(Medicare & Medicaid)

FILE   COMM.  DATE   SUBJECT/SUMMARY OF CHANGES   IMPL  DATE   CR NUM  R12549OTN  03/19/24  Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Expiration of a Unique Tracking Number (UTN) on the Prior Authorization (PA) Tracking File  04/01/24  13284  R12539OTN  03/12/24  Implementation to Expand Monetary Amount Fields Related to Billing and Payment to  Accommodate 10 -Digits in Length ($99,999,999.99) - Phase 3 04/01/24;07/01/24  13370  R12525OTN  03/01/24  Patient Driven Payment Model (PDPM) Corrections to Interrupted Stay Edits  04/01/24  13360  R12518OTN  02/22/24  Report of Hospice Election for Part D (Response File) 04/01/24  13348  R12513OTN  02/21/24  Change Request (CR) to Implement the Medicare Program Final Action: Treatment of  Medicare Part C Days in the Calculation of a Hospitals Medicare Disproportionate Patient Percentage  03/25/24  13294  R12508OTN  02/15/24  Appropriate Use Criteria for Advanced Diagnostic Imaging Policy Update in the Calendar Year 2024 Physician Fee Schedule Final Rule  01/03/25  13485  R12506OTN  02/08/24  User Enhancement Change Request (UECR): New Multi- Carrier System (MCS) Inquiry Search Screen Using a Procedure Code to Display an Associated Edit or Audit  01/06/25  13344  R12493OTN  02/01/24  International Classification of Diseases, 10th Revision (ICD -10) and Other Coding Revisions to National Coverage Determinations (NCDs) --July 2024 Update  07/01/24  13507  R12490OTN  01/25/24  User Enhancement Change Request (UECR): ViPS Medicare System (VMS)- Update Suppression Adjustment Force Code Processing 07/01/24  12066  R12489OTN  01/25/24  User Enhancement Change Request (UECR): ViPS Medicare System (VMS)  Update Paging on Claim/Pricing Inquiry Split Screen 07/01/24  13354  R12488OTN  01/25/24  User Enhancement Change Request (UECR): ViPS Medicare System (VMS)  Update Electronic Funds Transfer (EFT) Process when a Change of Information (COI) Is Received  7/01/240  13022  R12487OTN  01/25/24  User Enhancement Change Request (UECR): ViPS Medicare System (VMS)  Creation of a New Claim Edit to Stop Creation of a Tenth Adjustment 07/01/24  12783  R12486OTN  01/25/24  User Enhancement Change Request (UECR): ViPS Medicare System (VMS)  FIND  Command for SuperOp Value Set Definition Screen  07/01/24  12319  R12482OTN  01/25/24  User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Create  Multi-line Add Functionality and View Only Mode to the Message File (MSSG)  07/01/24  11556  R12481OTN  01/25/24  User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Add  System Auditing Function Expert (SAFE) system to Online 07/01/24  11399  Documentation System (OLDS) for Error  Messages  R12464OTN  01/18/24  Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 4  07/01/24  13482  R12463OTN  01/18/24  Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 3  07/01/24  13459  R12460OTN  01/18/24  Enforcing Billing Requirements for Intensive Outpatient Program (IOP) Services with Revenue Code 0905 for Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC)  01/02/24  13264  R12454OTN  01/11/24  System Updates to Lump Sum Utility for Addition of Wage Index Fields  07/01/24  13456  R12450OTN  01/11/24  Updating Fiscal Intermediary Shared System (FISS) Editing for Practice Locations to  Bypass Non- OPPS Provider 07/01/24  13415  R12447OTN  01/11/24  Modifications to the Automated Duplicate Primary Payer (DPP) Process  07/01/24  13450  R12444OTN  01/04/24  International Classification of Diseases, 10th Revision (ICD -10) and Other Coding Revisions to National Coverage Determinations (NCDs) --January 2024 Update  01/02/24  13278  R12441OTN  01/03/24  International Classification of Diseases, 10th Revision (ICD -10) and Other Coding Revisions to National Coverage Determinations (NCDs) --April 2024 Update --CR 1 of 2  11/21/23;04/01/24  13390  R12440OTN  01/03/24  International Classification of Diseases, 10th Revision (ICD -10) and Other Coding Revisions to National Coverage Determinations (NCDs) --April 2024 Update --CR 2 of 2  11/21/23;01/02/24; 04/01/24 13391  R12428OTN  12/21/23  Provider Education for the Review Choice Demonstration (RCD) for Inpatient Rehabilitation  Facility