2325 |
B-02-065 | 10/25/2002 | Durable Medical Equipment Regional Carriers (DMERCs)-Establishment Common Working File (CWF) Override for Legitimate Duplicate Claims | 4/1/2003 | 2281 |
AB-02-145 | 10/25/2002 | Electronic Patient Records Via Non-Internet Means | 10/25/2002 | 2264 |
AB-02-152 | 10/25/2002 | Fee Schedule Update for 2003 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) | 1/1/2003 | 2378 |
AB-02-152 | 10/25/2002 | Fee Schedule Update for 2003 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) | 1/1/2003 | 2378 |
A-02-110 | 10/25/2002 | Financially Required Changes for the Fiscal Intermediary Standard System (FISS) Paid Claim File | 4/1/2003 | 2291 |
A-02-102 | 10/25/2002 | Medicare Certified Hospices - Clarification of Acceptable Parameters for Some Contractual Arrangements | 1/1/2003 | 2345 |
B-02-069 | 10/25/2002 | Messages for Use With Drug Claims | 1/1/2003 | 2376 |
A-02-108 | 10/25/2002 | Multiple Patient Ambulance Transport | 4/1/2003 | 2186 |
A-02-103 | 10/25/2002 | New Electronic Remittance Advice Coding for Home Health Prospective Payment System (HH PPS) Adjustments | 4/1/2003 | 2327 |
A-02-111 | 10/25/2002 | October 2002 Update to the Hospital Outpatient Prospective Payment System (OPPS) -Correction - This instruction replaces PM A-02-076 (CR 2298) issued on August 7, 2002. | 11/8/2002 | 2399 |
AB-02-150 | 10/25/2002 | Payment of Physician and Nonphysician Services for Certain Indian Providers | 10/25/2002 | 2055 |
A-02-104 | 10/25/2002 | Provider Education Article: Home Health Agencies' (HHAs) Responsibilities Regarding Patient Notification | 10/25/2002 | 2320 |
AB-02-143 | 10/25/2002 | Provider Education Article: Psychotropic Drug Use in Skilled Nursing Facilities (SNF) | 10/25/2002 | 2318 |
A-02-106 | 10/25/2002 | Provider Education Article: Hospitals' Responsibilities re: Patient Notification at Discharge Planning and Home Health Consolidated Billing | 10/25/2002 | 2319 |
AB-02-148 | 10/25/2002 | Remittance Advice Message for Ambulance Services | 4/1/2003 | 2262 |
A-02-105 | 10/25/2002 | Removal of Common Working File (CWF) Edit on Non-Covered Hospice Claims | N/A | 2328 |
B-02-070 | 10/25/2002 | Reporting of Admission Date and Additional Edit Requirements for the X12N 837 (version 4010) Coordination of Benefits (COB) Transaction | 4/1/2003 | 2361 |
B-02-068 | 10/25/2002 | Revised X12N 4010 837 Professional Flat File | 4/1/2003 | 2265 |
B-02-067 | 10/25/2002 | Revision to Messages for Skilled Nursing Facility (SNF) Consolidated Billing and Implementation of Common Working File (CWF) Edits for Clinical Social Workers (CSWs) for SNF Consolidated Billing | 4/1/2003 | 2360 |
AB-02-146 | 10/25/2002 | Revision to the Healthcare Provider Taxonomy Codes (HPTCs) Crosswalk | 11/25/2002 | 2398 |
A-02-107 | 10/25/2002 | Revisions to Common Working File Editing to Accommodate Home Health Partial Episode Payment Claims and Rescheduling of Payment Adjustment Utility | 4/1/2003 | 2315 |
AB-02-149 | 10/25/2002 | Update to the Mammography Quality Standard Act (MQSA) File Record Layout for the Food and Drug Administration (FDA) Certified Digital Mammography Centers | 4/1/2002 | 1729 |
B-02-071 | 10/25/2002 | Use of the National Drug Code (NDC) for Drug Claims at the Durable Medical Equipment Regional Carriers (DMERCs) | 4/1/2003 | 2339 |
AB-02-144 | 10/25/2002 | Virginia Cardiac Surgery Initiative Demonstration | 4/1/2003 | 2382 |
AB-02-141 | 10/18/2002 | Charging Fees to Providers for Medicare Education and Training Activities - Program Management | 5/1/2002 | 2129 |
AB-02-142 | 10/18/2002 | Remittance Advice Coding Update | 1/1/2003 | 2395 |
AB-02-139 | 10/11/2002 | Additional Guidance for Applying the Medicare Self-Administered Drug Exclusion | 10/15/2002 | 2311 |
AB-02-137 | 10/11/2002 | Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement | 10/11/2002 | 2402 |
B-02-063 | 10/11/2002 | Annual Updating of ICD-9-CM Codes Must Be Date of Service Driven | 10/1/2002 | 2108 |
A-02-098 | 10/11/2002 | Changes in Transitional Outpatient Payment (TOP) for 2003 | 1/1/2003 | 2356 |
A-02-101 | 10/11/2002 | Corrections to: Changes to the Prospective Payment System and Consolidated Billing for Skilled Nursing Facilities - Update as published in the Federal Register, FY 2001 (66 FR 39572, July 31, 2001), and Transmittal A-01-144, December 20, 2001; Hospice Wage Index Fiscal Year 2003, as published in the Federal Register (67 FR 56092, August 30, 2002); and Update to the Prospective Payment System for Home Health Agencies for FY 2003; as Published in the Federal Register, (67 FR 43616, June 28, 2002) | 10/10/2002 | 2428 |
AB-02-140 | 10/11/2002 | Data Center Testing and Production - Electronic Correspondence Referral System (ECRS) User Manual 5.1 and Quick Reference Guide Replacement | 10/7/2002 | 2441 |
A-02-100 | 10/11/2002 | Installation of Version 27.4 of the Provider Statistical and Reimbursement (PS&R) Report | 1/1/2003 | 2401 |
AB-02-138 | 10/11/2002 | Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes | 1/1/2003 | 2348 |
AB-02-136 | 10/11/2002 | Reasonable Charge Update for 2003 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, Therapeutic Shoes, and Certain Intraocular Lenses | 1/1/2003 | 2371 |
A-02-099 | 10/11/2002 | Scheduled Release for January Updates to Software Programs and Pricing/Coding Files | N/A | 2375 |
A-02-097 | 10/11/2002 | Special Handling of New "K" Codes K0556, K0557, K0558, and K0559 | 10/31/2002 | 2409 |
AB-02-135 | 10/11/2002 | System Networking Electronic Correspondence Referral System (SNECRS) 1.3 User and Installation Guides for Testing and Production | 10/8/2002 | 2359 |
B-02-064 | 10/11/2002 | ViPS Medicare System (VMS) Implementation to Process ICD-9-CM Codes Using Date of Service and Not Date of Receipt | 1/1/2003 | 2209 |
A-02-094 | 10/4/2002 | Annual Desk Review Program for Hospital Wage Data: Cost Reporting Periods Beginning on or after October 1, 1999, through September 30, 2000 (For FY 2004 Wage Index) | 10/4/2002 | 2394 |
