August 2005

July 2005

June 2005

March 2005

•Modification to the Fiscal Intermediary Standard System (FISS) Regarding Ambulance Services Billed on 18x and 21x Types of Bill (TOB) - March 31, 2005 •Update to Fiscal Year (FY) 2005 Pricer for Inpatient Prospective Payment System (IPPS) Hospitals - March 31, 2005 •April Update to the Medicare Outpatient Code Editor (OCE) Specifications Version 20.2 Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (Non-OPPS) - March 28, 2005 •New Contrast Agents Healthcare Common Procedure Coding System (HCPCS) Codes - March 28, 2005 •Resubmission of Outpatient Prospective Payment System (OPPS) Services for Eligible Outlier Payment - March 22, 2005 •MMA - Expansion of Coverage for Chiropractic Services Demonstration - Information for Outpatient Hospitals and Radiologists - March 22, 2005 •MMA - End Stage Renal Disease (ESRD) Composite Payment Rate System Changes - March 22, 2005 •Skilled Nursing Facility (SNF) Consolidated Billing (CB) as It Relates to Therapy Services - March 22, 2005 •Billing for Implantable Automatic Defibrillators for Beneficiaries in a MEdicare Advantage (MA)Plan and Use of the QR Modifier to Identify Patient Registry Participation- Revised from bulletin dated September 29, 2003 - March 21, 2005 •Inpatient Psychiatric Facility (IPF) Prospective Payment System (PPS) - Further Clarifications - March 21, 2005 •Further Information Related to Inpatient Psychiatric Facility (IPF) Prospective Payment System (PPS) - March 21, 2005 •MMA - Full Replacement of CR 3572, New Case-Mix Adjusted End Stage Renal Disease (ESRD) Composite Payment Rates and New Composite Rate Exceptions Window for Pediatric ESRD Facilities. CR 3572 Is Rescinded - March 16, 2005 •MMA - Diabetes Screening Tests - March 16, 2005 •Billing for Blood and Blood Products Under the Hospital Outpatient Prospective Payment System (OPPS) - March 10, 2005 •Claims Status Code/Claims Status Category Code Update - March 10, 2005 •Correction to Healthcare Common Procedure Coding System (HCPCS) Code A4217 - March 10, 2005 •April 2005 Outpatient Prospective Payment System (OPPS) Outpatient Code Editor (OCE) Specifications Version 6.1 - March 4, 2005 •MMA - Clarification for Change Request (CR) 3267 - March 4, 2005 •The Medically Unbelievable Edits - March 3, 2005 •Skilled Nursing Facility Consolidated Billing as It Relates to Certain Diagnostic Tests - March 3, 2005 •Skilled Nursing Facility Consolidated Billing as It Relates to Clinical Social Workers - March 3, 2005 •Medicare Prescription Drug, Improvement, and Modernization Act (MMA) - Skilled Nursing Facility Consolidated Billing and Services of Rural Health Clinics and Federally Qualified Health Centers - March 3, 2005 •Tool Available for Registering Patients with Implantable Cardioverter Defibrillators - March 3, 2005 •MMA - Skilled Nursing Facility Consolidated Billing as It Relates to Prosthetics and Orthotics - March 3, 2005 •MMA - The Facts for Providers Regarding the Medicare Prescription Drug Plans That Will Become Available in 2006 - March 3, 2005 •Skilled Nursing Facility Consolidated Billing and Preventive/Screening Services - March 3, 2005 •Coordination of Benefits Agreement (COBA) Detailed Error Report Notification Process - March 3, 2005 February 2005 •Claims for Dialysis Services: Edits Associated with the Fiscal Intermediary Shared System (FISS) Reason Codes 14600 through 146Z0 and 14601 through 146Z1 (for Value Codes A8 and A9)and FISS Reason Code 31589--Action - February 28, 2005 •Extension of Timely Filing Period for Hospice Services to Beneficiaries Enrolled in Medicare Advantage Plans - February 28, 2005 •1st Update to the 2005 Medicare Physician Fee Schedule Database - February 11, 2005 •Use of 12x Type of Bill (TOB) for Billing Vaccines (Influenza, PPV, and Hep B) and Their Administration - February 11, 2005 •Revisions to January 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File - February 14, 2005 •Full Replacement of Change Request 3427, Transmittal 342, Issued on October 29, 2004 - Change to the Common Working File (CWF) Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Ambulance Transports to or from a Diagnostic or Therapeutic Site - February 11, 2005 •Standardization of Fiscal Intermediary Use of Group and Claim Adjustment Reason Codes and Calculation and Balancing of TS2 and TS3 Segment Data Elements - February 10, 2005 •Update to 100-04 and Therapy Code Lists - February 10, 2005 •CMS Seeks Provider Input on Satisfaction with Medicare Fee for Service Contractor Services - February 8, 2005 •Prosthetics & Orthotics Ordered in a Hospital or Home Prior to a Skilled Nursing Facility Admission - February 4, 2005 •The Centers for Medicare & Medicaid Services Consolidation of the Claims Crossover Process - February 4, 2005 •April 2005 Quarterly Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) - February 3, 2005 •MMA-Medical Review (MR) of Rural Air Ambulance Services - February 1, 2005 January 2005 •Replacement of Change Request (CR) 3373 - Payment to Providers/Suppliers Qualified to Bill Medicare for Prosthetics and Certain Custom-Fabricated Orthotics - January 21, 2005 •Updating the Common Working File (CWF) Editing for Pap Smear (Q0091) and Adding a New Low Risk Diagnosis Code (V72.31) for Pap Smear and Pelvic Examination - January 28, 2005 •Influenza Treatment Demonstration - January 28, 2005 •Hospital Outpatient Prospective Payment System (OPPS): Use of Modifiers -52, -73 and -74 for Reduced orDiscontinued Services - January 28, 2005 •Revisions and Corrections to the Medicare Claims Processing Manual, Chapter 6, Section 30 and Various Sections in Chapter 15 - January 28, 2005 •Modifications to the Online Medicare Secondary Payer Questionnaire - January 28, 2005 •MMA-Diabetes Screening Tests - January 21, 2005 •Remittance Advice Remark Code and Claim Adjustment Reason Code Update - January 21, 2005 •Fiscal Intermediary (FI) Standard Paper Remittance (SPR) Advice Changes - January 21, 2005 •April Quarterly Update to 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement - January 28, 2005 •Revisions to January 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File - January 26, 2005 •Revision of Change Request 2928: Implementation of Payment Safeguards for Home Health Prospective Payment System (HH PPS) Claims Failing