The NPI is here. The NPI is now. Are...
Posted on Thursday June 19, 2008
The NPI is here. The NPI is now. Are you using it?
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Changes to the Laboratory National Coverage...
Posted on Wednesday June 18, 2008
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2008 (CR 6084)
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July 2008 Quarterly Average Sales Price...
Posted on Wednesday June 18, 2008
July 2008 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files (CR 6049)
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Critical Care Visits and Neonatal Intensive...
Posted on Wednesday June 18, 2008
Critical Care Visits and Neonatal Intensive Care (Codes 99291 - 99292) (CR 5993)
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Marketing Rules Reminders for DME Suppliers...
Posted on Tuesday June 17, 2008
Marketing Rules Reminders for DME Suppliers Including Contract Suppliers under the DMEPOS Competitive Bidding Program (SE0820)
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Part B Drug Competitive Acquisition Program...
Posted on Tuesday June 17, 2008
Part B Drug Competitive Acquisition Program (CAP) Quarterly Drug Update (CR 6053)
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Clinical Laboratory Fee Schedule - New...
Posted on Tuesday June 17, 2008
Clinical Laboratory Fee Schedule - New Waived Tests (CR 6021)
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July Update to the 2008 Medicare Physician...
Posted on Tuesday June 17, 2008
July Update to the 2008 Medicare Physician Fee Schedule Database (MPFSDB) (CR 6087)
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Clinical Laboratory Fee Schedule - Medicare...
Posted on Tuesday June 17, 2008
Clinical Laboratory Fee Schedule - Medicare Travel Allowance Fees for Collection of Specimens (CR 5996)
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Medical and Other Health Services Furnished...
Posted on Monday June 16, 2008
Medical and Other Health Services Furnished to SNF Patients (CR 5991)
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New Chapter in Medicare Claims Processing...
Posted on Monday June 16, 2008
New Chapter in Medicare Claims Processing Manual for Independent Diagnostic Testing Facilities (IDTF) (CR 5815)
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Quarterly Update to Correct Coding Initiative...
Posted on Monday June 16, 2008
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 14.2, Effective July 1, 2008
Read more.
July Quarterly Update for 2008 Durable...
Posted on Monday June 16, 2008
July Quarterly Update for 2008 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule (CR 6022)
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Date of Service (DOS) for Clinical Laboratory...
Posted on Monday June 16, 2008
Date of Service (DOS) for Clinical Laboratory and Pathology Specimens (CR 6018)
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Average Sales Price (ASP) Updates (CR 5798)
Posted on Monday June 2, 2008
Average Sales Price (ASP) Updates (CR 5798)
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Phase 1 of Manual Revisions to Reflect...
Posted on Monday June 2, 2008
Phase 1 of Manual Revisions to Reflect Payment Changes for DMEPOS Items as a Result of the DMEPOS Competitive Bidding Program and the Deficit Reduction Act of 2005 (CR 5978)
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Electronic Funds Transfer (EFT) Initiative
Posted on Friday May 16, 2008
Electronic Funds Transfer (EFT) Initiative
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About National Government Services Your...
Posted on Friday May 16, 2008
About National Government Services Your Medicare Administrative Contractor
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Assignment of Providers to Medicare Administrative...
Posted on Thursday May 15, 2008
Assignment of Providers to Medicare Administrative Contractors (CR # 5979)
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July Quarterly Update to 2008 Annual Update...
Posted on Thursday May 15, 2008
July Quarterly Update to 2008 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement (CR 6009)
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Therapy Personnel Qualifications and Policies...
Posted on Thursday May 15, 2008
Therapy Personnel Qualifications and Policies Effective January 1, 2008 (CR 5921)
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Provider Authentication by Medicare Provider...
Posted on Thursday May 15, 2008
Provider Authentication by Medicare Provider Contact Centers (SE0814)
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Incident to Policy Update (CR 5288)
Posted on Thursday May 15, 2008
Incident to Policy Update (CR 5288)
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Blood-Derived Products for Chronic, Non-Healing...
Posted on Thursday May 15, 2008
Blood-Derived Products for Chronic, Non-Healing Wounds (CR 6043)
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Prolonged Services (Codes 99354 - 99359)...
Posted on Thursday May 15, 2008
Prolonged Services (Codes 99354 - 99359) (CR 5972)
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Ambulance Fee Schedule - Conversion Factor...
Posted on Thursday May 15, 2008
Ambulance Fee Schedule - Conversion Factor File for CY 2009 Ambulance Inflation Factor (CR 6000)
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Clinical Laboratory Fee Schedule - Implementation...
Posted on Thursday April 24, 2008
Clinical Laboratory Fee Schedule - Implementation of Section 113 MMSCHIP Legislation (CR 5987)
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Exception to 60-Day Limit on Substitute...
Posted on Thursday April 24, 2008
Exception to 60-Day Limit on Substitute Physician Billing Arrangements for Physicians Called to Active Duty in the Armed Forces Reserves (CR 5985)
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New HCPCS Codes for the April 2008 Update...
Posted on Tuesday April 22, 2008
New HCPCS Codes for the April 2008 Update (CR 5981)
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Important Exceptions and Special Circumstances...
Posted on Tuesday April 22, 2008
Important Exceptions and Special Circumstances that Occur under the DMEPOS Competitive Bidding Program: – The third in a series of articles on the new DMEPOS competitive bidding program (SE0807)
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Nursing Facility Services (Codes 99304...
Posted on Tuesday April 22, 2008
Nursing Facility Services (Codes 99304 - 99318) (CR5968)
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Pre-Bidding Activities for the Medicare...
Posted on Wednesday April 16, 2008
Pre-Bidding Activities for the Medicare DMEPOS Competitive Bidding Program (SE0811)
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DMEPOS Competitive Bidding Program: Grandfathering,...
Posted on Wednesday April 16, 2008
DMEPOS Competitive Bidding Program: Grandfathering, Repair and Replacement, Mail Order Diabetic Supplies and ABNs - The second in a series of articles on the new DMEPOS competitive bidding program (SE0806)
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Open Meeting for Local Coverage Determinations
Posted on Wednesday April 16, 2008
Open Meeting for Local Coverage Determinations
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CR 5550 Clarification - Signature Requirements...
Posted on Wednesday April 16, 2008
CR 5550 Clarification - Signature Requirements (CR 5971)
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Use of Professional Society Practice Parameters...
Posted on Wednesday April 16, 2008
Use of Professional Society Practice Parameters in Properly Providing Allergen Immunotherapy to Medicare Beneficiaries (SE0812)
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Update to Audiology Policies
Posted on Friday April 4, 2008
Update to Audiology Policies
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Overview of New Medicare Competitive Bidding...
Posted on Friday April 4, 2008
Overview of New Medicare Competitive Bidding Program for DMEPOS – The first in a series of articles on the implementation of this program (SE0805)
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Announcing the Release of the Revised CMS-855...
Posted on Friday April 4, 2008
Announcing the Release of the Revised CMS-855 Medicare Enrollment Applications (SE0810)
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April Update to the 2008 Medicare Physician...
Posted on Thursday March 27, 2008
April Update to the 2008 Medicare Physician Fee Schedule Database (MPFSDB) (CR5980)
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Website for Additions and Deletions of...
Posted on Thursday March 27, 2008
Website for Additions and Deletions of ZIP Codes Requiring a Plus Four ZIP Code Extension (CR # 5970)
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April 2008 Quarterly Average Sales Price...
Posted on Thursday March 27, 2008
April 2008 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files (CR 5982)
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Additional Clarification to Chapter 17,...
Posted on Wednesday March 26, 2008
Additional Clarification to Chapter 17, Section 40, Regarding Processing of Drug Claims with the JW Modifier (CR 5923)
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New Waived Tests (CR 5913)
Posted on Wednesday March 26, 2008
New Waived Tests (CR 5913)
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Opportunity to Participate in Third Annual...
Posted on Tuesday March 18, 2008
Opportunity to Participate in Third Annual Medicare Contractor Provider Satisfaction Survey (MCPSS) Ends in April (SE0804)
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Remittance Advice Remark Code (RARC) and...
Posted on Tuesday March 18, 2008
Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update (CR 5952)
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EDC Transition
Posted on Thursday March 13, 2008
EDC Transition
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Healthcare Common Procedure Coding System...
Posted on Friday March 7, 2008
Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits (CR 5926)
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Claim Status Category Code and Claim Status...
Posted on Friday March 7, 2008
Claim Status Category Code and Claim Status Code Update (CR 5947)
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Collapsing Medicare Provider Transaction...
Posted on Thursday March 6, 2008
Collapsing Medicare Provider Transaction Access Numbers (PTANs) to Ensure a One-to-One National Provider Identifier (NPI) Match (CR 5906)
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Update to Audiology Policies (CR 5717)
Posted on Thursday March 6, 2008
Update to Audiology Policies (CR 5717)
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Clarification of Bone Mass Measurement...
Posted on Monday March 3, 2008
Clarification of Bone Mass Measurement (BMM) Billing Requirements Issued in CR 5521 (CR 5847)
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Change in the Amount in Controversy Requirement...
Posted on Monday March 3, 2008
Change in the Amount in Controversy Requirement for Administrative Law Judge Hearings and Federal District Court Appeals (CR 5897)
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Manualization of Payment for Outpatient...
Posted on Monday March 3, 2008
Manualization of Payment for Outpatient End Stage Renal Disease (ESRD) Related Services (CR 5931)
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Payment for Initial Hospital Care Services...
Posted on Monday March 3, 2008
Payment for Initial Hospital Care Services (Codes 99221 – 99223) and Observation or Inpatient Care Services (Including Admission and Discharge Services) (Codes 99234 – 99236) (CR 5793)
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Clarification to CR 5744 - Payment Allowance...
