evekhm/cms_iom_500 huggingface dataset:
clm104c22.pdf
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 Update s to the HIPAA Eligibility Transaction System (HETS)  08/31/2020  11857  R4388CP  09/06/ 2019  Manual Updates to Chapters 1, 22, 24, 26, and 31 in Publication (Pub.) 100- 04 10/07/ 2019  11331  R3288CP  07/02/2015  Medicare Internet Only Manual Publication 100-04 Chapter 22 Remittance Advice  08/03/2015  9199 R2843CP  12/27/2013  Medicare Claims Processing Pub. 100- 04, Chapter 22 Update  01/28/2014  8513 R2594CP  11/16/2012  Testing HIPPA Transactions Following a System Change  04/01/2013  8094 R2213CP  05/06/2011  Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update  07/05/2011  7369 R2205CP  04/29/2011  IOM 100 -04 Chapter 22 Update for Remittance Advice for Version 5010- ASC X12N 0050A1 and Related Standard Paper Remittance (SPR)  05/31/2011  7308 Rev #  Issue Date  Subject  Impl Date  CR#  R2194CP  04/22/2011  Claim Adjustment Reason Code (CARC), Remittance Advice Remark Code (RARC), and Medicare Remit Easy Print (MREP) Update  Rescinded and replaced by Transmittal 2213  07/05/2011  7369 R1385CP  11/30/2007  Shared System Participation in Claim Adjustment Reason Code and Remitta nce Advice Remark Code Maintenance  04/07/2008  5806 R1343CP  09/21/2007  Stage 3 NPI Changes for Transaction 835 and Standard Paper Remittance Advice  07/02/2007  5452 R1241CP  05/18/2007  Stage 3 NPI Changes for Transaction 835 and Standard Paper Remittance Advice -  Replaced by Transmittal 1343  07/02/2007  5452 R1063CP
clm104c22.pdf
5452 R1241CP  05/18/2007  Stage 3 NPI Changes for Transaction 835 and Standard Paper Remittance Advice -  Replaced by Transmittal 1343  07/02/2007  5452 R1063CP  09/22/2006  Ending the Contingency Plan for Remittance Advice and Charging for PC Print, Medicare Remit Easy Print, and Duplicate Remittance Advice  10/23/2006  5308 R1033CP  08/18/2006  Revise Chapters 22 and 24 to delete references to free downloads of X12 implementation guides adopted as HIPAA standards from Washington Publishing Company (WPC)  11/20/2006  5247 R996CP  06/30/2006  Stage 2 NPI Changes for Transaction 835, and Standard Paper Remittance Advice, and Changes in Medicare Claims Processing Manual, Chapter 22 -  Remittance Advice -  Replaces Rev. 948  10/02/2006  5081 R948CP  05/12/2006  Stage 2 NPI Changes for Transaction 835, and Standard Paper Remittance Advice, and Changes in Medicare Claims Processing Manual, Chapter 22 -  Remittance Advice  10/02/2006  5081 R885CP  03/10/2006  Suppression of Standard Paper Remittance Advice to Providers and Suppliers Also Receiving Electronic Remittance Advice for 45 Days or Mor e. 06/01/2006  4376 R555CP  05/02/2005  Fiscal Intermediary (FI) Reporting of Add-on Payments that Do Not Result in a 10/03/2005  3866 Rev #  Issue Date  Subject  Impl Date  CR#  Specific Increase or Decrease in the Amount Reported as Payable for a Claim or a Service on a Remittance Advice.  R252CP  07/23/2004  Expansion of paper remittance advice to accommodate forced balanced amount, corresponding change in the flat file, and a change in the companion document for fiscal intermediaries (FIs) and their shared system maintainer (SSM)  01/03/2005  3344 R001CP  10/01/2003  Initial Publication of Manual  NA NA Back to top of chapter