A-02-096 | 10/4/2002 | Payment of Skilled Nursing Facility (SNF) Claims for Beneficiaries Disenrolling from Terminating Medicare+Choice (M+C) Plans Who Have Not Met the 3-Day Hospital Stay Requirement | 10/1/2000 | 1270 |
B-02-062 | 10/4/2002 | Payment to Registered Dietitians for Diabetes Outpatient Self-Management Training (DSMT) Services | 10/4/2002 | 2386 |
A-02-095 | 10/4/2002 | Production Dates for the Provider Statistical and Reimbursement (PS&R) Report and Extension of Due Date for Filing Provider Cost Reports for Providers Having Their Claims Processed by the Arkansas Part A Standard System (APASS) and Request for Wage Data for the FY 2004 Wage Index. | 10/4/2002 | 2389 |
AB-02-134 | 10/4/2002 | Questions and Answers Related to Implementation of National Coverage Determinations (NCDs) for Clinical Diagnostic Laboratory Services | 1/1/2003 | 2383 |
A-02-092 | 9/30/2002 | Corrections to: Changes to the Hospital Inpatient Prospective Payment Systems and Rates and Costs of Graduate Medical Education, etc.; as Published in the Federal Register, FY 2002 (66 FR 39828, August 1, 2001) and FY 2003 (67 FR 49982, August 1, 2002). | 10/1/2002 | 2400 |
AB-02-129 | 9/27/2002 | Claims Processing Requirements for Clinical Diagnostic Laboratory Services Based on the Negotiated Rulemaking | N/A | 2169 |
AB-02-131 | 9/27/2002 | Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule | N/A | 2297 |
AB-02-128 | 9/27/2002 | Coverage and Billing for Percutaneous Image-Guided Breast Biopsy | 1/1/2003 | 2232 |
AB-02-130 | 9/27/2002 | Definitions of Ambulance Services | 9/27/2002 | 2295 |
A-02-090 | 9/27/2002 | File Descriptions and Instructions for Retrieving the 2003 Physician, Clinical Lab, Durable Medical Equipment, Prosthetics/Orthotics and Supplies (DMEPOS), and Therapy Fee Schedule Payment Amounts through CMS's Mainframe Telecommunications System | 1/1/2003 | 2346 |
A-02-093 | 9/27/2002 | Instructions for Implementing the Long-Term Care Hospital Prospective Payment System | 1/6/2003 | 2288 |
A-02-091 | 9/27/2002 | Modifications to the Health Care Eligibility Benefit Response (271) and Direct Data Entry (DDE) Screens for Home Health Agencies and Hospice Providers | 1/1/2003 | 2367 |
B-02-060 | 9/27/2002 | Payment Policy When More Than One Patient Is Onboard An Ambulance | 10/30/2002 | 1945 |
AB-02-127 | 9/27/2002 | Program Management Provider/Supplier Education and Training Background | 10/1/2001 | 2125 |
AB-02-133 | 9/27/2002 | Publication and Maintenance of a Directory of Electronic Billing Vendors | 12/1/2002 | 2364 |
B-02-061 | 9/27/2002 | Schedule for Completing the Calendar Year (CY) 2003 Fee Schedule Updates and the Participating Physician Enrollment Procedures | N/A | 2357 |
A-02-089 | 9/27/2002 | Temporary Procedures for Cost-Based Payments for Certified Registered Nurse Anesthetists (CRNA) Services Furnished by Outpatient Prospective Payment System (OPPS) Hospitals | 10/15/2002 | 2326 |
AB-02-132 | 9/27/2002 | Year 2003 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder | 1/1/2003 | 2358 |
B-02-059 | 9/19/2002 | Activation of the Automated Unsolicited Response for Skilled Nursing Facility (SNF) Consolidated Billing and Global Payment Demonstrations | 9/19/2002 | 2391 |
AB-02-126 | 9/18/2002 | Establishing a Uniform Process for the Preparation and Mailing of Case Files From the Contractor to the Office of Hearings and Appeals (OHA) of the Social Security Administration (SSA) | 10/1/2002 | 2304 |
A-02-088 | 9/18/2002 | Installation of Version 28.0 of the Provider Statistical and Reimbursement (PS&R) Report | 1/6/2003 | 2368 |
A-02-087 | 9/12/2002 | Clarification of Provider Billing Requirements Under the Outpatient Prospective Payment System (OPPS) | 10/1/2002 | 1768 |
B-02-057 | 9/11/2002 | Addition of Two "WW" Codes to Identify a New Source for Etoposide | 10/1/2002 | 2283 |
A-02-085 | 9/11/2002 | Applicable Bill Types for Ambulance Services (Revenue Code 540) | 1/1/2003 | 2324 |
B-02-058 | 9/11/2002 | Changes to Correct Coding Edits, Version 9.0, Effective January 1, 2003 | 1/1/2003 | 2309 |
AB-02-125 | 9/11/2002 | Provider Education Article: Durable Medical Equipment Ordered With Surrogate Unique Physician Identification Numbers (UPIN) | 9/11/2002 | 2268 |
A-02-086 | 9/11/2002 | The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2001 for Inpatient Prospective Payment System (PPS) Hospitals | 10/1/2002 | 2344 |
A-02-084 | 9/4/2002 | Fiscal Year (FY) 2003 Prospective Payment System (PPS) Hospital, Skilled Nursing Facility (SNF) and Other Bill Processing Changes | 10/1/2002 | 2306 |
AB-02-122 | 8/28/2002 | Appeals Quality Improvement and Data Analysis Activities | 10/1/2002 | 2170 |
B-02-056 | 8/28/2002 | Furlong Lawsuit Settlement Payments | 8/28/2002 | 2214 |
AB-02-123 | 8/28/2002 | Information on Medicare+Choice (M+C) Private Fee-for-Service Plans - INFORMATION ONLY | 8/28/2002 | 2206 |
A-02-081 | 8/28/2002 | Modification of Audit and Cost Report Settlement Expectations in Change Request (CR) 1468 | 10/1/2002 | 2300 |
AB-02-121 | 8/28/2002 | Provider/Supplier Plan (PSP) Quarterly Report Format | 10/11/2001 | 1740 |
AB-02-124 | 8/28/2002 | Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2002 | 10/1/2002 | 2316 |
AB-02-120 | 8/21/2002 | Coding Instructions for IN-111 Zevalin and Y-90 Zevalin | 9/4/2002 | 2273 |
A-02-079 | 8/21/2002 | Data fields that the Fiscal Intermediaries are required to enter into the Provider Enrollment, Chain and Ownership System (PECOS) | 8/23/2002 | 2296 |
AB-02-119 | 8/21/2002 | Medicare Coordinated Care Demonstration (MCCD) Payment for Railroad Retirement Beneficiaries | 1/2/2003 | 2334 |
A-02-080 | 8/21/2002 | October Medicare Outpatient Code Editor (OCE) Specifications Version 18.0 for Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) | 10/1/2002 | 2310 |
A-02-082 | 8/21/2002 | October Outpatient Code Editor (OCE) Specifications Version (V3.2) | 10/1/2002 | 2322 |