Posted on Monday March 3, 2008
Clarification to CR 5744 - Payment Allowance Update for the Influenza Virus Vaccine CPT 90660 and further instruction regarding the Pneumococcal Vaccine Current Procedural Terminology (CPT) 90669 (CR 5910)
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Part B Drug Competitive Acquisition Program...
Posted on Monday March 3, 2008
Part B Drug Competitive Acquisition Program (CAP) Quarterly Drug List Update (CR 5948)
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Subsequent Hospital Visits and Hospital...
Posted on Monday March 3, 2008
Subsequent Hospital Visits and Hospital Discharge Day Management Services (Codes 99231 - 99239) (CR 5794)
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Quarterly Update to Correct Coding Initiative...
Posted on Monday March 3, 2008
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 14.1, Effective April 1, 2008 (CR 5936)
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Systems Changes for Prescription Order...
Posted on Monday March 3, 2008
Systems Changes for Prescription Order Numbers for the Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals (CR 5855)
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ASCA (5606)
Posted on Monday March 3, 2008
ASCA (5606)
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Erythropoiesis Stimulating Agents (ESAs)...
Posted on Thursday February 28, 2008
Erythropoiesis Stimulating Agents (ESAs) in Cancer and Related Neoplastic Conditions (CR 5818)
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Implementation of the Medicare Clinical...
Posted on Thursday February 28, 2008
Implementation of the Medicare Clinical Laboratory Services Competitive Bidding Demonstration (CR 5772)
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Process for Amending the List of Compendia...
Posted on Thursday February 28, 2008
Process for Amending the List of Compendia for Determination of Medically-Accepted Indications for Off-Label Uses of Drugs and Biologicals in an Anti-Cancer Chemotherapeutic Regimen (CR5870)
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Clinical Lab: New Automated Test for the...
Posted on Thursday February 28, 2008
Clinical Lab: New Automated Test for the Automated Multi-channel Chemistry Code (AMCC) Panel Payment Algorithm (CR 5874)
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MMSEA Changes to Independent Laboratory...
Posted on Thursday February 28, 2008
MMSEA Changes to Independent Laboratory Billing for the TC of Physician Pathology Services (CR5943)
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Effective March 1, 2008
Posted on Tuesday February 26, 2008
Effective March 1, 2008
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EMERGENCY -- Legislative Change Affecting...
Posted on Thursday February 14, 2008
EMERGENCY -- Legislative Change Affecting the 2008 MPFS, and Extension of the 2008 Participation Open Enrollment Period (CR 5944)
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Summary of Policies in the 2008 Medicare...
Posted on Thursday February 14, 2008
Summary of Policies in the 2008 Medicare Physician Fee Schedule (MPFS) (CR5895)
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Revision to Instructions Relating to Compliance...
Posted on Thursday February 14, 2008
Revision to Instructions Relating to Compliance Standards for Independent Diagnostic Testing Facilities (IDTFs) (CR5856)
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Upcoming Critical Dates for Medicare’s...
Posted on Thursday February 14, 2008
Upcoming Critical Dates for Medicare’s Fee-for-Service (FFS) Implementation of the National Provider Identifier (NPI) (SE0802)
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2008 Medicare Contractor Provider Satisfaction...
Posted on Monday February 11, 2008
2008 Medicare Contractor Provider Satisfaction Survey (MCPSS)
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Clarification Regarding the Coordination...
Posted on Thursday February 7, 2008
Clarification Regarding the Coordination of Benefits Agreement (COBA) Medigap Claim-based Crossover Process (CR # 5837)
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Use of HCPCS V2787 When Billing Approved...
Posted on Thursday February 7, 2008
Use of HCPCS V2787 When Billing Approved A-C IOLs in ASCs, Physician Offices, and Hospital Outpatient Departments (CR # 5853)
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Additional Payable Healthcare Common Procedure...
Posted on Thursday February 7, 2008
Additional Payable Healthcare Common Procedure Coding System (HCPCS) “C” Drug Codes in Ambulatory Surgical Centers (ASCs) (CR # 5885)
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Smoking and Tobacco Use Cessation Counseling...
Posted on Thursday February 7, 2008
Smoking and Tobacco Use Cessation Counseling Billing Code Update to Medicare (CR # 5878)
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Medicare Fee for Service Legacy Provider...
Posted on Thursday February 7, 2008
Medicare Fee for Service Legacy Provider IDs Prohibited on Form CMS-1500 Claims after NPI Required Date (CR # 5858)
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Reporting of Hematocrit or Hemoglobin Levels...
Posted on Thursday January 24, 2008
Reporting of Hematocrit or Hemoglobin Levels on All Claims for the Administration of Implementation of New Modifiers for Non-ESRD ESA Indications, and Reporting of Hematocrit or Hemoglobin Levels on all Non-ESRD, Non-ESA Claims (CR5699)
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Modification to the Model Medicare Redetermination...
Posted on Thursday January 24, 2008
Modification to the Model Medicare Redetermination Notice (for partly or fully unfavorable redeterminations) (CR 5836)
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Outpatient Therapy Caps With Exceptions...
Posted on Thursday January 24, 2008
Outpatient Therapy Caps With Exceptions Start January 1, 2008 (CR 5871)
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New Healthcare Common Procedure Coding...
Posted on Thursday January 24, 2008
New Healthcare Common Procedure Coding System (HCPCS) Modifiers when Billing for Patient Care in Clinical Research Studies (CR 5805)
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Additional Information on Reporting a National...
Posted on Thursday January 24, 2008
Additional Information on Reporting a National Provider Identifier (NPI) for Ordering/Referring and Attending/Operating/Other/Service facility for Medicare Claims (CR 5890)
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Use of an 8-Digit Registry Number on Clinical...
Posted on Thursday January 24, 2008
Use of an 8-Digit Registry Number on Clinical Trail Claims ( CR 5790)
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January 2008 Quarterly Average Sales Price...
Posted on Friday January 11, 2008
January 2008 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files (CR 5852)
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Medicare Payment for Pre-administration-Related...
Posted on Friday January 11, 2008
Medicare Payment for Pre-administration-Related Services Associated with Intravenous Immune Globulin (IVIG) Administration—Payment Extended through CY 2008 (CR5713)
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Revised Guidance for Completing Form CMS-1500...
Posted on Monday January 7, 2008
Revised Guidance for Completing Form CMS-1500 (CR5749)
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Revision to Certification for Hospital...
Posted on Monday January 7, 2008
Revision to Certification for Hospital Services Covered by the Supplementary Medical Insurance Program as it Pertains to Ambulance Services. CR5833 rescinds and fully replaces CR 5684
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Nebulized Beta Adrenergic Agonist Therapy...
Posted on Monday January 7, 2008
Nebulized Beta Adrenergic Agonist Therapy for Lung Diseases (CR5820)
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VMS Modifications to Implement the Common...
Posted on Monday January 7, 2008
VMS Modifications to Implement the Common Electronic Data Interchange (CEDI) System (CR5755)
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January 2008 Integrated Outpatient Code...
Posted on Monday January 7, 2008
January 2008 Integrated Outpatient Code Editor (I/OCE) Specifications Version 9.0 (CR5865)
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Update to Medicare Deductible, Coinsurance...
Posted on Thursday January 3, 2008
Update to Medicare Deductible, Coinsurance and Premium Rates for 2008 (CR 5830)
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Quarterly Competitive Acquisition Program...
Posted on Thursday January 3, 2008
Quarterly Competitive Acquisition Program (CAP) Drug and Annual CAP Drug Price Updates (CR 5839)
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Individuals Authorized Access to CMS Computer...
Posted on Thursday January 3, 2008
Individuals Authorized Access to CMS Computer Services - Provider Community (IACS-PC): THE THIRD IN A SERIES OF ARTICLES ON THE IACS-PC (SE0754)
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Handling Personally Identifiable Information...
Posted on Thursday January 3, 2008
Handling Personally Identifiable Information (PII) on the Medicare Summary Notice (MSN) (CR5770)
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Annual Update of Healthcare Common Procedure...
Posted on Thursday January 3, 2008
Annual Update of Healthcare Common Procedure Codes System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement (CR5829)
Read more.
Individuals Authorized Access to CMS Computer...
Posted on Thursday January 3, 2008
Individuals Authorized Access to CMS Computer Services - Provider Community (IACS-PC): THE SECOND IN A SERIES OF ARTICLES ON THE IACS (SE0753)
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2008 Annual Update for Clinical Laboratory...
Posted on Friday December 28, 2007
2008 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment (CR 5813)
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Medicare Provides Coverage for Many Preventive...
Posted on Friday December 28, 2007
Medicare Provides Coverage for Many Preventive Services and Screenings (SE0752)
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Addressing Misinformation Regarding Chiropractic...
Posted on Tuesday December 18, 2007
Addressing Misinformation Regarding Chiropractic Services and Medicare (SE0749)
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Mammography: Change Certification-Based...
Posted on Tuesday December 18, 2007
Mammography: Change Certification-Based Action from Return to Provider (RTP)/Return as Unprocessable to Denial (CR 5577)
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Addition to Medicare Telehealth Services...
Posted on Monday December 17, 2007
Addition to Medicare Telehealth Services (CR 5628)
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Reporting a NPI and the “EY” Modifier on...
Posted on Monday December 17, 2007
Reporting a NPI and the “EY” Modifier on Claims for DMEPOSItems Dispensed without a Physician’s Order to Obtain a Medicare Denial for COB (CR 5771)
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Adjustment to Payment Under Hospital Outpatient...
Posted on Monday December 17, 2007
Adjustment to Payment Under Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for Partial Device Credit (SE0732)
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Remittance Advice Remark Code (RARC) and...
Posted on Monday December 17, 2007
Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update (CR 5800)
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Clarification on the National Provider...
