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Medicare & Medicaid
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SIZE | FILE | COMM DATE | MANUAL | SUBJECT | IMPL DATE | CR NUM |
---|---|---|---|---|---|---|
248 kb | R41MCM | 1/9/2004 | PUB 100-16 | Chapter 2, Enrollment and Disenrollment | N/A | N/A |
223 kb | R42MCM | 1/9/2004 | PUB 100-16 | Chapter 3, Marketing | N/A | N/A |
118 kb | R43MCM | 1/9/2004 | PUB 100-16 | Chapter 4, Benefits and Beneficiary Protection | N/A | N/A |
93 kb | R44MCM | 1/9/2004 | PUB 100-16 | Chapter 6, Relationships With Providers | N/A | N/A |
167 kb | R5BP | 1/9/2004 | PUB 100-02 | Chapter 15, Covered Medical and Other Health Services | N/A | 2779 |
284 kb | R60CP | 1/9/2004 | PUB 100-04 | Chapter 18, Preventive and Screening Services | N/A | 2632 |
238 kb | R73CP | 1/23/2004 | PUB 100-04 | MCE and IPPS Transfers Between Hospitals | N/A | 2716 |
449 kb | R76CP | 2/6/2004 | PUB 100-04 | SNF Inpatient Part A Billing | N/A | 3133 |
253 kb | R96CP | 2/6/2004 | PUB 100-04 | Claims Status Codes in ASC X12N 276/277 Claims Status Health Insurance Portability and Accountability Act (HIPAA) Transactions | N/A | 3017 |
131 kb | R45MCM | 2/13/2004 | PUB 100-16 | Chapter 13, Grievances Organization Determinations and Appeals | N/A | N/A |
300 kb | R46MCM | 2/13/2004 | PUB 100-16 | Chapter 19, Managed Care and M+C Systems Requirements | N/A | N/A |
105 kb | R425PR1 | 2/20/2004 | PUB 15-1 | Regional Medicare Swing-Bed Rates | N/A | N/A |
399 kb | R47MCM | 2/20/2004 | PUB 100-16 | Chapter 7--Medicare+Choice-Enrollment and Disenrollment | N/A | N/A |
253 kb | R36FM | 3/12/2004 | PUB 100-06 | Contractor Reporting of Operations and Workload Data (CROWD) for EDI | N/A | 2249 |
109 kb | R5P238 | 3/19/2004 | PUB 15-2-38 | Electronic Reporting Specifications for Form CMS-1984-99 | N/A | N/A |
702 kb | R12P232 | 3/19/2004 | PUB 15-2-32 | Home Health Agency Cost Report | N/A | N/A |
202 kb | R125CP | 3/26/2004 | PUB 100-04 | Manualization of the Sacral Nerve Stimulation | N/A | 2532 |
295 kb | R126CP | 3/26/2004 | PUB 100-04 | Manualization Clarification of ICD-9 Coding | N/A | 2857 |
233 kb | R128CP | 3/26/2004 | PUB 100-04 | Manualization of Deep Brain Stimulation | N/A | 2553 |
200 kb | R63OTN | 3/26/2004 | PUB 100-20 | Durable Medical Equipment Regional Carriers (DMERCs) - DeWall Posture Protector Orthotic Body Jacket (L0430): Continuation of CMS' Policy Stated in CR 2711 (B-03-025) dated April 11, 2003. | N/A | 3224 |
218 kb | R130CP | 3/26/2004 | PUB 100-04 | Chapter 32, Billing Instructions for Special Services | N/A | 2323 |
97 kb | R48MCM | 4/2/2004 | PUB 100-16 | Grievances, Organization Determinations, and Appeals | N/A | N/A |
187 kb | R135CP | 4/2/2004 | PUB 100-04 | Purchased Diagnostic Test - Carriers | N/A | 1658 |
205 kb | R137CP | 4/9/2004 | PUB 100-04 | Manualization of Section 4118 of the Medicare Carriers Manual, Part 3 | N/A | 3134 |
183 kb | R14MSP | 4/9/2004 | PUB 100-05 | Chapter 5, Contractor Prepayment Processing Requirements | N/A | 2074 |
198 kb | R69OTN | 4/9/2004 | PUB 100-20 | Carrier Only* Shared System Maintainer Hours for Resolution of Problems Detected As A Result of Implementation of CR 2525 and CR 2527 | N/A | 3146 |
151 kb | R49MCM | 4/9/2004 | PUB 100-16 | Chapter 4, Benefits and Beneficiary Protection | N/A | N/A |
434 kb | R50MCM | 4/9/2004 | PUB 100-16 | Chapter 20, Managed Care and M+C Systems Business Requirements | N/A | N/A |
58 kb | R142CP | 4/16/2004 | PUB 100-04 | Manualization for 2502 | N/A | 2502 |
45 kb | R51MCM | 4/16/2004 | PUB 100-16 | Chapter 2, End Stage Renal Disease | N/A | N/A |
1466 kb | R10NCD | 4/6/2004 | PUB 100-03 | NCD is being released | N/A | N/A |
69 kb | R130aCP | 4/23/2004 | PUB 100-04 | Chapter 32, Billing Instructions for Special Services | N/A | 2323 |
77 kb | R5GI | 5/7/2004 | PUB 100-01 | Chapter 7 - Contract Administrative Requirements | N/A | 2765 |
97 kb | R10BP | 5/7/2004 | PUB 100-02 | Chapter 6, Hospital Services Covered Under Part B | N/A | 3298 |
35 kb | R168CP | 5/7/2004 | PUB 100-04 | Chapter 12, Physician/Practitioner Billing | N/A | 1756 |
62 kb | R169CP | 5/7/2004 | PUB 100-04 | Chapter 1, General Billing Requirements | N/A | 2631 |
130 kb | R170CP | 5/7/2004 | PUB 100-04 | Chapter 1, General Billing Requirements | N/A | 2815 |
45 kb | R178CP | 5/14/2004 | PUB 100-04 | Evaluation and Management Service Codes | N/A | 2321 |
156 kb | R180CP | 5/14/2004 | PUB 100-04 | Hospital Partial Hospitalization Services Billing Requirements | N/A | 3297 |
56 kb | R53MCM | 5/21/2004 | PUB 100-16 | Chapter 11, Contracts With Medicare+Choice Organizations | N/A | N/A |
49 kb | R54MCM | 5/21/2004 | PUB 100-16 | Chapter 19, Managed Care and M+C Systems Requirements | N/A | N/A |
42 kb | R16HMO | 5/21/2004 | PUB 75 | Retirement of Manual | N/A | N/A |
102 kb | R1SOM | 5/21/2004 | PUB 100-07 | Release of Basic Manual | N/A | N/A |
464 kb | R86OTN | 5/28/2004 | PUB 100-20 | Interface File from Recovery Management and Accounting System (ReMAS) | N/A | 3142 |
19 kb | R17HMO | 5/28/2004 | PUB 75 | Rescission of Transmittal 16 | N/A | N/A |
401 kb | R45FM | 5/28/2004 | PUB 100-06 | Addition of Instructions for Form CMS-2591 to Chapter 6 | N/A | N/A |
42 kb | R196CP | 6/4/2004 | PUB 100-04 | Payment Denial for Medicare Services Furnished to Alien Beneficiaries Who Are Not Lawfully Present in the U. S. | N/A | 2825 |
92 kb | R201CP | 6/10/2004 | PUB 100-04 | IOM Manualization of Indian Health Services | N/A | 3302 |
230 kb | R204CP | 6/10/2004 | PUB 100-04 | Medicare HIPAA Electronic Claims Compliance Report | N/A | 3306 |
174 kb | R205CP | 6/15/2004 | PUB 100-04 | Nurse Practitioners As Attending Physicians in the Medicare Hospice Benefit | N/A | 3226 |
93 kb | R15BP | 6/15/2004 | PUB 100-02 | Nurse Practitioners As Attending Physicians in the Medicare Hospice Benefit | N/A | 3226 |
970 kb | R12P236 | 6/18/2004 | PUB 15-2-36 | Chapter 36, Hospital and Hospital Healthcare Complex Cost Report, Form CMS 2552-96 | N/A | N/A |
345 kb | R7GI | 6/25/2004 | PUB 100-01 | HIPAA Privacy Act | N/A | 2484 |
64 kb | R216CP | 6/25/2004 | PUB 100-04 | Manualization of INR Monitoring | N/A | 2323 |
50 kb | R222CP | 7/2/2004 | PUB 100-04 | SNF CB Requirements for DMEPOS | N/A | 2453 |
151 kb | R223CP | 7/2/2004 | PUB 100-04 | PET Scans and Related Claims Processing | N/A | 3304 |
289 kb | R17NCD | 7/2/2004 | PUB 100-03 | Manualization of the Negotiated Clinical Diagnostic Laboratory National Coverage Determinations | N/A | 2130 |
61 kb | R56MCM | 7/9/2004 | PUB 100-16 | Chapter 11 | N/A | N/A |
9 kb | R48FM | 7/9/2004 | PUB 100-06 | This transmittal is rescinded and replaced with Transmittal 50, dated July 30, 2004. | N/A | 3274 |
9 kb | R100OTN | 7/23/2004 | PUB 100-20 | This transmittal is rescinded and replaced with Transmittal 103, dated July 30, 2004 | N/A | 3236 |
47 kb | R57MCM | 8/13/2004 | PUB 100-16 | Chapter 7 Revisions | N/A | N/A |
42 kb | R58MCM | 8/13/2004 | PUB 100-16 | Chapter 5 Revisions | N/A | N/A |
83 kb | R2SOM | 8/20/2004 | PUB 100-07 | Provider Identification Numbers | N/A | 3245 |
66 kb | R59MCM | 8/20/2004 | PUB 100-16 | Chapter 2 | N/A | N/A |
363 kb | R60MCM | 8/20/2004 | PUB 100-16 | Chapter 3 | N/A | N/A |
322 kb | R61MCM | 9/3/2004 | PUB 100-16 | Emergency and Urgently Needed Services | N/A | N/A |
64 kb | R6P229 | 9/3/2004 | PUB 15-2-29 | For Cost Reporting Periods End On or After March 31, 2002 | N/A | N/A |
52 kb | R296CP | 9/3/2004 | PUB 100-04 | Payment Denial for Medicare Services Furnished to Alien Beneficiaries Who Are Not Lawfully Present in the United States | N/A | 2825 |
275 kb | R62MCM | 9/10/2004 | PUB 100-16 | Revisions to Chapter 13 - Medicare+Choice Beneficiary Grievances, Organization Determinations and Appeals | N/A | N/A |
82 kb | R116OTN | 9/24/2004 | PUB 100-20 | Notification of Medlearn Matters (MM) Article for Confidential Change Request (CR) 3301 | N/A | 3465 |
34 kb | R426PR1 | 10/8/2004 | PUB 15-1 | For Assets Acquired On or After May 1, 2004 | N/A | N/A |
18 kb | R55MCM | 5/21/2004 | PUB 100-16 | Chapter 10, Organization Compliance With State Law and Pre-emption by Federal Law | 12/8/2003 | N/A |
576 kb | R38OTN | 1/2/2004 | PUB 100-20 | Provider Education Article: 2004 Medicare Physician Fee Schedule Increase and Extension of the Annual Participation Enrollment Period | 1/5/2004 | 3040 |
388 kb | R59CP | 1/2/2004 | PUB 100-04 | New HCPCS Code for Ambulance Night Differential Charges | 1/5/2004 | 3035 |
