CMS Program Transmittals for July

CMS Program Transmittals for July

The following program transmittals were issued by the Centers for Medicare and Medicaid Services between July 1 and August 12. CMS uses transmittals to communicate new or changed policies or procedures that will be incorporated into the CMS Online Manual System. The cover or transmittal page summarizes and specifies the changes.

Transmittal # / Subject / Impl Date
R1000CP / Common Working File (CWF) to the Medicare Beneficiary Database (MBD) Data Exchange Changes / 10/02/2006
R1001CP / Modifications to the Common Working File (CWF) Interrupted Stay Edits for Long Term Care Hospital (LTCH) Claims for Discharges to an Acute Care Hospital / 01/02/2007
R1004CP / Non-Application of Deductible for Colorectal Cancer Screening Tests / 01/02/2007
R1005CP / Medicare Physician Fee Schedule Database (MPFSDB) 2007 File Layout / 01/02/2007
R1006CP / Modification to the Coordination of Benefits Agreement (COBA) Claims Selection Criteria and File Transfer Protocols / 10/02/2006
R1007CP / Change in Healthcare Common Procedure Coding System (HCPCS) for Renal Dialysis Facilities and Hospitals Billing for End Stage Renal Disease (ESRD) Related Epoetin Alfa (EPO) Effective January 1, 2007 / 01/02/2007
R1008CP / Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update for FY 2007 / 10/02/2006
R1009CP / Correction to Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement if SNF Inpatient Claims are Partially Non-Covered / 01/02/2007
R100FM / Collection of Fee-for-Service Payments Made During Periods of Managed Care Enrollment / 06/26/2006
R1010CP / Additional Requirements Necessary to Implement the Revised Health Insurance Claim Form CMS-1500 (08/05) / 01/02/2007
R1011CP / Instructions for Reporting Hospice Services in Greater Line Item Detail / 01/02/2007
R1016CP / Outpatient Therapy - Additional DRA Mandated Service Edit / 01/02/2007
R1018CP / Uniform Billing (UB-04) Implementation / 03/01/2007
R1019CP / Outpatient Therapy - Additional DRA Mandated Service Edits / 01/02/2007
R101FM / Notice of New Interest Rate for Medicare Overpayments and Underpayments / 07/19/2006
R1021CP / 2007 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payment / 01/02/2007
R1023CP / Update To The Hospice Payment Rates, Hospice Cap, Hospice Wage Index and the Hospice Pricer For FY 2007 / 10/02/2006
R1024CP / Reporting of Taxonomy Codes to Identify Provider Subparts on Institutional Claims / 01/02/2007
R1025CP / Revised Home Health Advance Beneficiary Notice / 09/01/2006
R1026CP / Medicare Telehealth Services / 01/02/2007
R1027CP / Clarifications and Additions to Chapter 19, Indian Health Services (IHS) / 09/11/2006
R1028CP / Downloading the Medicare Zip Code File / 01/02/2007
R1029CP / Schedule for Completing the Calendar Year 2007 Fee Schedule Updates and the Participating Physician Enrollment Procedures / 08/25/2006
R102FM / Notice of New Interest Rate for Medicare Overpayments and Underpayments. / 07/19/2006
R103FM / Internal Control Requirement Update / 07/24/2006
R104FM / Updated Procedures for AC Communication with RAC / 09/11/2006
R149PI / Notification to Provider(s) or Supplier(s) Regarding Postpayment Review Results / 07/31/2006
R150PI / Re-issuance of Chapter 10, Introduction of Provider Enrollment / 07/03/2006
R151PI / Provider Enrollment Appeals Process / 08/14/2006
R152PI / Correction of Common Working File (CWF) Edit D903 for Wheelchair and Power Operated Vehicle (POV) Codes / 01/02/2007
