(Medicare Claims Processing Manual)

1895  04/05/2010  6547  R1882CP  12/21/2009  January 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS)  01/04/2010  6751  R1871CP  12/11/2009  January 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) - Rescinded and replaced by Transmittal 1882  01/04/2010  6751  R1838CP  10/28/2009  Processing of Non -Covered International Classification of Diseases, Ninth Revision, Clinical Modification (ICD -9-CM) Procedure Codes on Inpatient Hospital Claims  Rescinded and replaced by Transmittal 1890  04/05/2010  6547  R1828CP  10/09/2009  Verification of Status for all Hospitals Qualifying for Disproportionate Share Hospital (DSH) Payments Under 42CFR Section 412.106(c)(2), also known as the Pickle Amendment  Rescinded and replaced by Transmittal 2367  10/05/2009  6564  R1816CP  09/17/2009  Fiscal Year (FY) 2010 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes  10/05/2009  6634  R1815CP  09/09/2009  Fiscal Year (FY) 2010 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Inpatient Psychiatric Facility (IPF) PPS Changes - Rescinded and replaced by Transmittal 1816  10/05/2009  6634  R1811CP  09/04/2009  Verification of Status for all Hospitals Qualifying for Disproportionate Share Hospital (DSH) Payments Under 42CFR Section 412.106(c)(2), also known as the Pickle 10/05/2009  6564  Rev #  Issue Date  Subject  Impl Date  CR#  Amendment  Rescinded and replaced by Transmittal 1828  R1808CP  08/28/2009  Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2010  10/05/2009  6607  R1780CP  07/24/2009  Update -Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Rate Year 2010  07/06/2009  6461  R1741CP  05/22/2009  Update -Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Rate Year 2010  Rescinded and replaced by Transmittal 1780  07/06/2009  6461  R1702CP  03/13/2009  April 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)  04/06/2009  6416  R1695CP  03/06/2009  Providers Submitting Information Regarding Medicare Beneficiaries Entitled to Medicare Advantage (MA) for Fiscal Year 2006 for the Medicare/Supplemental Security Income (SSI) Fraction  07/06/2009  6329  R1677CP  02/13/2009  Shipboard Services Billed to the Carrier and Services Not Provided Within the United States.  Rescinds and fully replaces CR 6217.  03/13/2009  6327  R1649CP  12/18/2009  Procedures for Paying Claims Without Passing Through the Integrated Outpatient Code Editor (OCE) or Medicare Code Editor (MCE)  11/25/2008  6252  R1619CP  10/24/2008  Procedures for Paying Claims Without Passing Through the Integrated Outpatient Code Editor (OCE) or Medicare Code Editor (MCE) - Rescinded and replaced by Transmittal 1649  11/25/2008  6252  R1612CP  10/03/2008  Revision of Interim Payment Methodology for Religious Nonmedical Health Care Institution (RNHCI), Clarifying Existing Policy on Training of Religious Nonmedical Nursing Personnel, Claims Not Billed to the RNHCI Specialty Contractor, and Statutory End of Coverage for RNHCI Items and Services Furnished in the Home  01/05/2009  5383  R1609CP  10/03/2008  Shipboard Services Billed to the Carrier and Services Not Provided Within the United States  Rescinded and replaced by CR 6327, Transmittal 1677  01/05/2009  6217  Rev #  Issue Date  Subject  Impl Date  CR#  R1592CP  09/10/2008  Artificial Hearts  12/01/2008  6185  R1585CP  09/05/2008  Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2009  10/06/2008  6166  R1583CP  08/29/2008  Artificial Hearts - Replaced by Transmittal 1592  10/06/2008  6185  R1571CP  08/07/2008  Transition of Responsibility for Medical Review From Quality Improvement Organizations (QIOs)  08/15/2008  5849  R1547CP  07/03/2008  Update Long Term Care Hospital (LTCH) Prospective Payment System (PPS) Rate Year 2009  07/07/2008  6114  R1543CP  06/27/2008  Update -Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Rate Year 2009  07/07/2008  6077  R1510CP  05/20/2008  Revision to the Inpatient Prospective Payment System (IPPS) Post Acute Transfer Policy for Discharges/Transfers to Home Under Care of an Organized Home Health Service Organization in