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"Medlearn Matters...Information for Medicare Providers" articles are designed to help providers understand new or changed Medicare policy. The articles are numbered in two ways, one for articles directly related to Change Requests (CRs) and another schema for Special Edition articles. Articles related to CRs have a number of MMnnnn, where the MM identifies the article as a CR-related one and the nnnn corresponds to the actual CR number. Special Edition articles have a number of SEyynn, where the SE denotes a special edition, the yy denotes the year the article was prepared, and the nn denotes the edition or sequence number for that article during that year.

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All articles are grouped by the effective date of the corresponding Change Request (CR) and determines the year with which the article is associated (See "Using the Medlearn Matters Table(s)" (pdf 116Kb)). The table below contains links to each article and its corresponding CRs. The Table of Contents can be sorted by clicking your mouse on any column heading.

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Medlearn Matters Articles Table

Table is pre-sorted by Article Release Date. Click on any column heading to sort the table to individual needs.   Ascending:  Descending:

Article #	Article Release Date	Title	Related CR Number	Related CR Release Date	Related CR Effective Date	Related CR Impl. Date
SE0457	10/15/2004	MMA - Medicare-Approved Drug Discount Cards and Transitional Assistance Program: A Summary of New Initiative of Interest to Physicians and Other Health Care Professionals
SE0458	10/15/2004	MMA - Medicare-Approved Drug Discount Cards and Transitional Assistance Program: A Summary of New Initiative of Interest to Pharmacists and Pharmacy Professionals
MM3426	10/15/2004	Billing Requirements for Positron Emission Tomography (PET) Scans for Dementia and Neurodegenerative Diseases	3426	10/01/2004	09/15/2004	10/04/2004
MM3502	10/12/2004	Treatment of Obesity	3502	10/01/2004	10/01/2004	10/04/2004
MM3505	10/05/2004	Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database. CR 3415 Is Rescinded	3505	10/01/2004	01/01/2004	10/04/2004
MM3459	10/07/2004	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	3459	10/01/2004	10/01/2004	10/04/2004
SE0453	10/04/2004	MMA-Proposed Implementation of the Physician Scarcity Bonus and Revision to the Health Professional Shortage Area (HPSA)			01/01/2005
MM3315	10/15/2004	Medicare Comprehensive Outpatient Rehabilitation Facility Coverage Revised: 10/15/2004	3315	09/24/2004	06/30/2004	10/25/2004
MM3447	09/29/2004	Clarification of Medicare Secondary Payer (MSP) Rules in Relation to a Temporary Leave of Absence	3447	09/24/2004	11/13/2003	10/25/2004
MM3096	10/04/2004	Nursing Facility Visits (Codes 99301 – 99313) Revised: 10/15/2004	3096	09/24/2004	11/13/2003	10/25/2004
MM3417	10/15/2004	Instructions for Completion of CMS-1450 Billing Form Revised: 10/15/2004	3417	09/24/2004	01/01/2005	01/03/2004
MM3366	09/28/2004	Editing of Hospital and Skilled Nursing Facility Part B Inpatient Services	3366	09/17/2004	01/01/2005	01/03/2004
SE0451	09/27/2004	Guidance Regarding Elimination of Standard Paper Remittance (SPR) Advice Notices in the Old Format				01/01/2005
SE0447	09/27/2004	Guidance for Part A Providers Switching to Electronic Remittance Advices (ERAs)				01/01/2005
MM3430	09/30/2004	MMA-Reasonable Charge Update for 2005 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, Therapeutic Shoes, and Certain Intraocular Lenses (Revised: 9/30/2004)	3430	09/10/2004	01/01/2005	01/03/2005
MM3391	09/27/2004	Crossover Patients in New Long Term Care Hospitals (LTCH)	3391	07/30/2004	10/01/2004	01/03/2005
MM3414	09/27/2004	Payment for Outpatient End Stage Renal Disease (ESRD)-Related Services	3414	09/17/2004	01/01/2004	10/18/2004
MM3425	09/27/2004	Magnetic Resonance Spectroscopy (MRS) for Diagnosing Brain Tumors	3425	09/10/2004	09/10/2004	09/10/2004
MM3463	09/21/2004	Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year (CY) 2005	3463	09/10/2004	01/01/2005	01/03/2005
SE0454	09/13/2004	Information and Education Resources for Medicare Providers, Suppliers, and Physicians
MM3449	09/13/2004	Revised Requirements for Chiropractic Billing of Active/Corrective Treatment and Maintenance Therapy, Full Replacement of CR 3063	3449	09/03/2004	10/01/2004	10/04/2004