191 kb | R39OTN | 1/6/2004 | PUB 100-20 | Change in Coding on Medicare Claims for Darbepoetin Alfa (trade name Aranesp) and Epoetin Alfa (trade name Epogen, EPO) For Treatment Of Anemia In End Stage Renal Disease (ESRD) Patients On Dialysis | 1/5/2004 | 2963 |
235 kb | R41OTN | 1/9/2004 | PUB 100-20 | Provider Education Article: New Enrollee Rights, New Provider Responsibilities in M+C Program | 1/9/2004 | 3044 |
144 kb | R6MSP | 1/16/2004 | PUB 100-05 | Automatic Notice of Change to MSP Auxiliary File | 1/11/2004 | 2608 |
517 kb | R40OTN | 1/6/2004 | PUB 100-20 | Provider Education Article: Renewed Moratorium on Outpatient Rehabilitation Therapy Caps | 1/20/2004 | 3045 |
99 kb | R75CP | 1/30/2004 | PUB 100-04 | MMA Pricing File Clarifications | 1/30/2004 | 3105 |
210 kb | R37OTN | 1/2/2004 | PUB 100-20 | Home Health Cost Reporting Processes | 2/2/2004 | 2993 |
314 kb | R4BP | 1/2/2004 | PUB 100-02 | Dentists, podiatrists, and optometrists are added to the definition/list of physicians who may opt out of Medicare | 2/2/2004 | 3016 |
281 kb | R61PI | 1/2/2004 | PUB 100-08 | Clarification of Proof of Delivery Requirements | 2/2/2004 | 2903 |
169 kb | R42OTN | 1/16/2004 | PUB 100-20 | Payment to Ambulatory Surgical Centers (ASCs) for G0260 and to Physicians for 27096 When 27096 is Performed in an ASC | 2/2/2004 | 2979 |
241 kb | R30FM | 1/28/2004 | PUB 100-06 | Notice of New Interest Rates for Medicare Overpayments and Underpayments | 2/4/2004 | 2829 |
2,512 kb | R29FM | 1/2/2004 | PUB 100-06 | Revisions to Chapter 3 & 4 | 2/6/2004 | 2911 |
384 kb | R61CP | 1/16/2004 | PUB 100-04 | Diagnosis coding instructions for anticipated payment and claims to conform with HIPAA requirements | 2/16/2004 | 2992 |
168 kb | R62CP | 1/16/2004 | PUB 100-04 | January 2004 annual update of HCPCS codes used for Home Health Consolidated Billing Enforcement | 2/16/2004 | 3024 |
174 kb | R64CP | 1/16/2004 | PUB 100-04 | Coding Change for Ventricular Assist Devices (VADs) for Beneficiaries in an Medicare+Choice (M+C) Plan | 2/16/2004 | 3068 |
174 kb | R65CP | 1/16/2004 | PUB 100-04 | ANSI X12 Transaction 835 Companion Document Change for Carriers, Durable Medical Equipment Regional Carriers (DMERCs), and Fiscal Intermediaries (Fis) | 2/16/2004 | 2948 |
165 kb | R31FM | 1/30/2004 | PUB 100-06 | Installation of Version 31 of the Provider Statistical and Reimbursement (PS&R) Reporting System | 2/16/2004 | 3073 |
157 kb | R43OTN | 1/23/2004 | PUB 100-20 | Correction To The Effective Date On 9 Code Pairs in Correct Coding Initiative (CCI) Version 9.3 (Cardiology edits) | 2/23/2004 | 3008 |
174 kb | R46OTN | 1/23/2004 | PUB 100-20 | Railroad Medicare Carrier Collection of Data | 2/23/2004 | 3041 |
91 kb | R47OTN | 1/23/2004 | PUB 100-20 | Implementation of the Occupational Mix Survey | 2/23/2004 | 3043 |
427 kb | R63PI | 1/23/2004 | PUB 100-08 | Benefit Improvement Protection Act (BIPA) | 2/23/2004 | 3010 |
274 kb | R69CP | 1/23/2004 | PUB 100-04 | Criteria for Using the CB Modifier | 2/23/2004 | 2906 |
158 kb | R6NCD | 1/23/2004 | PUB 100-03 | Cardiac Output Monitoring by Thoracic Electrical Bioimpedance | 2/23/2004 | 2689 |
235 kb | R72CP | 1/23/2004 | PUB 100-04 | Update of Address for the Railroad Retirement Board (RRB) | 2/23/2004 | 3034 |
148 kb | R49OTN | 1/30/2004 | PUB 100-20 | Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases | 3/2/2004 | 3075 |
224 kb | R64PI | 1/30/2004 | PUB 100-08 | Role Conditions of Participation (COPs) Requirements When Making a Payment Decision | 3/2/2004 | 3042 |
264 kb | R65PI | 1/30/2004 | PUB 100-08 | Fiscal Intermediaries to Perform Medical Review on Long Term Care Hospitals | 3/2/2004 | 2905 |
592 kb | R54OTN | 2/5/2004 | PUB 100-20 | Introduction of "Medlearn Matters…Information for Medicare Providers" and Instructions for Carrier/Intermediary Use of This New Provider Education Vehicle | 3/8/2004 | 3129 |
331 kb | R77CP | 2/6/2004 | PUB 100-04 | Change in Methodolgy for Determining Payment for Outliers | 3/8/2004 | 2998 |
758 kb | R34FM | 2/6/2004 | PUB 100-06 | Chapter 7 - Internal Control Requirements Update | 3/8/2004 | 3006 |
293 kb | R2GI | 2/6/2004 | PUB 100-01 | Scheduled Release for April Updates to Software Programs and Pricing/Coding Files | 3/8/2004 | 3123 |
225 kb | R111CP | 2/27/2004 | PUB 100-04 | Payment For Services Provided Under a Contractual Agreement | 3/12/2004 | 3083 |
525 kb | R67PI | 2/27/2004 | PUB 100-08 | The Medicare Coverage Database | 3/12/2004 | 2976 |
413 kb | R12MSP | 3/5/2004 | PUB 100-05 | Interim Non-Systems Solution: Converting Health Insurance Portability and Accountability Act (HIPAA) Individual Relationship Codes to Common Working File (CWF) Patient Relationship Codes | 3/19/2004 | 3117 |
322 kb | R131CP | 3/26/2004 | PUB 100-04 | New Payment Allowance Percentages for DMERC Drugs | 3/26/2004 | 3153 |
247 kb | R108CP | 2/27/2004 | PUB 100-04 | Type of Service (TOS) Corrections | 3/29/2004 | 3018 |
241 kb | R110CP | 2/27/2004 | PUB 100-04 | New Requirements for payment of drugs furnished in independent dialysis facilities and paid outside of the composite rate for dates of service (DOS) starting on January 1, 2004. Drugs furnished in this setting will be paid at the lower of billed charges or 95 percent Average Wholesale Price (AWP) for the calendar year 2004. These changes have been established with the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003, PL 108-173. | 3/29/2004 | 3078 |
303 kb | R11MSP | 2/27/2004 | PUB 100-05 | General Policy | 3/29/2004 | 3064 |
171 kb | R44OTN | 1/23/2004 | PUB 100-20 | Correction-CWF Edits for Inserts for Therapeutic Shoes | 4/1/2004 | 3029 |
168 kb | R48OTN | 1/30/2004 | PUB 100-20 | Transfer of "WW" Codes for Oral Anti-Cancer Drugs Billed Using National Drug Codes (NDCs) on Durable Medical Equipment Regional Carrier (DMERC) Claims | 4/1/2004 | 2863 |
219 kb | R58OTN | 2/13/2004 | PUB 100-20 | Program Integrity Management Reporting (PIMR) System Program Integrity Management Reporting System (PIMR) FY 2004 F and T Codes | 4/1/2004 | 3110 |
1867 kb | R32SOM | 2/13/2004 | PUB 07 | Appendix C-Survey Procedures and Interpretive Guidelines for Laboratories and Laboratory Services | 4/1/2004 | N/A |
139 kb | R7BP | 2/20/2004 | PUB 100-02 | Restoring Composite Rate Exceptions for Pediatric Facilities Under the ESRD Composite Rate System | 4/1/2004 | 3119 |
258 kb | R101CP | 2/20/2004 | PUB 100-04 | Restoring Composite Rate Exceptions for Pediatric Facilities Under the ESRD Composite Rate System | 4/1/2004 | 3119 |
537 kb | R121CP | 3/19/2004 | PUB 100-04 | Manualization of Place of Service (POS) Code Set Program Memorandum; Revision to Group Home Code Description | 4/1/2004 | 3087 |
13 kb | R8NCD | 3/19/2004 | PUB 100-03 | Current Perception Threshold/Sensory Nerve Conduction Threshold Test (sNCT) | 4/1/2004 | 2988 |
413 kb | R9NCD | 4/1/2004 | PUB 100-03 | NCD - Ocular Photodynamic Therapy (OPT) With Verteporfin for Age-Related Macular Degeneration (AMD) | 4/1/2004 | 3191 |
62 kb | R15NCD | 6/18/2004 | PUB 100-03 | NCD: Sensory Nerve Conduction Threshold Test (sNCTs) (NOTE THAT Change Request (CR) 3339 CONSTITUTES A TECHNICAL CORRECTION TO PREVIOUSLY ISSUED CR 2988 dated 03/19/04. CR 2988 ORIGINALLY COMMUNICATED ON MARCH 19, 2004 VIA RO-2541, SHOULD BE DISCARDED AND REPLACED WITH CR 3339. | 4/1/2004 | 3339 |
261 kb | R66PI | 2/20/2004 | PUB 100-08 | Progressive Corrective Action Program Memorandum and Providing Updated Instructions on How Contractors Must Identify, Verify, and Correct Billing Errors. | 4/2/2004 | 3124 |
140 kb | R62OTN | 3/19/2004 | PUB 100-20 | Physician Self-Referral Prohibition; 18-Month Moratorium on Physician Investment in Specialty Hospitals | 4/2/2004 | 3036 |
292 kb | R57CP | 1/2/2004 | PUB 100-04 | Implementation Guide (IG) Edits | 4/5/2004 | 3001 |
241 kb | R58CP | 1/2/2004 | PUB 100-04 | April Quarterly DMEPOS Fee Schedule Update | 4/5/2004 | 3014 |
232 kb | R66CP | 1/16/2004 | PUB 100-04 | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.1, Effective April 1, 2004 | 4/5/2004 | 2997 |
280 kb | R67CP | 1/16/2004 | PUB 100-04 | Revision to CR 2912: Coding, Testing, and Implementation Phases of CR 2631 for Jurisdiction | 4/5/2004 | 3039 |
143 kb | R45OTN | 1/23/2004 | PUB 100-20 | Emergency Correction to Healthcare Common Procedure Coding System (HCPCS) Codes for Low Osmolar Contrast Material | 4/5/2004 | 3053 |
