evekhm/cms_iom_500 huggingface dataset:
(Medicare Claims Processing Manual)
77  Medicare New Technology Add -On Payment  Code indicates the amount of Medicare additional payment for new technology.   78  Off- site Zip Code  When the facility zip (Loop 2310E N403 Segment) is present for the following bill types: 012X, 013X, 014X, 022X, 023X, 034X, 072X, 074X, 075X, 081X, 082X, and 085X. The ZIP code is associated with this value and is used to price MP FS HCPCS and Anesthesia Services for CAH Method II.   79  Total payments for services applicable to the ESRD  The Medicare shared system will display this payer only code on the claim. The value represents the dollar amount for Medicare allowed payments applicable for the calculation in determining an outli er payment.   Q0  Pioneer Accountable Care Organization (ACO) non- model payment or Next Generation ACO non -model payment   Q1  Pioneer ACO model payment amount including reduction or NG ACO payment amount including reduction  Q2  Hospice claim paid from Part B Trust Fund   Q3  Prior Authorization 25% Penalty   Q4  PA Rural Model Exclusion -  Physician Service Claim Reimbursement   Q5  EHR   Q6  PQRS   Q7  Islet Isolation Add -on payment amount   Q8  Transitional Drug Add- On Payment Adjustment   Q9 - Medi care Performance Adjustment (MPA)   QA  PHP partial week input   QB  ESRD Treatment Choices (ETC) Model: Home Dialysis Payment Adjustment (HDPA) total bonus paid.  QC  OCM+ Adjustment   QD  Device Credit   QE  ET3 Model  ET3 15% bonus payment   QF  HHA -  LATE -SUB -PENALTY -AMT   QG  ESRD  Total TPNIES Amount   QH  ESRD -  TPNIES capital related assets (CRA)   QI  FQHC MDPCP DEMO  QJ  ETC Model Facility PPA   QK  Maryland Waiver Kidney Acquisition Payment   QL  Not used by Medicare   QM  MIPS adjustment amount   QN  First APC pass- through device offset   QO  Second APC pass -through device offset   QP  Third APC pass -through device offset   QQ  Terminated procedure with device offset
(Medicare Claims Processing Manual)
QM  MIPS adjustment amount   QN  First APC pass- through device offset   QO  Second APC pass -through device offset   QP  Third APC pass -through device offset   QQ  Terminated procedure with device offset   QR  First APC pass- through drug or biological offset  QS  Second APC pass -through drug or biological offset  QT  Third APC pass -through drug or biological offset  QU Device credit with device offset  QV  Value -based purchasing adjustment amount  QW  PHP partial week output   QX-QZ  Not used by Medicare   Z0-Z8  Not used by Medicare   Z9  COVID -19 PHE End Date   ZA-ZZ  Not used by Medicare  200 - Qualified Medicare Beneficiary (QMB) Program  (Rev. 4332, Issued: 07- 03-19, Effective: 10 -01-19, Implementation: 10- 07-19)  The Qualified Medicare Beneficiary (QMB) Program is a Medicaid program that assists low -income beneficiaries with Medicare premiums and cost -sharing. Federal law bars Medicare providers from billing an individual enrolled in QMB for Medicare Part A and Par t B cost -sharing for covered items and services. See section 1902(n)(3)(B) of the Social Security Act, as modified by section 4714 of the Balanced Budget Act of 1997.    Providers and suppliers may bill State Medicaid agencies for Medicare cost -sharing amounts. However, as permitted by Federal law, States may limit Medicare cost -sharing payments, under certain circumstances. Regardless, persons enrolled in the QMB program  have no legal liability to pay Medicare providers for Medicare Part A or Part B cost -sharing for covered items and services.   Medicare providers who violate these billing prohibitions are violating their Medicare Provider Agreement and may be subject to sanctions. (See Sections 1902(n)(3)(C); 1905(p)(3); 1866(a)(1)(A); 1848(g)(3)(A) of the Social Security Act.)
