Search Frequenty Asked Questions

Medicare & Medicaid
2000 Program Memos | 2000 Program Transmittals

These issuance's are official agency transmittals used for communicating reminder items, request for action or information of a one time only, non-recurring nature. To sort the Table of Contents, click your mouse on any column heading. To reverse the order of the sort, click on the sort order icon ( or ).

Table of Contents

FILE	COMM DATE	SUBJECT	IMPL DATE	CR NUM
AB-00-134	12/29/2000	Cervical or Vaginal Smear Tests (Pap Smears) in Calendar Year (CY) 2001 Clinical Diagnostic Laboratory Fee Schedule	1/1/2001	1479
A-00-102	12/29/2000	Hospital Outpatient Prospective Payment System Pass-Through Payment Corrections for Two Radiopharmaceuticals	1/1/2001	1496
AB-00-133	12/28/2000	Coordination With Provider Education Program Safeguard Contractor	12/26/2000	1428
A-00-101	12/28/2000	Medicare Outpatient Code Editor (OCE) Version 16.1	1/1/2001	1465
AB-00-132	12/27/2000	Clarification Regarding Release of Medicare Eligibility Data	N/A	1494
AB-00-131	12/22/2000	Clarifications to Implementation of the Ambulance Fee Schedule	1/1/2001	1476
A-00-100	12/22/2000	Conversion to the UB-92 Version 6.0 and Continued Use of Version 5.0—ACTION	12/22/2000	1478
AB-00-130	12/22/2000	Intestinal Transplantation	4/1/2001	1436
A-00-99	12/22/2000	Medicare Contractor Use of the Regional Home Health Intermediary (RHHI) Outcomes and Assessment Information Set Verification Protocol for Review of Home Health Agency (HHA) Prospective Payment Bills	N/A	1453
B-00-76	12/22/2000	Revised 2001 Anesthesia Conversion Factors -- ACTION	1/1/2001	1477
B-00-74	12/21/2000	Claims Processing Instructions for Carriers To Make Available Claims and Medical Records for a PSC Task Order Request for Medical Record Review	12/21/2000	1433
B-00-75	12/21/2000	Emergency Changes to the 2001 Medicare Physician Fee Schedule Database	1/1/2001	1470
A-00-98	12/21/2000	Reporting of Outpatient Prospective Payment System (OPPS) and Home Health Prospective Payment System (HH PPS) Data in Provider Remittance Advice Transactions	12/1/2000	1430
AB-00-128	12/20/2000	Extension of the Limitation on Payment for Services to Individuals Entitled to Benefits on the Basis of End Stage Renal Disease (ESRD) Who Are Covered by Group Health Plans (GHPs)	N/A	817
AB00127	12/20/2000	Reimbursement for Ambulance Services to Nonhospital-Based Dialysis Facilities	N/A	868
AB-00-129	12/19/2000	COB Contractor Fact Sheet for Providers	12/31/2000	1460
A-00-97	12/19/2000	Partial Implementation of Change Request 1119	12/19/2000	1396
B-00-73	12/18/2000	CCI Edits Correction: Influenza (G0008), Pneumococcal (G0009), and Hepatitis B (G0010) Vaccine Codes	12/18/2000	1459
AB-00-125	12/15/2000	Accelerated Referral of Non-MSP Delinquent Debts (Active and Currently Not Collectible (CNC)) to Debt Collection Center (DCC) for Cross Servicing and Treasury Offset Program (TOP)	1/1/2001	1260
A-00-96	12/15/2000	Clarification of C-Codes Reportable Under the Hospital Outpatient Prospective Payment System (OPPS)	12/29/2000	1458
AB-00-124	12/15/2000	Payment for Method II Home Dialysis Supplies	12/15/2000	1288
AB-00-126	12/15/2000	Use of the American Medical Association’s (AMA’s) Physicians’ Current Procedural Terminology, Fourth Edition (CPT) Codes on Contractors’ Web Sites	N/A	1415
B-00-72	12/14/2000	Instructions to Implement the New Medicare Summary Notice (MSN)-- Program Memorandum (PM) B-98-4 and PM AB-98-31--ACTION	1/1/2000	809
A-00-95	12/14/2000	Renewal of Program Memorandum (PM) A-97-8--Instructions to Implement the New Medicare Summary Notice (MSN) Combined with Program Memorandum AB-98-31—ACTION	N/A	651
A-00-94	12/12/2000	New ESRD Composite Payment Rates Effective January 1, 2001	1/1/2001	1451
AB-00-123	12/12/2000	Use of Beneficiary Question & Answers on cms.hhs.gov	12/12/2000	1418
B-00-70	12/8/2000	Changes to Correct Coding Edits, Version 7.1, Effective April 1, 2001	4/1/2001	1422
A-00-93	12/7/2000	“Do Not Forward (DNF)” Initiative, Change Request 681, Transmittal No. AB-00-6, Dated February 2000	N/A	1449
AB-00-122	12/7/2000	Appeals of Medicare Part A/Part B Coverage Determinations	12/7/2000	1348
AB-00-120	12/7/2000	Operating Instructions for Coverage of Non-Implantable Pelvic Floor Electrical Stimulators	4/1/2001	1419
AB-00-121	12/5/2000	Medicare Intermediary Claims Processing Standard Systems Delay of CY 2001 First Quarter Release	1/8/2001	1464
B-00-71	12/1/2000	Addition of a Miscellaneous “WW” Code and National Drug Code (NDC) for Oral Anti-Cancer Drugs	1/1/2001	1395
AB-00-119	12/1/2000	Change in the Collection of Comprehensive Encounter Data for the Medicare Choices Demonstration, Long-Term Care Demonstrations (Social Health Maintenance Organization (SHMO), Evercare), Department of Defense (DOD) Subvention Demonstration, and Dual Eligible Demonstrations	1/1/2001	1400
A-00-92	12/1/2000	Corrections to Calculation of Federal Fiscal Year (FY) 2001 Inpatient Payment Amounts	12/1/2000	1435