166 kb | R62PI | 1/23/2004 | PUB 100-08 | The Focused Medical Review Report | 4/5/2004 | 3062 |
264 kb | R6BP | 1/23/2004 | PUB 100-02 | Intravenous Immune Globulin | 4/5/2004 | 3059 |
322 kb | R71CP | 1/23/2004 | PUB 100-04 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software | 4/5/2004 | 3032 |
253 kb | R74CP | 1/23/2004 | PUB 100-04 | Intravenous Immune Globulin | 4/5/2004 | 3060 |
303 kb | R63CP | 1/28/2004 | PUB 100-04 | Special Rules for Critical Access Hospital (CAH) Outpatient Billing | 4/5/2004 | 3051 |
270 kb | R68CP | 1/28/2004 | PUB 100-04 | New Requirements for Critical Access Hospitals. These changes have been established with the "Medicare Prescription Drug, Improvement, and Modernization Act" (MPDIMA) of 2003, Pub.L. 108-173 | 4/5/2004 | 3052 |
181 kb | R50OTN | 2/6/2004 | PUB 100-20 | ANSI X12 Transaction 270/271 Changes | 4/5/2004 | 3065 |
174 kb | R51OTN | 2/6/2004 | PUB 100-20 | Changes in Payment for Services Furnished in Ambulatory Surgical Centers for Fiscal Year 2004 | 4/5/2004 | 3082 |
366 kb | R92CP | 2/6/2004 | PUB 100-04 | Updates to the January 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility Consolidated Billing Enforcement | 4/5/2004 | 3070 |
171 kb | R93CP | 2/6/2004 | PUB 100-04 | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 4/5/2004 | 3122 |
94 kb | R102CP | 2/20/2004 | PUB 100-04 | New Waived Tests--April 1, 2004 | 4/5/2004 | 3061 |
247 kb | R104CP | 2/20/2004 | PUB 100-04 | DMERCs and VIPS, Processing NDC Numbers | 4/5/2004 | 3141 |
166 kb | R59OTN | 2/20/2004 | PUB 100-20 | Temporary 5 Percent Payment Increase for Home Health Services Furnished in a Rural Area for One Year Under the Home Health Prospective Payment System (HH PPS), Change of HH PPS Annual Update from a Fiscal Year Update to a Calendar Year Update, and Adjustment of HH PPS Annual Update to the Home Health Market Basket Percentage Increase Minus 0.8 Percent | 4/5/2004 | 3085 |
258 kb | R105CP | 2/20/2004 | PUB 100-04 | 1st Update to the 2004 Medicare Physician Fee Schedule Database | 4/5/2004 | 3128 |
318 kb | R109CP | 2/27/2004 | PUB 100-04 | Updated Policy and Claims Processing Instructions for Ambulatory Blood Pressure Monitoring (ABPM) | 4/5/2004 | 2726 |
263 kb | R112CP | 2/27/2004 | PUB 100-08 | April 2004 Changes to the Hospital Outpatient Prospective Payment System (OPPS): Payment for Drugs, Biologicals and Radiopharmaceuticals, Generic Versus Brand Name | 4/5/2004 | 3144 |
192 kb | R113CP | 2/27/2004 | PUB 100-04 | Claims Requiring Adjustment As a Result of April 2004 Changes to the Outpatient Prospective Payment System (OPPS) | 4/5/2004 | 3145 |
293 kb | R116CP | 3/5/2004 | PUB 100-04 | ESRD- Miscellaneous Code Processing Clarification | 4/5/2004 | 3019 |
199 kb | R117CP | 3/5/2004 | PUB 100-04 | Instructions for downloading the Medicare zip code file. | 4/5/2004 | 3160 |
862 kb | R4COM | 3/5/2004 | PUB 100-09 | Provider/Supplier Communications - Revisions and Additions to Existing Contractor Requirements | 4/5/2004 | 3118 |
5683 kb | R4SSM | 3/5/2004 | PUB 100-17 | Medicare Business Partners Systems Security (a.k.a. CMS Business Partners Systems Security Manual) | 4/5/2004 | 3106 |
208 kb | R8BP | 3/5/2004 | PUB 100-02 | Policy Changes to Reflect Billing for Darbepoetin Alfa and Epoetin | 4/5/2004 | 2984 |
537 kb | R118CP | 3/5/2004 | PUB 100-04 | Frequency Limitations for Darbepoetin Alfa (trade name Aranesp) For Treatment Of Anemia In End Stage Renal Disease (ESRD) Patients On Dialysis. | 4/5/2004 | 2984 |
265 kb | R61OTN | 3/12/2004 | PUB 100-20 | Changes to the FY 2004 Graduate Medical Education (GME) Payments as Required by the Medicare Modernization Act of 2003 (MMA), P.L. 108-173 | 4/5/2004 | 3071 |
183 kb | R119CP | 3/15/2004 | PUB 100-04 | MMA Drug Pricing Update-Drug Exceptions | 4/5/2004 | 3161 |
255 kb | R120CP | 3/19/2004 | PUB 100-04 | April Update to the January Medicare Outpatient Code Editor (OCE) Specifications Version 19.1 R1 For Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System | 4/5/2004 | 3155 |
1104 kb | R123CP | 3/19/2004 | PUB 100-04 | April Outpatient Code Editor (OCE) Specifications Version 5.1 | 4/5/2004 | 3170 |
298 kb | R64OTN | 3/26/2004 | PUB 100-20 | Implementation of Sections 401, 402, 504 and 508(a) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108-173 | 4/5/2004 | 3158 |
1433 kb | R132CP | 3/30/2004 | PUB 100-04 | April 2004 Update of the Hospital Outpatient Prospective Payment System | 4/5/2004 | 3154 |
42 kb | R11NCD | 4/16/2004 | PUB 100-03 | Manualization NCD: Acupuncture for Fibromyalgia/Osteoarthritis | 4/6/2004 | 3250 |
1500 kb | R133CP | 4/2/2004 | PUB 100-04 | Billing NonCovered Charges to Fiscal Intermediaries - Summary and New Instructions - Clarification | 4/16/2004 | 3115 |
2996 kb | R13MSP | 3/19/2004 | PUB 100-05 | Updates to the Electronic Correspondence Referral System (ECRS) User Guide v7.0 and Quick Reference Card v7.0 | 4/19/2004 | 3174 |
66 kb | R143CP | 4/19/2004 | PUB 100-04 | Updated SNF NO PAY File for April 2004 | 4/19/2004 | 3238 |
493 kb | R5ESRD | 3/12/2004 | PUB 100-14 | Chapter 4, Information Management | 4/26/2004 | N/A |
237 kb | R6ESRD | 3/12/2004 | PUB 100-14 | Chapter 6, Community Information and Resources | 4/26/2004 | N/A |
635 kb | R7ESRD | 3/12/2004 | PUB 100-14 | Chapter 7, Sanctions and ESRD Complaints and Grievances | 4/26/2004 | N/A |
689 kb | R69PI | 3/26/2004 | PUB 100-08 | Streamlining Enrollment Requirements | 4/26/2004 | 3159 |
183 kb | R129CP | 3/26/2004 | PUB 100-04 | Additional Information and Corrections to Previous Transmittals Regarding Healthcare Common Procedure Coding System (HCPCS) Codes and Modifiers for Low Osmolar Contrast Material, Orthotics, and Durable Medical Equipment | 4/26/2004 | 3143 |
223 kb | R65OTN | 3/26/2004 | PUB 100-20 | Implementation of Section 508(f) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108-173) | 4/26/2004 | 3084 |
13 kb | R67OTN | 4/2/2004 | PUB 100-20 | Requirement for Carriers, Durable Medical Equipment Regional Carriers (DMERCs), Fiscal Intermediaries (FIs), and Full Program Safeguard Contractors (PSCs) to Encourage Providers to Submit Medical Records to the Comprehensive Error Rate Testing (CERT) Contractor for Use in the November 2004 Improper Medicare Fee-For-Service (FFS) Payments Report | 4/30/2004 | 3157 |
47 kb | R12NCD | 4/30/2004 | PUB 100-03 | Cardiac Pacemakers | 4/30/2004 | 3290 |
278 kb | R81OTN | 5/14/2004 | PUB 100-20 | Requirement for Carriers, Durable Medical Equipment Regional Carriers (DMERCs), Fiscal Intermediaries (FIs), and Full Program Safeguard Contractors (PSCs) to Encourage Providers to Submit Medical Records to the Comprehensive Error Rate Testing (CERT) Contractor for Use in the November 2004 Improper Medicare Fee-For-Service (FFS) Payments Report | 4/30/2004 | 3157 |
53 kb | R16NCD | 6/25/2004 | PUB 100-03 | Cardiac Pacemaker | 4/30/2004 | 3369 |
58 kb | R72PI | 4/16/2004 | PUB 100-08 | Automated Prepayment | 5/1/2004 | 3088 |
64 kb | R44FM | 4/30/2004 | PUB 100-06 | Notice of New Interest Rate for Medicare Overpayments and Underpayments | 5/7/2004 | 2830 |
69 kb | R52MCM | 5/7/2004 | PUB 100-16 | Chapter 17, Subchapter A, TEFRA Cost-Based Payment Process and Principles | 5/7/2004 | N/A |
352 kb | R70PI | 4/9/2004 | PUB 100-08 | New Requirements for Self-Administered Drug (SAD) Exclusion List Articles in the Medicare Coverage Database (MCD) | 5/10/2004 | 3136 |
227 kb | R70OTN | 4/9/2004 | PUB 100-20 | How Fiscal Intermediary's are to Record Coinsurance Amounts from The Provider Statistical and Reimbursement (PS&R) Report for Providers Who Elected to Accept Reduced Coinsurance for Outpatient Prospective Payment System (OPPS) Services | 5/10/2004 | 3166 |
849 kb | R71PI | 4/9/2004 | PUB 100-08 | Rewrite of the Program Integrity Manual (except Chapter 10), Transmittal Page, Business Requirements, Table of Contents, Chapters 1 and 2. | 5/10/2004 | 3030 |
2134 kb | R71PI1 | 4/9/2004 | PUB 100-08 | Rewrite of the Program Integrity Manual (except Chapter 10), Chapters 3 and 4 | 5/10/2004 | 3030 |
761 kb | R71PI2 | 4/9/2004 | PUB 100-08 | Rewrite of the Program Integrity Manual (except Chapter 10), Chapters 5 and 6 | 5/10/2004 | 3030 |
4370 kb | R71PI3 | 4/9/2004 | PUB 100-08 | Rewrite of the Program Integrity Manual (except Chapter 10), Chapters 7, 8, 9 and 12 | 5/10/2004 | 3030 |
689 kb | R71PI4 | 4/9/2004 | PUB 100-08 | Rewrite of the Program Integrity Manual (except Chapter 10), Chapters 13 and 11 | 5/10/2004 | 3030 |