(Medicare Claims Processing Manual)
Note: providers may seek reimbursement for unpaid Medicare deductible and coinsurance amounts as a Medicare bad debt.  Before a provider can be reimbursed for bad debts related to dual-eligible beneficiaries, Medicare policy under CMS Pub. 15- 1, Chapter 3, Section 312 of the Provider Reimbursement Manual (PRM) requires a determination and documentation of the states liability for any cost sharing amounts.   To effectuate this, Medicare requires the provider to bill the state to determine that the state is n ot liable for payment, even if the Medicare provider is not enrolled or the service is not covered under the states Medicaid plan.
(Medicare Claims Processing Manual)
To aid compliance with QMB billing prohibitions, the Medicare claims processing system will generate notifications to Medicare providers (via the Remittance Advice) and beneficiaries (via the Medicare Summary Notice) that indicate the beneficiarys QMB status and lack of liability for cost -sharing. The Medicare Claims Processing System will use the Common Working File (CWF) to receive QMB status via the Eligibility Database (EDB).  The QMB indicators will be transmitted to the shared systems with the applic able QMB START and END dates.  The two indicators that apply to QMB individuals are Dual Status Code 01 Qualified Medicare Beneficiaries without other Medicaid (QMB -only), and Dual Status Code 02 Qualified Medicare Beneficiaries plus full Medicaid (QMB -Plus). CWF will transmit the QMB indicator if the dates of service coincide with a QMB coverage period (one of the occurrences) for the following claim types:  Part B professional claims; Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DME POS) claims; and outpatient institutional and Skilled Nursing Facility (SNF) claims.  CWF will transmit the QMB indicator if the discharge date falls within a QMB coverage period (one of the occurrences) for inpatient hospital claims.   QMB indicators will initiate messages on the Remittance Advice that reflect the beneficiarys QMB status and lack of liability for Medicare cost -sharing with Remittance Advice Remark Codes (RARCs) that are specific to those enrolled in QMB.     Effective July 2, 2018, for QMB claims the shared systems will use:    Group Code PR along with CARC 1 and/or 2, 66, as applicable, with monetary values expressed on outbound Medicare 835 Electronic Remittance Advices (ERAs) and on standard paper remittance advices (SPRs), as applicable.
(Medicare Claims Processing Manual)
 Additionally, the shared systems shall include Alert Remittance Advice Remark Codes (RARC) on the ERA and SPR, as applicable, that designate that the beneficiary has QMB status and may not be billed for Medicare cost-sharing amounts.    o N781 - Patient is a Medicaid/ Qualified Medicare Beneficiary. Review your records for any wrongfully collected deductible. This amount may be billed to subsequent payer. o N782  Patient is a Medicaid/ Qualified Medicare Beneficiary. Review your records for any wrongfully collected co-insurance. This amount may be billed to subsequent payer.  Additionally, the Medicare Summary Notice (MSN) generated for all QMB individuals will include information regarding their QMB status and lack of liability for Medicare cost-sharing amounts for covered Parts A/B items and services.    MSNs with QMB claims that are paid   If an MSN includes at least  one detail line for a QMB that contains an allowed amount greater than zero, page one (the summary page), will use Message 62.0 to briefly explain the QMB billing protections (in the "Be Informed!" section). Also on page one, the patients total liability amount (in the Total You May Be billed field) will omit the deductible and coinsurance amounts for details lines that are for a QMB and include an allowed amount greater than zero.   In the claims detail section of the MSN, if the  detail line  is for a QMB  and includes an allowed amount greater than zero, such detail line will reflect $0 (in the Maximum You May Be Billed field) and include message 62.1 that informs the beneficiary of her/his QMB status and billing protections. MSNs with QMB claims that are denied   In the claim detail pages of the MSN,  if a detail line is flagged as QMB and contains an allowed amount of zero, the MSN will reflect the  beneficiary's total liability amount in the Maximum You May Be Billed field and include new MSN 11.21 message to inform the beneficiary that even though Medicare has denied the claim, Medicaid may pay for care.
