(Medicare Claims Processing Manual)

Contractor Name  Transmittals Issued for this Chapter  Rev #  Issue Date  Subject  Impl Date  CR#  R11427CP  05/20/2022  Claims Processing Manual Update - Pub. 100.04 for Elimination of Certificates of Medical Necessity (CMNs) and Durable Medical Equipment Forms (DIFs) 01/03/2023  12734  R11414CP  05/12/2022  Claims Processing Manual Update - Pub. 100.04 for Elimination of Certificates of Medical Necessity (CMNs) and Durable Medical Equipment Forms (DIFs) - Rescinded and replaced by Transmittal 11427 06/13/2022  12734  R10319CP  08/28/2020  Removal of Contractor Requirement to Submit Electronic Data Interchange (EDI) Data into the Contractor Reporting of Operational and Workload Data (CROWD) System (Form 5)  09/29/2020  11909  R10236CP  07/31/2020  Update to the IOM Publication (Pub) 100-04, Medicare Claims Processing Manual, Chapters 1, 6, 8, 17, 20, 22, 24, and 31 Referencing the Active Universal Resource Locators (URLs) for the Washington Publishing Company (WPC) and the ASC X12 Organizations, and Updates to the HIPAA Eligibility Transaction System (HETS)  08/31/2020  11857  R4388CP  09/06/2019  Manual Updates to Chapters 1, 22, 24, 26, and 31 in Publication (Pub.) 100-04 10/07/2019  11331  R4202CP  01/18/2019  Update to Pub. 100-04 Chapters 8, 20, and 24 to Provide Language-Only Changes for the New Medicare Card Project  02/19/2019  10964  R4096CP  08/03/2018  Update to the Medicare Claims Processing Manual, Chapter 24, Section 90 11/05/2018  10559  R3491CP  04/05/2016  Payment for Purchased Durable Medical Equipment, Prosthetics, Orthotics, and 07/05/2016  9468 Rev #  Issue Date  Subject  Impl Date  CR#  Supplies (DMEPOS) Furnished to Medicare Beneficiaries Resi ding Outside the U.S. - Expatriate Beneficiaries  R3444CP  01/29/2016  Payment for Purchased Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Furnished to Medicare Beneficiaries Residing Outside the U.S. - Expatriate Beneficiaries  - Rescinded and replaced by Transmittal 3491 07/05/2016  9468 R3404CP  11/13/2015  Chapter 24 of the Medicare Claims Processing Manual, Pub. 100-04 - Enrollment Form Update 12/14/2015  9430 R3346CP  09/04/2015  Removing References to Network Service Vendors from Chapter 24 of the Medicare Claims Processing Manual, Pub. 100-04 10/06/2015  9280 R2965CP  05/23/2014  Medicare Claims Processing Pub. 100-04 Chapter 24 Update 07/25/2014  8756 R2803CP  10/28/2013  Medicare Claims Processing Pub. 100-04 Chapter 24 Update 09/17/2013  8405 R2771CP  08/16/2013  Medicare Claims Processing Pub. 100-04 Chapter 24 Update  Rescinded and replaced by Transmittal 2803  09/17/2013  8405 R2535CP  08/31/2012  Chapter 24 Update to Remove Outdated Information  10/01/2012  8018 R2517CP  08/10/2012  Medicare Claims Processing Pub. 100-04, Chapter 24 Update for Security Requirements  09/10/2012  8004 R2346CP  11/18/2011  Medicare Claims Processing Pub. 100-04 Chapter 24 Update for HIPAA 5010 and EDI Enhancements 12/19/2011  7598 Rev #  Issue Date  Subject  Impl Date  CR#  R2181CP  03/25/2011  Medicare Claims Processing Pub. 100-04 Chapter 24 Update for HIPAA 5010 and EDI Enhancements 04/25/2011  7269 R2164CP  02/25/2011  Healthcare Provider Taxonomy Codes (HPTC) Update April 2011 07/05/2011  7318 R1768CP  07/10/2009  Update to Pub. 100-04, Chapter 24, Section  40.7 of the Claims Processing Manual 08/10/2009  6531 R1736CP  05/15/2009  Chapter 24 Update to Restore Inadvertently Deleted Information and to Remove Outdated Information 08/17/2009  6201 R1720CP  04/24/2009  Health Insurance Portability and Accountability Act (HIPAA) American National Standards Institute (ANSI) 837 5010 Coordination of Benef its (COB) Requirements --Part II  07/06/2009  6374 R1614CP  10/03/2008  Healthcare Provider Taxonomy Codes (HPTC) Update October 2008 10/06/2008  6190 R1601CP  09/19/2008  Update to Chapter24 of the Claims Processing Manual  10/20/2008  5974 R1420CP  01/25/2008  Clarification Regarding the Coordination of Benefits Agreement (COBA) Medigap Claim-Based Crossover Process 02/01/2008  5837 R1353CP  10/15/2007  Application of ASCA Enforcement Review Decisions Made by Other Medicare Contractors to the Same Providers When Selected for ASCA Review  by the Railroad Medicare Carrier, Elimination of References to Claim Status and COB Medicare HIPAA Contingency Plans and Changes to Reflect Transfer of Responsibility