795 kb | R71PI5 | 4/9/2004 | PUB 100-08 | Rewrite of the Program Integrity Manual (except Chapter 10), Exhibits | 5/10/2004 | 3030 |
54 kb | R71OTN | 4/16/2004 | PUB 100-20 | Update to the Healthcare Provider taxonomy Codes (HPTC) Version 4.0 | 5/17/2004 | 3188 |
53 kb | R140CP | 4/16/2004 | PUB 100-04 | Hospital Concerns Regarding Changing of Patient Status Code Due to Common Working File Edit 7272 | 5/23/2004 | 3240 |
381 kb | R145CP | 4/23/2004 | PUB 100-04 | Data Element Requirements Matrix - Carrier | 5/24/2004 | 3164 |
84 kb | R9BP | 4/23/2004 | PUB 100-02 | Arrangements for Physical, Occupational, and Speech Language Pathology Services (PT, OT, SLP) | 5/24/2004 | 3134 |
73 kb | R74PI | 4/23/2004 | PUB 100-08 | SNF Certification and Recertification | 5/24/2004 | 3150 |
213 kb | R73OTN | 4/23/2004 | PUB 100-20 | Revised American National Standards Institute X12N 837 Professional Health Care Claim Companion Document | 5/24/2004 | 3177 |
48 kb | R74OTN | 4/23/2004 | PUB 100-20 | Emergency Correction Regarding Correction to Healthcare Common Procedure Coding System (HCPCS) Codes for Low Osmolar Contrast Material | 5/24/2004 | 3187 |
46 kb | R75OTN | 4/23/2004 | PUB 100-20 | One time instructions for audit intermediary cost reporting processes to accommodate claims processing error that prevented some supply charges from being reported on home health prospective payment system claims | 5/24/2004 | 3147 |
79 kb | R147CP | 4/23/2004 | PUB 100-04 | Payment for Chemotherapy Administration Services, Nonchemotherapy Drug Infusion Services, and Drug Injection Services | 5/24/2004 | 3192 |
100 kb | R148CP | 4/23/2004 | PUB 100-04 | Incident-To Services on Form CMS-1500 | 5/24/2004 | 3138 |
437 kb | R5COM | 4/23/2004 | PUB 100-09 | Manual Instruction for Update Beneficiary Services Sections 5104 (MCM) and 2958 (MIM), and Beneficiary Services Section 20 of the Internet-Only Manual (IOM) | 5/24/2004 | 3097 |
334 kb | R127CP | 3/26/2004 | PUB 100-04 | 2004 Jurisdiction List | 5/26/2004 | 3139 |
14 kb | R72OTN | 4/16/2004 | PUB 100-20 | Changes in Determining Rural Status of Hospitals for Transitional Outpatient Payments (TOPs) for 2004 | 6/1/2004 | 3214 |
136 kb | R4GI | 4/30/2004 | PUB 100-01 | Scheduled Release for July Updates to Software Programs and Pricing/Coding Files | 6/1/2004 | 3278 |
162 kb | R159CP | 4/30/2004 | PUB 100-04 | National 1-800-MEDICARE (1-800-633-4227) Implementation (section 923(d) of MMA) | 6/1/2004 | 3195 |
263 kb | R82OTN | 5/14/2004 | PUB 100-20 | Changes in Determining Rural Status of Hospitals for Transitional Outpatient Payments (TOPs) for 2004 | 6/1/2004 | 3214 |
81 kb | R77OTN | 4/30/2004 | PUB 100-20 | Instructions Related to "Redistribution of Unused Resident Positions," Section 422 of the Medicare Modernization Act of 2003 (MMA), P.L. 108-173, for Purposes of Graduate Medical Education (GME) Payments | 6/4/2004 | 3247 |
63 kb | R79OTN | 5/7/2004 | PUB 100-20 | 18-Month Moratorium on Physician Self-Referrals to Specialty Hospitals; Processing of Form CMS-855A Applications to Become a Medicare Certified Hospital | 6/7/2004 | 3193 |
98 kb | R73PI | 5/7/2004 | PUB 100-08 | Program Integrity Management Reporting System (PIMR) Section 7.2 of the Program Integrity Manual (PIM) | 6/10/2004 | 2646 |
130 kb | R83OTN | 5/14/2004 | PUB 100-20 | Additional Health Insurance Health Insurance Portability and Accountability Act (HIPAA) Coordination of Benefits (COB) Information for Trading Partners | 6/14/2004 | 3255 |
85 kb | R87OTN | 5/26/2004 | PUB 100-20 | Instructions Related to "Redistribution of Unused Resident Positions," Section 422 of the Medicare Modernization Act of 2003 (MMA), P.L. 108-173, for Purposes of Graduate Medical Education (GME) Payments | 6/14/2004 | 3247 |
313 kb | R6COM | 5/21/2004 | PUB 100-09 | Provider/Supplier Communications - Revisions and Additions to Existing Contractor Requirements | 6/21/2004 | 3179 |
108 kb | R13BP | 5/28/2004 | PUB 100-02 | Diabetes Self Management Training Services | 6/28/2004 | 3185 |
98 kb | R85OTN | 5/28/2004 | PUB 100-20 | CD-ROM Initiative for Distribution of the Annual Disclosure, Dear Doctor Letter and Participation Enrollment Material | 6/28/2004 | 3292 |
101 kb | R187CP | 5/28/2004 | PUB 100-04 | Billing Requirements for Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities | 6/28/2004 | 3172 |
2061 kb | R189CP | 5/28/2004 | PUB 100-04 | Updated SNF Help File Available for Calendar Year 2004 | 6/28/2004 | 3252 |
54 kb | R191CP | 5/28/2004 | PUB 100-04 | Skilled Nursing Facility Consolidated Billing L Codes - DMERCs and Fis | 6/28/2004 | 3295 |
67 kb | R76PI | 5/28/2004 | PUB 100-08 | Clarification of Complex Medical Review | 6/28/2004 | 3211 |
851 kb | R77PI | 5/28/2004 | PUB 100-08 | Instructions for Carriers, DMERCs, FIs, and full PSCs when interacting with the Comprehensive Error Rate Testing (CERT) Contractor (i.e., handling appeals of CERT-initiated denials, contacting non-responders, tracking over/underpayments | 6/28/2004 | 3229 |
91 kb | R22BP | 9/24/2004 | PUB 100-02 | Nurse Practitioners As Attending Physicians in the Medicare Hospice Benefit | 6/28/2004 | 3226 |
171 kb | R304CP | 9/24/2004 | PUB 100-04 | Nurse Practitioners As Attending Physicians in the Medicare Hospice Benefit | 6/28/2004 | 3226 |
272 kb | R103CP | 2/20/2004 | PUB 100-04 | Optional Method for Outpatient Services: Cost-Based Facility Services Plus 115 percent Fee Schedule Payment for Professional Services | 7/1/2004 | 3114 |
102 kb | R183CP | 5/21/2004 | PUB 100-04 | Skilled Nursing Facility (SNF) Consolidated Billing: Services Furnished Under an "Arrangement" With an Outside Entity | 7/1/2004 | 3248 |
108 kb | R14BP | 5/28/2004 | PUB 100-02 | Changes in the Medicare Benefit Policy Manual-Chapter 10 | 7/1/2004 | 3225 |
280 kb | R221CP | 6/25/2004 | PUB 100-04 | Medicare IRF Classification Requirements | 7/1/2004 | 3334 |
507 kb | R88CP | 2/6/2004 | PUB 100-04 | Implementation of Changes to Payment for Ambulance Services Required by Section 414 of MMA | 7/5/2004 | 3099 |
187 kb | R37FM | 3/19/2004 | PUB 100-06 | Installation of Version 33 of the Provider Statistical and Reimbursement (PS&R) Reporting System. | 7/5/2004 | 3131 |
214 kb | R7MSP | 2/6/2004 | PUB 100-05 | Sending the Primary Payer Covered Charge Amount to the Medicare Secondary Payment (MSPPAY) Module for MSP Home Health Prospective Payment System (HH PPS) Claims | 7/6/2004 | 2954 |
267 kb | R86CP | 2/6/2004 | PUB 100-04 | X12N 837 Professional Implementation Guide (IG) Edits | 7/6/2004 | 3050 |
284 kb | R87CP | 2/6/2004 | PUB 100-04 | Expansion of Transfer Policy Under Inpatient Payment Prospective System | 7/6/2004 | 2934 |
238 kb | R84CP | 2/6/2004 | PUB 100-04 | Additional Guidelines for Implementing the National Council for Prescription Drug Program | 7/6/2004 | 3095 |
472 kb | R85CP | 2/6/2004 | PUB 100-04 | Processing of Claims for Referred Services for a Independent Clinical Diagnostic Laboratory | 7/6/2004 | 3090 |
362 kb | R89CP | 2/6/2004 | PUB 100-04 | The Elimination of the 90-Day Grace Period for HCPCS Codes | 7/6/2004 | 3093 |
332 kb | R80CP | 2/6/2004 | PUB 100-04 | Extend Medicare Coverage for Certain Colorectal Cancer Screenings at SNFs | 7/6/2004 | 2874 |
2,141 kb | R81CP | 2/6/2004 | PUB 100-04 | Update of UB-92 Codes | 7/6/2004 | 3012 |
341 kb | R82CP | 2/6/2004 | PUB 100-04 | ESRD Data for Use in Adjusting Claims | 7/6/2004 | 3066 |
225 kb | R83CP | 2/6/2004 | PUB 100-04 | New "K" Codes for Wheelchair Cushions | 7/6/2004 | 3069 |
329 kb | R78CP | 2/6/2004 | PUB 100-04 | Medicare Incentive Payments for Physician Care | 7/6/2004 | 3108 |
299 kb | R79CP | 2/6/2004 | PUB 100-04 | ESRD Reimbursement for AMCC Tests | 7/6/2004 | 2813 |
196 kb | R52OTN | 2/6/2004 | PUB 100-20 | Provider Data on Outbound Coordination of Benefit (COB) Files | 7/6/2004 | 3101 |
154 kb | R53OTN | 2/6/2004 | PUB 100-20 | Surgical Lines with No Charges | 7/6/2004 | 3104 |
229 kb | R32FM | 2/6/2004 | PUB 100-06 | Expanded Identification and Workload Reporting for CMS Medicare Systems | 7/6/2004 | 3023 |
166 kb | R55OTN | 2/6/2004 | PUB 100-20 | Shared System Maintainer Hours for Resolution of Problems Detected During HIPAA Transaction Release Testing | 7/6/2004 | 3067 |
316 kb | R8MSP | 2/6/2004 | PUB 100-05 | Common Working File MSP Modifications | 7/6/2004 | 2775 |
248 kb | R90CP | 2/6/2004 | PUB 100-04 | Implementation of Skilled Nursing Facility Consolidated Billing CWF Edit for Therapy Codes Considered Separately Payable Physician Services | 7/6/2004 | 2944 |