to Report Prior Hospitalizations - January 24, 2005 •Medicare Drug Benefit and Medicare Advantage Program Final Rule - January 24, 2005 •Implementation of 2005 Fee Schedule Amounts for Oxygen & Oxygen Equipment and Male External Catheters - January 21, 2005 •Claims Attachment Survey - January 21, 2005 •Updated Skilled Nursing Facility (SNF) No Pay File for April 2005 - January 21, 2005 •The CMS Doctors' Office Quality Information Technology Demonstrations:Providing Leadership in the Adoption of Electronic Health Records - January 21, 2005 •The CMS Recovery Audit Contract Initiative - January 21, 2005 •MMA- Drugs Paid by Average Selling Price Beginning 1/1/05 - January 21, 2005 •Enforcement of Mandatory Electronic Submission of Medicare Claims - January 21, 2005 •Update to Billing Requirements fro FDG-PET Scans for Use in the Differential Diagnosis of Alzheimers Disease and Frontal Temporal Dementia and Updates to FI Billing Requirement for CAH - January 21, 2005 •Reporting of Diagnosis Codes for Screening Mammography Claims - January 21, 2005 •MMA-January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes - January 14, 2005 •X12N Health Care Eligibility Beneficiary Inquiry & Response HIPAA 270/271-Action - January 14, 2005 •Medicare Part B Enrollment for TRICARE Eligible Beneficiaries - January 14, 2005 •Ambulance Fee Schedule-Medical Conditions List - January 11, 2005 •"Q"Codes for Infusion Therapy-Non-OPPS Providers - January 10, 2005 •Skilled Nursing Facility Consolidated Billing Furnished Under "Arrangement" with an Outside Entity - January 10, 2005 •January 2005 Update to the Medicare Non-OPPS Outpatient Code Editor (OCE) Specifications Version 20.1 for Bills Not Paid Under the OPPS - January 10, 2005 •MMA-2005 Drug Administration Coding Revisions - January 10, 2005 •Correction to January 2005 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement - January 6, 2005 •January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS):Summary of OPPS Outpatient Code Editor (OCE) Data Changes & OPPS PRICER Logic; Changes to Payment of Diagnostic Mammographies - January 6 2005 •Interest Payment on clean Claims Not Paid Timely - January 6 2005 •Clarification of Medicare's Transfer Policy Under the Inpatient Prospective Payment System - January 6,2005 •Full Replacement of CR 3308, Fiscal Intermediary Shared System (FISS) Changes to Allow for Provider Liability Days on Skilled Nursing Facility (SNF) and Swing Bed Facility Inpatient Bills - January 5 2005 December 2004 •MMA-Initial Preventive Physicial Examination - December 31, 2004 •Emergency Update to the 2005 Medicare Physician Fee Schedule Database (MPFSDB) - December 31, 2004 •January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Billing for Devices that Do Not Have Transitional Pass-Through Status and that Are Not Classified as New Technology Ambulatory Payment Classification (APCs) Groups - December 29, 2004 •Hospital Billing for Repetitive Services - December 29, 2004 •Electrocardiographic Services - December 29, 2004 •MMA-Diabetes Screening Tests - December 29, 2004 •2005 Annual Update for Skilled Nursing Facility (SNF) Consolidated Billing for the Common Working File (CWF) and Medicare Carriers - December 29, 2004 •The Pulse of CMS - December 29, 2004 •Extension of Interrupted Stay Policy Under Long Term Care Hospital (LTCH) Prospective Payment System (PPS) - December 29, 2004 •April 2005 Update of Health Care Claims Status Codes and Health Care Claims Status Category Codes for Use with the Health Care Claim Status Request and Response ASC X12N 276/277 - December 23, 2004 • •Partial Benefits Exhaust Claims - December 22, 2004 •MMA- Coverage of Routine Costs of Clinical Trials Involving Investigational Device Exemption (IDE) Category A Devices - December 22, 2004 •Emergency Change to Carrier Instructions for the End Stage Renal Disease(ESRD) 50/50 Rule Implementation - December 22, 2004 •MMA-Cardiovascular Screening Blood Tests - December 22, 2004 •January 2005 Update of the Hospital OPPS:Coding and Payment for Drug Administration - December 22, 2004 •MMA-Announcement of Medicare Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC) Payment Increase- Skilled Nursing Facility Consolidated Billing As It Applies to Services Provided by RHCs and FQHCs - December 22, 2004 •The Supplemental Security Income (SSI) Medicare Beneficiary Data for Fiscal Year 2003 for Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) - December 16, 2004 •Updated Billing Instructions for Rural Health Clinics and Federally Qualified Health Centers - December 10, 2004 •January 2005 OPPS OCE Specifications Version 6.0 - December 10, 2004 •2005 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment - December 10, 2004 •MMA - Hospice Pre-Election Evaluation and counseling Services - December 10, 2004 •MMA - Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) Implementation - December 9, 2004 •New ESRD Composite Rates Effective January 1, 2005 - December 9, 2004 •Inclusion of Forteo as a Covered Osteoporosis Drug and Clarification of Manual Instructions Regarding Osteoporosis Drugs - December 8, 2004 •Hospital OPPS:Misclassified Drugs and Biologicals,Ganciclovir Long Act Implant, Bcg Live Intravesical Vac, and Gallium ga 67; Adjustments Due to Misclassification - December 8, 2004 •MMA - Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2005 - December 8, 2004 •Annual Update of HCPCS Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) December 3, 2004 •End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests December 1, 2004 •Change to the Common Working File Skilled Nursing Facility Consolidated Billing Edits for Ambulance Transports to or from a Diagnostic or Therapeutic Site December 1, 2004 •Instructions for Completion of Form CMS-1450 December 1, 2004 •MMA - Section 706 -- Implementation of Coverage of Religious Nonmedical Health Care Institution (RNHCI) Items and Services Furnished in the Home December 1, 2004 •CMS Manual System December 1, 2004 November 2004 •MMA - Medicare Program: Update to the Prospective Payment System (PPS) for Home Health Agencies for Calendar Year 2005 November 24, 2004 •OIG Sanctioned and Reinstated Providers for September to November 2004 November 18, 2004 •Change in the Type of Bill for Billing Diagnostic and Screening Mammographies November 