Services (IRFs)  01/24/24  13428  R12410OTN  12/13/23  Updating Calendar Year (CY) 2024 Medicare Diabetes Prevention Program (MDPP) Payment Rates  01/2/24  13484  R12405OTN  12/13/23  Direct Mailing Notification to Hospice Providers Regarding the Value- Based Insurance  Design (VBID) Model, Hospice Benefit Component, Participating Medicare Advantage Organizations  01/16/24  13462  R12397OTN  12/07/23  Payment of Codes for Chemotherapy Administration and Nonchemotherapy Injections and Infusions  12/21/23  13468  R12392OTN  12/05/23  Enforcing Billing Requirements for Intensive Outpatient Program (IOP) Services with Revenue Code 0905 for Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC)  01/02/24  13264  R12355OTN  11/09/23  International Classification of Diseases, 10th Revision (ICD -10) and Other Coding  Revisions to National Coverage Determinations (NCDs) --January 2024 Update  01/02/24  13278  R12351OTN  11/03/23  Requirements for a Provider Direct Mailing and Education & Outreach for Behavioral  Health Initiatives  11/06/23  13389  R12350OTN  11/03/23  International Classification of Diseases, 10th Revision (ICD -10) and Other Coding  Revisions to National Coverage Determinations (NCDs) --April 2024 Update --CR 2 of 2  11/21/23; 01/02/2 4; 04/01/24 13391  R12345OTN  10/31/23  Implementation of a National Fee Schedule for Medicare Part B Vaccine Administration  CMS  04/03/23;01/02/24  12943  R12340OTN  11/02/23  Implementation to Expand Monetary Amount Fields Related to Billing and Payment to  Accommodate 10 -Digits in Length ($99,999,999.99) - Phase 3 04/01/24;07/01/24  13370  R12335OTN  10/27/23  Allowing Audiologists to Furnish Certain Diagnostic Tests Without a Physician Order 01/02/24  13279  R12334OTN  10/27/23  Remittance Advice (RA) Changes due to Durable Medical Equipment Medicare  Administrative Contractors (DME MACs) Transition to Healthcare Integrated General Ledger  Accounting System (HIGLAS)  01/02/24;04/01/24;07/01/24;10/07/24 13265  R12331OTN  10/26/23  Report of Hospice Election for Part D (Response File) 04/01/24  13348  R12330OTN  10/26/23  Implement Edits on Hospice Claims  04/01/24  13342  R12292OTN  10/06/23  Implementation to Expand Monetary Amount Fields Related to Billing and Payment to  Accommodate 10 -Digits in Length ($99,999,999.99) - Phase 2 01/02/24  13223  R12286OTN  10/05/23  Patient Driven Payment Model (PDPM) Corrections to Interrupted Stay Edits  04/01/24  13360  R12285OTN  10/05/23  Requirements for a Provider Direct Mailing and Education & Outreach for Behavioral  Health Initiatives  11/06/23  13389  R12274OTN  09/27/23  Allow Users to Modify the Provider Demonstration File in the User Acceptance Testing  (UAT) Environment - Full Agile Pilot CR  01/02/24  12934  R12273OTN  09/27/23  Report of Hospice Election for Part D  01/02/24  13202  R12269OTN  09/28/23  Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 2  04/01/24  13345  R12251OTN  09/15/23  Revision to Implementation of Consolidated Appropriations Act (CAA) of 2023, Section 4143: Waiver of Cap on Annual Payments for Nursing and Allied 03/19/23  13337  Health Education Payments  R12250OTN  09/15/23  Modernize the Vaccine Process and Roster Billing - Full Agile Pilot CR 04/03/23;07/03/23;  10/02/23;01/21/24; 04/01/24 12935  R12240OTN  09/06/23  Patient Responsibility Reporting with Medicare Secondary Payer (MSP)  10/09/23  13037  R12223OTN  08/28/23  User Enhancement Change Request (UECR): Create New System Control Facility (SCF)  Data Elements for Use in the Multi- Carrier System (MCS) 01/02/24; 04/01/24  10744  R12214OTN  08/18/23  OTC COVID -19 Tests  08/14/23;  08/15/23;  08/28/23 13336  R12213OTN  08/17/23  User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) to  Display Edit/Audit and CWF Error Code Override Information on the MCS Desktop Tool 01/02/24  13137  (MCSDT)  R12212OTN  08/17/23  User Enhancement Change Request (UECR): Fiscal Intermediary Shared System (FISS) - Expand Ability to Search Through the Revenue Lines and Apply User Defined Quantity Limits to One or More Services - Full Agile Pilot  07/03/23;10/02/23;  01/02/24;04/01/24 12592  R12207OTN  08/11/23  International Classification of Diseases, 10th