264 kb | R91CP | 2/6/2004 | PUB 100-04 | Revisions to Processing of Non-covered Charges on Certain Home Health Prospective Payment System Claims | 7/6/2004 | 3077 |
368 kb | R94CP | 2/6/2004 | PUB 100-04 | Additional Information in Medicare Summary Notices (MSNs) to Beneficiaries about Skilled Nursing Facility (SNF) Benefits | 7/6/2004 | 3098 |
645 kb | R98CP | 2/6/2004 | PUB 100-04 | Consolidation of the Claims Crossover Process: Additional Common Working File (CWF) Functionality | 7/6/2004 | 3109 |
207 kb | R33FM | 2/6/2004 | PUB 100-06 | Coordination of Medicare and Complementary Insurance Programs | 7/6/2004 | 3109 |
291 kb | R97CP | 2/6/2004 | PUB 100-04 | Implementation of New Medicare Redetermination Notice (MRN) | 7/6/2004 | 2620 |
276 kb | R9MSP | 2/6/2004 | PUB 100-05 | Converting Health Insurance Portability and Accountability ct (HIPAA) Individual Relationship Codes to Common Working File (CWF) Patient Relationship Codes | 7/6/2004 | 3116 |
907 kb | R56OTN | 2/6/2004 | PUB 100-20 | Program Integrity Management Reporting (PIMR) System for Part A - Phase 4 | 7/6/2004 | 3113 |
257 kb | R99CP | 2/9/2004 | PUB 100-04 | Health Insurance Portability and Accountability Act (HIPAA) X12N 837 Coordination of Benefits (COB) Gap Fill Additional Instruction | 7/6/2004 | 3100 |
160 kb | R10MSP | 2/13/2004 | PUB 100-05 | Update the Part B Shared Systems to Send the Appropriate Medicare Fee Schedule Amounts to the Medicare Secondary Payer Payment (MSPPAY) Software for Psychiatric MSP Claims | 7/6/2004 | 2955 |
257 kb | R100CP | 2/13/2004 | PUB 100-04 | Outpatient Clinical Laboratory Tests Furnished by Hospitals With Fewer Than 50 beds in Qualified Rural Areas | 7/6/2004 | 3130 |
503 kb | R107CP | 2/25/2004 | PUB 100-04 | Health Insurance Portability and Accountability Act (HIPAA) X12N 837 Health Care Claim Implementation Guide (IG) Editing Additional Instruction | 7/6/2004 | 3031 |
347 kb | R114CP | 2/27/2004 | PUB 100-04 | Modification of CMS' Medicare Contingency Plan for HIPPA Implementation | 7/6/2004 | 2981 |
200 kb | R115CP | 3/5/2004 | PUB 100-04 | DMERCs and VIPS, Processing NDC Numbers - Clarification to CR 3141 | 7/6/2004 | 3148 |
173 kb | R122CP | 3/19/2004 | PUB 100-04 | Revision to Required Messages in Change Request (CR) 2944, Implementation of Skilled Nursing Facility (SNF) Consolidated Billing Edit for Therapy Codes Considered Separately Payable Physician Services | 7/6/2004 | 3156 |
184 kb | R7NCD | 3/19/2004 | PUB 100-03 | Electrical Stimulation and Electromagnetic Therapy for the Treatment of Wounds | 7/6/2004 | 3149 |
332 kb | R124CP | 3/19/2004 | PUB 100-04 | Electrical Stimulation and Electromagnetic Therapy for the Treatment of Wounds | 7/6/2004 | 3149 |
190 kb | R68OTN | 4/2/2004 | PUB 100-20 | Transmittal 49 Implementation Date Extension | 7/6/2004 | 3197 |
13 kb | R134CP | 4/2/2004 | PUB 100-04 | Instructions for Downloading the Medicare Zip Code File. | 7/6/2004 | 3198 |
287 kb | R136CP | 4/9/2004 | PUB 100-04 | Addition of Two "WW" Codes to Identify Xeloda (Capecitabine) | 7/6/2004 | 3169 |
1607 kb | R138CP | 4/9/2004 | PUB 100-04 | The Consolidation of the Claims Crossover Process: Smaller-Scale Initial Implementation | 7/6/2004 | 3218 |
229 kb | R38FM | 4/9/2004 | PUB 100-06 | Chapter 1, Budget Preparation | 7/6/2004 | 3218 |
538 kb | R141CP | 4/16/2004 | PUB 100-04 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2004 | 7/6/2004 | 3210 |
61 kb | R150CP | 4/30/2004 | PUB 100-04 | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.2, Effective July, 1, 2004. | 7/6/2004 | 3244 |
81 kb | R154CP | 4/30/2004 | PUB 100-04 | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 7/6/2004 | 3227 |
13 kb | R164CP | 4/30/2004 | PUB 100-04 | End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry Test(s) | 7/6/2004 | 2813 |
62 kb | R171CP | 5/7/2004 | PUB 100-04 | July Quarterly Update for 2004 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 7/6/2004 | 3253 |
541 kb | R172CP | 5/7/2004 | PUB 100-04 | New Waived Tests - July 1, 2004 | 7/6/2004 | 3254 |
74 kb | R173CP | 5/7/2004 | PUB 100-04 | 2nd Update to the 2004 Medicare Physician Fee Schedule Database | 7/6/2004 | 3286 |
55 kb | R174CP | 5/7/2004 | PUB 100-04 | Healthcare Common Procedure Coding System (HCPCS) Corrections Involving 0040T and A9603 | 7/6/2004 | 3258 |
168 kb | R177CP | 5/14/2004 | PUB 100-04 | Updated SNF NO PAY File for July 2004 | 7/6/2004 | 3275 |
59 kb | R179CP | 5/14/2004 | PUB 100-04 | Clarification to CR 3069 - New "K" Codes for Wheelchair Cushions | 7/6/2004 | 3289 |
55 kb | R181CP | 5/14/2004 | PUB 100-04 | Instructions for Downloading the Medicare Zip Code File | 7/6/2004 | 3198 |
170 kb | R182CP | 5/17/2004 | PUB 100-04 | Updated SNF NO PAY File for July 2004 | 7/6/2004 | 3275 |
107 kb | R16MSP | 5/21/2004 | PUB 100-05 | Update Medicare Secondary Payer (MSP) Group Health Plan Recovery Demand Letters to Employers and Insurers for Data Match and Non-Data Match Debts | 7/6/2004 | 3216 |
536 kb | R184CP | 5/28/2004 | PUB 100-04 | July Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 5.2 | 7/6/2004 | 3314 |
76 kb | R186CP | 5/28/2004 | PUB 100-04 | July Update to the Medicare Outpatient Code Editor (OCE) Version 19.2 For Bills From Hospitals That Are Not Paid Under The Outpatient Prospective Payment System | 7/6/2004 | 3319 |
77 kb | R188CP | 5/28/2004 | PUB 100-04 | Hospital Outpatient Billing and Payment under OPPS for New, Unclassified Drugs or Biologicals Approved by the FDA After January 1, 2004, But Before Assignment of a Product-Specific Drug/Biological HCPCS Code | 7/6/2004 | 3287 |
49 kb | R192CP | 5/28/2004 | PUB 100-04 | Healthcare Common Procedure Coding System (HCPCS) Correction | 7/6/2004 | 3282 |
75 kb | R13NCD | 5/28/2004 | PUB 100-03 | Removal of Coding from National Coverage Determination on Stem Cell Transplantation | 7/6/2004 | 3265 |
111 kb | R194CP | 6/4/2004 | PUB 100-04 | July 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS): Payment for Drugs, Biologicals and Radiopharmaceuticals | 7/6/2004 | 3322 |
349 kb | R195CP | 6/4/2004 | PUB 100-04 | July 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 7/6/2004 | 3324 |
69 kb | R202CP | 6/10/2004 | PUB 100-04 | Revised Updated SNF NO PAY File for July 2004 | 7/6/2004 | 3338 |
68 kb | R203CP | 6/10/2004 | PUB 100-04 | Billing Payment in a Health Professional Shortage Area | 7/6/2004 | 3336 |
88 kb | R88OTN | 6/10/2004 | PUB 100-20 | Clarification and Revision of Change Request (CR) 3084, Implementation of Section 508(f) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (Public Law 108-173) | 7/6/2004 | 3342 |
153 kb | R208CP | 6/18/2004 | PUB 100-04 | Long Term Care Hospital Prospective Payment System (LTCH PPS) Fiscal Year 2005-Update | 7/6/2004 | 3335 |
56 kb | R209CP | 6/18/2004 | PUB 100-04 | Correction to CR 2944, Transmittal 90, Issued on February 6, 2004 | 7/6/2004 | 3333 |
302 kb | R220CP | 6/25/2004 | PUB 100-04 | Implementation of Section 414 of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 | 7/6/2004 | 3099 |
24 kb | R215CP | 6/25/2004 | PUB 100-04 | Implementation of Skilled Nursing Facility Consolidated Billing CWF Edit for Therapy Codes Considered Separately Payable Physician Services | 7/6/2004 | 2944 |
57 kb | R273CP | 8/13/2004 | PUB 100-04 | Modification of CMS's Medicare Contingency Plan for HIPAA Implementation | 7/6/2004 | 2981 |
59 kb | R93OTN | 7/9/2004 | PUB 100-20 | Temporary SNF Extension | 7/9/2004 | 3352 |
76 kb | R14NCD | 6/10/2004 | PUB 100-03 | Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee | 7/11/2004 | 3281 |
117 kb | R92OTN | 7/2/2004 | PUB 100-20 | Additional Instructions Related to the "Redistribution of Unused Resident Positions," Section 422 of the Medicare Modernization Act of 2003 (MMA), P.L. 108-173, for Purposes of Graduate Medical Education (GME) Payments | 7/16/2004 | 3353 |
62 kb | R207CP | 6/18/2004 | PUB 100-04 | Expansion of Policy Where Patient is a Member of a Medicare Advantage (MA) Organization For Only a Portion of the Billing Period to Include Inpatient Rehabilitation Facilities (IRF) and Long Term Care Hospitals (LTCH) | 7/19/2004 | 3309 |
63 kb | R211CP | 6/18/2004 | PUB 100-04 | Elimination of Regulations for Written Statement of Intent (SOI) | 7/19/2004 | 3310 |
30 kb | R19NCD | 7/30/2004 | PUB 100-03 | Blood-Derived Products for Chronic Non-Healing Wounds | 7/23/2004 | 3384 |
