(Medicare Claims Processing Manual)

Revisions to Instructions for Contractors Other Than the Religious Nonmedical Health Care 05/11/2006  4218  Rev #  Issue Date  Subject  Impl Date  CR#  Institutions Specialty Contractor Regarding Claims for Beneficiaries with RNCHI Elections  R843CP  02/09/2006  Inpatient Admission Followed by Discharge or Death Prior to Room Assignment  07/03/2006  4202  R836CP  02/03/2006  Inpatient Admission Followed by Discharge or Death Prior to Room Assignment  Rescinded and replaced by Transmittal 843  07/03/2006  4202  R817CP  01/20/2006  Update to the Inpatient Provider specific File and the Outpatient Provider Specific File to Retain Provider Information  04/03/2006  4279  R803CP  01/03/2006  Administration of Drugs and Biologicals in a Method II Critical Access Hospital (CAH) -Rescinds and Replaces CR 3911  04/03/2006  4234  R776CP  12/06/2005  Stem Cell Transplantation  01/03/2006  4173  R771CP  12/02/2005  Revisions to Pub. 100 -04, Medicare Claims Processing Manual in Preparation for the National Provider Identifier  01/03/2006  4181  R768CP  12/02/2005  Lung Volume Reduction Surgery  03/02/2006  4149  R766CP  12/02/2005  Stem Cell Transplantation  - Rescinded and replaced by Transmittal 776  01/03/2006  4173  R714CP  10/21/2005  Payment Window Edit Corrections within the Common Working File (CWF)  04/03/2006  4089  R707CP  10/12/2005  IPPS Outlier Reconciliation  11/07/2005  3966  R703CP  10/07/2005  IPPS Outlier Reconciliation   Rescinded and replaced by Transmittal 703  11/07/2005  3966  R698CP  10/07/2005  The Supplemental Security Income (SSI) Medicare Beneficiary Data for Fiscal Year 2006 for the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS)  11/07/2005  4065  R693CP  09/30/2005  Updates to the IRF and SNF Provider Specific File and Changes in Inpatient Rehabilitation Facility Prospective Payment System For FY 2006  10/31/2005  4099  R668CP  09/02/2005  Enforcement of Hospital Inpatient Bundling: Carrier Denial of Ambulance Claims during an Inpatient Stay  01/03/2006  3933  R654CP  08/19/2005  Services Not Provided Within United States  11/17/2005  3781  R646CP  08/12/2005  Update to the Inpatient Provider Specific File (PSF) and the Outpatient PSF to Retain Provider 01/03/2006  3940  Rev #  Issue Date  Subject  Impl Date  CR#  Information   Rescinded and replaced by Transmittal 817  R632CP  07/29/2005  Billing and Claims Processing Instructions for Claims Subject to Expedited Determinations  01/03/2006  3949  R622CP  07/29/2005  Enforcement of Hospital Inpatient Bundling: Carrier Denial of Ambulance Claims during an Inpatient Stay  01/03/2006  3933  R619CP  07/29/2005  Late IRF -PAI Data Submission Penalty Protocol Within the Inpatient Rehabilitation Facility Prospective Payment System  01/03/2006  3885  R594CP  06/24/2005  Preliminary Instructions: Expedited Determinations/Reviews for Original Medicare  07/01/2005  3903  R577CP  06/03/2005  Preliminary Instructions: Expedited Determinations/Reviews for Original Medicare  07/01/2005  3903  R530CP  04/22/2005  Billing Requirements for Physician Services Rendered in Method II Critical Access Hospitals (CAHs)  07/05/2005  3800  R526CP  04/15/2005  Updated Requirements for Autologous Stem Cell Transplantation (AuSCT)  05/16/2005  3797  R478CP  02/18/2005  Clarification of the Verification Process to be Used to Determine if the Inpatient Rehabilitation Facility Meets The IRF Classification Criteria  03/21/2005  3704  R465CP  02/04/2005  Billing Requirements for Physician Services in Method II Critical Access Hospitals (CAHs)  07/05/2005  3559  R392CP  12/10/2004  The Supplemental Security Income (SSI) Medicare Beneficiary Data for Fiscal Year 2003 for Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS)  01/10/2005  3567  R384CP  12/01/2004  Inpatient Psychiatric Facility Prospective Payment System (IPF PPS)  04/04/2005  3541  R383CP  11/26/2004  Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) Replaced by Transmittal 384.  