(Medicare Claims Processing Manual)
Note:  For claims processed by VIPS Medicare System (VMS), if a detail line is flagged as QMB and contains an allowed amount of zero, and the beneficiary has not signed an Advance Beneficiary Notice or is subject to Waiver of Liability which has not been attached, the contractor shall not print MSN message 11.21        Transmittals Issued for this Chapter   Rev #  Issue Date  Subject  Impl Date  CR#  R12448CP  01/11/2024  Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Marriage and Family Therapists (MFTs) and Mental Health Counselors (MHCs)  02/12/2024  13469  R12107CP  06/29/2023  New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician National Provider Identifier (NPI) - Phase 2  01/02/2024  13219  R11794CP  01/19/2023  Preventing Submission of Cross -Reference Document Control Numbers on Original Claims  04/03/2023  13008  R11633CP  10/06/2022  New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician National Provider Identifier (NPI)  04/03/2023  12889  R11731CP  12/09/2022  Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 1, Section 90, to include Critical Access Hospitals (CAHs) for a Portion of a Medicare Advantage (MA) Billing Period  01/11/2023  12992  R11571CP  08/25/2022  Updates are Being Made to Chapter 1 of the Medicare Claims Processing Manual to Include Newly Created and Utilized Payer Only Codes  09/27/2022  12840  R10840CP  06/11/2021  Updates to the Internet Only Publication 100 -04, Chapter 1, Section 10.1 and Chapter 20, Section 10
(Medicare Claims Processing Manual)
07/12/21  12310  R10236CP  07/31/2020  Update to the IOM Publication (Pub) 100 -04, Medicare Claims Processing Manual, Chapters 1, 6, 8, 17, 20, 22, 24, and 31 Referencing the Active Universal Resource Locators (URLs) for the Washington Publishing Company (WPC) and the ASC X12 Organizations, and Updates to the HIPAA Eligibility Transaction System (HETS)   08/31/2020  11857   12/06/2019  Update to Medicare Claims Processing Manual, Chapters 1, 23 and 35  03/09/2020  10882  R4415CP  10/11/2019  Medicare Administrative Contractor (MAC) Guidance Related to Use of Adjustment Codes on Adjustment Claims  01/06/2020  11113  R4388CP  09/06/2019  Manual Updates to Chapters 1, 22, 24, 26, and 31 in Publication (Pub.) 100-04   10/01/2019  11331  Rev #  Issue Date  Subject  Impl Date  CR#  R4381CP  08/30/2019  Updates to Chapter 1 Payer Only Codes in the Medicare Claims Processing Manual   10/01/2019  11414  R4337CP  07/18/2019  Implementation of the Medicare Performance Adjustment (MPA) for the Maryland Total Cost of Care (MD TCOC) Model   07/01/2019  10971  R4332CP  07/03/2019  Medicare Summary Notice (MSN) Changes to Assist Beneficiaries Enrolled in the Qualified Medicare Beneficiary (QMB) Program  10/07/2019  11230  R4308CP  05/16 /2019  Implementation of the Medicare Performance Adjustment (MPA) for the Maryland Total Cost of Care (MD TCOC) Model - Rescinded and Replaced by Transmittal 4337   07/01/2019  10971   R4290CP  05/03/2019  Medicare Summary Notice (MSN) Changes to Assist Beneficiaries Enrolled in the Qualified Medicare Beneficiary (QMB) Program  - Rescinded and Replaced by Transmittal 4332
(Medicare Claims Processing Manual)
R4290CP  05/03/2019  Medicare Summary Notice (MSN) Changes to Assist Beneficiaries Enrolled in the Qualified Medicare Beneficiary (QMB) Program  - Rescinded and Replaced by Transmittal 4332    10/07/2019  11230  R4271CP  03/29/2019  Update to the Internet -Only -Manual (IOM) Publication (Pub.) 100 -04, Chapters 1 and 3  04/29/2019  11188  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  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
(Medicare Claims Processing Manual)