70 kb | R213CP | 6/25/2004 | PUB 100-04 | Payment to Bank | 7/25/2004 | 3079 |
59 kb | R90OTN | 6/25/2004 | PUB 100-20 | MMA Drug Pricing Update-Payment Limits for J7308 (Levulan Kerastick) and J9395 (Faslodex) | 7/25/2004 | 3312 |
301 kb | R6GI | 5/28/2004 | PUB 100-01 | CMS policy for testing quarterly release of the Medicare shared systems and the CWF | 8/1/2004 | 3011 |
97 kb | R227CP | 7/9/2004 | PUB 100-04 | Local Medical Review Policy/ Local Coverage Determination Medicare Summary Notice (MSN) Message Revision | 8/9/2004 | 3222 |
128 kb | R79PI | 7/9/2004 | PUB 100-08 | Local Medical Review Policy/ Local Coverage Determination Medicare Summary Notice (MSN) Message Revision | 8/9/2004 | 3222 |
13 kb | R51FM | 8/2/2004 | PUB 100-06 | Notice of New Interest Rate for Medicare Overpatments and Underpatyments | 8/9/2004 | 2831 |
33 kb | R52FM | 8/3/2004 | PUB 100-06 | Notice of New Insterest Rate for Medicare Overpayments and Underpayments | 8/9/2004 | 2831 |
137 kb | R80PI | 7/16/2004 | PUB 100-08 | PIM Fraud and Abuse Complaint Screening Revisions | 8/16/2004 | 3341 |
131 kb | R49FM | 7/16/2004 | PUB 100-06 | Procedures For Re-Issuance and Stale Dating of Medicare Checks | 8/16/2004 | 2951 |
96 kb | R228CP | 7/16/2004 | PUB 100-04 | General Policy | 8/16/2004 | 3267 |
71 kb | R17MSP | 7/16/2004 | PUB 100-05 | Clarification of CR 3064 | 8/16/2004 | 3267 |
164 kb | R229CP | 7/20/2004 | PUB 100-04 | Additional Clarification of Bill Types 22x and 23x Submitted by Skilled Nursing Facilities (SNFs) With Instructions for Involuntarily Moving a Beneficiary Out of the SNF and Ending a Benefit Period | 8/19/2004 | 3323 |
284 kb | R81PI | 7/23/2004 | PUB 100-08 | Implementation of the Quarterly Strategy Analysis | 8/23/2004 | 3294 |
72 kb | R82PI | 7/23/2004 | PUB 100-08 | Home Health Demand Bills | 8/23/2004 | 3266 |
30 kb | R287CP | 8/27/2004 | PUB 100-04 | Schedule for Completing the Calendar Year (CY) 2005 Fee Schedule Updates and the Participating Physician Enrollment Procedures | 8/27/2004 | 3409 |
56 kb | R46FM | 6/18/2004 | PUB 100-06 | Installation of Version 33.0 of the Provider Statistical and Reimbursement (PS&R) Reporting System-Modification of CR 3131 | 8/31/2004 | 3313 |
93 kb | R21NCD | 9/10/2004 | PUB 100-03 | Magnetic Resonance Spectroscopy for Diagnosing Brain Tumors | 9/10/2004 | 3425 |
45 kb | R274CP | 8/13/2004 | PUB 100-04 | Good Cause Waiver of Late Claim Filing Payment Reduction Penalty | 9/14/2004 | 3042 |
47 kb | R282CP | 8/20/2004 | PUB 100-04 | Good Cause Waiver of Late Claim Filing Payment Reduction Penalty | 9/14/2004 | 3402 |
74 kb | R106OTN | 8/24/2004 | PUB 100-20 | MMA Drug Pricing Update-Payment Limits for J9045 (Carboplatin injection) and J9310 (Rituximab cancer treatment) | 9/24/2004 | 3419 |
90 kb | R214CP | 6/25/2004 | PUB 100-04 | MSN Messages | 9/25/2004 | 2617 |
14 kb | R295CP | 9/3/2004 | PUB 100-04 | MSN Messages and Reason Codes for Mammography | 9/25/2004 | 2617 |
79 kb | R298CP | 9/10/2004 | PUB 100-04 | MSN and ANSI Messages for Mammography Claims | 9/25/2004 | 2617 |
699 kb | R53FM | 8/27/2004 | PUB 100-06 | Change Request 3367, Debt Collection System (DCS), replaces Change Request 2952, Debt Collection System (DCS) | 9/27/2004 | 3367 |
210 kb | R83PI | 8/27/2004 | PUB 100-08 | PIM Revisions for Chapter 4 | 9/27/2004 | 3379 |
40 kb | R108OTN | 8/27/2004 | PUB 100-20 | New Remark Code Message for Use with Claims for Parenteral Pumps - Durable Medical Equipment Regional Carrier (DMERC) Only | 9/27/2004 | 3405 |
30 kb | R109OTN | 8/27/2004 | PUB 100-20 | CWF Analysis to Process Claims Per the Renovated Override Code Billing Instructions for ADVATE rAHF-PFM on Medicare Claims | 9/27/2004 | 3331 |
29 kb | R110OTN | 8/27/2004 | PUB 100-20 | MMA Drug Pricing Update-Payment Limits for J1000 (Depo-estradiol cypionate inj) | 9/27/2004 | 3418 |
64 kb | R284CP | 8/27/2004 | PUB 100-04 | DMERCs Only-Appeals of Duplicate claims | 9/27/2004 | 3371 |
80 kb | R112OTN | 9/10/2004 | PUB 100-20 | Billing Instructions for ADVATE rAHF-PFM on Medicare Claims | 9/27/2004 | 3331 |
244 kb | R95CP | 2/6/2004 | PUB 100-04 | Elimination of the 90-Day Grace Period for ICD-9-CM Codes | 10/1/2004 | 3094 |
57 kb | R96OTN | 7/23/2004 | PUB 100-20 | Annual Changes to the Amount in Controversy (AIC) Thresholds for the Administrative Law Judge (ALJ) and Judicial Review Levels of the Claim Appeals Process as Required by Section 940 of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 | 10/1/2004 | 3354 |
68 kb | R288CP | 8/27/2004 | PUB 100-04 | Fiscal Year (FY) 2005 Payment for Services Furnished in Ambulatory Surgical Centers (ASCs) | 10/1/2004 | 3394 |
56 kb | R23NCD | 10/1/2004 | PUB 100-04 | Treatment of Obesity | 10/1/2004 | 3502 |
364 kb | R35FM | 2/9/2004 | PUB 100-06 | Unsolicited/Voluntary Refunds | 10/4/2004 | 1444 |
54 kb | R39FM | 4/16/2004 | PUB 100-06 | Installation of Version 34.0 of the Provider Statistical and Reimbursement (PS&R) Reporting System | 10/4/2004 | 3182 |
67 kb | R144CP | 4/23/2004 | PUB 100-04 | Distinct Part Units for Critical Access Hospitals | 10/4/2004 | 3175 |
301 kb | R146CP | 4/23/2004 | PUB 100-04 | Clarification of Billing for Separately Billable ESRD Drugs | 10/4/2004 | 3176 |
1721 kb | R149CP | 4/23/2004 | PUB 100-04 | General Instructions for Completion of Form CMS-1450 for Billing | 10/4/2004 | 3183 |
356 kb | R152CP | 4/30/2004 | PUB 100-04 | Inclusion of Core-Based Statistical Area (CBSA) Data Elements to the Provider Specific Files | 10/4/2004 | 3272 |
73 kb | R165CP | 4/30/2004 | PUB 100-04 | Enhancement to Home Health Consolidated Billing Edits | 10/4/2004 | 3186 |
52 kb | R76OTN | 4/30/2004 | PUB 100-20 | Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing | 10/4/2004 | 3178 |
219 kb | R156CP | 4/30/2004 | PUB 100-04 | Clarification of payments and billing procedures for hospitals subject to the Maryland waiver. | 10/4/2004 | 3200 |
99 kb | R40FM | 4/30/2004 | PUB 100-06 | Modification of CROWD Form 5 | 10/4/2004 | 3257 |
373 kb | R42FM | 4/30/2004 | PUB 100-06 | Unsolicited/Voluntary Refunds | 10/4/2004 | 3274 |
274 kb | R43FM | 4/30/2004 | PUB 100-06 | Expanded Identification and Workload Reporting for CMS Medicare Systems | 10/4/2004 | 3256 |
432 kb | R158CP | 4/30/2004 | PUB 100-04 | Consolidation of the Claims Crossover Process: Full-scale Implementation of the Coordination of Benefits Agreement (COBA) Initiative | 10/4/2004 | 3273 |
694 kb | R153CP | 4/30/2004 | PUB 100-04 | Type of Service Corrections | 10/4/2004 | 3189 |
13 kb | R161CP | 4/30/2004 | PUB 100-04 | Informing Beneficiaries about whicl local Medical Review Policy (LMRP) and /or Local Coverage Determinatin (LCD) and o/or National Coverage Determination (NCD) is associated with their claim denia | 10/4/2004 | 3089 |
95 kb | R162CP | 4/30/2004 | PUB 100-04 | Key Shop and Optical Character Recognition (OCR)/Image Character Recognition (ICR) Output Mapping | 10/4/2004 | 3180 |
96 kb | R15MSP | 4/30/2004 | PUB 100-05 | Change in Interest Calculation for Medicare Overpayments and Underpayments and Medicare Secondary Payer (MSP) Recoveries | 10/4/2004 | 3163 |
80 kb | R163CP | 4/30/2004 | PUB 100-04 | Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Ambulance Transports to or from a Diagnostic or Therapeutic Site Other than a Physician's Office or Hospital | 10/4/2004 | 3196 |
212 kb | R41FM | 4/30/2004 | PUB 100-06 | Change in Interest Calculation for Medicare Overpayments and Underpayments and Medicare Secondary Payer (MSP) Recoveries | 10/4/2004 | 3163 |
3182 kb | R167CP | 4/30/2004 | PUB 100-04 | Discontinued Use of Revenue Code 0910 | 10/4/2004 | 3194 |
76 kb | R2DEMO | 4/30/2004 | PUB 100-19 | Virginia Cardiac Surgery Initiative Demonstration - Modifications & Corrections to Change Request 2382 | 10/4/2004 | 3199 |
42 kb | R166CP | 4/30/2004 | PUB 100-04 | New DMERC/VIPS Systems Requirement | 10/4/2004 | 2761 |
67 kb | R78OTN | 4/30/2004 | PUB 100-20 | Renovate Override Code Processing In Common Working File | 10/4/2004 | 3190 |
81 kb | R160CP | 4/30/2004 | PUB 100-04 | Section 511 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 Special Adjustment for Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Rates for Acquired Immune Deficiency Syndrome (AIDS) | 10/4/2004 | 3291 |
107 kb | R3DEMO | 5/7/2004 | PUB 100-19 | Demonstration Project to Clarify the Definition of Homebound - Section 702 of MMA | 10/4/2004 | 3269 |