A-02-083 | 8/21/2002 | System Tracking for Audit and Reimbursement (STAR) Instructions: End Stage Renal Disease (ESRD) Audits and Hospice Cost Reports | 10/1/2002 | 2285 |
A-02-078 | 8/14/2002 | Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim - Direct Data Entry (DDE) Updates | 1/6/2003 | 2211 |
A-02-077 | 8/14/2002 | Intermediaries Must Adjust Their Translators for Reporting Line Item Dates, and HCPCS Codes for Part A Outpatient Claims | 10/16/2002 | 2279 |
AB-02-118 | 8/9/2002 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 8/8/2002 | 1899 |
A-02-066 | 8/8/2002 | Department of Veterans Affairs Claims Adjudication Services Project: Systems Changes Needed | 1/1/2003 | 2109 |
A-02-075 | 8/7/2002 | Admitting Diagnosis for Observation Services for the Outpatient Prospective Payment System (OPPS) | 1/1/2003 | 2289 |
AB-02-116 | 8/7/2002 | Data Center Testing and Production - Electronic Correspondence Referral System (ECRS) User Manual 5.0 | 10/7/2002 | 2293 |
AB-02-115 | 8/7/2002 | Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Changes | 7/1/2001 | 1603 |
A-02-074 | 8/7/2002 | Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions | 8/14/2002 | 1229 |
A-02-076 | 8/7/2002 | October 2002 Update to the Hospital Outpatient Prospective Payment System (OPPS | 10/1/2002 | 2298 |
AB-02-117 | 8/7/2002 | Transition Schedule for Implementation of the Ambulance Fee Schedule | 1/1/2003 | 2303 |
B-02-055 | 8/7/2002 | Updates to the Place of Service (POS) Code Set | 1/1/2003 | 2259 |
AB-02-114 | 7/31/2002 | ABNs and DMEPOS Refund Requirements - Implementation of Form CMS-R-131, Advance Beneficiary Notice (ABN), and of Limits on Beneficiary Liability for Medical Equipment and Supplies | 10/1/2002 | 2219 |
B-02-050 | 7/31/2002 | Additional Remark Code for Claims of Therapy Services Possibly Subject to Home Health Consolidated Billing | 1/1/2003 | 2258 |
AB-02-108 | 7/31/2002 | Clarification of Medicare Contractor Financial Reporting Instructions Outlined in §1900 - §1960.21 of the Medicare Intermediary Manual (MIM) and §4900 - §4960.14 of the Medicare Carriers Manual (MCM). (Issued May 2001) | 1/1/2003 | 2278 |
AB-02-109 | 7/31/2002 | Common Working File (CWF), Fiscal Intermediary (FI), and Carrier Edits and Policy Clarification for Peripheral Neuropathy With Loss of Protective Sensation (LOPS) in People with Diabetes | 1/1/2003 | 2150 |
AB-02-113 | 7/31/2002 | Elimination of Official Level III Healthcare Common Procedure Coding System (HCPCS) Codes/Modifiers and Unapproved Local Codes/Modifiers | 1/1/2003 | 2215 |
AB-02-103 | 7/31/2002 | Expand Standard Date Format and Remove CWF (Common Working File) Y2K Wrapper Logic for Beneficiary Cross Reference Internal Files (XREF) and Satellite File Header and Response Records | 1/1/2003 | 2244 |
AB-02-112 | 7/31/2002 | Final Update to the 2002 Medicare Physician Fee Schedule Database (MPFSDB) | 10/7/2002 | 2282 |
A-02-073 | 7/31/2002 | Financial Reporting Instructions for the Fiscal Intermediary Shared System (FISS)/Recovery Tracking System (RTS) | 1/1/2003 | 2275 |
A-02-069 | 7/31/2002 | Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim Additional Implementation Direction | 1/1/2003 | 2134 |
A-02-070 | 7/31/2002 | Health Insurance Portability and Accountability Act (HIPAA) Transaction 835v4010 Completion Update | 1/1/2003 | 2233 |
AB-02-111 | 7/31/2002 | Implementation of Certain Initial Determination and Appeal Provisions Within §521 of the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 | N/A | 2251 |
AB-02-110 | 7/31/2002 | Implementation of National Coverage Determinations Regarding Clinical Diagnostic Laboratory Services | 1/1/2003 | 2130 |
B-02-053 | 7/31/2002 | Implementation of the ASC X12N 278 Version 4010 Implementation Guide for Electronic Referral Certification and Authorization | 8/1/2002 | 2276 |
B-02-051 | 7/31/2002 | Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry/Response Transaction (270/271) Standard | 1/1/2003 | 2223 |
B-02-052 | 7/31/2002 | Implementation of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standard Version 5.1 and the Equivalent Batch Standard Version 1.1 for Retail Pharmacy Drug Transactions | N/A | 2255 |
A-02-072 | 7/31/2002 | Implementation of the Provider Enrollment, Chain and Ownership System (PECOS) | 7/29/2002 | 2119 |
AB-02-105 | 7/31/2002 | Medical Review of Medicare Payments for Nail Debridement Services | 9/14/2002 | 2272 |
AB-02-106 | 7/31/2002 | Medicare Summary Notice (MSN) - Inclusion of Appeals Information, Removal of Fraud References and Office of Inspector General’s (OIG) Hotline Number - ACTION | 1/1/2003 | 2241 |
AB-02-107 | 7/31/2002 | Modify Application of "I" Validity MSP Records to the Common Working File (CWF) by Medicare Contractors | 1/1/2003 | 2240 |
AB-02-104 | 7/31/2002 | October Quarterly Update for 2002 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 10/1/2002 | 2245 |
B-02-054 | 7/31/2002 | Sending Copies of Appeal Notices to Appointed Representatives, Including the Amount in Controversy Remaining in Review Determination Letters, and Using Bullets in Appeals Correspondence | 1/1/2003 | 2299 |
A-02-071 | 7/31/2002 | Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims | 1/1/2003 | 2154 |
B-02-043 | 7/24/2002 | Acceptance of Special Characters in the Common Working File (CWF) and the Durable Medical Equipment Regional Carrier (DMERC) Standard System | 1/1/2003 | 2096 |
A-02-062 | 7/24/2002 | Applicable Bill Types for Ambulance Services (Revenue Code 540) | 1/1/2003 | 2175 |
B-02-041 | 7/24/2002 | Billing for Implanted Durable Medical Equipment (DME), Prosthetic Devices, Replacement Parts, Accessories and Supplies | 7/26/2002 | 2227 |
B-02-044 | 7/24/2002 | Change in Jurisdiction for Topical Hyperbaric Oxygen Chamber | 1/1/2003 | 2177 |
AB-02-101 | 7/24/2002 | Changes to Common Working File (CWF) Edits for Skilled Nursing Facility (SNF) Consolidated Billing (CB) | 1/1/2003 | 2270 |
B-02-049 | 7/24/2002 | CWF Change for Billing for Glucose Test Strips and Supplies - Follow-up to Change Request 1612 | 1/1/2003 | 2156 |
