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05-07-2010 Pulmonary Rehabilitation (PR) Services
05-07-2010 Maximum Period for Submission of Medicare Claims Reduced to Not More Than 12 Months
05-07-2010 Appeals Revisions AIC Requirements
05-07-2010 Multiple Procedure Payment Reduction on the Technical Component (TC) of Certain Diagnostic Imaging Procedures
05-06-2010 FDG PET for Solid Tumors and Myeloma
04-29-2010 (MSP) Claims Processing Instructions for the Common Working File, Medicare Part B, and Durable Medical Equipment Shared Systems Regarding Medicare Secondary Payer Claims that Cont
04-29-2010 Medicare Claims Processing Manual 1004
04-29-2010 Change in Claims Filing Jurisdiction for TracheoEsophageal Voice Prosthesis Healthcare Common Procedure Coding System (HCPCS) Code
04-28-2010 Skilled Nursing Facility (SNF) Health Insurance Prospective Payment System (HIPPS) Coding Updates Effective October 1, 2010
04-28-2010 New Medicare Secondary Payer Insurer Type Codes
04-28-2010 Use of 12X Type of Bill (TOB) for Billing Colorectal Screening Services
04-28-2010 Deactivation Letters for the Fiscal Intermediary Standard System (FISS)
04-27-2010 Removal of the Provider Reporting Requirement for Total Number of Therapy Visits using Value Codes 5053
04-23-2010 CICS Production Merge of Part A Arkansas,Loiisiana & Mississippi workloads in preparation for MAC Implementation
04-19-2010 Common Working File (CWF) Submission of Codes to the Part A Contractors and Shared Systems and the Systems Ability to Override the Claim Level CWF Edit for Certain MSP Claims
04-16-2010 Notice of New Interest Rate for Medicare Overpayments and Underpayments ? 3rd Notification for FY 2010
04-15-2010 Billing and Processing Claims with Unlimited Occurrence Span Codes
04-09-2010 Legislation to Allow Independent Laboratory Billing for the TC of Physician Pathology Services for Hospital Inpatients and Outpatients
04-06-2010 April 2010 Update to the Ambulatory Surgical Center (ASC) Payment System
04-02-2010 Extension of Reasonable Cost Payment for Clinical Lab Tests Furnished by Hospitals with Fewer Than 50 Beds in Qualified Rural Areas
04-02-2010 Update to the Medical Conditions List and Instructions
03-26-2010 Update to List of ICD9CM Diagnosis Codes Not Requiring the Q0 , HCPCS Modifier for Automatic Implantable Cardiac Defibrillator Services Provided in a Clinical Study
03-26-2010 Positron Emission Tomography (PET) (NaF18) to Identify Bone Metastasis of Cancer
03-26-2010 Claim Status Category Code and Claim Status Code Update
03-23-2010 Validating the Billing of End Stage Renal Disease (ESRD) 50/50 Rule Modifier
03-23-2010 Screening for the Human Immunodeficiency Virus (HIV) Infection
03-22-2010 Version D.0 Inbound National Council for Prescription Drug Programs (NCPDP) Flat File Implementation
03-19-2010 Reporting of Recoupment for Overpayment on the Remittance Advice (RA)
03-19-2010 Clinical Laboratory Fee Schedule Special Instructions for Specific Test Codes
03-19-2010 Clinical Laboratory Fee Schedule Medicare Travel Allowance Fees for Collection of Specimens
03-12-2010 Revision of the Internet Only Manual (IOM) to Remove References to ?Purchased Diagnostic Test?
03-09-2010 Outpatient Intravenous Insulin Treatment
03-09-2010 Point of Origin for Admission or Visit Codes Update to the UB04 (CMS1450) Manual Code List
03-05-2010 Additional ICD9 Codes Analysis and Processing Direction (Institutional Claims Only)
03-05-2010 Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting
03-05-2010 Correction to Processing of NonCovered Revenue Codes
03-05-2010 July 2010 Update to the CMS Standard File for Reason Codes for the Fiscal Intermediary Shared System (FISS)
03-05-2010 Percutaneous Transluminal Angioplasty (PTA) of the Carotid Artery Concurrent with Stenting
02-26-2010 April 2010 Update of the Hospital Outpatient Prospective Payment System
02-19-2010 July 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
02-19-2010 Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncoverage (ABNs)
02-05-2010 Reporting the Beneficiary?s Residence State Code and ZIP Code for Durable Medical Equipment, Prosthetics, Orthotics and Supplies Claims
02-05-2010 Instructions on How to Process Negative Claim Adjustment Reason Code (CARC) Adjustment Amounts when Certain CARCs Appear on Medicare Secondary Payer Claims
02-05-2010 Implementation of a New Skilled Nursing Facility Consolidated Billing Edit for Facility Services Billed by Ambulatory Surgical Centers
02-05-2010 Instructions for Reprocessing Claims and Recouping Overpayments for Claims for Implanted DME and Implanted Prosthetics Submitted Under the Guidelines Established in Change Request
02-05-2010 New Waived Tests
02-05-2010 Maintenance and Servicing Payments for Certain Oxygen Equipment on or After July 1, 2010
02-05-2010 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 16.1, effective April 1, 2010
02-05-2010 Common Working File (CWF) Edit to Reject Claims for Durable Medical Equipment Provided to Medicare Beneficiaries During NonCovered Stays in a Skilled Nursing Facility
02-05-2010 Outpatient Intravenous Insulin Treatment
02-05-2010 Clotting Factor Furnishing Fee ? Conforming Manual Change to "Unit"
01-29-2010 Revision of Definition of Compendia as Authoritative Source for Use in the Determination of a MedicallyAccepted Indication of Drugs/Biologicals Used Offlabel in AntiCancer Chemothe
01-29-2010 April 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
01-15-2010 Payment to Physician or Other Supplier for Diagnostic Tests Subject to the AntiMarkup Payment Limitation
01-15-2010 Paying Claims Without Common Working File (CWF) Approval
01-08-2010 Correction to CR 6728 on Correct Coding Initiative (CCI) Edits, Version 16.0, Effective January 1, 2010
01-06-2010 Positron Emission Tomography (PET) (FDG) for Cervical Cancer
12-29-2009 Summary of Policies in the 2010 Medicare Physician Fee Schedule (MPFS) and the Telehealth Originating Site Facility Fee Payment Amount
12-23-2009 Calendar Year (CY) 2010 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
12-21-2009 January 2010 Update of the Hospital Outpatient Prospective Payment System
12-18-2009 Coverage of Kidney Disease Patient Education Services
12-18-2009 Instructions Regarding Processing Claims Rejecting for Gender/Procedure Conflict
12-11-2009 New Place of Service (POS) Code for Walkin Retail Health Clinic
12-04-2009 Requirements to Prevent the Misuse of Modifiers PA, PB, and PC on Incoming Claims
12-04-2009 Positron Emission Tomography (PET) (FDG) for Cervical Cancer
11-27-2009 Remittance Advice (RA) Codes and Medicare Summary Notice (MSN) Messages Regarding Oxygen Equipment
11-27-2009 Payment for Implantable Tissue Markers (HCPCS Code A4648)
11-27-2009 Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update
11-23-2009 Therapy Cap Values for Calendar Year (CY) 2010
11-20-2009 New Waived Tests
11-13-2009 January 2010 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
11-13-2009 2010 Annual Update to the Therapy Code List
11-13-2009 CY 2010 Fee Schedule Update for Durable Medical Equipment, Prosthetics, Orthotics and
