Search Frequenty Asked Questions

Normal Fonts Larger Fonts Printer Version Email this page Submit Feedback Questions & Answers About CMS Return to cms.hhs.gov Home Normal Fonts Larger Fonts Email this page Submit Feedback Questions & Answers About CMS Return to cms.hhs.gov Home
Return to cms.hhs.gov Home    Return to cms.hhs.gov Home

  


  Professionals   Governments   Consumers   Public Affairs

Effective October 1, 2003, Program Memoranda (PMs) will no longer be issued to transmit new policies and procedures. Use this link to the Program Transmittals page for updates since October 1, 2003.


Medicare & Medicaid
2003 Program Memos | 2003 Program Transmittals

These issuance's are official agency transmittals used for communicating reminder items, request for action or information of a one time only, non-recurring nature. To sort the Table of Contents, click your mouse on any column heading. To reverse the order of the sort, click on the sort order icon (Sorted in Decreasing Order or Sorted in Increasing Order).

Table of Contents

FILE Adobe PDF Icon Sorted in Decreasing Order  COMM DATE SUBJECT IMPL DATE CR NUM
A-03-082 9/26/2003 Clarification for billing under the 2300 Provider Number by Hospital-Based Renal Dialysis Facilities (RDF) 1/1/2004 2877
AB-03-141 9/26/2003 CMS Companion Document for the Accredited Standards Committee (ASC) X12N 276/277 Health Care Claim Status Request And Response 10/27/2003 2742
A-03-081 9/26/2003 Conflicting Policies with Provider Reimbursement Manual 15-1, Section 2771 10/10/2003 2847
AB-03-147 9/26/2003 Core Elements and Required Statements for a Valid Privacy Authorization 10/10/2003 2816
AB-03-144 9/26/2003 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) 10/1/2003 2304
AB-03-143 9/26/2003 Implementation of Certain Initial Determination and Appeal Provisions Within §521 of the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 See PM 2251
AB-03-145 9/26/2003 Instructions for Contractors Other Than the Religious Nonmedical Health Care Institution (RNHCI) Specialty Intermediary Regarding Claims For Beneficiaries With RNHCI Elections 1/1/2004 2881
AB-03-146 9/26/2003 Reminder Notice of the Implementation of the Ambulance Transition Schedule 1/1/2004 2834
AB-03-142 9/26/2003 The Coordination of Benefits Contractor (COBC) Will Post the Lead Medicare Contractor in the Group Name Field on the Common Working File (CWF) and Expansion of Lead Contractor Viewing in the Electronic Correspondence Referral System (ECRS) 10/10/2003 2867
A-03-080 9/22/2003 End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests 10/1/2003 2277
AB-03-140 9/12/2003 2004 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder 1/1/2003 2896
AB-03-139 9/12/2003 Appeals Quality Improvement and Data Analysis Activities 10/1/2003 2854
A-03-079 9/12/2003 Installation of Version 31 of the Provider Statistical and Reimbursement (PS&R) Reporting System 1/1/2003 2899
AB-03-138 9/5/2003 Modification of Medicare Policy for Erythropoietin (EPO) 8/31/2003 2266
A-03-077 9/5/2003 October Medicare Outpatient Code Editor (OCE) Specifications Version 19.0 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) 10/1/2003 2897
AB-03-136 8/29/2003 Correction to Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 10/1/2003 2892
A-03-074 8/29/2003 Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2004 10/1/2003 2894
A-03-075 8/29/2003 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Update 10/1/2003 2893
A-03-076 8/29/2003 October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 10/1/2003 2887
AB-03-137 8/29/2003 Update of HCPCS Codes and Payments for Ambulatory Surgical Centers (ASCs) and File Names, Descriptions and Instructions for Retrieving the 2004 ASC HCPCS Additions, Deletions and Master Listing 1/1/2004 2890
B-03-068 8/22/2003 2004 Annual Update for Skilled Nursing Facility (SNF) Consolidated Billing for the Common Working File (CWF) and Medicare Carriers 1/1/2004 2858
AB-03-129 8/22/2003 Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update. 10/1/2003 2842
B-03-065 8/22/2003 Changes to Code List for Therapy Services 9/1/2003 2821
AB-03-128 8/22/2003 Clarification to Transmittal AB-03-044 (CR 2611), Addition of New Temporary "K" Codes 1/1/2004 2818
B-03-064 8/22/2003 CLARIFICATION-ICD-9 Coding 10/1/2003 2857
B-03-066 8/22/2003 Durable Medical Equipment Regional Carriers (DMERCs) - Eliminate Combined Working File (CWF) Edit for Cancer Diagnosis for National Drug Codes (NDCs) 10/1/2003 2904
A-03-073 8/22/2003 Fiscal Year (FY) 2004 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH), and Other Bill Processing Changes 10/1/2003 2891
A-03-072 8/22/2003 Instructions for Provider Credit Balance Reporting Activities 8/8/2003 2810
AB-03-130 8/22/2003 Levocarnitine for Use in the Treatment of Carnitine Deficiency in ESRD Patients 1/1/2004 2554
AB-03-133 8/22/2003 Managing Medicare Appeals Workloads in FY 2004 10/1/2003 2811
AB-03-134 8/22/2003 Modifier and Condition Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan 1/1/2004 2880
B-03-067 8/22/2003 National Council for Prescription Drug Programs (NCPDP) Batch Transaction Standard 1.1 Billing Request Companion Document 9/8/2003 2839