AB-00-108	12/1/2000	Glucose Monitoring	1/1/2001	1362
AB-00-118	11/30/2000	Delay Implementation of the Ambulance Fee Schedule	1/1/2001	1461
A-00-91	11/30/2000	Inpatient Rehabilitation Facility Prospective Payment System	N/A	1343
AB-00-117	11/30/2000	Payment of Drugs, Biologicals and Supplies in a Comprehensive Outpatient Rehabilitation Facility (CORF)	4/1/2001	1166
B-00-68	11/30/2000	X12N Professional Flat File	4/1/2001	1417
AB-00-109	11/29/2000	2001 Clinical Laboratory Fee Schedule and Laboratory Costs Subject to Reasonable Charge Payment Methodology	1/1/2001	1377
B-00-69	11/29/2000	Blood Glucose Test Strips - Marketing to Medicare Beneficiaries	3/1/2001	1336
A-00-90	11/29/2000	This Program Memorandum re-issues A-99-50, Change Request 1007 dated November 1999. The only change is the discard date; all other material remains the same.	12/1/1999	1007
A-00-89	11/28/2000	Implementation of HIPAA Transaction Standards – Overview and Specific Instructions for Implementing the Inbound Claim	7/1/2001	1391
B-00-67	11/27/2000	Consolidated Billing for SNF Residents	4/1/2001	1256
AB-00-116	11/24/2000	Local Medical Review Policy (LMRP) Development and Format	N/A	1021
A-00-86	11/22/2000	Changes to Fiscal Year (FY) 2000 Nursing and Allied Health Education Payment Policies as Required by the Medicare, Medicaid, and State-Child Health Insurance Program Balanced Budget Refinement Act of 1999 (BBRA), P. L. 106-113	12/18/2000	1379
B-00-66	11/22/2000	Durable Medical Equipment Regional Carrier (DMERC) Operating Instructions for Coverage of the Ultrasonic Osteogenic Stimulators for Fracture Healing. Effective for Services Performed on or After 1/1/2001.	1/1/2001	1383
A-00-88	11/22/2000	FEE SCHEDULE AND CONSOLIDATED BILLING FOR SKILLED NURSING FACILITY (SNF) SERVICES	4/1/2001	1323
B-00-65	11/21/2000	2001 Physician Fee Schedule for Payment Policies	1/1/2001	1438
A-00-87	11/21/2000	Off Label Use of Oral Chemotherapy Drugs Methotrexate and Cyclophosphamide	4/1/2001	1408
AB-00-113	11/17/2000	Instructions for Implementing and Updating 2001 Payment Amounts for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)	1/1/2001	1388
AB-00-115	11/17/2000	Source of Average Wholesale Price Data in Pricing Drugs and Biologicals Covered by the Medicare Program	11/17/2000	1447
AB-00-114	11/17/2000	Update of Codes and Payments for Ambulatory Surgical Centers (ASCs)	1/1/2001	1416
AB-00-112	11/16/2000	Home Health Prospective Payment System/Consolidated Billing (PPSCB) Edits and Systems Changes – Instructions for Standard Systems, CWF, and Contractors - Part II	4/1/2001	1412
B-00-64	11/16/2000	Program Integrity Sampling Module for Part B and DME Carriers	4/1/2001	1397
B-00-63	11/15/2000	Medicare Payment Allowance for Flu Vaccine	N/A	1440
AB-00-110	11/14/2000	Implementation of the New Payment Limit for Drugs and Biologicals	N/A	745
AB-00-111	11/14/2000	Revised Claims Processing Instructions for Medicare Qualifying Clinical Trial Claims for Managed Care (M+C) Enrollees	4/2/2001	1424
A-00-85	11/14/2000	The Report of Benefit Savings (RBS)	1/1/2001	1394
A-00-83	11/9/2000	Business Requirements for Processing Outpatient Encounter Data in the HCFA Data Center	4/1/2001	1193
B-00-59	11/9/2000	Durable Medical Equipment Regional Carrier – Common Working File (CWF) Revision for Oxygen Certificate of Medical Necessity UPDATED VERSION	4/1/2001	1149
AB-00-106	11/9/2000	Establishment of Provider/Supplier Information and Education Resource Directory	12/9/2000	1352
A-00-84	11/9/2000	Medicare + CHOICE Inpatient Encounter Data---Migration of Data Processing to the HCFA Data Center (HDC)	2/1/2001	1427
AB-00-105	11/9/2000	New Waived Tests -- November 9, 2000	1/1/2001	1339
B-00-62	11/9/2000	Promoting Influenza and Pneumococcal Vaccinations	10/1/2000	1398
AB-00-107	11/9/2000	Transfer of Initial Medicare Secondary Payer (MSP) Development Activities to the Coordination of Benefits (COB) Contractor	N/A	1163
A-00-82	11/3/2000	January 2001 Update: Coding Information for Hospital Outpatient Prospective Payment System (OPPS)	1/1/2001	1420
AB-00-104	11/2/2000	Autologous Stem Cell Transplantation (AuSCT) for Patients With Multiple Myeloma	11/30/2000	1375
A-00-77	11/2/2000	Change in Hospice Payment Rates, Update to the Hospice Cap, Revised Hospice Wage Index and Hospice Pricer	10/1/2000	1235
AB-00-102	11/2/2000	Clarification to MCM §2130 Prosthetic Devices and CIM §60-9 Durable Medical Equipment Reference List--Coverage of Intermittent Catheterization	10/1/1999	939
B-00-61	11/2/2000	Comprehensive Error Rate Testing (CERT) Program -- Requirements for Medicare Contractor Operations	N/A	1338
AB-00-103	11/2/2000	Final Rule Revising and Updating Medicare Policies Concerning Ambulance Services	8/30/1999	905
B-00-60	11/2/2000	New Temporary “K” Codes for Augmentative and Alternative Communication (AAC) Devices	1/1/2001	1380
A-00-80	11/2/2000	Notification to Outpatient Hospital Service Providers Concerning Deductible and Coinsurance Amounts on Electronic Remittance Advice Version 3051.4a	10/31/2000	1406