for Medigap Claims to the COBC Contactor  01/07/2008  5606 Rev #  Issue Date  Subject  Impl Date  CR#  R1284CP  07/09/2007  Chapter 24 Update and EFT Format Standardization 10/01/2007  5586 R1283CP  07/06/2007  National Provider Identifier (NPI) Required to Enroll in Electronic Data Interchange (EDI), Update of Telecommunication and Transmissio n Protocols for EDI and Deletion of Obsolete Reference to Medicaid Subrogation Claims 10/01/2007  5637 R1214CP  03/30/2007  Discontinuance of ASCA Excel Spreadsheet Maintenance  07/02/2007  5509 R1213CP  03/30/2007  EDI Enrollment and Electronic Claim Record Retention  07/02/2007  5491 R1194CP  03/09/2007  Temporary Addition to the Administrative Simplification Act (ASCA) Exception List for Medicare Secondary Payer (MSP) Claims  04/09/2007  5488 R1081CP  10/20/2006  Electronic Data Interchange (EDI) Media Changes  04/02/2007  5225 R1077CP  10/13/2006  Electronic Data Interchange (EDI) Media Changes  01/16/2007  5225 R1063CP  09/22/2006  Ending the Contingency Plan for Remittance Advice and Charging for PC Print, Medicare Remit Easy Print, and Duplicate Remittance Advice 10/23/2006  5308 R1033CP  08/18/2006  Revise Chapters 22 and 24 to delete references to free downloads of X12 implementation guides adopted as HIPAA standards from Washington Publishing Company (WPC) 11/20/2006  5247 R958CP  05/26/2006  Chapter 24 Update to the National Council for Prescription Drug Program (NCPDP) 08/26/2006  5092 Rev #  Issue Date  Subject  Impl Date  CR#  Narrative Portion of Prior Authorization Segment  R952CP  05/19/2006  Administrative Simplification Compliance Act (ASCA) Review Revisions  10/02/2006  5068 R900CP  04/07/2006  Update to Chapter 24 CMS Website URL References  07/07/2006  4398 R885CP  03/10/2006  Suppression of Standard Paper Remittance Advice to Providers and Suppliers Also Receiving Electronic Remittance Advice for 45 Days or More 06/1/2006 4376 R831CP  02/02/2006  Shared Systems Medicare Secondary Payer (MSP) Balancing Edit, and Administrative Simplification Compliance Act (ASCA) Enforcement Update 07/03/2006  4261 R802CP  12/30/2005  Termination of the Medicare HIPAA Incoming Claim Contingency Plan, Addition of a Self -Assessable Unusual Circumstance,  Modification of the OTAF Exception, and Modification of ASCA Exhibit Letters A, B and C 04/03/2006  4119 R615CP  07/22/2005  Complete Revision of Chapter 24, EDI Support Requirements 10/03/2005  3875 R541CP  04/29/2005  Correction to the use of Group Codes for the Enforcement of Mandatory Electronic Submission of Medicare Claims  07/05/2005  3815 R450CP  01/27/2005  Enforcement of Mandatory Electronic Submission of Medicare Claims  07/05/2005  3440 R448CP  01/21/2005  Timeframe for Continued Execution of Crossover Agreements and Update on the Transition to the National Coordination of Benefits Agreement (COBA) Program  02/22/2005  3658 Rev #  Issue Date  Subject  Impl Date  CR#  R435CP  01/14/2005  Enforcement of Mandatory Electronic Submission of Medicare Claims  07/05/2005  3440 R238CP  07/23/2004  Intermediary Shared System Changes for Processing HIPAA X12N 837 Transaction 01/03/2005  3321 R199CP  06/10/2004  Rejection of any outpatient claim containing a range of dates in the line item date of service (LIDOS) field  10/04/2004  3337 R175CP  05/14/2004  Instructions for Intermediary Shared Systems Maintainers for Implementation of HIPAA X12N institutional 837 transaction 10/04/2004  3264 R162CP  04/30/2004  Cessation of Support for NSF 10/04/2004  3180 R138CP  04/09/2004  Beta Testing COB Implementation  07/06/2004  3218 R107CP  02/24/2004  Intermediaries and Intermediary Shared System Maintainers must make necessary changes to implement the HIPAA X12N 837 Institutional 837 transaction 07/06/2004  3031 R099CP  02/09/2004  Contractors and shared systems maintainers must make necessary changes to implement the HIPAA X12N 837 coordination of benefits transaction  07/06/2004  3100 R098CP  02/06/2004  Implementation of National COB Process for Crossover Claims  07/06/2004  3109 R086CP  02/06/2004  Required pre- pass editing processes to prevent certain  claim errors from being accepted into the Part B and DMERC shared systems  07/06/2004  3050 R084CP  02/06/2004  Allowing segments to be transmitted in any order  07/06/2004  3095 R057CP  01/02/2004  Accommodating 15 Positions of ISA08 Data on Outbound X12N