MM3420	09/08/2004	October 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS)	3420	08/27/2004	10/01/2004	10/04/2004
MM3349	09/08/2004	Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 10.3, Effective October 1, 2004	3349	07/23/2004	10/01/2004	10/04/2004
MM3422	09/02/2004	2005 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder	3422	08/27/2004	01/01/2005	01/03/2005
MM3331	10/04/2004	MMA - Billing Instructions for ADVATE rAHF-PFM on Medicare Claims Revised: 10/4/2004	3331	08/27/2004	07/25/2005	09/27/2004
MM3418	09/02/2004	MMA Drug Pricing Update – Payment Limits for J1000 (Depo-estradiol cypionate inj)	3418	08/27/2004	01/01/2004	09/27/2004
MM3433	09/02/2004	Use of Transmission Date in the Service Date Field for Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) Claims	3433	08/27/2004	10/01/2004	01/03/2005
MM3228	09/02/2004	MMA-Addition of Physician Assistants, Nurse Practitioners, and Clinical Nurse Specialists as Emergency On-Call Providers for Critical Access Hospitals	3228	08/27/2004	01/01/2005	01/03/2005
MM3419	09/02/2004	MMA Drug Pricing Update – Payment Limit forJ9045 (Carboplatin Injection) and J9310 (Rituximab Cancer Treatment)	3419	08/24/2004	04/01/2005	09/24/2004
MM3120	09/02/2004	Application of the Medicare Secondary Payer for the Working Aged Provision to Former Spouses and the Medicare Secondary Payer for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program	3120	08/27/2004	11/29/2004	11/29/2004
MM3410	09/01/2004	MMA - Use of Group Health Plan Payment System to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare Fee-For-Service Beneficiaries Under Section 721 of the MMA	3410	07/30/2004	01/01/2005	01/03/2005
MM3344	09/02/2004	Fiscal Intermediary 835 Flat File and Companion Document Change Revised: 9/2/2004	3344	07/23/2004	10/01/2005	01/03/2005
SE0449	09/21/2004	MMA - Physician Education for the Revisions to the Health Professional Shortage Area (HPSA) Bonus Payment Processes and Implementation of the Physician Scarcity Area (PSA) Bonus Payments Revised: 9/21/2004			01/01/2005
MM3415	08/26/2004	3rd Update to the 2004 Medicare Physician Fee Schedule Database	3415	08/13/2004	01/01/2004	10/04/2004
MM3394	09/02/2004	MMA-Ambulatory Surgical Center (ASC) Payment Rates and Wage Index Values Remain in Effect for Fiscal Year (FY) 2005	3394	08/27/2004	10/01/2004	10/01/2004
SE0452	09/02/2004	Use Condition Code 59 When an ESRD Beneficiary Receives Non-Scheduled or Emergency Dialysis Services at a Non-Primary ESRD Dialysis Facility
MM3364	08/23/2004	Patient Status Code 65 or Implementation of Patient Status Code 65, Discharged/Transferred to a Psychiatric Hospital or Psychiatric Distinct Part Unit of a Hospital	3364	07/23/2004	04/01/2004	01/03/2005
MM3399	08/23/2004	MMA-Further Information Related To CR3175, Distinct Part Units of Critical Access Hospitals (CAHs)	3399	08/13/2004	10/01/2004	01/03/2005
SE0406	08/23/2004	Clarification of Epoetin Alfa (EPO) Billing Procedures and Codes in ESRD Revised: 8/25/2004
MM3377	08/18/2004	October Quarterly Update for 2004 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule	3377	08/10/2004	01/01/2004	10/04/2004
MM3350	08/16/2004	October 2004 Quarterly Update of Home Health Common Procedure Coding System (HCPCS) Codes Used For Home Health Consolidated Billing Enforcement	3350	07/09/2004	10/01/2004	10/04/2004
MM3385	08/13/2004	MMA-Billing Requirements for Islet Cell Transplantation for Beneficiaries in a National Institutes of Health (NIH) Clinical Trial	3385	07/30/2004	10/01/2004	10/04/2004
SE0441	09/02/2004	"Incident to" Services Revised: 9/2/2004
MM3382	08/11/2004	Update to the Frequency of Billing	3382	08/03/2004	01/01/2005	01/03/2005
MM3384	08/11/2004	Autologous Blood-Derived Products for Chronic, Non-Healing Wounds	3384	07/30/2004	07/23/2004	07/23/2004
MM2813	08/18/2004	End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests Revised: 8/17/2004	2813	04/30/2004	07/01/2004	07/06/2004
MM3386	08/11/2004	Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index, and the Hospice Pricer for FY 2005	3386	07/30/2004	10/01/2004	10/04/2004
MM3395	08/05/2004	October 2004 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications Version 5.3	3395	07/30/2004	10/01/2004	10/04/2004
MM3301	09/27/2004	Coverage by Medicare Advantage Organizations for National Coverage Determination (NCD) Services Not Previously Included in Medicare Advantage&s Capitated Rates Revised: 9/27/2004			01/01/2005	01/03/2005
MM3396	08/05/2004	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)	3396	07/30/2004	10/01/2004	10/04/2004