A-00-81	11/2/2000	Resolution of Outpatient Prospective Payment System (OPPS) Implementation Issues	1/1/2001	1368
B-00-58	10/31/2000	Durable Medical Equipment Regional Carriers – Change in Common Working File (CWF) for Code K0009	1/1/2001	1366
B-00-54	10/27/2000	Program Integrity Management Reporting (PIMR) System	1/1/2001	1306
B-00-56	10/26/2000	DMERCs - Common Working File (CWF) Edit #5211 - Services After the Date of Death (DOD) for Durable Medical Equipment (DME) Rental Items	1/1/2001	1190
B-00-55	10/26/2000	DMERCs - Common Working File to Add ICD-9 Diagnosis Code for Oral Anti-Cancer Drugs	1/1/2001	1150
AB00101	10/26/2000	Notice of Interest Rate for Medicare Overpayments and Underpayments	10/24/2000	1384
B-00-57	10/26/2000	Part B Outbound X12N 837 Coordination of Benefits (COB) Mapping	1/1/2001	1327
A-00-78	10/26/2000	Provider Statistical and Reimbursement Report (PS&R)	10/30/2000	1404
AB-00-99	10/24/2000	Glucose Monitoring Note	11/1/2000	1407
AB-00-100	10/24/2000	Mandatory Training on Ambulance Fee Schedule (AFS)	10/24/2000	1414
B-00-53	10/20/2000	Calendar Year (CY) 2001 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory (MEDPARD) Procedures (CORRECTED VERSION)	11/17/2000	1373
AB-00-98	10/20/2000	Medicare Deductible and Premium Rates for Calendar Year 2001	1/1/2001	1405
A-00-76	10/19/2000	Clarification of the Application of the Regulations at 42 CFR 413.134(l) to Mergers and Consolidations Involving Non-profit Providers	10/19/2000	1290
B-00-51	10/18/2000	Changes to Correct Coding Edits, Version 7.0, Effective January 1, 2001	1/1/2001	1`312
AB-00-96	10/18/2000	Clarification of Fiscal Intermediary (FI) and Durable Medical Equipment Regional Carrier (DMERC) Responsibilities Concerning Home Dialysis Method Election and Claims Processing	N/A	1275
AB-00-97	10/18/2000	Notification to Providers and Suppliers of Transaction and Code Set Rule Promulgated In Accordance With the Health Insurance Portability and Accountability Act (HIPAA)	10/18/2000	1367
B-00-52	10/18/2000	Schedule for Completing the Calendar Year (CY) 2001 Fee Schedule Updates and the Participating Physician Enrollment Procedures	N/A	1355
A-00-75	10/13/2000	Corrections to Calculation of Inpatient Payment Amounts	10/13/2000	1399
B-00-50	10/12/2000	Home Health Prospective Payment System (PPS)	10/30/2000	1350
A-00-74	10/12/2000	October OCE	10/1/2000	1353
AB-00-95	10/11/2000	Facility Requirements for Transplantation Centers -- INFORMATION ONLY	10/11/2000	1374
A-00-73	10/5/2000	Clarification of Modifier Usage in Reporting Outpatient Hospital Services	4/1/2000	973
AB-00-91	10/5/2000	Mammography Screening Payment Limit for Calendar Year 2001	1/1/2001	1276
AB-00-94	10/5/2000	Urokinase (Abbokinase®) Shortage	11/1/2000	1335
AB-00-93	10/4/2000	Coordination with the Y2K Program Safeguard Contractor (PSC)	10/6/2000	1334
AB-00-92	10/3/2000	Sending Common Working File (CWF) Referrals for Initial Enrollment Questionnaire (IEQ) and RS/SSA/HCFA Data Match Records to the Coordination of Benefits (COB) Contractor	5/1/2000	1175
A-00-72	10/3/2000	Technical Corrections to Coding Information for Hospital Outpatient Prospective Payment System (OPPS)	10/17/2000	1376
A-00-71	10/2/2000	Medical Review (MR) of Home Health Services--For Regional Home Health Intermediaries (RHHIs) Only-Action	10/30/2000	1356
B-00-49	9/28/2000	Implementation of the Health Insurance Portability and Accountability Act (HIPAA) Transaction Standards	4/1/2001	1094
A-00-70	9/28/2000	Provider Statistical and Reimbursement Report (PS&R)	10/2/2000	1359
A-00-69	9/21/2000	Background and Documentation for Correct Coding Initiative (CCI) and Unit of Service Edits	9/21/2000	1332
AB-00-90	9/21/2000	Year 2001 HCFA Common Procedure Coding System (HCPCS) Annual Update Reminder	1/1/2001	1314
AB-00-89	9/19/2000	Claims Processing Instructions for Carriers, DMERCS, Intermediaries and Regional Home Health Intermediaries (RHHIs) for Claims Submitted for Medicare Beneficiaries Participating in Medicare Qualifying Clinical Trials	9/19/2000	1241
B-00-48	9/19/2000	Claims Processing Instructions for the DMEPOS Competitive Bidding Demonstration	1/1/2001	1297
A-00-67	9/19/2000	Deactivation of Inactive Community Mental Health Center (CMHC) Medicare Numbers	11/1/1999	900
A-00-68	9/19/2000	Provider Statistical and Reimbursement Report (PS&R)	8/28/2000	1329
A-00-66	9/18/2000	FY 2001 Prospective Payment System (PPS) Hospital and Other Bill Processing Changes	10/1/2000	1331
AB-00-88	9/18/2000	Implementation of the Ambulance Fee Schedule	1/1/2001	1281
A-00-62	9/13/2000	File Descriptions and Instructions for Retrieving the 2001 Physician, Clinical Lab, Durable Medical Equipment, Prosthetics/Orthotics and Supplies (DMEPOS) Fee Schedule Payment Amounts Through HCFA’s Mainframe Telecommunications Systems	1/1/2001	1302
A-00-65	9/13/2000	Release of Internal Revenue Service (IRS) Data Elements on Eligibility Queries	9/12/2000	1316
A-00-64	9/13/2000	Terminating State Access to the Common Working File (CWF) Eligibility Data	10/1/2000	1317
