(Medicare Claims Processing Manual)

Subject  Impl  Date  CR#  R1745CP  05/22/2009 July 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS) -  Rescinded and replaced by Transmittal 1760 07/06/2009 6492 R1729CP  05/08/2009 Section 148 of the Medicare Improvements for Patients and Providers Act (MIPPA) -  Rescinded and replaced by Transmittal 1782 07/06/2009 6395 R1719CP  04/24/2009 Rural Health Clinic (RHC) and Federally Qualified Health Clinic (FQHC) Updates  10/05/2009 6445 R1712CP  04/17/2009 Section 148 of the Medicare Improvements for Patients and Providers Act (MIPPA) -  Rescinded and replaced by Transmittal 1729 07/06/2009 6395 R1702CP  03/13/2009 April 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS)  04/06/2009 6416 R1672CP  01/30/2009 Payment for Co- surgeons in a Method II Critical Access Hospital (CAH)  Rescinded and replaced by Transmittal 1781 07/06/2009 6319 R1657CP  12/31/2008 January 2009 Update of the Hospital Outpatient Prospective Payment System (OPPS) 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 01/05/2009 6050 Rev #  Issue Date  Subject  Impl  Date  CR#  Hospital Outpatient Prospective Payment System (OPPS)  R1620CP  10/24/2008 Payment of Assistant at Surgery Services in a Method II Critical Access Hospital (CAH)  04/06/2009 6123 R1619CP  10/24/2008 Procedures for Paying Claims Without Passing Through the Integrated Outpatient Code Editor (OCE) or Medicare Code Editor (MCE) -  Rescinded and replaced by Transmittal 1649 11/25/2008 6252 R1599CP  09/19/2008 October Update of the Hospital Outpatient Prospective Payment System (OPPS)  10/06/2008 6196 R1597CP  09/12/2008 Payment for Implanted Prosthetic Devices for Part B Inpatients in Hospitals that are Paid Under the Hospital Outpatient Prospective Payment System (OPPS) -  Rescinded and replaced by Transmittal 1628 01/05/2009 6050 R1590CP  09/08/2008 October 2008 Integrated Outpatient Code Editor (I/OCE) Specifications Version 9.3  10/06/2008 6186 R1574CP  08/12/2008 Physician Fee Schedule Payment Policy Indicator File Record Layout for Use in Processing Method II Critical Access Hospital (CAH) Claims for Professional Services  10/06/2008 6013 R1536CP  06/19/2008 July 2008 Update of the Hospital Outpatient Prospective Payment System (OPPS)  07/07/2008 6094 R1508CP  05/16/2008 Physician Fee Schedule Payment Policy Indicator File Record Layout for Use in Processing Method II Critical Access Hospital (CAH) Claims for Professional Services - Rescinded and replaced by Transmittal 1574 10/06/2008 6013 Rev #  Issue Date  Subject  Impl  Date  CR#  R1472CP  03/06/2008 Update of Institutional Claims References  04/07/2008 5893 R1446CP  02/08/2008 Update to Common Working File (CWF) Edits 7284 and 7548 07/07/2008 5907 R1445CP  02/08/2008 January 2008 Update of the Hospital Outpatient Prospective Payment System (OPPS) -Manualization  03/10/2008 5946 R1434CP  02/05/2008 Extension of the Dates of Service for the Physician Scarcity Area (PSA) Bonus Payment  01/07/2008 5937 R1421CP  01/25/2008 Update of Institutional Claims References -  Rescinded and Replaced by Transmittal 1472 04/07/2008 5893 R1383CP  11/23/2007 Adjustment to Payment Under Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for Partial Device Credit 07/07/2008 5668 R1355CP  10/19/2007 National Uniform Billing Committee (NUBC) Update on Revenue Codes and Corrected Skilled Nursing Facility (SNF) Spell of Illness Chart  01/22/2008 5734 R1336CP  09/14/2007 October 2007 Update of the Hospital Outpatient Prospective Payment System (OPPS) Summary of Payment Policy Changes  10/01/2007 5718 R1325CP  08/29/2007 Testing and Implementation of 2008 Ambulatory Surgical Center (ASC) Payment System Changes  01/07/2008 5680 R1321CP  08/24/2007 Sunset of the Physician Scarcity Area (PSA) Bonus Payment  01/07/2008 5711 R1308CP  07/20/2007 Testing and Implementation of 2008 Ambulatory Surgical Center (ASC) Payment System Changes  Replaced by Transmittal 1325 01/07/2008 5680 Rev #  Issue Date  Subject  Impl  Date  CR#  R1297CP  07/20/2007 Adjustment to Payment Under Hospital Outpatient Prospective Payment System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for Partial Device Credit  Replaced by Transmittal 1383 01/07/2008 5668 R1151CP  01/11/2007 Skilled Nursing Facility (SNF) Consolidated Billing (CB) Common Working File (CWF) Edit Bypass Instructions for Hospital Emergency Room (ER) Services Spanning Multiple Service Dates  04/02/2007 5389 R1111CP  11/09/2006 Clarification on Billing for Cryosurgery of the Prostate Gland  04/02/2007 5376 R1109CP  11/09/2006 Skilled Nursing Facility (SNF) Consolidated Billing (CB) Common Working File (CWF) Edit Bypass Instructions for Hospital Emergency Room (ER) Services Spanning Multiple Service Dates  04/02/2007 5389 R1107CP  11/09/2006 Notification and Testing of an Integrated Outpatient Code Editor (OCE) for the July 2007 Release  07/02/2007 5344 R1103CP  11/03/2006 Reporting and Payment of No- Cost Devices Furnished by Outpatient Prospective Payment (OPPS) Hospitals  01/02/2007 5263 R1070CP  09/29/2006 New 2007 Current Procedural Terminology (CPT) Mammography Codes  01/02/2007 5327 R1060CP  09/18/2006 October 2006 Update of the Hospital Outpatient Prospective Payment System (OPPS): Summary of Payment Policy Changes  10/02/2006 5304 R1041CP  08/25/2006 Change in Healthcare Common Procedure Coding System (HCPCS) for Renal Dialysis Facilities and Hospitals Billing for End Stage Renal Disease 01/02/2007 5216 Rev #  Issue Date  Subject  Impl  Date  CR#  (ESRD) Related Epoetin Alfa (EPO) Effective January 1, 2007 R1030CP  08/11/2006 Policy Changes to the Fiscal Intermediary (FI) Calculation of Hospital Outpatient Payment System (OPPS) and Community Mental Health Center (CMHC) Cost to Charge Ratios (CCRs)  01/02/2007 5238 R1007CP  07/28/2006 Change in Healthcare Common Procedure Coding System (HCPCS) for Renal Dialysis Facilities and Hospitals Billing for End Stage Renal Disease (ESRD) Related Epoetin Alfa (EPO) Effective January 1, 2007 01/02/2007 5216 R980CP  06/14/2006 Changes Conforming to CR 3648 Instructions for Therapy Services -  Replaces Rev. 941  10/02/2006 4014 R976CP  06/09/2006 Billing of Temporary "C" HCPCS Codes by Non- Outpatient Prospective Payment System (Non- OPPS) Providers  10/02/2006 5027 R941CP  05/05/2006 Changes Conforming to CR 3648 Instructions for Therapy Services  10/02/2006 4014 R903CP  04/14/2006 Payment for Blood Clotting Factors Administered to Hemophilia Inpatients  07/14/2006 4229 R881CP  03/03/2006 Outpatient Prospective Payment System Hospital Emergency Room Services Exceeding 24 Hours  04/03/2006 4252 R817CP  01/20/2006 Update to the Inpatient Provider Specific File (PSF) and the Outpatient Provider Specific File (OPSF) to Retain Provider Information 04/03/2006 4279 R803CP  01/03/2006 Administration of Drugs and Biologicals in a Method II Critical Access Hospital  04/03/2006 4234 Rev #  Issue Date  Subject  Impl  Date  CR#  R795CP  12/30/2005 Redefined Type of Bill 14X for Non-Patient Laboratory Specimens -CR 3835 Manualization  04/03/2006 4208 R787CP  12/16/2005 January 2006 Update of the Hospital Outpatient Prospective Payment System Manual Instruction: Changes to Coding and Payment for Drug Administration.  01/03/2006 4259 R785CP  12/16/2005 January 2006 Update of the Hospital Outpatient Prospective Payment System Manual Instruction: Changes to Coding and Payment for Drug Administration.  01/03/2006 4258 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 R763CP  11/25/2005 Update to Repetitive Billing -- Manualization  N/A 4047 R734CP  10/28/2005 Redefined Type of Bill (TOB), 14x, for Non-Patient Laboratory Specimens  04/03/2006 3835 R711CP  10/14/2005 Update to Repetitive Billing -- Manualization  N/A 4047 R673CP  09/09/2005 Manual Update on Medical Nutrition Therapy (MNT) Services -  Manualization  N/A 3955 R658CP  08/26/2005 Billing for Devices Under the Hospital Outpatient Prospective Payment System (OPPS)  10/03/2005 4017 R650CP  08/12/2005 Manual Update on Medical Nutrition Therapy Services -  Manualization  N/A 3955 Rev #  Issue Date  Subject  Impl  Date  CR#  R646CP  08/12/2005 Update to the Inpatient Provider Specific File (PSF) and the Outpatient PSF to Retain Provider Information 01/03/2006 3940 R617CP  07/22/2005 Administration of Drugs and Biologicals in a Method II Critical Access Hospital (CAH)  10/24/2005 3911 R616CP  07/22/2005 Certified Registered Nurse Anesthetist Pass-Through Payment  01/03/2006 3833 R608CP  07/22/2005 New Health Professional Shortage Area (HPSA) Modifier  01/03/2006 3935 R596CP  06/24/2005 Indian Health Service (IHS) or Tribal Hospitals Including Critical