51 kb | R80OTN | 5/7/2004 | PUB 100-20 | Medicare Systems Acceptance of New Provider Numbers for Home Health Agencies | 10/4/2004 | 3245 |
55 kb | R176CP | 5/14/2004 | PUB 100-04 | Instructions for Downloading the Medicare Zip Code File | 10/4/2004 | 3270 |
78 kb | R4DEMO | 5/14/2004 | PUB 100-19 | Use of Group Health Plan Payment System to Pay Capitated Payments to Non Health Plan Demonstrations Serving Medicare Fee For Service Beneficiaries | 10/4/2004 | 3283 |
89 kb | R175CP | 5/14/2004 | PUB 100-04 | Additional Health Insurance Portability and Accountability Act (HIPAA) X12N 837 Institutional Health Care Claim Implementation Guide (IG) Instruction and Clarification of Transmittal 107/Pub 100-04 (CR 3031) | 10/4/2004 | 3264 |
96 kb | R75PI | 5/14/2004 | PUB 100-08 | Informing Beneficiaries About Which Local Medical Review Policy (LMRP) and/or Local Coverage Determination (LCD) and/or National Coverage Determination (NCD) is Associated with Their Claim Denial | 10/4/2004 | 3089 |
95 kb | R12BP | 5/28/2004 | PUB 100-02 | Chiropractic Billing | 10/4/2004 | 3063 |
57 kb | R84OTN | 5/28/2004 | PUB 100-20 | Reporting Medicare Secondary Payer (MSP) Information on the Health Insurance Portability and Accountability Act of 1996 (HIPAA) X12N 837 Created Via Free Billing Software | 10/4/2004 | 3284 |
71 kb | R185CP | 5/28/2004 | PUB 100-04 | Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Drugs and Electrocardiogram (EKG) Testing Provided During an Ambulance Transport | 10/4/2004 | 3212 |
74 kb | R190CP | 5/28/2004 | PUB 100-04 | End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests | 10/4/2004 | 3239 |
74 kb | R197CP | 6/4/2004 | PUB 100-04 | Emergency Hospital Outpatient billing of Epotein Alfa (EPO) and Darbepoetin Alfa (Aranesp) | 10/4/2004 | 3184 |
215 kb | R199CP | 6/10/2004 | PUB 100-04 | Medicare Need for a Specific Line Item Date of Service (LIDOS) for Each Revenue Code on ALL Outpatient and Inpatient Part B Claims | 10/4/2004 | 3337 |
83 kb | R200CP | 6/10/2004 | PUB 100-04 | Update to the Common Working File Edits for Skilled Nursing Facility (SNF) Consolidated Billing (CB) to Expand the Bypass for Pharmacy Services. | 10/4/2004 | 3277 |
187 kb | R78PI | 6/10/2004 | PUB 100-08 | Medical Review (MR) Progressive Corrective Action (PCA) for Part A | 10/4/2004 | 3111 |
69 kb | R17BP | 6/18/2004 | PUB 100-02 | Incident-To Services on Form CMS-1500 | 10/4/2004 | 3242 |
2387 kb | R210CP | 6/18/2004 | PUB 100-04 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/4/2004 | 3303 |
51 kb | R89OTN | 6/25/2004 | PUB 100-20 | Shared System Maintainer Hours for Resolution of Problems Detected As A Result of Implementation of CR 2525 and CR 2527 | 10/4/2004 | 3305 |
557 kb | R47FM | 6/25/2004 | PUB 100-06 | Expanded Identification and Workload Reporting for CMS Medicare Systems | 10/4/2004 | 3256 |
88 kb | R225CP | 7/9/2004 | PUB 100-04 | Changes to the Laboratory National Coverage Determination (NCD)Edit Software for October 2004 | 10/4/2004 | 3358 |
87 kb | R226CP | 7/9/2004 | PUB 100-04 | Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement | 10/4/2004 | 3350 |
94 kb | R224CP | 7/9/2004 | PUB 100-04 | October Quarterly Update to 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement | 10/4/2004 | 3348 |
81 kb | R98OTN | 7/23/2004 | PUB 100-20 | Change to Previous Transmittal Regarding the Discontinued Use of Revenue Code 0910 | 10/4/2004 | 3343 |
70 kb | R234CP | 7/23/2004 | PUB 100-04 | Standardized Responses to Provider Inquiries Regarding the Negotiated Laboratory National Coverage Determinations (NCDs) Edit Software | 10/4/2004 | 3374 |
64 kb | R242CP | 7/23/2004 | PUB 100-04 | Quarterly Update to Correct Coding Initiative (CCI) edits, Version 10.3, Effective October 1, 2004. | 10/4/2004 | 3349 |
69 kb | R101OTN | 7/30/2004 | PUB 100-20 | Change of the Premera Blue Cross Medicare Part A Plan Under Contract to BCBSA to a Part A Fiscal Intermediary Contract with Noridian Mutual Insurance Company in the States of Washington and Alaska | 10/4/2004 | 3380 |
238 kb | R254CP | 7/30/2004 | PUB 100-04 | October 2004 Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 5.3 | 10/4/2004 | 3395 |
73 kb | R255CP | 7/30/2004 | PUB 100-04 | October Update to the Medicare Outpatient Code Editor (OCE) Version 20.0 for Bills From Hospitals that are not Paid Under the Outpatient Prospective Payment System (OPPS) | 10/4/2004 | 3396 |
118 kb | R258CP | 7/30/2004 | PUB 100-04 | New Waived Tests - October 1, 2004 | 10/4/2004 | 3372 |
25 kb | R18NCD | 7/30/2004 | PUB 100-03 | Islet Cell Transplantation | 10/4/2004 | 3385 |
37 kb | R261CP | 7/30/2004 | PUB 100-04 | Billing and Requirements for Islet Cell Transplantation for Beneficiaries in a National Institutes of Health (NIH) Clinical Trial | 10/4/2004 | 3385 |
114 kb | R50FM | 7/30/2004 | PUB 100-06 | Unsolicited/Voluntary Refunds | 10/4/2004 | 3274 |
70 kb | R263CP | 7/30/2004 | PUB 100-04 | Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2005 | 10/4/2004 | 3378 |
86 kb | R264CP | 7/30/2004 | PUB 100-04 | Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2005 | 10/4/2004 | 3386 |
58 kb | R268CP | 7/30/2004 | PUB 100-04 | Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2005 | 10/4/2004 | 3368 |
91 kb | R271CP | 8/4/2004 | PUB 100-04 | Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2005 | 10/4/2004 | 3386 |
58 kb | R272CP | 8/10/2004 | PUB 100-04 | October Quarterly Update For 2004 | 10/4/2004 | 3377 |
63 kb | R275CP | 8/13/2004 | PUB 100-04 | The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2003 for Inpatient Prospective Payment System (IPPS) Hospitals | 10/4/2004 | 3403 |
118 kb | R278CP | 8/13/2004 | PUB 100-04 | 3rd Update to the 2004 Medicare Physician Fee Schedule Database | 10/4/2004 | 3415 |
128 kb | R290CP | 8/27/2004 | PUB 100-04 | October 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/4/2004 | 3420 |
53 kb | R117OTN | 9/29/2004 | PUB 100-20 | New Remark Code Message for Use with Claims for Parenteral Pumps - (DMERC) Only | 10/4/2004 | 3405 |
80 kb | R308CP | 10/1/2004 | PUB 100-04 | Two New Medicare Summary Notice (MSN) Messages for Parental Pumps - DMERC only | 10/4/2004 | 3506 |
189 kb | R306CP | 10/1/2004 | PUB 100-04 | Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database. | 10/4/2004 | 3505 |
229 kb | R309CP | 10/1/2004 | PUB 100-04 | Fiscal Year (FY) 2005 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) and Other Bill Processing Changes Related to the IPPS Final Rule | 10/4/2004 | 3459 |
55 kb | R24NCD | 10/1/2004 | PUB 100-03 | Update to Chapter 1, Section 220.6 - Dementia and Neurodegenerative Diseases | 10/4/2004 | 3426 |
89 kb | R114OTN | 10/4/2004 | PUB 100-20 | Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine (CPT 90732) | 10/4/2004 | 3490 |
104 kb | R23BP | 10/8/2004 | PUB 100-02 | Revised Requirements for Chiropractic Billing of Active/Corrective Treatment and Maintenance Therapy. Full Replacement of CR 3063 | 10/4/2004 | 3449 |
89 kb | R299CP | 9/10/2004 | PUB 100-04 | Use of Condition Code 44, "Inpatient Admission Changed to Outpatient" | 10/12/2004 | 3444 |
47 kb | R19BP | 9/10/2004 | PUB 100-02 | Hospital Services Covered Under Part B | 10/12/2004 | 3444 |
45 kb | R25NCD | 10/15/2004 | PUB 100-03 | Percutaneous Transluminal Angioplasty (PTA) | 10/12/2004 | 3489 |
163 kb | R314CP | 10/15/2004 | PUB 100-04 | Percutaneous Transluminal Angioplasty (PTA) | 10/12/2004 | 3489 |
92 kb | R300CP | 9/17/2004 | PUB 100-04 | Payment For Outpatient End Stage Renal Disease (ESRD)-Related Services | 10/18/2004 | 3414 |
82 kb | R19MSP | 9/24/2004 | PUB 100-05 | Clarification of MSP Rules in Relation to a Temporary Leave of Absence | 10/25/2004 | 3447 |
72 kb | R54FM | 9/24/2004 | PUB 100-06 | Notification to Providers of Intent to Complete a Post-Payment Audit | 10/25/2004 | 3441 |
224 kb | R21BP | 9/24/2004 | PUB 100-02 | Medicare Comprehensive Outpatient Rehabilitation Facility Coverage | 10/25/2004 | 3315 |
108 kb | R302CP | 9/24/2004 | PUB 100-04 | Nursing Facility Visits (Codes 99301 -99313) | 10/25/2004 | 3096 |
69 kb | R55FM | 10/8/2004 | PUB 100-06 | Reporting Appeals Redetermination Information On Forms CMS-2591 and 2590 | 11/15/2004 | 3448 |
86 kb | R18MSP | 8/27/2004 | PUB 100-05 | Application of the Medicare Secondary Payer for the Working Aged Provision and the Medicare Secondary for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program | 11/29/2004 | 3120 |
319 kb | R3GI | 3/12/2004 | PUB 100-01 | New Part B Annual Deductible | 1/3/2005 | 3121 |