Posted on Monday December 17, 2007
Clarification on the National Provider Identifier (NPI) Enumerator’s Responsibilities (SE0751)
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Pulmonary Rehabilitation Services (CR 5834)
Posted on Monday December 17, 2007
Pulmonary Rehabilitation Services (CR 5834)
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Fee Schedule Update for 2008 for Durable...
Posted on Monday December 17, 2007
Fee Schedule Update for 2008 for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (CR 5803)
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Centers for Medicare & Medicaid Services...
Posted on Monday December 17, 2007
Centers for Medicare & Medicaid Services (CMS) Seeks Provider Input on Satisfaction with Medicare Fee-for-Service Contractor Services (SE0750)
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Quarterly Update to Correct Coding Initiative...
Posted on Monday December 17, 2007
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 14.0, Effective January 1, 2008 (CR 5824)
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2007 - 2008 Influenza (Flu) Season Resources...
Posted on Friday November 30, 2007
2007 - 2008 Influenza (Flu) Season Resources for Health Care Professionals (SE0748)
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An Overview of Medicare Covered Diabetes...
Posted on Friday November 30, 2007
An Overview of Medicare Covered Diabetes Supplies and Services (SE0738)
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Ambulance Inflation Factor for CY 2008...
Posted on Friday November 30, 2007
Ambulance Inflation Factor for CY 2008 (CR5801)
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Individuals Authorized Access to CMS Computer...
Posted on Friday November 30, 2007
Individuals Authorized Access to CMS Computer Services - Provider Community (IACS-PC): THE FIRST IN A SERIES OF ARTICLES (SE0747)
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2008 Annual Update to the Therapy Code...
Posted on Friday November 30, 2007
2008 Annual Update to the Therapy Code List (CR5810)
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Update to Place of Service (POS) Code Set:...
Posted on Friday November 30, 2007
Update to Place of Service (POS) Code Set: New Code for Temporary Lodging (CR5777)
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Update to Requirement to Submit National...
Posted on Friday November 30, 2007
Update to Requirement to Submit National Provider Identifier (NPI) Notification (CR5795)
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Mandatory Reporting of the National Provider...
Posted on Tuesday November 20, 2007
Mandatory Reporting of the National Provider Identifier (NPI) on all Claims
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Coding for Polypectomy Performed During...
Posted on Wednesday November 14, 2007
Coding for Polypectomy Performed During Screening Colonoscopy or Flexible Sigmoidoscsopy (SE0746)
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Rejection of Electronic Claim Status Requests...
Posted on Wednesday November 14, 2007
Rejection of Electronic Claim Status Requests that Lack National Provider Identifiers (NPIs) (CR 5726)
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Revisions to CR 4294 - Low Vision Rehabilitation...
Posted on Wednesday November 14, 2007
Revisions to CR 4294 - Low Vision Rehabilitation Demonstration (CR # 5756)
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Crossover of Assignment of Benefits Indicator...
Posted on Wednesday November 14, 2007
Crossover of Assignment of Benefits Indicator (CLM08) From Paper Claim Input (CR # 5780)
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Implementation of 2008 Ambulatory Surgical...
Posted on Wednesday November 14, 2007
Implementation of 2008 Ambulatory Surgical Center (ASC) Payment System Changes (CR # 5680)
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Medicare Summary Notice (MSN) Message:...
Posted on Monday October 29, 2007
Medicare Summary Notice (MSN) Message: Revised 38.13 (CR 5722)
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Physicians and health care professionals...
Posted on Monday October 29, 2007
Physicians and health care professionals and their staff who bill Medicare carriers and/or Medicare Administrative Contractors (MACs) (SE0730)
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Application of Administrative Simplification...
Posted on Monday October 29, 2007
Application of Administrative Simplification Compliance Act (ASCA) Enforcement Review Decisions Made by Other Medicare Contractors to the Same Providers When Selected for ASCA Review by the Railroad Medicare Carrier, Elimination of References to Claim Sta
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IMPORTANT NPI AND ENROLLMENT INFORMATION...
Posted on Friday October 12, 2007
IMPORTANT NPI AND ENROLLMENT INFORMATION FOR PHYSICIANS AND NON-PHYSICIAN PRACTITIONERS (SE0744)
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New Waived Tests (CR 5715)
Posted on Friday October 12, 2007
New Waived Tests (CR 5715)
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Remittance Advice Remark Code (RARC) and...
Posted on Friday October 12, 2007
Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update (CR 5721)
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Reasonable Charge Update for 2008 for Splints,...
Posted on Friday October 12, 2007
Reasonable Charge Update for 2008 for Splints, Casts, Dialysis Supplies,Dialysis Equipment, and Certain Intraocular Lenses (CR 5740)
Read more.
Correction to Revised HCPCS Codes Relating...
Posted on Friday October 12, 2007
Correction to Revised HCPCS Codes Relating to Immune Globulin (this CR rescinds and fully replaces CR 5635) (CR 5741)
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Medicare Fee for Service (FFS) National...
Posted on Friday October 12, 2007
Medicare Fee for Service (FFS) National Provider Identifier (NPI) Final Implementation (CR 5728)
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Physician Quality Reporting Initiative
Posted on Friday October 12, 2007
Physician Quality Reporting Initiative
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NOTICE: Open Meeting For Local Coverage...
Posted on Friday October 5, 2007
NOTICE: Open Meeting For Local Coverage Determinations
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Clarification Concerning Provider Billing...
Posted on Thursday October 4, 2007
Clarification Concerning Provider Billing Procedures Related to the Transitionof the Medigap claim-based Crossover Process to the Coordination of Benefits Contractor on October 1, 2007 (SE0743)
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2008 Annual Update for the Health Professional...
Posted on Thursday October 4, 2007
2008 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payment (CR5698)
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Unlabeled Use for Anti-Cancer Drugs: Medical...
Posted on Thursday October 4, 2007
Unlabeled Use for Anti-Cancer Drugs: Medical Literature used to Determine Medically Accepted Indications for Drugs and Biologicals used in Anti-Cancer Treatment (CR5729)
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New Website for Approved Transplant Centers...
Posted on Wednesday October 3, 2007
New Website for Approved Transplant Centers (CR5724)
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Notification of the 2008 Physician Election...
Posted on Wednesday October 3, 2007
Notification of the 2008 Physician Election Period for the Part B Drug Competitive Acquisition Program (CAP) (SE0737)
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Magnetic Resonance Imaging (MRI) Procedures...
Posted on Wednesday October 3, 2007
Magnetic Resonance Imaging (MRI) Procedures (CR 5677)
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Revisions to 9-Digit ZIP Code List Provided...
Posted on Wednesday October 3, 2007
Revisions to 9-Digit ZIP Code List Provided in Change Request (CR) 5208 (CR5730)
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Lumbar Artificial Disc Replacement (LADR)...
Posted on Monday September 24, 2007
Lumbar Artificial Disc Replacement (LADR) (CR # 5727)
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Medicare Clinical Trial Policy (CTP) (CR...
Posted on Monday September 24, 2007
Medicare Clinical Trial Policy (CTP) (CR # 5719)
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Revised Payment System for Ambulatory Surgical...
Posted on Monday September 24, 2007
Revised Payment System for Ambulatory Surgical Centers (ASC) in CalendarYear (CY) 2008 (SE0742)
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Alert Language...
Posted on Monday September 24, 2007
Alert Language for Immediate Use
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Sunset of the Physician Scarcity Area (PSA)...
Posted on Monday September 17, 2007
Sunset of the Physician Scarcity Area (PSA) Bonus Payment (CR # 5711)
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Quarterly October 2007 Quarterly Average...
Posted on Monday September 17, 2007
Quarterly October 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files (CR # 5710)
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Ultrasound Diagnostic Procedures (CR 5608)
Posted on Monday September 17, 2007
Ultrasound Diagnostic Procedures (CR 5608)
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October Update to the 2007 Medicare Physician...
Posted on Friday September 14, 2007
October Update to the 2007 Medicare Physician Fee Schedule Database (CR5714)
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Quarterly Update to Correct Coding Initiative...
Posted on Friday September 14, 2007
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 13.3, Effective October 1, 2007(5703)
Read more.
Lifting the NPI Crosswalk Bypass Logic
Posted on Thursday August 30, 2007
Lifting the NPI Crosswalk Bypass Logic
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New Remark Code for Denying Separately...
Posted on Wednesday August 29, 2007
New Remark Code for Denying Separately Billed Services (CR # 5659)
Read more.
Nurse Practitioner (NP) Services and Clinical...
Posted on Wednesday August 29, 2007
Nurse Practitioner (NP) Services and Clinical Nurse Specialist (CNS) Services (CR # 5639)
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Revision to Certification for Hospital...
Posted on Wednesday August 29, 2007
Revision to Certification for Hospital Services Covered by the Supplementary Medical Insurance Program as it pertains to Ambulance Services (CR # 5684)
Read more.
Clarification of Percutaneous Transluminal...
Posted on Wednesday August 29, 2007
Clarification of Percutaneous Transluminal Angioplasty (PTA) Billing Requirements Issued in CR 3811 (CR # 5667)
Read more.
Date of Service (DOS) for Laboratory Specimens...
Posted on Tuesday August 28, 2007
Date of Service (DOS) for Laboratory Specimens (CR # 5573)
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2008 Annual Update of HCPCS Codes for Skilled...
Posted on Tuesday August 28, 2007
2008 Annual Update of HCPCS Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) for the Common Working File (CWF), Medicare Carriers and Fiscal Intermediaries (FIs) (CR # 5696)
Read more.
July 2007 Quarterly Average Sales Price...
Posted on Thursday August 23, 2007
July 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective July 1, 2007, and Revisions to January 2007, April 2007, and October 2006 Quarterly ASP Medicare Part B Drug Pricing Files (CR5646)
Read more.
Medicare Contractor Annual Update of the...
Posted on Thursday August 23, 2007
Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) (CR5643)
Read more.
