(Medicare & Medicaid)

Medicare Summary Notices (UMSNs) - Beneficiary Do Not Forward Process  04/04/22;07/05/22;  01/03/23;04/03/23 12238  R11328OTN  03/31/22  Increase SuperOp Claim Counter Maximum 07/05/22  12684  R11321OTN  03/23/22  Revisions to Medicare Administrative Contractor (MAC) Standardized Monthly Status Report (MSR) Narrative Template - This CR Rescinds and Fully Replaces CR 12144.  04/22/22  12620  R11291OTN  03/10/22  Revisions to Medicare Administrative Contractor (MAC) Standardized Monthly Status Report (MSR) Narrative Template - This CR Rescinds and Fully Replaces CR 12144.  04/11/22  12620  R11290OTN  03/02/22  Correction to Processing When Osteoporosis Drugs Are Billed for Other Indications  07/05/22  12551  R11289OTN  03/08/22  User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Modify Reason Code 38205 to Include All Patient Status Codes 07/05/22  12493  R11285OTN  03/03/22  User CR: MCS - Create an Audit Trail for Updates to Multi- Carrier System (MCS)  Eligible Professional (EP) Screen  07/05/22  10678  R11273OTN  02/18/22  Send Electronic Funds Transfer (EFT) Information from Provider Enrollment Chain and Ownership System (PECOS) to Fiscal Intermediary Shared System (FISS) - Implementation CR, Consolidation of January 2022 and April 2022 Releases  01/03/22;04/04/22  12346  R11270OTN  02/17/22  User CR: MCS - Add Search by Rendering National Provider Identifier (NPI) Option  07/05/22  10671  R11264OTN  02/10/22  International Classification of Diseases, 10th Revision (ICD -10) and Other Coding Revisions to National Coverage Determinations (NCDs) -- July 2022  03/12/22;07/05/22  12606  R11262OTN  02/10/22  Common Working File (CWF) Editing - National Coverage Determination (NCD) 270.3 Blood-Derived Products for Chronic, Non-Healing Wounds 07/05/22;10/03/22  12611  R11256OTN  02/09/22  Update to Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) Claims Containing Non- Covered days 04/04/22  12501  R11254OTN  02/04/22  Mobile Personal Identity Verification (PIV) Station  03/05/22  12601  R11252OTN  02/04/22  User CR: ViPS Medicare System (VMS) - Update Beneficiary Information Tracking System (BITS) Menu to Include a Selection Field of Electronic Submission of Medical Documentation (esMD) Transaction ID  07/05/22  12057  R11248OTN  02/04/22  Nursing and Allied Health Medicare Advantage Payment - Revision to CY 2018 08/08/22  12596  R11240OTN  01/27/22  Updates to the Common Working File (CWF) for Editing and Claims Processing to Allow Medicare Fee- For-Service (FFS) Coverage of Kidney Acquisition Costs for Medicare Advantage (MA) Beneficiaries Provided by Maryland Waiver (MW) Hospitals  07/05/22;10/03/22  12589  R11238OTN  01/27/22  ViPS Medicare System (VMS) - Track Claim Counter Activity in SuperOp - Implementation of User CR 11558 07/05/22  12580  R11236OTN  01/27/22  Updating the Exempt Diagnosis Codes Present on Admission (POA) File to Accommodate Multiple Effective and Termination Dates  07/05/22  12572  R11235OTN  01/27/22  User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Modify Access to Reason Code File Update to Allow Narrative Only Updates  07/05/22  12570  R11234OTN  01/27/22  User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Medicare Secondary Payer (MSP) Reports RPT800AA and RPT800AB Updates 07/05/22  12565  R11232OTN  01/27/22  User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Claim Page 2 Adjustment Document Control Number (AD DCN) to Match the Claim Page 6 Cross Reference DCN (XREF DCN)  07/05/22  12497  R11230OTN  01/27/22  User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Modify Reason Code 38205 to Include All Patient Status Codes 07/05/22  12493  R11229OTN  01/27/22  User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Clear PRMNAPRO Screen Upon Completion of Job 07/05/22  12261  R11228OTN  01/27/22  User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - MAP1I81 Online Grab Request to Include Line Numbers 07/05/22  12054  R11227OTN  01/27/22  User CR: MCS - Test UAT Future Dates Beyond the Current Year 07/05/22  11903  R11226OTN  01/27/22  User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Expert Claims Processing System (ECPS) Enhancement to Process Notice of Elections (NOEs) with Frequency B or E  07/05/22  10771  R11220OTN  01/26/22  Updating the 32287 Reason Code Edit in the Fiscal Intermediary Shared System (FISS) to Allow Processing of Claims Containing Healthcare Common Procedure