(Medicare & Medicaid)

06/17/14  8730  R1384OTN  05/16/14  Posting the Limiting Charge after Applying the Electronic Health Record (EHR) and Physician Quality Reporting System (PQRS) Negative Adjustments  10/06/14  8667  R1383OTN  05/09/14  Implementation of a Prospective Payment System (PPS) for Federally Qualified Health Centers (FQHCs)  10/06/14  8743  R1380OTN  05/02/14  Present on Admission (POA) Indicator Editing for Maryland Waiver Hospitals  10/06/14  8709  R1379OTN  05/02/14  Anesthesiologist/Certified Registered Nurse Anesthetist (CRNA) Related Services in a Method II Critical Access Hospital (CAH)  10/06/14  8708  R1378OTN  05/02/14  Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - June 1, 2014 version 3.0.5  10/06/14  8711  R1377OTN  05/01/14  Hewlett Packard Enterprise Services, LLC (HPES) Shared Systems Maintainer (SSM) support for Medicare Administrator Contractors (MACs) testing and inquiries for the Combined Common Edits/Enhancements Module (CCEM) for Part A and Part B  10/06/14  8722  R1376OTN  05/01/14  Return Maintenance of the ANSILIST to the Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs)  10/06/14  8729  R1375OTN  05/01/14  Adding New MSP Data Fields to the CWF Daily File  10/06/14  8733  R1374OTN  05/01/14  Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for October 2014 10/06/14  8700  R1373OTN  04/28/14  CWF Editing for Vaccines Furnished at Hospice - Correction  04/07/14  8620  R1371OTN  04/18/14  Instructions to Contractors for Implementing Section 5506 of the Affordable Care Act (ACA) - Preservation of Resident Cap Positions from Closed Teaching Hospitals  Rounds 1, 2, 3 and After  05/19/14  8633  R1370OTN  04/10/14  Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - February 1, 2014 version 3.0.4  07/07/14  8651  R1369OTN  04/10/14  Clarification of Remittance Advice Code Combination Reports Generated by Shared Systems  10/06/14  8616  R1367OTN  04/09/14  Implementation of NACHA Operating Rules for Health Care Electronic Funds Transfers (EFT)  07/07/14  8629  R1366OTN  04/08/14  Termination of the Common Working File ELGA, ELGH, HIQA, HIQH, and HUQA Part A Provider Queries 04/07/14  8248  R1365OTN  04/02/14  Reporting principal and interest amounts when refunding previously recouped money on the Remittance Advice (RA)  10/06/14  8485  R1363OTN  03/28/14  Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - February 1, 2014 version 3.0.4  06/30/14  8651  R1362OTN  03/25/14  Rescind and Replace of CR 8409: Reclassification of Certain Durable Medical Equipment from the Inexpensive and Routinely Purchased Payment Category to the Capped Rental Payment Category  04/07/14  8566  R1361OTN  03/25/14  Implementation of NACHA Operating Rules for Health Care Electronic Funds Transfers (EFT)  07/07/14  8629  R1360OTN  03/18/14  Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - October 1, 2013 version 3.0.3  05/05/14  8518  R1359OTN  03/18/14  The Coordination of Benefits Contractor (COBC) to Remove and No Longer Apply Federal Tax Information (FTI) Received through the Internal Revenue Service (IRS), Social Security Administration (SSA), Centers for Medicare and Medicaid Services (CMS) Medicare Secondary Payer (MSP) Data Match Program on the Common Working File (CWF)  07/07/14  8353  R1358OTN  03/14/14  Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - October 1, 2013 version 3.0.3  04/07/14  8518  R1357OTN  03/07/14  International Classification of Diseases, 10th Revision (ICD -10) Testing with Providers through the Common Edits and Enhancements Module (CEM) and Common Electronic Data Interchange (CEDI)  03/12/14  8465  R1356OTN  03/06/14  Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) File to Include Diagnosis Codes on the Health Insurance Portability and Accountability Act 10/06/14  8456  Eligibility Transaction System (HETS) 270/271 Transactions   R1352OTN  02/21/14  International Classification