evekhm/cms_iom_500 huggingface dataset:
(Medicare Claims Processing Manual)
Transplantation  06/26/2006  5090  R957CP  05/19/2006  Pancreas Transplants Alone (PA)  07/03/2006  5093  R941CP  05/05/2006  Changes Conforming to CR 3648 Instructions for Therapy Services  Rescinded and replaced by Transmittal 980  10/02/2006  4014  R938CP  05/05/2006  The Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS)  08/07/2006  5016  R903CP  04/14/2006  Payment for Blood Clotting Factors Administered to Hemophilia Inpatients  07/14/2006  4229  R851CP  02/10/2006  Revisions to Instructions for Contractors Other Than the Religious Nonmedical Health Care 05/11/2006  4218  Rev #  Issue Date  Subject  Impl Date  CR#  Institutions Specialty Contractor Regarding Claims for Beneficiaries with RNCHI Elections  R843CP  02/09/2006  Inpatient Admission Followed by Discharge or Death Prior to Room Assignment  07/03/2006  4202  R836CP  02/03/2006  Inpatient Admission Followed by Discharge or Death Prior to Room Assignment  Rescinded and replaced by Transmittal 843  07/03/2006  4202  R817CP  01/20/2006  Update to the Inpatient Provider specific File and the Outpatient Provider Specific File to Retain Provider Information  04/03/2006  4279  R803CP  01/03/2006  Administration of Drugs and Biologicals in a Method II Critical Access Hospital (CAH) -Rescinds and Replaces CR 3911  04/03/2006  4234  R776CP  12/06/2005  Stem Cell Transplantation  01/03/2006  4173  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 R768CP  12/02/2005  Lung Volume Reduction Surgery  03/02/2006  4149  R766CP  12/02/2005  Stem Cell Transplantation  - Rescinded and replaced by Transmittal 776  01/03/2006  4173  R714CP  10/21/2005  Payment Window Edit Corrections within the Common Working File (CWF)  04/03/2006  4089  R707CP  10/12/2005  IPPS Outlier Reconciliation  11/07/2005  3966  R703CP
(Medicare Claims Processing Manual)
Payment Window Edit Corrections within the Common Working File (CWF)  04/03/2006  4089  R707CP  10/12/2005  IPPS Outlier Reconciliation  11/07/2005  3966  R703CP  10/07/2005  IPPS Outlier Reconciliation   Rescinded and replaced by Transmittal 703  11/07/2005  3966  R698CP  10/07/2005  The Supplemental Security Income (SSI) Medicare Beneficiary Data for Fiscal Year 2006 for the Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS)  11/07/2005  4065  R693CP  09/30/2005  Updates to the IRF and SNF Provider Specific File and Changes in Inpatient Rehabilitation Facility Prospective Payment System For FY 2006  10/31/2005  4099  R668CP  09/02/2005  Enforcement of Hospital Inpatient Bundling: Carrier Denial of Ambulance Claims during an Inpatient Stay  01/03/2006  3933  R654CP  08/19/2005  Services Not Provided Within United States  11/17/2005  3781  R646CP  08/12/2005  Update to the Inpatient Provider Specific File (PSF) and the Outpatient PSF to Retain Provider 01/03/2006  3940  Rev #  Issue Date  Subject  Impl Date  CR#  Information   Rescinded and replaced by Transmittal 817  R632CP  07/29/2005  Billing and Claims Processing Instructions for Claims Subject to Expedited Determinations  01/03/2006  3949  R622CP  07/29/2005  Enforcement of Hospital Inpatient Bundling: Carrier Denial of Ambulance Claims during an Inpatient Stay  01/03/2006  3933  R619CP  07/29/2005  Late IRF -PAI Data Submission Penalty