Anticipation of Covered Skilled Care - Rescinded and Not Replaced  10/06/2008  6012  R1509CP  05/16/2008  Adjusting Inpatient Prospective Payment System (IPPS) Reimbursement for Replaced Devices Offered Without Cost or With a Credit  10/06/2008  5860  R1498CP  05/02/2008  Adjusting Inpatient Prospective Payment System (IPPS) Reimbursement for Replaced Devices Offered Without Cost or With a Credit  Replaced by Transmittal 1509  10/06/2008  5860  R1495CP  05/02/2008  Billing Blood and Blood Products  10/06/2008  5867  R1479CP  03/14/2008  April 2008 Inpatient Rehabilitation Facility (IRF) Prospective Payment System (PPS) Pricer Changes  04/07/2008  5965  R1472CP  03/06/2008  Update of Institutional Claims References  04/07/2008  5893  R1429CP  02/01/2008  Modification of Payment Window Edits in the Common Working File (CWF) to Look at Line Item Dates of Service (LIDOS) on Outpatient Claims  07/07/2008  5880  R1421CP  01/25/2008  Update of Institutional Claims References - Rescinded and Replaced by Transmittal 1472  04/07/2008  5893  R1341CP  09/21/2007  New Web Site for Approved Transplant Centers  10/22/2007  5724  Rev #  Issue Date  Subject  Impl Date  CR#  R1311CP  07/20/2007  Capturing Medicare Advantage (MA) Beneficiary Days in the Medicare Supplemental Security Income (SSI) Fraction for Disproportionate Share Hospital (DSH) Data  01/07/2008  5647  R1268CP  06/15/2007  Update  Long Term Care Hospital Prospective Payment System (LTCH PPS) Rate Year 2008  07/02/2007  5652  R1231CP  04/27/2007  The Use of Benefit's Exhaust (BE) Day as the Day of Discharge for Payment Purposes for the Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) and Clarification of Discharge for Long Term Care Hospitals (LTCH) and the Allowance of No -Pay Benefits Exhaust Bills (TOB 110)  12/03/2007  5474  R1137CP  12/22/2006  Inpatient Rehabilitation Facility (IRF) Teaching Status Adjustment  01/22/2007  5325  R1135CP  12/22/2006  Correction of Instructions for Calculating IRF Compliance Percentage Threshold  03/22/2007  5303  R1105CP  11/09/2006  Swing Bed Hospital Updates  12/11/2006  5114  R1101CP  11/03/2006  Inpatient Psychiatric Facility Prospective Payment System (IPF PPS)  12/04/2006  5287  R1072CP  10/06/2006  Inpatient Prospective Payment System (IPPS) Outlier Reconciliation Technical Corrections  11/06/2006  5286  R982CP  06/16/2006  New Use of Hospital Issued Notices of Noncoverage (HINNs)  09/18/2006  5070  R981CP  06/15/2006  Update -Long Term Care Hospital Prospective Payment System (LTCH PPS) Rate Year 2007  07/03/2006  5202  R980CP  06/14/2006  Changes Conforming to CR 3648 Instructions for Therapy Services  10/02/2006  4014  R966CP  05/26/2006  Intestinal and Multi -Visceral Transplantation  06/26/2006  5090  R957CP  05/19/2006  Pancreas Transplants Alone (PA)  07/03/2006  5093  R941CP  05/05/2006  Changes Conforming to CR 3648 Instructions for Therapy Services  Rescinded and replaced by Transmittal 980  10/02/2006  4014  R938CP  05/05/2006  The Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS)  08/07/2006  5016  R903CP  04/14/2006  Payment for Blood Clotting Factors Administered to Hemophilia Inpatients  07/14/2006  4229  R851CP  02/10/2006  Revisions to Instructions for Contractors Other Than the Religious Nonmedical Health Care 05/11/2006  4218  Rev #  Issue Date  Subject  Impl Date  CR#  Institutions Specialty Contractor Regarding Claims for Beneficiaries with RNCHI Elections  R843CP  02/09/2006  Inpatient Admission Followed by Discharge or Death Prior to Room Assignment  07/03/2006  4202  R836CP  02/03/2006  Inpatient Admission Followed by Discharge or Death Prior to Room Assignment  Rescinded and replaced by Transmittal 843  07/03/2006  4202  R817CP  01/20/2006  Update to the Inpatient Provider specific File and the Outpatient Provider Specific File to Retain Provider Information  04/03/2006  4279  R803CP  01/03/2006  Administration of Drugs and Biologicals in a Method II Critical Access Hospital (CAH) -Rescinds and Replaces CR 3911  04/03/2006  4234  R776CP  12/06/2005  Stem Cell Transplantation  01/03/2006  4173  R771CP