Clarification of the National Provider...
Posted on Thursday August 23, 2007
Clarification of the National Provider Identifier (NPI) Reporting Requirements for Ambulance Service Claims (CR5564)
Read more.
Healthcare Provider Taxonomy Codes (HPTC)...
Posted on Friday August 17, 2007
Healthcare Provider Taxonomy Codes (HPTC) Update (5436)
Read more.
Extracorporeal Photopheresis (CR5464)
Posted on Thursday August 16, 2007
Extracorporeal Photopheresis (CR5464)
Read more.
Elimination of CMS-1491 and CMS-1490U Forms...
Posted on Wednesday August 15, 2007
Elimination of CMS-1491 and CMS-1490U Forms (CR5390)
Read more.
Response to Competitive Acquisition Program...
Posted on Monday August 13, 2007
Response to Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals Claims When the Medicare System Common Working File (CWF) 69XD Error Code is Received (CR 5658)
Read more.
The 2007 Medicare Contractor Provider Satisfaction...
Posted on Monday August 13, 2007
The 2007 Medicare Contractor Provider Satisfaction Survey (MCPSS) Shows Positive Results for Medicare’s Fee-for-Service Contractors (CR SE0733)
Read more.
Claim Status Category Code and Claim Status...
Posted on Monday August 13, 2007
Claim Status Category Code and Claim Status Code Update (CR 5687)
Read more.
Important Guidance on the New CMS-1500...
Posted on Monday August 6, 2007
Important Guidance on the New CMS-1500 and UB-04 Forms (SE0729)
Read more.
Reasons for Provider Notification of Medicare...
Posted on Monday August 6, 2007
Reasons for Provider Notification of Medicare Claims Disputed/Rejected by Supplemental Payers/Insurers (SE0728)
Read more.
Revised Information on PET Scan Coding...
Posted on Monday August 6, 2007
Revised Information on PET Scan Coding (CR5665)
Read more.
Laboratory and Radiology: Adjustment to...
Posted on Monday August 6, 2007
Laboratory and Radiology: Adjustment to Medicare System Common Working File (CWF) Duplicate Claim Edit for the Technical Component (TC) of Radiology and Pathology Laboratory Services Provided to Hospital Patients (CR5675)
Read more.
Electronic Funds Transfer Standardizations...
Posted on Monday July 30, 2007
Electronic Funds Transfer Standardizations and Revisions to the Medicare Claims Processing Manual (Chapter 24) (CR5586)
Read more.
Clarification About the Medical Privacy...
Posted on Monday July 30, 2007
Clarification About the Medical Privacy of Protected Health Information (SE0726)
Read more.
Update to Medicare Claims Processing Manual...
Posted on Friday July 20, 2007
Update to Medicare Claims Processing Manual (Publication 100-04), Chapter 18, Section 10 for Part B Influenza Billing (CR5511)
Read more.
Additional Common Working File (CWF) Editing...
Posted on Friday July 20, 2007
Additional Common Working File (CWF) Editing for Skilled Nursing Facility (SNF) Consolidated Billing (CB) (CR5624)
Read more.
Percutaneous Transluminal Angioplasty (PTA)...
Posted on Friday July 13, 2007
Percutaneous Transluminal Angioplasty (PTA) (CR5660)
Read more.
National Provider Identifier (NPI) Required...
Posted on Friday July 13, 2007
National Provider Identifier (NPI) Required to Enroll in Electronic Data Interchange (EDI), and Update of Telecommunication and Transmission Protocols for EDI (CR5637)
Read more.
Reimbursement for Vaccines and Vaccine...
Posted on Friday July 13, 2007
Reimbursement for Vaccines and Vaccine Administration Under Medicare Part D (SE0727)
Read more.
PC-ACE
Posted on Tuesday July 10, 2007
PC-ACE
Read more.
Revision to Internet Only Manual (IOM)...
Posted on Friday July 6, 2007
Revision to Internet Only Manual (IOM) Pub 100-04, Chapter 12, Section 90.4 Billing and Payment in a Health Professional Shortage Area (HPSA) (CR5625)
Read more.
Claims Processing Change for Services Submitted...
Posted on Friday July 6, 2007
Claims Processing Change for Services Submitted with the Health Professional Shortage Area (HPSA) Modifiers QB or QU for Claims with Dates of Service On or After January 1, 2006 (CR5629)
Read more.
Appeals Transition - BIPA Section 521 Appeals...
Posted on Friday July 6, 2007
Appeals Transition - BIPA Section 521 Appeals (CR5460)
Read more.
Charges for Missed Appointments (CR5613)
Posted on Friday July 6, 2007
Charges for Missed Appointments (CR5613)
Read more.
Important Information for Providers/Suppliers...
Posted on Friday July 6, 2007
Important Information for Providers/Suppliers Regarding National Plan and Provider Enumeration System (NPPES) Errors, Using the NPI on Medicare Claims and 835 Remittance Advice Changes (SE0725)
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Revision to Medicare Publication 100-09,...
Posted on Friday July 6, 2007
Revision to Medicare Publication 100-09, Chapter 3 – Provider Inquiries and Chapter 6 - Provider Customer Service Program Updates (CR5597)
Read more.
Update of Claim Adjustment Reason Codes...
Posted on Friday June 29, 2007
Update of Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs) and Enhancement of Medicare Remit Easy Print (MREP) (CR5634)
Read more.
Vagus Nerve Stimulation (VNS) for Resistant...
Posted on Thursday June 28, 2007
Vagus Nerve Stimulation (VNS) for Resistant Depression (CR5612)
Read more.
Notifying Affected Parties Regarding Changes...
Posted on Thursday June 28, 2007
Notifying Affected Parties Regarding Changes to the Mandatory Medigap ("Claim-Based") Crossover Process (CR5662)
Read more.
Medicare Payments for Ambulance Transports...
Posted on Thursday June 21, 2007
Medicare Payments for Ambulance Transports (SE0724)
Read more.
July Quarterly Update for 2007 Durable...
Posted on Thursday June 21, 2007
July Quarterly Update for 2007 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule (CR5641)
Read more.
Clarification of Manual Instruction Regarding...
Posted on Thursday June 21, 2007
Clarification of Manual Instruction Regarding Scope of Portable X-Ray Benefit (CR5536)
Read more.
Update to the 2007 Medicare Physician Fee...
Posted on Thursday June 21, 2007
Update to the 2007 Medicare Physician Fee Schedule Database (MPFSDB) (CR5614)
Read more.
Stage 3 National Provider Identifier (NPI)...
Posted on Wednesday June 13, 2007
Stage 3 National Provider Identifier (NPI) Changes for Transaction 835, and Standard Paper Remittance Advice (RA) (CR 5452)
Read more.
Discontinuance of the Unique Physician...
Posted on Wednesday June 13, 2007
Discontinuance of the Unique Physician Identification Number (UPIN) Registry (CR5584)
Read more.
New Deadline for Required Submission of...
Posted on Wednesday June 13, 2007
New Deadline for Required Submission of the Form CMS-1500 (08-05) (CR5616)
Read more.
Revised HCPCS Codes Relating to Immune...
Posted on Wednesday June 13, 2007
Revised HCPCS Codes Relating to Immune Globulin (CR5635)
Read more.
July, 2007 Quarterly Update to the HCPCS...
Posted on Wednesday June 13, 2007
July, 2007 Quarterly Update to the HCPCS Codes for Albuterol, Levalbuterol, and Reclast® (CR5645)
Read more.
Proper Use of Modifier “-59” (SE0715)
Posted on Wednesday June 6, 2007
Proper Use of Modifier “-59” (SE0715)
Read more.
NOTICE: Open Meeting For Local Coverage...
Posted on Friday June 1, 2007
NOTICE: Open Meeting For Local Coverage Determinations
Read more.
Revisions to the Medicare Claims Processing...
Posted on Wednesday May 30, 2007
Revisions to the Medicare Claims Processing Manual, Chapter 17, Sections 40 and 100, Regarding Discarded Drugs and Biologicals and Submission of Claims With the Modifier JW, “Drug Amount Discarded/Not Administered to Any Patient” (CR5520)
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Implementation of the Carrier Jurisdictional...
Posted on Wednesday May 30, 2007
Implementation of the Carrier Jurisdictional Pricing Rules for All Purchased Diagnostic Service Claims (CR5543)
Read more.
Transitioning the Mandatory Medigap ("Claim-Based")...
Posted on Wednesday May 30, 2007
Transitioning the Mandatory Medigap ("Claim-Based") Crossover Process tothe Coordination of Benefits Contractor (COBC) CR5601)
Read more.
Foot Care Coverage Guidelines (SE0707)
Posted on Wednesday May 30, 2007
Foot Care Coverage Guidelines (SE0707)
Read more.
Physician Quality Reporting Initiative...
Posted on Tuesday May 29, 2007
Physician Quality Reporting Initiative (PQRI) Coding & Reporting Principles (CR5640)
Read more.
Quarterly Update to Correct Coding Initiative...
Posted on Tuesday May 29, 2007
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 13.2, Effective July 1, 2007 (CR5604)
Read more.
Bone Mass Measurements (BMMs) (CR5521)
Posted on Wednesday May 23, 2007
Bone Mass Measurements (BMMs) (CR5521)
Read more.
Quarterly Update to Correct Coding Initiative...
Posted on Wednesday May 23, 2007
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 13.2, Effective July 1, 2007 (CR5604)
Read more.
Physician Quality Reporting Initiative...
Posted on Wednesday May 23, 2007
Physician Quality Reporting Initiative (PQRI) Coding & Reporting Principles (CR5640)
Read more.
Colorectal Cancer: Preventable, Treatable,...
Posted on Tuesday May 22, 2007
Colorectal Cancer: Preventable, Treatable, and Beatable - Medicare Coverage and Billing for Colorectal Cancer Screening (SE0710)
Read more.
