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Effective October 1, 2003, Program Memoranda (PMs) will no longer be issued to transmit new policies and procedures. Use this link to the Program Transmittals page for updates since October 1, 2003.
Medicare & Medicaid
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FILE | COMM DATE | SUBJECT | IMPL DATE | CR NUM |
---|---|---|---|---|
A-03-082 | 9/26/2003 | Clarification for billing under the 2300 Provider Number by Hospital-Based Renal Dialysis Facilities (RDF) | 1/1/2004 | 2877 |
AB-03-141 | 9/26/2003 | CMS Companion Document for the Accredited Standards Committee (ASC) X12N 276/277 Health Care Claim Status Request And Response | 10/27/2003 | 2742 |
A-03-081 | 9/26/2003 | Conflicting Policies with Provider Reimbursement Manual 15-1, Section 2771 | 10/10/2003 | 2847 |
AB-03-147 | 9/26/2003 | Core Elements and Required Statements for a Valid Privacy Authorization | 10/10/2003 | 2816 |
AB-03-144 | 9/26/2003 | Establishing a Uniform Process for the Preparation and Mailing of Case Files From the Contractor to the Office of Hearings and Appeals (OHA) of the Social Security Administration (SSA) | 10/1/2003 | 2304 |
AB-03-143 | 9/26/2003 | Implementation of Certain Initial Determination and Appeal Provisions Within §521 of the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 | See PM | 2251 |
AB-03-145 | 9/26/2003 | Instructions for Contractors Other Than the Religious Nonmedical Health Care Institution (RNHCI) Specialty Intermediary Regarding Claims For Beneficiaries With RNHCI Elections | 1/1/2004 | 2881 |
AB-03-146 | 9/26/2003 | Reminder Notice of the Implementation of the Ambulance Transition Schedule | 1/1/2004 | 2834 |
AB-03-142 | 9/26/2003 | The Coordination of Benefits Contractor (COBC) Will Post the Lead Medicare Contractor in the Group Name Field on the Common Working File (CWF) and Expansion of Lead Contractor Viewing in the Electronic Correspondence Referral System (ECRS) | 10/10/2003 | 2867 |
A-03-080 | 9/22/2003 | End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests | 10/1/2003 | 2277 |
AB-03-140 | 9/12/2003 | 2004 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder | 1/1/2003 | 2896 |
AB-03-139 | 9/12/2003 | Appeals Quality Improvement and Data Analysis Activities | 10/1/2003 | 2854 |
A-03-079 | 9/12/2003 | Installation of Version 31 of the Provider Statistical and Reimbursement (PS&R) Reporting System | 1/1/2003 | 2899 |
AB-03-138 | 9/5/2003 | Modification of Medicare Policy for Erythropoietin (EPO) | 8/31/2003 | 2266 |
A-03-077 | 9/5/2003 | October Medicare Outpatient Code Editor (OCE) Specifications Version 19.0 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) | 10/1/2003 | 2897 |
AB-03-136 | 8/29/2003 | Correction to Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement | 10/1/2003 | 2892 |
A-03-074 | 8/29/2003 | Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2004 | 10/1/2003 | 2894 |
A-03-075 | 8/29/2003 | Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Update | 10/1/2003 | 2893 |
A-03-076 | 8/29/2003 | October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 10/1/2003 | 2887 |
AB-03-137 | 8/29/2003 | Update of HCPCS Codes and Payments for Ambulatory Surgical Centers (ASCs) and File Names, Descriptions and Instructions for Retrieving the 2004 ASC HCPCS Additions, Deletions and Master Listing | 1/1/2004 | 2890 |
B-03-068 | 8/22/2003 | 2004 Annual Update for Skilled Nursing Facility (SNF) Consolidated Billing for the Common Working File (CWF) and Medicare Carriers | 1/1/2004 | 2858 |
AB-03-129 | 8/22/2003 | Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update. | 10/1/2003 | 2842 |
B-03-065 | 8/22/2003 | Changes to Code List for Therapy Services | 9/1/2003 | 2821 |
AB-03-128 | 8/22/2003 | Clarification to Transmittal AB-03-044 (CR 2611), Addition of New Temporary "K" Codes | 1/1/2004 | 2818 |
B-03-064 | 8/22/2003 | CLARIFICATION-ICD-9 Coding | 10/1/2003 | 2857 |
B-03-066 | 8/22/2003 | Durable Medical Equipment Regional Carriers (DMERCs) - Eliminate Combined Working File (CWF) Edit for Cancer Diagnosis for National Drug Codes (NDCs) | 10/1/2003 | 2904 |
A-03-073 | 8/22/2003 | Fiscal Year (FY) 2004 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH), and Other Bill Processing Changes | 10/1/2003 | 2891 |
A-03-072 | 8/22/2003 | Instructions for Provider Credit Balance Reporting Activities | 8/8/2003 | 2810 |
AB-03-130 | 8/22/2003 | Levocarnitine for Use in the Treatment of Carnitine Deficiency in ESRD Patients | 1/1/2004 | 2554 |
AB-03-133 | 8/22/2003 | Managing Medicare Appeals Workloads in FY 2004 | 10/1/2003 | 2811 |
AB-03-134 | 8/22/2003 | Modifier and Condition Code for Providers to Use When Billing for Implantable Defibrillators for Beneficiaries in a Medicare Managed Care Plan | 1/1/2004 | 2880 |
B-03-067 | 8/22/2003 | National Council for Prescription Drug Programs (NCPDP) Batch Transaction Standard 1.1 Billing Request Companion Document | 9/8/2003 | 2839 |
AB-03-127 | 8/22/2003 | Payment for the Fecal Leukocyte Examination Under a Clinical Laboratory Improvement Amendments of 1988 (CLIA) Certificate for Provider-Performed Microscopy (PPM) Procedures During CY 2003 | 10/1/2003 | 2843 |
AB-03-132 | 8/22/2003 | Provider Education Article: Guidelines for Medicare Part B Laboratory Testing | 9/5/2003 | 2841 |
AB-03-126 | 8/22/2003 | SUBJECT: Change in Type of Service for L0480 | 1/1/2004 | 2736 |
AB-03-131 | 8/22/2003 | Update to Health Care Claims Status Category Codes and Health Care Claim Status Codes for Use with the Health Care Claim Status Request and Response ASC X12N 276/277 | 9/1/2003 | 2786 |