A-02-066 | 7/24/2002 | Department of Veterans Affairs Claims Adjudication Services Project: Systems Changes Needed | 1/1/2003 | 2109 |
B-02-047 | 7/24/2002 | DMERCs - Appeal Messages on Medicare Summary Notice (MSN) and Medicare Remit Notice | 1/1/2003 | 1986 |
A-02-068 | 7/24/2002 | Enhancements to Home Health Prospective Payment System (HH PPS) Claims Processing | 1/1/2003 | 2095 |
A-02-064 | 7/24/2002 | Excluding Hospitals that Provide Part B Only Services to Their Inpatients from the Outpatient Prospective Payment System (OPPS) | 1/1/2003 | 2204 |
A-02-065 | 7/24/2002 | Implementation of the Transmission Control Protocol/Internet Protocol (TCP/IP) for the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry and Response Transaction (270/271) Standard | 1/2/2003 | 2234 |
AB-02-102 | 7/24/2002 | Medicare Secondary Payer (MSP) Debt Referral and Write Off Closed Instructions: 1) Expansion and Clarification of MSP Debt Collection Improvement Act of 1996 (DCIA) Activities; 2) Additional "Write-Off -- Closed" Instructions (Supplemental Instructions for PM AB-01-24) | 7/26/2002 | 2145 |
AB-02-100 | 7/24/2002 | Modification of Medicare Policy for Erythropoietin (EPO) | 8/31/2002 | 2266 |
AB-02-098 | 7/24/2002 | Process for Entering Local Medical Review Policies (LMRP) and certain articles and Frequently Asked Questions (FAQs) into the Medicare Coverage Database | 7/26/2002 | 2238 |
A-02-067 | 7/24/2002 | Production of Flat Files to Enable CMS to Populate the Online Survey, Certification and Reporting (OSCAR) System with the Provider Taxpayer Identification Number (TIN) | 1/1/2003 | 2097 |
B-02-048 | 7/24/2002 | Reasonable Charge Data Disclosure Requirements for Ambulance Services | 1/1/2003 | 2212 |
A-02-063 | 7/24/2002 | Scheduled Release for October Updates to Software Programs and Pricing/Coding Files | N/A | 2261 |
AB-02-099 | 7/24/2002 | Standardize the CICS Level, CICS Transaction Server 1.3 to be Utilized by All Medicare Contractors | 1/1/2003 | 2173 |
B-02-045 | 7/24/2002 | ViPS Medicare System (VMS) Implementation to Process ICD-9-CM Codes Using Date of Service and Not Date of Receipt | 1/1/2003 | 2209 |
AB-02-096 | 7/17/2002 | Coverage and Billing of the Diagnosis and Treatment of Peripheral Neuropathy With Loss of Protective Sensation in People With Diabetes | 7/19/2002 | 2269 |
A-02-061 | 7/11/2002 | Medicare Program- Update to the Prospective Payment System (PPS) for Home Health Agencies for FY 2003 | 10/1/2002 | 2239 |
A-02-059 | 7/10/2002 | Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2003 | 10/1/2002 | 2248 |
A-02-060 | 7/10/2002 | Revision to Billing for Swing Bed Services Under Skilled Nursing Facility Prospective Payment System (SNF PPS) | 7/12/2002 | 2257 |
A-02-058 | 7/5/2002 | Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2003 | 10/1/2002 | 2250 |
AB-02-095 | 7/5/2002 | Prohibition on New Trading Partner Agreements (TPAs) with Certain Entities for the Purpose of Coordination of Benefits (COB) | 7/5/2002 | 2216 |
B-02-040 | 7/5/2002 | Updating the Deceased Physicians’ Unique Physician Identification Numbers (UPINs) List at the Common Working File (CWF) | 10/1/2002 | 2199 |
AB-02-094 | 7/3/2002 | Disclosure Desk Reference for Call Centers | 9/3/2002 | 2237 |
A-02-057 | 7/3/2002 | Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Update | 10/1/2002 | 2220 |
B-02-039 | 7/2/2002 | Common Working File (CWF) Category Changes | 10/1/2002 | 2229 |
AB-02-093 | 7/2/2002 | Coverage and Billing for Intravenous Immune Globulin (IVIg) for the Treatment of Autoimmune Mucocutaneous Blistering Diseases | 10/1/2002 | 2192 |
AB-02-091 | 7/2/2002 | New Waived Tests - June 17, 2002 | 10/1/2002 | 2263 |
AB-02-092 | 7/2/2002 | Procedures Subject to Home Health Consolidated Billing | 10/1/2002 | 2247 |
AB-02-090 | 6/28/2002 | Medicare Secondary Payer (MSP): (1) Procedures for "Write-Off - Closed" of MSP Accounts Receivable (AR); (2) Elimination of Automated/Systems "Write-Off - Closed" Actions for MSP AR; Zero Backend Tolerance for MSP AR (Reminder); and (3) Date for Establishment of MSP AR (Reminder) | N/A | 1280 |
AB-02-089 | 6/28/2002 | New Automatic Notice of Change to Medicare Secondary Payer (MSP) Auxiliary File | 7/1/2001 | 1529 |
A-02-056 | 6/28/2002 | Special Handling of End Stage Renal Disease (ESRD) Claims Containing Healthcare Common Procedure Coding System (HCPCS) Code J1955 (Levocarnitine) | 6/28/2002 | 2208 |
AB-02-088 | 6/28/2002 | System Networking Electronic Correspondence Referral System (SNECRS) 1.2 User and Installation Guides | 7/15/2002 | 2217 |
AB-02-086 | 6/26/2002 | Change in Procedure for State Requests for Retrospective Medicare Claims | 7/26/2002 | 2218 |
AB-02-087 | 6/26/2002 | Delay in Enforcement of National Coverage Determinations (NCDs) for Clinical Diagnostic Laboratory Services | 1/1/2003 | 2203 |
A-02-055 | 6/24/2002 | Extended Repayment Schedules (ERSs) for Home Health Providers Who Received the Special Periodic Interim Payment (PIP) | 6/24/2002 | 2191 |
AB-02-084 | 6/20/2002 | Additional Information Regarding Medicare Payment Allowance for Flu Vaccine | N/A | 2190 |
AB-02-085 | 6/20/2002 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/1/2002 | 2194 |
A-02-054 | 6/19/2002 | Use of Medical Review Indicators for Comprehensive Error Rate Testing (CERT) | 6/19/2002 | 2226 |
A-02-051 | 6/18/2002 | Health Insurance Portability and Accountability Act (HIPAA) Testing and Certification Requirements and Date Changes | 6/18/2002 | 2128 |
B-02-038 | 6/18/2002 | HIPAA Testing and Certification Requirements and Date Changes | 7/18/2002 | 2127 |
A-02-053 | 6/18/2002 | Indian Health Service (IHS) Hospital Payment Rates for Calendar Year 2002 | 6/18/2002 | 2210 |
A-02-052 | 6/18/2002 | July Outpatient Code Editor (OCE) Specifications Version (V3.1) | 7/1/2002 | 2221 |
AB-02-083 | 6/17/2002 | Effective Date Revision for Medicare Intermediary Manual (MIM), Transmittal 1855, dated April 26, 2002, Change Request 2057, and Medicare Carriers Manual (MCM), Transmittal 1749, dated April 26, 2002, Change Request 2057 | 7/1/2002 | 2205 |