11-13-2009 Update to Medicare Deductible, Coinsurance and Premium Rates for 2010
11-13-2009 Update to Medicare Deductible, Coinsurance and Premium Rates for 2010
11-06-2009 Ensuring the Denial of Claims for Ambulance Services Rendered to Beneficiaries in Part A Skilled Nursing Facility Stays
10-28-2009 Update to the Common Working File (CWF) Edits to Recognize the "RA" and "RB" Modifiers for Durable Medical Equipment (DME) Repairs and Replacements
10-28-2009 2010 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder
10-27-2009 New Physician Specialty Code for Geriatric Psychiatry
10-23-2009 Reasonable Charge Update for 2010 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, and Certain Intraocular Lenses
10-16-2009 Magnetic Resonance Imaging (MRI)
10-16-2009 FDG PET for Solid Tumors and Myeloma
10-16-2009 Annual Type of Service (TOS) Update
10-16-2009 Magnetic Resonance Imaging (MRI)
09-25-2009 Billing for an Ambulance Transport with More Than One Patient Onboard
09-25-2009 Comprehensive Outpatient Rehabilitation Facility (CORF) Services
09-25-2009 Maintenance and Update of the Temporary Hook Created to Hold OPPS Claims that Include Certain Drug HCPCS Codes
09-18-2009 Revised Processing of Osteoporosis Drugs Under the Home Health Benefit
09-17-2009 Fiscal Year 2010 Inpatient Prospective Payment System , Long Term Care Hospital PPS, and Inpatient Psychiatric Facility PPS Changes
09-04-2009 2010 Annual Update of Healthcare Common Procedure Code System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update
09-01-2009 October Update to the 2009 Medicare Physician Fee Schedule Database
08-28-2009 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2010
08-28-2009 Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update
08-28-2009 Ambulatory Surgical Center Payment Indicator File Error; and Reiteration of CMS Policy Regarding Beneficiary Liability for V2787 and V2788
08-28-2009 October 2009 Update of the Hospital Outpatient Prospective Payment System
08-28-2009 Addition/Deletion of HCPCS Codes? October 2009 Quarterly Update
08-21-2009 New Waived Tests
08-21-2009 PC Print Update for ASC X12 835 Version 005010
08-14-2009 Claim Status Category Code and Claim Status Code Update
08-14-2009 October 2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
08-14-2009 Additional Instructions on Processing Claims for Durable Medical Equipment, Prosthetics, Orthotics and Supplies Items Submitted Under the Guidelines Established in Change Request
08-14-2009 Healthcare Provider Taxonomy Codes (HPTC) Update October 2009
08-07-2009 Screening Computed Tomography Colonography (CTC) for Colorectal Cancer
08-07-2009 Clinical Laboratory Fee Schedule Medicare Travel Allowance Fees for Collection of Specimens
08-07-2009 Diabetes SelfManagement Training (DSMT) Certified Diabetic Educator
07-31-2009 Appropriate Use of Modifier 50 and AddOn Codes for Facet Joint Injections Services
07-31-2009 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 15.3, Effective October 1, 2009
07-10-2009 Sleep Testing for Obstructive Sleep Apnea (OSA)
07-10-2009 2009 Reminder for Roster Billing and Centralized Billing for Influenza and Pneumococcal Vaccinations
07-10-2009 2009 Durable Medical Equipment Prosthetics, Orthotics, and Supply Healthcare Common Procedure Coding System (HCPCS) Code Jurisdiction List
07-10-2009 ESRD: Placement of a List of Diagnostic Tests that are Considered End Stage Renal Disease
07-10-2009 Update to Pub 10004, Chapter 24, Section 40.7 of the Claims Processing Manual
07-02-2009 Placement of a List of Diagnostic Tests that are Considered End Stage Renal Disease
06-26-2009 Billing Routine Costs of Clinical Trials
06-15-2009 Wrong Surgical or Other Invasive Procedure preformed on a wrong body part or Wrong patient etc.
06-12-2009 Claim Status Category Code and Claim Status Code Update
06-12-2009 Review of Durable Medical Equipment, Prosthetics, Orthotics, and Supplies
06-05-2009 July 2009 Quarterly Update
06-05-2009 July Quarterly Update for 2009 Durable Medical Equipment, Prosthetics, Orthotics and Suppliers Fee Schedule
06-05-2009 Revised Billing Instructions for Occurrence Span Code 74 for Skilled Nursing Facility (SNF) No Payment Claims
06-05-2009 October Quarterly Update to 2009 Annual Update of HCPCS Codes Used for Skilled Nursing Facility Consolidated Billing Enforcement
06-05-2009 October 5, 2009 for VMS system changes and January 4, 2010 for VMS CEDI
05-29-2009 July Update to the 2009 Medicare Physician Fee Schedule Database
05-19-2009 Additional Data Collection on Hospice Claims
05-18-2009 Therapy ReEvaluation Services
05-08-2009 Medicare Claims Processing Manual Clarifications for Skilled Nursing Facility and Therapy Billing
05-08-2009 Manual Clarifications for Skilled Nursing Facility (SNF) and Therapy Billing
05-08-2009 Section 148 of The Medicare Improvements for Patients and Providers Act (MIPPA)
05-08-2009 Pricing Claims for Services Rendered in Place of Service Home
05-08-2009 Clarification of Billing of Routine Foot Care When Payment Ceases for Loss of Protective Sensation Evaluation and Management
05-04-2009 Surgery for Diabetes
04-27-2009 Rural Health Clinic (RHC) and Federally Qualified Health Clinic (FQHC) Updates
04-15-2009 Incorporation of Physician Fee Schedule Regulatory Changes
04-10-2009 Revisions to Appendices P and PP for Appeal Rights & F Tag
04-10-2009 Billing Routine Cost of Clinical Trials
04-09-2009 Notice of New Interest Rate for Medicare Overpayments and Underpayments3rd Notification for FY 2009
04-03-2009 Hospice Cap Calculations Letters and Administrative Appeals
04-03-2009 Manualization of the Medicare Physician Fee Schedule (MPFS) Record Layouts for Contractors Processing Institutional Claims
04-02-2009 Incorporation of Physician Fee Schedule Regulatory Changes
03-04-2009 Implementation of New Provider Authentication Requirements for Medicare Contractor Provider Telephone and Written Inquiries
03-04-2009 April Update to the 2009 Medicare Physician Fee Schedule Database
03-04-2009 Reporting the National Provider Identifier (NPI) on Claims for Reference Laboratory and Purchased Diagnostic Services Performed Outside the Billing Jurisdiction
02-24-2009 Health Insurance Portability and Accountability Act ANSI 837 5010 Coordination of Benefits RequirementsPart II
02-20-2009 Ambulance Services and Expiration of the Ambulance Fee Schedule Transition Period
02-20-2009 April 2009 Quarterly Average Sales Price Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
02-20-2009 New Nonphysician Practitioner Specialty Code for Speech Language Pathologists
02-20-2009 HCPCS Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments Edits
02-20-2009 Clarification of the Medicare Redetermination Notice for Partly or Fully Unfavorable Redeterminations
02-20-2009 Model Letter Updates
02-13-2009 Outpatient Therapy Caps With Exceptions in CY 2009
02-13-2009 Claims Processing Instructions for Diagnostic Tests Subject to the AntiMarkup Pricing Limitation
02-13-2009 Modifier 79
02-13-2009 Heartsbreath Test for Heart Transplant Rejection
02-13-2009 Clarification of Date of Service of Ambulance Services.