Protocol Within the Inpatient Rehabilitation Facility Prospective Payment System  01/03/2006  3885  R594CP  06/24/2005  Preliminary Instructions: Expedited Determinations/Reviews for Original Medicare  07/01/2005  3903  R577CP  06/03/2005  Preliminary Instructions: Expedited Determinations/Reviews for Original Medicare  07/01/2005  3903  R530CP  04/22/2005  Billing Requirements for Physician Services Rendered in Method II Critical Access Hospitals (CAHs)  07/05/2005  3800  R526CP  04/15/2005  Updated Requirements for Autologous Stem Cell Transplantation (AuSCT)
(Medicare Claims Processing Manual)
Billing Requirements for Physician Services Rendered in Method II Critical Access Hospitals (CAHs)  07/05/2005  3800  R526CP  04/15/2005  Updated Requirements for Autologous Stem Cell Transplantation (AuSCT)  05/16/2005  3797  R478CP  02/18/2005  Clarification of the Verification Process to be Used to Determine if the Inpatient Rehabilitation Facility Meets The IRF Classification Criteria  03/21/2005  3704  R465CP  02/04/2005  Billing Requirements for Physician Services in Method II Critical Access Hospitals (CAHs)  07/05/2005  3559  R392CP  12/10/2004  The Supplemental Security Income (SSI) Medicare Beneficiary Data for Fiscal Year 2003 for Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS)  01/10/2005  3567  R384CP  12/01/2004  Inpatient Psychiatric Facility Prospective Payment System (IPF PPS)  04/04/2005  3541  R383CP  11/26/2004  Inpatient Psychiatric Facility Prospective Payment System (IPF PPS) Replaced by Transmittal 384.  04/04/2005  3541  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  R357CP  11/05/2004  Implementation of Coverage of Religious Nonmedical Health Care Institution Items and 04/04/2005  3529  Rev #  Issue Date  Subject  Impl Date  CR#  Services Furnished in the Home, MMA section 706 R347CP  10/29/2004  Inpatient Rehabilitation Facility (IRF) Classification Requirements  11/29/2004  3503  R291CP  08/27/2004  Use of Transmission Date in the Service Date/Assessment Date Field for Inpatient Rehabilitation Facility Prospective Payment System (IRF PPS) Claims  01/03/2005  3433  R285CP  08/27/2004  Addition of Physician Assistants, Nurse Practitioners and Clinical Nurse Specialists as Emergency On -Call Providers for Critical Access Hospitals (CAHs)  01/03/2005  3228  R276CP  08/13/2004  Further Information Related to CR 3175, Distinct Part Units of Critical Access Hospitals (CAHs)  01/03/2005  3399  R267CP  07/30/2004  Crossover Patients in New Long Term Care Hospitals (LTCH)  01/03/2005
(Medicare Claims Processing Manual)
Related to CR 3175, Distinct Part Units of Critical Access Hospitals (CAHs)  01/03/2005  3399  R267CP  07/30/2004  Crossover Patients in New Long Term Care Hospitals (LTCH)  01/03/2005  3391  R266CP  07/30/2004  Revision of Common Working File (CWF) Editing for Same- Day, Same- Provider Acute Care Readmissions  01/03/2005  3389  R263CP  07/30/2004  Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer for FY 2005  10/04/2004  3378  R231CP  07/23/2004  Indian Health Service or Tribal Critical Access Hospitals Billing for Professional Services  01/03/2005  3235  R221CP  06/25/2004  Medicare IRF Classification Requirements  07/01/2004  3334  R208CP  06/18/2004  Long Term Care Hospital Prospective Payment System (LTCH PPS) Fiscal Year 2005 -Update  07/06/2004  3335  R161CP  04/30/2004  Informing Beneficiaries about which local Medical Review Policy (LMRP) and /or Local Coverage Determination (LCD) and o/or National Coverage Determination (NCD) is associated with their claim denial - rescinded and replaced with Pub. 100 -08, Transmittal 75 . 