MM3400	08/05/2004	Modification to Post-Payment Adjustment Process for Home Health Prospective Payment System (HH PPS) Claims Failing to Report Prior Inpatient Discharges	3400	07/30/2004	09/30/2003	01/03/2005
MM3389	08/05/2004	Revision of Common Working File (CWF) Editing for Same-Day, Same-Provider Acute Care Readmissions	3389	07/30/2004	01/01/2003	01/03/2005
MM3374	08/05/2004	Standardized Responses to Provider Inquiries Regarding the Negotiated National Coverage Determinations (NCDs) Edit Module	3374	07/23/2004	10/01/2003	10/04/2004
MM3343	08/03/2004	Change to Previous Transmittal Regarding the Discontinued Use of Revenue Code 0910	3343	07/23/2004	10/16/2003	10/04/2004
MM3332	08/03/2004	MMA -Shared Systems Changes for Medicare Part B Drugs for End Stage Renal Disease (ESRD) Independent Dialysis Facilities	3332	07/30/2004	01/01/2005	01/03/2005
MM3168	08/03/2004	Cryosurgery of the Prostate	3168	07/30/2004	01/01/2005	01/03/2005
MM3279	08/03/2004	Extension of Interrupted Stay Policy Under Long Term Care Hospital (LTCH) PPS	3279	07/23/2004	07/01/2004	01/03/2005
MM3235	08/03/2004	Indian Health Service (IHS) or Tribal Critical Access Hospital (CAH) Payment Methodology for Inpatient and Outpatient Services	3235	07/23/2004	01/03/2005	01/03/2005
MM3323	08/03/2004	Additional Clarification of Bill Types 22x and 23x Submitted by Skilled Nursing Facilities with Instruction for Involuntarily Moving a Beneficiary Out of the SNF and Ending a Benefit Period	3323	07/20/2004	08/19/2004	08/19/2004
SE0421	07/30/2004	OIG Alert About Charging Extra for Covered Services
SE0431	08/31/2004	Skilled Nursing Facility Consolidated Billing Revised: 8/31/2004
SE0432	08/03/2004	Skilled Nursing Facility Consolidated Billing as It Relates to Certain Types of Exceptionally Intensive Outpatient Hospital Services
SE0433	08/03/2004	Skilled Nursing Facility Consolidated Billing as It Relates to Ambulance Services
SE0434	08/03/2004	Skilled Nursing Facility Consolidated Billing and Erythropoietin (EPO, Epoetin Alfa) and Darbepoetin Alfa (Aranesp)
SE0435	08/03/2004	Skilled Nursing Facility Consolidated Billing as It Relates to Dialysis Coverage
SE0436	08/03/2004	Skilled Nursing Facility Consolidated Billing and Preventive/Screening Services
SE0437	08/03/2004	Skilled Nursing Facility Consolidated Billing as It Relates to Prosthetics and Orthotics
SE0438	09/02/2004	MMA-Medicare Prescription Drug, Improvement, and Modernization Act – Skilled Nursing Facility Consolidated Billing and Services of Rural Health Clinics and Federally Qualified Health Centers Revised: 9/2/2004			01/01/2005
SE0439	08/03/2004	Skilled Nursing Facility Consolidated Billing as It Relates to Clinical Social Workers
SE0440	08/03/2004	Skilled Nursing Facility Consolidated Billing as It Relates to Certain Diagnostic Tests Revised: 8/25/2004
MM3300	07/28/2004	2005 DMEPOS Pricing File Record Layout Expansion and New Pricing Procedures for Certain DMEPOS Items based on Modifiers.	3300	07/23/2004	01/01/2005	01/03/2005
MM3361	07/28/2004	Update of Health Care Claims Status Codes and Health Care Claims Status Category Codes for Use with the Health Care Claim Status Request and Response ASC X12N 276/277	3361	07/23/2004	01/01/2005	01/03/2005
MM3321	07/28/2004	Health Insurance Portability and Accountability Act (HIPAA) X12N 837 Institutional Health Care Claim Implementation Guide (IG) Additional Updates	3321	07/23/2004	01/01/2005	01/03/2005
MM3348	07/28/2004	October 2004 Quarterly Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used For Skilled Nursing Facility (SNF) Consolidated Billing Enforcement	3348	07/09/2004	10/01/2004	10/04/2004
MM3079	07/27/2004	CMS Manual System – Payment to Bank Revised: 7/27/2004	3079	06/25/2004	07/25/2004	07/25/2004
MM3334	07/26/2004	Medicare Inpatient Rehabilitation Facility Classification Requirements	3334	06/25/2004	07/01/2004	07/01/2004
MM3269	07/23/2004	MMA - Demonstration Project to Clarify the Definition of Homebound	3269	05/07/2004	10/01/2004	10/01/2004
SE0416	07/21/2004	Referral of Patients for X-rays by Chiropractors
MM3277	07/21/2004	Update to the Common Working File Edits for Skilled Nursing Facility (SNF) Consolidated Billing (CB) to Expand the Bypass for Pharmacy Services	3277	06/10/2004	10/04/2004	10/04/2004
MM3267	07/28/2004	MMA - Clarification for CR3064 - Medicare Secondary Payer (MSP) Policy for Hospital Reference Lab Services and Independent Reference Lab Services Revised: 7/28/2004	3267	07/16/2004	12/08/2003	08/16/2004