02-13-2009 Payment for Repair, Maintenance and Servicing of Oxygen Equipment as a Result of the Medicare Improvements for Patients and Providers Act of 2008
02-10-2009 Implementation of New Provider Authentication Requirements for Medicare Contractor Provider Telephone and Written Inquiries
02-06-2009 Health Insurance Portability and Accountability Act 837 5010 Coordination of Benefits Requirements
02-06-2009 Redesign of FISS Edits for Hemophilia Clotting Factors on Inpatient Claims
02-06-2009 New ?WW? Code to Identify a New Source for Topotecan
01-30-2009 FISS, CWF and NCH System Requirements for All Outpatient 837 I Claims Related to Rendering Physicians/Practitioners
01-30-2009 Change in the Amount in Controversy Requirement for Administrative Law Judge Hearings and Federal District Court Appeals
01-30-2009 Standard System Change to Allow Claims Processing Contractors Flexibility with 9Digit ZIP Codes
01-30-2009 Remittance Advice Remark Code and Claim Adjustment Reason Code Update
01-23-2009 DIRECT DATA ENTRY (DDE) YM ID MORATORIUM
01-16-2009 Notice of New Interest Rate for Medicare Overpayments and Underpayments ? 2nd Notification for FY 2009
01-15-2009 HHS MODIFIES HIPAA CODE SETS (ICD10) AND ELECTRONIC TRANSACTIONS STANDARDS
01-09-2009 Influenza Pandemic Emergency Preparedness Additional Guidance
01-09-2009 Instructions for FISS, MultiCarrier System and HIGLAS Changes
01-09-2009 New Common Working File Medicare Secondary Payer Type for Workers""; Compensation Medicare Setaside Arrangements (WCMSAs), to Stop Conditional Payments
01-09-2009 Recovery Audit Contractors (RACs)
01-09-2009 Clarification of Requirements for New and Material Evidence as Good Cause for Reopening
01-07-2009 MEDICARE ADMINISTRATIVE CONTRACTOR (MAC) AWARDS TO FIVE JURISDICTIONS
01-02-2009 Emergency Update to the 2009 Medicare Physician Fee Schedule Database
12-31-2008 Implementation of the Health Care Claim Status Inquiry and Response (276/277)
12-24-2008 Percutaneous Transluminal Angioplasty of the Carotid Artery Concurrent With Stenting
12-24-2008 New Contractor Numbers for the J9 Medicare Administrative Contractor (MAC) Part A and Part B Workloads for the State of Florida and Territories of Puerto Rico and the Virgin Island
12-24-2008 http://www.cms.hhs.gov/transmittals...
12-24-2008 Changes in Payment for Oxygen Equipment as a Result of the Medicare Improvements for Patients and Providers Act of 2008 and Additional Instructions Regarding Payment for Durable Me
12-19-2008 Instructions on utilizing 837 Institutional CAS segments for Medicare Secondary Payer (MSP) Part A Claims.
12-19-2008 New Waived Tests
12-19-2008 Annual Clotting Factor Furnishing Fee Update
12-19-2008 January 2009 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
12-19-2008 Calendar Year 2009 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment
12-19-2008 Processing All Diagnosis Codes Reported on Claims Submitted to Durable Medical Equipment Medicare Administrative Contractors
12-19-2008 Deceased Individuals and the Provider Enrollment Process
12-12-2008 Administrative Appeals for Provider Enrollment
12-12-2008 Instructions For Utilizing 837 Professional Claim Adjustment Segments for MSP Part B Claims
12-09-2008 Changes to the Laboratory National Coverage Determination Edit Software for January 2009
12-05-2008 2008 Jurisdiction List for Durable Medical Equipment Prosthetics, Orthotics, and Supply HCPCS Codes
11-21-2008 FISS Reason Code Language Expansion
11-21-2008 Chapter 13 ? Premium and Cost Sharing Subsidies for Low Income Individuals
11-21-2008 Analysis Only for New FISS, CWF and NCH System Requirements for All 837 I Claims Related to Rendering Physicians/Practitioners
11-20-2008 Annual Type of Service (TOS) Update
11-19-2008 Influenza Pandemic EmergencyPolicies Concerning the Medicare Prescription Drug Program (Part D) and Medicare Advantage (Part C)
11-17-2008 Update to Medicare Deductible, Coinsurance and Premium Rates for 2009
11-15-2008 File Descriptions for Retrieving the 2009 Pricing and HCPCS Data Files through CMS? Mainframe Telecommunications Systems
11-14-2008 Remittance Advice Remark Code (RARC) and Claim Adjustment Reason Code (CARC) Update
11-14-2008 Adding Certain Entities as Originating Sites for Payment of Telehealth ServicesSection 149 of the Medicare Improvements for Patients and Providers Act of 2008
11-14-2008 Revised 4010A1 837 Professional (837P) Flat File
11-07-2008 2009 Annual Update to the Therapy Code List
11-07-2008 Update to Medicare Deductible, Coinsurance and Premium Rates for 2009 SNF $133.50 Per Day
11-07-2008 2009 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder
11-07-2008 Medicare Physician Fee Schedule Database 2009 File Layout
11-07-2008 Extension of Therapy Cap Exceptions Process
11-07-2008 Fee Schedule Update for 2009 for Durable Medical Equipment, Prosthetics, Orthotics and Supplies
11-04-2008 Archiving & Retrieving of the Integrated Outpatient Code Editor & the Medicare Code Editor for Processing Claims
11-03-2008 Payment for Implanted Prosthetic Devices for Medicare Part B Inpatients
10-31-2008 Influenza Vaccine and the Pneumococcal Vaccine Payment Allowances Based on 95 Percent of the Average Wholesale Price
10-31-2008 Announcement of Medicare Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) Payment Rate Increases
10-31-2008 NPI on claims fo Out of Jurisdiction Purchased Diagnostic Services (Mammography, Screening, Etc)
10-31-2008 2009 Annual Update to the Therapy Code List
10-31-2008 Calendar Year (CY) 2009 Participation Enrollment and Medicare Participating Physicians and Suppliers Directory Procedures
10-30-2008 Revision to the Reporting Requirements of Qualifying Hospital Stays on Inpatient Skilled Nursing Facility
10-29-2008 Influenza Pandemic Emergency Preparedness Instructions Concerning Financial Management Policies
10-24-2008 New 2008 Medicare Physician Fee Schedule Payment Rates Effective for Dates of Service July 1, 2008, Through December 31, 2008
10-24-2008 New Hemophilia Clotting Factor and HCPCS Code and Terminated Hemophilia Clotting Factor HCPCS Code
10-24-2008 Revision to the Common Working File Requirements for Updating Spells of Illness for Skilled Nursing Facility and Swing Bed Claims
10-24-2008 Common Working File Editing for Influenza Virus Vaccine and Pneumococcal Vaccine Codes
10-17-2008 Implementation of an ASC HCPCS Payment Indicator File
10-15-2008 Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea
10-15-2008 Notice of New Interest Rate for Medicare Overpayments and Underpayments 1st Notification for FY 2009.