R4201CP  01/18/2019  Update to Pub. 100 -04 Chapter 1 to Provide Language-Only Changes for the New Medicare Card Project  02/19/2019  10916  R4163CP  11/02/2018  Internet Only Manual Updates to Pub. 100 -01, 100 -02 and 100-04 to Correct Errors and Omissions (SNF) (2018 Q4)  12/04/2018  11004  R4035CP  04/27/2018  Enhancements to Processing of Hospice Routine Home Care Payments  10/01/2018  10573  R4047CP  05/11/2018  Updates to Publication 100 -04, Chapters 1 and 27 to Replace Remittance Advice Remark Code (RARC) MA61 with N382  08/13/2018  10619  R4001CP  03/16/2018  Internet Only Manual Updates to Pub. 100 -01, 100 -02 and 100 -04 to Correct Errors and Omissions 06/19/2018  10512  Rev #  Issue Date  Subject  Impl Date  CR#  (SNF) (2018)  R3993CP  03/06/2018  Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee -For-Service Claims Processing System from CR 9911  07/02/2018  10433  R3965CP  02/02/2018  Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee- For-Service Claims Processing System from CR 9911 Rescinded and Replaced by Transmittal 3993   07/02/2018  10433  R3933CP  12/07/2017  Revisions to the Home Health Pricer to Support Value-Based Purchasing and Payment Standardization  01/02/2018  10167  R3920CP  11/05/2017  Qualified Medicare Beneficiary Indicator in the Medicare Fee -For-Service Claims Processing System  07/03/2017  9911  R3829CP  08/04/2017  Revisions to the Home Health Pricer to Support Value-Based Purchasing and Payment Standardization - Rescinded and Replaced by Transmittal 3933
(Medicare Claims Processing Manual)
01/02/2018  10167  R3802CP  06/28/2017  Qualified Medicare Beneficiary Indicator in the Medicare Fee- For-Service Claims Processing System - Rescinded and Replaced by Transmittal 3920  07/03/2017  9911  R3774CP  05/12/2017  Changes to the Payment Policies for Reciprocal Billing Arrangements and Fee- For-Time Compensation Arrangements (formerly referred to as Locum Tenens Arrangements)  06/13/2017  10090  R3764CP  04/28/2017  Qualified Medicare Beneficiary Indicator in the Medicare Fee -For-Service Claims Processing System  07/03/2017  9911  R3715CP  02/02/2017  Qualified Medicare Beneficiary Indicator in the Medicare Fee -For-Service Claims Processing System  07/03/2017  9911  R3537CP  06/08/2016  Corrections to Chapter 1 of the Medicare Claims Processing Manual  08/08/2016  9623  R3519CP  05/06/2016  Corrections to Chapter 1 of the Medicare Claims Processing Manual - Rescinded and replaced by Transmittal 3537  08/08/2016  9623  R3510CP  04/29 /2016  Updates to Pub. 100 -04, Chapters 1 and 16 to Correct Remittance Advice Messages  10/03/2016  9578  R3503CP  04/28/2016  Billing of Vaccine Services on Hospice Claims   Rescinded and replaced by Transmittal 3540  10/03/2016  9052  R3475CP  03/04/2016  Updates to Pub. 100 -04, Chapters 4 and 5 to Correct Remittance Advice Messages  06/06/2016  9424  Rev #  Issue Date  Subject  Impl Date  CR#  R3454CP  02/04/2016  Correction to Applying Therapy Caps to Maryland Hospitals and Billing Requirement for Rehabilitation Agencies and Comprehensive Outpatient Rehabilitation Facilities (CORFs)  07/05/2016  9489  R3415CP  11/23/2015  Payment for Grandfathered Tribal Federally Qualified Health Centers (FQHCs) that were Provider -Based Clinics on or Before April 7, 2000  01/04/2016  9267  R3398CP  11/06/2015  Processing Hospice Denials When Face -to-Face Encounter is Not Received Timely  04/04/2016  9385  R3389CP  10/30/2015  Outpatient Mental Health Treatment Limitation Split Claims Fix  04/04/2016  9306  R3313CP  08/06/2015  Payment
(Medicare Claims Processing Manual)