AB-03-127 8/22/2003 Payment for the Fecal Leukocyte Examination Under a Clinical Laboratory Improvement Amendments of 1988 (CLIA) Certificate for Provider-Performed Microscopy (PPM) Procedures During CY 2003 10/1/2003 2843
AB-03-132 8/22/2003 Provider Education Article: Guidelines for Medicare Part B Laboratory Testing 9/5/2003 2841
AB-03-126 8/22/2003 SUBJECT: Change in Type of Service for L0480 1/1/2004 2736
AB-03-131 8/22/2003 Update to Health Care Claims Status Category Codes and Health Care Claim Status Codes for Use with the Health Care Claim Status Request and Response ASC X12N 276/277 9/1/2003 2786
AB-03-125 8/15/2003 Consolidation of Claims Cross-over Process 1/1/2004 2836
B-03-063 8/15/2003 Healthcare Provider Taxonomy Codes (HPTC) Crosswalk 7/25/2003 2766
AB-03-124 8/15/2003 REMINDER -- Standard System Automation of the "Notice of Change to Medicare Secondary Payer (MSP) Auxiliary File" Process 1/1/2004 2608
A-03-071 8/15/2003 Retroactive Correction of Provider Statistical and Reimbursement (PS&R) System Report Data Related to Mammography and Outpatient Therapy Services 10/1/2003 2827
AB-03-123 8/15/2003 Scheduled Release for October Updates to Software Programs and Pricing/Coding Files See PM 2850
AB-03-122 8/11/2003 Notice of Interest Rate for Medicare Overpayments and Underpayments 8/11/2003 2432
AB-03-118 8/8/2003 Cease Further Work on the Eligibility File-Based Standard Trading Partner Agreement (STPA) for the Purpose of Coordination of Benefits (COB) 8/8/2003 2864
AB-03-117 8/8/2003 Contractor Guidance For Connection to the Medicare Data Communication Network (MDCN) for Real-time Eligibility Inquiries (270/271) via a Route Other Than IVANS 8/22/2003 2845
B-03-061 8/8/2003 DMERCs - NCPDP Crosswalk Requirements 1/1/2004 2806
B-03-060 8/8/2003 Expansion of Beneficiary History and Claims In Process (CIP) Files in the VIPS Medicare System (VMS). Phase 2 - Pre-Adjudication CIP File Expansion 1/1/2004 2666
AB-03-119 8/8/2003 Final Update to the 2003 Medicare Physician Fee Schedule Database 10/1/2003 2853
A-03-066 8/8/2003 Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions 8/14/2000 1229
A-03-070 8/8/2003 Inclusion of the State of New York in Demonstration for Settlement of Payments for Home Health Services to Dual Eligibles and Instructions for Processing Fiscal Year 2000 Claims Under the Demonstration. Regional Home Health Intermediaries (RHHIs) Only. 8/28/2003 2804
A-03-068 8/8/2003 Informing Beneficiaries About Which Local Medical Review Policy (LMRP) and/or National Coverage Determination (NCD) is Associated with Their Claim Denial 1/1/2004 2342
AB-03-120 8/8/2003 Medicare Secondary Payer (MSP) - (1) Copy of Recovery Demand Packages Resulting From A Data Match or Non-Data Match Group Health Plan (GHP) Recovery Action to Insurers/Third Party Administrators (TPAs) of Employers; (2) Documentation Required When an Insurer/TPA Wishes to Resolve a Debt on Behalf of its Client, an Employer Debtor 10/1/2003 2729
B-03-059 8/8/2003 Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) 1/1/2004 2755
A-03-069 8/8/2003 October Outpatient Code Editor (OCE) Specifications Version (V4.3) 10/1/2003 2861
B-03-062 8/8/2003 Procedures for Non-MSP Overpayments with Original Balances Less than $10.00 1/1/2004 2292
AB-03-121 8/8/2003 Requirement to Cross Claims Over to Multiple Supplemental Insurers 1/1/2004 2534
A-03-067 8/8/2003 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2002 for Inpatient Prospective Payment System (IPPS) Hospitals 10/1/2003 2868
AB-03-116 8/8/2003 Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2003 10/1/2003 2871
B-03-057 8/1/2003 Additional Guidelines for Implementing the National Council for Prescription Drug Program (NCPDP) Format 1/1/2004 2844
AB-03-110 8/1/2003 Adjustment to the Rural Mileage Payment Rate for Ground Ambulance Services 1/1/2004 2767
AB-03-114 8/1/2003 Claims Processing and Payment of Incomplete Screening Colonoscopies 1/1/2004 2822
B-03-055 8/1/2003 Common Working File (CWF) Crossover Editing for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims During an Inpatient Stay 1/1/2004 2613
B-03-056 8/1/2003 Durable Medical Equipment Regional Carriers (DMERCs -- Additional Instructions for Health Insurance Portability and Accountability Act (HIPAA) Implementation of National Drug Codes (NDCs) and the NCPDP Format 1/1/2004 2760
AB-03-112 8/1/2003 Informing Beneficiaries About Which Local Medical Review Policy (LMRP) and/or National Coverage Determination (NCD) is Associated with Their Claim Denial 1/1/2004 2342
A-03-065 8/1/2003 New Common Working File (CWF) Edits to Ensure Accurate Coding and Payments for Discharge and/or Transfer Policies Under the Inpatient Prospective Payment System (IPPS) 1/1/2004 2716
AB-03-115 8/1/2003 Payment Denial for Medicare Services furnished to Alien Beneficiaries Who are Not Lawfully Present in the United States 1/1/2004 2825
B-03-058 8/1/2003 Procedures for the Reconciliation of Total Funds Expended for Multi-Carrier System (MCS) Medicare Contractors Used in the Preparation of Form CMS-1522, Monthly Contractor Financial Report 1/1/2004 2795
