evekhm/cms_iom_500 huggingface dataset:
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87525 Hepatitis G, DNA, dir probe  87526 Hepatitis G, DNA, amp probe  87527 Hepatitis G, DNA, quant  89050 cell count, peritoneal fluid (no diff)  89051 cell count, peritoneal fluid with diff  93000 Echo exam of heart  93005 Electrocardiogram, tracing  93010 Electrocardiogram report  93040 Rhythm ECG with report  93041 Rhythm ECG, tracing 93042 Rhythm ECG with report  93307 Echo exam of heart  93308 Echo exam of heart, follow -up 93922 Extremity study  93923 Extremity study, multiple levels  93925 Lower extremity study -  arterial  93926 Lower extremity study, limited-  arterial  93930 Upper extremity study-  arterial  93931 Upper extremity study, limited- arterial  93965 Extremity study- venous  93970 Extremity study- venous  93971 Extremity study, limited- venous  G0001 Routine venipuncture  G0202 Screening mammography, digital
(Medicare Claims Processing Manual)
Transmittals Issued for this Chapter  Rev #  Issue Date  Subject  Impl Date  CR#  R12443CP  01/04/2024  Clinical Laboratory Fee Schedule  Medicare Travel Allowance Fees for Collection of Specimens and New Updates for 2024  02/07/2024  13503  R11778CP  01/06/2023  Clinical Laboratory Fee Schedule  Medicare Travel Allowance Fees for Collection of Specimens and New Updates for 2023 01/23/2023  13071  R11463CP  06/23/2022  Internet Only Manual Update to Publication 100-04, Chapter 16, Sections 70.5, 70.8, and 70.9 to Remove References to the Clinical Laboratory Improvement Amendments (CLIA) Files  07/25/2022  12766  R11184CP  01/14/2022  Clinical Laboratory Fee Schedule  Medicare Travel Allowance Fees for Collection of Specimens 02/02/2022  12593  R10615CP  03/09/2021  Clinical Laboratory Fee Schedule  Medicare Travel Allowance Fees for Collection of Specimens  03/19/2021  12140 R10341CP  09/04/2020  Internet Only Manual Update to Pub. 100-04, Chapter 16, Section 60.1.2 and Pub. 100-04, Chapter 26, Section 10.4, Item 19 10/06/2020  11935 R4495CP  01/17/2020  Clinical Laboratory Fee Schedule  Medicare Travel Allowance Fees for Collection of Specimens  02/18/2020  11641  12/20/2019  Internet Only Manual Update to Pub 100-04, Chapter 16, Section 40.8  Laboratory Date of Service Policy  01/23/2020  11574
(Medicare Claims Processing Manual)
12/20/2019  Internet Only Manual Update to Pub 100-04, Chapter 16, Section 40.8  Laboratory Date of Service Policy  01/23/2020  11574  12/20/2019  Internet Only Manual Update to Add New and Revise Sections of Publication 100-04, Chapter 16 01/23/2020  11553 R4299CP  05/03/2019  Re-implementation of the AMCC Lab Panel Claims Payment System Logic  10/07/2019  11248 Rev #  Issue Date  Subject  Impl Date  CR#  R4227CP  02/01/2019  Independent Laboratory Billing of Laboratory Tests for End- Stage Renal Disease (ESRD) Beneficiaries and the Sunset of the CB Modifier 07/01/2019  11061 R4199CP  01/11/2019  Clinical Laboratory Fee Schedule  Medicare Travel Allowance Fees for Collection of Specimens 02/12/2019  11146 R4112CP  11/01/2018  Temporary Transitional Payment for Home Infusion Therapy Services for CYs 2019 and 2020 01/07/2019  10836 R4000CP  03/16/2018  Internet Only Manual Update to Pub 100-04, Chapter 16, Section 40.8 - Date of Service Policy  07/02/2018  10419 R3942CP  12/22/2017  Clinical Laboratory Fee Schedule  Medicare Travel Allowance Fees for Collection of Specimens  01/22/2018  10448 R3875CP  10/06/2017  Internet Only Manual Update to Pub. 100 -04, Chapter 16, to update Clinical Lab Fee Schedule Layout