AB-00-87	9/11/2000	2001 Payment Limit for Ambulance Services	1/1/2001	1326
AB-00-85	9/11/2000	GUIDANCE ON IMPLEMENTATION OF THE CY 2000 FOURTH QUARTER RELEASE	N/A	1308
AB-00-84	9/11/2000	Provider Toll-Free Telephone Inquiry Service	9/30/2000	1289
AB-00-86	9/8/2000	An Additional Source of Average Wholesale Price Data in Pricing Drugs and Biologicals Covered by the Medicare Program	9/8/2000	1232
A-00-63	9/8/2000	Cost-to-Charge Ratios (CCRs) for Calculating Certain Payments Under the Hospital Outpatient Prospective Payment System (OPD PPS)	9/8/2000	1310
A-00-61	9/6/2000	Update 1--Coding Information for Hospital Outpatient Prospective Payment System (OPPS)	10/1/2000	1307
A-00-60	9/1/2000	Standard Questions and Answers for Beneficiary Inquiries Related to the Hospital Outpatient Prospective Payment System (OPPS)	9/1/2000	1311
AB-00-82	9/1/2000	Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2000	10/1/2000	1295
AB-00-83	9/1/2000	Verteporfin (Visudyne)	9/4/2000	1278
B-00-47	8/31/2000	Addition of Special Processing Number 39, (Centralized Billing of Flu and Pneumococcal (PPV) Claims), to the Common Working File (CWF)	10/1/2000	1325
B-00-46	8/31/2000	Changes to Correct Coding Edits, Version 6.2, Effective September 5, 2000	9/5/2000	1337
A-00-58	8/31/2000	Destroy Outdated Stock Of Medicare Summary Notices (MSNs) and Part A Explanation of Medicare Benefits (EOMBs) Under the Hospital Outpatient Prospective Payment System (OPPS)	8/31/2000	1321
A-00-59	8/31/2000	HOME HEALTH PROSPECTIVE PAYMENT SYSTEM (HHPPS) PHASE IN PLAN, CONTINGENCY PLAN, AND INSTRUCTIONS	8/31/2000	1315
A-00-59	8/31/2000	HOME HEALTH PROSPECTIVE PAYMENT SYSTEM (HHPPS) PHASE IN PLAN, CONTINGENCY PLAN, AND INSTRUCTIONS	10/1/2000	1315
B-00-45	8/31/2000	Reporting of Carrier Pricing Methodology for Influenza (flu) and Pneumococcal (PPV) Vaccinations to HCFA	10/1/2000	1293
AB-00-80	8/30/2000	Instruction Implementation Reporting	11/1/2000	944
AB-00-81	8/30/2000	Self-Administered Injectable Drugs and Biologicals	3/17/2000	1164
B-00-44	8/30/2000	SITE VISITS AND ENROLLMENT OF INDEPENDENT DIAGNOSTIC TESTING FACILITIES (IDTFs)	9/15/1999	935
B-00-37	8/29/2000	Standard System Acceptance of Primary Payer Information at the Line Level	N/A	1287
AB-00-79	8/25/2000	Establishment of Contractor Numbers for Program Safeguard Contractors (PSCs)	9/1/2000	1284
B-00-43	8/24/2000	New Temporary “K” Codes for Negative Pressure Wound Therapy Pumps	1/1/2001	1273
A-00-57	8/24/2000	Payment of Skilled Nursing Facility (SNF) Claims for Beneficiaries Disenrolling from Terminating Medicare+Choice (M+C) Plans Who Have Not Met the 3-day Stay Requirement	1/1/2001	1108
AB-00-78	8/24/2000	Reasonable Charge Update for 2001 for Items and Services, Other Than Ambulance Services, Still Subject to the Reasonable Charge Payment Methodology	1/1/2001	1282
A-00-56	8/24/2000	Update of Rates for Ambulatory Surgical Center (ASC) Payments	N/A	1268
A-00-55	8/18/2000	Provider Statistical and Reimbursement Report (PS&R)	8/28/2000	1329
A-00-54	8/17/2000	The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 1999 for Prospective Payment System (PPS) Hospitals	10/1/2000	1299
AB-00-76	8/16/2000	Modification of Medicare Policy for Erythropoietin (EPO)	9/15/2000	1243
A-00-53	8/16/2000	Proper Billing of Units for Intrathecal Baclofen under the Outpatient Prospective Payment System (OPPS)	N/A	1320
AB-00-77	8/15/2000	New State Code for Maryland Provider Numbers	8/15/2000	1269
A-00-52	8/14/2000	COMMUNITY MENTAL HEALTH CENTERS (CMHCS) PAYMENT INSTRUCTIONS FOR OUTPATIENT PROSPECTIVE PAYMENT SYSTEM (OPPS) CONTINGENCY PLANS	8/14/2000	1319
B-00-42	8/11/2000	Analysis of Services Provided in Congregate Settings	10/1/2000	1247
AB-00-73	8/11/2000	Proper Billing of Outpatient Pathology Services under the Outpatient Prospective Payment System (OPPS)	8/14/2000	1309
AB-00-75	8/11/2000	The Internal Control Certification Statement Required by the Budget and Performance Requirements (BPR) for the Fiscal Year (FY) Ending September 30, 2000	9/1/2000	1239
AB-00-74	8/11/2000	Transfer of Initial Medicare Secondary Payer (MSP) Development Activities to the Coordination of Benefits (COB) Contractor	N/A	1163
B-00-41	8/10/2000	Changes to Correct Coding Edits, Version 6.3, Effective October 1, 2000	10/1/2000	1271
A-00-50	8/10/2000	Department of Veterans Affairs (VA) Claims Adjudication Services Project: Systems Changes Needed	1/1/2001	1272
B-00-39	8/10/2000	Department of Veterans Affairs (VA) Claims Adjudication Services Project: Systems Changes Needed	1/1/2001	1219
B-00-40	8/10/2000	Final Update to the 2000 Medicare Physician Fee Schedule Database (MPFSDB)	10/5/2000	1261
A-00-51	8/10/2000	Q Codes For Use Under the Hospital Outpatient Prospective Payment System (OPPS)	8/14/2000	1318
B-00-38	8/7/2000	Addition of “WW” Codes to Identify a New Source for an Oral Anti-Cancer Drug in dosages of 25mg and 100mg	10/1/2000	1262
AB-00-71	8/7/2000	Claims Processing Instructions for the Medicare Coordinated Care Demonstration	1/1/2001	1116
