Publications

Transmittals

New Influenza Virus Vaccine Code
Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - October CY 2015 Update
Chronic Care Management (CCM) services for Rural Health Clinics (RHCs) and Federal Qualified Health Centers (FQHCs)
System Specific Enhancement 2014: Process Health Maintenance Organization (HMO) edits in a single module in Common Working File (CWF) Analysis Only
Revisions to State Operations Manual (SOM), Appendix A -Survey Protocol, Regulations and Interpretive Guidelines for Hospitals
Claim Status Category and Claim Status Codes Update
Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE
Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE
Common Edits and Enhancements Modules (CEM) Code Set Update
System Specific Enhancement 2015: Remove Direct Claim Updates within the Daily Batch Cycle Analysis and Design CR
Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 22.1, Effective April 1, 2016
Quarterly Update to the Correct Coding Initiative (CCI) Edits, Version 22.1, Effective April 1, 2016
Instructions for Downloading the Medicare ZIP Code File for April 2016
Off-Cycle Update to the Inpatient Prospective Payment System (IPPS) Fiscal Year (FY) 2016 Pricer
Update to the Federally Qualified Health Centers (FQHC) Prospective Payment System (PPS) - Recurring File Updates
New Values for Incomplete Colonoscopies Billed with Modifier 53
Medicare Coverage of Screening for Lung Cancer with Low Dose Computed Tomography (LDCT)
Medicare Coverage of Screening for Lung Cancer with Low Dose Computed Tomography (LDCT)
Announcement of Payment Rate Increases for Rural Health Clinics (RHCs) for Calendar Year (CY) 2016
Announcement of Payment Rate Increases for Rural Health Clinics (RHCs) for Calendar Year (CY) 2016
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