(Medicare Claims Processing Manual)

Forms  04/02/2007  5390  R1114CP  11/22/2006  Reporting of Taxonomy Codes to Identify Provider Subparts on Institutional Claims  01/02/2007  5243  R1108CP  11/09/2006  Reporting of Taxonomy Codes to Identify Provider Subparts on Institutional Claims  01/02/2007  5243  R1065CP  09/22/2006  Disabling the Revenue/HCPCS Consistency Edit Codes in the Fiscal Intermediary Shared System (FISS)  04/03/2006  4049  R1054CP  09/08/2006  Reporting of Taxonomy Codes to Identify Provider Subparts on Institutional Claims  01/02/2007  5243  R1035CP  08/18/2005  Updating Publication 100 -04, Chapter 30 Regarding the CD ROM Initiative for the Annual Dear Doctor Mailing  09/18/2006  5214  R1024CP  08/04/2006  Reporting of Taxonomy Codes to Identify Provider Subparts on Institutional Claims  01/02/2007  5243  R989CP  06/23/2006  Correction to CR 4122: Correction of Typographical Error in the Do Not Forward (DNF) Reports  10/02/2006  4394  R980CP  06/14/2006  Changes Conforming to CR 3648 Instructions for Therapy Services - Replaces Rev. 941  10/02/2006  4014  R943CP  05/05/2006  Deported Medicare Beneficiaries  08/07/2006  5051  R941CP  05/05/2006  Changes Conforming to CR 3648 Instructions for Therapy Services  10/02/2006  4014  R930CP  04/28/2006  Benefits Exhaust and No -Payment Billing Instructions for Medicare Fiscal Intermediaries (FIs) and Skilled Nursing Facilities (SNFs)  10/02/2006  4292  Rev #  Issue Date  Subject  Impl Date  CR#  R883CP  03/10/2006  Claims Processing Requirements for Medicare Beneficiaries in State or Local Custody Under a Penal Authority  MANUALIZATION  06/12/2006  4352  R866CP  02/17/2006  Additional Requirements for the Competitive Acquisition Program for Part B Drugs  07/03/2006  4309  R861CP  02/17/2006  Sunset of the Policies for Provider Nomination for an Intermediary and the Provider Requests for a Change of Intermediary  Revision to Publication 100-04, Chapter 1. Section 20  03/17/2006  4286  R850CP  02/10/2006  Change Payment Floor Date for Paper Claims  03/13/2006  4284  R839CP  02/06/2006  Additional Requirements for the Competitive Acquisition Program for Part B Drugs  07/03/2006  4309  R830CP  02/02/2006  Denial of Claims Not Timely Filed  07/03/2006  4041  R771CP  12/02/2005  Revisions to Pub. 100 -04, Medicare Claims Processing Manual in Preparation for the National Provider Identifier (NPI)  01/03/2006  4181  R763CP  11/25/2005  Update to Repetitive Billing -- Manualization  N/A 4047  R735CP  10/31/2005  Processing All Diagnosis Codes Reported on Claims Submitted to Carriers  04/03/2006  4097  R717CP  10/21/2005  Disabling the Revenue/HCPCS Consistency Edit Codes in the Fiscal Intermediary Shared System (FISS)  04/03/2006  4049  R712CP  10/14/2005  Correction to Change Request 3949, Section 50.3.3 in IOM to Add 23x Type of Bill  01/03/2006  4116  R711CP  10/14/2005  Update to Repetitive Billing -- Manualization  N/A 4047  R702CP  10/07/2005  Manualization for Physician/Practitioner/Supplier Participation Agreement and Assignment Carrier Claims and Carrier Rules for Limiting Charge  N/A 4030  R686CP  09/23/2005  Common Working File (CWF) Unsolicited Response Adjustments for Certain Claims Denied Due to an Open Medicare Secondary Payer (MSP) Group Health Plan (GHP) Record Where the GHP Record was Subsequently Deleted  01/03/2006  3916  R654CP  08/19/2005  Services Not Provided Within United States  11/17/2005  3781  R643CP  08/12/2005  Nature and Effect of Assignment on Carrier Claims  11/14/2005  3897  R632CP  07/29/2005  Billing and Claims Processing Instructions for Claims Subject to Expedited Determinations  01/03/2006  3949  R624CP  07/29/2005  Common Working File (CWF) Unsolicited Response Adjustments for Certain Claims Denied Due to an Open Medicare Secondary Payer (MSP) Group Health Plan (GHP) Record Where the GHP Record was Subsequently Deleted  01/03/2006  3916  Rev #  Issue Date  Subject  Impl Date  CR#  R620CP  07/29/2005  New Fiscal Intermediary (FI) Edit to Identify Potentially Excessive Medicare Payments  01/03/2006  3925  R593CP  06/24/2005  Disposition of Misdirected Claims to the Carrier  N/A 3838  R552CP  04/29/2005  Changing the Order of Medicare System Edits Affecting Hospice Claims  