Encounter is Not Received Timely  04/04/2016  9385  R3389CP  10/30/2015  Outpatient Mental Health Treatment Limitation Split Claims Fix  04/04/2016  9306  R3313CP  08/06/2015  Payment for Grandfathered Tribal Federally Qualified Health Centers (FQHCs) that were Provider-Based Clinics on or Before April 7, 2000 - Rescinded and replaced by Transmittal 3415  01/04/201 6 9267  R3287CP  06/30/2015  Revisions to Medicare Claims Processing Manual for Foreign, Emergency and Shipboard Claims  04/21/2015  8940  R3262CP  05/15/2015  Manual Update to Pub. 100 -04, Chapter 1, to include Claims Submitted by Multiple DMEPOS Suppliers  07/06/2015  9079  R3255CP  05/08/2015  Correction to the Multi -Carrier System (MCS) Editing on the Service Location National Provider Identifier (NPI) Reported for Anti -Markup and Reference Laboratory Claims  10/05/2015  9150  R3219CP  03/16/2015  Automation of the Request for Reopening Claims Process  10/06/2014  8581  R3199CP  02/20/2015  Revisions to Medicare Claims Processing Manual for Foreign, Emergency and Shipboard Claims  Rescinded and replaced by Transmittal 3287  04/21/2015  8940  R3203CP  02/20/2015  Automation of the Request for Reopening Claims Process   Rescinded and replaced by Transmittal 3219  10/06/2014  8581  R3164CP  01/14/2015  Medicare Shared Systems Modifications Necessary to Capture Various HIPAA Compliant Fields  04/06/2015  8384  R3154CP  12/19/2014  Automation of the Request for Reopening Claims Process   Rescinded and replaced by Transmittal 3203  10/06/2014  8581  R3107CP  11/06/2014  Medicare Shared Systems Modifications Necessary to Capture Various HIPAA Compliant Fields  Rescinded and replaced by Transmittal 3164  04/06/201 5 8384  R3103CP  11/03/2014  Reporting the Service Location National Provider Identifier (NPI) on Anti- Markup and Reference Laboratory Claims  04/06/2015  8806  Rev #  Issue Date  Subject  Impl Date  CR#  R3098CP  10/21/2014  Reporting the Service Location National Provider
(Medicare Claims Processing Manual)
Provider Identifier (NPI) on Anti- Markup and Reference Laboratory Claims  04/06/2015  8806  Rev #  Issue Date  Subject  Impl Date  CR#  R3098CP  10/21/2014  Reporting the Service Location National Provider Identifier (NPI) on Anti- Markup and Reference Laboratory Claims  Rescinded and replaced by Transmittal 3103  04/05/201 5 8806  R3086CP  10/03/2014  Update to Pub. 100 -04, Chapter 1 to Provide Language-Only Changes for Updating ICD- 10 and ASC X12  11/04/2013  8687  R3060CP  09/03/2014  Automation of the Request for Reopening Claims Process   Rescinded and replaced by Transmittal 3154  10/06/2014  8581  R3051CP  08/25/2014  Adjustment to Fiscal Intermediary Shared System (FISS) Consistency Edit to Implement National Uniform Billing Committee (NUBC) Revision to Occurrence Span Code (OSC) Definition for Code 72 10/06/2014  8655  R3047CP  08/22/2014  Reporting the Service Location National Provider Identifier (NPI) on Anti- Markup and Reference Laboratory Claims  Rescinded and replaced by Transmittal 3098  01/05/2014  8806  R3022CP  08/08/2014  Automation of the Request for Reopening Claims Process   Rescinded and replaced by Transmittal 3060  10/06/2014  8581  R3001CP  08/01/2014  Adjustment to Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Assessments  01/05/2015 8654  R2984CP  07/11/2014  Beneficiary Signature Requirements for Ambulance Services  08/12/2014  8760  R2950CP  05/08/2014  Adjustment to Fiscal Intermediary Shared System (FISS) Consistency Edit to Implement National Uniform Billing Committee (NUBC) Revision to Occurrence Span Code (OSC) Definition for Code 72  Rescinded and replaced by Transmittal 3051  10/06/2014  8655  R2944CP  05/02/2014  Automation of the Request for Reopening Claims Process   Rescinded and replaced by Transmittal 3022  10/06/2014  8581  R2921CP  04/04/2014  Internet Only Manual Updates to Pub. 100 -01, 100 -02 and 100 -04 to
(Medicare Claims Processing Manual)