AB-03-111 8/1/2003 Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing 1/1/2004 2789
AB-03-113 8/1/2003 Update of Codes in the Program Integrity Management Reporting System (PIMR) and the Contractor Administrative Cost and Financial Management System (CAFM II) 1/1/2004 2704
AB-03-104 7/25/2003 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 1, 2003 10/1/2003 2814
AB-03-102 7/25/2003 Clarification Regarding Coverage of Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities 8/8/2003 2769
A-03-062 7/25/2003 Department of Veterans Affairs (VA) Claims Adjudication Services Project:Systems Changes Needed 8/6/2003 2783
AB-03-109 7/25/2003 Discontinue Use of the Healthcare Integrity and Protection Data Bank (HIPDB) for Provider Enrollment Only 8/15/2003 2808
B-03-054 7/25/2003 Establishing and Maintaining Provider and Supplier Enrollment Data in Provider Enrollment, Chain and Ownership System (PECOS) as Needed for Use by the Railroad Medicare Carrier (RMC) to Pay Claims 8/8/2003 2777
AB-03-107 7/25/2003 Federal Bankruptcy/State Insurer Liquidation Actions and Medicare Secondary Payer (MSP) Debt 9/2/2003 2697
AB-03-105 7/25/2003 Harkin Grantees: Complaint Tracking System and Aggregate Reports 8/8/2003 2787
A-03-063 7/25/2003 Installation of Version 30 of the Provider Statistical and Reimbursement (PS&R) Reporting System. 10/1/2003 2833
AB-03-108 7/25/2003 Medicare Secondary Payer (MSP) - 1) Use of Inter-Contractor Notices (ICNs) and the Common Working File (CWF) for the Development of the MSP Conditional Payment Amount for Liability, No-Fault, Workers’ Compensation, and Federal Tort Claims Act (FTCA) Cases; 2) Reminder Regarding Termination Updates to the CWF; 3) Reminder Regarding Savings Information to Non-Lead Contractors 8/9/2003 2715
AB-03-103 7/25/2003 Medicare Secondary Payer (MSP) Debt Referral and Write Off Closed Instructions 8/8/2003 2749
A-03-061 7/25/2003 Tentative Settlement Requirements for Cost Reports from Home Health Agencies (HHAs) and Skilled Nursing Facilities (SNFs) that have No Reimbursement Impact 7/1/2003 2714
AB-03-106 7/25/2003 Third Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule 8/8/2003 2770
A-03-064 7/25/2003 X12N 837 Institutional Health Care Claim Companion Document 7/25/2003 2505
B-03-052 7/18/2003 Addition of Temporary "Q" Codes for Drugs Used in Infusion Pumps 10/1/2003 2805
AB-03-101 7/18/2003 Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment 10/1/2003 2801
AB-03-099 7/18/2003 Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes 10/1/2003 2773
A-03-060 7/18/2003 Medicare Program - Update to the Prospective Payment System (PPS) for Home Health Agencies for FY 2004 10/1/2003 2832
AB-03-100 7/18/2003 October Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 7/17/2003 2802
B-03-051 7/16/2003 Therapy Modifier Bypass for Ambulance Claims 9/1/2003 2849
AB-03-098 7/11/2003 Medicare Summary Notice (MSN) Implementation for Contractors Using APASS and HPBSS - ACTION 7/1/2002 1920
A-03-059 7/3/2003 Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65 10/1/2003 2638
A-03-058 7/3/2003 Change in Methodology for Determining Payment for Outliers Under the Acute Care Hospital Inpatient and Long-Term Care Hospital Prospective Payment Systems 7/10/2003 2785
AB-03-097 7/3/2003 Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 7/21/2003 2837
A-03-057 7/3/2003 Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2004 10/1/2003 2797
B-03-050 7/3/2003 Multiple Primary Payers on Part B Claims - REVISION TO Change Request 2050 7/18/2003 2758
AB-03-094 7/3/2003 October 2003 Quarterly Update for Skilled Nursing Facility (SNF) Consolidated Billing 10/1/2003 2781
AB-03-096 7/3/2003 Quarterly Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement 10/1/2003 2776
AB-03-095 7/3/2003 Remittance Advice Remark and Reason Code Update 10/1/2003 2788
AB-03-093 6/27/2003 Correction: Coverage and Billing Requirements for Electrical Stimulation for the Treatment of Wounds 7/11/2003 2733
A-03-055 6/27/2003 Disclosure of Information Requirements Related to Hospice Claims 7/11/2003 2732
A-03-056 6/27/2003 Payment Update for Long-term Care Hospital Prospective Payment System Rate Year 2004 7/1/2003 2807
B-03-048 6/20/2003 Addition of Temporary Codes Q4052 and Q4053 7/1/2003 2798
B-03-049 6/20/2003 Additional Instructions to Assist in the Implementation of Program Memorandum B-02-75 - Carrier Review of Payment Amounts for Portable X-Ray Transportation Services (HCPCS Code R0070) 7/7/2003 2741
B-03-047 6/20/2003 Changes to Correct Coding Edits, Version 9.3, Effective October 1, 2003 10/1/2003 2756
AB-03-087 6/20/2003 Common Working File (CWF) Edits with Unsolicited Responses for Skilled Nursing Facility (SNF) Consolidated Billing 7/1/2002 2034
AB-03-089 6/20/2003 Coverage and Billing for Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management 12/27/2002 2323
AB-03-090 6/20/2003 Coverage of Compression Garments in the Treatment of Venous Stasis Ulcers 10/1/2003 2739