AB-03-125 | 8/15/2003 | Consolidation of Claims Cross-over Process | 1/1/2004 | 2836 |
B-03-063 | 8/15/2003 | Healthcare Provider Taxonomy Codes (HPTC) Crosswalk | 7/25/2003 | 2766 |
AB-03-124 | 8/15/2003 | REMINDER -- Standard System Automation of the "Notice of Change to Medicare Secondary Payer (MSP) Auxiliary File" Process | 1/1/2004 | 2608 |
A-03-071 | 8/15/2003 | Retroactive Correction of Provider Statistical and Reimbursement (PS&R) System Report Data Related to Mammography and Outpatient Therapy Services | 10/1/2003 | 2827 |
AB-03-123 | 8/15/2003 | Scheduled Release for October Updates to Software Programs and Pricing/Coding Files | See PM | 2850 |
AB-03-122 | 8/11/2003 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 8/11/2003 | 2432 |
AB-03-118 | 8/8/2003 | Cease Further Work on the Eligibility File-Based Standard Trading Partner Agreement (STPA) for the Purpose of Coordination of Benefits (COB) | 8/8/2003 | 2864 |
AB-03-117 | 8/8/2003 | Contractor Guidance For Connection to the Medicare Data Communication Network (MDCN) for Real-time Eligibility Inquiries (270/271) via a Route Other Than IVANS | 8/22/2003 | 2845 |
B-03-061 | 8/8/2003 | DMERCs - NCPDP Crosswalk Requirements | 1/1/2004 | 2806 |
B-03-060 | 8/8/2003 | Expansion of Beneficiary History and Claims In Process (CIP) Files in the VIPS Medicare System (VMS). Phase 2 - Pre-Adjudication CIP File Expansion | 1/1/2004 | 2666 |
AB-03-119 | 8/8/2003 | Final Update to the 2003 Medicare Physician Fee Schedule Database | 10/1/2003 | 2853 |
A-03-066 | 8/8/2003 | Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions | 8/14/2000 | 1229 |
A-03-070 | 8/8/2003 | Inclusion of the State of New York in Demonstration for Settlement of Payments for Home Health Services to Dual Eligibles and Instructions for Processing Fiscal Year 2000 Claims Under the Demonstration. Regional Home Health Intermediaries (RHHIs) Only. | 8/28/2003 | 2804 |
A-03-068 | 8/8/2003 | Informing Beneficiaries About Which Local Medical Review Policy (LMRP) and/or National Coverage Determination (NCD) is Associated with Their Claim Denial | 1/1/2004 | 2342 |
AB-03-120 | 8/8/2003 | Medicare Secondary Payer (MSP) - (1) Copy of Recovery Demand Packages Resulting From A Data Match or Non-Data Match Group Health Plan (GHP) Recovery Action to Insurers/Third Party Administrators (TPAs) of Employers; (2) Documentation Required When an Insurer/TPA Wishes to Resolve a Debt on Behalf of its Client, an Employer Debtor | 10/1/2003 | 2729 |
B-03-059 | 8/8/2003 | Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Single Drug Pricer (SDP) | 1/1/2004 | 2755 |
A-03-069 | 8/8/2003 | October Outpatient Code Editor (OCE) Specifications Version (V4.3) | 10/1/2003 | 2861 |
B-03-062 | 8/8/2003 | Procedures for Non-MSP Overpayments with Original Balances Less than $10.00 | 1/1/2004 | 2292 |
AB-03-121 | 8/8/2003 | Requirement to Cross Claims Over to Multiple Supplemental Insurers | 1/1/2004 | 2534 |
A-03-067 | 8/8/2003 | The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2002 for Inpatient Prospective Payment System (IPPS) Hospitals | 10/1/2003 | 2868 |
AB-03-116 | 8/8/2003 | Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2003 | 10/1/2003 | 2871 |
B-03-057 | 8/1/2003 | Additional Guidelines for Implementing the National Council for Prescription Drug Program (NCPDP) Format | 1/1/2004 | 2844 |
AB-03-110 | 8/1/2003 | Adjustment to the Rural Mileage Payment Rate for Ground Ambulance Services | 1/1/2004 | 2767 |
AB-03-114 | 8/1/2003 | Claims Processing and Payment of Incomplete Screening Colonoscopies | 1/1/2004 | 2822 |
B-03-055 | 8/1/2003 | Common Working File (CWF) Crossover Editing for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims During an Inpatient Stay | 1/1/2004 | 2613 |
B-03-056 | 8/1/2003 | Durable Medical Equipment Regional Carriers (DMERCs -- Additional Instructions for Health Insurance Portability and Accountability Act (HIPAA) Implementation of National Drug Codes (NDCs) and the NCPDP Format | 1/1/2004 | 2760 |
AB-03-112 | 8/1/2003 | Informing Beneficiaries About Which Local Medical Review Policy (LMRP) and/or National Coverage Determination (NCD) is Associated with Their Claim Denial | 1/1/2004 | 2342 |
A-03-065 | 8/1/2003 | New Common Working File (CWF) Edits to Ensure Accurate Coding and Payments for Discharge and/or Transfer Policies Under the Inpatient Prospective Payment System (IPPS) | 1/1/2004 | 2716 |
AB-03-115 | 8/1/2003 | Payment Denial for Medicare Services furnished to Alien Beneficiaries Who are Not Lawfully Present in the United States | 1/1/2004 | 2825 |
B-03-058 | 8/1/2003 | Procedures for the Reconciliation of Total Funds Expended for Multi-Carrier System (MCS) Medicare Contractors Used in the Preparation of Form CMS-1522, Monthly Contractor Financial Report | 1/1/2004 | 2795 |
AB-03-111 | 8/1/2003 | Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing | 1/1/2004 | 2789 |
AB-03-113 | 8/1/2003 | Update of Codes in the Program Integrity Management Reporting System (PIMR) and the Contractor Administrative Cost and Financial Management System (CAFM II) | 1/1/2004 | 2704 |
AB-03-104 | 7/25/2003 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 1, 2003 | 10/1/2003 | 2814 |
AB-03-102 | 7/25/2003 | Clarification Regarding Coverage of Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities | 8/8/2003 | 2769 |
A-03-062 | 7/25/2003 | Department of Veterans Affairs (VA) Claims Adjudication Services Project:Systems Changes Needed | 8/6/2003 | 2783 |