A-02-050 | 6/17/2002 | July 2002 Update to the Hospital Outpatient Prospective Payment System (OPPS) | 7/1/2002 | 2207 |
A-02-049 | 6/12/2002 | Installation of Version 27.3 of the Provider Statistical and Reimbursement (PS&R) Report | 7/1/2002 | 2201 |
AB-02-082 | 6/11/2002 | Coding Changes for Sodium Hyaluronate | 10/1/2002 | 2230 |
AB-02-081 | 6/11/2002 | Core Security Requirements (CSR) and Associated Responsibilities | 6/11/2002 | 2189 |
B-02-037 | 6/7/2002 | New Medicare Medical Review Guidelines for Claims for Diabetic Testing Supplies | 10/1/2002 | 2133 |
AB-02-080 | 6/7/2002 | Payment for Services Furnished by Audiologists | 7/7/2002 | 2073 |
AB-02-079 | 6/6/2002 | Customer Service Representative (CSR) Response to Physician and Provider Correct Coding Initiative (CCI) Questions | 6/6/2002 | 2113 |
A-02-048 | 6/4/2002 | Extension of the Deadline for Hospitals to Make Elections to Reduce Beneficiary Coinsurance for 2002 Under the Outpatient Prospective Payment System (OPPS) | 6/4/2002 | 2195 |
A-02-047 | 6/3/2002 | July Medicare Outpatient Code Editor (OCE) Specifications Version 17.2 for Bills from Hospitals that are not Paid Under the Outpatient Prospective Payment System (OPPS) | 7/1/2002 | 2188 |
A-02-044 | 5/29/2002 | Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases, Changes to the RHC Benefit Made by the Medicare, Medicaid, and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 and Clarification Regarding Drugs Furnished by RHCs/FQHCs. | N/A | 1600 |
AB-02-077 | 5/29/2002 | Common Working File (CWF) Beneficiary Other Insurer (BOI) Auxiliary (aux) File | 10/1/2001 | 1674 |
AB-02-078 | 5/29/2002 | Provider Education Article: Medicare Coverage of Rehabilitation Services for Beneficiaries With Vision Impairment | 5/29/2002 | 2083 |
AB-02-076 | 5/29/2002 | Registration Process for, and Expectations for Use of, the Healthcare Integrity and Protection Data Bank (HIPDB) | 6/18/2001 | 1554 |
A-02-043 | 5/23/2002 | Audit Guidance Pertaining to Write-offs of Small Debit Balances in Patients’ Accounts Receivable | 10/1/2002 | 2174 |
B-02-036 | 5/23/2002 | Changes to Correct Coding Edits, Version 8.3, Effective October 1, 2002 | 10/1/2002 | 2187 |
A-02-046 | 5/23/2002 | Clarification of Part B Medicare Payment for 18 HCPCS Codes to Skilled Nursing Facilities (SNF) | 5/23/2002 | 2132 |
A-02-045 | 5/23/2002 | Frequently Asked Questions (FAQs) About Home Health Advance Beneficiary Notice (HHABN, Form CMS-R-296) | 5/23/2003 | 1698 |
AB-02-074 | 5/22/2002 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 5/22/2002 | 2105 |
AB-02-075 | 5/22/2002 | Payment Limit for Drugs and Biologicals | 5/22/2002 | 2123 |
A-02-042 | 5/17/2002 | Clarification to Periodic Interim Payments (PIP) For Home Health Providers and Clarification on Extension of Due Dates for Filing Provider Cost Reports | 6/1/2002 | 2158 |
A-02-039 | 5/17/2002 | Coverage and Billing of the Diagnosis and Treatment of Peripheral Neuropathy with Loss of Protective Sensation in People with Diabetes | 7/1/2002 | 2184 |
B-02-035 | 5/17/2002 | Elimination of Certificate of Medical Necessity (CMN) Requirement for Continuous Positive Airway Pressure (CPAP) Device - Clarification | 7/1/2002 | 2165 |
A-02-041 | 5/17/2002 | New Patient Status Code 64 | 10/1/2002 | 2093 |
A-02-040 | 5/17/2002 | Scheduled Release for July Updates to Software Programs and Pricing/Coding Files | N/A | 2172 |
AB-02-073 | 5/16/2002 | Installation of a New Medicare Customer Service Center (MCSC) Next Generation Desktop (NGD) Application | N/A | 2079 |
A-02-038 | 5/16/2002 | Modification of Common Working File (CWF) A/B Crossover Edit 7111 and "Alert" 7531 | 10/1/2002 | 2143 |
SA-02-01 | 5/16/2002 | TITLE XIX OF THE SOCIAL SECURITY ACT, POST-ELIGIBILITY TREATMENT OF INCOME | N/A | N/A |
AB-02-072 | 5/15/2002 | Medicare Payment for Drugs and Biologicals Furnished Incident to a Physician's Service | 8/1/2002 | 2200 |
AB-02-071 | 5/10/2002 | HIPAA Model Compliance Plan and Instructions | 5/10/2002 | 2168 |
AB-02-070 | 5/10/2002 | New Waived Tests - April 12, 2002 | 7/1/2002 | 2163 |
AB-02-069 | 5/9/2002 | July 2002 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule Files | 7/1/2002 | 2162 |
AB-02-068 | 5/8/2002 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 5/8/2002 | 1898 |
AB-02-064 | 5/2/2002 | Coverage and Billing for Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management | 7/1/2002 | 2071 |
AB-02-065 | 5/2/2002 | Coverage and Related Claims Processing Requirements for Positron Emission Tomography (PET) Scans - for Breast Cancer and Revised Coverage Conditions for Myocardial Viability | 10/1/2002 | 2138 |
B-02-034 | 5/2/2002 | Implementation of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standard Version 5.1 and the equivalent Batch Standard Version 1.1 for Retail Pharmacy Drug Transactions | 10/16/2003 | 2181 |
AB-02-066 | 5/2/2002 | Non-coverage of Perception Sensory Threshold/Nerve Conduction Threshold Test (sNCT) | 10/1/2002 | 2153 |
AB-02-067 | 5/2/2002 | Remittance Advice Coding and Health Insurance Portability and Accountability Act (HIPAA) Transaction 835v4010 Completion Update | 10/1/2002 | 1959 |
AB-02-059 | 5/1/2002 | Additional Clarification for Medical Nutrition Therapy (MNT) Services | 10/1/2002 | 2142 |
B-02-031 | 5/1/2002 | Cessation of Certain DMERC Activities | 5/1/2002 | 2101 |
AB-02-057 | 5/1/2002 | Charging Fees to Providers for Medicare Education and Training Activities - Program Management | 5/1/2002 | 2129 |
AB-02-060 | 5/1/2002 | Coverage and Billing for Intravenous Immune Globulin (IVIg) for the Treatment of Autoimmune Mucocutaneous Blistering Diseases | 10/1/2002 | 2149 |
AB-02-061 | 5/1/2002 | CWF Editing of Claims for Medicare Beneficiaries in State or Local Custody Under a Penal Authority | 10/1/2002 | 2139 |
A-02-037 | 5/1/2002 | Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim - Home Health Implementation Direction | 10/1/2002 | 2137 |