Attention EMC Submitters:
Posted on Monday May 21, 2007
Attention EMC Submitters:
Read more.
May 13-19, 2007 is National Women's Health...
Posted on Friday May 18, 2007
May 13-19, 2007 is National Women's Health Week
Read more.
Provider Authentication Requirements for...
Posted on Thursday May 10, 2007
Provider Authentication Requirements for Telephone and Written Inquires during the Medicare FFS National Provider Identifier(NPI) Contingency Plan (SE0721)
Read more.
Modification to the Model Medicare Redetermination...
Posted on Thursday May 10, 2007
Modification to the Model Medicare Redetermination Notice for partly/fully unfavorable redeterminations and the Administrative Law Judge Filing Locations Where the Place of Service Was in Delaware, Kentucky, Puerto Rico, Virginia, &/or the Virgin Islands
Read more.
May is Healthy Vision Month
Posted on Tuesday May 8, 2007
May is Healthy Vision Month
Read more.
Instructions for Implementing the Centers...
Posted on Tuesday May 1, 2007
Instructions for Implementing the Centers for Medicare & Medicaid (CMS) Ruling CMS 1536-R; Astigmatism-Correcting Intraocular Lens (A-C IOLs) (CR5527)
Read more.
Invalid Skilled Nursing Facility (SNF)...
Posted on Tuesday May 1, 2007
Invalid Skilled Nursing Facility (SNF) Informational Unsolicited Responses (IURs) from Medicare’s Common Working File (CWF) System (CR5587)
Read more.
Clarification of Bariatric Surgery Billing...
Posted on Tuesday May 1, 2007
Clarification of Bariatric Surgery Billing Requirements Issued in CR 5013 (CR5477)
Read more.
Blood Brain Barrier Osmotic Disruption...
Posted on Tuesday May 1, 2007
Blood Brain Barrier Osmotic Disruption for Treatment of Brain Tumors (CR5530)
Read more.
Part C Plan Type Display on the Medicare’s...
Posted on Tuesday May 1, 2007
Part C Plan Type Display on the Medicare’s Common Working File (CWF) -CR5538 rescinds and fully replaces CR 5349 (CR5538)
Read more.
Medicare Fee-For-Service (FFS) National...
Posted on Wednesday April 25, 2007
Medicare Fee-For-Service (FFS) National Provider Identifier (NPI) Implementation Contingency Plan (CR5595)
Read more.
Requirement for Providing Route of Administration...
Posted on Wednesday April 25, 2007
Requirement for Providing Route of Administration Codes for Erythropoiesis Stimulating Agents (ESAs) (CR5480)
Read more.
Ventricular Assist Devices (VADs)(CR5516)
Posted on Friday April 20, 2007
Ventricular Assist Devices (VADs)(CR5516)
Read more.
New Interest Rate for Medicare Overpayments...
Posted on Wednesday April 18, 2007
New Interest Rate for Medicare Overpayments and Underpayments - 3rd Qtr. FY 2007
Read more.
Clarification of MM5488 Article Regarding...
Posted on Thursday April 12, 2007
Clarification of MM5488 Article Regarding Coding on CMS-1500 (SE0716)
Read more.
Provider Education for Handling Issues...
Posted on Wednesday April 11, 2007
Provider Education for Handling Issues Related to Deceased Providers (CR5508)
Read more.
Medicare Contractor Provider Satisfaction...
Posted on Friday April 6, 2007
Medicare Contractor Provider Satisfaction Survey (MCPSS)
Read more.
Important changes to product labeling and...
Posted on Thursday April 5, 2007
Important changes to product labeling and Medicare coverage for ERYTHROPOESIS STIMULATING AGENTS (ESAs)
Read more.
Change in the Amount in Controversy Requirement...
Posted on Thursday April 5, 2007
Change in the Amount in Controversy Requirement for Federal District Court Appeals (CR# 5518)
Read more.
Competitive Acquisition Program (CAP) for...
Posted on Tuesday April 3, 2007
Competitive Acquisition Program (CAP) for Part B Drugs (CR5546)
Read more.
Revisions to Form CMS-1500 Submission Requirements...
Posted on Tuesday April 3, 2007
Revisions to Form CMS-1500 Submission Requirements (CR5489)
Read more.
Ambulance Fee Schedule - Ground Ambulance...
Posted on Tuesday April 3, 2007
Ambulance Fee Schedule - Ground Ambulance Services - Manualization Revision to the Specialty Care Transport (SCT) Definition (CR5533)
Read more.
April 2007 Quarterly Average Sales Price...
Posted on Monday March 26, 2007
April 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective April 1, 2007, and Revisions to the January 2007 Quarterly ASP Medicare Part B Drug Pricing Files (CR5517)
Read more.
Extension for Acceptance of Form CMS-1500...
Posted on Monday March 26, 2007
Extension for Acceptance of Form CMS-1500 (12-90) (CR5568)
Read more.
Changes to the Laboratory National Coverage...
Posted on Tuesday March 20, 2007
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 2007 (CR5514)
Read more.
Medically Unlikely Edits (MUEs) (CR5495)
Posted on Tuesday March 20, 2007
Medically Unlikely Edits (MUEs) (CR5495)
Read more.
Quarterly Update to Correct Coding Initiative...
Posted on Tuesday March 20, 2007
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 13.1,Effective April 1, 2007 (CR5492)
Read more.
New Waived Tests (CR5484)
Posted on Tuesday March 20, 2007
New Waived Tests (CR5484)
Read more.
Reminder – Medicare Now Provides Coverage...
Posted on Tuesday March 20, 2007
Reminder – Medicare Now Provides Coverage for Eligible Medicare Beneficiaries of a One-Time Ultrasound Screening for Abdominal Aortic Aneurysms (AAA) When Referred for this Screening as a Result of the Initial Preventive Physical Examination (“Welcome t
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Correction to CR5404: New Waived Tests...
Posted on Tuesday March 20, 2007
Correction to CR5404: New Waived Tests (CR5482)
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April Quarterly Update for 2007 Durable...
Posted on Tuesday March 20, 2007
April Quarterly Update for 2007 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule (CR5537)
Read more.
Program Overview: 2007 Physician Quality...
Posted on Monday March 19, 2007
Program Overview: 2007 Physician Quality Reporting Initiative (PQRI) (CR #5558)
Read more.
Revisions to Incomplete or Invalid Claims...
Posted on Friday March 9, 2007
Revisions to Incomplete or Invalid Claims Instructions Necessary to Implement the Revised Health Insurance Claim Form CMS-1500 (Version 8/05)(CR5391)
Read more.
April Update to the 2007 Medicare Physician...
Posted on Friday March 9, 2007
April Update to the 2007 Medicare Physician Fee Schedule Database (MPFSDB) (CR#5528)
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Services Not Provided Within United States...
Posted on Friday March 9, 2007
Services Not Provided Within United States (CR5427)
Read more.
Common Billing Errors to Avoid when Billing...
Posted on Friday March 9, 2007
Common Billing Errors to Avoid when Billing Medicare Carriers (SE0712)
Read more.
Reminder – Medicare Provides Coverage of...
Posted on Friday March 9, 2007
Reminder – Medicare Provides Coverage of Prostate Cancer Screening for Eligible Medicare Beneficiaries (SE0709)
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ATTENTION MED6 USERS
Posted on Thursday March 1, 2007
ATTENTION MED6 USERS
Read more.
Differentiating Mass Adjustments from Other...
Posted on Tuesday February 27, 2007
Differentiating Mass Adjustments from Other Types of Adjustments and Claims for Crossover Purposes and Revising the Detailed Error Report Special Provider Notification Letters (CR5472)
Read more.
Overview of Medicare Podiatry Services...
Posted on Tuesday February 27, 2007
Overview of Medicare Podiatry Services (SE0707)
Read more.
Use of Nine-Digit ZIP codes for Determining...
Posted on Monday February 12, 2007
Use of Nine-Digit ZIP codes for Determining the Correct Payment Locality for Services Paid Under the Medicare Physician Fee Schedule (MPFS) and Anesthesia Services (CR5208)
Read more.
Healthcare Common Procedure Coding System...
Posted on Monday February 12, 2007
Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits (CR5457)
Read more.
It’s Not Too Late to Give and Get the Flu...
Posted on Monday February 12, 2007
It’s Not Too Late to Give and Get the Flu Shot! (CR5221)
Read more.
Timeliness Standards for Processing Other-Than-Clean...
Posted on Monday February 12, 2007
Timeliness Standards for Processing Other-Than-Clean Claims (CR5355)
Read more.
Psychological and Neuropsychological Tests...
Posted on Friday February 9, 2007
Psychological and Neuropsychological Tests (CR5204)
Read more.
Additional Changes to the 2007 Medicare...
Posted on Tuesday February 6, 2007
Additional Changes to the 2007 Medicare Physician Fee Schedule Database (MPFSDB) (CR 5498)
Read more.
Update on CMS Actions to Reverse Invalid...
Posted on Tuesday February 6, 2007
Update on CMS Actions to Reverse Invalid Overpayments Generated by Managed Care Informational Unsolicited Responses (MCIURs) - (Invalid MCIURs from the Common Working File (CWF)) (CR 5507)
Read more.
Coding Change for Lumbar Artificial Disc...
Posted on Tuesday February 6, 2007
Coding Change for Lumbar Artificial Disc Replacement (LADR) (CR5462)
Read more.
Remittance Advice Remark Code (RARC) and...
Posted on Tuesday February 6, 2007
Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update (CR 5456)
Read more.
NOTICE: Open Meeting For Local Coverage...
Posted on Thursday February 1, 2007
NOTICE: Open Meeting For Local Coverage Determinations
Read more.
Rules of Behavior Governing Medicare Eligibility...
