(Medicare & Medicaid)

07/06/15  9022  R1467OTN  02/13/15  Reporting Force Balance Claim Payment on the Electronic Remittance Advice (ERA) 835 and Cross Over Beneficiary (COB) 837 Claim Transactions  07/06/15  9050  R1466OTN  02/13/15  Use of Modifiers KK, KG, KU, and KW under the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program  07/06/15  9059  R1463OTN  02/06/15  Identification of Obsolete Shared System Maintainer (SSM) On -Request Jobs 07/06/15  9023  R1462OTN  02/06/15  Identifying No Documentation Medical Necessity Denials for Claims Flagged for Recovery Auditor Review  10/05/15  8913  R1460OTN  01/30/15  Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2015  07/06/15  9064  R1459OTN  01/30/15  Continuation of Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Assessments  07/06/15  9016  R1458OTN  01/30/15  Fee for Service Beneficiary Data Streamlining (FFS BDS) Phase II Beneficiary Address Analysis and Design  07/06/15  9029  R1457OTN  01/30/15  Renaming PPS -FLX6 - PAYMENT Field in the Inpatient Prospective Payment System (IPPS) Pricer Output 07/06/15  9031  R1456OTN  01/30/15  Phase Two: Changing Fiscal Intermediary Shared System (FISS) Action on Informational Unsolicited Responses (IURs) From Canceled Claims to Adjustments  07/06/15  8990  R1455OTN  01/30/15  Corrections to Processing Service Facility Information on Hospice Claims  07/06/15  9042  R1450OTN  01/09/15  Moratorium on Classification of Long-Term Care Hospitals (LTCH) or Satellites/Increase in Certified LTCH Beds  02/10/15  9025  R1449OTN  12/19/14  2015 Electronic Health Record System Payment Adjustment Letter  12/29/14  9024  R1446OTN  12/05/14  IDR Shared Systems Daily Claims Feeds Expansion to Accommodate Medical Review Data Elements  01/05/15  8823  R1445OTN  12/05/14  Rescind and Replace of CR 8409: Reclassification of Certain Durable Medical Equipment from the Inexpensive and Routinely Purchased Payment Category to the Capped Rental Payment Category  04/07/14  8566  R1444OTN  11/06/14  Analysis and Design to Automate Adjustments That Are Completed In The Common Working File (CWF) When Inpatient (INP) Or Skilled Nursing Facility (SNF) Claims Are Processed Out Of Sequence  04/06/15  8934  R1441OTN  11/06/14  Implementation Instructions for the A/B and DME Medicare Administrative Contractors (MACs) and their Designated Shared Systems to Send the Correct Cost Avoided Indicator and Special Project Type to the Common Working File (CWF) To Ensure Correct Savings is Applied Both to the Medicare Secondary Payer (MSP) Savings Report and the Originating Contractor  04/06/15  8762  R1440OTN  11/06/14  Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for April 2015 04/06/15  8851  R1438OTN  11/06/14  Data Quality between the Fiscal Intermediary Shared System (FISS) and the Common Working File (CWF) 04/06/15  8931  R1437OTN  11/06/14  Data Quality Between the Multi Carrier System (MCS) and ViPS Medicare System (VMS) and the Common Working File (CWF) 04/06/15  8930  R1436OTN  11/06/14  Fee for Service Beneficiary Data Streamlining (FFS BDS) Phase II Analysis  04/06/15  8915  R1435OTN  11/06/14  New Informational Unsolicited Response (IUR) Process for Durable Medical Equipment (DME) Items Furnished during a Part A Hospital Inpatient Stay  04/06/15  8844  R1434OTN  11/06/14  Payment for G0101 and Q0091 in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) that Bill under the All-Inclusive Rate (AIR) System  04/06/15  8927  R1433OTN  11/06/14  Additional Instruction on the Use of Claims Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs) with Regard to Operating Rule: 360 Compliance  04/06/15  8790  R1429OTN  10/01/14  Fee for Service Beneficiary Data Streamlining (FFS BDS) Updates to Operational Issues 01/05/15  8677  R1428OTN  09/24/14  Correction to Hospice Notice of Revocation Processing  01/05/15  8795  R1424OTN  08/22/14  IDR Shared Systems Daily Claims Feeds Expansion to Accommodate Medical Review Data Elements  01/05/15  8823  R1423OTN  08/22/14  International Classification of Diseases, 10th Revision (ICD -10) Testing - Acknowledgement Testing with Providers 09/30/14  8858  R1422OTN  08/15/14  Specific Modifiers