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Medicare Claims Processing Manual Chapter 22  Remittance Advice Crosswalk  New Chap.  New Sect.  Int. Pub,13-3  Carrier Pub. 14-3  Program Memos Description 22                                              10 B3-7030 A-01-057, A-03-005,AB-03-026 Background 22 20 A3-3750   General Remittance Completion Requirements 22 30A-01-057, A-02-070, AB-02-067, B-01-35 Remittance Balancing 22 40 A3-3750 Electronic Remittance Advice22 40.1 A3-3750A-02-070, AB-02-067, AB-03-060 ANSI ASC X12N 835 22 40.2   AB-02-067 Generating an ERA if Required Data is Missing or Invalid 22 40.3 A3-3751 A-01-057, A-02-070,AB-02-067, B-01-35 Electronic Remittance Advice Data Sent to Banks 22 40.4 A3-3751 A-01-057 Medicare Standard  Electronic PC-Print Software 22 40.5   A-01-57 835 Implementation Guide 22 50 A3-3754 B3-3024.5 A-01-057, A-01-93,B-01-076 Standard Paper Remittance Advice Notices 22 50.1 A-02-012, B-02-023,R1763B3 The Do Not Forward (DNF) Initiative 22 50.2 A3-3754 SPR FormatsNew Chap.  New Sect.  Int. Pub,13-3  Carrier Pub. 14-3  Program Memos Description 22 50.2.1 A3-3754  A-00-36 Part A/FI SPR Format 22 50.2.2    Part B/Carrier and DMERC SPR Format 22 50.3 A3-3754   FI SPR Crosswalk to the 835 22 50.4   B-01-076 Carrier and DMERC SPR Crosswalk to the 835 22
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60 Remittance Advice Codes(section heading only) 22 60.1 A-02-070, AB-02-067,AB-02-142,  AB-01-132, AB-03-012 Standard Adjustment Reason Codes 22 60.2 AB-02-142, AB-01-132,AB-02-067, AB-03-012, AB-03-095  Remittance Advice Remark Codes 22 60.3 B3-7030.2 Group Codes22 60.4   AB-02-142, AB-03-012 Requests for Additional Codes 22 70 A3-3754  B-02-050 FI ERA Requirement Changes to Accommodate OPPS and HH PPS 22 70.1 A3-3753   Scope of Remittance Changes for HH PPS 22 70.2 A3-3753   Payment Methodology of the HH PPS Remittance: HIPPS Codes 22 70.3 A3-3753   Items Not Included in HH PPS Episode Payment 22 70.4 A3-3753   835 Version 3051.4A.01 Line Level Reporting Requirements for the Request for Anticipated Payment (RAP) Payment for an Episode 22 70.5 A3-3753   835 Version 3051.4A.01 Line Level Reporting Requirements for the Claim Payment in an Episode (More Than Four Visits)  New Chap.  New Sect.  Int. Pub,13-3  Carrier Pub. 14-3  Program Memos Description 22 70.6 A3-3753   835 Version 3051.4A.01 Line Level Reporting Requirements for the Claim Payment in an Episode (Four or Fewer Visits) 22 70.7   A-02-103 PPS Partial Episode Payment (PEP) Adjustment
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Medicare Claims Processing Manual Chapter 23  Fee Schedule Administration and Coding Requirements Crosswalk New  Chap New  Sect Int. Pub 13-3  Carrier Pub 14-3  HO Pub 10 Other  23                                                                          10 A3-3604A3-3632 B3-4020.2 B3-15021.1 HO-230.8 PM-01-144, CMS Medlearn Web site for diagnosis codes, B-03-028  23 10.1 A3-3632 B3-15021.1 HO-230.8 AB-01-144, B-01-6123 10.1.1 A3-3632 B3-15021.1 HO-230.823 10.1.2 A3-3632 B3-15021.1 HO-230.823 10.1.3 A3-3632 B3-15021.1 HO-230.823 10.1.4 A3-3632 B3-15021.1 HO-230.8 R1891A323 10.1.5 A3-3632 B3-15021.1 HO-230.8 R1807B3, R1891A323 10.1.6 A3-3632 B3-15021.1 HO-230.823 10.1.7 A3-3632 B3-15021.1 HO-230.8 R1769b323 10.2 B-02-027,B-02-063, B-02-064 B-03-002 23 20 A3-3627 B3-4501B3-4540 HO-442 AB-01-127,AB-01-162, CMS HCPCS code Web site 23 20.1 A3-3627.1 B3-4506 HO-442.1 AB-01-127, SNF-530.123 20.2 A3-3627.2A3-3644.G B3-4507 B3-4507.1 HO-442.2 AB-02-005New  Chap New  Sect Int. Pub 13-3  Carrier Pub 14-3  HO Pub 10 Other  23
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20.3 A3-3627.3 B3-4508 HO-442.3 SNF-530.223 20.4 B3-4509.3 HO-442.223 20.5 A3-3627.7 B3-4552 HO-442.523 20.6 A3-3627.6A3-3627.4 B3-4551 B3-4540.A 23 20.7 AB-00-12623 20.7.1  AB-00-12623 20.7.2  AB-00-12623 20.7.3  AB-00-12623 20.7.4  AB-00-12623 20.7.4.1 AB-00-12623 20.7.4.2 AB-00-12623 20.7.5  AB-00-12623 20.7.6  AB-00-12623 20.7.6.1 AB-00-12623 20.7.6.2 AB-00-12623 20.7.6.3 AB-00-12623 20.7.6.3.1 AB-00-12623 20.7.6.3.2 AB-00-12623 20.7.6.3.3 AB-00-12623 20.7.6.4 AB-00-12623 20.7.6.5 AB-00-12623 20.8 B3-4509.223 20.9 B3-4630  B-01-67, A-00-69New  Chap New  Sect Int. Pub 13-3  Carrier Pub 14-3  HO Pub 10 Other  23 20.9.1
