(Medicare & Medicaid)

07/01/13  8070  R1152OTN  11/16/12  New Screens and Processes for ICD -9/ICD -10, ICD-10/ICD-9 Diagnosis and Procedure Codes Conversions for Medicare Secondary (MSP) Claims Using the General Equivalence Mappings (GEMS) 2013 Table in CWF  04/01/13  8034  R1151OTN  11/16/12  Use of Q6 Modifier for Locum Tenens by Providing Performing Provider NPI - Analysis only CR  04/01/13  8124  R1149OTN  11/06/12  Multiple Procedure Payment Reduction (MPPR) on the Technical Component (TC) of Diagnostic Cardiovascular and Ophthalmology Procedures  01/07/13  7848  R1148OTN  11/02/12  Fee for Service Beneficiary Data Streamlining (FFS BDS)  04/01/13  8091  R1147OTN  11/02/12  Implementation of the Revised Health Insurance Claim Form CMS -1500 (02/12) (Analysis Only)  04/01/13  8015  R1145OTN  11/02/12  Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for April 2013 04/01/13  8073  R1144OTN  11/02/12  MCS/TACs System Edits   04/01/13  8053  R1142OTN  11/02/12  Editing for Duplicate Payment of Nonphysician Outpatient Services Provided During an Inpatient Hospital Admission  04/01/13  7849  R1141OTN  11/02/12  The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2010 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs)  12/03/12  8078  R1140OTN  11/02/12  Termination of the Common Working File ELGB Provider Query  04/01/13  8086  R1139OTN  11/01/12  Durable Medical Equipment (DME) National Competitive Bidding (NCB): National Mail Order (NMO) Program Implementation for Diabetic Supplies 04/01/13  8080  R1138OTN  11/01/12  Adding Bankruptcy Status Field to the Recovery Audit Contractor Daily and Weekly Reports  04/01/13  8083  R1137OTN  11/01/12  PWK System Modifications for Processing Days   04/01/13  8014  R1136OTN  11/01/12  National Correct Coding Initiative (NCCI) Associated Modifier Changes (Additions)  01/07/13  8111  R1134OTN  11/01/12  New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Incarcerated Medicare Beneficiaries  04/01/13  8007  R1133OTN  11/01/12  New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Medicare Beneficiaries Classified as "Unlawfully Present" in the United States  04/01/13  8009  R1130OTN  10/26/12  Implementation of the Redesigned MSN   04/01/13  8081  R1129OTN  10/12/12  Elimination of the Fiscal Intermediary Shared System (FISS) Off Quarter User Releases  01/07/13  8022  R1128OTN  10/05/12  Recompiling of Application Data Structure Descriptors  10/26/12  8099  R1124OTN  09/25/12  Manual Medical Review of Therapy Services 10/01/12  8036  R1122OTN  09/14/12  International Classification of Diseases (ICD) -10 Conversion from ICD -9 and Related Code Infrastructure of the Medicare Shared Systems as They Relate to CMS National Coverage Determinations (NCDs) (CR 1 of 3) (ICD -10)  01/07/13  7818  R1119OTN  09/14/12  Implementation of the Award for the Jurisdiction 5 Part A and Part B Medicare Administrative Contractor (J5 A/B MAC) Reprocurment Including a New Workload Number for the Remaining WPS Legacy Workload  10/22/12  8059  R1117OTN  08/31/12  Manual Medical Review of Therapy Services 10/01/12  8036  R1116OTN  08/24/12  Standardizing the Standard - Phase I   01/07/13  7910  R1115OTN  08/24/12  Implement Fraud Prevention Predictive Modeling Prepayment Edits for Shared Systems (xref CR7787)  01/07/13  7861  R1114OTN  08/17/12  New Field Established within FISS and MCS   01/17/13  8012  R1112OTN  08/10/12  Health Insurance Portability and Accountability Act (HIPAA) 5010 837 Institutional (837I) Edits and 5010 837 Professional (837P) Edits January 2013  01/07/13  7880  R1111OTN  08/06/12  Expand Place of Service Address to Include Full Address  04/01/13  7786  R1110OTN  08/03/12  Revision of Medicare Summary Notice (MSN) for Non -Competitive Bid Claims  07/02/12  7729  R1108OTN  08/03/12  Fee For Service Common Eligibility Services (FFS CES) - Common Working File (CWF) Detail Analysis, Design and Requirements  01/07/13  7895  R1107OTN  08/03/12  The Medicare Secondary Payer Payment Module (MSPPAY) to be Maintained by the Shared System Maintainers for all Future Enhancements  01/07/13  7826  R1104OTN  08/02/12  Application of the Multiple