AB-03-092 6/20/2003 Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements—for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 10/1/2003 2687
AB-03-091 6/20/2003 Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) 10/1/2003 2763
AB-03-086 6/20/2003 New Automatic Notice of Change to Medicare Secondary Payer (MSP) Auxiliary File 7/1/2001 1529
A-03-053 6/20/2003 Nurse Practitioner Services Under Medicare Hospice 7/1/2003 2750
AB-03-088 6/20/2003 Prohibition on New Trading Partner Agreements (TPAs) with Certain Entities for the Purpose of Coordination of Benefits (COB) 7/5/2002 2216
A-03-052 6/20/2003 Revision to Billing for Swing Bed Services Under Skilled Nursing Facility Prospective Payment System (SNF PPS) 7/12/2002 2257
A-03-054 6/20/2003 Revision to CR 2573, Transmittal A-03-013, dated February 14, 2003: 3-Day Payment Window Refinements Under the Short-Term Hospital Inpatient Prospective Payment System 7/1/2003 2803
A-03-051 6/13/2003 July 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 7/1/2003 2771
AB-03-085 6/11/2003 Beneficiary Notice of Implementation of Outpatient Therapy Service Limitations 7/1/2003 2792
B-03-046 6/11/2003 Provider Education: Establishing New Requirements for ICD-9-CM Coding on Claims Submitted to Medicare Carriers - Increased Role for Physicians/Practitioners 6/24/2003 2784
AB-03-084 6/6/2003 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 1, 2003 7/1/2003 2737
B-03-044 6/6/2003 CORRECTION TO BUSINESS REQUIREMENT # 2 See PM 2645
A-03-049 6/6/2003 Fiscal Intermediaries (FIs) Must Install and Use SuperOp with the Fiscal Intermediary Standard System (FISS) 6/20/2003 2718
B-03-045 6/6/2003 ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers 10/1/2003 2725
A-03-050 6/6/2003 July Medicare Outpatient Code Editor (OCE) Specifications Version 18.2 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) 7/1/2003 2768
A-03-048 6/6/2003 July Outpatient Code Editor (OCE) Specifications Version (V4.2) 7/1/2003 2762
AB-03-082 6/6/2003 Medicare Secondary Payer (MSP) Prepayment and Post Payment Workload Reporting -Activity Code (AC) Definitions 10/1/2003 2548
A-03-047 6/6/2003 Medicare’s Coordination of Benefits Contractor (COBC) Shall Discontinue the Dissemination of the Right of Recovery Letter to Intermediaries 6/20/2003 2752
AB-03-083 6/6/2003 Screening of Complaints Alleging Fraud and Abuse 6/13/2003 2719
A-03-044 5/30/2003 Audit Guidance Pertaining to Write-offs of Small Debit Balances in Patients’ Accounts Receivable 10/1/2002 2174
AB-03-081 5/30/2003 Data Center Testing and Production - Electronic Correspondence Referral System (ECRS) User Manual 6.0 8/4/2003 2748
A-03-046 5/30/2003 Demonstration--Settlement of Payments for Home Health Services to Beneficiaries Eligible for both Medicare and Medicaid in Connecticut, and Massachusetts. Regional Home Health Intermediaries (RHHIs) Only. 6/13/2003 2710
A-03-045 5/30/2003 Payment to Hospitals and Units Excluded from the Acute Inpatient Prospective Payment System (IPPS) for Direct Graduate Medical Education (DGME) and Nursing and Allied Health (N&AH) Education for Medicare+Choice (M+C) Enrollees 10/1/2003 2754
AB-03-080 5/30/2003 Single Drug Pricer (SDP) Clarification for Code J7342l 6/6/2003 2772
B-03-042 5/23/2003 Bi-Annual Updates to the Health Care Provider Taxonomy Code (HPTC) 6/16/2003 2698
A-03-043 5/23/2003 Changes to Fiscal Year (FY) 2001 Nursing and Allied Health Education Payment Policies See PM 2692
B-03-043 5/23/2003 Diabetes Outpatient Self-Management Training (DSMT) and the "Incident to" Provision 6/6/2003 2157
AB-03-074 5/23/2003 Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes 7/1/2003 2618
AB-03-078 5/23/2003 Medicare Fee-for-Service (FFS) Contractor Guidance on the HIPAA Privacy Rule Business Associate Provisions 5/31/2003 2712
B-03-041 5/23/2003 National Council for Prescription Drug Programs (NCPDP) Batch Transaction Standard 1.1 Billing Request Companion Documen 6/6/2003 2713
AB-03-073 5/23/2003 Provider Education Article: Financial Limitation of Claims for Outpatient Rehabilitation Services 6/6/2003 2603
AB-03-075 5/23/2003 Provider Education Article: Quarterly Provider Update 5/23/2003 2686
AB-03-076 5/23/2003 Remittance Advice Message for Denial of Clinical Diagnostic Laboratory Services Denied Due to Frequency Edits 10/1/2003 2701
AB-03-077 5/23/2003 Revised Disclosure Desk Reference for Call Centers 6/23/2003 2566
A-03-042 5/23/2003 Updated Revision to Change Request (CR) 2508, Suspension, Offset, and Recoupment of Medicare Payments to Providers and Suppliers of Services 6/1/2003 2677
A-03-041 5/16/2003 Health Insurance Portability and Accountability Act (HIPAA) Version 4010A1 Institutional 837 Health Care Claim Additional Implementation Direction 5/27/2003 2706
AB-03-066 5/16/2003 Issuance of the Eligibility File-Based Standard Trading Partner Agreement (TPA) for the Purpose of Coordination of Benefits (COB) 5/23/2003 2542
AB-03-072 5/16/2003 Mammography Computer Aided Detection (CAD) Equipment 5/31/2003 2743
B-03-040 5/16/2003 Update of the Place of Service (POS) Code Set 10/1/2003 2730
A-03-040 5/9/2003 Clarification of Bill Types 22x and 23x Submitted by Skilled Nursing Facilities (SNFs) See PM 2674