16, 2004 •Durable Medical Equipment Carrier – Revision to CR 2631 for Durable Medical Equipment Carriers Only November 12, 2004 •HIPAA Update November 2004 November 11, 2004 •Editing of Hospital and Skilled Nursing Facility (SNFs) Part B Inpatient Services (Full Replacement of Change Request 3366) November 11, 2004 •Inappropriate Access to or Use of Electronic Data Interchange (EDI) Transaction Data by Third Party Entities November 11, 2004 •MMA-January 2005 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective January 1, 2005 November 11, 2004 •Update of Healthcare Common Procedure Coding System (HCPCS) Codes and File Names, Descriptions, and Instruction for Retrieving the 2005 Ambulatory Surgical/Surgery Center (ASC) HCPCS Deletions and Master Listing November 9, 2004 •Medicare Termination of Beneficiaries With End Stage Renal Disease (ESRD) November 9, 2004 •Reminder Notice of the Implementation of the Ambulance Transition Schedule November 9, 2004 •Indian Health Service (IHS) or Tribal Hospitals Including Critical Access Hospitals (CAHs) Payment Methodology for Inpatient Social Admissions and Outpatient Services Rendered at a Separate Facility November 8, 2004 October 2004 •New Waived Tests October 29, 2004 •3rd Update to the 2004 Medicare Physician Fee Schedule Database October 29, 2004 •MMA - Medicare-Approved Drug Discount Cards and Transitional Assistance Program: A Summary of New Initiative of Interest to Physicians and Other Health Care Professionals October 29, 2004 •MMA - Medicare-Approved Drug Discount Cards and Transitional Assistance Program: A Summary of New Initiative of Interest to Pharmacists and Pharmacy Professionals October 29, 2004 •New Policy and Refinements on Billing Non-Covered Charges to Fiscal Intermediaries (FIs) October 29, 2004 •Comprehensive Outpatient Rehabilitation Facilities/Outpatient Physical Therapy (CORF/OPT) Edit for Billing Inappropriate Supplies October 29, 2004 •Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 11.0, Effective January 1, 2005 October 29, 2004 •MMA - Payment for Emergency Medical Treatment and Labor Act (EMTALA)- Mandated Screening and Stabilization Services October 29, 2004 •Override of Medicare System Edit for Observation Services Exceeding 48 Hours October 29, 2004 •Important News about Flu Shots for Medicare Beneficiaries October 29, 2004 •Revision of Common Working File (CWF) Editing for Same-Day, Same- Provider Acute Care Readmissions October 26, 2004 •Remittance Advice Remark Code and Claim Adjustment Reason Code Update October 26, 2004 •Instructions for Completion of CMS-1450 Billing Form October 19, 2004 •Medicare Comprehensive Outpatient Rehabilitation Facility Coverage October 19, 2004 •Treatment of Obesity October 19, 2004 •Payment Amounts for the Influenza Virus Vaccine (CPT 90658) and the Pneumoccocal Vaccine (CPT 90732) When Payment is Based on 95 Percent of the Average Wholesale Price (AWP) October 19, 2004 •Crossover Patients in New Long Term Care Hospitals (LTCH) October 11, 2004 •Full Replacement of CR 3415, 3rd Update to the 2004 Medicare Physician Fee Schedule Database. CR 3415 Is Rescinded October 8, 2004 •Coverage by Medicare Advantage Organizations for National Coverage Determination (NCD) Services Not Previously Included in the Medicare Advantage’s Capitated Rates October 8, 2004 •Clarification of Medicare Secondary Payer (MSP) Rules in Relation to a Temporary Leave of Absence October 4, 2004 •Guidance for Part A Providers Switching to Electronic Remittance Advices (ERAs) October 4, 2004 •Guidance Regarding Elimination of Standard Paper Remittance (SPR) Advice Notices in the Old Format October 4, 2004 September 2004 •MMA-Reasonable Charge Update for 2005 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, Therapeutic Shoes, and Certain Intraocular Lenses September 29, 2004 •Editing of Hospital and Skilled Nursing Facility Part B Inpatient Services September 29, 2004 •Quality Improvement Organization Condition Codes September 29, 2004 •Tubing and Other Supplies Used for the Administration of Separately Payable Drugs September 29, 2004 •Update to Medicare, Deductible, Coinsurance, and Premium Rates for Calendar year (CY) 2005 September 29, 2004 •MSN Messages and Reason Codes for Mammography September 29, 2004 • CMS Pulse Fall 2004 September 29, 2004 •Use Condition Code 59 When an ESRD Beneficiary Receives Non-Scheduled or Emergency Dialysis Services at a Non-Primary ESRD Dialysis Facility September 13, 2004 •October 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS) September 13, 2004 •January Medicare Outpatient Code Editor (OCE) Specifications Version 19.1 R1 for Bills from Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) September 13, 2004 •Line Item Dates of Service (LIDOS) Edit Implementation October 4, 2004, Change Requests 3031, 3264, & 3337 September 13, 2004 •Implementation of Skilled Nursing Facility (SNF) Claim Edits for Therapy Codes Considered Separately Payable Physician Services September 13, 2004 •2005 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder September 13, 2004 •MMA - Use of Group Health Plan Payment System to Pay Capitated Payments to Chronic Care Improvement Organizations Serving Medicare Fee-For-Service Beneficiaries Under Section 721 of the MMA September 13, 2004 •MMA-Ambulatory Surgical Center (ASC) Payment Rates and Wage Index Values Remain in Effect for Fiscal Year (FY) 2005 September 7, 2004 •MMA-Addition of Physician Assistants, Nurse Practitioners, and Clinical Nurse Specialists as Emergency On-Call Providers for Critical Access Hospitals September 7, 2004 •Application of the Medicare Secondary Payer for the Working Aged Provision to Former Spouses and the Medicare Secondary Payer for the Disabled Provision to Former Spouses and Certain Family Members with Coverage Under the Federal Employees Health Benefits (FEHB) Program September 7, 2004 •3rd Update to the 2004 Medicare Physician Fee Schedule Database September 7, 2004 •Use of Transmission Date in the Service Date Field for Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) Claims September 7, 2004 •Skilled Nursing Facility Consolidated Billing September 7, 2004 •Medicare Prescription Drug, Improvement, and Modernization Act (MMA) – Skilled Nursing Facility Consolidated Billing and Services of Rural Health Clinics and