AB-00-72	8/7/2000	Medical Review Progressive Corrective Action (PCA)–ACTION	N/A	1285
AB-00-70	8/7/2000	Program Safeguard Contractor for Corporate Integrity Agreements (PSC-CIA)	9/5/2000	1143
A-00-47	8/7/2000	Skilled Nursing Facility (SNF) Annual Update: Prospective Payment System (PPS) Pricer and Health Insurance Prospective Payment System (HIPPS) Coding Changes	10/1/2000	1223
A-00-49	8/4/2000	Payment of Skilled Nursing Facility (SNF) Claims for Beneficiaries Disenrolling from Terminating Medicare+Choice (M+C) Plans Who Have Not Met the 3-Day Hospital Stay Requirement	10/1/2000	1270
B-00-36	8/4/2000	Returned Mail - Unique Physician Identification Number (UPIN)	9/15/2000	1253
A-00-48	8/3/2000	Drugs, Biologicals, Devices and New Technology HCFA Common Procedure Coding System (HCPCS) Codes For Use Under the Hospital Outpatient Prospective Payment System (OPPS)	8/14/2000	1304
A-00-46	8/3/2000	Skilled Nursing Facility Adjustment Billing: Adjustments to HIPPS Codes Resulting From MDS Corrections	10/1/2000	1224
A-00-45	8/1/2000	Interim Process for Certain “Inpatient Only” Code Changes	11/30/2000	1296
AB-00-69	8/1/2000	Notice of New Interest Rate for Medicare Overpayments and Underpayments	8/1/2000	1039
AB-00-68	7/31/2000	Current Status of Medicare Program Memoranda Issued Before Calendar Year (CY) 2000	N/A	N/A
A-00-44	7/28/2000	OUTPATIENT PROSPECTIVE PAYMENT SYSTEM (OPPS) CONTINGENCY PLANS AND INSTRUCTIONS	N/A	1277
A-00-43	7/27/2000	Advance Beneficiary Notices (ABNs) for Services for Which Institutional Part B Claims Will be Processed by Fiscal Intermediaries	7/1/2000	1192
A-00-42	7/27/2000	Coding Information for Hospital Outpatient Prospective Payment System	8/14/2000	1259
A-00-41	7/27/2000	Transition to the Home Health Prospective Payment System (HHPPS)-- INFORMATION	10/1/2000	1264
B-00-29	7/26/2000	Correct Effective Date for Adjustment in Payment Amounts for New Technology Intraocular Lenses (NTIOLs) Furnished by Medicare Approved Ambulatory Surgical Centers (ASCs)----CLARIFICATION	7/1/2000	1202
A-00-40	7/21/2000	Further Information on the Use of Modifier -25 in Reporting Hospital Outpatient Services	N/A	1250
B-00-35	7/20/2000	Addition of Five “WW” Codes to Identify a New Source for Methotrexate	10/1/2000	1228
AB-00-66	7/20/2000	Coverage of Diabetes Outpatient Self-Management Training Services, Effective:July 1, 1998.	N/A	199
AB-00-67	7/20/2000	Implementation of §4105 of the Balanced Budget Act Regarding Coverage of Diabetes Outpatient Self-Management Training Services--ACTION	N/A	606
A-00-38	7/13/2000	Change in Hospice Payment Rates, Update to the Hospice Cap, Revised Hospice Wage Index and Hospice Pricer	10/1/2000	1235
A-00-39	7/13/2000	Monitoring Process for Skilled Nursing Facility Exception Determinations	N/A	1215
AB-00-65.60	6/29/2000	Business and System Requirements for the Home Health Prospective Payment System (HH PPS)	10/1/2000	514
A-00-38.60	6/29/2000	Change in Hospice Payment Rates, Update to the Hospice Cap, Revised Hospice Wage Index and Hospice Pricer	10/1/2000	1235
B-00-33.60	6/29/2000	Changes to Correct Coding Edits, Version 6.2, Effective July 1, 2000	7/1/2000	1176
AB-00-64.60	6/29/2000	Medicare Summary Notice (MSN) Implementation at Seven Contractor Sites-- ACTION	N/A	1233
AB-00-63.60	6/29/2000	Ocular Photodynamic Therapy (OPT)	7/1/2000	1214
AB-00-62.60	6/28/2000	Rescinding Change Requests Numbers 1001, 1108, 1116, and 1163	N/A	N/A
AB-00-60.60	6/23/2000	Future Software Releases	7/1/2000	1216
A-00-37.60	6/23/2000	Line Item Denials and the Reporting of Savings Generated by Claim Expansion and Line Item Processing	10/1/2000	1203
B-00-32.60	6/22/2000	CPT Codes 99214 and 99233	N/A	1234
AB-00-61.60	6/22/2000	New Waived Tests -- Effective Date of Receipt	8/14/2000	1209
B-00-31.60	6/22/2000	Use of CPT Code 33999 for Transmyocardial Revascularization (TMR)	7/1/2000	1210
AB-00-39.60	6/21/2000	Consolidation of Program Memorandums for Outpatient Rehabilitation Therapy Services	N/A	1155
AB-00-57.60	6/16/2000	Contractor Updating of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM)	10/1/2000	1204
AB-00-59.60	6/16/2000	Correction to July Quarterly Update for 2000 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule	7/1/2000	1212
AB-00-58.60	6/15/2000	GUIDANCE ON IMPLEMENTATION OF THE CY 2000 THIRD QUARTER RELEASE	7/1/2000	1237
A-00-36.60	6/15/2000	Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions	8/14/2000	1229
A-00-34.60	6/15/2000	Provider Statistical and Reimbursement Report (PS&R)	8/1/2000	1242
A-00-35.60	6/15/2000	Revised Outpatient Code Editor (OCE) Specifications for the Outpatient Prospective Payment System (OPPS)	8/14/2000	1220
AB-00-52.60	6/14/2000	Assisted Suicide Funding Restriction Act of 1997 (P.L. 105-12)	N/A	851
AB-00-54.60	6/14/2000	Modified Procedures for Sharing HCFA Data with the Department of Justice (DOJ)	8/23/1999	876
AB-00-53.60	6/14/2000	Suspension of National Coverage Policy on Electrostimulation for Wound Healing	N/A	577