132 kb | R198CP | 6/4/2004 | PUB 100-04 | End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry Test(s) | 1/3/2005 | 2813 |
210 kb | R241CP | 7/23/2004 | PUB 100-04 | Processing Part B Claims for Indian Health Services (HIS | 1/3/2005 | 3288 |
250 kb | R240CP | 7/23/2004 | PUB 100-04 | Expansion of the Existing Interrupted Stay Policy Under Long Term Care Hospital (LTCH) Prospective Payment System | 1/3/2005 | 3279 |
66 kb | R97OTN | 7/23/2004 | PUB 100-20 | Implementation of the Business Segment Identifier (BSI) in the Healthcare Integrated General Ledger Accounting System (HIGLAS) | 1/3/2005 | 3362 |
52 kb | R94OTN | 7/23/2004 | PUB 100-20 | Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing | 1/3/2005 | 3316 |
143 kb | R230CP | 7/23/2004 | PUB 100-04 | Update to the Claims Status Codes | 1/3/2005 | 3361 |
23 kb | R231CP | 7/23/2004 | PUB 100-04 | Indian Health Service (IHS) or Tribal Critical Access Hospital (CAH) Payment Methodology for Inpatient and Outpatient Services | 1/3/2005 | 3235 |
54 kb | R235CP | 7/23/2004 | PUB 100-04 | Instructions for Downloading the Medicare Zip Code File | 1/3/2005 | 3340 |
100 kb | R236CP | 7/23/2004 | PUB 100-04 | 2005 DMEPOS Pricing File Record Layout Expansion and New Pricing Procedures for Certain DMEPOS Items Based on Modifiers | 1/3/2005 | 3300 |
57 kb | R237CP | 7/23/2004 | PUB 100-04 | Implementation of Patient Status Code 65, Discharged/Transferred to a Psychiatric Hospital or Psychiatric Distinct Part Unit of a Hospital | 1/3/2005 | 3364 |
74 kb | R238CP | 7/23/2004 | PUB 100-04 | Health Insurance Portability and Accountability Act (HIPAA) X12N 837 Institutional Health Care Claim Implementation Guide (IG) Additional Updates | 1/3/2005 | 3321 |
111 kb | R239CP | 7/23/2004 | PUB 100-04 | Update to the Frequency of Billing | 1/3/2005 | 3382 |
67 kb | R243CP | 7/23/2004 | PUB 100-04 | Patient Status Code and Reason for Patient Visit for the Hospital Outpatient Prospective Payment System (OPPS) | 1/3/2005 | 2800 |
454 kb | R99OTN | 7/23/2004 | PUB 100-20 | This One-Time Notification is a Full Replacement for Transmittal 86 (CR 3142) Interface File from Recovery Management and Accounting System (ReMAS | 1/3/2005 | 3383 |
65 kb | R244CP | 7/23/2004 | PUB 100-04 | Number of Drug Pricing Files That Must Be Maintained Online for Medicare | 1/3/2005 | 3231 |
73 kb | R249CP | 7/23/2004 | PUB 100-04 | New Medicare Summary Notice Message 31.18 | 1/3/2005 | 2989 |
133 kb | R250CP | 7/23/2004 | PUB 100-04 | Coordination of Benefits Agreement (COBA) Claims Selection Options | 1/3/2005 | 3404 |
204 kb | R251CP | 7/23/2004 | PUB 100-04 | Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services | 1/3/2005 | 3366 |
72 kb | R252CP | 7/23/2004 | PUB 100-04 | Paper Remittance Advice format change to accommodate the forced balancing amount to balance at the claim level as well as the provider level, a flat file change, and a change in the companion document for fiscal intermediaries (FIs). | 1/3/2005 | 3344 |
79 kb | R253CP | 7/23/2004 | PUB 100-04 | Fiscal Intermediary Shared System (FISS) Changes to Allow for Provider Liability Days on Skilled Nursing Facility (SNF) and Swing Bed Facility Inpatient Bills | 1/3/2005 | 3308 |
114 kb | R95OTN | 7/30/2004 | PUB 100-20 | Modification to Post-payment Adjustment Process for Home Health Prospective Payment System Claims Failing to Report Prior Inpatient Discharges | 1/3/2005 | 3400 |
46 kb | R102OTN | 7/30/2004 | PUB 100-20 | Update to the Healthcare Provider Taxonomy Codes (HPTC)/Medicare Specialty Code Crosswalk | 1/3/2005 | 3259 |
29 kb | R256CP | 7/30/2004 | PUB 100-04 | Use of Group Health Plan Payment System/MMCS to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare Fee-For-Service Beneficiaries under Section 721 of the MMA | 1/3/2005 | 3410 |
31 kb | R257CP | 7/30/2004 | PUB 100-04 | Shared Systems Changes for Medicare Part B Drugs for ESRD Independent Dialysis Facilities | 1/3/2005 | 3332 |
38 kb | R259CP | 7/30/2004 | PUB 100-04 | Scheduled Release for October Updates to Software Programs and Pricing/Coding Files | 1/3/2005 | 3397 |
42 kb | R260CP | 7/30/2004 | PUB 100-04 | Cryosurgery of the Prostate | 1/3/2005 | 3168 |
44 kb | R8GI | 7/30/2004 | PUB 100-01 | Standard Terminology for Claims Processing Systems | 1/3/2005 | 3086 |
27 kb | R103OTN | 7/30/2004 | PUB 100-20 | ANSI X12 Transaction 835 Flat File and Companion Document Correction for Carriers and DMERCs, and Deletion of a Hard Coded Reason Code A2 that Has Been Deactivated | 1/3/2005 | 3236 |
65 kb | R269CP | 8/3/2004 | PUB 100-04 | Number of Drug Pricing Files That Must Be Maintained Online for Medicare | 1/3/2005 | 3231 |
111 kb | R270CP | 8/3/2004 | PUB 100-04 | Update to the Frequency of Billing | 1/3/2005 | 3382 |
114 kb | R276CP | 8/13/2004 | PUB 100-04 | Further Information Related to CR 3175, Distinct Part Units of Critical Access Hospitals (CAHs) | 1/3/2005 | 3399 |
85 kb | R5DEMO | 8/13/2004 | PUB 100-19 | Use of Group Health Plan Payment System to Pay Capitated Payments to Non-Health Plan Demonstration/Program Sites Serving Medicare Fee For Service Beneficiaries- Updated List of Plan Numbers | 1/3/2005 | 3423 |
84 kb | R266CP | 7/30/2004 | PUB 100-04 | Revision of Common Working File (CWF) Editing for Same-Day, Same- Provider Acute Care Readmissions | 1/3/2005 | 3389 |
62 kb | R285CP | 8/27/2004 | PUB 100-04 | Addition of Physician Assistants, Nurse Practitioners and Clinical Nurse Specialists as Emergency On-Call Providers for Critical Access Hospitals (CAHs) | 1/3/2005 | 3228 |
70 kb | R6DEMO | 8/27/2004 | PUB 100-19 | Revision of CR 3269 for the Demonstration Project to Clarify the Definition of Homebound (Homebound Demonstration) | 1/3/2005 | 3432 |
129 kb | R107OTN | 8/27/2004 | PUB 100-20 | CWF Analysis to Process Claims Per the Renovated Override Code Processing (re: CR3190) and CWF Analysis to Review System Edits for Additional 2-byte Modifiers Added in CR3190. (Phase 2) | 1/3/2005 | 3320 |
70 kb | R283CP | 8/27/2004 | PUB 100-04 | 2005 Healthcare Common Procedure Coding System (HCPCS) Annual Update reminder | 1/3/2005 | 3422 |
101 kb | R286CP | 8/27/2004 | PUB 100-04 | Medicare Physician Fee Schedule Database (MPFSDB) 2005 File Layout | 1/3/2005 | 3421 |
32 kb | R111OTN | 8/27/2004 | PUB 100-20 | Creation of CWF Auxilliary Files and Associated Logic to Properly Calculate Medicare-Equivalent Deductibles for VA Claims | 1/3/2005 | 3450 |
364 kb | R289CP | 8/27/2004 | PUB 100-04 | File Descriptions and Instructions for Retrieving the 2005 Pricing Files through CMS's Mainframe Telecommunications System | 1/3/2005 | 3428 |
83 kb | R291CP | 8/27/2004 | PUB 100-04 | Use of Transmission Date in the Service Date/Assessment Date Field for Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) Claims | 1/3/2005 | 3433 |
164 kb | R10GI | 9/10/2004 | PUB 100-01 | Update to Medicare Deductible, Coinsurance and Premium Rates for Calendar Year 2005 | 1/3/2005 | 3463 |
134 kb | R297CP | 9/10/2004 | PUB 100-04 | Reasonable Charge Update for 2005 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, Therapeutic Shoes, and Certain Intraocular Lenses | 1/3/2005 | 3430 |
99 kb | R267CP | 9/16/2004 | PUB 100-04 | Crossover Patients in New Long Term Care Hospitals (LTCH) | 1/3/2005 | 3391 |
209 kb | R301CP | 9/17/2004 | PUB 100-04 | Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services | 1/3/2005 | 3366 |
56 kb | R305CP | 10/1/2004 | PUB 100-04 | Disabling the CWF 57x3 Consistency Error Code | 1/3/2005 | 3470 |
163 kb | R313CP | 10/15/2004 | PUB 100-04 | Remittance Advice Remark Code and Claim Adjustment Reason Code Update | 1/3/2005 | 3466 |
59 kb | R118OTN | 10/15/2004 | PUB 100-20 | Shared Systems Maintainers Hours for Resolution of Problems Detected as a Result of Implementation of Change Request 2525 and Change Request 2527 | 1/3/2005 | 3536 |
141 kb | R248CP | 7/23/2004 | PUB 100-04 | DMERC/Local Carriers/SADMERC - Drug Pricing Limits as of January 1, 2005 | 1/5/2005 | 3232 |
389 kb | R113OTN | 9/10/2004 | PUB 100-20 | Implementation of Section 921 of the Medicare Modernization Act (MMA) - Provider Customer Service Program | 1/5/2005 | 3376 |
1378 kb | R303CP | 9/24/2004 | PUB 100-04 | Instructions for Completion of Form CMS-1450 | 1/5/2005 | 3417 |
2065 kb | R311CP | 10/13/2004 | PUB 100-04 | Instructions for Completion of Form CMS-1450 | 1/5/2005 | 3417 |
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