Federally Qualified Health Centers September 7, 2004 •Skilled Nursing Facility Consolidated Billing as it Relates to Certain Diagnostic Tests September 7, 2004 •“Incident to” Services September 7, 2004 August 2004 •Clarification of Epoetin Alfa (EPO) Billing Procedures and Codes in ESRD - August 26, 2004 •Expanded Coverage for PET Scans - August 26, 2004 •Role of Physicians in the Home Health Prospective Payment System - August 26, 2004 •Guidelines for Medicare Part B Laboratory Testing - August 26, 2004 •Psychotropic Drug Use in Skilled Nursing Facilities (SNFs) - August 26, 2004 •Durable Medical Equipment Ordered with Surrogate Unique Physician Identification Number (UPIN) - August 26, 2004 •Requirements for Payment of Medicare Claims for Foot and Nail Care Services - August 26, 2004 •New Diagnosis Code for Influenza Virus Vaccine Claims - August 26, 2004 •Pneumococcal Vaccine Payment increase Effective October 1, 2003 - August 26, 2004 •3rd Update to the 2004 Medicare Physician Fee Schedule Database - August 26, 2004 •Patient Status Code 65 or Implementation of Patient Status Code 65, Discharged/Transferred to a Psychiatric Hospital or Psychiatric Distinct Part Unit of a Hospital - August 25, 2004 •Coverage by Medicare Advantage Organizations for National Coverage Determination (NCD) Services Not Previously Included in the Medicare Advantage’s Capitated Rates - August 25, 2004 •MMA - Medicare Replacement Drug Demonstration - August 25, 2004 •October 2004 Quarterly Update of Home Health Common Procedure Coding System (HCPCS) Codes Used For Home Health Consolidated Billing Enforcement/a> - August 25, 2004 •October Quarterly Update for 2004 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule - August 25, 2004 •OIG Sanctioned and Reinstated Providers - August 19, 2004 •Press Release- Medicare Proposes Payment Rates and Policy Changes for Hospital Outpatient Service - August 16, 2004 •The Pulse of CMS - August 16, 2004 •MMA-Billing Requirements for Islet Cell Transplantation for Beneficiaries in a National Institutes of Health (NIH) Clinical Trial - August 16, 2004 •Autologous Blood-Derived Products for Chronic, Non-Healing Wounds - August 13, 2004 •Update to the Frequency of Billing - August 13, 2004 •October Update to the Medicare Outpatient Code Editor (OCE) Version 20.0 for Bills from Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) - August 6, 2004 •October 2004 Outpatient Prospective Payment System Outpatient Code Editor (OPPS OCE) Specifications Version 5.3 - August 6, 2004 •Revision of Common Working File (CWF) Editing for Same-Day, Same-Provider Acute Care Readmissions - August 6, 2004 •Standardized Responses to Provider Inquiries Regarding the Negotiated National Coverage Determinations (NCDs) Edit Module - August 6, 2004 •Cryosurgery of the Prostate - August 6, 2004 •Skilled Nursing Facility Consolidated Billing as It Relates to Clinical Social Workers - August 5, 2004 •Skilled Nursing Facility Consolidated Billing as It Relates to Prosthetics and Orthotics - August 5, 2004 •Skilled Nursing Facility Consolidated Billing and Preventive/Screening Services - August 5, 2004 •Skilled Nursing Facility Consolidated Billing as It Relates to Dialysis Coverage - August 5, 2004 •Skilled Nursing Facility Consolidated Billing and Erythropoietin (EPO, Epoetin Alfa) and Darbepoetin Alfa (Aranesp - August 5, 2004 •Skilled Nursing Facility Consolidated Billing as It Relates to Ambulance Services - August 5, 2004 •Skilled Nursing Facility Consolidated Billing as It Relates to Certain Types of Exceptionally Intensive Outpatient Hospital Services - August 5, 2004 •OIG Alert About Charging Extra for Covered Services - August 5, 2004 •Coverage by Medicare Advantage Organizations for National Coverage Determination (NCD) Services Not Previously Included in Medicare Advantage’s Capitated Rates --- Change Request Revised-see new bulletin dated August 20, 2004 - August 5, 2004 •Additional Clarification of Bill Types 22x and 23x Submitted by Skilled Nursing Facilities with Instruction for Involuntarily Moving a Beneficiary Out of the SNF and Ending a Benefit Period - August 3, 2004 •Change to Previous Transmittal Regarding the Discontinued Use of Revenue Code 0910 - August 3, 2004 •Extension of Interrupted Stay Policy Under Long Term Care Hospital (LTCH) PPS Provider Types Affected - August 3, 2004 July 2004 •2005 DMEPOS Pricing File Record Layout Extension and New Pricing Procedures for Certain DMEPOS Items based on Modifiers - July 29, 2004 •Update of Health Care Claims Status Codes and Health Care Claims Status Category Codes for Use with the Health Care Claim Status Request and Response ASC X12N 276/277 - July 29, 2004 •October 2004 Quarterly Update of Common Healthcare Common Procedure Coding System (HCPCS) Codes used for Skilled Nursing Facility (SNF) Consolidated Billing Enforcement - July 29, 2004 •Health Insurance Portability and Accountability Act (HIPAA) X12N837 Health Care Claim Implementation Guide (IG) Editing Additional Instruction - July 27, 2004 •Centers for Medicare and Medicaid Services (CMS) Working to Improve Provider Enrollment Process - July 27, 2004 •PCOM Minutes July 2004 - July 27, 2004 •MMA - Demonstration Project to Clarify the Definition of Homebound - July 26, 2004 •Availability of Revised Fact Sheets on Long Term Care Hospital Prospective Payment System - July 22, 2004 •Rural Health Fact Sheets - July 22, 2004 •MMA - Clarification for CR 3064 - Medicare Secondary Payer (MSP) Policy for Hospital Reference Lab Services and Independent Reference Lab Services - July 22, 2004 •Update to the Common Working File Edits for Skilled Nursing Facility (SNF) Consolidated Billing (CB) to Expand the Bypass for Pharmacy Services - July 22, 2004 •Clarification for Billing Left Ventricular Assist Devices - July 19, 2004 •End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests - July 19, 2004 •Change to the Skilled Nursing Facility Consolidated Billing Edits for Ambulance Transports to and from a Diagnostic or Therapeutic Site other than a Hospital - July 19, 2004 •Long Term Care Hospital Prospective Payment System (LTCH PPS) Annual Update - July 19, 2004 •Arthroscopic Lavage and Arthroscopic Debridement for the Osteoarthritic Knee - July 19, 2004 • MMA - Implementation of Section 414 of the Medicare Prescription