AB-03-109 | 7/25/2003 | Discontinue Use of the Healthcare Integrity and Protection Data Bank (HIPDB) for Provider Enrollment Only | 8/15/2003 | 2808 |
B-03-054 | 7/25/2003 | Establishing and Maintaining Provider and Supplier Enrollment Data in Provider Enrollment, Chain and Ownership System (PECOS) as Needed for Use by the Railroad Medicare Carrier (RMC) to Pay Claims | 8/8/2003 | 2777 |
AB-03-107 | 7/25/2003 | Federal Bankruptcy/State Insurer Liquidation Actions and Medicare Secondary Payer (MSP) Debt | 9/2/2003 | 2697 |
AB-03-105 | 7/25/2003 | Harkin Grantees: Complaint Tracking System and Aggregate Reports | 8/8/2003 | 2787 |
A-03-063 | 7/25/2003 | Installation of Version 30 of the Provider Statistical and Reimbursement (PS&R) Reporting System. | 10/1/2003 | 2833 |
AB-03-108 | 7/25/2003 | Medicare Secondary Payer (MSP) - 1) Use of Inter-Contractor Notices (ICNs) and the Common Working File (CWF) for the Development of the MSP Conditional Payment Amount for Liability, No-Fault, Workers’ Compensation, and Federal Tort Claims Act (FTCA) Cases; 2) Reminder Regarding Termination Updates to the CWF; 3) Reminder Regarding Savings Information to Non-Lead Contractors | 8/9/2003 | 2715 |
AB-03-103 | 7/25/2003 | Medicare Secondary Payer (MSP) Debt Referral and Write Off Closed Instructions | 8/8/2003 | 2749 |
A-03-061 | 7/25/2003 | Tentative Settlement Requirements for Cost Reports from Home Health Agencies (HHAs) and Skilled Nursing Facilities (SNFs) that have No Reimbursement Impact | 7/1/2003 | 2714 |
AB-03-106 | 7/25/2003 | Third Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule | 8/8/2003 | 2770 |
A-03-064 | 7/25/2003 | X12N 837 Institutional Health Care Claim Companion Document | 7/25/2003 | 2505 |
B-03-052 | 7/18/2003 | Addition of Temporary "Q" Codes for Drugs Used in Infusion Pumps | 10/1/2003 | 2805 |
AB-03-101 | 7/18/2003 | Clarification for CR 2562: Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment | 10/1/2003 | 2801 |
AB-03-099 | 7/18/2003 | Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes | 10/1/2003 | 2773 |
A-03-060 | 7/18/2003 | Medicare Program - Update to the Prospective Payment System (PPS) for Home Health Agencies for FY 2004 | 10/1/2003 | 2832 |
AB-03-100 | 7/18/2003 | October Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 7/17/2003 | 2802 |
B-03-051 | 7/16/2003 | Therapy Modifier Bypass for Ambulance Claims | 9/1/2003 | 2849 |
AB-03-098 | 7/11/2003 | Medicare Summary Notice (MSN) Implementation for Contractors Using APASS and HPBSS - ACTION | 7/1/2002 | 1920 |
A-03-059 | 7/3/2003 | Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65 | 10/1/2003 | 2638 |
A-03-058 | 7/3/2003 | Change in Methodology for Determining Payment for Outliers Under the Acute Care Hospital Inpatient and Long-Term Care Hospital Prospective Payment Systems | 7/10/2003 | 2785 |
AB-03-097 | 7/3/2003 | Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 | 7/21/2003 | 2837 |
A-03-057 | 7/3/2003 | Medicare Program-Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2004 | 10/1/2003 | 2797 |
B-03-050 | 7/3/2003 | Multiple Primary Payers on Part B Claims - REVISION TO Change Request 2050 | 7/18/2003 | 2758 |
AB-03-094 | 7/3/2003 | October 2003 Quarterly Update for Skilled Nursing Facility (SNF) Consolidated Billing | 10/1/2003 | 2781 |
AB-03-096 | 7/3/2003 | Quarterly Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement | 10/1/2003 | 2776 |
AB-03-095 | 7/3/2003 | Remittance Advice Remark and Reason Code Update | 10/1/2003 | 2788 |
AB-03-093 | 6/27/2003 | Correction: Coverage and Billing Requirements for Electrical Stimulation for the Treatment of Wounds | 7/11/2003 | 2733 |
A-03-055 | 6/27/2003 | Disclosure of Information Requirements Related to Hospice Claims | 7/11/2003 | 2732 |
A-03-056 | 6/27/2003 | Payment Update for Long-term Care Hospital Prospective Payment System Rate Year 2004 | 7/1/2003 | 2807 |
B-03-048 | 6/20/2003 | Addition of Temporary Codes Q4052 and Q4053 | 7/1/2003 | 2798 |
B-03-049 | 6/20/2003 | Additional Instructions to Assist in the Implementation of Program Memorandum B-02-75 - Carrier Review of Payment Amounts for Portable X-Ray Transportation Services (HCPCS Code R0070) | 7/7/2003 | 2741 |
B-03-047 | 6/20/2003 | Changes to Correct Coding Edits, Version 9.3, Effective October 1, 2003 | 10/1/2003 | 2756 |
AB-03-087 | 6/20/2003 | Common Working File (CWF) Edits with Unsolicited Responses for Skilled Nursing Facility (SNF) Consolidated Billing | 7/1/2002 | 2034 |
AB-03-089 | 6/20/2003 | Coverage and Billing for Home Prothrombin Time International Normalized Ratio (INR) Monitoring for Anticoagulation Management | 12/27/2002 | 2323 |
AB-03-090 | 6/20/2003 | Coverage of Compression Garments in the Treatment of Venous Stasis Ulcers | 10/1/2003 | 2739 |
AB-03-092 | 6/20/2003 | Expanded Coverage of Positron Emission Tomography (PET) Scans and Related Claims Processing Requirements—for Thyroid Cancer and Perfusion of the Heart Using Ammonia N-13 | 10/1/2003 | 2687 |
AB-03-091 | 6/20/2003 | Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) | 10/1/2003 | 2763 |
AB-03-086 | 6/20/2003 | New Automatic Notice of Change to Medicare Secondary Payer (MSP) Auxiliary File | 7/1/2001 | 1529 |
A-03-053 | 6/20/2003 | Nurse Practitioner Services Under Medicare Hospice | 7/1/2003 | 2750 |
AB-03-088 | 6/20/2003 | Prohibition on New Trading Partner Agreements (TPAs) with Certain Entities for the Purpose of Coordination of Benefits (COB) | 7/5/2002 | 2216 |
A-03-052 | 6/20/2003 | Revision to Billing for Swing Bed Services Under Skilled Nursing Facility Prospective Payment System (SNF PPS) | 7/12/2002 | 2257 |