MM2951	07/21/2004	Chapter 5 – Financial Management Manual: Section 420 – Procedures for Re-issuance and Stale Dating of Medicare Checks	2951	07/16/2004	08/16/2004	08/16/2004
MM2617	09/21/2004	MSN Messages for Mammography Claims, Pub 100-04, Chapter 18, Section 20 and Chapter 21, Section 50 Revised: 9/21/2004	2617	06/25/2004	09/25/2004	09/25/2004
MM3335	07/15/2004	Long Term Care Hospital Prospective Payment System (LTCH PPS) Annual Update	3335	06/18/2004	07/01/2004	07/06/2004
MM3358	07/14/2004	Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2004	3358	07/09/2004	10/01/2004	10/04/2004
SE0443	08/18/2004	MMA - Medicare Replacement Drug Demonstration Revised: 8/16/2004
SE0424	07/07/2004	Clarification for Billing Left Ventricular Assist Devices	2378
SE0418	07/02/2004	Non-Physician Practitioner Questions and Answers
MM3312	07/07/2004	Drug Pricing Update—Payment Limits for J7308 (Levulan Kerastick) and J9395 (Faslodex)	3312	06/25/2004	01/01/2004	07/25/2004
MM3196b	07/02/2004	Change to the Skilled Nursing Facility Consolidated Billing Edits for Ambulance Transports to and from a Diagnostic or Therapeutic Site other than a Hospital   Revised: 07/01/2004	3196	04/30/2004	10/01/2004	10/04/2004
MM3322	06/30/2004	MMA - July 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS): Payment for Drugs, Biologicals, and Radiopharmaceuticals	3322	06/04/2004	07/01/2004	07/06/2004
MM3324	06/30/2004	MMA - July 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS)	3324	06/04/2004	07/01/2004	07/06/2004
MM3244	06/30/2004	Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 10.2, Effective July 1, 2004	3244	04/30/2004	07/01/2004	07/06/2004
SE0429	07/09/2004	Clarification of Change Request 2631 Revised: 7/9/2004	2631	08/01/2003
MM3281	06/28/2004	Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee	3281	06/10/2004	06/11/2004	07/11/2004
MM3336	06/28/2004	Bonus Payments for Services in Health Professional Shortage Areas (HPSAs)	3336	06/10/2004	07/01/2004	07/06/2004
MM3239	06/28/2004	End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests	3239	05/28/2004	10/01/2004	10/04/2004
MM3303	06/24/2004	Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)	3303	06/18/2004	10/01/2004	10/04/2004
MM3310	06/24/2004	Elimination of Regulations for Written Statement of Intent	3310	06/18/2004	05/24/2004	07/19/2004
MM3309	06/24/2004	MMA - 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) (MMA section 211(e))	3309	06/18/2004	01/01/2004	07/19/2004
MM3339	06/24/2004	NCD: Sensory Nerve Conduction Threshold Test (sNCTs)	3339	06/18/2004	04/01/2004	04/01/2004
MM3333	06/24/2004	Correction to CR 2944, Transmittal 90, Issued on February 6, 2004	3333	06/18/2004	07/01/2004	07/06/2004
MM2976	06/23/2004	Reminder to Providers to Supply Information to Medicare’s Comprehensive Error Rate Testing (CERT) Program	2976	02/27/2004	03/12/2004	03/12/2004
MM3338	06/21/2004	Revised Updated Skilled Nursing Facility NO PAY File for July 2004	3338	06/10/2004	07/01/2003	07/06/2004
MM3337	06/18/2004	Clarification for Medlearn Matters 3031: Medicare Need for a Specific Line Item Date of Service (LIDOS) for Each Revenue Code on ALL Outpatient and Inpatient Part B Claims	3337	06/10/2004	10/01/2003	10/04/2004
MM3226	10/15/2004	MMA - Nurse Practitioners as Attending Physicians in the Medicare Hospice Benefit Revised: 10/15/2004	3226	06/15/2004	12/08/2003	06/28/2004
MM3184	06/10/2004	Emergency Hospital Outpatient Billing of Epotein Alfa (EPO) and Darbepoetin Alfa (Aranesp)	3184	06/04/2004	01/01/2004	10/04/2004
MM3314	06/09/2004	July Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 5.2	3314	05/28/2004	07/01/2004	07/06/2004
MM3319	06/09/2004	July Update to the Medicare Outpatient Code Editor (OCE) Specifications Version 19.2 for Bills from Hospitals that are Not Paid Under the Outpatient Prospective Payment System	3319	05/28/2004	Various Dates See Instructions	07/06/2004
MM3284	06/07/2004	Reporting Medicare Secondary Payer Information on the Health Insurance Portability and Accountability Act of 1996 X12N 837, Created Via the Free Billing Software	3284	05/28/2004	10/01/2004	10/04/2004
MM3287	07/09/2004	MMA-Hospital Outpatient Billing and Payment under Outpatient Prospective Payment System for New Drugs or Biologicals After FDA Approval but Before Assignment of a Product-Specific Drug/Biological HCPCS Code Revised: 7/9/2004	3287	05/28/2004	01/01/2004	07/06/2004