Drug, Improvement, Modernization (MMA) Act of 2003 - July 14, 2004 •Payment Limits for J7308 (Levulan Kerastick) and J9395 (Faslodex) - July 9, 2004 June 2004 •Correction to CR 2944, Transmittal 90, Issued on February 6, 2004 - June 30, 2004 •MMA - July 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS) - June 30, 2004 •MMA - July 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS): Payment for Drugs, Biologicals, and Radiopharmaceuticals - June 30, 2004 •Elimination of Regulations for Written Statement of Intent - June 30, 2004 •Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) - June 30, 2004 •Revised Updated Skilled Nursing Facility NO PAY File for July 2004 - June 30, 2004 •MMA - Expansion of Policy where Patient is a Member of a Medicare Advantage (MA) Organization for only a Portion of the Billing Period, to Include Inpatient Rehabilitation Facilities (IRF) and Long Term Care Hospitals (LTCH) (MMA section 211(e)) - June 25, 2004 •Clarification for Medlearn Matters 3031: Medicare Need for a Specific Line Item Date of Service (LIDOS) for Each Revenue Code on ALL Outpatient and Inpatient Part B Claims - June 21, 2004 •The Pulse of CMS Summer 2004 - June 21, 2004 •MMA - Nurse Practitioners as Attending Physicians in the Medicare Hospice Benefit - June 21, 2004 •Emergency Hospital Outpatient Billing of Epotein Alfa (EPO) and Darbepoetin Alfa (Aranesp) - June 17, 2004 •July Outpatient Prospective Payment System Code Editor (OPPS OCE) Specifications Version 5.2 - June 11, 2004 •July Update to the Medicare Outpatient Code Editor (OCE) Specifications Version 19.2 for Bills from Hospitals that are Not Paid Under the Outpatient Prospective Payment System - June 11, 2004 •Reporting Medicare Secondary Payer Information on the Health Insurance Portability and Accountability Act of 1996 X12N 837, Created Via the Free Billing Software - June 8, 2004 •MMA-Hospital Outpatient Billing and Payment under Outpatient Prospective Payment System for New Drugs or Biologicals After FDA Approval but Before Assignment of a Product-Specific Drug/Biological HCPCS Code - June 8, 2004 •Skilled Nursing Facility Consolidated Billing L Codes – Durable Medical Equipment Regional Carrier and Fiscal Intermediaries - June 8, 2004 •Updated Skilled Nursing Facility Help File Available for CY 2004 - June 8, 2004 •Skilled Nursing Facility Consolidated Billing: Services Furnished Under an “Arrangement” with an Outside Entity - June 2, 2004 May 2004 •Discontinued Use of Revenue Code 0910 - May 26, 2004 •Clarification to CR 3069 – New “K” Codes for Wheelchair Cushions - May 25, 2004 •MMA - 2nd Update to the 2004 Medicare Physician Fee Schedule Database - May 25, 2004 •Use of Group Health Plan Payment System for Medicare Disease Management Demonstration Serving Medicare Fee For Service Beneficiaries - May 25, 2004 •New Waived Tests - May 18, 2004 •Medicare Secondary Payer - May 18, 2004 •Frequently Asked Questions for Bulletin Dated 3/11/2004 – Billing Non-Covered Services - May 18, 2004 •July Quarterly Update for 2004 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Fee Schedule - May 13, 2004 •Healthcare Common Procedure Coding System Corrections Involving 0040T and A9603 - May 13, 2004 •Summer Holiday Schedule - May 13, 2004 •Remittance Advice Remark Code and Claim Adjustment Reason Code Update - May 12, 2004 •Clarification of Billing for Separately Billable End Stage Renal Disease Drugs - May 12, 2004 •MMA - Section 511 of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 Special Adjustment for Skilled Nursing Facility Prospective Payment System Rates for Acquired Immune Deficiency Syndrome - May 12, 2004 •Change to the Skilled Nursing Facility Consolidated Billing Edits for Ambulance Transports to and from an Diagnostic or Therapeutic Site other than a Physician’s Office or Hospital - May 12, 2004 •Clarification of Payments and Billing Procedures for Hospitals Subject to the Maryland Waiver - May 10, 2004 •MMA - National 1-800-MEDICARE (1-800-633-4227) Implementation (Section 923(d) of MMA) - May 10, 2004 •Emergency Correction Regarding Correction to Healthcare Common Procedure Coding System (HCPCS) Codes for Low-Osmolar Contrast Material - May 5, 2004 •Reminder to Stop Duplicate Billings - May 5, 2004 •Centers for Medicare & Medicaid Services (CMS) Working to Improve Provider Enrollment Process - May 5, 2004 •MMA-New Medicare-Approved Drug Discount Cards and Transitional Assistance Program: A Summary for Pharmacists and Other Pharmacy Professionals - May 5, 2004 •MMA-New Medicare-Approved Drug Discount Cards and Transitional Assistance Program: A Summary for Physicians and Other Health Care Professionals - May 5, 2004 •MMA- Section 937 - Correction of Minor Errors and Omissions Without Appeals - May 5, 2004 •MMA - CMS to Increase Payments to Hospitals Reclassified Under Medicare Reform Law - May 5, 2004 •Quarterly Update of the Interest Rate for Medicare Overpayments and Underpayments - May 5, 2004 •Medicare Providers: Their Vendors, Clearinghouses, or Other Third-Party Billers and the HIPAA/Medicare Contingency Plan - May 5, 2004 •New Condition Code for ESRD Facilities and Patient Status Code Changes - May 5, 2004 •Arrangements for Physical, Occupational, and Speech-Language Pathology Services - May 5, 2004 •Hospital Concerns Regarding Changing of Patient Status Code Due to Common Working File Edit 7272 - May 5, 2004 •Update to the Healthcare Provider Taxonomy Codes (HPTCs) Version 4.0 - May 5, 2004 •Special Handling of Claims That Contain Healthcare Common Procedure Coding System (HCPCS) Code 93788 - May 4, 2004 •Updated SNF NO PAY File for April 2004 - May 4, 2004 •Ambulance Claims with Modifier QL or Value Code 32 - May 4, 2004 April 2004 •Problem with ELGA - April 29, 2004 •2004 Medicare Physician Fee Schedule Increase and Extension of the Annual Participation Enrollment Period - April 23, 2004 •The Consolidation of the Claims Crossover Process: Smaller-Scale Initial Implementation - April 22, 2004 •Transmittal 49 Implementation Date Extension - April 16, 2004 •MMA - April 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS) - April 14, 2004 •MMA- New Payment Allowance Percentages for DMERC Drugs - April 14, 2004 •MMA-Clarifications to Certain Exceptions to Medicare Limits on Physician Referrals - April 7, 2004 •Modification