(Medicare Claims Processing Manual)

(MCTRJCA) of 2012  Rescinded and replaced by Transmittal 2614  11/27/2012  8097  R2560CP  09/28/2012  New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician NPI 01/07/2013  7902  R2519CP  08/17/2012  New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician NPI  Rescinded and replaced by Transmittal 2560  01/07 /2013 7902  Rev #  Issue Date  Subject  Impl Date  CR#  R2515CP  08/08/2012  Handling Form CMS -1500 Hard Copy Claims Where and ICD -9-C< E Code or Where and ICD -10 V00-Y99 Code is Reported as the First Diagnosis on the Claim  01/07 /2013 7700  R2500CP  07/27/2012  Clarification of the Use of the Electronic Claim Format to Indicate Where a Service Was Performed  08/27/2012  7871  R2495CP  07/18/2012  Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Assessments  10/01/2012  7760  R2487CP  06/08/2012  Internet Only Manual (IOM) Update for Laboratory Services and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims Processed under the End Stage Renal Disease Prospective Payment System (ESRD PPS)  06/19/2012  7749  R2477CP  05/25/2012  Modifying the Timely Filing Exceptions on Retroactive Medicare Entitlement and Retroactive Medicare Entitlement Involving State Medicaid Agencies  08/27/2012  7834  R2475CP  05/18/2012  Internet Only Manual (IOM) Update for Laboratory Services and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims Processed under the End Stage Renal Disease Prospective Payment System (ESRD PPS)  06/19/2012  7749  R2474CP  05/18/2012  Handling Misdirected Claims for Part B Items and Services  07/20/2012  7629  R2463CP  05/04/2012  New Fiscal Intermediary Shared System (FISS) Edit to Review Medicare Outpatient Prospective Payment System (OPPS) Payments Exceeding Charges  10/01/2012  7771  R2458CP  04/27/2012  Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Assessments   Rescinded and replaced by Transmittal 2495  10/01/2012  7760  R2386CP  01/13/2012  January 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)  01/03/2012  7672  R2376CP  12/29/2011  January 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)  Rescinded and replaced by Transmittal 2386  01/03/2012  7672  R2342CP  11/04/2011  Annual Medicare Physician Fee Schedule Files Delivery and Implementation Manualization  01/03/2012  7607  R2296CP  09/02/2011  October 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS)  10/03/2011  7545  R2291CP  08/26/2011  Fiscal Year (FY) 2012 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital 10/03/2011  7508  Rev #  Issue Date  Subject  Impl Date  CR#  (LTCH) PPS, and Critical Access Hospital (CAH) Changes  R2228CP  05/20/2011  Manual Update for Quarterly Reporting Requirements for Do Not Forward Reports  06/06/2011  7295  R2221CP  05/20/2011  Postcard Mailing for the Annual Participation Open Enrollment Period  Rescinded and replaced by Transmittal 2228  10/31/2011  7412  R2208CP  05/06/2011  Manual Update for Quarterly Reporting Requirements for Do Not Forward Reports  06/06/2011  7295  R2203CP  04/29/2011  Home Health Requests for Anticipated Payment and Timely Claims Filing  10/03/2011  7396  R2162CP  02/22/2011  Updates to the Internet Only Manual Pub. 100 -04, Chapter 1 - General Billing Requirements, Chapter 15 - Ambulance, and Chapter 26 - Completing and Processing Form CMS -1500 Data Set  03/21/2011  7018  R2140CP  01/21/2011  Changes to the Time Limits for Filing Medicare Fee -For-Service Claims  02/22/2011  7270  R2124CP  12/23/2010  Updates to the Internet Only Manual Pub. 100 -04, Chapter 1 - General Billing Requirements, Chapter 15 - Ambulance, and Chapter 26 - Completing and Processing Form CMS- 1500 Data Set - Rescinded and replaced by Transmittal 2162  01/25/2011  7018  R2112CP  12/03/2010  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 or Terminated  01/03/2011  6625  R2092CP  11/12/2010  Update to the Frequency Billing Requirements  04/04/2011  7163  R2061CP  10/01/2010  October 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS)  10/04/2010  7117  R2050CP  09/17/2010  October 