10/04/2004  3089  R156CP  04/30/2004  Clarification of payments and billing procedures for hospitals subject to the Maryland waiver  10/04/2004  3200  R152CP  04/30/2004  Inclusion of Core -Based Statistical Area (CBSA) Data Elements to the Provider Specific Files  10/04/2004  3272  R144CP  04/23/2004  Distinct Part Units for Critical Access Hospitals  10/04/2004  3175  Rev #  Issue Date  Subject  Impl Date  CR#  R087CP  02/06/2004  Expansion of Transfer Policy Under Inpatient Payment Prospective System  07/06/2004  2934  R077CP  02/06/2004  Change in Methodology for Determining Payment for Outliers  03/08/2004  2998  R073CP  01/23/2004  MCE and IPPS Transfers Between Hospitals  N/A 2716 & 2891  R070CP  01/23/2004  Hospital Operating Payments Under PPS  02/23/2004  3038  R068CP  01/16/2004
(Medicare Claims Processing Manual)
MCE and IPPS Transfers Between Hospitals  N/A 2716 & 2891  R070CP  01/23/2004  Hospital Operating Payments Under PPS  02/23/2004  3038  R068CP  01/16/2004  New Requirements for Critical Access Hospitals. These changes have been established with the "Medicare Prescription Drug, Improvement, and Modernization Act" (MPDIMA) of 2003, Pub.L. 108 -173 04/05/2004  3052  R039CP  12/08/2003  Low-Income Provides Adjustment: The Supplemental Security Income Medicare Beneficiary Data for Fiscal Year 2002 for IRFs Paid Under the PPS  01/05/2004  2978  R026CP  11/04/2003  Lung Volume Reduction Surgery  01/05/2004  2688  R010CP  10/17/2003  Heart Transplants  10/01/2003  2958  R001CP  10/01/2003  Initial Publication of Manual  NA NA Back to top of Chapter
(Medicare Claim Processing Manual Crosswalk)
Medicare Claims Processing Manual Chapter 3 - Inpatient Hospital Billing Crosswalk  New Chap New Sect Int. Pub. 13-3  HO Pub. 10 HH Pub. 11  PM                                                                                          Other3 10  400, 400.G, 403, 412    3 10.1 400A 401, 4243 10.2  419 450, 452, 462.1   3 10.3 36223 10.4 4073 20 3610 415, 415.43 20.1 3610.7 415.103 20.2 3656 4173 20.2.1  3656.1  471.13 20.2.2 3656.23 20.2.3 3615.3,3656.3 3 20.2.3.1 3850,Transmittal 1863A3  3 20.3 3610.15 A-03-0673 20.3.1 A-01-03 (CR1437)3 20.3.1.1 A-01-03 (CR1437)New Chap New Sect Int. Pub. 13-3  HO Pub. 10 HH Pub. 11  PM Other 3
(Medicare Claim Processing Manual Crosswalk)
20.3.1.2 A-01-03 (CR1437)3 20.3.2 A-01-47 (CR1635)3 20.3.2.1 A-01-47 (CR1635)3 20.4 36113 20.4.1 3611.13 20.4.2 3611.23 20.4.3 3611.33 20.4.4 3611.43 20.4.5 3611.53 20.4.6 3611.63 20.4.7 3611.7    42 CFR 412.348 3 20.4.8 3611.83 20.4.9 3611.93 20.4.10 3611.103 20.5 3610.16 415.173 20.6 3610.17 415.183 20.7 3610.4  415.73 20.7.1  3610.4  415.73 20.7.2  3610.6  415.93 20.7.3 3610.183 20.7.4 A-99-17(CR 749)  New Chap New Sect Int. Pub. 13-3  HO Pub. 10 HH Pub. 11  PM Other 3
(Medicare Claim Processing Manual Crosswalk)