MM3063	06/04/2004	New Requirements for Chiropractic Billing of Active/Corrective Treatment and Maintenance Therapy	3063	05/28/2004	10/01/2004	10/04/2004
MM3172	06/04/2004	Billing Requirements for Hyperbaric Oxygen Therapy for the Treatment of Diabetic Wounds of the Lower Extremities	3172	05/28/2004	04/01/2004	06/28/2004
MM3185	06/04/2004	Diabetes Self-Management Training Services	3185	05/28/2004	01/01/2004	06/28/2004
MM3295	06/04/2004	Skilled Nursing Facility Consolidated Billing L Codes – Durable Medical Equipment Regional Carrier and Fiscal Intermediaries	3295	05/28/2004	06/28/2004	06/28/2004
MM3252	06/04/2004	Updated Skilled Nursing Facility Help File Available for CY 2004	3252	05/28/2004	06/01/2004	06/28/2004
MM3264	06/03/2004	Health Insurance Portability and Accountability Act X12N 837 Health Care Claim Implementation Guide ICD-9 and Direct Data Entry Instruction	3264	05/14/2004	10/01/2004	10/04/2004
MM3248	05/26/2004	Skilled Nursing Facility Consolidated Billing: Services Furnished Under an "Arrangement" with an Outside Entity	3248	05/21/2004	04/01/2004	07/01/2004
MM3194	09/09/2004	Discontinued Use of Revenue Code 0910 Revised: 9/9/2004	3194	04/30/2004	10/01/2004	10/04/2004
MM3289	05/21/2004	Clarification to CR 3069 – New “K” Codes for Wheelchair Cushions	3289	05/14/2004	07/01/2004	07/06/2004
MM3283	05/21/2004	Use of Group Health Plan Payment System for Demonstrations Serving Medicare Fee-For-Service Beneficiaries	3283	05/14/2004	10/04/2004	10/04/2004
MM3286	05/20/2004	MMA - 2nd Update to the 2004 Medicare Physician Fee Schedule Database	3286	05/07/2004	01/01/2004	07/06/2004
SE0425	05/13/2004	Use of Group Health Plan Payment System for Medicare Disease Management Demonstration Serving Medicare Fee For Service Beneficiaries
MM3176	05/12/2004	Clarification of Billing for Separately Billable End Stage Renal Disease Drugs	3176	04/23/2004	10/01/2004	10/04/2004
MM3258	05/18/2004	Healthcare Common Procedure Coding System Corrections Involving 0040T and A9603	3258	05/07/2004	07/01/2004	07/06/2004
MM3253	05/12/2004	July Quarterly Update for 2004 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Fee Schedule	3253	05/07/2004	01/01/2004	07/06/2004
MM3227	05/12/2004	Remittance Advice Remark Code and Claim Adjustment Reason Code Update	3227	04/30/2004	06/01/2004	06/06/2004
MM3177	05/12/2004	Revised American National Standards Institute X12N 837 Professional Health Care Claim Companion Document	3177	04/23/2004	05/24/2004	05/24/2004
MM3291	05/10/2004	MMA - Section 511 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 Special Adjustment for Skilled Nursing Facility Prospective Payment System Rates for Acquired Immune Deficiency Syndrome	3291	04/30/2004	10/01/2004	10/04/2004
MM3200	05/07/2004	Clarification of payments and billing procedures for hospitals subject to the Maryland waiver.	3200	04/30/2004	10/01/2004	10/04/2004
MM3195	05/07/2004	National 1-800-MEDICARE (1-800-633-4227) Implementation (section 923(d) of MMA)	3195	04/30/2004	06/01/2004	06/01/2004
MM3214	05/06/2004	MMA - Changes in Determining Rural Status of Hospitals for Transitional Outpatient Payments for 2004	3214	04/16/2004	01/01/2004	See Article
MM3141	05/06/2004	Durable Medical Equipment Regional Carriers and VIPS, Processing National Drug Code Numbers	3141	02/20/2004	04/01/2004	04/05/2004
MM3192	05/06/2004	MMA – Payment for Chemotherapy Administration Services, Nonchemotherapy Drug Infusion Services, and Drug Injection Services	3192	02/23/2004	01/01/2004	05/24/2004
MM3082	05/06/2004	MMA - Changes in Payment for Services Furnished in Ambulatory Surgical Centers (ASCs) for Fiscal Year 2004	3082	02/06/2004	04/01/2004	04/05/2004
SE0417	05/04/2004	Centers for Medicare & Medicaid Services (CMS) Working to Improve Provider Enrollment Process
SE0419	05/01/2004	MMA - CMS to Increase Payments to Hospitals Reclassified Under Medicare Reform Law			04/01/2004
MM3187	05/01/2004	Emergency Correction Regarding Correction to Healthcare Common Procedure Coding System (HCPCS) Codes for Low-Osmolar Contrast Material	3187	04/23/2004	01/01/2004	05/24/2004
MM3183	04/30/2004	New Condition Code for ESRD Facilities and Patient Status Code Changes	3183	04/23/2004	10/01/2004	10/04/2004
MM3175	04/30/2004	MMA – Critical Access Hospital Distinct Part Units	3175	04/23/2004	10/01/2004	10/04/2004
SE0422	04/30/2004	MMA-New Medicare-Approved Drug Discount Cards and Transitional Assistance Program: A Summary for Physicians and Other Health Care Professionals