Posted on Friday January 26, 2007
Rules of Behavior Governing Medicare Eligibility Inquiries (CR5431)
Read more.
Annual Medicare Contractor Provider Satisfaction...
Posted on Friday January 26, 2007
Annual Medicare Contractor Provider Satisfaction Survey: Make Your Voice Heard! (SE0702)
Read more.
Colorectal Cancer Screening Flexible Sigmoidoscopy...
Posted on Friday January 26, 2007
Colorectal Cancer Screening Flexible Sigmoidoscopy and Colonoscopy Coinsurance Payment Change (CR 5387)
Read more.
Processing All Diagnosis Codes Reported...
Posted on Friday January 26, 2007
Processing All Diagnosis Codes Reported on Claims Submitted to Carriers (CR 5441)
Read more.
Enhance the Multi-Carrier System (MCS)...
Posted on Wednesday January 17, 2007
Enhance the Multi-Carrier System (MCS) to Avoid Duplicate Payments When a Full Claim Adjustment is Performed. (CR 5424)
Read more.
Revisions to Procedures to Establish Good...
Posted on Tuesday January 16, 2007
Revisions to Procedures to Establish Good Cause and Qualified Independent Contractor (QIC) Jurisdictions (CR 5386)
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Legislative Change to the Update Factor...
Posted on Tuesday January 16, 2007
Legislative Change to the Update Factor for the 2007 Medicare Physician Fee Schedule (MPFS) and Extension of the Participating Enrollment Period (CR 5448)
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The New HHS National Clearinghouse for...
Posted on Tuesday January 16, 2007
The New HHS National Clearinghouse for Long-Term Care Information Website (SE0680)
Read more.
Intracranial Percutaneous Transluminal...
Posted on Friday January 12, 2007
Intracranial Percutaneous Transluminal Angioplasty (PTA) with Stenting (CR5432)
Read more.
Instructions for the Coordination of Medicare...
Posted on Friday January 12, 2007
Instructions for the Coordination of Medicare Secondary Payer (MSP) claims for the Competitive Acquisition Program (CAP) (CR 5332)
Read more.
Outpatient Therapy Cap Exception Process...
Posted on Thursday January 11, 2007
Outpatient Therapy Cap Exception Process for 2007 (5478)
Read more.
Tax Relief and Health Care Act of 2006...
Posted on Thursday January 11, 2007
Tax Relief and Health Care Act of 2006 Changes to Independent Laboratory Billing for the Technical Component (TC) of Physician Pathology Services (CR 5468)
Read more.
Competitive Acquisition Program – Using...
Posted on Monday January 8, 2007
Competitive Acquisition Program – Using Modifier M2
Read more.
Provider Transaction Access Number (PTAN)
Posted on Friday January 5, 2007
Provider Transaction Access Number (PTAN)
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Medicare Fee for Service (FFS) Implementation...
Posted on Thursday January 4, 2007
Medicare Fee for Service (FFS) Implementation of the National Provider Identifier (NPI) (SE0679)
Read more.
Private Contracting- Definition of Physician/Practitioner...
Posted on Tuesday January 2, 2007
Private Contracting- Definition of Physician/Practitioner (CR5426)
Read more.
2007 Physician Fee Schedule Payment Policies...
Posted on Tuesday January 2, 2007
2007 Physician Fee Schedule Payment Policies (CR5443)
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Emergency Update to the 2007 Medicare Physician...
Posted on Tuesday January 2, 2007
Emergency Update to the 2007 Medicare Physician Fee Schedule Database (MPFSDB) (CR5459)
Read more.
Medicare Payment for Preadministration-Related...
Posted on Tuesday January 2, 2007
Medicare Payment for Preadministration-Related Services Associated with IVIG Administration—Payment Extended through CY 2007 (CR5428)
Read more.
Medicare Fee-for-Service (FFS) and Medicare...
Posted on Tuesday January 2, 2007
Medicare Fee-for-Service (FFS) and Medicare Advantage (MA) EligibilitySystem Issues (SE0681)
Read more.
Payment Allowances for the Influenza Virus...
Posted on Tuesday January 2, 2007
Payment Allowances for the Influenza Virus Vaccine (CPT Codes 90655, 90656, 90657, and 90658) and the Pneumoccocal Vaccine (CPT 90732) When Payment is Based on 95 Percent of the Average Wholesale Price (AWP) (CR5365)
Read more.
Medically Unlikely Edits (MUEs) (CR5402)
Posted on Thursday December 21, 2006
Medically Unlikely Edits (MUEs) (CR5402)
Read more.
January 2007 Quarterly Average Sales Price...
Posted on Thursday December 21, 2006
January 2007 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective January 1, 2007, and Revisions to April 2006, July 2006 and October 2006 Quarterly ASP Medicare Part B Drug Pricing Files (CR5413)
Read more.
Cardiac Output Monitoring by Thoracic Electrical...
Posted on Thursday December 21, 2006
Cardiac Output Monitoring by Thoracic Electrical Bioimpedance (TEB) (CR5414)
Read more.
Remittance Advice Remark Code and Claim...
Posted on Thursday December 21, 2006
Remittance Advice Remark Code and Claim Adjustment Reason Code Update (CR5346)
Read more.
Infrared Therapy Devices (CR5421)
Posted on Thursday December 21, 2006
Infrared Therapy Devices (CR5421)
Read more.
2007 Update of HCPCS Codes and Payments...
Posted on Tuesday December 12, 2006
2007 Update of HCPCS Codes and Payments for Ambulatory Surgical Centers (ASCs) (CR5211)
Read more.
Competitive Acquisition Program (CAP) –...
Posted on Tuesday December 12, 2006
Competitive Acquisition Program (CAP) – Claim Processing for Not Otherwise Classified (“NOC”) Drugs (CR5259)
Read more.
Cavernous Nerves Electrical Stimulation...
Posted on Tuesday December 12, 2006
Cavernous Nerves Electrical Stimulation with Penile Plethysmograph (CR5294)
Read more.
2007 Annual Update for Clinical Laboratory...
Posted on Tuesday December 12, 2006
2007 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment (CR5362)
Read more.
Fee Schedule Update for 2007 for Durable...
Posted on Tuesday December 12, 2006
Fee Schedule Update for 2007 for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) (CR5417)
Read more.
Quarterly Update to Correct Coding Initiative...
Posted on Tuesday December 12, 2006
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 13.0, Effective January 1, 2007 (CR5422)
Read more.
Reasonable Charge Update for 2007 for Splints,...
Posted on Monday December 4, 2006
Reasonable Charge Update for 2007 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, and Certain Intraocular Lenses (CR5382)
Read more.
Claims Submitted With Only a National Provider...
Posted on Monday December 4, 2006
Claims Submitted With Only a National Provider Identifier (NPI) During the Stage 2 NPI Transition Period (CR5378)
Read more.
New 2007 Current Procedural Terminology...
Posted on Monday December 4, 2006
New 2007 Current Procedural Terminology (CPT) Mammography Codes (CR5327)
Read more.
Medicare Part B Drug Competitive Acquisition...
Posted on Monday December 4, 2006
Medicare Part B Drug Competitive Acquisition Program (CAP) Additions to Approved CAP Vendor’s Drug List Effective October 1, 2006; Information On Price File Updates (SE0658)
Read more.
Processing All Diagnosis Codes Reported...
Posted on Monday November 27, 2006
Processing All Diagnosis Codes Reported on Claims Submitted to Carriers (CR4276)
Read more.
Outpatient Therapy Cap Exceptions Clarifications...
Posted on Monday November 27, 2006
Outpatient Therapy Cap Exceptions Clarifications (CR5271)
Read more.
Multiple Procedure Reduction on the Technical...
Posted on Monday November 27, 2006
Multiple Procedure Reduction on the Technical Component (TC) of Certain Diagnostic Imaging Procedures and Cap on the TC of Imaging Procedures (SE0665)
Read more.
Implementation of an Ultrasound Screening...
Posted on Wednesday November 22, 2006
Implementation of an Ultrasound Screening for Abdominal Aortic Aneurysms (AAA) (CR5235)
Read more.
Laboratory Competitive Bidding Demonstration...
Posted on Wednesday November 22, 2006
Laboratory Competitive Bidding Demonstration (CR5359)
Read more.
Multiple Procedure Reduction on the Technical...
Posted on Wednesday November 22, 2006
Multiple Procedure Reduction on the Technical Component (TC) of Certain Diagnostic Imaging Procedures and Cap on the TC of Imaging Procedures (SE0665)
Read more.
Medicare Participating Physician or Supplier...
Posted on Monday November 13, 2006
Medicare Participating Physician or Supplier Agreement
Read more.
Join The Listserve
Posted on Friday November 10, 2006
Join The Listserve
Read more.
Competitive Acquisition Program (CAP) for...
Posted on Thursday November 9, 2006
Competitive Acquisition Program (CAP) for Part B Drug - Appeals (CR 5207)
Read more.
Ambulance Inflation Factor for CY 2007...
Posted on Thursday November 9, 2006
Ambulance Inflation Factor for CY 2007 (CR5358)
Read more.
Annual Update of HCPCS Codes Used for Home...
Posted on Thursday November 9, 2006
Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement (CR5356)
Read more.
Carrier Jurisdiction for Ambulance Supplier...
Posted on Thursday November 9, 2006
Carrier Jurisdiction for Ambulance Supplier Claims (CR5203)
Read more.
Returning Paper Claims Received From Clearinghouses...
Posted on Thursday November 9, 2006
Returning Paper Claims Received From Clearinghouses (CR5341)
Read more.
Reopenings and Revisions of Claim Determinations...
Posted on Friday November 3, 2006
Reopenings and Revisions of Claim Determinations and Decisions (CR4147)
Read more.
Medicare Part B Drug Competitive Acquisition...