20.8 A-03-0453 30 3610.19,3610.20 415.19,  415.20    3 30.1 3610.21 415.213 30.1.1 3610.22 415.22, 415.243 30.1.2 3610.23,3610.24 415.23, 415.24    3 40 415.13 40.1 36203 40.2 3620. 415.23 40.2.1 3610.12 415.163 40.2.2 3610.1 415.3,  400E    3 40.2.3 3610.1 415.3,  400E    3 40.2.4  3610.5  415.83 40.2.5 400B3 40.2.6 400C3 40.3 3610.3 415.6, 400D  A-03-008,  A-03-013,  A-03-054  3 40.3.1 400H3 50 3664, 3610.8 411.1, IM411.1, 415.11 445   3 50.1 3664.1A3 50.2 411.2, IM411.2 445New Chap New Sect Int. Pub. 13-3  HO Pub. 10 HH Pub. 11  PM Other 3
(Medicare Claim Processing Manual Crosswalk)
50.3 411.3, IM411.33 60 3634 4213 70 3660.43 70.1 3660.43 80 3660.53 80.1 3660.5A3 90 3612 E4143 90.1 3612 E4143 90.1.1 3612.1,3612.3 E417, 406, E408, E410, E412, E416, E418, E420 3 90.1.2 3612.23 90.2 3613 416   Trans 1871 A3 3 90.2.1 3613 4163 90.3 3614 416.13 90.3.1 3614.1,3614.2 416.2, 416.3    3 90.3.2  3614.2  416.33 90.3.3 3614.2,3614.3 416.43 90.4 3615, 3615.5 416.53 90.4.1 3615.1,3615.3 3 90.4.2 3615.2New Chap New Sect Int. Pub. 13-3  HO Pub. 10 HH Pub. 11  PM Other 3                                                                                                                       90.5 3615.63 90.6 3615.7 Trans R18783 100 36523 100.1 36523 100.2 3660.93 100.3 36693 100.4 404 4333 100.4.1 404.1 4323 100.5 4183 100.6 E4003 110 3698 4903 110.1 3698 4903 110.2  3698.1  490.13 110.3  3698.2  490.23 110.4  3698.3  490.33 110.5  3698.4  490.43 110.6  3698.5  490.53 110.7  3698.6  490.63 110.8  3698.7  490.73 110.9  3698.8  490.83 110.10  3698.9  490.9New Chap New Sect Int. Pub. 13-3  HO Pub. 10 HH Pub. 11  PM Other 3
(Medicare Claim Processing Manual Crosswalk)
110.11 3698.10,3698.11 490.10, 490.11    3 110.12 3698.12 490.123 110.12.1 3698.13 490.133 110.12.2 3698.14,3698.15 490.14, 490.15    3 110.12.3 3698.16 490.163 110.13 3698.17 490.173 120 3699.1 4913 120.1  3699.2  491.13 120.1.1  3699.5  491.43 120.2 3699.3,3699.4 491.23 120.3  3699.7  491.53 120.3.1  3699.7  491.53 120.3.2  3699.7  491.53 120.3.3  3699.7  491.53 120.3.4  3699.7  491.53 120.3.5  3699.7  491.53 120.3.4  3699.7  491.53 120.3.5  3699.7  491.53 120.3.6  3699.7  491.5New Chap New Sect Int. Pub. 13-3  HO Pub. 10 HH Pub. 11  PM Other 3 120.3.7  3699.7  491.5
(Medicare Claim Processing Manual Crosswalk)
3 120.3.8  3699.7  491.53 130 36743 130.1 3674.13 130.2 3674.23 130.3  414.33 130.4  414.33 130.5  414.43 130.5.1 414.53 130.5.2 414.63 130.5.3 414.73 130.6  414.83 130.7  414.93 130.8 414.103 130.9 414.113 140 A-01-110 (CR1851)3 140.1 A-01-110 (CR1851)3 140.2 A-01-110(CR1851),  A-03-008  (CR 2537)  3 140.2.1 A-01-110 (CR1851)New Chap New Sect Int. Pub. 13-3  HO Pub. 10 HH Pub. 11  PM Other 3
(Medicare Claim Processing Manual Crosswalk)
140.2.2 A-01-110 (CR1851)3 140.2.3 A-01-110 (CR1851)3 140.2.4 A-01-110 (CR1851)3 140.2.4.1 A-01-110 (CR1851)A-99-62,  A-01-131  3 140.2.5 A-01-110 (CR1851)3 140.2.6 A-01-131 (CR1921)3 140.3 A-01-131 (CR1921)3 140.3.1 A-01-131(CR1921),  A-03-065  (CR 2716)  3 140.3.2 A-01-131 (CR1921)3 140.3.3 A-01-131 (CR1921)3 140.3.4 A-01-131 (CR1921)3 150.1 A-02-093 (CR2288)3 150.2 A-02-093 (CR2288)3 150.3 A-02-093 (CR2288)3 150.4 A-02-093(CR2288),  A-03-008  (CR 2537)  3 150.5 A-02-093 (CR2288)New Chap New Sect Int. Pub. 13-3  HO Pub. 10 HH Pub. 11  PM Other 3
(Medicare Claim Processing Manual Crosswalk)
