(Medicare Claims Processing Manual)

Rev #  Issue Date  Subject  Impl Date  CR#  R4259CP  03/22/2019 Billing for Hospital Part B Inpatient Services  06/21/2019    11181 R4257CP  03/14/2019 Implementation of the Medicare Performance Adjustment (MPA) for the Maryland Total Cost of Care (MD TCOC) Model - Rescinded and replaced by Transmittal 4308 07/01/2019 10971 R4255CP  03/15/2019 April 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS)  04/01/2019 11216 R4233CP  02/08/2019 Update to Publication (Pub.) 100- 04 Chapters 4 and 17 to Provide Language -Only Changes for the New Medicare Card Project  03/12/2019 11084 R4230CP  02/01/2019 Implementation of the Medicare Performance Adjustment (MPA) for the Maryland Total Cost of Care (MD TCOC) Model - Rescinded and replaced by Transmittal 4257 07/01/2019 10971 R4204CP  01/17/2019 January 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS)  01/07/2019 11099 R4186CP  12/31/2018 January 2019 Update of the Hospital Outpatient Prospective Payment System (OPPS) - Rescinded and replaced by Transmittal 4204 01/07/2019 11099 R4157CP  11/02/2018 Hospital and Critical Access Hospital (CAH) Swing -Bed Manual Revisions and Shared Systems Changes  04/01/2019 10962 R3941CP  12/22/2017 January 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS)  01/02/2018 10417 R3795CP  06/17/2017 Updates in the Fiscal Intermediary Shared System (FISS) Inpatient and Outpatient Provider Specific Files (PSF)  10/02/2017 10165 Rev #  Issue Date  Subject  Impl Date  CR#  R3750CP  04/17/2017 New Fields in the Fiscal Intermediary Shared System (FISS) Inpatient and Outpatient Provider Specific Files (PSF)  07/03/2017 9926 R3739CP  03/17/2017 Billing for Advance Care Planning (ACP) Claims  06/19/2017 10000 R3685CP  12/22/2016 January 2017 Update of the Hospital Outpatient Prospective Payment System (OPPS)  01/03/2017 9930 R3680CP  12/19/2016 Update to the Fiscal Intermediary Shared Systems (FISS) Outpatient Provider Specific File (OPSF) for Outpatient Prospective Payment System (OPPS) Hospitals  01/03/2017 9675 R3622CP  10/13/2016 Update to the Fiscal Intermediary Shared Systems (FISS) Outpatient Provider Specific File (OPSF) for Outpatient Prospective Payment System (OPPS) Hospitals  Rescinded and replaced by Transmittal 3680 01/03/2017 9675 R3582CP  08/05/2016 Update to the Fiscal Intermediary Shared Systems (FISS) Outpatient Provider Specific File (OPSF) for Outpatient Prospective Payment System (OPPS) Hospitals  01/03/2017 9675 R3578CP  08/05/2016 Multiple Procedure Payment Reduction (MPPR) on the Professional Component (PC) of Certain Diagnostic Imaging Procedures  01/03/2017 9647 R3571CP  07/29/2016 New Revenue Code 0815 for Allogeneic Stem Cell Acquisition Services  01/03/2017 9674 R3557CP  07/01/2016 July 2016 Update of the Hospital Outpatient Prospective Payment System (OPPS)  07/05/2016 9658 Rev #  Issue Date  Subject  Impl Date  CR#  R3556CP  07/01/2016 Stem Cell Transplantation for Multiple Myeloma, Myelofibrosis, Sickle Cell Disease, and Myelodysplastic Syndromes  10/03/2016 9620 R3552CP  06/28/2016 July 2016 Update of the Hospital Outpatient Prospective Payment System (OPPS)  Rescinded and replaced by Transmittal 3557 07/05/2016 9658 R3523CP  05/13/2016 July 2016 Update of the Hospital Outpatient Prospective Payment System (OPPS) -  Rescinded and replaced by Transmittal 3552 07/05/2016 9658 R3509CP  04/29/2016 Stem Cell Transplantation for Multiple Myeloma, Myelofibrosis, Sickle Cell Disease, and Myelodysplastic Syndromes -  Rescinded and replaced by Transmittal 3556 10/03/2016 9620 R3475CP  03/04/2016 Updates to Pub. 100- 04, Chapters 4 and 5 to Correct Remittance Advice Messages  06/06/2016 9424 R3471CP  02/26/2016 April 2016 Update of the Hospital Outpatient Prospective Payment System (OPPS)  04/04/2016 9549 R3425CP  12/18/2015 January 2016 Update of the Hospital Outpatient Prospective Payment System (OPPS)  01/04/2016 9486 R3280CP  06/05/2015 July 2015 Update of the Hospital Outpatient Prospective Payment System (OPPS)  07/06/2015 9205 R3238CP  04/22/2015 April 2015 Update of the Hospital Outpatient Prospective Payment System (OPPS)  04/06/2015 9097 R3235CP  04/14/2015 April 2015 Update of the Hospital Outpatient Prospective Payment System (OPPS)  Rescinded and replaced by Transmittal 3238 04/06/2015 9097 Rev #  Issue Date  Subject  Impl Date  CR#  R3217CP  