10-03-2008 2009 Annual Update of HCPCS Codes for Skilled Nursing Facility Consolidated Billing for the Common Working File , A/B MACs, Medicare Carriers and Fiscal Intermediaries
10-03-2008 Reasonable Charge Update for 2009 for Splints, Casts, Dialysis Supplies, Dialysis Equipment, and Certain Intraocular Lenses
10-03-2008 J5 Production Region Merge of the Kansas, Missouri, Nebraska, and Iowa Part A Workloads.
09-26-2008 Claims Jurisdiction and Enrollment Procedures for Suppliers of Certain Prosthetics,DME and Replacement Parts, Accessories and Supplies
09-26-2008 Physician Payment Amounts When Physicians Furnish Excluded Procedures in Ambulatory Surgical Centers
09-26-2008 Quarterly Update to Correct Coding Initiative (CCI) Edits, Version 14.3, Effective October 1, 2008
09-19-2008 Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY 2009
09-12-2008 New Waived Tests
09-12-2008 National Provider Identifier (NPI) for Secondary Providers
09-12-2008 October 2008 Quarterly Average Sales Price Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files
09-10-2008 Artificial Hearts
09-08-2008 October 2008 Integrated Outpatient Code Editor (I/OCE) Specifications Version 9.3
09-05-2008 Revised Form CMSR131 Advance Beneficiary Notice of Noncoverage
09-05-2008 Pneumococcal Pneumonia, Influenza Virus, and Hepatitis B Vaccines
08-29-2008 Physician Signature Requirements for Diagnostic Tests
08-29-2008 Continuous Positive Airway Pressure Therapy for Obstructive Sleep Apnea
08-29-2008 Artificial Hearts
08-23-2008 Important Info on the New MC Law:The Medicare Improvements for Patients and Providers Act of 2008
08-22-2008 October Update to the 2008 Medicare Physician Fee Schedule Database
08-21-2008 Modification to Existing Medicare Summary Notice Procedures Regarding the MSN Customer Service Info. Box, Beneficiary Estate Info. and the Appeals Address
08-15-2008 Revisions to the Competitive Acquisition Program (CAP) for Part B Drugs and Biologicals
08-15-2008 Part B Drug Competitive Acquisition Program (CAP) Quarterly Drug List Update
07-15-2008 Extension of Therapy Cap Exceptions
06-02-2008 Therapy Caps Go Into Effect July 1
03-17-2008 SNF Billing For Medicare Advantage Claims
03-05-2008 Reporting an NPI for Ordering,Referring and Attending Physicians CR5890
03-01-2008 NPI & Legacy Numbers are required or claims will reject Fixing NPI cross over issues
01-17-2008 Therapy Cap Exceptions Extended Until June 2008
12-13-2007 National Provider Identifier Update
12-13-2007 MDS 3.0 Schedule Released
11-14-2007 2007 2008 Influenza (Flu) Season Resources for Health Care Professionals
11-08-2007 Medicare Payments for Ambulance Transports
11-06-2007 Release of 2008 Healthcare Common Procedure Coding System (HCPCS) code set
11-06-2007 Congress Faces Therapy Cap Decision
10-24-2007 SNFCB.Com updates Radilogy Transportation Codes
10-12-2007 New Interest Rate for Provider Over Payments
10-05-2007 Drug HCPCS no Longer Payable by Medicare Effective 7/1/07
10-05-2007 Effective May 23, 2008, Legecy Number No Longer Allowed on Claim NPI Only
09-28-2007 Reasonable Charge Update for Splints, Casts, Dialysis Supplies, Equipment and Intraocular lens
09-28-2007 New Waived Laboratory Tests
09-21-2007 Separate Payment is Made for Contrast Medium used in Performing MRI Services
09-21-2007 Integrated Outpatient Code Editor Changes October 1, 2007
09-21-2007 CMS Issues Directive to Carrier Not to Deny Drugs When Used off Label
09-21-2007 Lumbar Disk Replacement not Covered by Medicare for Population over 60
09-14-2007 Change to Hospital Outpatient Code Editor
09-14-2007 Medicare Replaces UPIN with NPI
09-12-2007 REvisions for October 2007 Quarterly ASP for Medicare Part B Drugs
09-12-2007 CMS Revises Trans 73 Coverage of Doppler Monitoring
08-31-2007 Update of CCE Edits
08-30-2007 October Update to Physician Fee Schedule
08-28-2007 CMS Removes National Coverage Decisions for Doppler Monitoring
08-20-2007 CMS releases new Ftag for paid feeding assistants
08-17-2007 New Remark Code for Denying Separately Billed Services
08-17-2007 SNF CB 2008 Annual Update
08-17-2007 CMS Clarifies DOS for Lab Specimens
08-17-2007 New Survey Rules for Paid Feeding Assistants and Accidents
08-02-2007 CMS Switches to Broadband for MDS Submissions
07-23-2007 CMS Updates CWF Edits for Drugs
07-20-2007 Updated Coding for PET Scans
07-13-2007 Notice of New Interest Rate for Medicare Overpayments and Underpayments 4th Qtr. FY 2007
07-13-2007 Update to Edit for TC Component of Lab & Radiology Services
07-13-2007 Update to ESRD Billing for Epo
07-13-2007 CMS Corrects CWF Edit Error for Therapy Spans that Cross SNF Non Cov Level of Care Spans
07-08-2007 Healthcare Common Procedure Coding System (HCPCS) Update: End Stage Renal Disease Information
07-05-2007 NPI: New MLN Matters Article Available
07-03-2007 CMS Releases DAVE Tip Sheet for MDS Item K5a
07-03-2007 CMS Releases DAVE Tip Sheet for MDS Item K5a
07-02-2007 CMS PROPOSES POLICY, PAYMENT CHANGES FOR PHYSICIANS & SERVICES IN 2008
07-02-2007 Therapists face reimbursement cut with new fee schedule
06-29-2007 Coverage Requirement for Therapy Services Provided in a SNF
06-25-2007 CDC Releases LongAwaited Isolation Guidelines
06-25-2007 CDC Includes LongTerm Care in Broader Isolation Guidelines
06-15-2007 Annual Update of the International Classification of Diseases,
06-14-2007 Time's up for the "old" CMS1500 form
06-07-2007 List of NPIs to be Posted
05-25-2007 No Pay Billing Clarification
05-25-2007 Advance Beneficiary Notice 2nd draft
05-18-2007 Editing for NPI Crosswalk
05-01-2007 Requirement for Providing Route of Administration Codes for Erythropoiesis Stimulating Agents
05-01-2007 FFS NPI Implementation Contingency Plan
05-01-2007 Part B Paid Claims that Overlap Nonpay SNF Claims
04-12-2007 Revised Instructions on Claims for the Hemophilia Clotting Factor for von Willebrand Factor
