(Medicare Claims Processing Manual)

01/26/2012 Medicare System Update to Include a Rendering Provider Field to Allow Correct Physician National Provider Identifier (NPI) Reporting for the Primary Care Incentive Program (PCIP) for Critical Access Hospitals (CAHs) Reimbursed Under the Optional Method 07/02/2012 7686 R2395CP 01/26/2012 Multiple Procedure Payment Reduction (MPPR)for Physician Services for Certain Diagnostic Imaging Procedures in Critical Access Hospitals (CAH)  07/02/2012 7684 R2386CP 01/13/2012 January 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)  01/03/2012 7672 R2376CP 12/29/2011 January 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)  Rescinded and replaced by Transmittal 2386 01/03/2012 7672 R2361CP 11/25/2011 Clarification and Revisions for Claims Submitted for End Stage Renal Disease (ESRD) Patients  04/02/2012 7593 R2335CP 10/28/2011 Clarification and Revisions for Claims Submitted for End Stage Renal Disease (ESRD) Patients  Rescinded and replaced by Transmittal 2361 04/02/2012 7593  Rev #  Issue Date  Subject  Impl Date  CR#  R2333CP  10/28/2011 Payment for Multiple Surgeries in a Method II Critical Access Hospital (CAH)  04/02/2012 7587 R2311CP 09/23/2011 Implementation of the MIPPA 153c End Stage Renal Disease (ESRD) Quality Incentive Program (QIP) and Other Requirements for ESRD Claims  01/03/2012 7460 R2296CP 09/02/2011 October 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS)  10/03/2011 7545 R2291CP 08/26/2011 Fiscal Year (FY) 2012 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH) PPS, and Critical Access Hospital (CAH) Changes  10/03/2011 7508 R2268CP 08/01/2011 Anesthesiologist Services in a Method II Critical Access Hospital (CAH)  01/03/2012 7465 R2262CP 07/29/2011 Implementation of the MIPPA 153c End Stage Renal Disease (ESRD)  Quality Incentive Program (QIP) and Other Requirements for ESRD Claims  Rescinded and replaced by Transmittal 2311  01/03/2012 7460 R2242CP 6/17/2011 Revision to Formula to Compute the Time Value of Money under the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), Inpatient Rehabilitation Facility (IRF PPS), Inpatient Psychiatric Facility (IPF PPS) and Long Term Care Hospital (LTCH PPS)  07/01/2011 7464 R2234CP 05/27/2011 July 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS)  07/05/2011 7443  Rev #  Issue Date  Subject  Impl Date  CR#  R2232CP  05/27/2011 Critical Access Hospital (CAH) Optional Method Election for Outpatient Services  10/03/2011 7404 R2202CP 04/27/2011 Section 1833(a)(1)(F) of the Social Security Act -Payment of Licensed Clinical Social Workers (LCSW) in a Method II Critical Access Hospital (CAH)  10/03/2011 7361 R2201CP 04/22/2011 Section 1833(a)(1)(F) of the Social Security Act -Payment of Licensed Clinical Social Workers (LCSW) in a Method II Critical Access Hospital (CAH)  Rescinded and replaced by Transmittal 2202  10/03/2011 7361 R2169CP 03/03/2011 Incentive Payment Program for Primary Care Services, Section 5501(a) of the Patient Protection and Affordable Care Act (the ACA), Payment to a CAH Paid Under the Optional Method 04/04/2011 7115 R2141CP 01/24/2011 January 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS)  01/03/2011 7271 R2137CP 01/21/2011 Certified Registered Nurse Anesthetist (CRNA) Services n a Method II Critical Access Hospital (CAH) Without a CRNA Pass-Through Exemption  07/05/2011 7207 R2130CP 12/30/2010 January 2011 Update of the Hospital Outpatient Prospective Payment System (OPPS)  Rescinded and replaced by Transmittal 2141 01/03/2011 7271 R2127CP 12/29/2010 Medical Nutrition Therapy (MNT) Manual Correction 03/29/2011 7262 R2117CP 12/10/2010 Revisions to the Medicare Code Editor (MCE) and Integrated Outpatient Code Editor(IOCE) Reporting Requirements 01/12/2011 7246  Rev #  Issue Date  Subject  Impl Date  CR#  R2111CP  12/03/2010 Outlier Reconciliation and other Outlier Manual Updates for the Inpatient Prospective Payment System (IPPS), Outpatient Prospective Payment System (OPPS), Inpatient Rehabilitation Facility (IRF) PPS, Inpatient Psychiatric Facility (IPF) PPS and Long Term Care Hospital (LTCH) PPS 04/04/2011 7192 R2102CP 11/19/2010 Systems Changes Necessary to Implement Technical Correction Related to Critical Access Hospital Services, Section 3128 of the Affordable Care Act, Pub. 118-148 04/04/2011 7219 R2081CP 12/03/2010 Incentive