AB-03-069 5/9/2003 Clarification of the Criteria for a Valid Written Statement of Intent (SOI) To File a Medicare Claim 5/23/2003 2596
A-03-039 5/9/2003 Clarification to Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittals A-02-071, A-02-117) - CHANGE IN EFFECTIVE AND IMPLEMENTATION DATE ONLY 10/1/2003 2590
B-03-039 5/9/2003 Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Bypass to Allow Separate Payment for Drugs See PM 2707
AB-03-068 5/9/2003 CWF Change For The 270/271 Eligibility Transaction 10/6/2003 2699
AB-03-071 5/9/2003 July Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 7/1/2003 2702
AB-03-067 5/9/2003 Revision to CR 2170: Appeals Quality Improvement and Data Analysis Activities 7/24/2003 2740
AB-03-065 5/9/2003 Scheduled Release for July Updates to Software Programs and Pricing/Coding Files See PM 2744
AB-03-070 5/9/2003 Second Update to the 2003 Medicare Physician Fee Schedule Database 7/1/2003 2734
A-03-032 5/2/2003 Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65 10/1/2003 2638
AB-03-053 5/2/2003 Availability of Online Screens for the Laboratory National Coverage Determinations (NCDs) 10/1/2003 2615
AB-03-058 5/2/2003 Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment 10/1/2003 2562
B-03-032 5/2/2003 Continuation of April and July 2003 Change Requests (CRs 2424 and 2524): Create Import/Export Functionality Between the Unique Provider Identification Number System (UPIN) and the Provider Enrollment Chain Ownership System (PECOS) 7/1/2003 2642
B-03-033 5/2/2003 Continuation of April and July 2003 Change Requests (CRs 2425 and 2525): Create Import/Export Functionality Between the Medicare Claims System (MCS) and the Provider Enrollment Chain Ownership System (PECOS) See PM 2643
B-03-034 5/2/2003 Continuation of April and July 2003 Change Requests (CRs 2426 and 2526): 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 See PM 2644
B-03-035 5/2/2003 Continuation of April and July 2003 Change Requests (CRs 2427 and 2527): Process all Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Create Import/Export Functionality Between the VIPS Medicare System (VMS) and PECOS See PM 2645
A-03-037 5/2/2003 Contractor Reporting of Operational and Workload Data (CROWD) for Electronic Data Interchange (EDI) and Manual Transactions 10/1/2003 2547
AB-03-054 5/2/2003 Diagnosis Code for Screening Pap Smear and Pelvic Examination Services 10/1/2003 2637
B-03-025 5/2/2003 Durable Medical Equipment Regional Carriers (DMERCs) - DeWall Posture Protector Orthotic Body Jacket (L0430 4/11/2003 2711
A-03-033 5/2/2003 End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests 10/1/2003 2277
B-03-037 5/2/2003 Excluding from Home Health Consolidated Billing Edits Claims for Therapy Services Rendered by Physicians 10/1/2003 2705
B-03-036 5/2/2003 Expansion of Beneficiary History and Claims In Process (CIP) Files in the VIPS Medicare System (VMS). Phase 1 - Beneficiary History File Expansion 10/1/2003 2656
AB-03-060 5/2/2003 Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions 10/1/2003 2657
AB-03-057 5/2/2003 Implementation of the Financial Limitation for Outpatient Rehabilitation Services 10/1/2003 2709
AB-03-052 5/2/2003 Managing Medicare Appeals Workloads in FY 2003 5/15/2003 2330
A-03-034 5/2/2003 Modification to Medicare Timely Filing Edit for Claims Paid Under Certain Prospective Payment Systems 10/1/2003 2593
B-03-031 5/2/2003 Multi-Carrier System (MCS) Reporting of 2003 Participating Data to the Contractor Reporting of Operational & Workload Data (CROWD) System 10/1/2003 2629
AB-03-062 5/2/2003 New Common Working File (CWF) Edits and Standard System Responses on Skilled Nursing Facility (SNF) Claims 4/1/2002 1778
AB-03-063 5/2/2003 New Common Working File (CWF) Medicare Secondary Payer (MSP) Edit to Reject MSP Records for Medicare Beneficiaries Who Are Only Entitled to Medicare Part B, and Are Covered by a Group Health Plan (GHP) See PM 1922
AB-03-056 5/2/2003 New Waived Tests - March 21, 2003 7/1/2003 2685
B-03-038 5/2/2003 Oral Anti-Cancer Drugs 5/9/2003 2683
A-03-038 5/2/2003 Program Integrity Management Reporting (PIMR) System for Part A -Phase 2 10/1/2003 2495
AB-03-061 5/2/2003 Program Memorandum on Written Statements of Intent (SOI) to Claim Medicare Benefits 4/24/2002 1050
A-03-035 5/2/2003 Reporting of Revenue Codes Under the Outpatient Prospective Payment System (OPPS) 10/1/2003 2614
AB-03-055 5/2/2003 Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing 10/1/2003 2654
AB-03-059 5/2/2003 Shared Systems Changes for Name Change from HCFA to CMS (FISS and VMS external changes only) 10/1/2003 2633
AB-03-064 5/2/2003 System Networking Electronic Correspondence Referral System (SNECRS) User Guide 3/30/2002 2024
A-03-036 5/2/2003 This Program Memorandum has been rescinded and the number will be used in the future. 7/7/2003 2680
AB-03-051 4/28/2003 Notice of Interest Rate for Medicare Overpayments and Underpayments 4/28/2003 2431
AB-03-050 4/25/2003 Data Center Testing and Production - Electronic Correspondence Referral System (ECRS) User Manual 5.1 and Quick Reference Guide Replacement 10/7/2002 2441