04-12-2007 Blood Brain Barrier Osmotic Disruption for Treatment of Brain Tumors
04-05-2007 NPI Information For Providers
04-01-2007 Revisions to Form CMS1500 Submission Requirements CR5489
04-01-2007 SE0716Clarification of MM5488 Article Regarding Coding on CMS1500
03-19-2007 LCD Revision for Darbepoetin Alfa and Epoetin Alfa
03-19-2007 Reporting Your National Provider Identifier (NPI)
03-14-2007 Intracranial Percutaneous Transluminal Angioplasty With Stenting
03-12-2007 Assignment of Dedicated Medicare Secondary Payer Modifier Introduced
03-11-2007 Processing All Diagnosis Codes Reported on Claims Submitted to Carriers
03-11-2007 Changes in Institutional Value Codes
03-09-2007 April Quarterly Update to 2007 Annual Update of HCPCS
03-08-2007 Documentation Requirements for Therapy Assessment Services
03-05-2007 Medicare Podiatry Services
03-01-2007 Holding Claims Billed With HCPCS Code G0389
02-26-2007 UB92 Form Changing to UB94
02-26-2007 CMS Requests Public Comment on the Revised Advance Beneficiary Notice (ABN)
02-25-2007 NPI: New Frequently Asked Questions (FAQs) Posted
02-23-2007 Revisions to Incomplete or Invalid Claims Instructions Necessary to Implement the Revised Health Insurance Claim Form CMS1500
02-22-2007 Payment and Coding for Drugs and Biologics
02-21-2007 High Compression Bandage System Billing Clarification
02-21-2007 Photochemotherapy Billing
02-21-2007 Medicare Participating Physician Directory Information
02-20-2007 Part C and D Plan Type Display on the Common Working File
02-20-2007 Revised Infrared Therapy Devices
02-20-2007 2007 Physician Quality Reporting Initiative (PQRI) Webpage
02-13-2007 American Healthcare Association Supports Letter Opposing Budget Cuts
02-06-2007 OSHA Releases Guidance for Pandemic Flu Planning
02-05-2007 Zip Code Requirement When Reporting Taxonomy Codes
02-05-2007 MCS Issue With 835 ERA and Crossover Claims
02-05-2007 Coding Change for Lumbar Artifical Disc Replacement
01-31-2007 Correct Coding of IV Administration vs. Injection
01-26-2007 Invalid Managed Care Information Unsolicited Responses from CWF
01-16-2007 Outpatient therapy Cap Exception Process for 2007
01-16-2007 Attention Outpatient Therapy Providers
01-16-2007 UB04 Billing Implementation
01-11-2007 Reason Code for Skilled Nursing Facility Modifiers (Assessment Indicators)
01-04-2007 Intravenous Immune Globulin Administration Payment Extended Through 2007
01-04-2007 Timely Filing of Requests for Payment
01-04-2007 Claims Submission Instructions for Institutional Providers Billing Vaccine Claims ? CMS CR 4239
01-02-2007 2008 ANNUAL UPDATE TO THE THERAPY CODE LIST
01-02-2007 FEE SCHEDULE UPDATE FOR 2008 FOR DME
01-01-2007 2007 Medicare Coinsurance Rates & Deductables
12-18-2006 Quick Reference Information: Medicare Immunization Billing Chart Available to Order
12-18-2006 MEDICAID DRUG PRICING REGULATION PROPOSED
12-15-2006 HHS LAUNCHES NEW WEB SITE PROMOTING LONGTERM CARE PLANNING
12-15-2006 Infrared Therapy Devices
12-11-2006 Therapy Cap after Jan 1, 2007
12-11-2006 Cavernous Nerves Electrical Stimulation with Penile Plethysmograph
12-08-2006 Therapy Caps Exclusions Extended for 2007
12-07-2006 Ambulatory Surgical Centers 2007 Update of HCPCS Codes and Payments
12-07-2006 Competitive Acquisition Program for Part B Drugs Do Not Bill a Prescription Order Number More Than Once
12-07-2006 Abdominal Aortic Aneurysms Ultrasound Screening Revised CR5235
12-05-2006 Therapy Caps Exclusions Set to Expire
12-05-2006 NPI CountdownUse Both Numbers Now
11-30-2006 National Influenza Vaccination Week
11-30-2006 CMS Issues Final Rule On Blood Glucose Billing
11-30-2006 CMS Releases Final Rule On Blood Glucose Monitoring
11-28-2006 Intranasal Influenza Vaccine Coverage ? 90660
11-28-2006 Fracture Care
11-28-2006 Billing Reminder for Part A SNF
11-24-2006 Implementation of Changes in End Stage Renal Disease (ESRD) Payment for Calendar Year (CY) 2007
11-22-2006 CMS Announces Deemed Accreditation Organizations for Suppliers of DME, Prosthetics, Orthotics and Supplies
11-16-2006 Processing All Diagnosis Codes Reported on Claims Submitted to Carriers MM4276
11-16-2006 Out Patient Therapy Cap Exception Process Recap Clarification
11-16-2006 Flu Prices 2006 for TrailBlazer
11-15-2006 New Quality Measures for Immunizations
11-14-2006 New UBO4
11-09-2006 Outpatient Therapy Cap Exceptions Clarifications
11-09-2006 New DMEPOS Revised Fee Schedule
11-08-2006 CMS Proposes to Require All Nursing Homes to Install Sprinklers
11-06-2006 2007 Medicare Rates
11-01-2006 Medicare Diabetes Screening Benefit
11-01-2006 Medicare Payment for Oxygen Equipment, Oxygen Contents, and Capped Rental Durable Medical Equipment
11-01-2006 Preventive Services Covered By Medicare Calendar Year 2007
10-31-2006 Flu Shot Reminder
10-31-2006 Mass Adj of 22x & 23x Bill Types Containing HCPCS G0008, G0009 & G0010 with DOS 1/1/06 & Greater
10-30-2006 CMS PROPOSES TO REQUIRE NURSING HOMES ACROSS AMERICA TO INSTALL SPRINKLERS
10-26-2006 CDC provides new resources on MRSA
10-26-2006 CDC guidelines aimed at preventing ?superbug? infections
10-26-2006 New Webbased Training Course for Institutional Providers
10-25-2006 TPL Changes and Updates
10-24-2006 Decision Memo for Infrared Therapy Devices (CAG00291N)
10-24-2006 CMS Announces Participation in "Own Your Future" Campaign
10-20-2006 Skilled Nursing Facility Prospective Payment System Fact Sheet
10-18-2006 Medicare Part D Data State Allottments 2006 and 2007
10-16-2006 NPI Training Package: Module 5 Available Now
10-16-2006 Flu Season Resources for Health Care Professionals
10-16-2006 Preventive Services WebBased Training Course ~
10-16-2006 New Tools Available To Help with Medicare Prescription Drug Plan Choices for 2007
10-12-2006 Notice of New Interest Rate for Medicare Overpayments and Underpayments ? 1st Qtr. FY 2007.