150.5.1 A-02-093 (CR2288)3 150.5.2 A-02-093 (CR2288)3 150.6 A-02-093 (CR2288)3 150.7 A-02-093 (CR2288)3 150.8 A-02-093 (CR2288)3 150.9 A-02-093 (CR2288)3 150.9.1 A-02-093 (CR2288)3 150.9.1.1 A-02-093 (CR2288)3 150.9.1.2 A-02-093 (CR2288)3 150.9.1.3 A-02-093 (CR2288)3 150.9.1.4 A-02-093 (CR2288)3 150.9.1.5 A-02-093 (CR2288)3 150.10 A-02-093 (CR2288)3 150.10.1 A-02-093 (CR2288)3 150.10 A-02-093 (CR2288)3 150.11 A-02-093 (CR2288)3 150.12 A-02-093 (CR2288)3 150.12.1 A-02-093 (CR2288)3 150.13 A-02-093 (CR2288)3 150.14 A-02-093 (CR2288)3 150.15 A-02-093 (CR2288)New Chap New Sect Int. Pub. 13-3  HO Pub. 10 HH Pub. 11  PM Other 3
(Medicare Claim Processing Manual Crosswalk)
150.16 A-02-093 (CR2288)3 150.17 A-02-093 (CR2288)3 150.17.1 A-02-093 (CR2288)3 150.17.1.1 A-02-093 (CR2288)3 150.17.1.2 A-02-093 (CR2288)3 150.17.1.3 A-02-093 (CR2288)3 150.17.1.4 A-02-093 (CR2288)3 150.17.1.5 A-02-093 (CR2288)3 150.18 A-02-093 (CR2288)3 150.19 A-02-093 (CR2288)3 150.20 A-02-093 (CR2288)3 150.21 A-02-093 (CR2288)3 150.22 A-02-093 (CR2288)3 150.23 A-02-093 (CR2288)3 150.23.1 A-02-093 (CR2288)3 150.24 A-02-093 (CR2288)3 160 A-02-124 (CR2301)3 Addendum A    A-03-058  (CR 2785)
(Medicare Claims Processing Manual)
Medicare Claims Processing Manual  Chapter 4 - Part B Hospital  (Including Inpatient Hospital Part B and OPPS)  Table of Contents  (Rev. 12421; Issued : 12-21-23) (Rev. 12423; Issued:12- 20-23)     Transmittals for Chapter 4   10 - Hospital Outpatient Prospective Payment System (OPPS)  10.1 -  Background  10.1.1 -  Payment Status Indicators  10.2 -  APC Payment Groups  10.2.1 -  Composite APCs  10.2.2 -  Cardiac Resynchronization Therapy  10.2.3 -  Comprehensive APCs   10.2.4. -  Reporting for Certain Outpatient Department Services (That Are Similar to Therapy Services) (Non -Therapy Outpatient Department Services) and Are Adjunctive to Comprehensive APC Procedures  10.3 -  Calculation of APC Payment Rates  10.4 -  Packaging  10.4.1 -  Combinations of Packaged Services of Different Types That are Furnished on the Same Claim  10.5 -  Discounting 10.6 -  Payment Adjustments  10.6.1 -  Payment Adjustment for  Rural  Sole Community  Hospitals  10.6.2 -  Payment Adjustment for Failure to Meet the Hospital Outpatient Quality Reporting Requirements  10.6.2.1 -  Hospitals to which the Payment Reduction Applies  10.6.2.2 -  Services to which the Payment Reduction Applies  10.6.2.3 -  Contractor Responsibilities  10.6.2.4 -  Application of the Payment Reduction Factor in Calculation of the Reduced Payment and Reduced Copayment  10.6.3 -  Payment Adjustment for Certain Cancer Hospitals  10.6.3.1 -  Payment Adjustment for Certain Cancer Hospitals for CY 2012 and CY 2013 10.6.3.2 -  Payment Adjustment for Certain Cancer Hospitals for CY 2014  10.6.3.3 -  Payment Adjustment for Certain Cancer Hospitals Beginning CY 2015 10.6.3.4 -  Payment Adjustment for Certain Cancer Hospitals   Beginning CY 2016 10.6.3.5 -  Payment Adjustment for Certain Cancer Hospitals Beginning CY 2017 10.6.3.6 -  Payment Adjustment for Certain Cancer Hospitals Beginning CY 2018        10.6.3.7 -  Payment Adjustment for Certain Cancer Hospitals         Beginning CY 2019        10.6.3.8 -  Payment Adjustment for Certain Cancer Hospitals         Beginning CY 2020   10.6.4 -  Payment Adjustment for Rural Emergency Hospitals
(Medicare Claims Processing Manual)