AB-03-048 4/25/2003 End Stage Renal Disease (ESRD) Coordination Period 5/9/2003 2543
B-03-029 4/25/2003 Managed Care Reasonable Charge Data Disclosure Requirements for Ambulance Services 5/9/2003 2561
B-03-030 4/25/2003 Type of Service (TOS) Corrections 7/1/2003 2703
AB-03-049 4/18/2003 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
B-03-028 4/18/2003 Durable Medical Equipment Regional Carriers (DMERC) - ICD-9-CM Coding 5/1/2003 2672
AB-03-046 4/18/2003 Expanding the Number of Source Identifiers for Common Working File (CWF) MSP Records 4/1/2002 1923
B-03-027 4/18/2003 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
A-03-031 4/18/2003 Medicare Secondary Payer (MSP) Information Collection Policies Changed for Hospitals 3/31/2002 2104
A-03-030 4/18/2003 Provider-based Status On or After October 1, 2002 5/1/2003 2411
AB-03-047 4/18/2003 Single Drug Pricer (SDP) Clarifications 4/18/2003 2659
B-03-026 4/18/2003 Standard System Acceptance of Primary Payer Information at the Line Level See PM 1287
AB-03-043 4/11/2003 Addition of "K" Codes for Surgical Dressings 7/1/2003 2678
AB-03-044 4/11/2003 Addition of Temporary "K" Codes 7/1/2003 2611
AB-03-045 4/11/2003 Addition of Temporary "K" Codes 7/1/2003 2623
B-03-023 4/11/2003 Correct Payment of January and February 2003 Physician Services 7/1/2003 2669
A-03-029 4/11/2003 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 2003 (67 FR 49982, August 1, 2002) 4/1/2003 2665
B-03-025 4/11/2003 Durable Medical Equipment Regional Carriers (DMERCs) - DeWall Posture Protector Orthotic Body Jacket (L0430) 4/11/2003 2711
B-03-024 4/11/2003 Follow up to 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 7/1/2003 2581
A-03-028 4/11/2003 January Medicare Outpatient Code Editor (OCE) Specifications Version 18.1R1 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) 4/15/2003 2676
A-03-027 4/11/2003 Updated Outpatient Prospective Payment System (OPPS): Requirements for Provider Education and Training 4/25/2003 2607
A-03-025 4/4/2003 Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION 3/1/2001 1596
A-03-024 4/4/2003 Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION 3/1/2001 1467
AB-03-041 4/4/2003 Common Working File (CWF) Reject and Utilization Edits and Carrier Resolution for Consolidated Billing for Skilled Nursing Facility (SNF) Residents 4/1/2002 1764
AB-03-042 4/4/2003 Coverage and Billing for Percutaneous Image-Guided Breast Biopsy 4/18/2003 2575
A-03-020 4/2/2003 April 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) 4/1/2003 2671
A-03-026 4/2/2003 April Outpatient Code Editor (OCE) Specifications Version (V4.1) 4/15/2003 2675
A-03-021 3/28/2003 Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases, Clarification on Coverage and Payment of Diabetes Self-Management Training Services and Medical Nutrition Therapy Services 7/1/2003 2511
A-03-023 3/28/2003 Implementation of the Temporary Equalization of Urban and Rural Standardized Payment Amounts Under the Medicare Inpatient Hospital Prospective Payment System (IPPS) as Required By Section 402(b) of Public Law 108-7 4/1/2003 2661
A-03-022 3/28/2003 Installation of Version 29.0 of the Provider Statistical and Reimbursement (PS&R) Reporting System-Modification 5/5/2003 2660
AB-03-039 3/28/2003 Procedure for Granting Extensions to File Requests for Appeal Under the New 120-day Timeframe Created by §521 of the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 4/15/2003 2492
AB-03-037 3/28/2003 Provider Education Article: Medicare Payments for Part B Mental Health Services 3/28/2003 2520
AB-03-040 3/28/2003 Provider Education Article: "Hospice Care Enhances Dignity and Peace As Life Nears Its End" 4/11/2003 2570
AB-03-038 3/28/2003 Reporting Benefit Integrity (BI) Workload in CROWD 4/11/2003 2588
B-03-022 3/21/2003 Use of Statistical Sampling for Overpayment Estimation When Performing Administrative Reviews of Part B Claims 2/9/2001 1363
AB-03-036 3/14/2003 270/271 Implementation and Direct Date Entry (DDE) Eligibility 7/1/2003 2576
A-03-019 3/14/2003 Reactivation of Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) Edit 15, "Service Unit Out Of Range" and Guidance on Editing for Low Osmolar Contrast Media (LOCM) Procedures 4/1/2003 2612
A-03-018 3/7/2003 Installation of Version 28.0 Second Add-On of the Provider Statistical and Reimbursement (PS&R) Report 3/31/2003 2605
B-03-021 3/7/2003 Provider Education Regarding Home Health Consolidated Billing (HH CB) and Provider Liability 3/13/2003 2619
AB-03-035 3/3/2003 Emergency Changes to the 2003 Medicare Physician Fee Schedule Database 3/3/2003 2609
B-03-020 2/28/2003 2003 DMEPOS Jurisdiction List 4/1/2003 2567
AB-03-031 2/28/2003 Addition or Modification of Temporary "K" Codes and Change in Status for Code A4232 4/1/2003 2584
B-03-017 2/28/2003 Add-On-Codes for Anesthesia 7/1/2003 2539
B-03-018 2/28/2003 Changes to Correct Coding Edits, Version 9.2, Effective July 1, 2003 7/1/2003 2565
AB-03-030 2/28/2003 Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 1, 2003 4/1/2003 2578
