(Medicare Claims Processing Manual)

Services -  Manualization  N/A 3955 R658CP  08/26/2005 Billing for Devices Under the Hospital Outpatient Prospective Payment System (OPPS)  10/03/2005 4017 Rev #  Issue Date  Subject  Impl Date  CR#  R650CP  08/12/2005 Manual Update on Medical Nutrition Therapy Services -  Manualization  N/A 3955 R646CP  08/12/2005 Update to the Inpatient Provider Specific File (PSF) and the Outpatient PSF to Retain Provider Information 01/03/2006 3940 R617CP  07/22/2005 Administration of Drugs and Biologicals in a Method II Critical Access Hospital (CAH)  10/24/2005 3911 R616CP  07/22/2005 Certified Registered Nurse Anesthetist Pass-Through Payment  01/03/2006 3833 R608CP  07/22/2005 New Health Professional Shortage Area (HPSA) Modifier  01/03/2006 3935 R596CP  06/24/2005 Indian Health Service (IHS) or Tribal Hospitals Including Critical Access Hospital (CAH) Payment Methodology for Inpatient Social Admissions and Outpatient Services Occurring During Concurrent Stays  04/04/2005 3452 R573CP  06/03/2005 Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System (OPPS)  06/01/2005 3848 R566CP  05/20/2005 Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System (OPPS)  06/01/2005 3848 R557CP  05/06/2005 Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System (OPPS)  06/01/2005 3848 R530CP  04/22/2005 Billing Requirements for Physician Services Rendered in Method II Critical Access Hospitals (CAHs)  07/05/2005 3800 Rev #  Issue Date  Subject  Impl Date  CR#  R496CP  03/04/2005 Billing for Blood and Blood Products Under the Hospital Outpatient Prospective Payment System (OPPS)  07/05/2005 3681 R483CP  02/25/2005 Hospital Partial Hospitalization Services Billing Requirements  10/04/2004 3297 R477CP  02/18/2005 New Case -Mix Adjusted End Stage Renal Disease (ESRD) Composite Payment Rates and New Composite Rate Exceptions Window for Pediatric ESRD Facilities  04/04/2005 3720 R465CP  02/04/2005 Billing Requirements for Physician Services in Method II Critical Access Hospitals (CAHs)  07/05/2005 3559 R442CP  01/21/2005 Hospital Outpatient Prospective Payment System (OPPS): Use of Modifiers - 52, -73 and -74 for Reduced or Discontinued Services  02/22/2005 3507 R407CP  12/17/2004 Hospital Billing for Repetitive Services  01/03/2005 3633 R404CP  12/17/2004 January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Changes to Coding and Payment for Drug Administration  01/03/2005 3610 R403CP  12/17/2004 January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Billing for Devices that do not have Transitional Pass -Through Status, and that are not Classified as New Technology Ambulatory Payment Classification (APC) Groups  01/03/2005 3606 R379CP  11/26/2004 Low Osmolar Contrast Material/Laboratory Tests/Payment for Inpatient Services Furnished by a Critical Access Hospital (CAH)  04/04/2005 3439 R370CP  11/19/2004 New Case -Mix Adjusted End Stage Renal Disease (ESRD) Composite 04/04/2005 3572 Rev #  Issue Date  Subject  Impl Date  CR#  Payment Rates and New Composite Rates and New Composite Rate Exceptions Window for Pediatric ESRD Facilities  R351CP  10/29/2004 Editing of Hospitals and Skilled Nursing Facilities Part B Inpatient Services (Full Replacement of Change Request 3366)  01/03/2005 3531 R336CP  10/29/2004 Indian Health Service (IHS) or Tribal Hospitals including Critical Access Hospitals (CAH) Payment Methodology for Inpatient Social Admissions and Outpatient Services Occurring During Concurrent Stays  04/04/2005 3452 R301CP  09/17/2004 Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services  01/03/2005 3366 R270CP  08/03/2004 Update to the Frequency of Billing  01/03/2005 3382 R262CP  07/30/2004 Bonus Payment to Physicians That Render Services in a CAH in a Designated Physician Scarcity Area  01/03/2005 3262 R251CP  07/23/2004 Editing Of Hospital And Skilled Nursing Facility Part B Inpatient Services  01/03/2005 3366 R243CP  07/23/2004 Patient Status Code and Reason for Patient Visit for the Hospital Outpatient Prospective Payment System (OPPS)  01/03/2005 2800 R239CP  07/23/2004 Update to the Frequency of Billing  01/03/2005 3382 R231CP  07/23/2004 Indian Health Service (IHS) or Tribal Critical Access Hospital (CAH) Payment Methodology for Inpatient and Outpatient Services  01/03/2005 3235 R180CP  05/14/2004 Hospital Partial Hospitalization Services Billing Requirements  N/A 3297 Rev #  Issue Date  Subject  Impl Date  CR#  R167CP  04/30/2004 Discontinued Use of Revenue Code 0910 10/04/2004 3194 R156CP  04/30/2004 Payment Procedure for Maryland Hospitals Under the Jurisdiction of the Health Services Cost Review Commission  10/04/2004 3200 R152CP  04/30/2004 Inclusion of Core -Based Statistical Area (CBSA) Data Elements to the Provider Specific Files  10/04/2004 3272 R132CP  03/30/2004 April 2004 Update of the Hospital Outpatient Prospective Payment System  04/05/2004 3154 R103CP  02/20/2004 Optional Method for Outpatient Services: Cost -Based Facility Services Plus 115 percent Fee Schedule Payment for Professional Services  07/01/2004 3114 R089CP  02/06/2004 The Elimination of the 90- Day Grace Period for HCPCS Codes  07/06/2004 3093 R063CP  01/16/2004 Special Rules for Critical Access Hospital (CAH) Outpatient Billing  04/05/2004 3051 R053CP  12/22/2003 Outpatient Code Editors  01/05/2004 3021 R046CP  12/19/2003 Outpatient Code Editors  01/05/2004 3021 R045CP  12/19/2003 Outpatient Provider Specific File  01/20/2004 2994 R041CP  12/08/2003 Special Rules for Critical Access Hospital Outpatient Billing  01/05/2004 2990 R036CP  11/28/2003 Add revenue code 068x  01/01/2004 2995 R026CP  11/04/2003 Lung Volume Reduction Surgery  01/05/2004 2688 R001CP  10/01/2003 Initial Publication of Manual  NA NA Back to top of Chapter