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01/08/2018  10195 R3717CP  02/10/2017  Clinical Laboratory Fee Schedule  Medicare Travel Allowance Fees for Collection of Specimens 05/12/2017  9960 R3685CP  12/22/2016  January 2017 Update of the Hospital Outpatient Prospective Payment System (OPPS)  01/03/2017  9930 R3619CP  10/07/2016  Table of Chemistry Panels 01/10/2017  9790 R3510CP  04/29/2016  Updates to Pub. 100-04, Chapters 1 and 16 to Correct Remittance Advice Messages  10/03/2016  9578 R3433CP  12/31/2015  Clinical Laboratory Fee Schedule  Medicare Travel Allowance Fees for Collection of Specimens 02/01/2016  9485 Rev #  Issue Date  Subject  Impl Date  CR#  R3425CP  12/18/2015  January 2016 Update of the Hospital Outpatient Prospective Payment System (OPPS)  01/04/2016  9486 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 R3189CP  02/05/2015  Clinical Laboratory Fee Schedule  Medicare Travel Allowance Fees for Collection of Specimens 04/24/2015  9066 R3169CP  01/23/2015  Clinical Laboratory Fee Schedule  Medicare Travel Allowance Fees for Collection of Specimens  Rescinded and replaced by Transmittal 3189 04/24/2015  9066 R3116CP  11/06/2014  Elimination of the 50/50 Payment Rule for Laboratory Services on End Stage Renal Disease (ESRD) Claims  04/06/2015  8957 R3103CP  11/03/2014  Reporting the Service Location National Provider Identifier (NPI) on Anti -Markup and Reference Laboratory Claims  04/06/2015  8806 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 04/05/2014  8806 R3071CP  09/19/2014  Manual Update to Clarify Claims Processing for Laboratory Services 12/22/2014  8883 R3056CP  08/29/2014  Sample Collection Fee Adjustment for Clinical Laboratory Fee Schedule and Laboratory Services 12/01/2014  8837
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09/19/2014  Manual Update to Clarify Claims Processing for Laboratory Services 12/22/2014  8883 R3056CP  08/29/2014  Sample Collection Fee Adjustment for Clinical Laboratory Fee Schedule and Laboratory Services 12/01/2014  8837 R3047CP  08/22/2014  Reporting the Service Location National Provider Identifier (NPI) on Anti -Markup and Reference Laboratory Claims   01/05/2014  8806 Rev #  Issue Date  Subject  Impl Date  CR#  Rescinded and replaced by Transmittal 3098 R3014CP  08/06/2014  Update to Pub. 100-04, Chapter 16 to Provide Language-Only Changes for Updating ICD -10 and ASC X12 09/08/2014  8613 R2971CP  05/23/2014  July 2014 Update of the Hospital Outpatient Prospective Payment System (OPPS)  07/07/2014  8776 R2907CP  03/14/2014  Clinical Laboratory Fee Schedule  Medicare Travel Allowance Fees for Collection of Specimens 06/16/2014  8641 R2904CP  03/14/2014  Update to Pub. 100-04, Chapter 16 to Provide Language-Only Changes for Updating ICD -10 and ASC X12  Rescinded and replaced by Transmittal 3014 10/01/2014  8613 R2730CP  06/20/2013  Coding Requirements for Laboratory Specimen Collection Update 07/16/2013  8339 R2726CP  06/14/2013  Coding Requirements for Laboratory Specimen Collection Update  Rescinded and replaced by Transmittal 2730 07/16/2013  8339 R2714CP  05/24/2013  Updates to Chapter 12 and Chapter 16 of the Medicare Claims Processing Manual to Revise Instructions Regarding the Technical Component (TC) of Pathology Services Furnished to Hospital Patients  06/25/2013  8013 R2581CP  11/02/2012  Outpatient Laboratory Services Rendered in a Critical Access Hospital (CAH)  04/01/2013  8025 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 Payment System (ESRD PPS)  06/19/2012  7749 Rev #  Issue Date  Subject  Impl Date  CR#  R2475CP  05/18/2012  Internet Only Manual