Coding System (HCPCS) Code Q0249  07/05/22  12539  R11209OTN  01/14/22  Send Electronic Funds Transfer (EFT) Information from Provider Enrollment Chain and Ownership System (PECOS) to Fiscal Intermediary Shared System (FISS) - Implementation CR, Consolidation of January 2022 and April 2022 Releases  01/03/22;04/04/22  12346  R11204OTN  01/20/22  Modify Fiscal Intermediary Shared System (FISS) Existing Logic for Vaccine Administration Codes for Non-outpatient Prospective Payment System (Non -OPPS) 02/28/22  12588  Island Providers  R11198OTN  01/26/22  Implementation of Medicare Administrative Contractor (MAC) Appeals Upload Process Changes for the Recovery Audit Contractor (RAC) Data Warehouse (RACDW) and Addition of Disposition Category "U" to RACDW Appeals Layout File  01/07/22  12528  R11196OTN  01/27/22  MAC Participation in Change Request (CR) Development 03/16/22  12547  R11194OTN  01/20/22  Prevent Loading of Dental HCPCS Codes in the Fiscal Intermediary Shared System  07/05/22  12535  R11192OTN  01/20/22  Updating the 32287 Reason Code Edit in the Fiscal Intermediary Shared System (FISS) to Allow Processing of Claims Containing Healthcare Common Procedure Coding System (HCPCS) Code Q0249  07/05/22  12539  R11191OTN  01/20/22  New Occurrence Span Code and Revenue Code for Acute Hospital Care at Home  07/05/22  12540  R11190OTN  01/20/22  Correction to Processing When Osteoporosis Drugs Are Billed for Other Indications  07/05/22  12551  R11185OTN  01/12/22  User CR: MCS - Enhancement to Automate the XHIC Error Process  01/03/22;04/04/22  11400  R11179OTN  01/12/22  International Classification of Diseases, 10th Revision (ICD -10) and Other Coding Revisions to National Coverage Determinations (NCDs) -- April 2022 (CR 1 of 2)  01/14/22;11/23/21;04/04/22 12480  R11178OTN  01/05/22  Skilled Nursing Facility (SNF) Claims Processing Update to Fiscal Year End (FYE) Edits 01/03/22  12457  R11175OTN  01/14/22  CY2022 Telehealth Update Medicare Physician Fee Schedule  04/04/22  12549  R11166OTN  12/21/21  Implementation of the Capital Related Assets Adjustment (CRA) for the Transitional Add-on Payment Adjustment for New and Innovative Equipment and Supplies (TPNIES) Under the End Stage Renal Disease Prospective Payment System (ESRD PPS)  01/03/22  12347  R11162OTN  12/14/21  Medicare Diabetes Prevention Program (MDPP) Service Period Change from 2 Years to 1 Year  01/03/22  12398  R11160OTN  12/16/21  Direct Mailing Notification to Hospice Providers Regarding the Hospice Benefit Component, Value- Based Insurance Design (VBID) Model, Participating Medicare Advantage Organizations (MAOs)  01/31/22  12524  R11156OTN  12/10/21  Addition of the QW modifier to Healthcare Common Procedure Coding System (HCPCS) Code 86328 01/03/22  12557  R11155OTN  12/10/21  Correct Processing of Home Health Claims if the Request for Anticipated Payment (RAP) or Notice of Admission (NOA) Was More Than 30 Days Late and Correct Identification Critical Access Hospital Sub- Unit Discharges as Institutional Periods of Care  04/04/22  12461  R11144OTN  12/02/21  Implementation of Medicare Administrative Contractor (MAC) Appeals Upload Process Changes for the Recovery Audit Contractor (RAC) Data Warehouse (RACDW) and Addition of Disposition Category "U" to RACDW Appeals Layout File  01/07/22  12528  R11141OTN  11/30/21  User Change Request (UCR) - Fiscal Intermediary Shared System (FISS) - Implement New Search Functionality for Reason Codes, Expert Claims Processing System (ECPS) and Medical Policy Parameters (MPP)  04/04/22;07/05/22  12441  R11132OTN  11/19/21  Medicare Diabetes Prevention Program (MDPP) Service Period Change from 2 Years to 1 Year  01/03/22  12398  R11123OTN  11/15/21  Send Electronic Funds Transfer (EFT) Information from Provider Enrollment Chain and Ownership System (PECOS) to Fiscal Intermediary Shared System (FISS) - Implementation CR, Consolidation of January 2022 and April 2022 Releases.  01/03/22  12346  R11104OTN  11/10/21  User CR: Multi -Carrier System (MCS) - PSUP Query System Lookup 04/04/22  10889  R11103OTN  11/10/21  Clarifying Instructions for Billing and Processing and Payment of Claims Based on Locality of the Home Infusion Therapy (HIT) Service Visit  04/04/22  12508  R11101OTN  11/10/21  User CR: Multi -Carrier System (MCS) - Add Receipt Date to "AC" Segment  04/04/22  11449  R11100OTN  11/10/21  User CR: Multi -Carrier System (MCS) - Beneficiary Age Data Element  04/04/22