R153PI / The Medicare Claims System (MCS) and The Provider Enrollment System (PES) Changes for the National Provider Identifier (NPI) / 01/02/2007
R154PI / Coding Change to MCS to Accept NPI From PECOS Extract File / 01/02/2007
R155PI / Medically Unlikely Edits (MUE) / 01/02/2007
R15QIO / Revisions to Chapter 10, "Confidentiality and Disclosure" / 06/30/2006
R16COM / Disclosure Desk Reference for Provider Contact Centers / 10/02/2006
R16P236 / Provider Cost Reporting Forms and Instructions, Chapter 36, Form CMS-2552-96 / N/A
R16QIO / Revisions to Chapter 1, "Background and Responsibilities" / 06/30/2006
R230OTN / New Remittance Advice Remark Code Message Used for the Physician's Voluntary Reporting Program (PVRP) / 07/17/2006
R232OTN / Allowing Veterans Administration (VA) Claims with Various OSCAR Numbers / 01/02/2007
R233OTN / Enhance the Multi Carrier System (MCS) to avoid duplicate payments when a full claim adjustment is performed: Analysis and Design Phase / N/A
R48DEMO / Laboratory Competitive Bidding Demonstration / 01/02/2007
R49DEMO / Laboratory Competitive Bidding Demonstration / 01/02/2007
R51BP / Requirements for Diagnostic X-Ray, Diagnostic Laboratory, and Other Diagnostic Tests; Clinical Psychologist Services / 09/21/2006
R52BP / Therapy Caps Exception Process / 03/13/2006
R53BP / Medicare Telehealth Services Update / 08/07/2006
R54MSP / Revision to the contents of the Intent to Refer Demand Packages / 10/02/2006
R55MSP / Update the Fiscal Intermediary Shared System (FISS) on Processing Medicare Secondary Payer (MSP) Fully Paid Claims When Condition Code 77 is Not Present on Outpatient and Home Health Claims / 10/02/2006
R60NCD / Lumbar Artificial Disc Replacement (LADR) / N/A
R982CP / New Use of Hospital Issued Notices of Noncoverage (HINNs) / 09/18/2006
R983CP / Healthcare Provider Taxonomy Codes (HPTC) Update / 10/02/2006
R984CP / Healthcare Common Procedure Coding System (HCPCS) Correction for the Caffeine Halothane Contracture Test for Malignant Hyperthermia Susceptibility / 10/02/2006
R985CP / Appeals Updates / 06/01/2006
R986CP / Payment for Islet Cell Transplantation in NIH-Sponsored Clinical Trials / 07/31/2006
R987CP / Claim Status Category Code and Claim Status Code Update / 10/02/2006
R988CP / Correction to CR 4136: New Waived Tests / 07/24/2006
R989CP / Correction to CR 4122: Correction of Typographical Error in the Do Not Forward (DNF) Reports / 10/02/2006
R98FM / Correction of CROWD Form 5 Reporting for Internet Pilot Carriers / 07/17/2006
R990CP / Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) / 10/02/2006
R991CP / Eligibility Rules of Behavior / 07/24/2006
R992CP / Lumbar Artificial Disc Replacement (LADR) / N/A
R993CP / Non-Physician Practitioner (NPP) Payment for Care Plan Oversight / 10/02/2006
R994CP / Special Issues Associated with the Advance Beneficiary Notice (ABN) for Hospice Providers and Comprehensive Outpatient Rehabilitation Facilities (CORFs) / 09/29/2006
R995CP / Common Working File (CWF) Part C Data Exchange and Data Display Changes / 10/02/2006
R996CP / Stage 2 NPI Changes for Transaction 835, and Standard Paper Remittance Advice, and Changes in Medicare Claims Processing Manual, Chapter 22 - Remittance Advice / 10/02/2006
R997CP / Medicare Telehealth Services Update / 08/07/2006
R999CP / Non-Physician Practitioner (NPP) Payment for Care Plan Oversight / 10/02/2006
R99FM / Instructions for Medicare Credit Balance Reporting Activities. / 10/02/2006