of Requirements in CR 2716, CWF Edits to Ensure Accurate Coding and Payments for Discharge and/or Transfer Policies - April 7, 2004 •2004 Jurisdiction List - April 2, 2004 •Temporary Hold of Outpatient Claims Subject to the Outpatient Prospective Payment System (OPPS) in April 2004 - April 5, 2004 •MMA-Outpatient Clinical Laboratory Tests Furnished by Hospitals with Fewer Than 50 Beds in Qualified Rural Areas - April 2, 2004 •January medicare outpatient Code Editor (OCE) Specifications Version 19.1 R1 for Bills from Hospitals That Are Not Paid Under the outpatient Prospective Payment System (OPPS) - April 2, 2004 •April Outpatient Code Editor (OCE) Specifications Version 5.1 Used in OPPS - April 2, 2004 •Updated policy and Claims Processing Instructions for Ambulaory Blood Pressure Monitoring (ABPM) - April 2, 2004 •Reminder: Hospital Discounts Permitted for Indigent, Uninsured, and Underinsured Patients - April 2, 2004 •Provider Education Article: national Participating Physician Directory - April 2, 2004 •Medicare Payments for Part B Mental Health Services - April 2, 2004 •Temporary Hold of Inpatient Claims in April 2004 - April 2, 2004 •Quarterly Provider Update - April 2, 2004 •MMA - Claims Requiring Adjustment as a Result of April 2004 changes to the Outpatient Prospective Payment System (OPPS) - April 1, 2004 •Payment Rate for Fulvestrant (Faslodex) under the Hospital Outpatient Prospective Payment System (OPPS) - April 1, 2004 March 2004 •Reminder of the Required Three-day Hospital stay for SNF Admissions - March 25, 2004 •MMA Drug Pricing Update--Drug Exceptions - March 25, 2004 •Guidance for Handling Revenue code 0910 - March 24, 2004 •MMA - April 2004 Changes to the Hospital Outpatient Prospective Payment System (OPPS): Payment for Drugs, Biologicals and Radiopharmaceuticals, Generic versus Brand Name - March 24, 2004 •Claims Returned to the Provider Multiple Times for U5606 - March 24, 2004 •MMA-Changes to the FY 2004 Graduate Medical Education (GME) Payments as Required by the Medicare Modernization Act of 2003 (MMA), P.L. 108-173 - March 22, 2004 •The Pulse of CMS Spring 2004 - March 18, 2004 •MMA - New Part B Annual Deductible - March 18, 2004 •Medicare Secondary Payer Questionnaire Revisions - March 12, 2004 •Payment for Services Provided Under a Contractual Agreement - March 12, 2004 •MMA-New Requirements for End Stage Renal Disease (ESRD) Drug Payments - March 12, 2004 •Billing Non-Covered Charges - March 11, 2004 •Consolidation of the Claims Crossover Process: Additional Common Working File (CWF) Functionality - March 4, 2004 •Expansion of Transfer Policy Under Inpatient Prospective Payment System - March 4, 2004 •DMERCs and VIPs, Processing NDC Numbers - March 4, 2004 •Modification of Requirements in CR 2716, CWF Edits to Ensure Accurate Coding and Payments for Discharge and/or Transfer Policies - March 4, 2004 •New Waived Tests -- April 1, 2004 - March 1, 2004 •Provider/Supplier Audience Web Page Updates - March 1, 2004 •1st Update to the 2004 Medicare Physician Fee Schedule Database - March 1, 2004 February 2004 •MMA-Implementation of Section 414 of the Medicare Prescription Drug, Improvement, and Modernization Act (MMA) of 2003 - February 27, 2004 •MMA-Additional Information in Medicare Summary Notices (MSNs) to Beneficiaries about Skilled Nursing Facility (SNF) Benefits - February 27, 2004 •Billing Medicare When Veterans Administration Benefits Have Exhausted - February 25, 2004 •Additional Guidelines for Implementing the National Council for Prescription Drug Program (NCPDP) Standards under HIPPA - February 25, 2004 •Medicare Incentive Payment for Physician Care in Underserved Areas - February 25, 2004 •Elimination of the 90 Day Grace Period for Billing Discontinued ICD-9-CM Codes - February 25, 2004 •Password Changes - February 19, 2004 •The Pulse of CMS - February 19, 2004 •Clarification for Inpatient CWF Edits for Patient Status Codes - February 13, 2004 •Revised NCD for Thoracic Electrical Bioimpedance - February 12, 2004 •New "K" Codes for Wheelchair Cushions - February 12, 2004 •Changes in Payment for Services Furnished in Ambulatory Surgical Centers for Fiscal Year 2004 - February 12, 2004 •New Condition and Value Codes for CMS 1450 Part A Claims - February 12, 2004 •Extension of Coverage to SNFs for Colorectal Cancer Screenings - February 12, 2004 •Elimination of the 90-day Grace Period for HCPCS Codes - February 11, 2004 •Update to the January 2004 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated billing Enforcement - February 10, 2004 •Remittance Advice Remark Code and Claim Adjustment Reason Code Update - February 10, 2004 •Medlearn Matters Number: SE0401 - February 6, 2004 •Clarification for Inpatient CWF Edits for Patient Status Codes - February 4, 2004 •CMS HIPAA UPDATE - February 4, 2004 •Emergency Correction to Healthcare Common Procedure Coding System (HCPCS) Codes for Low Osmolar Contrast Material - February 3, 2004 •Criteria for Using the CB Modifier - February 3, 2004 •Changes to the Laboratory National Coverage Determination (NCD) Edit Software - February 3, 2004 •Intravenous Immune Globulin - February 3, 2004 •Manual Revised to Expand Payment for (Diabetes Outpatient Self-Management Training)DMT to Home Health Agencies - February 3, 2004 January 2004 •Manual Update to Include New CAD Codes - January 30, 2004 •Interest Rates - January 30, 2004 •Instructions for Diagnosis Code of RAP's to Conform to HIPAA - January 27, 2004 •Correction to January 2004 Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement - January 27, 2004 •Update on Errors in Skilled Nursery Facility (SNF) NO PAY file - January 27, 2004 •Treatment of Certain Dental Claims as a Result of the Medicare Prescription Drug, Improvement, and Modernization Act of 2003 - January 27, 2004 •Payment Rate for Oxaliplatin (Eloxatin) under the Hospital Outpatient Prospective Payment System (OPPS) - January 23, 2004 •New Enrollee Rights, New Provider Responsibilities in M+C program - January 15, 2004 •Emergency Correction to the 2004 Healthcare Common Procedure Coding System (HCPCS) File - January 14, 2004 •Change in Coding on Medicare Claims for Darbepoetin Alfa (trade name Aranesp) and Epoetin Alfa (trade name Epogen, EPO) For Treatment Of Anemia In End Stage Renal Disease (ESRD) Patients On Dialysis. - January 