AB-03-024 2/28/2003 Clarification of the Allocation of Initial Claim Entry Activities Where the Claim is Paid Secondary by Medicare 4/12/2002 2074
A-03-016 2/28/2003 Continuous Home Care Under Medicare Hospice 4/1/2003 2556
AB-03-028 2/28/2003 Coverage and Billing of Sacral Nerve Stimulation 1/1/2002 2532
B-03-019 2/28/2003 Durable Medical Equipment Regional Carriers (DMERCs) and Part B Carriers on the VMS Standard System—Short Descriptions of National Modifiers on the Healthcare Common Procedure Coding System (HCPCS) Tape 7/1/2003 2343
A-03-015 2/28/2003 Electromagnetic Stimulation 4/1/2003 2559
AB-03-032 2/28/2003 File Names, Descriptions and Instructions for Retrieving the 2003 Ambulatory Surgical Center (ASC) HCPCS Additions, Deletions and Master Listing 7/1/2003 2574
AB-03-029 2/28/2003 Health Care Claims Status Category Codes and Health Care Claim Status Codes for Use with the Health Care Claim Status Request and Response ASC X12N 276/277 3/28/2003 2555
AB-03-034 2/28/2003 Medicare Fee for Service Contractor Guidance on the HIPAA Privacy Rule 4/14/2003 2484
AB-03-027 2/28/2003 Payment Change for the 2003 Medicare Physician Fee Schedule (MPFS) and Further Extension of the 2003 Participation Enrollment Process 3/1/2003 2601
A-03-017 2/28/2003 Payment for Services To Be Paid on a Fee Schedule But For Which There Is No Price--ACTION 3/14/2003 2541
AB-03-033 2/28/2003 Promoting Colorectal Cancer Screening as a Part of National Colorectal Cancer Awareness Month 3/10/2003 2580
AB-03-025 2/28/2003 System Networking Electronic Correspondence Referral System (SNECRS) 1.3 User and Installation Guides for Testing and Production 10/8/2002 2359
A-03-014 2/21/2003 Further Guidance Regarding Billing Under the Outpatient Prospective Payment System (OPPS) 8/1/2000 1585
AB-03-026 2/21/2003 Implementation of the Modifications (4010A1) to Transactions and Code Set Standards for Electronic Transactions Adopted Under the Health Insurance Portability and Accountability Act (HIPAA) 4/1/2003 2385
A-03-013 2/14/2003 3-Day Payment Window Refinements Under the Short-Term Hospital Inpatient Prospective Payment System 7/1/2003 2573
AB-03-021 2/14/2003 Additional Documentation Requests (ADR) Requirements for Ordering Providers of Laboratory Services 7/1/2003 2504
A-03-011 2/14/2003 Changes in Payment for Certain Services Provided by Outpatient Physical Therapy (OPT) Providers Under the Medicare Physician Fee Schedule (MPFS) 7/1/2003 2366
AB-03-020 2/14/2003 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
AB-03-023 2/14/2003 Deep Brain Stimulation for Essential Tremor and Parkinson’s Disease 4/1/2003 2553
A-03-010 2/14/2003 Manual Medical Review Indicator for the Comprehensive Error Rate Testing (CERT) Program 7/1/2003 2434
A-03-012 2/14/2003 The Report of Benefit Savings (RBS) 3/31/2003 2557
AB-03-022 2/14/2003 Use of the American Medical Association’s (AMA’s) Physicians’ Current Procedural Terminology, Fourth Edition (CPT) Codes on Contractors’ Web Sites See PM 2583
AB-03-019 2/11/2003 Notice of Interest Rate for Medicare Overpayments and Underpayments 2/11/2003 2430
B-03-013 2/7/2003 Continuation of April 2003 Change Request 2424: Create Import/Export Functionality Between the Unique Provider Identification Number System (UPIN) and the Provider Enrollment Chain Ownership System (PECOS) 7/1/2003 2524
B-03-014 2/7/2003 Continuation of April 2003 Change Request 2425: Create Import/Export Functionality Between the Medicare Claims System (MCS) and the Provider Enrollment Chain Ownership System (PECOS) 7/1/2003 2525
B-03-015 2/7/2003 Continuation of April 2003 Change Request 2426: 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 Carrier Provider Enrollment System (PES) But Will Not Be a Part of PECOS. Shut Down All Provider Enrollment Functions in PES 7/1/2003 2526
B-03-016 2/7/2003 Continuation of April 2003 Change Request 2427: Process all Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Shut Down All Provider Enrollment Functions in the Carrier Enrollment System (PENS). Create Import/Export Functionality Between the Viable Medicare System (VMS) and the Provider Enrollment Chain Ownership System (PECOS) 7/1/2003 2527
AB-03-016 2/7/2003 CR 2240 Question and Answer Document and Claims Processing Instructions for Processing Rejected Claims 2/7/2003 2552
AB-03-018 2/7/2003 Implementation of the Financial Limitation for Outpatient Rehabilitation Services 7/1/2003 2183
A-03-009 2/7/2003 Medical Nutrition Therapy (MNT) Services for Beneficiaries with Diabetes or Renal Disease - CORRECTION 4/1/2003 2550
AB-03-017 2/7/2003 Scheduled Release for April Updates to Software Programs and Pricing/Coding Files See PM 2572
AB-03-014 2/7/2003 Single Drug Pricer (SDP) 2/14/2003 2544
B-03-012 2/7/2003 Use of the National Drug Code (NDC) for Drug Claims at the Durable Medical Equipment Regional Carriers (DMERCs) 7/1/2003 2339
A-03-008 2/3/2003 Clarification of 3-Day Payment Window vs. 1-Day Payment Window for Hospitals Excluded from Inpatient Prospective Payment System (IPPS) 7/1/2003 2537
B-03-011 2/3/2003 Correct Payment of January and February 2003 Physician Services 7/1/2003 2549
