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  Professionals   Governments   Consumers   Public Affairs

The CMS Quarterly Provider Update
October 2004


Home Health Agencies



REGULATIONS


    Regulations Published Last Quarter

    Regulations Published This Quarter

    Regulations Under Development This Quarter

INSTRUCTIONS


To view the entire Adobe Acrobat (PDF) version of an instruction, click on the transmittal number.
The size of each file is given below the transmittal number.


*  If you do not have Adobe Acrobat Reader, refer to the disclaimer at the bottom of this page.

Medicare General Information, Eligibility, and Entitlement Manual (Pub. 100-01)


TRANSMITTAL
NUMBER
SUBJECT IMPLEMENTATION
DATE
3
(PDF - 319 KB)
New Part B Annual Deductible 01/03/2005

Medicare Claims Processing Manual (Pub. 100-04)


TRANSMITTAL
NUMBER
SUBJECT IMPLEMENTATION
DATE
236
(PDF - 100 KB)
2005 DMEPOS PRICING File Layout 01/03/2005
237
(PDF - 57 KB)
Payment Status Code 65 01/03/2005
238
(PDF - 74 KB)
HIPAA XI2 B37 837 Institutional Health Care Implementation Guide 01/03/2005
256
(PDF - 29 KB)
Use of Group Health Plan Payment system to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare FF 01/03/2005
259
(PDF - 38 KB)
Scheduled Release for October Updates to Software Programs and Pricing/Coding Files 01/03/2005
301
(PDF - 209 KB)
Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services 01/03/2005
313
(PDF - 163 KB)
Remittance Advice Remark Code and Claim Adjustment Reason Code Update 01/03/05

One-Time Notification (Pub. 100-20)


TRANSMITTAL
NUMBER
SUBJECT IMPLEMENTATION
DATE
113
(PDF - 389 KB)
Implementation of Section 921 of the MMA - Provider Customer Service Program 01/05/2005

Demonstrations (Pub. 100-19)


TRANSMITTAL
NUMBER
SUBJECT IMPLEMENTATION
DATE
6
(PDF - 71 KB)
Demonstration to Clarify the Definition of Homebound 03/05/2005

MANUALIZATIONS/CORRECTIONS/CLARIFICATIONS


Medicare General Information, Eligibility, and Entitlement Manual (Pub. 100-01)


TRANSMITTAL
NUMBER
SUBJECT IMPLEMENTATION
DATE
10
(PDF - 164 KB)
Update to Medicare Deductible, Coinsurance, and Premium Rates for Calendar Year 2005 03/05/2005

Medicare National Coverage Determinations Manual(Pub. 100-03)


TRANSMITTAL
NUMBER
SUBJECT IMPLEMENTATION
DATE
23
(PDF - 56 KB)
Treatment of Obesity 10/01/2004
25
(PDF - 45 MB)
Percutaneous Transluminal Angioplasty (PTA) 01/12/2005

Medicare Claims Processing Manual (Pub. 100-04)


TRANSMITTAL
NUMBER
SUBJECT IMPLEMENTATION
DATE
252
(PDF - 72 KB)
FI 835 Flat File and Companion Document Change 01/03/2005
303
(PDF - 1378 KB)
Instructions for Completion of Form CMS-1450 01/05/2005
306
(PDF - 122 KB)
Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database. 10/04/2004
311
(PDF - 2 MB)
Instructions for Completion of Form CMS-1450 01/05/2004
314
(PDF - 119 KB)
Percutaneous Transluminal Angioplasty (PTA) 01/12/2005

Demonstrations (Pub. 100-19)


TRANSMITTAL
NUMBER
SUBJECT IMPLEMENTATION
DATE
5
(PDF - 85 KB)
Use of Group Health Plan Payment System to Payy Capitated Payments to Non-Health Plan Demonstrations/Programs Serving Medicare 03/05/2005

One-Time Notification (Pub. 100-20)


TRANSMITTAL
NUMBER
SUBJECT IMPLEMENTATION
DATE
100
(PDF - 9 KB)
Carrier 835 Flat File Change & Replacement of Deqctivated Reason Code A2 03/05/2005
114
(PDF - 72 KB)
Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT 10/01/2004


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