A-00-33.60	6/9/2000	Education and Outreach to Coordination of Benefits Trading Partners	7/17/2000	1200
AB-00-55.60	6/9/2000	HEMODIALYSIS FLOW STUDY	7/1/2000	1117
AB-00-56.60	6/9/2000	Memorandum of Understanding (MOU) between the Office of Inspector General and the Department of Justice - Sharing Fraud Referrals	N/A	1160
AB-00-51.60	6/8/2000	Claims Processing Instructions for Claims Submitted With a Written Statement of Intent	10/1/2000	1162
B-00-30.60	6/8/2000	Clarification of Billing for G0170 and G0171	N/A	1196
B-00-29.60	6/8/2000	Correct Effective Date for Adjustment in Payment Amounts for New Technology Intraocular Lenses (NTIOLs) Furnished by Medicare Approved Ambulatory Surgical Centers (ASCs)	7/1/2000	1202
A-00-32.60	6/2/2000	Effectuating Favorable Final Appellate Decisions That a Beneficiary is "Confined to Home"-- Regional Home Health Intermediaries (RHHIs) Only	7/1/2000	1034
AB-00-48.60	5/30/2000	Model Acknowledgment Letters for Valid and Invalid Written Statements of Intent to Claim Medicare Benefits (As Referenced In PM Transmittal AB-99-88)	12/23/1999	1090
AB-00-49.60	5/30/2000	PROGRAM MEMORANDUM ON STATEMENTS OF INTENT TOFILE CLAIMS FOR CLAIMS FILING PERIODS THAT END ON DECEMBER 31, 1999	12/31/1999	1054
A-00-30.60	5/26/2000	Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers FQHCs) Payment Rate Increases and Policy Clarifications and Guidance for Services Furnished by RHCs and FQHCs.	N/A	1133
AB-00-46.60	5/26/2000	HCFA Policy for Disclosure of Individually Identifiable Information	N/A	1156
AB-00-50.60	5/26/2000	Medicare Fraud Information Specialist (MFIS) Position	10/1/2000	1172
A-00-31.60	5/26/2000	Reporting a Patient’s Reason for Visit on a Part A Outpatient Claim--INFORMATION	N/A	1184
AB-00-47.60	5/22/2000	RELEASE TO BE IMPLEMENTED JUNE 5, 2000	N/A	1201
B-00-28.60	5/17/2000	Billing of Influenza (Flu) and Pneumococcal (PPV) Virus Claims for Authorized Centralized Billing Providers to be Processed Through One Designated Carrier	10/1/2000	1194
AB-00-45.60	5/15/2000	Award of Medicare+Choice (M+C) Contract to Sterling Life Insurance Co., Inc. for M+C Private Fee-for-Service (PFFS) Plan -- INFORMATION ONLY	7/1/2000	1197
B-00-27.60	5/15/2000	Durable Medical Equipment Regional Carriers (DMERCs) - Common Working File (CWF) Changes for Codes J8999, E0784, E0781, A4230-4232, E0616, and E0749	7/1/2000	1148
B-00-26.60	5/12/2000	Carrier Adjustments to be Made for Payment for HCPCS Code 90669, Pneumococcal (PPV) Conjugate Vaccine, Polyvalent, for Intramuscular Use	6/12/2000	1185
AB-00-42.60	5/11/2000	Rescinded	N/A	1116
A-00-27.60	5/9/2000	Permitting Reclassification of Certain Urban Hospitals as Rural Application Procedures	5/1/2000	1180
AB-00-38.60	5/5/2000	Hard Coding of Duplicate Edits in the Fiscal Intermediary Standard System (FISS) and the VIPS Medicare Systems (VMS) Standard Systems	10/1/2000	1158
AB-00-41.60	5/5/2000	Procedures for the Benefit Integrity (BI) and Medical Review (MR) Units on Unsolicited/Voluntary Refund Checks	7/1/2000	1024
B-00-25.60	5/4/2000	New Temporary K Codes for Hydrogel Impregnated Gauze	7/1/2000	1159
AB-00-40.60	5/4/2000	Written Statements of Intent (SOI) to Claim Medicare Benefits; 60-Day Grace Period	N/A	1165
AB-00-37.60	5/3/2000	Notice of New Interest Rate for Medicare Overpayments and Underpayments	5/3/2000	1038
AB-00-44.60	5/2/2000	Medicare Coverage of Non-Invasive Vascular Studies When Used to Monitor the Access Site of End Stage Renal Disease (ESRD) Patients	10/1/2000	1118
AB-00-43.60	5/2/2000	Program Memorandum on Written Statements of Intent (SOI) to Claim	N/A	1050
A-00-28.60	5/1/2000	Clarification of Provider Cost Report Filing Requirements	N/A	429
B-00-24.60	5/1/2000	Issues Involving Certificates of Medical Necessity (CMN) and Cover Letters for CMNs	N/A	866
AB-00-32-60	5/1/2000	New Waived Tests -- Effective Date of Receipt	N/A	885
AB-00-36.60	5/1/2000	Rescinded	N/A	1163
A-00-29.60	4/27/2000	Electronic Filing of Provider Cost Reports; Home Health Agencies (HHAs) and Skilled Nursing Facilities (SNFs)	5/30/2000	1153
AB-00-35.60	4/27/2000	Further Guidance on April Release Implementation	5/15/2000	1195
AB-00-33.60	4/27/2000	Processing of Medicare+Choice Encounter Data at the HCFA Data Center	7/1/2000	1182
AB-00-34.60	4/27/2000	Program Integrity Management Reporting System	10/1/2000	1035
B-00-23.60	4/27/2000	Requirements For Processing Physician Encounter Data In The HCFA Data Center	10/1/2000	1183
A-00-26.60	4/27/2000	Rescinded	N/A	1108
AB-00-31.60	4/27/2000	Sending Common Working File (CWF) Referrals for Initial Enrollment Questionnaire (IEQ) and IRS/SSA/HCFA Data Match Records to the Coordination of Benefits (COB) Contractor	5/1/2000	1175
AB-00-29.60	4/20/2000	Comprehensive Error Rate Testing (CERT) Program -- Medicare Contractor Change Requirements and Medicare Part B/DMERC Standard System Change Requirements	10/1/2000	1173
A-00-25.60	4/20/2000	Provider Statistical and Reimbursement Report (PS&R)	5/22/2000	1188
AB-00-28.60	4/19/2000	Update of Rates for Ambulatory Surgical Center (ASC) Payments--ACTION	N/A	1145