10/03/2005  3825  R505CP  03/17/2005  Unprocessable Unassigned Form CMS -1500 Claims  07/05/2005  3500  R493CP  03/04/2005  Revision to Chapter 1, and Removal of Section 70 from Chapter 25 of the Medicare Claims Processing Manual  04/04/2005  3671  R492CP  03/04/2005  Adding an Indicator to the National Claims History (NCH) to Indicate that DMERCs, Carriers, and FIs have Reviewed a Potentially Duplicate Claim  07/05/2005  2965  R472CP  02/11/2005  Revisions to Payment for Services Provided Under a Contractual Arrangement - - Carrier Claims Only  03/15/2005  3628  R464CP  02/04/2005  Implementation of the Abstract File for Purchased Diagnostic Tests/Interpretations (Supplemental to CR 3481)  04/04/2005  3694  R454CP  01/28/2005  Definitions of Electronic and Paper Claims  04/04/2005  3653  R443CP  01/21/2005  Unprocessable Unassigned Form CMS -1500 Claims  07/05/2005  3500  R432CP  01/14/2005  Adding an Indicator to the National Claims History (NCH) to Indicate that DMERCs, Carriers, and FIs have Reviewed a Potentially Duplicate Claim  07/05/2005  2965  R420CP  12/30/2004  Good Cause Waiver of Late Claim Filing Payment Reduction Penalty and Monitoring of Late Claims Submission.  01/31/2005  3549  R416CP  12/23/2004  Interest Payment on Clean Claims Not Paid Timely  01/25/2005  3557  R407CP  12/17/2004  Hospital Billing for Repetitive Services  01/03/2005  3633  R357CP  11/05/2004  Implementation of Coverage of Religious Nonmedical Health Care Institution Items and Services Furnished in the Home, MMA section 706.  04/04/2005  3529  R353CP  11/03/2004  DMERC - Revision to CR 2631 Requirements for DMERC claims  04/04/2005  3261  R345CP  10/29/2004  DMERC  Revision to CR 2631 Requirements for DMERC claims  01/04/2005  3261  R341CP  10/29/2004  Implementation of the Medicare Physician Fee Schedule (MPFS) National Abstract File for Purchased Diagnostic Tests and Interpretations  04/04/2005  3481  R332CP  10/22/2004  New Policy and Refinements on Billing Noncovered Charges to Fiscal Intermediaries (FIs)  04/04/2005  3416  R316CP  10/22/2004  Clarification of Messages in Chapter 1, Section 10.1.1.1 to Match Official Listing on the WPC- EDI Web Site  N/A 3462  Rev #  Issue Date  Subject  Impl Date  CR#  R299CP  09/10/2004  Use of Condition Code 44, "Inpatient Admission Changed to Outpatient"  10/12/2004  3444  R296CP  09/03/2004  Payment Denial for Medicare Services Furnished to Alien Beneficiaries Who Are Not Lawfully Present in the United States  N/A 2825  R282CP  08/20/2004  Good Cause Waiver of Late Claim Filing Payment Reduction Penalty  09/14/2004  3402  R274CP  08/13/2004  Good Cause Waiver of Late Claim Filing Payment Reduction Penalty  09/14/2004  3042  R273CP  08/13/2004  Modification of CMS's Medicare Contingency Plan for HIPAA Implementation  07/06/2004  2981  R270CP  08/03/2004  Update to the Frequency of Billing  01/03/2005  3382  R239CP  07/23/2004  Update to the Frequency of Billing  01/03/2005  3382  R213CP  06/25/2004  Payment to Bank in the Name of a Provider/Physician/Supplier  07/25/2004  3079  R211CP  06/18/2004  Elimination of Regulations for Written Statement of Intent (SOI)  07/19/2004  3310  R207CP  06/18/2004  Expansion of Policy Where Patient is a Member of a Medicare Advantage (MA) Organization For Only a Portion of the Billing Period to Include Inpatient Rehabilitation Facilities (IRF) and Long Term Care Hospitals (LTCH)  07/19/2004  3309  R196CP  06/04/2004  Payment Denial for Medicare Services Furnished to Alien Beneficiaries Who Are Not Lawfully Present in the U. S.  N/A 2825  R170CP  05/07/2004  Filing Request for Payment -Medicare Part B  N/A 2815  R169CP  05/07/2004  Claims Jurisdiction  N/A 2631  R167CP  04/30/2004  Discontinued Use of Revenue Code 0910  10/04/2004  3194  R156CP  04/30/2004  Clarification of payments and billing procedures for hospitals subject to the Maryland Waiver  10/04/2004  3200  R145CP  04/23/2004  Data Element Requirements Matrix - Carrier  05/24/2004  3164  R142CP  04/16/2004  Claims for RRB and UMWA Beneficiaries  N/A 2502  R133CP  04/02/2004  Billing Non -covered Charges to FIs -Clarification to CR 2634  04/16/2004  3115  R114CP  02/27/2004  Modification of CMS' Medicare Contingency Plan for HIPPA Implementation