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Claims Processed under the End Stage Renal Disease Prospective Payment System (ESRD PPS)  06/19/2012  7749 Rev #  Issue Date  Subject  Impl Date  CR#  R2475CP  05/18/2012  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 Payment System (ESRD PPS)  06/19/2012  7749 R2136CP  01/21/2011  Medicare and Medicaid Extenders Act of 2010 (MMEA) Extension of Reasonable Cost Payment for Clinical Lab Tests Furnished to Hospitals with Fewer Than 50 Beds in Qualified Rural Areas  07/05/2011  7294 R2106CP  11/24/2010  Calendar Year (CY) 2011 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment  01/03/2011  6991 R1945CP  04/09/2010  New Legislation to Allow Independent Laboratory Billing for the Technical Component of Physician Pathology Services for Hospital Inpatients and Outpatients 07/09/2010  6813 R1940CP  04/02/2010  Extension of Reasonable cost Payment for Clinical lab Tests Furnished by Hospitals With Fewer Than 50 Beds in Qualified Rural Areas  07/06/2010  6873 R1884CP  12/23/2009  Calendar Year (CY) 2010 Annual Update for Clinical Laboratory Fee Schedule and Laboratory Services Subject to Reasonable Charge Payment  01/04/2010  6657 R1782CP  07/30/2009  Section 148 of the Medicare Improvements for Patients and Providers Act (MIPPA) 07/06/2009  6395 R1769CP  07/10/2009  ESRD: Placement of a List of Diagnostic Tests that are Considered End Stage Renal Disease (ESRD)  07/31/2009  6515 R1763CP  07/02/2009  ESRD: Placement of a List of Diagnostic Tests that are Considered End Stage Renal Disease (ESRD)  Rescinded and replaced by Transmittal 1769 07/02/2009  6515 Rev #  Issue Date  Subject  Impl Date  CR#  R1729CP  05/08/2009  Section 148 of the Medicare Improvements for Patients and Providers Act (MIPPA) - Rescinded and replaced by Transmittal 1782 07/06/2009  6395 R1712CP  04/17/2009  Section 148 of the Medicare Improvements for Patients and Providers Act
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the Medicare Improvements for Patients and Providers Act (MIPPA) - Rescinded and replaced by Transmittal 1782 07/06/2009  6395 R1712CP  04/17/2009  Section 148 of the Medicare Improvements for Patients and Providers Act (MIPPA) - Rescinded and replaced by Transmittal 1729 07/06/2009  6395 R1690CP  02/27/2009  Reporting the National Provider Identifier (NPI) on Claims for Reference Laboratory and Purchased Diagnostic Services Performed Outside the Billing Jurisdiction  03/27/2009  6362 R1655CP  12/31/2008  End Stage Renal Disease (ESRD) Medicare Claims Processing Manual Clarification  02/02/2009  6245 R1652CP  12/19/2008  New Waived Tests  01/05/2009  6287 R1584CP  09/05/2008  Clinical Laboratory Fee Schedule  Medicare Travel Allowance Fees for Collection of Specimens 10/06/2008  6195 R1561CP  07/25/2008  Medicare Improvements for Patients and Providers Act of 2008- Legislative Change Concerning Independent Laboratory Billing for the Technical Component of Physician Pathology Services 08/25/2008  6042 R1524CP  05/30/2008  Clinical Laboratory Fee Schedule- Medicare Travel Allowance Fees for Collection of Specimens  06/30/2008  5996 R1515CP  05/23/2008  Date of Service (DOS) for Clinical Laboratory and Pathology Specimens 01/05/2009  6018 R1472CP  03/06/2008  Update of Institutional Claims References  04/07/2008  5893 R1451CP  02/15/2008  Clinical Lab: New Automated Test for the AMCC Panel Payment Algorithm 07/07/2008  5874 Rev #  Issue Date  Subject  Impl Date  CR#  R1445CP  02/08/2008  January 2008 Update of the Hospital Outpatient Prospective Payment System (OPPS) -Manualization  03/10/2008  5946 R1440CP  02/07/2008  Medicare, Medicaid, and SCHIP Extension Act of 2007 Changes to Independent Laboratory Billing for the Technical Component of Physician Pathology Services  03/07/2008  5943 R1421CP  01/25/2008  Update of Institutional Claims References - Rescinded and Replaced by Transmittal 1472 04/07/2008  5893 R1319CP  08/17/2007  Date of Service for Laboratory Specimens  01/01/2008  5573 R1221CP  04/18/2007  Common
