(Medicare & Medicaid)

12/30/22  12863  R11578OTN  08/25/22  Updated Merit -based Incentive Payment System (MIPS)/MIPS Value Pathways (MVP) Healthcare Common Procedure Coding System (HCPCS) Codes  01/03/23  12694  R11569OTN  08/18/22  Medicare Summary Notice (MSN) Created with Wrong Beneficiary Data - Update  Beneficiary Data Streamlining Logic  08/08/22;10/03/22  12710  R11568OTN  08/18/22  User CR: MCS - HIMR Functions Menu Additional Fields  08/08/22;10/03/22  10727  R11546OTN  08/04/22  International Classification of Diseases, 10th Revision (ICD -10) and Other Coding Revisions to National Coverage Determinations (NCDs) --January 2023 Update --2 09/06/22;01/03/23  12842  of 2 R11545OTN  08/05/22  International Classification of Diseases, 10th Revision (ICD -10) and Other Coding Revisions to National Coverage Determination (NCDs) --January 2023 Update  10/03/22;01/03/23  12822  R11539OTN  08/05/22  Implementation of the Award for the Jurisdiction N (J- N) Part A and Part B Medicare Administrative Contractor (JN A/B MAC)  09/01/22  12811  R11535OTN  08/05/22  Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front-End Updates for January 2023 01/03/23  12784  R11533OTN  07/29/22  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)  01/03/23  12347  R11526OTN  07/28/22  User Enhancement Change Request (CR)- Update the Model Participant Provider (M1) Screen and Model Participant Provider Report (H99RVMPP) in the Multi- Carrier System (MCS)  01/03/23  12263  R11525OTN  07/28/22  User Enhancement Change Request (CR) - Update the Multi- Carrier System (MCS) Desk  Top Tool (MCSDT) Editing for Same Day Adjustments  01/03/23  10715  R11522OTN  07/28/22  Remove Hard Coded Logic for Edits 004H and 005H - Remove the Edits from Displaying on the H99RBEA1 and H99RBEA2 Reports 01/03/23  12787  R11521OTN  07/28/22  Multi -Carrier System (MCS) Removal of the Physician Pay for Reporting (P4R), Physician Quality Reporting System (PQRS) and Electronic Prescribing (ERx) Incentive Payments  Financial Logic from the Claims Processing System  01/03/23  12757  R11503OTN  07/21/22  Corrections to Processing of Canceled Home Health Notices of Admission and of Period Sequence Edits 01/03/23  12790  R11492OTN  07/08/22  User CR: MCS - HIMR Functions Menu Additional Fields  10/03/22  10727  R11491OTN  07/08/22  Interns and Residents Information System (IRIS) XML Format  08/19/22  12724  R11488OTN  07/07/22  New Edit for Prospective Payment System (PPS) Outpatient and Inpatient Bill Types Receiving an Outlier Payment When a Device Credit is Reported  01/03/23  12769  R11485OTN  07/07/22  Instructions to the Fiscal Intermediary Shared System [FISS] Edit to Expand the Existing MA Bypass Reusable Solution PARMCC78 and Modify the Existing Logic to Read the New PARMs  01/03/23  12733  R11461OTN  06/21/22  National Coverage Determination (NCD) 90.2, Next Generation Sequencing (NGS) 11/23/21  12483  R11460OTN  06/17/22  International Classification of Diseases, 10th Revision (ICD -10) and Other Coding Revisions to National Coverage Determination (NCDs) --October 2022 Update  07/19/22;10/03/22  12705  R11453OTN  06/10/22  International Classification of Diseases, 10th Revision (ICD -10) and Other Coding Revisions to National Coverage Determination (NCDs) --July 2021  07/06/21  12124  R11433OTN  05/26/22  Update to Addition of Disposition Category "U" to Recovery Audit Contractor Data  Warehouse (RACDW) Appeals Layout File - This CR Rescinds and Fully Replaces CR 12528.  