03/13/2015 April 2015 Update of the Hospital Outpatient Prospective Payment System (OPPS)  Rescinded and replaced by Transmittal 3235 04/06/2015 9097 R3181CP  01/30/2015 Implementation of New NUBC Condition Code 53 Initial placement of a medical device provided as part of a clinical trial or a free sample  07/06/2015 8961 R3156CP  12/22/2014 January 2015 Update of the Hospital Outpatient Prospective Payment System (OPPS)  01/05/2015 9014 R3150CP  12/12/2014 January 2015 Update of the Hospital Outpatient Prospective Payment System (OPPS)  Rescinded and replaced by Transmittal 3156 01/05/2015 9014 R3106CP  11/06/2014 Implementing The Payment Policies Related To Patient Status From The CMS -1599- F 02/10/2015 8959 R3065CP  09/12/2014 Billing for Cost Based Payment for Certified Registered Nurse Anesthetists (CRNA) Services Furnished by Outpatient Prospective Payment System (OPPS) Hospitals  12/15/2014 8897 R3019CP  08/07/2014 Medicare Claims Processing Manual, Pub. 100- 04, Chapter 4 Update for ICD-10 and ASC X12  09/08/2014 8522 R2903CP  03/11/2014 April Update of the Hospital Outpatient Prospective Payment System (OPPS)  04/07/2014 8653 R2894CP  02/28/2014 April Update of the Hospital Outpatient Prospective Payment System (OPPS)  Rescinded and replaced by Transmittal 2903 04/07/2014 8653 R2877CP  02/07/2014 Implementing the Payment Policies Related to Patient Status from the CMS -1599- F 04/07/2014 8445 Rev #  Issue Date  Subject  Impl Date  CR#  R2862CP  01/24/2014 Medicare Claims Processing Manual, Pub. 100- 04, Chapter 4 Update for ICD-10 and ASC X12  Rescinded and replaced by Transmittal 3019 10/01/2014 8522 R2845CP  12/27/2013 January 2014 Update of the Hospital Outpatient Prospective Payment System (OPPS)  01/06/2014 8572 R2812CP  11/07/2013 Implementing the Payment Policies Related to Patient Status from the CMS -1599- F  Rescinded and replaced by Transmittal 2877 04/07/2014 8445 R2719CP  06/07/2013 Pass-through Payments for Certified Registered Nurse Anesthetist Anesthesia Services and Related Care  09/09/2013 7896 R2718CP  06/07/2013 July 2013 Update of the Hospital Outpatient Prospective Payment System (OPPS)  07/01/2013 8338 R2696CP  05/03/1013 Implementation of the Hospice Quality Reporting Required by the Affordable Care Act (ACA) Section 3004  10/07/2013 8241 R2643CP  01/31/2013 Streamlining the Process for Updating the Abstract Files Used to Price Institutional Claims  07/01/2013 8128 R2611CP  12/14/2012 January 2013 Update of the Hospital Outpatient Prospective Payment System (OPPS)  01/07/2013 8141 R2581CP  11/02/2012 Outpatient Laboratory Services Rendered in a Critical Access Hospital (CAH)  04/01/2013 8025 R2579CP  11/01/2012 Medicare System Update to Include Rendering Line Level National Provider Identifiers (NPIs) for Primary Care Incentive Program (PCIP) Payments to Critical Access Hospitals (CAHs)  04/01/2013 8030 Rev #  Issue Date  Subject  Impl Date  CR#  R2577CP  11/01/2012 Update to the Fiscal Intermediary Shared Systems (FISS) for the End Stage Renal Disease (ESRD) Quality Incentive Program (QIP) Adjustments for Childrens Hospitals  04/01/2013 8066 R2574CP  10/26/2012 Payment of Global Surgical Split Care in a Method II Critical Access Hospital (CAH) Submitted with Modifier 54 and/or 55 01/07/2013 7872 R2531CP  08/24/2012 October 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)  10/01/2012 8031 R2510CP  08/03/2012 Payment of Global Surgical Split Care in a Method II Critical Access Hospital (CAH) Submitted with Modifier 54 and/or 55  Rescinded and replaced by Transmittal 2574  01/07/2013 7872 R2483CP  06/08/2012 July 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)  07/02/2012 7847 R2455CP  04/26/2012 Hospital Dialysis Services for Patients With and Without End Stage Renal Disease (ESRD)  10/01/2012 7762 R2452CP  04/26/2012 Anesthesiologist Services With a Modifier GC in a Method II Critical Access Hospital (CAH)  10/01/2012 7764 R2453CP  04/26/2012 CY 2012 OPPS Payment Adjustment for Certain Cancer Hospitals  05/29/2012 7780 R2418CP  03/02/2012 April 2012 Update of the Hospital Outpatient Prospective Payment System (OPPS)  04/02/2012 7748 R2403CP  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 07/02/2012 7686 Rev #  Issue Date  Subject  Impl Date  CR#  (PCIP) for Critical Access Hospitals (CAHs) Reimbursed Under the Optional Method R2395CP  01/26/2012