SE0420	04/30/2004	MMA- Section 937 - Correction of Minor Errors and Omissions Without Appeals
SE0423	04/30/2004	MMA-New Medicare-Approved Drug Discount Cards and Transitional Assistance Program: A Summary for Pharmacists and Other Pharmacy Professionals
MM3134	04/30/2004	Arrangements for Physical, Occupational, and Speech-Language Pathology Services	3134	04/23/2004	05/24/2004	05/24/2004
MM3138	04/30/2004	Incident-to-Services	3138	04/23/2004	05/24/2004	05/24/2004
SE0415	04/29/2004	Reminder to Stop Duplicate Billings
MM3240	04/28/2004	Hospital Concerns Regarding Changing of Patient Status Code Due to Common Working File Edit 7272	3240	04/16/2004	01/01/2004	05/23/2004
MM3188	04/28/2004	Update to the Healthcare Provider Taxonomy Codes (HPTCs) Version 4.0	3188	04/16/2004	05/17/2004	05/17/2004
MM3250	04/28/2004	Manualization NCD: Acupuncture for Fibromyalgia/Osteoarthritis	3250	04/16/2004	04/16/2004	04/16/2004
MM3128	04/28/2004	First Update to the 2004 Medicare Physician Fee Schedule Database	3128	02/20/2004	01/01/2004	04/05/2004
MM3149	04/28/2004	Electrical Stimulation and Electromagnetic Therapy for the Treatment of Wounds	3149	03/19/2004	07/01/2004	07/06/2004
MM3218	04/20/2004	The Consolidation of the Claims Crossover Process: Smaller-Scale Initial Implementation	3218	04/09/2004	07/01/2004	07/06/2004
SE0410	04/20/2004	Medicare Resources for Researching Inpatient Discharges within 14 Days of a Home Health Admission
SE0414	04/16/2004	Medicare Providers: Their Vendors, Clearinghouses, or Other Third-Party Billers and the HIPAA/Medicare Contingency Plan
MM3087	04/13/2004	Manualization of POS Code Set Program Memorandum; Revision to Group Home Code Description	3087	03/19/2004	04/01/2004
MM3191	04/13/2004	Ocular Photodynamic Therapy (OPT) with Verteporfin for Age-Related Macular Degeneration (AMD)n	3191	04/01/2004	04/01/2004	04/01/2004
MM3197	04/12/2004	Transmittal 49 Implementation Date Extension	3197	04/02/2004	07/01/2003	07/06/2004
MM3036	04/07/2004	MMA-Clarifications to Certain Exceptions to Medicare Limits on Physician Referrals	3036	03/19/2004	12/08/2003	04/02/2004
MM3090	04/05/2004	Adjudication of Reference Laboratory Service Claims	3090	02/06/2004	07/01/2004	07/06/2004
MM3158	04/05/2004	MMA-- Implementation of Sections 401, 402, 504 and 508(a) of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 (MMA)	3158	03/26/2004	04/01/2004	04/05/2004
MM3154	04/05/2004	MMA - April 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS)	3154	03/30/2004	04/01/2004	04/05/2004
MM3153	04/05/2004	MMA - New Payment Allowance Percentages for DMERC Drugs	3153	03/26/2004	01/01/2004	03/26/2004
SE0413	04/01/2004	Temporary Hold of Outpatient Claims Subject to the Outpatient Prospective Payment System (OPPS) in April 2004			04/01/2004	04/01/2004
MM3139	03/31/2004	2004 Jurisdiction List	3139	03/26/2004	05/26/2004	05/26/2004
MM2726	03/31/2004	Updated Policy and Claims Processing Instructions for Ambulatory Blood Pressure Monitoring (ABPM)	2726	03/19/2004	01/01/2004	04/05/2004
MM3145	03/31/2004	MMA - Claims Requiring Adjustment as a Result of April 2004 Changes to the Outpatient Prospective Payment System (OPPS)	3145	02/27/2004	01/01/2004	04/05/2004
MM3130	03/31/2004	MMA - Outpatient Clinical Laboratory Tests Furnished by Hospitals with Fewer Than 50 Beds in Qualified Rural Areas	3130	02/13/2004	07/01/2004	07/06/2004
SE0411	03/31/2004	Temporary Hold of Inpatient Claims in April 2004			04/01/2004	04/01/2004
MM3170	03/30/2004	April Outpatient Code Editor (OCE) Specifications Version 5.1 Used in OPPS	3170	03/19/2004	04/01/2004	04/05/2004
MM2988	08/31/2004	NCD: Current Perception Threshold/Sensory Nerve Conduction Threshold Test (sNCT) Revised: 8/31/2004	2988	03/19/2004	04/01/2004	04/01/2004
MM3155	08/31/2004	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 (OPPS) Revised: 8/31/2004	3155	03/19/2004	01/01/2003	04/05/2004
MM2984	03/25/2004	Frequency Limitations for Darbepoetin Alfa (trade name Aranesp) for Treatment of Anemia in End Stage Renal Disease (ESRD) Patients on Dialysis	2984	03/05/2004	04/01/2004	04/05/2004
MM3161	03/24/2004	MMA Drug Pricing UpdateDrug Exceptions	3161	03/15/2004	04/01/2004	04/05/2004
MM3144	03/19/2004	MMA - April 2004 Changes to the Hospital Outpatient Prospective Payment System (OPPS): Payment for Drugs, Biologicals and Radiopharmaceuticals, Generic versus Brand Name	3144	02/27/2004	01/01/2004	04/05/2004