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B3-4630  B-01-67, A-00-6923 20.9.2  B3-4630.E23 20.9.3  B3-4630.F23 20.9.4  B3-4630.G23 20.9.4.1 B3-4630.G23 20.9.5  B3-4630.I23 20.9.6  B3-4630.M23 30 B3-15000,B3-15002, B3-15004  AB-98-63, B-00-08,  A-00-88, AB-01-33,  A-01-45, A-01-94,  A-01-119 A-03-011 23 30.1 B3-1590223 30.2 B3-1590023 30.2.1  B3-4509.123 30.2.2  B3-4509.123 30.3 B3-4620  23 30.3.1  B3-4620.123 30.3.2  B3-4620.223 30.3.3  B3-4620.323 30.3.4  B3-4622  23 30.3.5  B3-4621  23 30.4 B3-15012 A-01-10423 30.5 B-02-07523 40 A3-3628 B3-5114B3-5114.1 AB-01-162, AB-02-163New  Chap New  Sect Int. Pub 13-3  Carrier Pub 14-3  HO Pub 10 Other  23 40.1
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AB-01-16223 40.2 AB-01-162, AB-02-16323 40.3 AB-01-162, A-01-104, AB-02-16323 40.4 AB-01-162,AB-02-163 23 40.4.1    CMS Memo 9-13-02 HCPCS Gap-fillR3.doc 23 50 A- 01-104, AB-02-11223 50.1 A-01-104, A-02-09023 50.2 A-01-104, A-02-09023 50.3 A-01-104, A-02-09023 50.4 A-02-09023 60 AB-01-126,AB-02-152,  AB-03-071 23 60.1 AB-01-126,AB-02-152 23 60.2 AB-01-126,AB-02-152, AB-03-071 23 60.3 B3-5102.2 AB-01-126,AB-02-152, AB-03-071 23 60.4 AB-01-126,AB-02-152 23 70 B-01-54, AB-02-15223 70.1 B-01-54New  Chap New  Sect Int. Pub 13-3  Carrier Pub 14-3  HO Pub 10 Other  23 80
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B3-5000  AB-01-118,AB-02-136,  B-02-089 23 80.1 B3-5002  B-03-00723 80.2 B3-5003  23 80.3 B3-5010,B3-5205 23 80.3.1 B3-5010.1,B3-5213 23 80.3.1.1 B3-5010.223 80.3.2  B3-5010.323 80.4 B3-502023 80.4.1  B3-5021  23 80.5 B3-5022  AB-02-136,B-02-089 23 80.5.1  B3-5022.123 80.6 B3-5025  23 80.7 B3-5026  23 80.8 B3-5030,B3-5030.2 23 80.8.1  B3-5220  23 90 B3-5246
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Medicare Claims Processing Manual  Chapter 24  General  EDI and EDI Support Requirements, Electronic Claims, and Mandatory Electronic Filing of Medicare Claims   Table of Contents (Rev. 11427, 05-20-22)  Transmittals for Chapter 24   10 - Introduction to Electronic Data Interchange (EDI) for Medicare Fee For Services (FFS)  10.1 - Requirement for EDI  10.2 - Audience for this Chapter  10.3 - Scope of this Chapter  10.4 - Acronyms and Definitions  20 - General EDI  20.1 - Legislative Background  20.2 - The America Reinvestment and Recovery Act (ARRA)  20.3 - HIPAA and ARRA on Security and Privacy  20.4 - Administrative Simplification and Compliance Act (ASCA)  30 - EDI Enrollment and Registration (AKA Trading Partner Agreements)  30.1 - EDI Enrollment  30.2 - New Enrollments and Maintenance of Existing Enrollments  30.3 - Submitter Number  30.4 - Electronic Remittance Advice (ERA) Enrollment Form  40 - Medicare FFS EDI Users Roles and Responsibilities in an EDI Environment  40.1 - Centers for Medicare and Medicaid Services - Medicare Fee- For-Service  40.1.1 - HIPAA Transaction Standards as  Designated by CMS  40.1.2 - Transactions Used in the Acknowledgment of Receipt of Inbound Claims  40.1.3 - Change Request (CR) to Communicate Policy  40.2 - Medicare FFS Contractors (A/B MAC, DME MAC, CEDI)  40.2.1 - Certification Test Program and Annual Recertification Activities  40.2.2 - Security Requirements  40.2.2.1 - A/B MACs, DME MACs, and CEDI Data Security and Confidentiality Requirements