A-02-036 | 5/1/2002 | Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim - Outpatient Hospice Implementation Direction | 10/1/2002 | 2135 |
B-02-033 | 5/1/2002 | Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry/Response Transaction (270/271) Standard | 10/1/2002 | 2182 |
AB-02-063 | 5/1/2002 | Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Testing of 835 Interface with the Healthcare Integrated General Ledger Accounting System (HIGLAS) | 10/1/2002 | 2180 |
B-02-032 | 5/1/2002 | Medical Review (MR) Progressive Corrective Action (PCA) | N/A | 2131 |
A-02-035 | 5/1/2002 | Revision to the 837 Interface Format for Sending Claims Accounting Information from Fiscal Intermediary Standard System (FISS) to the Healthcare Integrated General Ledger Accounting System (HIGLAS) | 10/1/2002 | 2086 |
AB-02-058 | 5/1/2002 | Second Update to the 2002 Medicare Physician Fee Schedule Database | 7/1/2002 | 2161 |
AB-02-058 | 5/1/2002 | Second Update to the 2002 Medicare Physician Fee Schedule Database | 7/1/2002 | 2161 |
A-02-034 | 5/1/2002 | Submission of the Swing Bed Minimum Data Set (MDS) Data for Swing Bed Hospitals | 5/1/2002 | 2159 |
AB-02-055 | 4/30/2002 | Claims Processing Instructions to Conclude the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Competitive Bidding Demonstration | N/A | 2054 |
B-02-029 | 4/30/2002 | Durable Medical Equipment Regional Carrier (DMERC) - New Message for Advanced Beneficiary Notice (ABNs) Denials | 7/1/2002 | 2084 |
AB-02-056 | 4/30/2002 | Expand Standard Date Format and Remove CWF (Common Working File) Y2K Wrapper Logic for Fiscal Intermediary Claims/Trailers and Carrier/DMERC Trailers - Incoming and Response Transactions | 10/1/2002 | 2148 |
B-02-030 | 4/30/2002 | Reporting Claims Accounting Information to the Healthcare Integrated General Ledger Accounting System (HIGLAS) for the Durable Medical Equipment Regional Carriers (DMERC) | 10/1/2002 | 2087 |
A-02-033 | 4/30/2002 | Sending Payee Information From Fiscal Intermediary Standard System (FISS) to the Healthcare Integrated General Ledger Accounting System (HIGLAS) | 10/1/2002 | 2088 |
B-02-028 | 4/30/2002 | Sending Payee Information From Multi-Carrier System (MCS) to the Healthcare Integrated General Ledger Accounting System (HIGLAS) | 10/1/2002 | 2089 |
AB-02-051 | 4/29/2002 | Change of Interest Citation in the Overpayment Sections of the Medicare Intermediary Manual (MIM) and the Medicare Carriers Manual (MCM) from 42 CFR §405.376 to 42 CFR §405.378. | 4/30/2002 | 1623 |
AB-02-053 | 4/29/2002 | Correction to the Revision of Medicare Reimbursement for Telehealth Services | 10/1/2001 | 1827 |
AB-02-050 | 4/29/2002 | Program Memorandum on Written Statements of Intent (SOI) to Claim Medicare Benefits | 4/24/2002 | N/A |
AB-02-052 | 4/29/2002 | Revision of Medicare Reimbursement for Telehealth Services | 10/1/2001 | 1650 |
B-02-027 | 4/26/2002 | Annual Updating of ICD-9-CM Codes Must Be Date of Service Driven | 10/1/2002 | 2108 |
A-02-032 | 4/25/2002 | Diabetes Self Management Training (DSMT) Payment | 10/1/2002 | 2049 |
AB-02-054 | 4/25/2002 | Generating an Outbound Coordination of Benefits (COB) X12N 837 (4010) When Required Data is Missing or Invalid | 10/1/2002 | 2021 |
B-02-026 | 4/25/2002 | Revised: New Permanent Modifier for "Specific Required Documentation on File" | 7/1/2002 | 2155 |
A-02-031 | 4/25/2002 | Updates to Common Working File (CWF) Editing of Intermediary Claims for Durable Medical Equipment (DME) and Prosthetic/Orthotic Devices | 10/1/2002 | 2092 |
AB-02-049 | 4/24/2002 | New Source of Provider Information Available on CMS Website April 22, 2002 | 4/24/2002 | 1868 |
A-02-030 | 4/22/2002 | Revisions to the Home Health Prospective Payment System (HH PPS) Pricer Software -- Regional Home Health Intermediaries (RHHIs) Only | 10/1/2002 | 2070 |
AB-02-048 | 4/18/2002 | Program Management Provider/Supplier Education and Training | N/A | 2125 |
AB-02-047 | 4/17/2002 | Amended Contractor Assessment Security Tool (CAST) Submission Instructions and Due Dates | 4/17/2002 | 2094 |
A-02-029 | 4/17/2002 | Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry/Response Transaction (270/271) Standard | N/A | 2111 |
B-02-025 | 4/16/2002 | Reporting the Obligated to Accept as Payment in Full (OTAF) Amount on the ANSI X12N 837 Version 4010 as Adopted Under the Health Insurance Portability and Accountability Act of 1996 (HIPAA) for Medicare Secondary Payer (MSP) Claims. | 10/1/2002 | 2007 |
A-02-028 | 4/16/2002 | Upcoming Train-the-Trainer Session for Hospital Swing Bed Facility Prospective Payment System (SB PPS) | 4/16/2002 | 2147 |
AB-02-046 | 4/12/2002 | Availability of Deceased Beneficiary Date of Death Files (Calendar Years 2000 and 2001) | 4/12/2002 | 2065 |
AB-02-045 | 4/12/2002 | Clarification of the Allocation of Initial Claim Entry Activities Where the Claim is Paid Secondary by Medicare | 4/12/2002 | 2074 |
B-02-024 | 4/12/2002 | Deceased Physician UPIN Information - (Transmittal B-01-73) | 10/1/2002 | 2042 |
B-02-023 | 4/12/2002 | Revision—The Do Not Forward (DNF) Initiative—Using "Return Service Requested" Envelopes for Remittance Advice | 10/1/2002 | 2038 |
AB-02-043 | 4/8/2002 | Corrections to Program Memorandum (PM) A-01-135 -- Codes Billable by SNFs and Suppliers for SNF Residents | 4/1/2002 | 2035 |
A-02-027 | 4/5/2002 | Installation of Version 27.2 of the Provider Statistical and Reimbursement (PS&R) Report | 4/15/2002 | 2146 |
AB-02-044 | 4/5/2002 | July Quarterly Update for 2002 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 7/1/2002 | 2090 |
AB-02-042 | 4/1/2002 | Coverage and Billing of the Diagnosis and Treatment of Peripheral Neuropathy with Loss of Protective Sensation in People with Diabetes | 7/1/2002 | 2060 |
B-02-022 | 4/1/2002 | Elimination of Certificate of Medical Necessity (CMN) Requirement for Continuous Positive Airway Pressure (CPAP) Device | 3/29/2002 | 2076 |
AB-02-041 | 3/29/2002 | Correction of Remark Code Message for Home Health Consolidated Billing | 3/29/2002 | 2080 |
