(Medicare Claims Processing Manual)

11/29/2013 Implementation of Changes in the End -Stage Renal Disease Prospective Payment System (ESRD PPS) for Calendar Year (CY) 2014  Rescinded and replaced by Transmittal 2839  01/06/2014 8472 R2688CP 04/26/2013 Repo rting End Stage Renal Disease (ESRD) Drugs Administered Through the Dialysate  07/01/2013 8256 R2545CP  01/31/2013 Changes Applicable to the Billing of D rugs on ESRD Claims  07/012013 8174 R2582CP  11/02/2012 New Erythropoietin Stimulating Agent (ESA) Peginesatide  Requirements for End Stage Renal Disease (ESRD)  04/01/2013 8050 R2577CP 11/01/2012 Update to the Fiscal Intermediary Shared Systems (FISS) for the End  Stage Renal Disease (ESRD) Quality Incentive Program (QIP) Adjustments for Childrens Hospitals  04/01/2013 8066 R2588CP 11/05/2012 Implementation of C hanges to the End -Stage Renal Disease (ESRD) Prospective Payment System (PPS) Consolidated Billing 01/07/2013 7869 Rev #  Issue Date  Subject  Impl Date  CR #  Requirements and a Clarification of Outlier Services for Calendar Year 2013  R2504CP  08/02/2012 Implementation of Changes to the End -Stage Renal Disease (ESRD) Prospective Payment System (PPS) Consolidated Billing Requirements and a Clarification of Outlier Services for Calendar Year 2013  Rescinded and replaced by Transmittal 2588 01/07/2013 7869 R2361CP 11/25/2011 Clarification and Revisions for Claims Submitted for End Stage Renal Dise ase (ESRD) Patients  04/02/2012 7593 R2347CP  11/18/2011 Recoupment of Incorrect Payments Made Under the End Stage Renal Disease (ESRD) Prospective Payment System (PPS) for Low-Volume Payment Adjustment  01/03/2012 7626 R2335CP 10/28/2011 Clarification and Revisions for Claims Submitted for End Stage Renal Disease (ESRD) Patients  Rescinded and replaced by Transmittal 2361  04/02/2012 7593 R2311CP 09/23/2011 Implementation of the MIPPA 153c End Stage Renal Disease (ESRD) Quality Incentive Program (QIP) and Other Requirements for ESRD Claims  01/03/2012 7460 R2281CP 08/19/2011 Implementation of Chan ges to the End Stage Renal Disease (ESRD) Prospective Payment System (PPS) Outlier Payment Policy and Changes to the ESRD PPS Consolidated Billing Requirements for Laboratory Services Furnished in a Hospital Emergency Room or Department  01/03/2012 7471 R2269CP 08/05/2011 Clarification of Payment for ESRD -Related Services Under the Monthly Capitation Payment  11/07/2011 7520 R2266CP 07/29/2011 Implementation of Changes to the End Stage Renal Disease (ESRD) Prospective Payment System (PPS) Outlier Payment Policy and Changes to the ESRD PPS 01/03/2012 7471 Rev #  Issue Date  Subject  Impl Date  CR #  Consolidated Billing Requirements for Laboratory Services Furnished in a Hospital Emergency Room or Departme nt  Rescinded and replaced by Transmittal 2281. R2262CP  07/29/2011 Implementation of the MIPPA 153c End Stage Renal Disease (ESRD) Quality Incentive Program (QIP) and Other Requirements for ESRD Claims  Rescinded and replaced by Transmittal 2311 01/03/2012 7460 R2195CP 04/22/2011 End Stage Renal Disease (ESRD) Low Volume Adjustment and Establishing Quarterly Updates to the ESRD Prospective Payment System (PPS)  10/03/2011 7388 R2134CP 01/14/2011 End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Consolidated Billing for Limited Part B Services  01/03/2011 7064 R2094CP 11/17/2010 End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Consolidated Billing for Limited Part B Services  Rescinded and replaced by Transmittal 2134  01/03/2011 7064 R2033CP 08/20/2010 End Stage Renal Disease (ESRD) Prospective Payment System (PPS) and Consolidated Billing for Limited Part B Services -  Rescinded and replaced by Transmittal 2094  01/03/2011 7064 R1999CP 07/09/2010 ESRD Home Dialysis MCP  01/03/2011 7003 R1932CP  03/17/2010 Dialysis Adequacy, Infection and Vascular Access Reporting  07/06/2010 6782 R1898CP 01/29/2010 Dialysis Adequacy, Infection and Vascular Access Reporting - Rescinded and replaced by Transmittal 1932  07/06/2010 6782 Rev #  Issue Date  Subject  Impl Date  CR #  R1655CP  12/31/2008 End Stage Renal Disease (ESRD) Medicare Claims Pro cessing Manual Clarification  02/02/2009 6245 R1648CP  12/12/2008 Implementation of Changes in End Stage Renal Disease (ESRD) Payment for Calendar Year 2009  01/05/2009 6216 R1581CP 08/29/2008 Discarded Erythropoietin Stimulating Agents for Home Dialysis  12/01/2008 6133 R1503CP 05/16/2008 Revisions to the Billing Requirements for ESRD -Related Epoetin Alfa (EPO) and Darbepoetin Alfa (Aranesp) Administration Provided During  Unscheduled or Emergency Dialysis Treatments in the Outpatient Hospital Setting  10/06/2008 6047 R1472CP 03/06/2008 Update of Institutional Claims References  04/07/2008 5893 R1456CP  02/22/2008 Manualization of Payment for Outpatient ESRD -Related Services  03/24/2008 5931 R1421CP 01/25/2008 Update of Institutional Claims References -  Rescinded and Replaced by Transmittal 1472 04/07/2008 5893 R1412CP 01/11/2008 Reporting of Hematocrit or Hemoglobin Levels on All Claims for the Administration of Erythropoiesis Stimulating Agents (ESAs), Implementation of New Modifiers for Non -ESRD Indications, and Reporting of Hematocrit/Hemoglobin Levels on all Non-ESRD, Non -ESA Claims Requesting Payment for Anti- Anemia Drugs  04/07/2008 5699 R1389CP 12/07/2007 Implementation of Change in End Stage Renal Disease (ESRD) Payment for Calendar Year 2008  01/07/2008 5827 R1364CP 11/02/2007 Common Working File (CWF) Informational Unsolicited Responses for RDF Claims Overlapping Patient Hospital Stays  04/07/2008 5768 Rev #  Issue Date  Subject  Impl Date  CR #  R1341CP  09/21/2007 New Web Site for Approved Transplant Centers  10/22/2007 5724 R1307CP  07/20/2007 Modification to the National Monitoring Policy for Erythropoietic Stimulating Agents (ESAs) for End -Stage Renal Disease (ESRD) Patients Treated in Renal Dialysis Facilities  01/07/2008 5700 R1285CP 07/13/2007 Renal Dialysis Facility Line Item Billing Requirements for Epoetin Alfa (EPO) Submitted on End Stage Renal Disease (ESRD) Claims  01/07/2008 5545 R1212CP 03/30/2007 Requirements for Providing  Route of Administration Codes for Erythropoiesis Stimulating Agents (ESAs)  06/29/2007 5480 R1043CP 08/25/2006 Revisions to the EPO/ Aranesp Monitoring  Policy  10/02/2006 5251 R1041CP  08/25/2006 (HCPCS) for Renal Dialysis Facilities and Hospitals Billing for End Stage Renal Disease (ESRD) Related Epoet in Alfa (EPO)  01/01/2007 5216 R1007CP 07/28/2006 (HCPCS) for Renal Dialysis Facilities and Hospitals Billing for End Stage Renal Disease (ESRD) Related  Epoetin Alfa (EPO)  01/02/2007 5216 R849CP 02/10/2006 Update to the ESRD Composite Payment Rates  02/13/2006 4291 R797CP 12/30/2005 Full Replacement of CR 4095, Diagnosis Code Requirements for Method II Home Dialysis Claims  01/30/2006 4227 R781CP 12/16/2005 Revised Manual Instructions for Processing End Stage Renal Disease Exceptions Under the Composite Rate Reimbursement System  01/17/2006 4188 Rev #  Issue Date  Subject  Impl Date  CR #  R774CP  12/02/2005 Implementation of Change in End Stage Renal Disease Payment for Calendar Year 2006 01/03/2006 4196 R771CP 12/02/2005 Revisions to Pub. 100- 04, Medicare Claims Processing Manual in Preparation for the National Provider Identifier  01/03/2006 4181 R751CP 11/10/2005 National Monitoring Policy for EPO and Aranesp for End Stage Renal Disease Patients Treated in Renal Dialysis Facilities  04/03/2006 4135 R737CP 10/31/2005 New ICD- 9-CM Code for Beneficiaries with Chronic Kidney Disease and new HCPCS for Reporting Epoetin Alfa and Darbepoetin Alfa 04/03/2006 4108 R736CP 10/31/2005 Clarification and Update to Hospital Billing Instructions and Payment for Epoetin Alfa and Darbepoetin Alfa for Beneficiaries with End Stage Renal Disease  04/03/2006 4103 R725CP 10/21/2005 New ICD- 9-CM Code for Beneficiaries with Chronic Kidney Disease  04/03/2006 4108 R721CP  10/21/2005 Use of Value Codes 48 and 49 on End Stage Renal Disease Bills  01/03/2006 4087 R719CP 10/21/2005 Clarification and Update to Hospital Billing Instructions and Payment for Epoetin Alfa and Darbepoetin Alfa (Aranesp) for Beneficiaries with End Stage Renal Disease  04/03/2006 4103 R701CP 10/07/2005 New Diagnosis Code Requirements for Method II Home Dialysis Claims  11/07/2005 4095 R634CP 08/03/2005 Guidelines for Payment of Vaccines (Pneumococcal Pneumonia Virus, Influenza Virus, and Hepatitis B Virus) and their Administration at Renal Dialysis Facilities  01/03/2006 3936 R610CP 07/22/2005 Guidelines for Payment of Vaccines (Pneumococcal Pneumonia Virus, Influenza 01/03/2006 3936 Rev #  Issue Date  Subject  Impl Date  CR #  Virus, and Hepatitis B Virus) and their Administration at Renal Dialys is Facilities  R598CP  06/27/2005 Implementation of Carrier Guidelines for End Stage Renal Disease Reimbursement For Automated Multi- Channel Chemistry Test Supplemental To Change Request 2813  01/01/2006 3890 R595CP