A-03-054 | 6/20/2003 | Revision to CR 2573, Transmittal A-03-013, dated February 14, 2003: 3-Day Payment Window Refinements Under the Short-Term Hospital Inpatient Prospective Payment System | 7/1/2003 | 2803 |
A-03-051 | 6/13/2003 | July 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 7/1/2003 | 2771 |
AB-03-085 | 6/11/2003 | Beneficiary Notice of Implementation of Outpatient Therapy Service Limitations | 7/1/2003 | 2792 |
B-03-046 | 6/11/2003 | Provider Education: Establishing New Requirements for ICD-9-CM Coding on Claims Submitted to Medicare Carriers - Increased Role for Physicians/Practitioners | 6/24/2003 | 2784 |
AB-03-084 | 6/6/2003 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 1, 2003 | 7/1/2003 | 2737 |
B-03-044 | 6/6/2003 | CORRECTION TO BUSINESS REQUIREMENT # 2 | See PM | 2645 |
A-03-049 | 6/6/2003 | Fiscal Intermediaries (FIs) Must Install and Use SuperOp with the Fiscal Intermediary Standard System (FISS) | 6/20/2003 | 2718 |
B-03-045 | 6/6/2003 | ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers | 10/1/2003 | 2725 |
A-03-050 | 6/6/2003 | July Medicare Outpatient Code Editor (OCE) Specifications Version 18.2 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) | 7/1/2003 | 2768 |
A-03-048 | 6/6/2003 | July Outpatient Code Editor (OCE) Specifications Version (V4.2) | 7/1/2003 | 2762 |
AB-03-082 | 6/6/2003 | Medicare Secondary Payer (MSP) Prepayment and Post Payment Workload Reporting -Activity Code (AC) Definitions | 10/1/2003 | 2548 |
A-03-047 | 6/6/2003 | Medicare’s Coordination of Benefits Contractor (COBC) Shall Discontinue the Dissemination of the Right of Recovery Letter to Intermediaries | 6/20/2003 | 2752 |
AB-03-083 | 6/6/2003 | Screening of Complaints Alleging Fraud and Abuse | 6/13/2003 | 2719 |
A-03-044 | 5/30/2003 | Audit Guidance Pertaining to Write-offs of Small Debit Balances in Patients’ Accounts Receivable | 10/1/2002 | 2174 |
AB-03-081 | 5/30/2003 | Data Center Testing and Production - Electronic Correspondence Referral System (ECRS) User Manual 6.0 | 8/4/2003 | 2748 |
A-03-046 | 5/30/2003 | Demonstration--Settlement of Payments for Home Health Services to Beneficiaries Eligible for both Medicare and Medicaid in Connecticut, and Massachusetts. Regional Home Health Intermediaries (RHHIs) Only. | 6/13/2003 | 2710 |
A-03-045 | 5/30/2003 | Payment to Hospitals and Units Excluded from the Acute Inpatient Prospective Payment System (IPPS) for Direct Graduate Medical Education (DGME) and Nursing and Allied Health (N&AH) Education for Medicare+Choice (M+C) Enrollees | 10/1/2003 | 2754 |
AB-03-080 | 5/30/2003 | Single Drug Pricer (SDP) Clarification for Code J7342l | 6/6/2003 | 2772 |
B-03-042 | 5/23/2003 | Bi-Annual Updates to the Health Care Provider Taxonomy Code (HPTC) | 6/16/2003 | 2698 |
A-03-043 | 5/23/2003 | Changes to Fiscal Year (FY) 2001 Nursing and Allied Health Education Payment Policies | See PM | 2692 |
B-03-043 | 5/23/2003 | Diabetes Outpatient Self-Management Training (DSMT) and the "Incident to" Provision | 6/6/2003 | 2157 |
AB-03-074 | 5/23/2003 | Instructions for Fiscal Intermediary Standard System (FISS) and Multi-Carrier System (MCS) Healthcare Integrated General Ledger Accounting System (HIGLAS) Changes | 7/1/2003 | 2618 |
AB-03-078 | 5/23/2003 | Medicare Fee-for-Service (FFS) Contractor Guidance on the HIPAA Privacy Rule Business Associate Provisions | 5/31/2003 | 2712 |
B-03-041 | 5/23/2003 | National Council for Prescription Drug Programs (NCPDP) Batch Transaction Standard 1.1 Billing Request Companion Documen | 6/6/2003 | 2713 |
AB-03-073 | 5/23/2003 | Provider Education Article: Financial Limitation of Claims for Outpatient Rehabilitation Services | 6/6/2003 | 2603 |
AB-03-075 | 5/23/2003 | Provider Education Article: Quarterly Provider Update | 5/23/2003 | 2686 |
AB-03-076 | 5/23/2003 | Remittance Advice Message for Denial of Clinical Diagnostic Laboratory Services Denied Due to Frequency Edits | 10/1/2003 | 2701 |
AB-03-077 | 5/23/2003 | Revised Disclosure Desk Reference for Call Centers | 6/23/2003 | 2566 |
A-03-042 | 5/23/2003 | Updated Revision to Change Request (CR) 2508, Suspension, Offset, and Recoupment of Medicare Payments to Providers and Suppliers of Services | 6/1/2003 | 2677 |
A-03-041 | 5/16/2003 | Health Insurance Portability and Accountability Act (HIPAA) Version 4010A1 Institutional 837 Health Care Claim Additional Implementation Direction | 5/27/2003 | 2706 |
AB-03-066 | 5/16/2003 | Issuance of the Eligibility File-Based Standard Trading Partner Agreement (TPA) for the Purpose of Coordination of Benefits (COB) | 5/23/2003 | 2542 |
AB-03-072 | 5/16/2003 | Mammography Computer Aided Detection (CAD) Equipment | 5/31/2003 | 2743 |
B-03-040 | 5/16/2003 | Update of the Place of Service (POS) Code Set | 10/1/2003 | 2730 |
A-03-040 | 5/9/2003 | Clarification of Bill Types 22x and 23x Submitted by Skilled Nursing Facilities (SNFs) | See PM | 2674 |
AB-03-069 | 5/9/2003 | Clarification of the Criteria for a Valid Written Statement of Intent (SOI) To File a Medicare Claim | 5/23/2003 | 2596 |
A-03-039 | 5/9/2003 | Clarification to Correction to Updated Instruction on Receipt and Processing of Non-Covered Charges on Other Than Part A Inpatient Claims (Transmittals A-02-071, A-02-117) - CHANGE IN EFFECTIVE AND IMPLEMENTATION DATE ONLY | 10/1/2003 | 2590 |
B-03-039 | 5/9/2003 | Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Bypass to Allow Separate Payment for Drugs | See PM | 2707 |
AB-03-068 | 5/9/2003 | CWF Change For The 270/271 Eligibility Transaction | 10/6/2003 | 2699 |