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and Replaced by Transmittal 1472 04/07/2008  5893 R1319CP  08/17/2007  Date of Service for Laboratory Specimens  01/01/2008  5573 R1221CP  04/18/2007  Common Working File (CWF) Duplicate Claim Edit for the Technical Component (TC) of Radiology and Pathology Laboratory Services Provided to Hospital Patients  04/02/2007  5347 R1098CP  11/03/2006  Common Working File (CWF) Duplicate Claim Edit for the Technical Component (TC) of Radiology and Pathology Laboratory Services Provided to Hospital Patients Replace by Transmittal 1221  04/02/2007  5347 R865CP  02/17/2006  Health Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical Laboratory Improvement Amendments (CLIA) Edits 07/03/2006  4321 R852CP  02/10/2006  Ambulance Fee Schedule  CY 2006 Update: Correction to CR 4061 02/24/2006  4362 R800CP  12/30/2005  Clinical Diagnostic Laboratory Date of Service (DOS) for Archived Specimens  04/03/2006  4156 R795CP  12/30/2005  Redefined Type of Bill (TOB) 14X for Non-Patient Laboratory Specimens -CR 3835 Manualization 04/03/2006  4208 R744CP  11/04/2005  File Descriptions and Instructions for Retrieving the 2006 Fee Schedules and 01/03/2006  4084 Rev #  Issue Date  Subject  Impl Date  CR#  HCPCS through CMS's Mainframe Telecommunications System R734CP  10/28/2005  Redefined Type of Bill (TOB), 14x, for Non-Patient Laboratory Specimens  04/03/2006  3835 R733CP  10/28/2005  Repeat Tests for Automated Multi-Channel Chemistries for End Stage Renal Disease Beneficiaries  04/03/2006  4101 R598CP  06/27/2005  Implementation of Carrier Guidelines for End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests 01/01/2006  3890 R595CP  06/24/2005  Implementation of Carrier Guidelines for End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests 07/25/2005  3890 R372CP  11/19/2004  Payment for Referred Laboratory Automated Multi-Channel Chemistry
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Guidelines for End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests 07/25/2005  3890 R372CP  11/19/2004  Payment for Referred Laboratory Automated Multi-Channel Chemistry (AMCC) Tests  04/04/2005  3483 R289CP  08/27/2004  File Descriptions and Instructions for Retrieving 2004 Pricing Files 01/03/2005  3428 R198CP  06/04/2004  AMCC tests for ESRD -related lab services  01/03/2005  2813 R164CP  04/30/2004  Replaced by Rev 198CP  06/04/2004  2813 R102CP  02/20/2004  New waived tests approved by the Food and Drug Administration under Clinical Laboratory Improvement Amendments of 1988 04/05/2004  3061 R100CP  02/13/2004  Outpatient Clinical Laboratory Tests Furnished by Hospitals with Fewer than 50 beds in Qualified Rural Areas for cost reporting periods beginning during the 2-year period beginning on July 1, 2004. 07/06/2004  3130 Rev #  Issue Date  Subject  Impl Date  CR#  R085CP  02/06/2004  Pricing payment for referred services based upon zip code of where the service was performed  07/06/2004  3090 R079CP  02/06/2004  ESRD Reimbursement for AMCC Tests  07/06/2004  2813 R071CP  01/23/2004  Quarterly updates for NCD edit module for clinical diagnostic lab services  04/05/2004  3032 & 3072 R069CP  01/23/2004  Deletion of requirement to validate that the ESRD beneficiary is in a SNF Part A stay  02/23/2004  2906 R023CP  10/31/2003  Pricing payment for referred services based upon zip code of where the service was performed  4/5/2004 2193 R016CP  10/31/2003  Fee schedule payment for independent laboratories for the technical component of a purchased diagnostic service 04/05/2004  2919 R012CP  10/24/2003  Claims for fecal leukocyte examinations  01/01/2004  2924 R001CP  10/01/2003  Initial Publication of Manual NA NA Back to top of Chapter
(Medicare Claims Processing Manual)