of Diseases, Tenth Revision (ICD -10) Limited End to End Testing with Submitters  07/07/14  8602  R1351OTN  02/21/14  Implementation of HIPAA Standards and Operating Rules for Health Care Electronic Funds Transfers  07/07/14  8619  R1350OTN  02/21/14  Clarification of Remittance Advice Code Combination Reports Generated by Shared Systems  07/07/14  8616  R1349OTN  02/21/14  Implementation of NACHA Operating Rules for Health Care Electronic Funds Transfers (EFT)  07/07/14  8629  R1348OTN  02/21/14  Handling Bankrupt Suppliers within VMS   04/06/15  8502  R1347OTN  02/14/14  Inpatient Prospective Payment System (IPPS) Hospital Extensions per the Pathway for SGR Reform Act of 2013  04/07/14  8627  R1345OTN  02/14/14  Implementing Operating Rule (OR) -Phase III ERA Or Dual Delivery of ERA and Paper Remittance  07/07/14  8570  R1344OTN  02/07/14  Fee for Service Beneficiary Data Streamlining (FFS BDS)  07/07/14  8603  R1342OTN  02/06/14  Reporting principal and interest amounts when refunding previously recouped money on the Remittance Advice (RA)  07/07/14  8485  R1341OTN  02/06/14  Changing Fiscal Intermediary Shared System (FISS) Action on Informational Unsolicited Responses (IURs) From Canceled Claims to Adjustments  07/07/14  8554  R1340OTN  02/06/14  Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2014 07/07/14  8571  R1339OTN  02/06/14  CWF Editing for Vaccines Furnished at Hospice - Correction   04/07/14  8620  R1337OTN  02/05/14  Encounter Data System Payer ID: Payer ID Creation for the Financial Alignment Demonstration for Medicare Medicaid Plans (MMPs)  07/07/14  8489  R1336OTN  02/05/14  Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) File to Include Diagnosis Codes on the Health Insurance Portability and Accountability Act Eligibility Transaction System (HETS) 270/271 Transactions  07/07/14  8456  R1334OTN  01/24/14    Occurrence Span Code 72; Identification of Outpatient Time Associated with an Inpatient Hospital Admission and Inpatient Claim for Payment 02/25/14  8586  R1330OTN  12/27/13  Revised Beneficiary Liability and Messages Associated with Denials for Claims for Services Furnished to Incarcerated Beneficiaries  04/07/14  8488  R1329OTN  12/26/13  Immediate Suspension of Postpayment Patient Status Reviews of Inpatient Hospital Admissions 10/1/13-12/31/13  12/02/13  8508  R1326OTN  12/06/13  Informational Unsolicited Response (IUR) or Reject for Ambulance SNF to SNF Transfer  04/07/14  8408  R1323OTN  11/29/13  Medicare Appeals System (MAS) Level 1 Implementation  12/06/13  8354  R1322OTN  11/22/13  Merge of the Daily CMS -1522 PULSE Roll- Up Number Report Data for A/B MAC Workloads 01/27/14  8529  R1320OTN  11/22/13  Revised Beneficiary Liability and Messages Associated with Denials for Claims for Services Furnished to Incarcerated Beneficiaries  02/24/14  8488  R1318OTN  11/15/13  Use of Claim Adjustment Reason Code 23   04/07/14  8297  R1316OTN  11/15/13  Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - October 1, 2013 version 3.0.3  04/07/14  8518  R1315OTN  11/15/13  Immediate Suspension of Postpayment Patient Status Reviews of Inpatient Hospital Admissions 10/1/13-12/31/13 12/02/13  8508  R1314OTN  11/13/13  Implementation of the Award for the Jurisdiction K (JK) Part A and Part B Medicare Administrative Contractor (A/B MAC) to National Government Services  10/07/13  8303  R1313OTN  11/07/13  Termination of the Common Working File ELGA, ELGH, HIQA, HIQH, and HUQA Part A Provider Queries 04/07/14  8248  R1312OTN  11/07/13  Common Working File (CWF) and Fiscal Intermediary Standard System (FISS) Informational Unsolicited Response (IUR) or Denial of Inpatient Services Related to a Hospice Terminal Diagnosis  04/07/14  8273  R1311OTN  11/06/13  Informational Unsolicited Response (IUR) or Reject for Ambulance SNF to SNF Transfer  04/07/14  8408  R1310OTN  11/06/13  HCPCS Analysis CR for Conversion of Old HCPCS Code to New