13, 2004 •Instructions for Home Health Cost Reporting Processes - January 12, 2004 •April Quarterly Update for 2004 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule. - January 12, 2004 •Emergency Revised 2004 Update of the DMEPOS and Clinical Laboratory Fee Schedules - January 12, 2004 •DDE Screen Modifications - January 12, 2004 •Crossover "How it Works" - January 12, 2004 •Common Medicare Submitter Claim Testing Problems - January 12, 2004 •Physician Evaluation Period for Therapy - January 12, 2004 •Renewed Moratorium on Outpatient Rehabilitation Therapy Caps - January 12, 2004 •Implementation Date for the 2004 January Release - January 6, 2004 •Confidentiality and Disclosure Updates - January 5, 2004 December 2003 •Additional Modification Regarding Change Request (CR) 2963: Change in Coding on Medicare Claims for Darbepoetin Alfa (trade name Aranesp) and Epoetin Alfa (trade name Epogen, EPO) For Treatment of Anemia In End Stage Renal Disease (ESRD) Patients On Dialysis - December 31, 2003 •New Basis for Medicare Drug Payment Amounts under Part B – Amendment of Instructions Specified in Transmittal AB-02-174 - December 31, 2003 •New National Coverage Decision Screens - December 31, 2003 •January Outpatient Code Editor (OCE) Specifications Version 5.0 - December 30, 2003 •January Medicare Outpatient Code Editor (OCE) Specifications Version 19.1 For Bills from Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) - December 29, 2003 •January 2004 Update of the Hospital Outpatient Prospective Payment System (OPPS) - December 29, 2003 •Fecal-Occult Blood Tests (FOBT) - December 29, 2003 •Temporary HCPCS Codes – FIs and Carriers (including DMERCs) - December 29, 2003 •Therapy Caps - December 18, 2003 •Revised SNF NO PAY File—Effective January 1, 2004X - December 16, 2003 •Revenue Code 068X - December 15, 2003 •Non-System Change Requests Issued - December 12, 2003 •Clarification of Mammography Annual Screening Examination - December 8, 2003 • Remittance Advice Remark Code and Claim Adjustment Reason Code Update - December 4, 2003 • 837I Companion Guide (Date of revision: 12/02/2003) - December 2, 2003 • Physical, Occupational and Speech Therapy Moratorium---URGENT - December 5, 2003 • Clarification of Mammography Annual Screening Examination - December 8, 2003 November 2003 • Medicare Beneficiary Health Insurance Claim Number (HIC#) Prefixes And Suffixes - November 26, 2003 • Updates to the Financial Limitations on Rehabilitation Services - November 20, 2003 • Crosswalks to CMS Internet Only Manuals - November 18, 2003 • Ventricular Assist Devices for Destination Therapy - November 17, 2003 • Consolidation of the Medicare Coordination Benefits Contractor - November 17, 2003 • Ambulance Claims with Modifier QL or Value Code 32 - November 12, 2003 • New Coverage of Lung Volume Reduction Surgery (LVRS) & Submission of Claims for Medicare+Choice Plans for LVRS - November 12, 2003 • Fee Schedule Update for 2004 for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) - November 12, 2003 • HOLIDAY SCHEDULE for NOVEMBER & DECEMBER 2003 - November 12, 2003 • Annual Update of HCPCS used for Home Health Consolidated Billing Enforcement - November 10, 2003 • Provider Performed Microscopy of Fecal Leukocyte Examination - November 4, 2003 • Implementation of Payment Safeguards for Home Health Prospective Payment System Claims Failing to Report Prior Hospitalizations - November 4, 2003 • New Waived Tests - November 4, 2003 • Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 1, 2004 - November 4, 2003 October 2003 • Medicare 2004 Deductible and Coinsurance - October 30, 2003 • Changes to the End Stage Renal Disease (ESRD) Network Organizations - October 28, 2003 • Changes to the End Stage Renal Disease (ESRD) Network Organizations - October 28, 2003 • Manual Changes in the Claims Processing Manual 100-04 for Heart Acquisition Charges & National Coverage Determinations Expansion for the Ventricular Assist Device (VAD) - October 28, 2003 • Billing Instructions for Claims for Ventricular Assist Devices (VADS) for Beneficiary in a Medicare+Choice (M+C) Plan - October 28, 2003 • Guidance Regarding Claims Containing Healthcare Common Procedure Coding System (HCPCS) Codes K0622 through K0626 - October 21, 2003 • ICD-9 Procedure Code Reporting - October 7, 2003 • Clarification for billing under the 2300 Provider Number by Hospital-Based Renal Dialysis Facilities (RDF) - October 7, 2003 • This section has been revised to instruct DMERCS to review medical documentation as well as the beneficiary claims history when processing Advance Determination of Medicare Coverage (ADMC) requests. - October 7, 2003 • Core Elements and Required Statements for a Valid Privacy Authorization - October 7, 2003 • New Waived Tests – October 1, 2003 - October 7, 2003 • Reminder Notice of the Implementation of the Ambulance Transition Schedule - October 2, 2003 Back to top September 2003 • Revision to Attachment 2 in CR 2880 (Modifier and Condition Code for Providers to Use When Billing for Implantable Automatic Defibrillators for Beneficiaries in a Medicare+Choice Plan) - September 29, 2003 • New Diagnosis Code for Influenza Virus Vaccine Claims - September 29, 2003 • HIQA & ELGA - September 11, 2003 • ESRD Network Manual - September 25, 2003 • The New Online CMS Manual System Announcement - September 22, 2003 • Payment Amount for the Influenza Virus Vaccine (CPT 90658 and CPT 90659) when Payment is Based on 95 Percent of the Average Wholesale Price (AWP) - September 22, 2003 • Virtual Colonoscopy - September 18, 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) - September 15, 2003 • Billing Guidelines for Outpatient Rehabilitation Services - September 15, 2003 • Bexxar Coverage/Payment Criteria - September 15, 2003 • Guidelines for Skilled Nursing Facility (SNF) Consolidated Billing - September 3, 2003 • Correction to Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement - September 3, 2003 • October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) - September 3, 2003 August 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 - August 28, 2003 • Fiscal Year (FY) 2004 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH), and Other Bill Processing Changes - August 28, 2003 • Levocarnitine for Use in the Treatment of Carnitine Deficiency