A-02-026 | 3/28/2002 | 2002 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 4/8/2002 | 2102 |
A-02-023 | 3/27/2002 | Accelerated Referral of Non-MSP Active Delinquent Debts to the Debt Collection Center (DCC) for Cross Servicing and Treasury Offset Program (TOP) | 4/26/2001 | 1683 |
B-02-019 | 3/27/2002 | Accelerated Referral of Non-MSP Active Delinquent Debts to the Debt Collection Center (DCC) for Cross Servicing and Treasury Offset Program (TOP) | 4/26/2001 | 1683 |
A-02-025 | 3/27/2002 | April Outpatient Code Editor (OCE) Specifications Version (V3.0) | 4/1/2002 | 2103 |
AB-02-038 | 3/27/2002 | Billing for Audiologic Function Tests For Beneficiaries That Are Patients of a Skilled Nursing Facility (SNF) | 7/1/2001 | 1677 |
B-02-020 | 3/27/2002 | Coding for Non-Covered Services and Services Not Reasonable and Necessary | 1/1/2002 | 1820 |
B-02-018 | 3/27/2002 | Implementation of Carrier Jurisdiction Manual Instructions Based on the Medicare Carriers Manual (MCM) Part 3, §§3100 - 3101 for the Multi-Carrier System (MCS) Standard System and Associated Medicare Carriers | 7/1/2001 | 1646 |
AB-02-040 | 3/27/2002 | Intestinal and Multi-Visceral Transplantation | 7/1/2001 | 1629 |
A-02-024 | 3/27/2002 | Off Label Use of Oral Chemotherapy Drugs Methotrexate and Cyclophosphamide | 4/1/2001 | 1408 |
B-02-021 | 3/27/2002 | Problem Resolution to Issues Raised By Implementation of CR 1646 for the Medicare Carriers Processing on the Multi-Carrier System (MCS) | 11/13/2001 | 1866 |
B-02-017 | 3/27/2002 | Standard System Acceptance of Primary Payer Information at the Line Level | 1/1/2001 | 1287 |
AB-02-039 | 3/26/2002 | Amplification of Annual Compliance Audit Requirements | 3/26/2002 | 2072 |
B-02-015 | 3/22/2002 | 2002 Jurisdiction List | 7/1/2002 | 2051 |
B-02-016 | 3/22/2002 | Addition of Four "WW" Codes to Identify a New Source for Methotrexate | 7/1/2002 | 2064 |
A-02-022 | 3/22/2002 | Clarification of PM-A-01-86, New Patient Status Codes 62 and 63 | 3/22/2002 | 2069 |
A-02-021 | 3/22/2002 | Medicare Secondary Payer (MSP) Information Collection Policies Changed for Hospitals | 3/31/2002 | 2104 |
AB-02-037 | 3/22/2002 | Reissue of information in CR 1955, Transmittal AB-02-021, Common Working File (CWF) Unsolicited Response Edit and Carrier Resolution for Consolidated Billing for Skilled Nursing Facility (SNF) Residents | 7/1/2002 | 2082 |
B-02-014 | 3/21/2002 | Common Working File (CWF) Changes for Emergency Home Dialysis Supplies For Method II Beneficiaries | 10/1/2002 | 2044 |
A-02-020 | 3/21/2002 | Coverage and Billing of Sacral Nerve Stimulation | 3/21/2002 | 2098 |
AB-02-035 | 3/21/2002 | Notification of Updates to Coding Files on CMS Web Site for Skilled Nursing Facility (SNF) Consolidated Billing (CB) | 4/20/2002 | 2085 |
AB-02-036 | 3/21/2002 | Temporary Codes for Ambulance Fee Schedule | 4/1/2002 | 2047 |
AB-02-034 | 3/20/2002 | Managing Medicare Appeals Workloads in FY 2001 | 1/12/2001 | 1392 |
AB-02-033 | 3/15/2002 | Provider Education Training Activities to Implement Updates to the Ambulance Fee Schedule | 3/15/2002 | 2075 |
AB-02-032 | 3/14/2002 | Data Center Testing and Production- Electronic Correspondence Referral System (ECRS) User Manual 4.0 | 4/15/2002 | 2059 |
AB-02-031 | 3/7/2002 | Payment Policy for Air Ambulance Transportation of Deceased Beneficiary | 7/1/2002 | 1961 |
AB-02-030 | 3/5/2002 | Administrative Policies Related to Processing Claims for Clinical Diagnostic Laboratory Services | 4/18/2002 | 1998 |
AB-02-029 | 3/1/2002 | Electronic Medicare Provider/Supplier Enrollment Forms | 7/1/2002 | 2045 |
A-02-019 | 3/1/2002 | Scheduled Release for April Updates to Software Programs and Pricing/Coding Files | N/A | 2052 |
B-02-013 | 2/28/2002 | Changes to Correct Coding Edits, Version 8.2, Effective July 1, 2002 | 7/1/2002 | 2031 |
B-02-012 | 2/28/2002 | This Transmittal Has Been Rescinded | 7/1/2002 | 2045 |
A-02-018 | 2/26/2002 | Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION | 3/1/2001 | 1467 |
A-02-017 | 2/26/2002 | Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION | 3/1/2001 | 1596 |
AB-02-028 | 2/26/2002 | CMS Office of the Inspector General (OIG) Hotline Referrals | 1/27/2000 | 955 |
AB-02-027 | 2/21/2002 | Corrections to Program Memorandum (PM) A-01-135 -- Codes Billable by SNFs and Suppliers for SNF Residents | 4/1/2002 | 2035 |
AB-02-026 | 2/21/2002 | System Networking Electronic Correspondence Referral System (SNECRS) User Guide | 3/30/2002 | 2024 |
A-02-016 | 2/15/2002 | Conversion of Hospital Swing Bed Facilities to the Skilled Nursing Facility Prospective Payment System (SNF PPS) Effective for Cost Reporting Periods Starting July 1, 2002 | 7/1/2002 | 1666 |
AB-02-025 | 2/15/2002 | Non-Contact Normothermic Wound Therapy (NNWT) | 7/1/2002 | 2027 |
AB-02-024 | 2/14/2002 | New Waived Tests - January 18, 2002 | 4/1/2002 | 2033 |
AB-02-022 | 2/13/2002 | Clarification of Transmittal AB-00-107, Change Request 1163, and Transmittal AB-00-129, Change Request 1460, Regarding the Coordination of Benefits (COB) Contractor and Medicare Secondary Payer (MSP) Prepay Work Activities for Customer Service, MSP and Standard Systems Contractor Staff | 2/15/2001 | 1558 |
B-02-011 | 2/13/2002 | Revision and Clarification of Requirements for Quarterly Do Not Forward (DNF) Reports | 7/1/2002 | 1631 |
AB-02-023 | 2/12/2002 | Common Working File (CWF) Edits with Unsolicited Responses for Skilled Nursing Facility (SNF) Consolidated Billing | 7/1/2002 | 2034 |
A-02-014 | 2/12/2002 | Health Insurance Portability and Accountability Act (HIPAA) Institutional 837 Health Care Claim Implementation Updates | 2/12/2002 | 2028 |
A-02-015 | 2/12/2002 | Installation of Version 27.1 of the Provider Statistical and Reimbursement (PS&R) Report | 2/12/2002 | 2043 |
AB-02-021 | 2/11/2002 | Common Working File (CWF) Unsolicited Response Edit and Carrier Resolution for Consolidated Billing for Skilled Nursing Facility (SNF) Residents | 7/1/2002 | 1955 |