Posted on Friday November 3, 2006
Medicare Part B Drug Competitive Acquisition Program (CAP): Physician election period for 2007 ends on November 15, 2006 (JSM07053)
Read more.
Clarification of Requirements for the Competitive...
Posted on Friday November 3, 2006
Clarification of Requirements for the Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals (SE0672)
Read more.
Application Update to Medicare Deductible,...
Posted on Thursday November 2, 2006
Application Update to Medicare Deductible, Coinsurance and Premium Rates for 2007 (CR5345)
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Reporting the National Provider Identifier...
Posted on Thursday November 2, 2006
Reporting the National Provider Identifier (NPI) on Physician Claims for Clinical Diagnostic Services Purchased Outside of the Local Carrier’s Jurisdiction (CR5289)
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Changes to the Laboratory National Coverage...
Posted on Thursday November 2, 2006
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for January 2007 (CR5384)
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"Own Your Future": Long-Term Care (LTC)...
Posted on Thursday November 2, 2006
"Own Your Future": Long-Term Care (LTC) Campaign (SE0671)
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Full Replacement for Change Request (CR)...
Posted on Thursday November 2, 2006
Full Replacement for Change Request (CR) 4266, Revision for Health Professional Shortage Area (HPSA) and Physician Scarcity Area (PSA) Bonus Billing for Some Globally Billed Services. CR4266 Is Rescinded (CR5015)
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Shared Systems Medicare Secondary Payer...
Posted on Monday October 23, 2006
Shared Systems Medicare Secondary Payer (MSP) Balancing Edit and Administrative Simplification Compliance Act (ASCA) Enforcement Update (CR4261)
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Update to the Place of Service (POS) Code...
Posted on Friday October 20, 2006
Update to the Place of Service (POS) Code Set to Add a Code for Prison/Correctional Facility (CR4316)
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October Update to the 2006 Medicare Physician...
Posted on Thursday October 19, 2006
October Update to the 2006 Medicare Physician Fee Schedule (MPFS) Database (CR5272)
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2007 Annual Update of HCPCS Codes for Skilled...
Posted on Tuesday October 10, 2006
2007 Annual Update of HCPCS Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) (CR5283)
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Coverage for Lucentis (Ranibizumab Injection)
Posted on Thursday October 5, 2006
Coverage for Lucentis (Ranibizumab Injection)
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Medicare Remit Easy Print (MREP) - Version...
Posted on Wednesday October 4, 2006
Medicare Remit Easy Print (MREP) - Version 1.9 is now available for download
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NPI: Get It. Share It. Use It.
Posted on Tuesday October 3, 2006
NPI: Get It. Share It. Use It.
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Termination of Healthcare Common Procedure...
Posted on Tuesday October 3, 2006
Termination of Healthcare Common Procedure Coding System (HCPCS) Code G0107, Colorectal Cancer Screening, Fecal-Occult Blood Tests (FOBT), 1-3 Simultaneous Determinations (CR5292)
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CMS Announces Part D Low Income Subsidy...
Posted on Tuesday October 3, 2006
CMS Announces Part D Low Income Subsidy (LIS) Redetermination Information (SE0668)
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2007 Medicare Physician Fee Schedule –...
Posted on Tuesday October 3, 2006
2007 Medicare Physician Fee Schedule – Update (CR 5214)
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Releasing Payments Held during the 9-Day...
Posted on Wednesday September 27, 2006
Releasing Payments Held during the 9-Day Payment hold
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2006 - 2007 INFLUENZA (FLU) SEASON RESOURCES...
Posted on Friday September 22, 2006
2006 - 2007 INFLUENZA (FLU) SEASON RESOURCES FOR HEALTH CARE PROFESSIONALS (SE0667)
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National Recovery Contractor for New Medicare...
Posted on Thursday September 21, 2006
National Recovery Contractor for New Medicare Secondary Payer (MSP) Recovery Claims (JSM/TDL-06686)
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Quarterly Update to Correct Coding Initiative...
Posted on Wednesday September 20, 2006
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 12.3, Effective October 1, 2006 (CR5258)
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October 2006 Quarterly Average Sales Price...
Posted on Wednesday September 20, 2006
October 2006 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File, Effective October 1, 2006, and Revisions to January 2006, April 2006 and July 2006 Quarterly ASP Medicare Part B Drug Pricing Files (CR5270)
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Changes to the Laboratory National Coverage...
Posted on Monday September 18, 2006
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 2006 (CR5293)
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October Quarterly Update for 2006 Durable...
Posted on Monday September 18, 2006
October Quarterly Update for 2006 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule (CR5255)
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Revised 2006 Durable Medical Equipment...
Posted on Friday September 15, 2006
Revised 2006 Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule Files - Correction (SE0650)
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END OF CONTINGENCY PLAN FOR LEGACY FORMAT...
Posted on Thursday September 14, 2006
END OF CONTINGENCY PLAN FOR LEGACY FORMAT ERA FILES
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Medicare Part B Drug Competitive Acquisition...
Posted on Monday September 11, 2006
Medicare Part B Drug Competitive Acquisition Program (CAP) Additions to Approved CAP Vendor’s Drug List Effective October 1, 2006; Information On Price File Updates
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MMA - Independent Laboratory Billing for...
Posted on Monday September 11, 2006
MMA - Independent Laboratory Billing for the Technical Component (TC) ofPhysician Pathology Services (CR5210)
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Modification of National Provider Identifier...
Posted on Thursday August 31, 2006
Modification of National Provider Identifier (NPI) Editing Requirements in CR4023 and an Attachment to CR4320 (CR5229)
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Revise Chapters 22 and 24 to Delete References...
Posted on Thursday August 31, 2006
Revise Chapters 22 and 24 to Delete References to Free Downloads of X12 Implementation Guides Adopted as HIPAA Standards from Washington Publishing Company (WPC) (5247)
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Remittance Advice Remark Code (RARC) and...
Posted on Friday August 25, 2006
Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update (CR5212)
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Laboratory Competitive Bidding Demonstration...
Posted on Friday August 25, 2006
Laboratory Competitive Bidding Demonstration (CR#5205)
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Correction to Skilled Nursing Facility...
Posted on Tuesday August 22, 2006
Correction to Skilled Nursing Facility (SNF) Consolidated Billing (CB) (CR5103)
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Transitional Use of Medicare Part B Drug...
Posted on Tuesday August 22, 2006
Transitional Use of Medicare Part B Drug Competitive Acquisition Program (CAP) Resupply Option and the J2 Modifier (SE0657)
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2007 Annual Update for the Health Professional...
Posted on Tuesday August 22, 2006
2007 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments (CR5237)
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End of Contingency for Electronic Remittance...
Posted on Tuesday August 22, 2006
End of Contingency for Electronic Remittance Advice (ERA) – ACTION (SE0656)
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Important Guidance Regarding National Provider...
Posted on Tuesday August 22, 2006
Important Guidance Regarding National Provider Identifier (NPI) Usage in Medicare Claims (SE0659)
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Medicare Part B versus Part D Drug Coverage...
Posted on Tuesday August 22, 2006
Medicare Part B versus Part D Drug Coverage Determinations (SE0652)
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Correction of Business Requirement 4320.19...
Posted on Tuesday August 22, 2006
Correction of Business Requirement 4320.19 as Contained in CR4320 Regarding National Provider Identifier Information (CR5217)
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Additional Requirements Necessary to Implement...
Posted on Monday August 14, 2006
Additional Requirements Necessary to Implement the Revised Health Insurance Claim Form CMS-1500 (CR5060)
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Disclosure Desk Reference for Provider...
Posted on Monday August 14, 2006
Disclosure Desk Reference for Provider Contact Centers (CR5089)
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A/B MAC NEWS #1 - First Contract for a...
Posted on Thursday August 10, 2006
A/B MAC NEWS #1 - First Contract for a Part A/Part B Medicare Administrative Contractor (MAC) To Be Awarded in Near Future (SE0642)
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Clarification Regarding Effective Dates...
Posted on Tuesday August 8, 2006
Clarification Regarding Effective Dates for Carrier Claim Adjustments: Denied Replacement Defibrillator Claims Lacking a QR Modifier (CR5104)
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Update of Radiopharmaceutical Imaging Agents...
Posted on Tuesday August 8, 2006
Update of Radiopharmaceutical Imaging Agents Healthcare Common Procedure Coding System (HCPCS) Codes Applicable to Positron Emission Tomography (PET) Scan Services for Carriers (CR5054)
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New Site for Medicare Provider Service...
Posted on Tuesday August 8, 2006
New Site for Medicare Provider Service Toll Free Numbers (SE0655)
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Non-Application of Deductible for Colorectal...
Posted on Tuesday August 1, 2006
Non-Application of Deductible for Colorectal Cancer Screening Tests (CR5127)
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Revised 2006 Durable Medical Equipment...
Posted on Friday July 28, 2006
Revised 2006 Durable Medical Equipment Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule Files - Correction (SEO650)
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Stage 2 National Provider Identifier (NPI)...
Posted on Friday July 21, 2006
Stage 2 National Provider Identifier (NPI) Changes for Transaction 835, and Standard Paper Remittance Advice, and Changes in Medicare Claims Processing Manual, Chapter 22 - Remittance Advice (CR5081)
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Medicare Telehealth Services Update (CR5122)
Posted on Tuesday July 18, 2006
Medicare Telehealth Services Update (CR5122)
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Deficit Reduction Act of 2005 - Nine Day...
Posted on Friday July 14, 2006
Deficit Reduction Act of 2005 - Nine Day Payment (JSM/TDL-06549)
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Ending the HIPAA Contingency for Remittance...
Posted on Monday July 10, 2006
Ending the HIPAA Contingency for Remittance Advice (SE0646)
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Non-Autologous Blood Derived Products for...
Posted on Thursday July 6, 2006
Non-Autologous Blood Derived Products for Chronic Non-Healing Wounds (CR5123)
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July 2006 Quarterly Average Sales Price...