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS)  Rescinded and replaced by Transmittal 2061  10/04/2010  7117  R2041CP  08/31/2010  Revisions to Claims Processing Instructions for Services Rendered in Place of Service Home  01/03/2011  6947  R2031CP  08/20/2010  Beneficiary -Submitted Claims  11/29/2010  6874  R2015CP  07/30/2010  Revisions to Claims Processing Instructions for Services Rendered in Place of Service Home - Rescinded and replaced by Transmittal 2041  01/03/2011  6947  R2014CP  07/30/2010  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 01/03/2011  6625  Rev #  Issue Date  Subject  Impl Date  CR#  was Subsequently Deleted or Terminated  Rescinded and replaced by Transmittal 2112  R1987CP  06/11/2010  Correction to the Claims Processing Internet Only Manual (IOM) to Reinstate Previous Instructions Regarding Payment Jurisdiction for Reassigned Services  08/12/2010  6923  R1946CP  04/15/2010  Billing and Processing Claims with Unlimited Occurrence Span Codes (OSCs)  07/06/2010  6777  R1944CP  04/09/2010  Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority and Examples of Application of Government Entity Exclusion.  This CR rescinds and fully replaces CR 6544.  07/09/2010  6880  R1934CP  03/19/2010  Billing and Processing Claims with Unlimited Occurrence Span Codes (OSCs)  Rescinded and replaced by Transmittal 1946  07/06/2010  6777  R1931CP  03/12/2010  Revision of the Internet Only Manual (IOM) to Remove References to Purchased Diagnostic Test and Replace With Language Consistent With the Anti-Markup Rule  06/14/2010  6627  R1928CP  03/05/2010  Correction to Processing of Non -Covered Revenue Codes  07/06/2010  6774  R1921CP  02/19/2010  Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncoverage (ABNs)  04/05/2010  6563  R1903CP  01/29/2010  Instructions for Processing Claims Containing Anti -Markup Services but with Partial Information Completed in Item 20 of the Form CMS -1500  04/05/2010  6670  R1900CP  01/29/2010  Correction to Processing of Non -Covered Revenue Codes - Rescinded and replaced by Transmittal 1928  07/06/2010  6774  R1895CP  01/15/2010  Processing of Non -Covered International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Procedure Codes on Inpatient Hospital Claims  04/05/2010  6547  R1894CP  01/15/2010  Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncoverage (ABNs)  Rescinded and replaced by Transmittal 1921  04/05/2010  6563  R1892CP  01/15/2010  Payment to Physician or Other Supplier for Diagnostic Tests Subject to the Anti-Markup Payment Limitation  03/15/2010  6733  R1890CP  01/08/2010  Processing of Non -Covered International Classification of Diseases, Ninth Revision, Clinical Modification (ICD -9-CM) Procedure Codes on 04/05/2010  6547  Rev #  Issue Date  Subject  Impl Date  CR#  Inpatient Hospital Claims  Rescinded and replaced by Transmittal 1895  R1867CP  12/04/2009  Requirements to Prevent the Misuse of Modifiers PA, PB, and PC on Incoming Claims  01/04/2010  6718  R1842CP  10/30/2009  Instructions for Processing Claims Containing Anti -Markup Services but with Partial Information Completed in Item 20 of the Form CMS-1500  Rescinded and replaced by Transmittal 1903  04/05/2010  6670  R1840CP  10/29/2009  Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncoverage (ABNs)  Rescinded and replaced by Transmittal 1894  04/05/2010  6563  R1838CP  10/28/2009  Processing of Non -Covered International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Procedure Codes on Inpatient Hospital Claims  Rescinded and replaced by Transmittal 1890  04/05/2010  6547  R1812CP  09/04/2009  Claims Submitted for Items or Services Furnished to Medicare Beneficiaries in State or Local Custody Under a Penal Authority and Examples of Application of Government Entity Exclusion - Rescinded and replaced by CR 6880, Transmittal 1944  12/07/2009  6544  R1803CP  08/28/2009  October 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)  10/05/2009  6626  R1771CP  07/17/2009  Interest Payment on Clean Non -PIP Claims Not Paid Timely  08/17/2009  6542  R1761CP