Medicare Drug Program Transmittals

Medicare Drug Program Transmittals

The following transmittals are specific to Medicare Drugs, but the list may not include all instructions for which providers/suppliers are responsible. For a list of all instructions, view all current Program Transmittals.

File	CR #	Release Date	Subject	Article #
R303CP.pdf 1Mb	CR3417	09/24/2004	Instructions for Completion of Form CMS-1450	MM3417 2Mb
R54FM.pdf 74Kb	CR3441	09/24/2004	Notification to Providers of Intent to Complete a Post-Payment Audit
R113OTN.pdf 398Mb	CR3376	09/10/2004	Implementation of Section 921 of the Medicare Modernization Act - Provider Customer Service Program
R290CP.pdf 132Kb	CR3420	08/27/2004	October 2004 Update of the Hospital Outpatient PPS
R110OTN.pdf 30Kb	CR3418	08/27/2004	MMA Drug Pricing Update-Payment Limits for J1000
R109OTN.pdf 32Kb	CR3331	08/27/2004	CWF Analysis to Process Claims Per the Renovated Override Code Billing Instructions for ADVACT RAHF-PFM on Medicare Claims
R106OTN.pdf 75Kb	CR3419	08/24/2004	MMA Drug Pricing Update - Payment Limits for J9045 and J9310
R269CP.pdf 66Kb	CR3231	08/03/2004	Number of Drug Pricing Files That Must be Maintained Online for Medicare
R257CP.pdf 32Kb	CR3332	07/30/2004	Shared Systems Changes for Medicare Part B Drugs for ESRD Independent Dialysis Facilities	MM3332 329Kb
R248CP.pdf 144Kb	CR3232	07/23/2004	DMERC/Local Carriers/SADMERC - Drug Pricing Limits as of January 1, 2005
R244CP.pdf 14Kb	CR3231	07/23/2004	Number of Drug Pricing Files that must be Maintained Online for Medicare
R241CP.pdf 215Kb	CR3288	07/23/2004	Processing of Part B claims for Indian Health Services
R90OTN.pdf 59Kb	CR3312	06/25/2004	MMA Drug Pricing Update-Payment Limit for J7308 (Levulan Kerastick) and J9395 (Faslodex)	MM3312 327Kb
R188CP.pdf 78Kb	CR3287	05/28/2004	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	MM3287 227Kb
R185CP.pdf 72Kb	CR3212	05/28/2004	Change to the Common Working File SNF Consolidated Billing Edits for Drugs and Electrocardiogram Testing Provided During and Ambulance Transport
R6COM.pdf 319Kb	CR3179	05/21/2004	Provider/Supplier Communications - Revisions and Additions to Existing Contractor Requirements
R81OTN.pdf 284Kb	CR3157	05/14/2004	Requirement for Carriers, DMERCs, FIS and Full PSC to Encourage Providers to Submit Medical Records to the Comprehensive Error Rate Testing Contractor for Use in the November 2004 Improper Medicare Fee-for-Service Payments Report
R147CP.pdf 81Kb	CR3192	04/23/2004	Payment for Chemotherapy Administration Services, Non-Chemotherapy Drug Infusion Services and Drug Injection Services
R146CP.pdf 104Kb	CR3176	04/23/2004	Clarification of Billing for Separately Billable ESRD Drugs	MM3176 255Kb
R136CP.pdf 294Kb	CR3169	04/09/2004	Addition of Two "WW" Codes to Identify Xeloda
R70PI.pdf 360Kb	CR3136	04/09/2004	New Requirements for Self-Administered Drug Exclusion List Articles in the Medicare Coverage Database
R67OTN.pdf 344Kb	CR3157	04/02/2004	Requirement for Carriers, DMERCs, FIs, and Full PSCs to Encourage Providers to Submit Medical Records to the CERT Contractor for Use in the November 2004 Improper Medicare-Fee-For Service Payments Report
R9NCD.pdf 423Kb	CR3191	04/01/2004	NCD- Ocular Photodynamic Therapy with Verteporfin for Age-Related Macular Degeneration	MM3191 277Kb
R131CP.pdf 330Kb	CR3153	03/26/2004	New Payment Allowance Percentages for DMERC Drugs	MM3153 212Kb
R119CP.pdf 187Kb	CR3161	03/15/2004	MMA Drug Pricing Update - Drug Exceptions	MM3161 216Kb�
R4COM.pdf 879Kb	CR3118	03/05/2004	Revisions and Additions to Existing Contractor Requirements
R8BP.pdf 213Kb	CR2984	03/05/2004	Policy Changes to Reflect Billing for Darbepoetin Alfa and Epoetin	MM2984 240Kb�
R118CP.pdf 559Kb	CR2984	03/05/2004	Frequency Limitations for Darbepoetin Alfa For Treatment of Anemia in End Stage Renal Disease (ESRD) Patients On Dialysis	�
R110CP.pdf 241Kb	CR3078	02/27/2004	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.	MM3078 257Kb�
R48OTN.pdf 172Kb	CR2863	01/30/2004	Transfer of "WW" Codes for Oral Anti-Cancer Drugs Billed Using National Drug Codes on DMERC Claims	�
R75CP.pdf 346Kb	CR3105	01/30/2004	MMA Pricing File Clarifications	MM3105 257Kb
R6BP.pdf 270Kb	CR3059	01/23/2004	The Medicare Prescription Drug, Improvement, and Modernization Act of 2003, as of January 1, 2004, covers intravenous immune globulin in the home for the treatment of primary immune deficiency diseases.	�
R74CP.pdf 258Kb	CR3060	01/23/2004	The Medicare Prescription Drug, Improvement, and Modernization Act of 2003, as of January 1, 2004, covers intravenous immune globulin in the home for the treatment of primary immune deficiency diseases.	MM3060 457Kb
R54CP.pdf 486Kb	CR3022	12/24/2003	New Basis for Medicare Drug Payment Amounts Under Part B - Amendment of Instructions Specified in Transmittal AB-02-174	MM3022 378Kb
R55CP.pdf 369Kb	CR3025	12/24/2003	New Basis for Medicare Drug Payment Amounts for DMERC	MM3025 367Kb
R22OTN.pdf 181Kb	CR2590	11/21/2003	Clarification to Transmittal B-03-059 - Minimum Number of Pricing Files that must be maintained Online for Medicare Single Drug Pricer (SDP)	�

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Last Modified on Wednesday, September 29, 2004

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Medicare Drug Program Transmittals