Education Programs for Cost Reporting Periods Beginning On or After May 1, 2010, Under Cost Report 2552- 10 10.11.8 -  Methodology for Calculation of Hospital Overall CCR for Hospitals That Have Nursing and Paramedical Education Programs  for Cost Reporting Periods Beginning Before  May 1, 2010, Under Cost Report Form 2552- 96 10.11.8.1 -  Methodology for Calculation of Hospital Overall CCR for Hospitals That Have Nursing and Paramedical Education Programs for Cost Reporting Periods Beginning On or After May 1, 2010, Under Cost Report 2552- 10 10.11.9 -  Methodology for Calculation of CCR for CMHCs  10.11.10 -  Location of Statewide CCRs, Tolerances for Use of Statewide CCRs in Lieu of Calculated CCRs and Cost Centers to be Used in the Calculation of CCRs  10.11.11 -  Reporting of CCRs for Hospitals Paid Under OPPS and for CMHCs  10.12 -  Payment Window for Outpatient Services Treated as Inpatient Services  20 - Reporting Hospital Outpatient Services Using Healthcare Common Procedure Coding System (HCPCS)  20.1 -  General  20.1.1 -  Elimination of the 90 -day Grace Period for HCPCS (Level I and Level II)  20.2 -  Applicability of OPPS to Specific HCPCS Codes  20.3 -  Line Item Dates of Service  20.4 -  Reporting of Service Units  20.5 -  Clarification of HCPCS Code to Revenue Code Reporting 20.6 -  Use of Modifiers  20.6.1 -  Where to Report Modifiers on the Hospital Part B Claim  20.6.2 -  Modifiers - 50 20.6.3 -  Modifiers - LT and -RT 20.6.4 -  Modifiers 73 and 74 20.6.5 -  Modifiers 76 and 77 20.6.6 -  Modifiers for Radiology Services  20.6.7 -  Modifier  CA 20.6.8 -  HCPCS Level II Modifiers  20.6.9 -  Modifier  FB 20.6.10 - Modifier FC  20.6.11 -  Modifier PO  20.6.12 - Modifier PN   20.6.13 -  Modifier CT  20.6.14 -  Modifier FX  20.6.15 -  Modifier FY  20.6.16-  Modifier JG  20.6.17-  Modifier TB  20.6.18-  Modifier ER
(Medicare Claims Processing Manual)
50 - Outpatient PRICER  50.1 -  Outpatient Provider Specific File  50.2 -  Deductible Application  50.3 -  Transitional Pass -Through Payments for Designated Devices  50.4 -  Changes to Pricer Logic Effective April 1, 2002 50.5 -  Changes to the OPPS Pricer Logic Effective January 1, 2003  50.6 -  Changes to the OPPS Pricer Logic Effective January 1, 2003 Through  January 1, 2006  50.7-  Annual Updates to the OPPS Pricer for Calendar Year (CY) 2007 and Later  50.8 -  Annual Updates to the OPPS Pricer for Calendar Year (CY) 2007 and Later  60 - Billing for Devices Eligible for Transitional Pass -Through Payments and Items Classified in New Technology APCs  60.1 -  Categories for Use in Coding Devices Eligible for Transitional Pass -Through Payments Under the Hospital OPPS  60.2 -  Roles of Hospitals, Manufacturers, and CMS in Billing for Transitional Pass-Through Items  60.3 -  Devices Eligible for Transitional Pass -Through Payments  60.4 -   General Coding and Billing Instructions and Explanations                                     60.4.1 -  Explanations of Terms  60.4.2 -  Complete List of Device Pass -through Category Codes  60.4.3. -  Explanations of Certain Terms/Definitions Related to Device Pass -Through Category Codes  60.5 -  Services Eligible for New Technology APC Assignment and Payments  61 - Billing for Devices under the OPPS  61.1 -  Requirements that Hospitals Report Device Codes on Claims on Which They Report Specified Procedures  61.2 -  Edits for Claims on Which Specified Procedures are to be Reported With Device