(Medicare Claims Processing Manual)

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File Record Layout for Use in Processing Method II Critical Access Hospital (CAH) Claims for Professional Services - Rescinded and replaced by Transmittal 1574 10/06/2008 6013 R1472CP  03/06/2008 Update of Institutional Claims References  04/07/2008 5893 R1446CP  02/08/2008 Update to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Scarcity Area (PSA) Bonus Payment 01/07/2008 5937 R1421CP  01/25/2008 Update of Institutional Claims References - Rescinded and Replaced by Transmittal 1472  04/07/2008 5893 R1383CP  11/23/2007 Adjustment to Payment Under Hospital Outpatient Prospective Payment 07/07/2008 5668  Rev #  Issue Date  Subject  Impl Date  CR#  System (OPPS) and Ambulatory Surgical Center (ASC) Payment System for Partial Device Credit 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  Re placed by Transmittal 1325  01/07/2008 5680 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 Cryosur gery 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 04/02/2007 5389  Rev #  Issue Date  Subject  Impl Date  CR#  Instructions for Hospita l Emergency Room (ER) Services Spanning Multiple Service Dates  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 (ESRD) Related Epoetin Alfa (EPO) Effective January 1, 2007 01/02/2007 5216 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  Rev #  Issue Date  Subject  Impl Date  CR#  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 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 Pros pective 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 Pro spective 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  Rev #  Issue Date  Subject  Impl Date  CR#  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 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 Access Hospital (CAH) Payment Methodology for Inpatient Social Admissions and Outpatient Services Occurring During Concurrent Stays  04/04/2005 3452 R573CP  06/03/2005 Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital 06/01/2005 3848  Rev #  Issue Date  Subject  Impl Date  CR#  Outpatient Prospective Payment System (OPPS)  R566CP  05/20/2005 Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System (OPPS)  06/01/2005 3848 R557CP  05/06/2005 Clarifying Manual Instructions for Coding and Payment for Drug Administration Under the Hospital Outpatient Prospective Payment System (OPPS)  06/01/2005 3848 R530CP  04/22/2005 Billing Requirements for Physician Services Rendered in Method II Critical Access Hospitals (CAHs)  07/05/2005 3800 R496CP  03/04/2005 Billing for Blood and Blood Products Under the Hospital Outpatient Prospective Payment System (OPPS)  07/05/2005 3681 R483CP  02/25/2005 Hospital Partial Hospitalization Services Billing Requirements  10/04/2004 3297 R477CP  02/18/2005 New Case -Mix Adjusted End Stage Renal Disease (ESRD) Composite Payment Rates and New Composite Rate Exceptions Window for Pediat ric ESRD Facilities  04/04/2005 3720 R465CP  02/04/2005 Billing Requirements for Physician Services in Method II Critical Access Hospitals (CAHs)  07/05/2005 3559 R442CP  01/21/2005 Hospital Outpatient Prospective Payment System (OPPS): Use of Modifiers - 52, -73 and -74 for Reduced or Discontinued Services  02/22/2005 3507 R407CP  12/17/2004 Hospital Billing for Repetitive Services  01/03/2005 3633 R404CP  12/17/2004 January 2005 Update of the Hospital Outp atient Prospective Payment 01/03/2005 3610  Rev #  Issue Date  Subject  Impl Date  CR#  System (OPPS): Changes to Coding and Payment for Drug Administration  R403CP  12/17/2004 January 2005 Update of the Hospital Outpatient Prospective Payment System (OPPS): Billing for Devices that do not have Transitional Pass -Through Status, and that are not Classified as New Technology Ambulatory Payment Classification (APC) Groups  01/03/2005 3606 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 R370CP  11/19/2004 New Case -Mix Adjusted End Stage Renal Disease (ESRD) Composite Payment Rates and New Composite Rates and New Composite Rate Exceptions Window for Pediatric ESRD Facilities  04/04/2005 3572 R351CP  10/29/2004 Editing of Hospitals and Skilled Nursing Facilities Part B Inpatient Services (Full Replacement of Change Request 3366)  01/03/2005 3531 R336CP  10/29/2004 Indian Health Service (IHS) or Tribal Hospitals including Critical Access Hospitals (CAH) Payment Methodology for Inpatient Social Admissions and Outpatient Services Occurring During Concurrent S tays 04/04/2005 3452 R301CP  09/17/2004 Editing Of Hospital And Skilled Nursing Facility Part B Inpatient