AB-03-071 | 5/9/2003 | July Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 7/1/2003 | 2702 |
AB-03-067 | 5/9/2003 | Revision to CR 2170: Appeals Quality Improvement and Data Analysis Activities | 7/24/2003 | 2740 |
AB-03-065 | 5/9/2003 | Scheduled Release for July Updates to Software Programs and Pricing/Coding Files | See PM | 2744 |
AB-03-070 | 5/9/2003 | Second Update to the 2003 Medicare Physician Fee Schedule Database | 7/1/2003 | 2734 |
A-03-032 | 5/2/2003 | Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65 | 10/1/2003 | 2638 |
AB-03-053 | 5/2/2003 | Availability of Online Screens for the Laboratory National Coverage Determinations (NCDs) | 10/1/2003 | 2615 |
AB-03-058 | 5/2/2003 | Collection of Fee-for-Service Payments made during periods of Managed Care Enrollment | 10/1/2003 | 2562 |
B-03-032 | 5/2/2003 | Continuation of April and July 2003 Change Requests (CRs 2424 and 2524): Create Import/Export Functionality Between the Unique Provider Identification Number System (UPIN) and the Provider Enrollment Chain Ownership System (PECOS) | 7/1/2003 | 2642 |
B-03-033 | 5/2/2003 | Continuation of April and July 2003 Change Requests (CRs 2425 and 2525): Create Import/Export Functionality Between the Medicare Claims System (MCS) and the Provider Enrollment Chain Ownership System (PECOS) | See PM | 2643 |
B-03-034 | 5/2/2003 | Continuation of April and July 2003 Change Requests (CRs 2426 and 2526): Process all Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Modify the Medicare Claims System (MCS) to Incorporate all Claim Payment and Provider Correspondence Functionality that is Included in the Provider Enrollment System (PES) but will not be a part of PECOS | See PM | 2644 |
B-03-035 | 5/2/2003 | Continuation of April and July 2003 Change Requests (CRs 2427 and 2527): Process all Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Create Import/Export Functionality Between the VIPS Medicare System (VMS) and PECOS | See PM | 2645 |
A-03-037 | 5/2/2003 | Contractor Reporting of Operational and Workload Data (CROWD) for Electronic Data Interchange (EDI) and Manual Transactions | 10/1/2003 | 2547 |
AB-03-054 | 5/2/2003 | Diagnosis Code for Screening Pap Smear and Pelvic Examination Services | 10/1/2003 | 2637 |
B-03-025 | 5/2/2003 | Durable Medical Equipment Regional Carriers (DMERCs) - DeWall Posture Protector Orthotic Body Jacket (L0430 | 4/11/2003 | 2711 |
A-03-033 | 5/2/2003 | End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests | 10/1/2003 | 2277 |
B-03-037 | 5/2/2003 | Excluding from Home Health Consolidated Billing Edits Claims for Therapy Services Rendered by Physicians | 10/1/2003 | 2705 |
B-03-036 | 5/2/2003 | Expansion of Beneficiary History and Claims In Process (CIP) Files in the VIPS Medicare System (VMS). Phase 1 - Beneficiary History File Expansion | 10/1/2003 | 2656 |
AB-03-060 | 5/2/2003 | Flat File Changes in the Health Care Claim Professional (837 Professional) Version 4010A1, Health Care Claim Payment/Advice (835) Version 4010&4010A1 and 3051.4A, and Health Care Claim Status Inquiry and Response (276/277) Version 4010A1 Transactions | 10/1/2003 | 2657 |
AB-03-057 | 5/2/2003 | Implementation of the Financial Limitation for Outpatient Rehabilitation Services | 10/1/2003 | 2709 |
AB-03-052 | 5/2/2003 | Managing Medicare Appeals Workloads in FY 2003 | 5/15/2003 | 2330 |
A-03-034 | 5/2/2003 | Modification to Medicare Timely Filing Edit for Claims Paid Under Certain Prospective Payment Systems | 10/1/2003 | 2593 |
B-03-031 | 5/2/2003 | Multi-Carrier System (MCS) Reporting of 2003 Participating Data to the Contractor Reporting of Operational & Workload Data (CROWD) System | 10/1/2003 | 2629 |
AB-03-062 | 5/2/2003 | New Common Working File (CWF) Edits and Standard System Responses on Skilled Nursing Facility (SNF) Claims | 4/1/2002 | 1778 |
AB-03-063 | 5/2/2003 | New Common Working File (CWF) Medicare Secondary Payer (MSP) Edit to Reject MSP Records for Medicare Beneficiaries Who Are Only Entitled to Medicare Part B, and Are Covered by a Group Health Plan (GHP) | See PM | 1922 |
AB-03-056 | 5/2/2003 | New Waived Tests - March 21, 2003 | 7/1/2003 | 2685 |
B-03-038 | 5/2/2003 | Oral Anti-Cancer Drugs | 5/9/2003 | 2683 |
A-03-038 | 5/2/2003 | Program Integrity Management Reporting (PIMR) System for Part A -Phase 2 | 10/1/2003 | 2495 |
AB-03-061 | 5/2/2003 | Program Memorandum on Written Statements of Intent (SOI) to Claim Medicare Benefits | 4/24/2002 | 1050 |
A-03-035 | 5/2/2003 | Reporting of Revenue Codes Under the Outpatient Prospective Payment System (OPPS) | 10/1/2003 | 2614 |
AB-03-055 | 5/2/2003 | Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing | 10/1/2003 | 2654 |
AB-03-059 | 5/2/2003 | Shared Systems Changes for Name Change from HCFA to CMS (FISS and VMS external changes only) | 10/1/2003 | 2633 |
AB-03-064 | 5/2/2003 | System Networking Electronic Correspondence Referral System (SNECRS) User Guide | 3/30/2002 | 2024 |
A-03-036 | 5/2/2003 | This Program Memorandum has been rescinded and the number will be used in the future. | 7/7/2003 | 2680 |
AB-03-051 | 4/28/2003 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 4/28/2003 | 2431 |
AB-03-050 | 4/25/2003 | Data Center Testing and Production - Electronic Correspondence Referral System (ECRS) User Manual 5.1 and Quick Reference Guide Replacement | 10/7/2002 | 2441 |
AB-03-048 | 4/25/2003 | End Stage Renal Disease (ESRD) Coordination Period | 5/9/2003 | 2543 |
B-03-029 | 4/25/2003 | Managed Care Reasonable Charge Data Disclosure Requirements for Ambulance Services | 5/9/2003 | 2561 |