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40.2.2.2 -  A/B MAC, DME MACs and CEDI Audit Trails  40.2.2.3 -  Security -Related Requirements for A/B MACs, and CEDI Arrangements With Clearinghouses and Billing Services  40.2.2.4 -  Release of Medicare Data  40.2.2.5 -  EDI Enrollment and EDI Claim Record Retention  40.2.3 -  General EDI Outreach Activities  40.2.3.1 -  A/B MAC and DME MAC Analysis of Internal Information  40.2.3.2 -  Contact With New Providers   40.2.3.3 -  Production and Distribution of Information to Increase Use of EDI  40.2.3.4 -  Production and Distribution of Material to Market EDI  40.2.4 -  Trading Partner Management  40.2.4.1 -  User Guidelines  40.2.4.2 -  Technical Assistance to EDI Trading Partners  40.2.4.3 -  Training C ontent and Frequency  40.2.4.4 -  Prohibition Against Requiring Use of Proprietary Software or DDE  40.2.4.5 -  Free Claim Submission Software  40.2.4.6 -  Newsletters/Bulletin Board/Internet Publication of EDI Information  40.2.4.7 -  Provider Guidelines for Choosing a Vendor  40.2.4.7.1 -   Determining Goals/Requirements  40.2.4.7.2 -  Vendor Selection  40.2.4.7.3 -  Evaluating Proposals  40.2.4.7.4 -  Negotiating With Vendors  40.2.5 -  Provision of EDI User Guidelines  40.2.6 -  Provision and Maintenance of a Directory of Billing Software Vendors and Clearinghouses  40.2.7 -  Operating Rules for Electronic Transactions  40.3 -  Trading Partners  50 - Technical Requirements  50.1 -  Telecommunications, Internet and Dial -up 50.1.1 -  System Availability  50.1.2 -  Media  50.1.3 -  Telecommunications and Transmission Protocols  50.1.4 -  Toll -Free Service  50.2 -  Translators  50.3 -  Common Edits and Enhancements Module (CEM) -  General Description Across All Versions  50.3.1 -  Claim Numbering  50.3.2 -  Receipt Control and Balancing  50.3.3 -  Acknowledgements  50.3.3.1 -  Outbound File Compliance Check  50.3.4 -  Common Edits and Enhancement Module
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-  Claim Numbering  50.3.2 -  Receipt Control and Balancing  50.3.3 -  Acknowledgements  50.3.3.1 -  Outbound File Compliance Check  50.3.4 -  Common Edits and Enhancement Module (CEM) Code Sets Requirements  50.3.5 -  Handling of Poorly Formed/Invalid Flat Files for a 277CA  50.4 -  CEDI -  Unique Specifications for DME  50.4.1 -  CEDI Claim Numbering  50.4.2 -  CEDI Receipt Control and Balancing  50.4.3 -  CEDI Acknowledgments for ASC X12 and NCPDP D.O. Transactions  50.5 -  EDI Testing Accuracy  50.5.1 -  Limitation on Testing of Multiple Providers that Use the Same Clearinghouse, Billing Service, or Vendor Software  50.5.2 -  EDI Receiver Testing by A/B MACs and CEDI  50.6 -  Changes in Providers System or Vendors Software and Use of Additional EDI Formats  50.7 -  Delimiters  50.8 -  Nulls  50.9 -  Direct Data Entry (DDE) Screens  50.10 -  Additional Documentation Submitted Via Paperwork (PWK) Segment  50.10.1 -  PWK Background  50.10.2 -  PWK Workflow  50.10.2.1 -  Provider Responsibility  50.10.2.2 -  Contractor Responsibility  60 - EDI Edit Requirements  60.1 -  A/B MACs, and CEDI Edit Requirements  60.2 -  Key Shop a nd Optical Character Recognition  60.2.1 -  Claim Key Shop and Optical Character Recognition (OCR)/Image Character Recognition (ICR) Mapping to ASC X12 Based Flat File  60.2.2 -  Key Shop and Image Processing  60.3 -  COB Trading Partner and Contractor Crossover Claim Requirements  60.4 -  Remittance Advice and Standard Paper Remittances  60.5 -  Payments  60.5.1 -  Payment Floor Requirement  60.5.2 -  Alternative to EFT  60.5.3 -  Electronic Funds Transfer (EFT)  60.5.4 -  Tri-Partite Bank Agreement  60.6 -  Health Care Provider Taxonomy Code (HPTC) Requirements  70 - CMS Defined File Formats  70.1 -  General HIPAA EDI Requirements  70.2 -  National Council for Pr escription Drug Program (NCPDP) Claim Requirements  80 - Electronic Data Interchange (EDI)