Medicare Claims Processing Manual  Chapter 30 - Financial Liability Protections   Table of Contents  (Rev. 12423, 12- 20-23)  Transmittals for Chapter 30  10 - Financial Liability Protections (FLP) Provisions  20 - Limitation On Liability (LOL) Under 1879 Where Medicare Claims Are Denied  20.1 -   LOL Coverage Denials to Which the Limitation on Liability Applies  20.2 -  Denials When the LOL Provision Does Not Apply  20.2.1 -  Categorical Denials  30 - Determining Liability for Disallowed Claims Under 1879  30.1 -  Beneficiarys Knowledge and Liability  30.1.1 -  Other Evidence of Knowledge  30.2 -  Healthcare Provider or Supplier Knowledge and Liability  30.2.1 -  Evidence of Healthcare Provider or Supplier Knowledge  30.2.2 -  Medical Record Evidence of Healthcare Provider or Supplier Knowledge  30.2.3 -  Acceptable Standards of Practice  30.3  The Right to Appeal  30.4 -  Fraud, Abuse, Patently Unnecessary Items and Services  40 - Written Notice as Evidence of Knowledge  40.1 -  Sources of Written Notice  40.2 -  Written Notice Standards  40.2.1 -  Other Written Notice Standards  40.2.2 -  Written Notice Special Considerations   40.3 -  Medical Emergency or Otherwise Under Great Duress Situations
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40.4-  Emergency Medical Treatment and Active Labor Act (EM TALA) Situations  50 -  Advance Beneficiary Notice of Non- coverage (ABN)  50.1 -  ABN Scope  50.2 -  ABN Uses   50.2.1 -  Optional ABN Uses  50.3 -  Issuance of the ABN  50.4 -  ABN Triggering Events  50.5 -  ABN Standards  50.6 -  Completing the ABN  50.7 -  Retention Requirements  50.8 -  ABN Delivery Requirements   50.8.1  Options for Delivery Other than In- Person  50.9 -  Effects of Lack of Notification, Medicare Review and Claim Adjudication  50.10 -  Using ABNs for Medical Equipment and Supplies Claims When Denials Under 1834(a)(17)(B) of the Act (Prohibition Against Unsolicited Telephone Contacts) Are Expected  50.11 -  ABNs for Medical Equipment and Supplies Claims Denied Under 1834(j)(1) of the Act (Because the Supplier Did Not Meet Supplier Number Requirements)  50.12 -  ABNs for Claims Denied in Advance Under 1834(a)(15) of the Act  50.13 -  ABN Standards for Upgraded Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)  50.14 -  ABNs for items listed in a DMEPOS Competitive Bidding Program (CBP)  50.15 -  Collection of Funds and Refunds   50.15.1 -  Physicians Services RR   50.15.2 -  DMEPOS RR Provision for Claims for Medical Equipment and Supplies   50.15.3  -  Time Limits and Penalties for Healthcare Providers and Suppliers in Making Refunds   50.15.4 -  Suppliers Right to Recover Resalable Items for Which Refund Has Been Made  50.16 -  CMS Regional Office (RO) Referral Procedures   50.17 -  ABN Special Considerations  60 - Home Health Change of Care Notice (HHCCN), Form CMS -10280  60.1 -  Background on the HHCCN  60.2 -  Scope of the HHCCN  60.3 -  Triggering Events for HHCCN/ Written Notice  60.4 -  Completing the HHCCN  60.5 -  HHCCN Delivery  70 - Skilled Nursing Facility Advance Beneficiary Notice of Non- coverage (SNF ABN)  70.1 -   SNF ABN
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60.4 -  Completing the HHCCN  60.5 -  HHCCN Delivery  70 - Skilled Nursing Facility Advance Beneficiary Notice of Non- coverage (SNF ABN)  70.1 -   SNF ABN Standards  70.2 -  Situations in Which a SNF ABN Should Be Given  70.3 - Situations in Which a SNF ABN Is Not Needed to Transfer Financial Liability to the Beneficiary  70.4 -  SNF ABN Specific Delivery Issues  70.5 -  Special Rules for SNF ABNs  70.6 -  Establishing When Beneficiary Is On Notice of Non- coverage  70.6.1 -  Source of Beneficiary Notification  80 - Hospital ABNs (Hospital- Issued Notices of Noncoverage -  HINN)  100 -  Indemnification Procedures for Claims Falling Within the Limitation on Liability Provision  