B-03-030 | 4/25/2003 | Type of Service (TOS) Corrections | 7/1/2003 | 2703 |
AB-03-049 | 4/18/2003 | Clarification of Payment Responsibilities of Fee-for-Service Contractors as it Relates to Hospice Members Enrolled in Managed Care Organizations (MCOs) and Claims Processing Instructions for Processing Rejected Claims | 4/1/2002 | 2013 |
B-03-028 | 4/18/2003 | Durable Medical Equipment Regional Carriers (DMERC) - ICD-9-CM Coding | 5/1/2003 | 2672 |
AB-03-046 | 4/18/2003 | Expanding the Number of Source Identifiers for Common Working File (CWF) MSP Records | 4/1/2002 | 1923 |
B-03-027 | 4/18/2003 | Implementation of Carrier Jurisdiction Manual Instructions Based on the Medicare Carriers Manual (MCM) Part 3, §§3100 - 3101 for the Multi-Carrier System (MCS) Standard System and Associated Medicare Carriers | 7/1/2001 | 1646 |
A-03-031 | 4/18/2003 | Medicare Secondary Payer (MSP) Information Collection Policies Changed for Hospitals | 3/31/2002 | 2104 |
A-03-030 | 4/18/2003 | Provider-based Status On or After October 1, 2002 | 5/1/2003 | 2411 |
AB-03-047 | 4/18/2003 | Single Drug Pricer (SDP) Clarifications | 4/18/2003 | 2659 |
B-03-026 | 4/18/2003 | Standard System Acceptance of Primary Payer Information at the Line Level | See PM | 1287 |
AB-03-043 | 4/11/2003 | Addition of "K" Codes for Surgical Dressings | 7/1/2003 | 2678 |
AB-03-044 | 4/11/2003 | Addition of Temporary "K" Codes | 7/1/2003 | 2611 |
AB-03-045 | 4/11/2003 | Addition of Temporary "K" Codes | 7/1/2003 | 2623 |
B-03-023 | 4/11/2003 | Correct Payment of January and February 2003 Physician Services | 7/1/2003 | 2669 |
A-03-029 | 4/11/2003 | Corrections to: Changes to the Hospital Inpatient Prospective Payment Systems and Rates and Costs of Graduate Medical Education, etc.; as Published in the Federal Register, FY 2003 (67 FR 49982, August 1, 2002) | 4/1/2003 | 2665 |
B-03-025 | 4/11/2003 | Durable Medical Equipment Regional Carriers (DMERCs) - DeWall Posture Protector Orthotic Body Jacket (L0430) | 4/11/2003 | 2711 |
B-03-024 | 4/11/2003 | Follow up to Implementation of the National Council for Prescription Drug Programs (NCPDP) Telecommunications Standard Version 5.1 and the Equivalent Batch Standard Version 1.1 for Retail Pharmacy Drug Transactions | 7/1/2003 | 2581 |
A-03-028 | 4/11/2003 | January Medicare Outpatient Code Editor (OCE) Specifications Version 18.1R1 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) | 4/15/2003 | 2676 |
A-03-027 | 4/11/2003 | Updated Outpatient Prospective Payment System (OPPS): Requirements for Provider Education and Training | 4/25/2003 | 2607 |
A-03-025 | 4/4/2003 | Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION | 3/1/2001 | 1596 |
A-03-024 | 4/4/2003 | Advance Beneficiary Notices Must Be Given To Beneficiaries and Demand Bills Must Be Submitted By Home Health Agencies (HHAs)--ACTION | 3/1/2001 | 1467 |
AB-03-041 | 4/4/2003 | Common Working File (CWF) Reject and Utilization Edits and Carrier Resolution for Consolidated Billing for Skilled Nursing Facility (SNF) Residents | 4/1/2002 | 1764 |
AB-03-042 | 4/4/2003 | Coverage and Billing for Percutaneous Image-Guided Breast Biopsy | 4/18/2003 | 2575 |
A-03-020 | 4/2/2003 | April 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) | 4/1/2003 | 2671 |
A-03-026 | 4/2/2003 | April Outpatient Code Editor (OCE) Specifications Version (V4.1) | 4/15/2003 | 2675 |
A-03-021 | 3/28/2003 | Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases, Clarification on Coverage and Payment of Diabetes Self-Management Training Services and Medical Nutrition Therapy Services | 7/1/2003 | 2511 |
A-03-023 | 3/28/2003 | Implementation of the Temporary Equalization of Urban and Rural Standardized Payment Amounts Under the Medicare Inpatient Hospital Prospective Payment System (IPPS) as Required By Section 402(b) of Public Law 108-7 | 4/1/2003 | 2661 |
A-03-022 | 3/28/2003 | Installation of Version 29.0 of the Provider Statistical and Reimbursement (PS&R) Reporting System-Modification | 5/5/2003 | 2660 |
AB-03-039 | 3/28/2003 | Procedure for Granting Extensions to File Requests for Appeal Under the New 120-day Timeframe Created by §521 of the Medicare, Medicaid and SCHIP Benefits Improvement and Protection Act (BIPA) of 2000 | 4/15/2003 | 2492 |
AB-03-037 | 3/28/2003 | Provider Education Article: Medicare Payments for Part B Mental Health Services | 3/28/2003 | 2520 |
AB-03-040 | 3/28/2003 | Provider Education Article: "Hospice Care Enhances Dignity and Peace As Life Nears Its End" | 4/11/2003 | 2570 |
AB-03-038 | 3/28/2003 | Reporting Benefit Integrity (BI) Workload in CROWD | 4/11/2003 | 2588 |
B-03-022 | 3/21/2003 | Use of Statistical Sampling for Overpayment Estimation When Performing Administrative Reviews of Part B Claims | 2/9/2001 | 1363 |
AB-03-036 | 3/14/2003 | 270/271 Implementation and Direct Date Entry (DDE) Eligibility | 7/1/2003 | 2576 |
A-03-019 | 3/14/2003 | Reactivation of Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) Edit 15, "Service Unit Out Of Range" and Guidance on Editing for Low Osmolar Contrast Media (LOCM) Procedures | 4/1/2003 | 2612 |
A-03-018 | 3/7/2003 | Installation of Version 28.0 Second Add-On of the Provider Statistical and Reimbursement (PS&R) Report | 3/31/2003 | 2605 |
B-03-021 | 3/7/2003 | Provider Education Regarding Home Health Consolidated Billing (HH CB) and Provider Liability | 3/13/2003 | 2619 |
AB-03-035 | 3/3/2003 | Emergency Changes to the 2003 Medicare Physician Fee Schedule Database | 3/3/2003 | 2609 |
B-03-020 | 2/28/2003 | 2003 DMEPOS Jurisdiction List | 4/1/2003 | 2567 |
