(Medicare Claims Processing Manual)

Requirements and Delivery of Dispute Resolution Services  11/13/2006 5207 R1055CP  09/11/2006 Competitive Acquisition Program (CAP) - Creation of Automated Tables for Provider Information, Expansion of CAP Fee Schedule File Layout, and Additional Instructions for Claims Received from Railroad Retirement Board (RRB) Beneficiaries  10/02/2006 5079  Rev #  Issue Date  Subject  Impl Date  CR#  R1034CP  08/18/2006 Competitive Acquisition Program (CAP) - Claim Processing for Not Otherwise Classified ("NOC") Drugs  01/02/2007 5259 R953CP  05/19/2006 CAP -Creation of Automated tables for Providers Information, Expansion of CAP Fee Schedule  10/02/2006 5079 R882CP  03/03/2006 Hospital Billing for Take -Home Drugs  07/03/2006 4301 R867CP  02/17/2006 Elimination of the Durable Medical Equipment Regional Carriers (DMERC) Information Form (DIF)  04/03/2006 4241 R866CP  02/17/2006 Additional Requirements for the Competitive Acquisition Program (CAP) for Part B Drugs  07/03/2006 4309 R840CP  02/06/2006 Hospital Billing for Take -Home Drugs  07/03/2006 4301 R839CP  02/06/2006 Additional Requirements for the Competitive Acquisition Program (CAP) for Part B Drugs  07/03/2006 4309 R754CP  11/10/2005 Fees for Supplying Inhalation Drugs Fee Dispensing Fee Revisions and Clarifications  01/03/2006 3990 R745CP  11/4/2005 Elimination of the Durable Medical Equipment Regional Carriers (DMERC) Information Form (DIF)  04/03/2006 4040 R736CP  10/31/2005 Clarification and Update to Hospital Billing Instructions and Payment for Epoetin Alfa (EPO) and Darbepoetin Alfa (Aranesp) for Beneficiaries with End Stage Renal Disease (ESRD)  04/03/2006 4103 R719CP  10/21/2005 Clarification and Update to Hospital Billing Instructions and Payment for Epoetin Alfa (EPO) and Darbepoetin Alfa (Aranesp) for Beneficiaries with End Stage Renal Disease (ESRD)  04/03/2006 4103  Rev #  Issue Date  Subject  Impl Date  CR#  R684CP  09/23/2005 Correction to Chapter 17, Section 80.2.3, MSN/ANSIX12 Denial Messages for Anti-Emetic Drugs  12/23/2005 4001 R590CP  06/24/2005 Aprepitant for Chemotherapy- Induced Emesis  07/05/2005 3831 R576CP  06/03/2005 Correction to Chapter 17, Section 80.2.3, MSN/ANSIX12N Denial Messages for Anti-Emetic Drugs  Not Applicable  3918 R551CP  04/29/2005 Dispensing/Supply Fee Code, Payment, and Common Working File (CWF) Editing for Immunosuppressive Drugs  10/03/2005 3830 R521CP  04/08/2005 Hemophilia Blood Clotting Factors  05/09/2005 3755 R509CP  03/18/2005 Number of Drug Pricing Files That Must Be Maintained Online by DMERCs  07/05/2005 3584 R496CP  03/04/2005 Billing for Blood and Blood Products Under the Hospital Outpatient Prospective Payment System (OPPS)  07/05/2005 3681 R455CP  01/28/2005 Number of Drug Pricing Files That Must Be Maintained Online by DMERCs  07/05/2005 3584 R397CP  12/16/2004 Drug Pricing Limits as of January 1, 2005  01/03/2005 3232 R396CP  12/16/2004 New Dispensing/Supply Fee Codes for Oral Anti -Cancer, Oral Ant -Emetic, Immunosuppressive, and Inhalation Drugs  01/17/2005 3620 R394CP  12/10/2004 New Dispensing/Supply Fee Codes for Oral Anti -Cancer, Oral Ant -Emetic, Immunosuppressive, and Inhalation Drugs  01/17/2005 3620 R374CP  11/22/2004 Carrier Processing of Claims for Blood Clotting Factors  11/22/2004 3370 R352CP  11/03/2004 Use of Three Places after the Decimal Point for ASP Drug File  04/04/2005 3436  Rev #  Issue Date  Subject  Impl Date  CR#  R346CP  10/29/2004 Use of Three Places after the Decimal Point for ASP Drug File  04/05/2005 3436 R327CP  10/22/2004 Carrier Processing of Claims for Blood Clotting Factors  11/22/2004 3370 R269CP  08/03/2004 Required Number Of Online Pricing Files to Be Maintained By Carriers  01/03/2005 3231 R248CP  07/23/2004 Replaced by Revision 397CP  01/01/2005 3232 R244CP  07/23/2004 Replaced by Revision 269CP  01/03/2005 3231 R188CP  05/28/2004 Hospital Outpatient Billing and Payment under OPPS for New, Unclassified Drugs or Biologicals Approved by the FDA After January 1, 2004, But Before Assignment of a Product -Specific Drug/Biological HCPCS Code  07/06/2004 3287 R136CP  04/09/2004 New "WW" codes to identify Xeloda.  07/06/2004 3169 R131CP  03/26/2004 Payment Allowance Limit for Drugs and Biologicals Not Paid on a Cost or Prospective Payment Basis  03/26/2004 3153 R104CP  02/20/2004 Instructions for Processing NDC Codes for DMERCs and VMS  04/05/2004 3141 R074CP  01/23/2004 Payment for intravenous immune globulin in the home for the treatment of primary immune deficiency diseases  04/05/2004 3060 R055CP  12/24/2003 Implementation of drug payment under the "Medicare Prescription Drug, Improvement, and Modernization Act" (MPDIMA) of 2003  01/05/2004 3025 R054CP  12/24/2003 Implementation of drug payment under the "Medicare Prescription Drug, Improvement, and Modernization Act" (MPDIMA) of 2003  01/05/2004 3022 R035CP  11/28/2003 Number of Required Carrier Pricing Files for the Single Drug Pricer  01/01/2004 2755  Rev #  Issue Date  Subject  Impl Date  CR#  R001CP  10/01/2003 Initial Publication of Manual  NA NA Back to top of chapter