B-03-009 2/3/2003 Durable Medical Equipment Regional Carriers (DMERCs)-New Modifier Needed to Invoke Advanced Beneficiary Notice (ABN) Logic for Hard Copy and Electronic Claims 7/1/2003 2048
AB-03-011 2/3/2003 Identifying the Primary Payer Amounts to Send to the Medicare Secondary Payer Pay Module (MSPPAY) and the Shared Systems When There Are Multiple Primary Payers on Electronic and Hardcopy Claims 7/1/2003 2050
B-03-008 2/3/2003 Medical Review (MR) Progressive Corrective Action (PCA) Continuation of Work Begun In Compliance with Change Request (CR) 2433 See PM 2496
B-03-007 2/3/2003 Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Physician Fee Schedule (MPFS) Services 7/1/2003 2460
AB-03-013 2/3/2003 New Waived Tests - December 17, 2002 4/1/2003 2533
A-03-007 2/3/2003 Payment to Hospitals and Units Excluded from the Acute Inpatient Prospective Payment System (IPPS) for Direct Graduate Medical Education (DGME) and Nursing and Allied Health (N&AH) Education for Medicare+Choice (M+C) Enrollees 7/1/2003 2476
AB-03-012 2/3/2003 Remittance Advice Remark and Reason Code Update 4/1/2003 2546
AB-03-010 2/3/2003 Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing 7/1/2003 2523
AB-03-015 2/3/2003 Shared Systems Changes for Name Change from HCFA to CMS (MCS and CWF external changes only) 7/1/2003 2280
B-03-010 2/3/2003 Transmittal B-03-010 has been rescinded See PM 2501
A-03-006 2/3/2003 Update the Medicare Secondary Payment Module (MSPPAY) to Apportion Prospective Payment System (PPS) Outlier Amounts to all Service Lines With Medicare Reimbursement That are PRICER Related and Potential Outlier Service Lines 7/1/2003 2053
AB-03-008 1/31/2003 Clarification of Physician Certification Requirements for Medicare Hospice 2/1/2001 1502
AB-03-009 1/31/2003 The Medicare Exclusion Database (MED) Replaces Publication 69 1/1/2002 1919
AB-03-006 1/24/2003 April Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule 4/1/2003 2535
B-03-004 1/24/2003 CWF Change for Billing for Glucose Test Strips and Supplies - Follow-up to CR 2156 7/1/2003 2363
B-03-002 1/24/2003 DMERCs - VIPS Medicare System (VMS) Implementation to Process ICD-9 CM Codes Using Date of Service and Not Date of Receipt. 4/1/2003 2558
AB-03-005 1/24/2003 FY 2003 Systems Security Activities and Due Dates 2/24/2003 2518
A-03-005 1/24/2003 Health Insurance Portability and Accountability Act (HIPAA) Transaction 835v4010 Companion Document Update for Intermediaries. 7/1/2003 2498
AB-03-004 1/24/2003 Installation of a Security Firewall for Deceased Beneficiary Files (Options B & C) 1/24/2003 2516
B-03-006 1/24/2003 Program Integrity Management Reporting (PIMR) System for Part B - Correction of Multiple Reports of Savings By VIPS Standard Systems (i.e., VIPS Medicare System (VMS) and Durable Medical Equipment Regional Contractor (DMERC) System) 7/1/2003 2493
B-03-005 1/24/2003 Reporting of Accident Date and Ambulance Certification Information on the X12N 837 (version 4010) Coordination of Benefits (COB) Transaction 7/1/2003 2449
AB-03-007 1/24/2003 Second Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule 2/24/2003 2470
B-03-003 1/24/2003 Section II.8, Processing Initial Denials, of the DMEPOS Refund Requirements - Implementation of Limits on Beneficiary Liability for Medical Equipment and Supplies - Change 7/1/2003 2416
A-03-004 1/17/2003 Calculating Provider-Specific Medicare Outpatient Cost-to-Charge Ratios (CCRs) and Instructions on Cost Report Treatment of Hospital Outpatient Services Paid on a Reasonable Cost Basis 4/30/2003 2197
B-03-001 1/17/2003 Emergency Update to the 2003 Medicare Physician Fee Schedule Database 3/1/2003 2530
A-03-003 1/17/2003 January Outpatient Code Editor (OCE) Specifications Version (V4.0) 1/17/2003 2521
A-03-002 1/10/2003 Installation of Version 28.0 Add-On of the Provider Statistical and Reimbursement (PS&R) Report 1/24/2003 2529
AB-03-001 1/10/2003 Medicare Coverage of Non-Invasive Vascular Studies for End Stage Renal Disease (ESRD) Patients 1/1/2002 1855
AB-03-003 1/10/2003 Noncoverage of Multiple Electroconvulsive Therapy (MECT) 4/1/2003 2499
AB-03-002 1/10/2003 Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement 4/1/2003 2515
A-03-001 1/7/2003 January Medicare Outpatient Code Editor (OCE) Specifications Version 18.1 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) 1/1/2003 2522

**The files listed above are PDF (Portable Document Format) files. In the past the transmittal cover page was all we were able to put on the Internet. PDF format enables us to put the entire transmittal on the Internet. You can view and print PDF files exactly as they were originally printed in paper form. To view these documents, you must have the Adobe Acrobat Reader, which can be downloaded at no cost by clicking here.


Effective October 1, 2003, Program Memoranda (PMs) will no longer be issued to transmit new policies and procedures. Use this link to the Program Transmittals page for updates since October 1, 2003.


2002 Program Memos | 2001 Program Memos | 2000 Program Memos | Program Transmittals | Program Manuals

Last Modified on Friday, September 17, 2004