for Distinct Procedural Services  01/05/14  8863  R1421OTN  08/15/14  Revised Modification to the Medically Unlikely Edit (MUE) Program   01/05/14  8853  R1420OTN  08/15/14  DMEPOS Competitive Bidding Program (CBP): Correction to VMS Processing of Wheelchair Accessory Claims for Round 2  01/05/15  8864  R1418OTN  08/08/14  Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - July 1, 2014 version 3.1.1  09/02/14  8711  R1414OTN  08/01/14  Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for January 2015  01/05/15  8753  R1413OTN  08/01/14  Medicare Remit Easy Print (MREP) Enhancement  01/05/15  8856  R1412OTN  08/01/14  Modifying FISS Part B Claims Overlap Edits related to CMS -1599-F   01/05/15  8820  R1411OTN  08/01/14  Removal of User -Controlled Effective Date to Apply Therapy Caps to Critical Access Hospital (CAH) Claims  01/05/15  8686  R1410OTN  08/01/14  Instructions for Removing Logic Involving the IUR Implemented with CR8271 01/05/15  8573  R1409OTN  08/01/14  IDR Shared Systems Daily Claims Feeds Expansion to Accommodate Ambulance Data Elements  01/05/15  8741  R1408OTN  08/01/14  Fee for Service Beneficiary Data Streamlining (FFS BDS) Updates to Operational Issues  01/05/15  8677  R1407OTN  08/01/14  Inpatient Hospital Claims and Medicare Secondary Payer (MSP) Claims with Medicare Coinsurance Days and/or Medicare Lifetime Reserve Days Occurring in the Seventh or More Calendar Years  Analysis and Design Only  01/05/15  8555   R1406OTN  08/01/14  Add Smoking Cessation Initial Session Date to the Common Working File (CWF) to Medicare Beneficiary Database (MBD) Extract File  01/05/15  8631  R1405OTN  08/01/14  Diagnosis Reporting on Home Health Claims   01/05/15  8813  R1404OTN  08/01/14  Modify the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) File to no longer include Preventive Healthcare Common Procedure Coding System (HCPCS) Codes that have been terminated  01/05/15  8745  R1403OTN  08/01/14  Change in Applying Co -insurance and Lifetime Reserve (LTR) Amounts on Informational Only Claims with Condition Code (CC) 04  01/05/15  8704  R1401OTN  08/01/14  Fee for Service Beneficiary Data Streamlining (FFS BDS) - Phase II - Auxiliary Data  01/05/15  8681  R1399OTN  08/01/14  Federally Qualified Health Centers Prospective Payment System - Recurring File Updates  01/05/15  8854  R1397OTN  07/25/14  Consolidation of HIGLAS Organizations for a MAC - Organization Merges  07/27/14  8817  R1396OTN  07/25/14  Clarification of Remittance Advice Code Combination Reports Generated by Shared Systems  07/07/14  8616  R1395OTN  07/16/14  Implementation of a Prospective Payment System (PPS) for Federally Qualified Health Centers (FQHCs)  10/6/14  8743  R1392OTN  06/25/14  Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - June 1, 2014 version 3.1.0  09/02/14  8711   R1390OTN  06/06/14  Implementing the Re -competition Award for the Jurisdiction N (formerly Jurisdiction 9) Part A/Part B Medicare Administrative Contractor (A/B MAC) Workload  07/08/14  8759  R1388OTN  05/23/14  ICD-10 Conversion/Coding Infrastructure Revisions/ICD-9 Updates to National Coverage Determinations (NCDs) --Maintenance CR  10/06/14  8691  R1386OTN  05/16/14  Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) File to Include Diagnosis Codes on the Health Insurance Portability and Accountability Act Eligibility Transaction System (HETS) 270/271 Transactions  10/06/14  8456  R1385OTN  05/16/14  Additional States Requiring Payment Edits for DMEPOS Suppliers of Prosthetics and Certain Custom- Fabricated Orthotics. Update to CR 3959 and CR 8390  06/17/14  8730  R1384OTN  05/16/14  Posting the Limiting Charge after Applying the Electronic Health Record (EHR) and Physician Quality Reporting System (PQRS) Negative Adjustments  10/06/14  8667  R1383OTN  05/09/14  Implementation of a Prospective Payment System (PPS) for Federally Qualified Health Centers (FQHCs)  10/06/14  8743  R1380OTN  05/02/14  Present on Admission (POA) Indicator Editing for Maryland Waiver Hospitals  10/06/14  8709  R1379OTN  05/02/14  Anesthesiologist/Certified Registered Nurse Anesthetist (CRNA) Related Services in a Method II Critical Access Hospital (CAH)