in ESRD Patients - August 25, 2003 • Guidelines for Medicare Part B Laboratory Testing - August 25, 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. - August 25, 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 - August 25, 2003 • Payment Rate for Oxaliplatin (Eloxatin) under the Hospital Outpatient Prospective Payment System (OPPS) - August 22, 2003 • Pneumococcal Vaccine Payment Increase Effective October 1, 2003 - August 22, 2003 • October Outpatient Code Editor (OCE) Specifications Version (V4.3) - August 12, 2003 • Final Update to the 2003 Medicare Physician Fee Schedule Database - August 12, 2003 • Adjustment to the Rural Mileage Payment Rate for Ground Ambulance Services - August 11, 2003 • Claims Processing and Payment of Incomplete Screening Colonoscopies - August 8, 2003 • Payment Denial for Medicare Services furnished to Alien Beneficiaries Who are Not Lawfully Present in the United States - August 8, 2003 • Review of Form CMS-1450 (previously Form HCFA-1450) for Inpatient and Outpatient Bills - August 8, 2003 • Clarification on Billing Requirements for Pre-Admission Diagnostic Services Treated As Inpatient Services for Non-OPPS Providers. - August 4, 2003 • Third Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule - August 4, 2003 • Revision to Skilled Nursing Facility (SNF) NO PAY File - August 4, 2003 Back to top July 2003 • Codes not recognized by Medicare - July 31, 2003 • Non Reportable Codes - July 31, 2003 • Frequency of Billing - July 31, 2003 • Clarification Regarding Coverage of Hyperbaric Oxygen (HBO) Therapy for the Treatment of Diabetic Wounds of the Lower Extremities - July 30, 2003 • Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 1, 2003 - July 30, 2003 • Reporting of Revenue Codes Under the Outpatient Prospective Payment System (OPPS) - July 24, 2003 • Diagnosis Code for Screening Pap Smear and Pelvic Examination Services - July 24, 2003 • October Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule - July 24, 2003 • Payment Problems Related to the Medicare Physician Fee Schedule (MPFS) Delay - July 18, 2003 • Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65 - July 17, 2003 • Remittance Advice Remark and Reason Code Update - July 17, 2003 • Medicare Program–Update to the Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer for FY 2004 - July 17, 2003 • Quarterly Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement - July 17, 2003 • October 2003 Quarterly Update for Skilled Nursing Facility (SNF) Consolidated Billing - July 17, 2003 • 1. Disclosure of Information Requirements Related to Hospice Claims 2. Correction: Coverage and Billing Requirements for Electrical Stimulation for the Treatment of Wounds - July 11, 2003 • Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 - July 8, 2003 • Payment Update for Long-term Care Hospital Prospective Payment System Rate Year 2004 - July 1, 2003 Back to top June 2003 • 1. Positron Emission Tomography (PET) Scans 2. 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 - June 25, 2003 • 1. Coverage of Compression Garments in the Treatment of Venous Stasis Ulcers 2. Nurse Practitioner Services Under Medicare Hospice - June 25, 2003 • July 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) - June 19, 2003 • Reminder that Skilled Nursing Facility (SNF) and Hospital Swing Bed Providers Are To Submit a Claim whenever the Beneficiary Ceases to Require a Skilled Level of Care - June 16, 2003 • National Participating Physician Directory - June 12, 2003 • 1. Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 1, 2003 2. July Outpatient Code Editor (OCE) Specifications Version (V4.2) - June 10, 2003 • Centers for Medicare & Medicaid Services (CMS) Quarterly Provider Update - June 3, 2003 • Medicare Fee-for-Service (FFS) Contractor Guidance on the HIPAA Privacy Rule Business Associate Provisions - June 3, 2003 Back to top May 2003 • Financial Limitation of Claims for Outpatient Rehabilitation Services - May 29, 2003 • Mammography Computer Aided Detection (CAD) Equipment - May 29, 2003 • 1. Food and Drug Administration (FDA) Approval of Drug-Eluting Coronary Artery Stent(s) 2. July Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule - May 22, 2003 • Second Update to the 2003 Medicare Physician Fee Schedule Database - May 22, 2003 • Memorial Day Holiday Schedule 2003 - May 22, 2003 • Clarification of Bill Types 22x and 23x Submitted by Skilled Nursing Facilities (SNFs) - May 22, 2003 • Clarification of the Criteria for a Valid Written Statement of Intent (SOI) To File a Medicare Claim - May 22, 2003 • Frequency of Billing – 1. Hospital Manual Update 2. SNF Manual Update 3. Intermediary Manual Update May 22, 2003 • Magnetic Resonance Angiography (MRA) - Intermediary Manual and Coverage Issues Manual and Hospital Manual Updates May 22, 2003 • End Stage Renal Disease (ESRD) Coordination Period Autologous Stem Cell Transplantation May 15, 2003 • Admission Notice To Beneficiaries--Important Message From Medicare (IM) May 15, 2003 • Managing Medicare Appeals Workloads in FY 2003 May 15, 2003 • New Waived Tests – March 21, 2003 May 15, 2003 • Modification to Medicare Timely Filing Edit for Claims Paid Under Certain Prospective Payment Systems May 15, 2003 • End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests May 15, 2003 • Implementation of the Financial Limitation for Outpatient Rehabilitation Services May 15, 2003 • Assigning Liability for Line Items Excluded by Statute on Otherwise Covered Claims – Follow-up to March , 2003 Bulletin May 15, 2003 • Review of Form HCFA-1450 for Inpatient and Outpatient Bills May 15, 2003 • Notice of Interest Rate for Medicare Overpayments and Underpayments May 8, 2003 • HIPAA Provider Outreach Activities - May 2, 2003 • (1) Clinical Diagnostic Laboratory Services Other than to Inpatients; (2) Screening Pap Smears and Screening Pelvic Examinations May 1, 2003 • Provider-based Status On or After October 1, 2002 - May 1, 2003 Back to top April 2003 • (1) Addition of "K" Codes for Surgical Dressings; (2) Addition of Temporary "K" Codes; (3) Addition of Temporary "K" Codes" - April 24, 2003 • Ambulance Claims with Modifier QL or Value Code 32 - April 24, 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) - April 24, 2003 • Seminar Notification and On-Line Registration - April 24, 2003 •