Claims Process   Rescinded and replaced by Transmittal 3022  10/06/2014  8581  R2921CP  04/04/2014  Internet Only Manual Updates to Pub. 100 -01, 100 -02 and 100 -04 to Correct Errors and Omissions  05/05/2014  8669  R2896CP  03/07/2014  Indirect Payment Procedure (IPP) - Payment to Entities that Provide Coverage Complementary to Medicare Part B  06/06/2014  8638  R2876CP  02/07/2014  Update to Pub 100 -04, Claims Processing Manual, Chapter One  03/07/2014  8442  R2815CP  11/15/2013  Updates to the Medicare Claims Processing Internet -Only Manual (IOM)  03/18/2014  8490  Rev #  Issue Date  Subject  Impl Date  CR#  R2799CP  10/25/2013  Annual Medicare Physician Fee Schedule (MPFS) Files Delivery and Implementation  01/06/2014  8462  R2783CP  09/10/2013  Corrections to the Medicare Claims Processing Manual  09/17/2013  8343  R2767CP  08/16/2013  Handling of Incomplete or Invalid Claims once the Phase 2 Ordering and Referring Edits are Implemented  01/06/2013  8356  R2759CP  08/09/2013  Update to the Claims Processing Internet -Only Manual (IOM) to Add the National Uniform Billing Committee (NUBC) Payer Only Codes  11/12/2013  8413  R2725CP  06/14/2013  Corrections to the Medicare Claims Processing Manual   Rescinded and replaced by Transmittal 2783  09/17/2013  8343  R2722CP  06/11/2013  Changes to Contractor Designation in Processing Foreign, Emergency and Shipboard Claims  01/29/2012  8103  R2694CP  05/03/2013  Discontinuation of Home Health Type of Bill 33X  10/07/2013  8244  R2678CP  03/26/2013  Clarification of Detection of Duplicate Claims Section of the CMS Internet Only Manual  04/29/2013  8121  R2674CP  03/14/2013  Changes to Contractor Designation in Processing Foreign, Emergency and Shipboard Claims  Rescinded and replaced by Transmittal 2722  01/29/2012  8103  R2648CP  02/01/2013  Adjustment to Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician NPI
(Medicare Claims Processing Manual)
Claims  Rescinded and replaced by Transmittal 2722  01/29/2012  8103  R2648CP  02/01/2013  Adjustment to Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician NPI  07/01/2013  8171  R2625CP  12/28/2012  Changes to Contractor Designation in Processing Foreign, Emergency and Shipboard Claims  Rescinded and replaced by Transmittal 2674  01/29/2012  8103  R2614CP  12/14/2012  Updated Billing Requirements for Outpatient Therapy Services --  Middle Class Tax Relief and Jobs Creation Act (MCTRJCA) of 2012  11/27/2012  8097  R2578CP  11/01/2012  Enforcing Interim Billing for Partial Hospitalization Services  04/01/2013  8048  R2571CP  10/26/2012  Updated Billing Requirements for Outpatient Therapy Services  Middle Class Tax Relief and Jobs Creation Act (MCTRJCA) of 2012  Rescinded and replaced by Transmittal 2614  11/27/2012  8097  R2560CP  09/28/2012  New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician NPI 01/07/2013  7902  R2519CP  08/17/2012  New Fiscal Intermediary Shared System (FISS) Consistency Edit to Validate Attending Physician NPI  Rescinded and replaced by Transmittal 2560  01/07 /2013 7902  Rev #  Issue Date  Subject  Impl Date  CR#  R2515CP  08/08/2012  Handling Form CMS -1500 Hard Copy Claims Where and ICD -9-C< E Code or Where and ICD -10 V00-Y99 Code is Reported as the First Diagnosis on the Claim  01/07 /2013 7700  R2500CP  07/27/2012  Clarification of the Use of the Electronic Claim Format to Indicate Where a Service Was Performed  08/27/2012  7871  R2495CP  07/18/2012  Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Assessments  10/01/2012  7760  R2487CP  06/08/2012  Internet Only Manual (IOM) Update for Laboratory Services and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims Processed under the End Stage Renal Disease Prospective