A-02-012 | 2/8/2002 | "Do Not Forward" (DNF) Initiative | 7/1/2002 | 1970 |
B-02-010 | 2/8/2002 | Correct Payment for Medical Nutrition Therapy (MNT) Services Rendered by Registered Dietitians or Nutrition Professionals | 1/1/2002 | 2046 |
AB-02-018 | 2/8/2002 | First Update to the 2002 Medicare Physician Fee Schedule Database | 4/1/2002 | 2036 |
A-02-013 | 2/8/2002 | Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Health Care Eligibility Benefit Inquiry/Response Transaction (270/271) Standard | 7/1/2002 | 2009 |
B-02-009 | 2/8/2002 | Payment for Therapy Services Wrongfully Denied | 5/9/2002 | 1991 |
AB-02-020 | 2/8/2002 | Revised Timelines for Health Insurance Portability and Accountability Act (HIPAA) Requirements | N/A | 2039 |
AB-02-017 | 2/8/2002 | Sending of HUSC files from Common Working File (CWF) to Recovery Management and Accounting System (ReMAS) | 7/1/2002 | 2026 |
AB-02-019 | 2/8/2002 | Supplemental Systems Security Information For FY 02 | 2/8/2002 | 2010 |
AB-02-015 | 2/7/2002 | Clarification of Payment Responsibilities of Fee-for-Service Contractors as it Relates to Hospice Members Enrolled in Managed Care Organizations (MCOs) and Claims Processing Instructions for Processing Rejected Claims | 4/1/2002 | 2013 |
AB-02-016 | 2/7/2002 | Effective Date for Q3017 | 2/7/2002 | 2014 |
B-02-008 | 2/7/2002 | Type of Service (TOS) Corrections | 2/25/2002 | 2040 |
B-02-007 | 2/7/2002 | Use of Statistical Sampling for Overpayment Estimation When Performing Administrative Reviews of Part B Claims | 2/9/2001 | 1363 |
AB-02-014 | 2/5/2002 | Implementation of Common Working File (CWF) Edits for Flu and Pneumonia Claims | 7/1/2002 | 1691 |
A-02-010 | 2/1/2002 | Changes to Common Working File (CWF) Beneficiary Eligibility Checks for Medicare+Choice Encounter Data | 7/1/2002 | 1926 |
AB-02-013 | 2/1/2002 | Improve the Out-of-Service-Area (OSA) Claims Process in the Common Working File (CWF) | 7/1/2002 | 2023 |
AB-02-011 | 2/1/2002 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 2/1/2002 | 1897 |
A-02-011 | 2/1/2002 | Receipt of Payment Data from the Healthcare Integrated General Ledger Accounting System (HIGLAS) by the Fiscal Intermediary Standard System (FISS). | 7/1/2002 | 2029 |
B-02-006 | 2/1/2002 | Receipt of Payment Data from the Healthcare Integrated General Ledger Accounting System (HIGLAS) by the Multi-Carrier System (MCS) | 7/1/2002 | 2032 |
AB-02-012 | 2/1/2002 | Revised Backup Withholding Tax Rate | 2/1/2002 | 1832 |
A-02-007 | 1/31/2002 | Addendum to Periodic Interim Payments (PIP) For Home Health Providers | 2/28/2001 | 1557 |
AB-02-009 | 1/31/2002 | Clarification of Physician Certification Requirements for Medicare Hospice | 2/1/2001 | 1502 |
A-02-006 | 1/31/2002 | Extended Repayment Schedules (ERSs) for Home Health Agencies (HHAs) Affected by the Interim Payment System (IPS) | 3/2/2002 | 975 |
AB-02-008 | 1/31/2002 | Form CMS-1522, Monthly Contractor Financial Report, Reconciliation | 2/1/2001 | 1330 |
B-02-004 | 1/31/2002 | Payment for Services Furnished by Audiologists | 5/29/2001 | 1573 |
A-02-009 | 1/31/2002 | Payment of SNF Claims for Beneficiaries Disenrolling From Terminating Medicare+Choice (M+C) Plans Who Have Not Meet the 3-Day Stay Requirements | 1/1/2001 | 1108 |
AB-02-010 | 1/31/2002 | Promoting Colorectal Cancer Screening as a Part of Colorectal Cancer Awareness Month | 3/1/2001 | 1532 |
B-02-005 | 1/31/2002 | This PM has been retracted. It has not been printed and the transmittal number will not be used in the future. The new transmittal number for Change Request 1691 is AB-02-014. Implementation of Common Working File (CWF) Edits for Flu and Pneumonia Claims | 7/1/2002 | 1691 |
A-02-008 | 1/30/2002 | Processing of Home Health Prospective Payment System (HH PPS) Mass Adjustments -- Regional Home Health Intermediaries (RHHIs) Only | 7/1/2002 | 1973 |
AB-02-007 | 1/28/2002 | Children’s Hospital Graduate Medical Education (CHGME) Amendment to Change Request 1736 | 3/1/2002 | 2011 |
A-02-005 | 1/23/2002 | Correction of Production Problem with Home Health Prospective Payment Systems (HH PPS) Claims Involving Medicare Secondary Payer (MSP) | 7/1/2002 | 1977 |
A-02-004 | 1/22/2002 | Critical Access Hospitals (CAH) Exempt From the Ambulance Fee Schedule | 7/1/2002 | 1951 |
B-02-003 | 1/22/2002 | New Permanent Modifier for "Specific Required Documentation on File" | 7/1/2002 | 1948 |
AB-02-006 | 1/18/2002 | Customer Service Assessment Management System (CSAMS) for Medicare Call Centers | 2/10/2002 | 1996 |
AB-02-005 | 1/18/2002 | Elimination of Official Level III Healthcare Common Procedure Coding System (HCPCS) Codes/Modifiers and Unapproved Local Codes/Modifiers | 10/16/2002 | 1957 |
AB-02-004 | 1/17/2002 | Harkin Grantees: Aggregate Report Dates | 1/17/2002 | 1983 |
AB-02-003 | 1/14/2002 | This Transmittal Has Been Rescinded | N/A | 1260 |
AB-02-002 | 1/11/2002 | Claims Processing Instructions For The Medicare Quality Partnerships Demonstration (formerly referred to as "Centers of Excellence") and The Medicare Provider Partnership Demonstration | 4/1/2002 | 1995 |
A-02-002 | 1/11/2002 | Discontinuance of Contract With Integriguard (Division of CMRI) to Conduct Community Mental Health Centers (CMHC) Site Visits After January 15, 2002 | 1/15/2002 | 2001 |
A-02-003 | 1/11/2002 | Handling of Inpatient Claims Containing HCPCS Codes J7198, J7199, and Q2022 for Payment for Blood Clotting Factor Administered to Hemophilia Inpatients | 1/11/2002 | 2000 |
AB-02-001 | 1/11/2002 | New Temporary "K" Codes for Ostomy Devices and Supplies | 4/1/2002 | 1993 |
B-02-002 | 1/11/2002 | Notification to Carriers and Providers of Skilled Nursing Facility (SNF) Consolidated Billing (CB) Coding Information on CMS Web site | 1/31/2002 | 1997 |
B-02-001 | 1/11/2002 | Transmittal B-02-001 Has Been Rescinded | N/A | 1933 |
B-02-042 | This transmittal number has never been used and will not be used in the future | N/A | N/A |
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