04/04/2005  3541  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  R357CP  11/05/2004  Implementation of Coverage of Religious Nonmedical Health Care Institution Items and 04/04/2005  3529  Rev #  Issue Date  Subject  Impl Date  CR#  Services Furnished in the Home, MMA section 706 R347CP  10/29/2004  Inpatient Rehabilitation Facility (IRF) Classification Requirements  11/29/2004  3503  R291CP  08/27/2004  Use of Transmission Date in the Service Date/Assessment Date Field for Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) Claims  01/03/2005  3433  R285CP  08/27/2004  Addition of Physician Assistants, Nurse Practitioners and Clinical Nurse Specialists as Emergency On -Call Providers for Critical Access Hospitals (CAHs)  01/03/2005  3228  R276CP  08/13/2004  Further Information Related to CR 3175, Distinct Part Units of Critical Access Hospitals (CAHs)  01/03/2005  3399  R267CP  07/30/2004  Crossover Patients in New Long Term Care Hospitals (LTCH)  01/03/2005  3391  R266CP  07/30/2004  Revision of Common Working File (CWF) Editing for Same- Day, Same- Provider Acute Care Readmissions  01/03/2005  3389  R263CP  07/30/2004  Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer for FY 2005  10/04/2004  3378  R231CP  07/23/2004  Indian Health Service or Tribal Critical Access Hospitals Billing for Professional Services  01/03/2005  3235  R221CP  06/25/2004  Medicare IRF Classification Requirements  07/01/2004  3334  R208CP  06/18/2004  Long Term Care Hospital Prospective Payment System (LTCH PPS) Fiscal Year 2005 -Update  07/06/2004  3335  R161CP  04/30/2004  Informing Beneficiaries about which local Medical Review Policy (LMRP) and /or Local Coverage Determination (LCD) and o/or National Coverage Determination (NCD) is associated with their claim denial - rescinded and replaced with Pub. 100 -08, Transmittal 75 . 10/04/2004  3089  R156CP  04/30/2004  Clarification of payments and billing procedures for hospitals subject to the Maryland waiver  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  R144CP  04/23/2004  Distinct Part Units for Critical Access Hospitals  10/04/2004  3175  Rev #  Issue Date  Subject  Impl Date  CR#  R087CP  02/06/2004  Expansion of Transfer Policy Under Inpatient Payment Prospective System  07/06/2004  2934  R077CP  02/06/2004  Change in Methodology for Determining Payment for Outliers  03/08/2004  2998  R073CP  01/23/2004  MCE and IPPS Transfers Between Hospitals  N/A 2716 & 2891  R070CP  01/23/2004  Hospital Operating Payments Under PPS  02/23/2004  3038  R068CP  01/16/2004  New Requirements for Critical Access Hospitals. These changes have been established with the "Medicare Prescription Drug, Improvement, and Modernization Act" (MPDIMA) of 2003, Pub.L. 108 -173 04/05/2004  3052  R039CP  12/08/2003  Low-Income Provides Adjustment: The Supplemental Security Income Medicare Beneficiary Data for Fiscal Year 2002 for IRFs Paid Under the PPS  01/05/2004  2978  R026CP  11/04/2003  Lung Volume Reduction Surgery  01/05/2004  2688  R010CP  10/17/2003  Heart Transplants  10/01/2003  2958  R001CP  10/01/2003  Initial Publication of Manual  NA NA Back to top of Chapter