AB-03-031 | 2/28/2003 | Addition or Modification of Temporary "K" Codes and Change in Status for Code A4232 | 4/1/2003 | 2584 |
B-03-017 | 2/28/2003 | Add-On-Codes for Anesthesia | 7/1/2003 | 2539 |
B-03-018 | 2/28/2003 | Changes to Correct Coding Edits, Version 9.2, Effective July 1, 2003 | 7/1/2003 | 2565 |
AB-03-030 | 2/28/2003 | Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 1, 2003 | 4/1/2003 | 2578 |
AB-03-024 | 2/28/2003 | Clarification of the Allocation of Initial Claim Entry Activities Where the Claim is Paid Secondary by Medicare | 4/12/2002 | 2074 |
A-03-016 | 2/28/2003 | Continuous Home Care Under Medicare Hospice | 4/1/2003 | 2556 |
AB-03-028 | 2/28/2003 | Coverage and Billing of Sacral Nerve Stimulation | 1/1/2002 | 2532 |
B-03-019 | 2/28/2003 | Durable Medical Equipment Regional Carriers (DMERCs) and Part B Carriers on the VMS Standard System—Short Descriptions of National Modifiers on the Healthcare Common Procedure Coding System (HCPCS) Tape | 7/1/2003 | 2343 |
A-03-015 | 2/28/2003 | Electromagnetic Stimulation | 4/1/2003 | 2559 |
AB-03-032 | 2/28/2003 | File Names, Descriptions and Instructions for Retrieving the 2003 Ambulatory Surgical Center (ASC) HCPCS Additions, Deletions and Master Listing | 7/1/2003 | 2574 |
AB-03-029 | 2/28/2003 | Health Care Claims Status Category Codes and Health Care Claim Status Codes for Use with the Health Care Claim Status Request and Response ASC X12N 276/277 | 3/28/2003 | 2555 |
AB-03-034 | 2/28/2003 | Medicare Fee for Service Contractor Guidance on the HIPAA Privacy Rule | 4/14/2003 | 2484 |
AB-03-027 | 2/28/2003 | Payment Change for the 2003 Medicare Physician Fee Schedule (MPFS) and Further Extension of the 2003 Participation Enrollment Process | 3/1/2003 | 2601 |
A-03-017 | 2/28/2003 | Payment for Services To Be Paid on a Fee Schedule But For Which There Is No Price--ACTION | 3/14/2003 | 2541 |
AB-03-033 | 2/28/2003 | Promoting Colorectal Cancer Screening as a Part of National Colorectal Cancer Awareness Month | 3/10/2003 | 2580 |
AB-03-025 | 2/28/2003 | System Networking Electronic Correspondence Referral System (SNECRS) 1.3 User and Installation Guides for Testing and Production | 10/8/2002 | 2359 |
A-03-014 | 2/21/2003 | Further Guidance Regarding Billing Under the Outpatient Prospective Payment System (OPPS) | 8/1/2000 | 1585 |
AB-03-026 | 2/21/2003 | Implementation of the Modifications (4010A1) to Transactions and Code Set Standards for Electronic Transactions Adopted Under the Health Insurance Portability and Accountability Act (HIPAA) | 4/1/2003 | 2385 |
A-03-013 | 2/14/2003 | 3-Day Payment Window Refinements Under the Short-Term Hospital Inpatient Prospective Payment System | 7/1/2003 | 2573 |
AB-03-021 | 2/14/2003 | Additional Documentation Requests (ADR) Requirements for Ordering Providers of Laboratory Services | 7/1/2003 | 2504 |
A-03-011 | 2/14/2003 | Changes in Payment for Certain Services Provided by Outpatient Physical Therapy (OPT) Providers Under the Medicare Physician Fee Schedule (MPFS) | 7/1/2003 | 2366 |
AB-03-020 | 2/14/2003 | Clarification of Transmittal AB-00-107, Change Request 1163, and Transmittal AB-00-129, Change Request 1460, Regarding the Coordination of Benefits (COB) Contractor and Medicare Secondary Payer (MSP) Prepay Work Activities for Customer Service, MSP and Standard Systems Contractor Staff | 2/15/2001 | 1558 |
AB-03-023 | 2/14/2003 | Deep Brain Stimulation for Essential Tremor and Parkinson’s Disease | 4/1/2003 | 2553 |
A-03-010 | 2/14/2003 | Manual Medical Review Indicator for the Comprehensive Error Rate Testing (CERT) Program | 7/1/2003 | 2434 |
A-03-012 | 2/14/2003 | The Report of Benefit Savings (RBS) | 3/31/2003 | 2557 |
AB-03-022 | 2/14/2003 | Use of the American Medical Association’s (AMA’s) Physicians’ Current Procedural Terminology, Fourth Edition (CPT) Codes on Contractors’ Web Sites | See PM | 2583 |
AB-03-019 | 2/11/2003 | Notice of Interest Rate for Medicare Overpayments and Underpayments | 2/11/2003 | 2430 |
B-03-013 | 2/7/2003 | Continuation of April 2003 Change Request 2424: Create Import/Export Functionality Between the Unique Provider Identification Number System (UPIN) and the Provider Enrollment Chain Ownership System (PECOS) | 7/1/2003 | 2524 |
B-03-014 | 2/7/2003 | Continuation of April 2003 Change Request 2425: Create Import/Export Functionality Between the Medicare Claims System (MCS) and the Provider Enrollment Chain Ownership System (PECOS) | 7/1/2003 | 2525 |
B-03-015 | 2/7/2003 | Continuation of April 2003 Change Request 2426: Process all Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Modify the Medicare Claims System (MCS) to Incorporate All Claim Payment and Provider Correspondence Functionality That is Included in the Carrier Provider Enrollment System (PES) But Will Not Be a Part of PECOS. Shut Down All Provider Enrollment Functions in PES | 7/1/2003 | 2526 |
B-03-016 | 2/7/2003 | Continuation of April 2003 Change Request 2427: Process all Medicare Part B Provider Enrollments in the Provider Enrollment Chain Ownership System (PECOS). Shut Down All Provider Enrollment Functions in the Carrier Enrollment System (PENS). Create Import/Export Functionality Between the Viable Medicare System (VMS) and the Provider Enrollment Chain Ownership System (PECOS) | 7/1/2003 | 2527 |
AB-03-016 | 2/7/2003 | CR 2240 Question and Answer Document and Claims Processing Instructions for Processing Rejected Claims | 2/7/2003 | 2552 |
AB-03-018 | 2/7/2003 | Implementation of the Financial Limitation for Outpatient Rehabilitation Services | 7/1/2003 | 2183 |