Payment Program for Primary Care Services, Section 5501(a) of the Patient Protection and Affordable Care Act (the ACA), Payment to a CAH Paid Under the Optional Method  Rescinded and replaced by Transmittal 2169 04/04/2011 7115 R2078CP 10/28/2010 Incentive Payment Program for Major Surgical Procedures Furnished in Health Professional Shortage Areas, Section 5501(b) of the Patient Protection and Affordable Care Act (the ACA), and Payments to a Critical Access Hospital (CAH) Paid under the Optional Method 04/04/2011 7146 R2061CP 10/01/2010 October 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS)  10/04/2010 7117 R2050CP 09/17/2010 October 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS)  Rescinded and replaced by Transmittal 2061 10/04/2010 7117 R2024CP 08/06/2010 Payment for Certified Nurse -Midwife Services  01/03/2011 7005  Rev #  Issue Date  Subject  Impl Date  CR#  R1980CP  06/04/2010 July 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS)  07/06/2010 6996 R1976CP 05/28/2010 July 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS)  Rescinded and replaced by Transmittal 1980 07/06/2010 6996 R1930CP 03/09/2010 Outpatient Intravenous Insulin Treatment (Therapy)  04/05/2010 6775 R1924CP 02/26/2010 April 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS)  04/05/2010 6857 R1923CP 02/22/2010 Outpatient Intravenous Insulin Treatment (Therapy)  Rescinded and replaced by Transmitta l 1930 03/08/2010 6775 R1921CP 02/19/2010 Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncoverage (ABNs)  04/05/2010 6563 R1913CP 02/05/2010 Outpatient Intravenous Insulin Treatment (Therapy)  Rescinded and replaced by Transmittal 1923 03/08/2010 6775 R1894CP 01/15/2010 Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncoverage (ABNs)  Rescinded and replaced by Transmittal 1921  04/05/2010 6563 R1882CP 12/21/2009 January 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS)  01/04/2010 6751 R1871CP 12/11/2009 January 2010 Update of the Hospital Outpatient Prospective Payment System (OPPS) - Rescinded and replaced by Transmittal 1882 01/04/2010 6751  Rev #  Issue Date  Subject  Impl Date  CR#  R1846CP  11/06/2009 Implementation of Common Working File (CWF) Editing for Diabetes Self -Management Training (DSMT) and Medical Nutrition Therapy (MNT)  04/05/2010 6553 R1840CP 10/29/2009 Billing for Services Related to Voluntary Uses of Advanced Beneficiary Notices of Noncoverage (ABNs)  Rescinded and replaced by Transmittal 1894  04/05/2010 6563 R1782CP 07/30/2009 Section 148 of the Medicare Improvements for Patients and Providers Act (MIPPA)  07/06/2009 6395 R1781CP 07/29/2009 Payment for Co -surgeons in a Method II Critical Access Hospital  (CAH)  07/06/2009 6319 R1777CP  07/24/2009 Payment of Bilateral Procedures in a Method II Critical Access Hospital (CAH)  01/04/2010 6526 R1760CP 06/23/2009 July 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)  07/06/2009 6492 R1745CP 05/22/2009 July 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS) - Rescinded and replaced by Transmittal 1760 07/06/2009 6492 R1729CP 05/08/2009 Section 148 of the Medicare Improvements for Patients and Providers Act (MIPPA) - Rescinded and replaced by Transmittal 1782 07/06/2009 6395 R1719CP 04/24/2009 Rural Health Clinic (RHC) and Federally Qualified Health Clinic (FQHC) Updates  10/05/2009 6445 R1712CP 04/17/2009 Section 148 of the Medicare Improvements for Patients and Providers Act (MIPPA) - Rescinded and replaced by Transmittal 1729 07/06/2009 6395  Rev #  Issue Date  Subject  Impl Date  CR#  R1702CP  03/13/2009 April 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)  04/06/2009 6416 R1672CP 01/30/2009 Payment for Co -surgeons in a Method II Critical Access Hospital (CAH)  Rescinded and replaced by Transmittal 1781 07/06/2009 6319 R1657CP 12/31/2008 January 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)  01/05/2009 6320 R1649CP 12/18/2009 Procedures for Paying Claims Without Passing Through the Integrated Outpatient Code Editor (OCE) or Medicare Code Editor (MCE)  11/25/2008 6252 R1639CP 11/21/2008 Health Professional Shortage Area (HPSA) Bonus Payment Policy Changes  01/05/2009 6106 R1628CP 11/03/2008 Payment for Implanted Prosthetic Devices for Part B Inpatients in Hospitals that are Paid Under the Hospital Outpatient Prospective Payment System ( OPPS)  01/05/2009 6050 R1620CP