10-10-2006 Medicare Finds Billions in Savings to Taxpayers
10-07-2006 New Tag F334 ? Influenza and Pneumococcal Immunizations.
10-05-2006 CMS Announces Part D Low Income Subsidy (LIS) Redetermination Information
10-04-2006 Draft MDS 3.0 Released
10-03-2006 Consolidated Billing Training and Fact Sheet Information
10-03-2006 First Ever Medicare Survey Finds Overall Satisfaction in Contractor Provider Relationship
10-02-2006 DDE Screen Changes For NPI
10-02-2006 PC ACE Upgrade Available
10-02-2006 New HIC Field DDE
10-02-2006 Proposed Rule Would Change Blood Glucose Reimbursement
10-01-2006 October 2006 Update of the Hospital Outpatient Prospective Payment System
10-01-2006 DDE Screen Changes For HCPC Inquiry
09-29-2006 2007 Annual Update of HCPCS Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB)
09-28-2006 Deleted Code Effective 1/1/2007
09-26-2006 October 2006 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing File and Revisions to April 2006 and July 2006 Quarterly ASP Medicare Part B Drug Pricing Files
09-25-2006 NPI ? Will You Be Ready?
09-25-2006 Influenza Vaccine
09-25-2006 OIG Releases 2007 Plan for Nursing Homes
09-22-2006 The CDC Announces HIV Screening Changes
09-16-2006 Revised FTags and Surveyor Guidance: Unnecessary Medications and More
09-12-2006 Medicare Premiums and Deductibles for 2007
09-07-2006 Billing Clarification for J2505 Pegfilgrastim
09-07-2006 Billing for Services Unrelated to a Hospice Patient?s Terminal
09-07-2006 Modification to CWF Editing of the Existing Interrupted Stay
09-07-2006 Correction to SNF CB Enforcement if SNF Inpatient Claims are Partially Denied
09-05-2006 NPI Training Package
08-29-2006 Evidence of Medical Necessity: Wheelchair and Power Operated Vehicle
08-25-2006 Revisions to the Epoetin (EPO) and Aranesp Monitoring Policy
08-17-2006 No Flu Vaccine Shortage This Year
08-15-2006 Electronic Remits in 835 Format Only
08-14-2006 Ending the HIPAA Contingency for Remittance Advice
08-07-2006 CMS REWRITING THE RULES ON PAIN MANAGEMENT
08-07-2006 Preventive Services Web Based Training Courses Available
08-03-2006 CMS Clarifies the Eight Minute Rule
08-01-2006 Announcing a New Two Year Advancing Excellence in America's Nursing Homes Campaign
07-28-2006 CMS Issues Instructions On New Billing Form
07-28-2006 Uniform Billing (UB04) Implementation ? UB92 Replacement
07-26-2006 CMS Taking Comments on Infrared Policy
07-18-2006 Therapy Revenue Codes Needing Therapy Plan Dates
07-06-2006 CMS Status Codes Updates Available
07-06-2006 KX Modifier Adjustment Claims
07-03-2006 Hold On Medicare Payments
06-30-2006 Report on the Progress of MDS 3.0 from CMS
06-29-2006 MEDICARE DETAILS STEPS TAKEN TO IMPROVE CUSTOMER SERVICE BY DRUG PLANS
06-29-2006 Changes to Online MSP Form
06-28-2006 Professional Organizations Form Coalition to Extend Exceptions Process
06-26-2006 Survey Finds 83 Percent Satisfaction Rate
06-26-2006 National Breakout of the Geographic Area Definitions for Ambulance Fee Schedule
06-23-2006 Followup to May 24th. Hospice, Home Health and DME Open Door Forum
06-23-2006 Notice Regarding Provider Revalidation and the NPI
06-22-2006 Use of KX Mod. on claims when some services reach the Cap
06-21-2006 Medicare Part B Drugs Average Sales Price Files July 2007
06-21-2006 JCAHO sets 2007 safety goals for longterm care
06-21-2006 CMS Announces Proposed Changes to Physician Fee Schedule Methodology
06-19-2006 Claims with KX Modifier Denied: Temporary Solution
06-06-2006 CMS Won't Make Reimbursement Policy Changes in 2007
06-05-2006 CMS Expalins No Pay Bill Policy
06-01-2006 Benefits Exhaust & NoPay billing instructions
06-01-2006 RTP Processing Changes
06-01-2006 Adjustments vs Reprocessing claims
06-01-2006 New F tag: Posting Nurse Staffing
06-01-2006 DAVE 2 is here
06-01-2006 Medicare FAQ's: Medicare as Secondary Payor and Expedited Determinations
05-31-2006 Incorrect OPPS OCE Indicator for CCI Code Pair 92526 & G0283
05-31-2006 Use of KX Modifier When the Services Exceed the Therapy Caps
05-26-2006 National Provider Identifier (NPI) Countdown
05-25-2006 New Medicare providers must use new form to enroll
05-24-2006 Competitive Acquisition Program for Certain Durable Medical Equipment
05-24-2006 National Provider Identifier (NPI)
05-24-2006 Medicare Part D Enrollment Statistics
05-24-2006 Listening To Music Can Reduce Chronic Pain and Depression
05-18-2006 LongTerm Care and Other Residential Facilities Pandemic Influenza Planning Checklist
05-17-2006 Issue with Correct Coding Iniative Code Pair 92526/G0283
05-17-2006 CMS Doesn't Always Enforce Penalties
05-16-2006 New Preventive Services WebBased Training Course Now Available
05-16-2006 MDS Frequently Asked Questions
05-11-2006 CMS Issues Letters to State Survey Agencies
05-11-2006 Medicare Part D Survey & Cert Letter
05-10-2006 Hold on Medicare Payments
05-08-2006 CMS Proposes Payment/Policy Changes for Inpatient Rehabilitation Facilities in 2007
05-05-2006 Changes in Billing Medicare for Therapy
05-01-2006 NPI and the New Medicare Provider Enrollment Process
04-28-2006 National Provider Identifier (NPI ) Tip
04-28-2006 NIH Wants Stronger Flu Shots for the Elderly
04-28-2006 Benefits Exhaust and NoPayment Billing
04-28-2006 Medicaid Program State Allotments for Payment of Medicare Part B Premiums for FY 2006 and FY 2007
04-27-2006 Medicare to Stop Mailing Paper Remittance for Those Providers Also Receiving electronic Remits
04-26-2006 MDS FAQ: MDS Transmissions
04-24-2006 Medicare Proposes Competitive Acquisition Program for Certain DME, Prosthetics, and Supplies
04-24-2006 Life Expectancy at All Time High
04-24-2006 CMS' Data Assessment and Verification (DAVE) Project is Back
04-21-2006 New Competitive Acquisition Program for Drugs Administered in a Physician's Office Selects Vendor
04-21-2006 CMS Sets New Medicare Enrollment Requirements
04-21-2006 Demonstration Project for Medical Adult Day Care Services
04-18-2006 Medicare Rx Drug Coverage News: New Exceptions Request Form Available
04-14-2006 Prospective Payment System (PPS) Payment for Blood Clotting Factors
04-13-2006 MDS FAQ: IV Medications
04-13-2006 MDS FAQ: OMRA's
04-07-2006 Proposed Rule: Notification Procedures for Hospital Discharges
04-07-2006 New CMS Web Site URL References
04-06-2006 HIPPA Administrative Simplication
04-06-2006 New Research Findings on Retaining LongTerm Care Workers
04-05-2006 New Activities Guidelines Proposed
04-05-2006 CMS Orders Changes for Unused Medications
04-03-2006 Medicare Advantage Rates
04-01-2006 Modification of Roster Billing For Mass ImmunizersBilling for Inpatient PARt B Services
03-31-2006 Deficit Reduction Act (DRA) Allows States to Expand Coverage, Modernize Medicaid
03-31-2006 Medicare Part B Drugs: Average Sales Pricing
03-31-2006 Power Mobility Device Regulation and Payment
03-31-2006 Medicare Part D Transition Fact Sheet
03-31-2006 Iliminate the Use of Surrogate Upin Numbers
03-30-2006 MORE RAI UPDATES FROM CMS
03-30-2006 Medicare Part B Drugs and Medicare Part D Drugs: What is the Difference?