10/03/22  12703  R11418OTN  05/19/22  Interns and Residents Information System (IRIS) XML Format  08/19/22  12724  R11416OTN  05/19/22  User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Off -line History Retrieval of Canceled Claims  10/03/22  12706  R11413OTN  05/12/22  User CR: ViPS  Medicare System (VMS) - Improve Transportation within VMS Subsystems 10/03/22  11590  R11409OTN  05/12/22  User Enhancement - Update the Multi- Carrier System (MCS) to Display the Full History of a Claims' Audit Trail Location  10/03/22  12239  R11400OTN  05/04/22  International Classification of Diseases, 10th Revision (ICD -10) and Other Coding Revisions to National Coverage Determination (NCDs) --October 2022 Update  10/03/22  12705  R11391OTN  04/29/22  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  R11390OTN  04/28/22  Implementation of the Award for the Jurisdiction K (J- K) Part A and Part B Medicare Administrative Contractor (JK A/B MAC)  05/01/22  12695  R11377OTN  04/29/22  Updating Reason Code 32287 Edit in the Fiscal Intermediary Shared System (FISS) to  Allow Processing of Claims Containing COVID- 19 Vaccine and Other Vaccines When Billed on the Same Claim  10/03/22  12711  R11376OTN  04/29/22  Medicare Summary Notice (MSN) Created with Wrong Beneficiary Data - Update  Beneficiary Data Streamlining Logic  10/03/22  12710  R11374OTN  04/29/22  Changes to Beneficiary Coinsurance for Additional Procedures Furnished During the Same Clinical Encounter As Certain Colorectal Cancer Screening Tests  10/03/22;01/03/23  12656  R11373OTN  04/29/22  Update the Common Working File Utilization Reject 86x7 and 86x6 10/03/22  12643  R11369OTN  04/28/22  User CR: MCS - SCF Claim Field Update for Rendering Provider Number 10/03/22  12622  R11368OTN  04/29/22  User CR: ViPS Medicare System (VMS) - Allow Updates to the Submitted Medicare  Beneficiary Identifier (MBI)  10/03/22  11777  R11367OTN  04/28/22  User CR: MCS - HIMR Functions Menu Additional Fields  10/03/22  10727  R11366OTN  04/28/22  Section 127 of the Consolidated Appropriations Act: Graduate Medical Education (GME) Payment for Rural Track Programs (RTPs) 10/01/22  12709  R11364OTN  04/27/22  Common Working File (CWF) Editing - National Coverage Determination (NCD) 270.3 Blood-Derived Products for Chronic, Non-Healing Wounds 07/05/22  12611  R11356OTN  04/14/22  New State Codes for California  10/03/22  12644  R11346OTN  04/07/22  Updates For Medical Severity Diagnosis Related Groups (MS-DRG) Subject to Inpatient Prospective Payment System (IPPS) Replaced Devices Offered Without Cost or With a Credit Policy - Fiscal Years (FYs) 2021 -2022  10/03/22  12662  R11345OTN  04/07/22  Instruction to the Multi -Carrier System Maintainer to Remove Edits 055D and 179D from the H99RBEA1 and H99RBEA2 Reports 10/03/22  12640  R11343OTN  04/07/22  System Limitation Update for Centralized Flu Billers (CFB), Pneumococcal and Covid-19 Vaccinations 10/03/22  12673  R11342OTN  04/06/22  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  R11340OTN  04/07/22  Updates to Current Inpatient Claim Edits  10/03/22  12647  R11339OTN  04/07/22  Payment for Critical Access Hospitals (CAHs) Ancillary Services Submitted on 12X Type of Bill (TOB) Claim  10/03/22  12636  R11337OTN  04/07/22  Electronic Transmission of Medicare Administrative Contractor Provider Enrollment Recommendations of Approval 04/15/22  12670  R11336OTN  04/07/22  Request for Read -Only Access to the CMS Shared Systems for the Comprehensive Error Rate Testing (CERT) Review Contractor (RC)  07/11/22  12646  R11333OTN  04/06/22  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  R11331OTN  03/30/22  Phase two: Undeliverable 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