Procedure Payment Reduction (MPPR) on the Professional Component (PC) and Technical Component (TC) of Certain Diagnostic Imaging Procedures to Physicians in the Same Group Practice  01/07/13  7747  R1103OTN  08/01/12  Health Insurance Portability and Accountability Act (HIPAA) 5010 and D.0 Execution of the Annual Recertification Program  09/04/12  7904  R1102OTN  08/01/12  Direction to Modify Institutional Reason Code 39012  01/07/13  7832  R1101OTN  07/19/12  Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number 01/03/12  7499  R1100OTN  06/28/12  Fiscal Intermediary Shared System (FISS) System Enhancement for Including Line Level Rendering Physicians/Practitioners National Provider Identifier (NPI) and Name Information in the Comprehensive Error Rate Testing (CERT) Resolution Record  10/01/12  7807  R1099OTN  06/28/12  Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number 01/03/12  7499  R1098OTN  06/22/12  Addition of New Common Working File (CWF) Medicare Secondary Payer (MSP) Utilization Edit Codes for CWF to Send the Shared Systems When the  Diagnosis Code on the Claim is Considered a Match with the Family of DX Codes in CWF for Non-Group Health Plan (NGHP) MSP Claims  10/01/12  7605  R1097OTN  06/15/12  Change in Creation Date for CMS Standard Edit/Audit/Reason Code Reports  10/15/12  7846  R1095OTN  06/07/12  Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the ViPS Medicare System (VMS)  07/02/12  7603  R1093OTN  05/23/12  Automated Tracking and Reporting of Recovery Audit- Associated       Re -openings and Appeals   04/02/12  7604  R1091OTN  05/16/12  Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the Fiscal Intermediary Shared System (FISS)   04/02/12  7601  R1089OTN  05/11/12  Implement Fraud Prevention Predictive Modeling Prepayment Edits  10/01/12  7787  R1088OTN  05/10/12  Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number 01/03/12  7499  R1087OTN  05/04/12  Expand Place of Service Address to Include Full Address 10/1/12  7786  R1085OTN  05/02/12  Establish an Automated Process between ViPS  Medicare System (VMS) and the Provider Enrollment Chain and Ownership System (PECOS) to Post Payment Suspension Alert Codes and Related Data to All Four Durable Medical Equipment Medicare Administrator Contractors  (DME MAC) Jurisdictions  10/01/12  7424  R1084OTN  04/26/12  Common Edits and Enhancements Module (CEM) and Receipt, Control, and Balancing Updates  October 2012 10/01/12  7811  R1083OTN  04/27/12  Temporary Direction to Accommodate Organ Donor Complications Billing on 837I Claims  10/01/12  7816  R1082OTN  04/27/12  FISS update for Clinical Laboratory Fee Schedule upload to include Kansas Payment Locality Structure  10/01/12  7815  R1079OTN  04/27/12  New Occurrence Code to Report Date of Death   10/01/12  7792  R1077OTN  04/26/12  Update to the Fiscal Intermediary Shared Systems (FISS) Outpatient Provider Specific File (OPSF) for Childrens Hospitals 10/01/12  7798  R1076OTN  04/26/12  Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes - October 2012  10/01/12  7769  R1075OTN  05/18/12  Medicare Fee -for-Service (FFS) Editing and Flat File Utility  10/1/12  7823  R1073OTN  04/26/12  American Recovery and Reinvestment Act of 2009 Electronic Health Record (EHR) Incentive Program: Financial Information File Transfer Modifications for Eligible Hospitals   10/01/12  7776  R1072OTN  04/26/12  Fiscal Intermediary Shared System (FISS) System Enhancement for Including Line Level Rendering Physicians/Practitioners National Provider Identifier (NPI) and 10/01/12  7807  Name Information in the Comprehensive Error Rate Testing (CERT) Resolution Record  R1071OTN  04/26/12  Expansion of the Laboratory National Coverage Determination (NCD) Edit Software  10/01/12  7808  R1070OTN  04/26/12  Request to Require Hours for Research and Conference Calls with Maintainers, MACs, and EDCs and Additional Requirements for IDR Shared Systems  10/01/12  7756  R1067OTN  04/26/12  Fee for Service Common Eligibility Services Conference Calls and Research  10/01/12  7800  R1066OTN  04/27/12  Implementation of the HIPAA Version 5010 276/277 Claim Status Edits October 2012 Release