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Requirements  70 - CMS Defined File Formats  70.1 -  General HIPAA EDI Requirements  70.2 -  National Council for Pr escription Drug Program (NCPDP) Claim Requirements  80 - Electronic Data Interchange (EDI) Reporting Requirements  80.1 -  Contractor Monthly Status Reporting  80.2 -  Common Edits and Enhancement Module (CEM) Reporting  80.3 -  Common Electronic Data Interchange (CEDI) Reporting  80.4 -  HIPAA Transition Reporting  80.5 -  Administrative Simplification and Complian ce Act (ASCA) Reporting  90 - Mandatory Electronic Submission of Medicare Claims  90.1 -  Small Providers and Full -Time Equivalent Employee Self -Assessments  90.2 -  Exceptions  90.3 -  Unusual Circumstance Waivers  90.3.1 -  Unusual Circumstance Waivers Subject to Provider Self -Assessment  90.3.2 -  Unusual Circumstances Waivers Subject to a Contractor Evaluat ion for CMS Decision  90.4 -  Electronic and Paper Claims Implications of Mandatory Electronic Submission  90.5 -  Enforcement  90.5.1 -  FISS Role in ASCA Enforcement  90.5.2 -  MCS & VMS Roles in ASCA Enforcement  90.5.3 -  Contractor Roles in ASCA Reviews  90.5.4 -  Submission of Claims that May Always be Submitted on Paper by Providers Not Otherwise Eligible to Submit Paper Claims   90.6 -  Provider Education  90.7 -  Application of Electronic Data Interchange Enrollment Information and ASCA Enforcement Review Decisions from Other Medicare Contractors to  the Same Providers When They Bill the Railroad Retirement Board Specialty MAC (SMAC)  90.7.1 -  RMC Entry of ASCA Enforcement Review Decisions and EDI Enrollment Information from Other Medicare Contractors into PES  90.7.2 -  Selection of Providers to be Sent Initial Letters for the RMC to Begin an ASCA Enforcement Review  90.7.3 -  Subsequent Reversal of Decision that a Provider is Not Eligible to Submit Paper Claims by a Non -RR Medicare Contractor  90.7.4 -  Number of ASCA Enforcement Reviews to be Conducted by the RMC  90.7.5 -  RMC Information in ASCA Enforcement Review Letters  90.7.6 -  RMC Costs R elated to Use of ASCA Review Information in SuperPES Files  Exhibits of Form Letters  Exhibit A -  Response to a non-  unusual circumstance waiver request  Exhibit B -  Denial of an unusual circumstance waiver request  Exhibit C -  Request for Documentation from Provider Selected for Review to Establish Entitlement to Submit Claims
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of Form Letters  Exhibit A -  Response to a non-  unusual circumstance waiver request  Exhibit B -  Denial of an unusual circumstance waiver request  Exhibit C -  Request for Documentation from Provider Selected for Review to Establish Entitlement to Submit Claims on Paper  Exhibit D -  Notice that paper claims will be denied effective with the 91st calendar day after the original letter as result of non- response to that letter  Exhibit E -  Notice that paper claims will be denied effective with the 91st calendar day after the original letter as result of determination that the provider is not eligible to submit paper claims.  Exhibit F -  Notice that determination reached that the provider is eligible to submit paper claims.  Exhibit G -  Notice from the Railroad Retirement Board Specialty MAC to a Provider that Has Just Begun to Submit Claims that Paper Claims Submitted by that Provider Will be Denied  Exhibit H -  Notice from the Railr oad Retirement Board Specialty MAC to a Provider with a Pre -Established Record in PES that Paper Claims Will Be Denied as Result of the Requirement that a Provider Submit Claims to One or More Other Medicare Contractors Electronically  10 - Introduction to  Electronic Data Interchange (EDI) for Medicare Fee For Services (FFS)  (Rev. 2803, Issued: 10- 28-13, Effective: 09-17-13, Implementation: 09-17-13)
