The CMS Quarterly Provider Update
October 2004
Mid-Quarter Instructions
Listed below are instructions for the October Quarter that will not be released by October 1, 2004. Due to the nature of these routine or recurring items, a full 90-day advance notice could not be given. Unless noted below, these instructions have an implementation date of January 1, 2005.
To view the entire Adobe Acrobat (PDF) version of a released instruction, click on the subject. The size of each file is given after the transmittal number. * If you do not have Adobe Acrobat Reader, refer to the disclaimer at the bottom of this page. |
SUBJECT |
DATE RELEASED |
|---|---|
| Remittance Advice Remark Code and Claim Adjustment Reason Code Update Transmittal 313, Medicare Claims Processing Manual (PDF - 163 KB) |
Released: 10/15/2004 Impl. Date: 01/03/2004 |
| Payment Allowances for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine(CPT Transmittal 114, One-Time Notification Manual (PDF - 72 KB) |
Released: 10/04/2004 Impl. Date: 10/01/2004 |
| 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 Transmittal 309, Medicare Claims Processing Manual (PDF - 229 KB) |
Released: 10/01/2004 Impl. Date: 10/04/2004 |
| Managed Care Manual Updates | Not yet released |
| FDG-PET for 6 Cancers | Not yet released |
| Annual DMEPOS Fee Schedule Update | Not yet released |
| Annual Lab Pricing Fee Schedule Carrier/FI | Not yet released |
| Annual Reasonable Charge Update-Ambulance Services, Certain DME Supplies & Blood Supplies/Transfusions | Not yet released |
| Physician Fee Schedule Database Quarterly Update | Not yet released |
| Physician Participation Enrollment (PARDOC) Annual Update | Not yet released |
| Hospital Outpatient PPS - Annual Update: Outpatient PPS, OCE, and PRICER Instructions | Not yet released |
| Type of Service Annual Update | Not yet released |
| Update Medicare Co-pay and Deductible Amounts | Not yet released |
| Changes to the Laboratory National Coverage Determination Edit Software for January 2005 | Not yet released |
| Update of Codes and Payments for ASCs-Annual Update | Not yet released |
| Annual Update for SNF No Pay File & SNF Abstract of the MPFS | Not yet released |
| Annual Update for SNF Consolidated Billing | Not yet released |
| Home Health Consolidated Billing HCPCS Code -Annual Update | Not yet released |
| PECOS Fixes | Not yet released |
| CWF Provider Inquiry Screen-Update to "H" Number Table | Not yet released |
| HH PPS Rate-Annual Update | Not yet released |
| New ZIP Code File | Not yet released |
| Update to List of CLIA Waived Tests | Not yet released |
| Update to Claims Status Code | Not yet released |
| Remittance Advice Reason and Remark Code | Not yet released |
| Correct Coding Initiative (CCI) Edits | Not yet released |
| Payment of Immunosuppressive Drug Therapy | Not yet released |
| Medicare Termination of Beneficiaries with End Stage Renal Disease (ESRD) Overpayment Instructions to Contractors | Not yet released |
| Temporary Instructions for Processing Home Health Agency Claims for Beneficiaries Eligible for Medicare and the Uniformed Services Family Health Plan. | Not yet released |
| Upcoding/Downcoding | Not yet released |
| Revisions to Instructions for Contractors Other Than the Religious Nonmedical Health Care Institutions (RNHCI) Specialty Contractor Regarding Claims for Beneficiaries with RNHCI Elections | Not yet released |
| Clarification of Contractor Enrollment Procedures for Purchased Diagnostic Tests and Procedures | Not yet released |
| New Requirements for Low Vision Rehabilitation Demonstration | Not yet released |
| Medicare Claims Processing Manual, Chapter 30 Edits | Not yet released |
| Psychotherapy Notes | Not yet released |
| Remittance Advice Remark Code and Claims Adjustment Reason Code Update | Not yet released |
| Reminder Notice of the Implementation of Ambulance Transition Schedule | Not yet released |
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Return to The October 2004 CMS Quarterly Provider Update Table of Contents
Centers for Medicare & Medicaid Services