AB-00-30.60	4/16/2000	Implementing Instructions for Services Provided in Religious Nonmedical Health Care Institutions (RNHCIs)	7/1/2000	1106
AB-00-27.60	4/14/2000	Medicare Secondary Payer (MSP) Government Performance and Results Act (GPRA) Goal for Fiscal Year (FY) 2000	5/1/2000	1142
B-00-21.60	4/13/2000	2000 Jurisdiction List	7/1/2000	1139
B-00-22.60	4/13/2000	Durable Medical Equipment Carriers (DMERCs) - New Oral Anti-Cancer Drugs Approved for Use by Medicare	7/1/2000	1125
AB-00-26.60	4/13/2000	July Quarterly Update for 2000 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule	7/1/2000	1169
B-00-18.60	4/11/2000	Emergency Changes to the 2000 Medicare Physician Fee Schedule Database--	1/17/2000	1092
B-00-17.60	4/11/2000	Emergency Changes to the 2000 Medicare Physician Fee Schedule Database--	1/17/2000	1104
AB-00-25.60	4/7/2000	CONTRACTOR TESTING REQUIREMENTS--ACTION	1/1/2001	1027
B-00-20.60	4/6/2000	Collection and Submission of Data for the Provider Enrollment and Chain Ownership System (PECOS) -- ACTION	7/1/2000	918
B-00-19.60	4/6/2000	DMERCs -- Report on Expansion of Immunosuppressive Drugs	7/1/2000	1144
A-00-23.60	4/6/2000	Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions	7/1/2000	1141
B-00-16.60	4/5/2000	Provider Education Article: Role of Physicians in the Home Health Prospective Payment System	4/1/2000	1088
A-00-22.60	3/31/2000	Instructions For Reporting Additional Detailed Information on Form HCFA-750 Contractor Financial Report (Fiscal Intermediaries Only)	4/20/2000	1174
B-00-15.60	3/30/2000	Change to Health Insurance Claim Form HCFA-1500 Instructions for Processing Physician Claims in Global Payment Systems	N/A	457
A-00-21.60	3/30/2000	Revised Outpatient Code Editor (OCE) Specifications for the Outpatient Prospective Payment System (OPPS)	7/1/2000	1140
AB-00-22.60	3/23/2000	"NO FEE" POLICY FOR MEDICARE CONTRACTORS' PROVIDER EDUCATION AND TRAINING ACTIVITIES - PROGRAM MANAGEMENT AND MEDICARE INTEGRITY PROGRAM FUNDED ACTIVITIES	3/23/2000	1146
AB-00-24.60	3/23/2000	Development and Dissemination of a Product Classification List for HCPCS Code L0430	6/1/2000	1083
A-00-19.60	3/23/2000	Implementation of Provider Enrollment, Chain and Ownership System (PECOS)	6/12/2000	1120
AB-00-23.60	3/23/2000	Medigap (Medicare supplemental insurance) Insurers Fraud Referrals	4/1/2000	1105
B-00-14.60	3/23/2000	Revisions to DMERC Information Form (DIF): Immunosuppressive Drugs DMERC Form 08.02 (latest revision 7/25/95).	10/1/2000	1127
A-00-20.60	3/23/2000	The Report of Benefit Savings	10/1/2000	1019
A-00-17.60	3/22/2000	Changes to FY 2000 Hospital Inpatient Prospective Payment System (PPS)Policies As Required by the Medicare, Medicaid, and State-Child Health Insurance Program Balanced Budget Refinement Act of 1999 (BBRA), P.L. 106-113	5/15/2000	1129
A-00-18.60	3/22/2000	Fiscal Intermediary (FI) Community Mental Health Center (CMHC)Enrollment and Change of Ownership (CHOW) Site Visit Process and Coordination with National CMHC Site Visit Contractor	4/1/2000	1109
AB-00-21.60	3/17/2000	Self-Administered Injectable Drugs and Biologicals	3/17/2000	1164
AB-00-20.60	3/15/2000	GUIDANCE ON APRIL RELEASE IMPLEMENTATION	N/A	1157
AB-00-19.60	3/13/2000	Instructions to All Medicare Contractors for Reporting Audited Year 2000 Costs on the Final Administrative Costs Proposals	3/31/2000	1137
AB-00-17.60	3/10/2000	Clarification of Liver Transplant Policy	N/A	1112
B-00-13.60	3/9/2000	Calculation of National Standard Format (NSF) for Electronic Remittance Advice (ERA) Amount Fields and Balancing of NSF Data; and Clarification to Claim NSF Field EAO 21 for Coordination of Benefits--Modification of Program Memorandum (PM) B-99-42 (CR1016) of December 1999	5/15/2000	1130
A-00-15.60	3/9/2000	Hospital Outpatient Procedures: Medicare Changes for Radiology and Other Diagnostic Coding Due to the 1998 HCPCS Update; Miscellaneous Changes	7/1/2000	1110
A-00-16.60	3/9/2000	The Balanced Budget Refinement Act (BBRA) Revision to PM Trasmittal No. A-99-51: FY 2000 Prospective Payment System and Excluded Hospital Bill Processing Changes--Wage Adjust 75th Percentile Cap of the Target Amounts or Excluded Hospitals and Units	7/1/2000	1128
A-00-13.60	3/7/2000	Procedures for Financial Reporting of Medicare Letter of Credit Draws and Collections between the Hospital Insurance (HI) and Supplemental Medical Insurance (SMI) Trust Funds	3/31/2000	1152
A-00-14.60	3/6/2000	Hospital Outpatient Radiology Services	7/1/2000	1114
AB-00-18.60	3/2/2000	Consolidated Billing for Skilled Nursing Facilities (SNFs)--The Balanced Budget Refinement Act of 1999	4/1/2000	1070
A-00-10.60	3/2/2000	Discarding Program Memoranda on Surety Bonds	N/A	N/A
B-00-08.60	3/2/2000	Instruction for Usage of the Revised Oxygen Certificate of Medical Necessity Form 484.2 (dated 11/99)-----ACTION	10/1/2000	1082
AB-00-16.60	3/2/2000	Instructions to All Medicare Contractors for Reporting Audited Year 2000 Costs on the Final Administrative Costs Proposals	2/1/2000	1062