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EDI for Medicare FFS is not limited to the submission and processing of claim related transactions, but includes processes such as provider EDI enrollment, beneficiary eligibility, coordination of benefits, as well as security and privacy concerns.  So as not to be duplicative, where EDI is a relevant part of a Medicare business process, it will be indicated here, however, the specifics of the business process will be maintained in its respective IOM chapter or comparable communication venue.   10.1 - Requirement for EDI  (Rev. 2803, Issued: 10- 28-13, Effective: 09-17-13, Implementation: 09-17-13)  For a provider, business associate, or other trading partner to engage in EDI with Medicare FFS, it must first establish an EDI agreement with Medicare.   There are two ways to do this:  1) complete and submit paper CMS Form 855, or 2) submit an Internet based application  via the Provider Enrollment, Chain and Ownership System (PECOS) system.  More information on enrolling in the Medicare Program can be found at http://www.cms.gov/Medicare/Provider-Enrollment- and-Certification/MedicareProviderSupEnroll/index.html?redirect=/medicareprovidersupenroll  10.2 - Audience for this Chapter  (Rev. 2803, Issued: 10- 28-13, Effective: 09-17-13, Implementation: 09-17-13)  The information contained in this chapter will be of interest to Medicare providers, business associates or other trading partners, as well as others interested in how Medicare has structured its EDI policies.  Other Medicare FFS and CMS partners as well as general audiences may use this as a source of information to determine Medicare FFS EDI practices.  Primarily however, this chapter, and related chapters, are used by Medicare contractors for descriptive guidance t o contractual responsibilities they have to CMS.
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Therefore, the instructions within this chapter are primarily directed to Medicare Administrative Contractors (MACs), Durable Medical Equipment Medicare Administrative Contractors (DME MACs), the Common Ele ctronic Data Interchange (CEDI) contractor for DME MACs, and their shared systems, and are in reference to Medicare requirements for their implementation of the current HIPAA compliant version of the Accredited Standards Committee (ASC) X12 Technical Report Type 3 (TR3) also known as an ASC X12 Implementation Guide (IG) and NCPDP Telecommunication Implementation Guide, as well as all Medicare and contractor EDI activities related to these transactions.   In order to implement the HIPAA administrative simplification provisions, specific ASC X12 and NCPDP transactions have been named under part 162 of title 45 of the Code of Federal Regulations as electronic data interchange (EDI) standards for Health Care.  All other EDI formats for health care became obsolete on October 16, 2003.  The Final Rule for Health Insurance Reform: Modifications to the Health Insurance Portability and Accountability Act (HIPAA) Electronic Transaction Standards published in the https://www.federalregister.gov/articles/2009/01/16/E9-740/health-insurance- reform -modifications -to-the- health -insurance- portability -and-accou ntability -act, adopted updated versions of HIPAA mandated electronic transactions.  Furthermore, the Final Rule conveys inclusion of errata documents to the transaction standard(s).  Medicare FFS therefore incorporates by reference any errata documents by the original mandated regulation compliance date through the Federal Register notice(s).  Moving forward, all newly adopted errata documents are to be accepted and integrated as part of the EDI transaction(s).  Medicare FFS further adopts the Accredited Standards Committee (ASC) X12 and National Council for Prescription Drug Programs (NCPDP) transaction standards as part of its EDI Acknowledgment Model.  10.3 - Scope of this Chapter  (Rev. 2803, Issued: 10- 28-13, Effective: 09-17-13, Implementation: 09-17-13)