03-28-2006 Finding HIPAA in the New CMS Website
03-27-2006 A FREE IMMUNIZATIONS TOOLKIT
03-24-2006 More Than 27 Million Medicare Beneficiaries are Enrolled in Prescription Drug Coverage
03-24-2006 MEDICARE ANNOUNCES ITS EXPANSION OF COVERAGE FOR CARDIAC REHABILITATION SERVICES
03-23-2006 CMS Expands Cardiac Rehab Services
03-23-2006 A Guide to Remittance Advices
03-22-2006 JCAHO clarifies position on alcohol hand sanitizers
03-15-2006 New HIPAA Privacy FAQ on Health Plans Disclosing PHI to Persons Assisting Beneficiaries
03-14-2006 NPI Information For Providers
03-10-2006 CMS Issues New Surveyor Guidance Letters related to Survey and Certification and Life Safety
03-07-2006 Daily PPS Meeting Agenda
03-07-2006 CMS Releases National Provider Number Educational Products
03-07-2006 Medicare Beneficiaries Urged to be on the Lookout for Phone Scams
03-06-2006 CMS Clarifies Expedited Determinations
03-03-2006 April 2006 ASP Part B Drug Pricing File and Revisions : CMS 4319
03-03-2006 The Twelfth in the Medlearn Matters Series on Drug Plans
03-02-2006 DDE Changes Effective 3/6/06
03-01-2006 PRESIDENT?S BUDGET WILL CUT STATE MEDICAID FUNDS
02-21-2006 Therapy Caps Exception Process ? CMS CR 4364
02-16-2006 MEDICARE TO PROVIDE BENEFICIARIES WITH INFORMATION ON PHYSICIAN PERFORMANCE
02-16-2006 Final HIPAA Enforcement Rule
02-15-2006 CMS Clarifies Its Documentation Policy for Therapists Nationwide
02-15-2006 MDS Frequently Asked Questions
02-14-2006 New HIPAA FAQ's
02-14-2006 CMS Released an Updated Physician Fee Schedule
02-13-2006 SNF Claims Receiving Reason Code W7062 Inappropriately
02-13-2006 Claim Status Category Code and Claim Status Code Update
02-13-2006 Important Changes to Medicare Part B of Utah
02-13-2006 New CMS Website for SNF Consolidated Billing
02-13-2006 CMS Releases Therapy Cap Exceptions
02-10-2006 Guidelines for Payment of Vaccines
02-08-2006 MEDICAID RECIPIENTS HAVE RIGHT TO NURSING HOME CARE
02-08-2006 Therapy Cap Exception Process
02-03-2006 Direct Data Entry Update
02-02-2006 Denial of Claims not filed timely: Clarification
02-02-2006 CONCERNS RAISED ABOUT ASSET TRANSFERS
02-01-2006 Deficit Reduction Act of 2005 Cuts Mediciad and Medicare Spending
02-01-2006 Medicare Part D: Transitional Coverage
02-01-2006 MedPAC releases outpatient therapy report
01-31-2006 Announcement of Redesigned National Provider Identifier (NPI) Web Page
01-30-2006 2006 Pricing Now Available
01-27-2006 Medicare Prescription Drug CoverageEleventh in the Medlearn Matters Series on the New Prescription D
01-23-2006 Medicare Part D: New Website Addresses
01-20-2006 Modifications to the Online MSP Form
01-18-2006 Consolidated Billing Information for FI's and Carriers
01-17-2006 Therapy Cap Vote to Take Place on February 1, 2006
01-12-2006 National Provider Identifier (NPI) Website for Providers
01-12-2006 Manual Revisions to Outpatient Therapy and Certification Process
01-06-2006 TPL Policy Change
01-02-2006 Rehab Therapy Caps Return
01-01-2006 Modification to the FISS
01-01-2006 Revision for Payment for Blood Clotting Factor Administered to Hemophilia Inpatients
12-27-2005 Part A SNF frequently asked questions December
12-27-2005 Frequently asked questions December - 2
12-27-2005 Changes to DDE screeens in FISS, Effective Jan. 3, 2006
12-27-2005 Multiple Procedure Reduction of the Technical Component of Certain Diagnostic Imaging Procedures
12-23-2005 MSP Billing Update from Noridian
12-22-2005 Medicare Part D Update Requirements for LTC facilities and Pharmacies
12-07-2005 Changed Dehydration RAP with RAP Version 1.02
12-06-2005 Mutual of Omaha's Stand on Blood Glucose Billing
12-01-2005 RAI Manual Revisions
11-30-2005 MDS Manual Revisions
11-28-2005 American Heart Association Offers New CPR Guidelines
11-18-2005 Medicare Part D Tenth in Medlearn Matters Series
11-18-2005 Therapy Caps effective Jan 1. 2006
11-16-2005 OIG released 2006 Work
11-15-2005 Part D: Message to Nursing Home Administrators
11-11-2005 Sleeping pills may do more harm than good in elderly
11-08-2005 Medicare Coverage of Drugs under Medicare Part D Ninth Update
11-04-2005 Update to Medicare Deductible, Coinsurance, and Premium Rates for 2006
11-04-2005 MDS Section W Coding Clarifications
11-04-2005 Quality Initiative: Setting Targets-Achieving Results (STAR)
11-04-2005 Unnecessary Drugs and Pharmacy Services Guidance
11-04-2005 Fee Schedule Increases Cap Limits; Decreases Payment
11-03-2005 Updated to ICD-9 Code for Chronic Kidney Disease
11-03-2005 Stage 2 Requirements for NPI Numbers received by CMS
11-01-2005 Changes for Medicare?s SNF CB Edits for Evaluation & Management Services billed by Hospitals to FI?s
10-28-2005 Posting Staff Numbers: Final Rule
10-21-2005 Modifiers for Transportation of Portable X-Rays (R0075) When Billed by Skilled Nursing Facilities
10-21-2005 Full Replacement of CR 3504- MSP Questionaire
10-12-2005 Hurrincanes Katrina and Rita: Questions and Answers - Medicare Issues
10-12-2005 Informational and Educational Materials for the New Preventive Services - Provider Types Affected
10-11-2005 Medicare Prescription Drug Plans
10-08-2005 Immunization Standards for Long Term Care Facilities
10-08-2005 MDS Technical Updates
10-07-2005 Health and Human Services (HHS) Accelerates Use of E-prescribing and Electronic Health Records
10-07-2005 CMS WILL REQUIRE NURSING HOMES TO VACCINATE RESIDENTS AGAINST THE FLU
10-07-2005 Feeding Assistant Rule Survives Legal Challenge
10-07-2005 Therapy Cap: APTA asks Congress to repeal
10-03-2005 Medicare Prescription Drug Coverage (Medicare Part D) and Health Care Providers
09-23-2005 Discontinuation of SNF HCPCS Help File
09-23-2005 When Do You Use Your National Provider Number (NPI)
09-23-2005 Evidence of Medical Necessity: Power Wheelchair and Power Operated vehicle claims
09-21-2005 SNF Pay for Performance Draft Plan
09-21-2005 October 2005 Quarterly Average Sales Price Medicare Part B Drug Pricing File
09-16-2005 When Should I Use Section W?