A-00-11.60	3/2/2000	Medicare Home Health Benefit - Section 4615 of the Balanced Budget Act of 1997. Clarification That No Home Health Benefits Are Authorized Based Solely on Drawing Blood.	N/A	401
A-00-12.60	3/2/2000	Revision of Final Date to Accept Abbreviated Version of the UB-92 for Encounter Data Collection	7/1/2000	1122
AB-00-15.60	2/28/2000	Delay of Hyperbaric Oxygen Therapy Coverage Policy	4/1/2000	1138
B-00-12.60	2/24/2000	Notification Process for Changes to Health Professional Shortage Area (HPSA) Designations	4/1/2000	1100
AB-00-14.60	2/24/2000	Questions and Answers Regarding the Prospective Payment System (PPS) for Outpatient Rehabilitation Services and Physical Medicine Current Procedural Terminology (CPT) Coding Guidance	N/A	842
AB-00-12.60	2/18/2000	CORRECTION to Coordination of Benefits (COB) Contractor Numbers	5/15/2000	1126
A-00-09.60	2/18/2000	Hospital Outpatient Services Prospective Payment System (PPS) Background	7/1/2000	1012
AB-00-13.60	2/18/2000	New Waived Tests -- Effective Date of Receipt	5/15/2000	1091
A-00-08.60	2/18/2000	Payment Safeguard Review of Skilled Nursing Facility Prospective Payment Bills--Updated Instructions	3/1/2000	1064
B-00-10.60	2/16/2000	First Quarterly Update to the 2000 Medicare Physician Fee Schedule Database--INFORMATION	4/1/2000	1134
AB-00-10.60	2/16/2000	Implementing Instructions for Services Provided in Religious Nonmedical Health Care Institutions (RNHCIs)	7/1/2000	1106
AB-00-11.60	2/16/2000	Medicare Secondary Payer (MSP) -- Identification and Write Off/Adjustment of MSP Settlement Related Group Health Plan (GHP) Based Accounts Receivable (AR), and Write Off of Unsupportable MSP AR	N/A	899
B-00-11.60	2/16/2000	Paramedic Intercept -- New Definition for Rural	3/1/2000	1107
AB-00-06.60	2/11/2000	. Do Not Forward (DNF). Initiative	7/1/2000	681
AB-00-07.60	2/11/2000	Moratorium on Data Center Movements	2/11/2000	1089
AB-00-08.60	2/11/2000	Payment for All Comprehensive Outpatient Rehabilitation Facility (CORF) Services Under the Medicare Physician Fee Schedule (MPFS)	7/1/2000	1113
AB-00-05.60	2/8/2000	Operating Instructions for Expanded Coverage of the Electrical Osteogenic Stimulator for Fracture Healing. Effective for Services Performed on or After 4/l/2000.	4/1/2000	1085
AB-00-04.60	2/3/2000	April Quarterly Update for 2000 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule	4/1/2000	1053
AB-00-03.60	2/2/2000	Notice of New Interest Rate for Medicare Overpayments and Underpayments	2/2/2000	1037
A-00-07.60	1/31/2000	Addition of Modifiers 25, 58, 78, and 79 to the List of Modifiers Approved for Hospital Outpatient Use and Correction to Program Memorandum (PM)A-99-41	5/15/2000	1079
B-00-09.60	1/31/2000	Clarification of Medicare Policies Concerning Ambulance Services	1/31/2000	1065
B-00-07.60	1/28/2000	Changes to Correct Coding Edits, Version 6.1, Effective April 1, 2000	5/15/2000	1004
AB-00-02.60	1/28/2000	DMERCs -- Pre-Discharge Delivery of DMEPOS for Fitting and Training	4/1/2000	901
A-00-06.60	1/28/2000	Instructions for an End Stage Renal Disease (ESRD) Facility to Retain Its Previously Approved Exception Payment Rate	1/30/2000	1102
A-00-05.60	1/28/2000	This Program Memorandum re-issues Program Memorandum A-99-5, Change Request 789 dated February 1999.	N/A	789
B-00-06.60	1/28/2000	This Program Memorandum re-issues Program Memorandum B-99-6, Change Request 777 dated March 1999.	N/A	777
B-00-04.60	1/21/2000	Fee-for-Service Enrollment of Managed Care Organizations (MCOs) for the Indirect Payment Procedure	2/7/2000	954
AB-00-01.60	1/18/2000	Prospective Payment System for Outpatient Rehabilitation Services and Application of Financial Limitation	N/A	483
B-00-05.60	1/14/2000	Adjustment to Remittance Advice (RA), Explanation of Medicare Benefits (EOMB) and Medicare Summary Notice (MSN) Messages Generated by Carriers for Services Subject to the Facility/Non-Facility Payment Differential on the Medicare Physician Fee Schedule Database (MPFSDB)	7/1/2000	1058
B-00-03.60	1/7/2000	Emergency Changes to the 2000 Medicare Physician Fee Schedule Database-- ACTION	1/17/2000	1104
A-00-03.60	1/7/2000	Implementation of H.R. 3426, the Medicare, Medicaid, and the State Child Health Insurance Program Balanced Budget Refinement Act of 1999 (BBRA '99), P.L. 106-113, Section 301(a)	4/1/2000	1078
A-00-04.60	1/7/2000	Provider Statistical and Reimbursement Report (PS&R) Unibill Record	5/15/2000	1095
A-00-01.60	1/4/2000	Consolidated Billing for Skilled Nursing Facility (SNF) Patients When Receiving Outpatient/Emergency Care in a Medicare-Participating Hospital or Critical Access Hospital (CAH)	N/A	711
A-00-02.60	1/4/2000	Installation of the Medicare Outpatient Code Editor (OCE) Version 15.1	1/31/2000	1096
B-00-01.60	1/4/2000	Paramedic Intercept Provisions of the Balanced Budget Act (BBA) of 1997	N/A	783
B-00-02.60	1/4/2000	Payment for Teleconsultations in Rural Health Professional Shortage Areas	N/A	545

Program Transmittals | Program Manuals