Codes and For Which Specified Devices are to be Reported With Procedure Codes  61.2.1  Bypass Edit Modifier CG for Claims on Which Specified Procedures are to be Reported With Device Codes  61.3 -  Billing for Devices Furnished Without Cost to an OPPS Hospital or Beneficiary or for Which the Hospital Receives a Full or Partial Credit and Payment for OPPS Services Required to Furnish the Device  61.3.1 -  Reporting and Charging Requirements When a Device is Furnished Without Cost to the Hospital  Prior to January 1, 2014  61.3.2 -  Reporting and Charging Requirements When the Hospital Receives Full Credit for the Replaced Device against the Cost of a More Expensive Replacement Device Prior to January 1, 2014 61.3.3 -  Reporting Requirements When the Hospital Receives Partial Credit for the Replaced Device Prior to January 1, 2014 61.3.4 -  Medicare Payment Adjustment
(Medicare Claims Processing Manual)
Replaced Device against the Cost of a More Expensive Replacement Device Prior to January 1, 2014 61.3.3 -  Reporting Requirements When the Hospital Receives Partial Credit for the Replaced Device Prior to January 1, 2014 61.3.4 -  Medicare Payment Adjustment  Prior to January 1, 2014  61.3.5 -  Reporting and Charging Requirements When a Device is Furnished Without Cost to the Hospital or When the Hospital Receives a Full or Partial Credit for the Replacement Device Beginning January 1, 2014 61.3.6 -  Medicare Payment Adjustment Beginning January 1, 2014  61.4 -  Billing and Payment for Brachytherapy Sources  61.4.1 -  Billing for Brachytherapy Sources -  General  61.4.2 -  Definition of Brachytherapy Source for Separate Payment  61.4.3 -  Billing of Brachytherapy Sources Ordered for a Specific Patient  61.4.4 -  Billing for Brachytherapy Source Supervision, Handling and Loading Costs  61.4.5 -  Payment for New Brachytherapy Sources  61.5 -  Billing for Intracoronary Stent Placement  70 - Transitional Corridor Payments  70.1 -  TOPs Calculation for CY 2000 and CY 2001 70.2 -  TOPs Calculation for CY 2002  70.3 -  TOPs Calculation for CY 2003  70.4 -  TOPs Calculation for CY 2004 and CY 2005  70.5 -  TOPs Calculation for CY 2006 -  CY 2008  70.6 -  Transitional Outpatient Payments (TOPs) for CY 2009 70.7 -  Transitional Outpatient Payments (TOPs) for CY 2010 through CY 2012 70.8 -  TOPs Overpayments  80 - Shared system Requirements to Incorporate Provider -Specific Payment -to-Cost Ratios into the Calculation of Interim Transitional Outpatient Payments Under OPPS  80.1 -  Background -  Payment -to-Cost Ratios  80.2 -  Using the Newly Calculated PCR for Determining Final TOP Amounts  80.3 -  Using the Newly Calculated PCR for Determining Interim TOPs  90 - Discontinuation of Value Code 05 Reporting 100 -  Medicare Summary Notice (MSN)  110 -  Procedures for Submitting Late Charges Under OPPS  120 -  General Rules for Reporting Outpatient Hospital Services  120.1 -  Bill Types Subject to OPPS  120.2 -  Routing of Claims  140 -  All-Inclusive Rate Hospitals  141 -  Maryland Waiver Hospitals  150 -  Hospitals That Do Not Provide Outpatient Services  160 -  Clinic and Emergency Visits  160.1- Critical Care Services  170 -  Hospital and CMHC Reporting Requirements for Services Performed on the Same Day 180 -  Accurate Reporting of Surgical and Medical Procedures  and Services