09-12-2005 ICD-9 Codes for October 2005 available
09-06-2005 Provider Alert RTP claims
09-02-2005 Oct. 2005 Quarterly Fee Schedule Update for Durable Medical Equip., Prosthetic & Orthotic Supplies
08-31-2005 CMS Publishes Immunization Standards for LTC Facilities
08-23-2005 Clarification on Part D and Fee-For-Service (FFS) Providers, Seventh in Medlearn Matters Series
08-19-2005 Frequently Asked Questions: Expedited Review Process
08-19-2005 Appeals of Claims Decisions: Modification to Medicare?s FISS
08-15-2005 RAI Manual Updates include MDS Section W
08-11-2005 Medicare Part A Skilled Nursing Facility Prospective Payment System Pricer Update
08-10-2005 The Comprehensive Error Rate Testing (CERT) Process for Handling a Provider?s
08-08-2005 Correct Coding Initiative (CCI) Edits to Apply to ALL Therapy Providers
08-05-2005 October 2005 Quarterly Update to Skilled Nursing Facility (SNF) Consolidated Billing
08-04-2005 Medicare Announces End of HIPAA Contingency Plan for Claims Submissions
08-04-2005 RUG Refinements
08-01-2005 New Guidance Regarding Healthcare Common Procedure Coding System (HCPCS) Code G0297
08-01-2005 FY 2006 Medicare PPS SNF Payment
07-30-2005 Training Materials for Medicare Prescription Drug Program
07-29-2005 Medicare Part A SNF Prospective Payment System (PPS) Pricer Update & HIPPS Coding EFF 1/1/06
07-29-2005 Claim Status Code/Claim Status Category Code Update, Eff. 1/1/06
07-29-2005 MMA ? Low Osmolar Contrast Media (LOCM): Payment Criteria and Payment Level
07-29-2005 MMA - Billing & Claims Processing Instructions for Claims Subject to Expedited Determinations-Part 1
07-29-2005 MMA - Billing & Claims Processing Instructions for Claims Subject to Expedited Determinations-Part 2
07-28-2005 RUG Refinements: 2006 SNF PPS Final Rule
07-26-2005 Prescription Drug Coverage
07-25-2005 Revisions to the Medicare Benefit Policy Manual
07-21-2005 Message to Nursing Home Administrators on Medicare Prescription Drug Coverage
07-18-2005 New MDS QI/QM Reports
07-06-2005 ICD-9 Codes for October 2005 released
07-06-2005 (SE0418)- Non-Physician Practitioner Questions and Answers Revised
07-01-2005 National Provider Identifier (NPI) - Reminder
07-01-2005 New Web Service Helps Medicare Beneficiares with Limited Means Get More Health care Assistance
07-01-2005 Expedited Review Questions and Answers
07-01-2005 How does CMS clarify coding in items R2a and R2b?
06-30-2005 Revised Guidelines for Tag 501: Medical Director
06-30-2005 Revised Guidelines for Tag F501, Medical Director
06-28-2005 Medicare Contractor Annual Update of the International Classification of Diseases, (ICD-9)
06-25-2005 MDS Coding Question
06-24-2005 Quick Facts about Medicare Drug Coverage
06-24-2005 Coverage of Aprepitant for Chemotherapy-Induced Emesis
06-22-2005 New Expedited Review Process for Medicare Denials
06-21-2005 Two New DAVE TIP SHEETS for Section P of MDS
06-15-2005 HIPAA -Disclosure of Protected Health Information
06-10-2005 New HCPCS Drug Codes
06-10-2005 HIPAA Security Educational Paper Series
06-08-2005 Draft of New Surveyor Guidance: F tag 323 Accidents and Supervision Guidance
06-06-2005 Update to MDS User?s Manual
06-01-2005 Skilled Nursing Facility Consolidated Billing as It Relates to Therapy Services
05-25-2005 Abarelix for the Treatment of Prostate Cancer
04-29-2005 MM3763 Modification of Edits for Colorectal Cancer Screening Services HCPCS codes Furnished at SNF
02-22-2005 Community Associated Methicillin Resistant Staphylococcus aureus (CAMRSA)
01-09-2004 Update of Therapy Covereage, Certification and Plan of Treatment under Medicare
12-08-2003 Rehab Therapy Caps to Return January 2006 For Part B Medicare
11-07-2003 CMS Issues Updated Physician Fee Schedule for 2004
10-31-2003 New premiums, coinsurance and deductible amounts for 2004
09-26-2003 Feeding Assistant Rule
09-04-2003 AHCA Issues Concise Summary of Therapy Caps
08-22-2003 Change to CPT Code List for Therapy B-03-065
07-03-2003 Delay in Implementation to 9/1/03 AB-03-097
07-03-2003 Code 92597 is considered consolidated effective 10/1/03
06-20-2003 CWF Edits for Skilled Nursing Facility AB-03-087
06-12-2003 LTC Medication Pass Survey Requirment Clarification
06-12-2003 Impact of HIPAA on Posting Survey Results
06-10-2003 CMS Announces proposed supplemental rule to enhance PPS rate
06-01-2003 Medicare FAQ's: Medicare as Secondary Payor Determinations
06-01-2003 Medicare FAQ's: Group Health Plans and Medicare as Secondary Payor
05-23-2003 Financial Limitation of Claims for Rehab Services AB-03-073
05-16-2003 CMS Releases Proposed Rule on SNF PPS and CB
05-09-2003 Clarification of Bill Types 22X & 23X - PM A-03-040
05-02-2003 New MSN Message and codes PM AB-03-057
04-18-2003 Trans 1879 Revises MIM Part 3 Sec 3628 to reflect correct payment method
04-02-2003 Draft Version of MDS 3.0 is released
02-07-2003 Implementation of financial limitation for outpatient rehabilitation
01-01-2003 Notice of Exclusion Used when Beneficiary Exceeds Therapy Cap
11-01-2002 New systems to Management Program Integrity PM A-02-112
05-17-2002 New Patient Status Code 64 - PM A-02-041
11-02-1999 Coverage Requirement for Ambulance Services from CFR