MM3085	03/16/2004	MMA - 1) 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) 2) Change of HH PPS Annual Update from a Fiscal Year Update to a Calendar Year Update 3) Adjustment of HH PPS Annual Update to the Home Health Market Basket Percentage Increase Minus 0.8 Percent	3085	02/20/2004	04/01/2004	04/01/2004
MM3031	08/31/2004	Health Insurance Portability and Accountability Act (HIPAA) X12N 837 Health Care Claim Implementation Guide (IG) Editing Additional Instruction Revised: 8/31/2004	3031	02/24/2004	07/01/2004	07/06/2004
MM3053	03/20/2004	Emergency Correction to Healthcare Common Procedure Coding System (HCPCS) Codes for Low-Osmolar Contrast Material	3053	01/23/2004	04/01/2004	04/05/2004
MM3078	03/05/2004	MMA-New Requirements for End Stage Renal Disease (ESRD) Drug Payments	3078	02/27/2004	01/01/2004	03/29/2004
MM3119	03/05/2004	MMA-Restoring Composite Rate Exceptions for Pediatric Facilities Under the End Stage Renal Disease (ESRD) Composite Rate System	3119	02/20/2004	03/01/2004	04/01/2004
MM3109	03/05/2004	Consolidation of the Claims Crossover Process: Additional Common Working File (CWF) Functionality	3109	02/06/2004	07/01/2004	07/06/2004
MM2981	03/01/2004	Modification of CMS Medicare Contingency Plan for HIPAA Implementation	2981	02/27/2004	07/01/2004	07/06/2004
MM2934	03/01/2004	Expansion of Transfer Policy Under Inpatient Prospective Payment System	2934	02/06/2004	07/01/2004	07/06/2004
SE0401	02/05/2004	Announcing the New Medlearn MattersInformation for Medicare Providers Educational Resource for Medicare Providers		02/05/2004	02/05/2004	02/05/2004
MM2928	01/16/2004	Payment Safeguards for Home Health Prospective Payment System Claims Failing to Report Prior Hospitalizations Correctly	2928	10/24/2003	04/01/2004	04/01/2004
MM2969	01/16/2004	2004 Deductible and Coinsurance Amounts for Part A Services	2969	10/31/2003	01/01/2004	01/05/2004
MM3009	02/03/2004	2004 Medicare Physician Fee Schedule Increase and Extension of the Annual Participation Enrollment Period	3009	12/10/2003	01/01/2004	01/05/2004
SE0402	02/03/2004	Treatment of Certain Dental Claims as a Result of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003			02/08/2004	02/08/2004
SE0403	02/03/2004	Reminder of the Required Three-day Hospital Stay for SNF Admissions
MM3013	02/03/2004	MMA-Emergency Correction Needed Due to the Freeze of the DMEPOS and Clinical Laboratory Fee Schedules	3013	12/19/2003	01/01/2004	01/05/2004
MM3015	08/31/2004	MMA-Changes in Transitional Outpatient Payment (TOP) for 2004 Revised: 8/31/2004	3015	12/19/2003	01/01/2004	01/01/2004
MM2292	02/03/2004	Procedures for Non-MSP Overpayments with Original Balances Less than $10.00	2292	08/08/2003	01/01/2004	01/01/2004
MM3022	02/03/2004	MMA - New Basis for Medicare Drug Payment Amounts Under Part B	3022	12/24/2003	01/01/2004	01/05/2004
MM3025	02/03/2004	MMA - New Basis for Medicare Payment Amounts for DMERC Drugs	3025	12/24/2003	01/01/2004	01/01/2004
MM2927	02/04/2004	Correction of Payments to Terminated Home Health Agencies	2927	10/31/2003	04/01/2004	04/05/2004
MM3051	02/04/2004	MMA-Special Rules for Critical Access Hospital (CAH) Outpatient Billing	3051	01/16/2004	01/01/2004	04/01/2004
MM3052	02/06/2004	MMA Additional Rules for Critical Access Hospitals Established by the Medicare Prescription Drug Improvement and Modernization Act (MMA) of 2003, PL 108-173	3052	01/16/2004	01/01/2004	04/05/2004
MM3060	02/10/2004	MMA-Intravenous Immune Globulin	3060	01/30/2004	01/01/2004	04/05/2004
MM2944	08/31/2004	Implementation of Skilled Nursing Facility Claim Edits for Therapy Codes Considered Separately Payable Physician Services Revised: 8/31/2004	2944	02/06/2004	07/01/2004	07/06/2004
MM3050	02/10/2004	Health Insurance Portability and Accountability Act (HIPAA) X12N 837 Professional Health Care Claim Implementation Guide (IG) Editing	3050	02/06/2004	07/01/2004	07/06/2004
MM3094	02/10/2004	Elimination of the 90-day Grace Period for Billing Discontinued ICD-9-CM Codes	3094	02/06/2004	10/01/2004	10/01/2004
MM2963	02/13/2004	Change in Coding on Medicare Claims for Darbepoetin Alfa (Aranesp) and Epoetin Alfa (Epogen, EPO) For Treatment of Anemia in End Stage Renal Disease (ESRD) Patients on Dialysis	2963	10/31/2004	01/01/2004	10/05/2004
MM3095	02/13/2004	Additional Guidelines for Implementing the National Council for Prescription Drug Program (NCPDP) Standards under HIPAA	3095	02/06/2004	07/01/2004	07/06/2004
MM3105	03/10/2004	MMA - Pricing File Clarifications	3105	01/30/2004	01/30/2004	01/30/2004