Posted on Thursday July 6, 2006
July 2006 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing (CR5110)
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Requirements for Diagnostic X-Ray, Diagnostic...
Posted on Thursday July 6, 2006
Requirements for Diagnostic X-Ray, Diagnostic Laboratory, and Other Diagnostic Tests; Clinical Psychologist Services (CR4400)
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Correction to CR4136: New Waived Tests...
Posted on Thursday July 6, 2006
Correction to CR4136: New Waived Tests (CR5131)
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Non-Physician Practitioner (NPP) Payment...
Posted on Thursday July 6, 2006
Non-Physician Practitioner (NPP) Payment for Care Plan Oversight (CPO) (CR4374)
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Claim Status Category Code and Claim Status...
Posted on Thursday July 6, 2006
Claim Status Category Code and Claim Status Code Update (CR5137)
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Rules Governing Provider/Clearinghouse...
Posted on Thursday July 6, 2006
Rules Governing Provider/Clearinghouse Protection of Medicare Beneficiary Eligibility Information (CR5138)
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Lumbar Artificial Disc Replacement (LADR)...
Posted on Thursday July 6, 2006
Lumbar Artificial Disc Replacement (LADR) (CR5057)
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Changes Conforming to Change Request 3648...
Posted on Friday June 30, 2006
Changes Conforming to Change Request 3648 (CR3648) for Therapy Services (CR4014)
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New Current Procedural Terminology (CPT)...
Posted on Friday June 23, 2006
New Current Procedural Terminology (CPT) Code (CR4222)
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Healthcare Common Procedure Coding System...
Posted on Friday June 23, 2006
Healthcare Common Procedure Coding System (HCPCS) Correction for the (CR5113)
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Payment for Islet Cell Transplantation...
Posted on Friday June 23, 2006
Payment for Islet Cell Transplantation in NIH-Sponsored Clinical Trials Provider Types Affected (CR5140)
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Modifications to Online Medicare Secondary...
Posted on Thursday June 22, 2006
Modifications to Online Medicare Secondary Payer Questionnaire: This CR Rescinds and Replaces CR4098 (CR5087)
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Medicare Remit Easy Print (MREP)
Posted on Friday June 16, 2006
Medicare Remit Easy Print (MREP)
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Assignment of Physicians, Providers, and...
Posted on Tuesday June 13, 2006
Assignment of Physicians, Providers, and Suppliers to the Medicare Administrative Contractors (MAC) (SE0624)
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Extension of the Competitive Acquisition...
Posted on Tuesday June 13, 2006
Extension of the Competitive Acquisition Program (CAP) Physician Election Period
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Bevacizumab for Wet Age-related Macular...
Posted on Monday June 12, 2006
Bevacizumab for Wet Age-related Macular Degeneration
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Announcement of Competitive Acquisition...
Posted on Wednesday June 7, 2006
Announcement of Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals Beneficiary Fact Sheet (JSM 06475)
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CAP - Creation of Automated Tables for...
Posted on Tuesday June 6, 2006
CAP - Creation of Automated Tables for Provider Information, Expansion of CAP Fee Schedule File Layout, and Additional Instructions for Claims Received from Railroad Retirement Board Beneficiaries (CR5079)
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Payment for Evaluation and Management Services...
Posted on Tuesday June 6, 2006
Payment for Evaluation and Management Services Provided During Global Period of Surgery (CR5025)
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Chemotherapy Administration and Nonchemotherapy...
Posted on Monday June 5, 2006
Chemotherapy Administration and Nonchemotherapy Injection and Infusion Coding and Payment Policy – Update to Pub. 100-04 (CR5028)
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Payment for Positron Emission Tomography...
Posted on Monday June 5, 2006
Payment for Positron Emission Tomography Scans in CMS-Approved Clinical Trials and Coverage with Evidence Development - Use of QR and QV Modifiers (CR5124)
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Pancreas Transplants Alone (PA) (CR5093)
Posted on Monday June 5, 2006
Pancreas Transplants Alone (PA) (CR5093)
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Collection of Fee-for-Service Payments...
Posted on Monday June 5, 2006
Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment (Previously CR2801) (CR5105)
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Extended Physician Election Process for...
Posted on Monday June 5, 2006
Extended Physician Election Process for the CAP for Part B Drugs and Biologicals (JSM/TDL 06478)
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Quarterly Update to Correct Coding Initiative...
Posted on Friday June 2, 2006
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 12.2, Effective July 1, 2006 (CR 5064)
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Changes to the Laboratory National Coverage...
Posted on Friday June 2, 2006
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2006 (CR5108)
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July Update to the 2006 Medicare Physician...
Posted on Friday June 2, 2006
July Update to the 2006 Medicare Physician Fee Schedule Database (CR5102)
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NPI Countdown Has Begun (JSM/TDL-06468)
Posted on Thursday June 1, 2006
NPI Countdown Has Begun (JSM/TDL-06468)
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NOTICE: Open Meeting For Local Coverage...
Posted on Friday May 26, 2006
NOTICE: Open Meeting For Local Coverage Determinations
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Quarterly Medicare Summary Notice (MSN)...
Posted on Friday May 19, 2006
Quarterly Medicare Summary Notice (MSN) Printing Cycle (CR5062)
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Payment for Carotid Artery Stenting (CAS)...
Posted on Friday May 19, 2006
Payment for Carotid Artery Stenting (CAS) Post Approval Extension Studies (CR5088)
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Bariatric Surgery for Morbid Obesity (CR5013)
Posted on Friday May 19, 2006
Bariatric Surgery for Morbid Obesity (CR5013)
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Medicare to Stop Mailing Standard Paper...
Posted on Thursday May 18, 2006
Medicare to Stop Mailing Standard Paper Remittance (SPR) for those Providers/Suppliers also receiving the Electronic Remittance Advice (ERA)
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Ambulatory Surgical Center (ASC) Claims...
Posted on Monday May 15, 2006
Ambulatory Surgical Center (ASC) Claims Processing Manual Clarification (CR5026)
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Facilitating Your Medicare Enrollment
Posted on Friday May 12, 2006
Facilitating Your Medicare Enrollment
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Additional Clarification of CR 3816 Business...
Posted on Thursday May 11, 2006
Additional Clarification of CR 3816 Business Requirements – Low Vision Rehabilitation Demonstration (CR5023)
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Reporting of Diagnosis Code V06.6 on Influenza...
Posted on Thursday May 11, 2006
Reporting of Diagnosis Code V06.6 on Influenza Virus and/or Pneumococcal Pneumonia Virus (PPV) Vaccine Claims and Acceptance of Current Procedural Terminology (CPT) Code 90660 for the Reporting of the Influenza Virus Vaccine (CR5037)
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Full Replacement of CR4349, Hold on Medicare...
Posted on Thursday May 11, 2006
Full Replacement of CR4349, Hold on Medicare Payments. CR4349 Is Rescinded (CR5047)
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MMA - Competitive Acquisition Program (CAP)...
Posted on Thursday May 11, 2006
MMA - Competitive Acquisition Program (CAP) for Part B Drugs Physician Election (CR4404)
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Changes Conforming to Change Request 3648...
Posted on Thursday May 11, 2006
Changes Conforming to Change Request 3648 (CR3648) for Therapy Services (CR4014)
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LCD Change
Posted on Tuesday May 9, 2006
LCD Change
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Correct Reporting of Diagnosis Codes on...
Posted on Friday May 5, 2006
Correct Reporting of Diagnosis Codes on Screening Mammography Claims(CR5050)
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July Quarterly Update for 2006 Durable...
Posted on Friday May 5, 2006
July Quarterly Update for 2006 Durable Medical Equipment, Prosthetics,Orthotics, and Supplies (DMEPOS) Fee Schedule (CR5017)
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Additional $50 Payment for New Technology...
Posted on Friday May 5, 2006
Additional $50 Payment for New Technology Intraocular Lenses (NTIOLs)Furnished in Ambulatory Surgical Centers (ASCs) (CR4361)
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Enrollment Application Changes
Posted on Friday May 5, 2006
Enrollment Application Changes
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Quarterly Update to Correct Coding Initiative...
Posted on Monday May 1, 2006
Quarterly Update to Correct Coding Initiative (CCI) edits, Version 12.1,Effective April 1,2006 (CR4308)
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Remittance Advice Initiative -- ACTION...
Posted on Monday May 1, 2006
Remittance Advice Initiative -- ACTION (JSM-06422)
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Revised Therapy Cap Exception Request Form
Posted on Thursday April 27, 2006
Revised Therapy Cap Exception Request Form
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Clarification on Billing Requirements for...
Posted on Thursday April 27, 2006
Clarification on Billing Requirements for Percutaneous Transluminal Angioplasty (PTA) Concurrent with the Placement of an FDA-approved Carotid Stent (CR5022)
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Cardiac Rehabilitation Programs (CR4401)
Posted on Wednesday April 26, 2006
Cardiac Rehabilitation Programs (CR4401)
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Nesiritide for Treatment of Heart Failure...
Posted on Wednesday April 26, 2006
Nesiritide for Treatment of Heart Failure Patients (CR4312)
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Instructions for Provider Notification-...
Posted on Tuesday April 25, 2006
Instructions for Provider Notification- Announcement of Competitive Acquisition Program (CAP) Vendor Selection Press Release (JSM 06413)
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Medicare Part B Drug Pricing Update-Payment...
Posted on Friday April 21, 2006
Medicare Part B Drug Pricing Update-Payment Limit for J7620 (Albuterol and Ipratropium Bromide, Non-compounded) (CR4333)
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Full Replacement of and Rescinding Change...
Posted on Tuesday April 18, 2006
Full Replacement of and Rescinding Change Request (CR)3504-Modification to Online Medicare Secondary Payer Questionnaire(CR4098)
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