A-03-009 | 2/7/2003 | Medical Nutrition Therapy (MNT) Services for Beneficiaries with Diabetes or Renal Disease - CORRECTION | 4/1/2003 | 2550 |
AB-03-017 | 2/7/2003 | Scheduled Release for April Updates to Software Programs and Pricing/Coding Files | See PM | 2572 |
AB-03-014 | 2/7/2003 | Single Drug Pricer (SDP) | 2/14/2003 | 2544 |
B-03-012 | 2/7/2003 | Use of the National Drug Code (NDC) for Drug Claims at the Durable Medical Equipment Regional Carriers (DMERCs) | 7/1/2003 | 2339 |
A-03-008 | 2/3/2003 | Clarification of 3-Day Payment Window vs. 1-Day Payment Window for Hospitals Excluded from Inpatient Prospective Payment System (IPPS) | 7/1/2003 | 2537 |
B-03-011 | 2/3/2003 | Correct Payment of January and February 2003 Physician Services | 7/1/2003 | 2549 |
B-03-009 | 2/3/2003 | Durable Medical Equipment Regional Carriers (DMERCs)-New Modifier Needed to Invoke Advanced Beneficiary Notice (ABN) Logic for Hard Copy and Electronic Claims | 7/1/2003 | 2048 |
AB-03-011 | 2/3/2003 | Identifying the Primary Payer Amounts to Send to the Medicare Secondary Payer Pay Module (MSPPAY) and the Shared Systems When There Are Multiple Primary Payers on Electronic and Hardcopy Claims | 7/1/2003 | 2050 |
B-03-008 | 2/3/2003 | Medical Review (MR) Progressive Corrective Action (PCA) Continuation of Work Begun In Compliance with Change Request (CR) 2433 | See PM | 2496 |
B-03-007 | 2/3/2003 | Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Physician Fee Schedule (MPFS) Services | 7/1/2003 | 2460 |
AB-03-013 | 2/3/2003 | New Waived Tests - December 17, 2002 | 4/1/2003 | 2533 |
A-03-007 | 2/3/2003 | Payment to Hospitals and Units Excluded from the Acute Inpatient Prospective Payment System (IPPS) for Direct Graduate Medical Education (DGME) and Nursing and Allied Health (N&AH) Education for Medicare+Choice (M+C) Enrollees | 7/1/2003 | 2476 |
AB-03-012 | 2/3/2003 | Remittance Advice Remark and Reason Code Update | 4/1/2003 | 2546 |
AB-03-010 | 2/3/2003 | Shared System Maintainer Hours for Resolution of Problems Detected During Health Insurance Portability and Accountability Act (HIPAA) Transaction Release Testing | 7/1/2003 | 2523 |
AB-03-015 | 2/3/2003 | Shared Systems Changes for Name Change from HCFA to CMS (MCS and CWF external changes only) | 7/1/2003 | 2280 |
B-03-010 | 2/3/2003 | Transmittal B-03-010 has been rescinded | See PM | 2501 |
A-03-006 | 2/3/2003 | Update the Medicare Secondary Payment Module (MSPPAY) to Apportion Prospective Payment System (PPS) Outlier Amounts to all Service Lines With Medicare Reimbursement That are PRICER Related and Potential Outlier Service Lines | 7/1/2003 | 2053 |
AB-03-008 | 1/31/2003 | Clarification of Physician Certification Requirements for Medicare Hospice | 2/1/2001 | 1502 |
AB-03-009 | 1/31/2003 | The Medicare Exclusion Database (MED) Replaces Publication 69 | 1/1/2002 | 1919 |
AB-03-006 | 1/24/2003 | April Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule | 4/1/2003 | 2535 |
B-03-004 | 1/24/2003 | CWF Change for Billing for Glucose Test Strips and Supplies - Follow-up to CR 2156 | 7/1/2003 | 2363 |
B-03-002 | 1/24/2003 | DMERCs - VIPS Medicare System (VMS) Implementation to Process ICD-9 CM Codes Using Date of Service and Not Date of Receipt. | 4/1/2003 | 2558 |
AB-03-005 | 1/24/2003 | FY 2003 Systems Security Activities and Due Dates | 2/24/2003 | 2518 |
A-03-005 | 1/24/2003 | Health Insurance Portability and Accountability Act (HIPAA) Transaction 835v4010 Companion Document Update for Intermediaries. | 7/1/2003 | 2498 |
AB-03-004 | 1/24/2003 | Installation of a Security Firewall for Deceased Beneficiary Files (Options B & C) | 1/24/2003 | 2516 |
B-03-006 | 1/24/2003 | Program Integrity Management Reporting (PIMR) System for Part B - Correction of Multiple Reports of Savings By VIPS Standard Systems (i.e., VIPS Medicare System (VMS) and Durable Medical Equipment Regional Contractor (DMERC) System) | 7/1/2003 | 2493 |
B-03-005 | 1/24/2003 | Reporting of Accident Date and Ambulance Certification Information on the X12N 837 (version 4010) Coordination of Benefits (COB) Transaction | 7/1/2003 | 2449 |
AB-03-007 | 1/24/2003 | Second Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule | 2/24/2003 | 2470 |
B-03-003 | 1/24/2003 | Section II.8, Processing Initial Denials, of the DMEPOS Refund Requirements - Implementation of Limits on Beneficiary Liability for Medical Equipment and Supplies - Change | 7/1/2003 | 2416 |
A-03-004 | 1/17/2003 | Calculating Provider-Specific Medicare Outpatient Cost-to-Charge Ratios (CCRs) and Instructions on Cost Report Treatment of Hospital Outpatient Services Paid on a Reasonable Cost Basis | 4/30/2003 | 2197 |
B-03-001 | 1/17/2003 | Emergency Update to the 2003 Medicare Physician Fee Schedule Database | 3/1/2003 | 2530 |
A-03-003 | 1/17/2003 | January Outpatient Code Editor (OCE) Specifications Version (V4.0) | 1/17/2003 | 2521 |
A-03-002 | 1/10/2003 | Installation of Version 28.0 Add-On of the Provider Statistical and Reimbursement (PS&R) Report | 1/24/2003 | 2529 |
AB-03-001 | 1/10/2003 | Medicare Coverage of Non-Invasive Vascular Studies for End Stage Renal Disease (ESRD) Patients | 1/1/2002 | 1855 |
AB-03-003 | 1/10/2003 | Noncoverage of Multiple Electroconvulsive Therapy (MECT) | 4/1/2003 | 2499 |
AB-03-002 | 1/10/2003 | Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement | 4/1/2003 | 2515 |
A-03-001 | 1/7/2003 | January Medicare Outpatient Code Editor (OCE) Specifications Version 18.1 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) | 1/1/2003 | 2522 |
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