MM2620	10/04/2004	MMA-Implementation of New Medicare Redetermination Notice Revised: 10/4/2004	2620	02/06/2004	10/01/2004	07/06/2004
MM3007	02/25/2004	2004 Update to the Hospital Outpatient Prospective Payment System	3007	12/19/2003	01/01/2004	01/05/2004
MM3098	02/25/2004	MMA-Additional Information in Medicare Summary Notices (MSNs) to Beneficiaries about Skilled Nursing Facility (SNF) Benefits	3098	02/06/2004	07/01/2004	07/06/2004
MM3108	02/26/2004	Medicare Incentive Payments for Physician Care in Underserved Areas	3108	02/06/2004	07/01/2004	07/06/2004
MM3114	02/26/2004	MMA-Changes to Rules for Receiving Optional Payment Method for Outpatient Services	3114	02/20/2004	07/01/2004	07/06/2004
MM2874	02/27/2004	Extending Medicare Coverage for Certain Colorectal Cancer Screenings at Skilled Nursing Facilities (SNFs)(posted date: 02/27/2004)	2874	02/06/2004	07/01/2004	07/06/2004
MM3099	07/14/2004	MMA-Implementation of Section 414 of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 Revised: 7/13/2004	3099	02/06/2004	07/01/2004	07/05/2004
SE0408	03/11/2004	Modification of Requirements in CR2716, CWF Edits to Ensure Accurate Coding and Payments for Discharge and/or Transfer Policies			01/01/2004	03/15/2004
MM3069	02/28/2004	New K Codes for Wheelchair Cushions	3069	02/06/2004	07/01/2004	07/06/2004
MM3071	03/19/2004	MMA-Changes to the FY 2004 Graduate Medical Education (GME) Payments as Required by the Medicare Modernization Act of 2003 (MMA), P.L. 108-173	3071	03/12/2004	10/01/2003	01/01/2004
MM3083	03/17/2004	Payment for Services Provided Under a Contractual Arrangement	3083	02/27/2004	12/08/2003	03/12/2004
MM3064	03/05/2004	MMA-Medicare Secondary Payer (MSP) Policy for Hospital Reference Lab services and Independent Reference Lab Services	3064	02/27/2004	12/08/2003	03/29/2004
MM2554	02/03/2004	Levocarnitine for Use in the Treatment of Carnitine Deficiency in ESRD Patients	2554	08/03/2003	01/01/2003	01/01/2003
MM2982	01/15/2004	Coding and Billing Instructions for VelcadeTM for Injection	2982	11/28/2003	10/01/2003	01/01/2004
MM2993	02/03/2004	One-time Instructions for Home Health Cost Reporting Processes to Accommodate Claims Processing Error	2993	01/02/2004	10/01/2002
MM3005	01/15/2004	Renewed Moratorium on Outpatient Rehabilitation Therapy Caps (post date: 1/15/2004)	3005	12/08/2003	12/08/2003	12/08/2003
MM3016	01/15/2004	MMA-Private Contract Manual Change to include Dentists, Podiatrists, and Optometrists in the Definition/List of Physicians Who Can Opt Out of Medicare	3016	01/02/2004	12/08/2003	01/16/2004
SE0302	01/15/2004	Medicare Payments for Part B Mental Health Services
SE0303	01/15/2004	Quarterly Provider Update
SE0304	01/15/2004	Financial Limitation of Claims for Outpatient Rehabilitation Services
SE0305	01/15/2004	Provider Education Article: National Participating Physician Directory
SE0306	01/15/2004	Establishing New Requirements for ICD-9-CM Coding on Claims	2725	06/06/2003	10/01/2003	10/01/2003
SE0307	01/15/2004	Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment	2562	05/05/2003	10/01/2003	10/01/2003
SE0308	01/15/2004	National Coverage Determination Implantable Automatic Defibrillators	2880	08/22/2003	10/01/2003	10/01/2003
SE0309	01/15/2004	Guidelines for Skilled Nursing Facility (SNF) Consolidated Billing	2707	05/09/2003
SE0310	01/15/2004	Provider Education Article on Therapy Caps: Billing Guidelines for Outpatient Rehabilitation Services	2821	08/25/2003	07/01/2003	09/01/2003
SE0311	01/15/2004	Pneumococcal Vaccine Payment increase Effective October 1, 2003			10/01/2003
SE0312	01/15/2004	New Diagnosis Code for Influenza Virus Vaccine Claims
SE0313	01/15/2004	Ventricular Assist Devices (VADs) for Destination Therapy	2958	10/17/2003	10/01/2003	10/01/2003
MM3068	02/04/2004	Coding Change for Ventricular Assist Devices (VADs) for Beneficiaries in a Medicare+Choice (M+C) Plan	3068	01/16/2003	10/01/2003	02/16/2004
MM2966	02/13/2004	New Instructions for the Mandatory Electronic Submission of Medicare Claims	2966	12/19/2003	10/16/2003	01/20/2004
MM2979	02/13/2004	Payment to Ambulatory Surgical Centers (ASCs) for G0260 and to Physicians for 27096 when 27096 is Performed in an ASC	2979	01/16/2004	07/01/2003	02/02/2004
MM3093	02/12/2004	Elimination of the 90-day Grace Period for HCPCS Codes	3093	02/06/2004	01/01/2005	07/06/2004
MM3121	03/16/2004	MMA - New Part B Annual Deductible	3121	03/12/2005	01/01/2005	01/03/2005
SE0405	03/24/2004	Reminder: Hospital Discounts Permitted for Indigent, Uninsured, and Underinsured Patients