100.1 -  Contractor and Social Security Office (SSO) Responsibility in Indemnification Claims  100.2 -  Conditions for Indemnification 100.3 -  Development and Documentation of Indemnification Requests  100.3.1 -  Proof of Payment  100.4 -  Beneficiary Requests Indemnification, but Had No Financial Interest in the Claim 100.5 -  Questionable Indemnification Requests Procedure  100.6 -  Determining the Amount of Indemnification 100.7 -  Notifying the Provider, Practitioner, or Supplier  100.8 -  Making Payment Under Indemnification  100.9 -  Limitation on Liability Determination Does Not Affect Medicare Exclusion 100.10 -  Exhibits  Exhibit 1 -  Letter to Provider  Exhibit 2 -  Letter to Beneficiary Who Requests Indemnification  Exhibit 3 -  Letter to Someone Other Than Beneficiary Who Requests Indemnification  Exhibit 4 -  Letter to Practitioner or Supplier (Noninstitutional Services)  Exhibit 5 -  Letter to Beneficiary Who Requests Indemnification (Noninstitutional Services)  Exhibit 6 -  Letter to Someone Other Than Beneficiary Who Requests Indemnification (Noninstitutional Services)  Exhibit 7 -  Statement of Claimant or Other Person  110 -  Contractor Instructions for Application of Limitation On Liability  110.1 -  Payment Under Limitation on Liability  110.2 -  When to Make Limitation on Liability Decisions  110.3 -  Preparation of Denial Notices  110.4 -  Bill Processing  110.5 -  Contractor Review of ABNs  110.5.1 -  General Rules
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-  Payment Under Limitation on Liability  110.2 -  When to Make Limitation on Liability Decisions  110.3 -  Preparation of Denial Notices  110.4 -  Bill Processing  110.5 -  Contractor Review of ABNs  110.5.1 -  General Rules  110.5.2 -  Situations in Which Contractor Review of ABNs is Indicated  110.5.3 -  Other Reasons for Contractor Request for Copies of ABNs  120 -  Contractor  Specific Instructions for Application of Limitation on Liability  120.1 -  Documentation of Notices Regarding Coverage  120.2 -  Availability of Coverage Notices to Operating Personnel  120.3 -  Applicability of Limitation on Liability Provision to Claims for Outpatient Physical Therapy Services Furnished by Clinics  120.4 -  Limitation on Liability Notices to Beneficiaries From Contractors  120.5 -  Contractor Redeterminaions or Reconsiderations in Assignment Cases Conducted at the Request of Either the Beneficiary or the Assignee  120.5.1 -  Guide Paragraphs for Contractor s to Use Where 1879 Is Applicable at Redetermination Level  130 -  A/B MAC (A) and (HHH) Specific Instructions for Application of Limitation on Liability  130.1 -  Applicability of the Limitation on Liability Provision to Claims for Ancillary, Outpatient Provider and Rural Health Clinic Services Payable Under Part B  130.1.1 -  Determining Beneficiary Liability in Claims for Ancillary and Outpatient Services  130.1.2 -  Determining Provider Liability in Claims for Ancillary and Outpatient Services  130.2 -  Prior Hospitalization and Transfer Requirements for SNF Coverage as Related to Limitation on Liability  130.3 -  Application of Limitation on Liability to SNF and Hospital Claims for Services Furnished in Noncertified or Inappropriately Certified Beds  130.4 -  Determining Liability for Services Furnished in a Noncertified SNF or Hospital Bed  140 -  Physician Refund Requirements (RR) Provision for Nonassigned Claims for Physicians Services Under 1842(l) -  Instructions for Contractor s and Physicians  140.1 -  Services Furnished Before October 1, 1987  140.2 -  Services Furnished Beginning October 1, 1987 140.3 -  Time Limits for Making Refunds  140.4 -  Situations Where a Refund Is Not Required 140.5 -  Appeal Rights  140.6 -  Processing Initial Denials  140.6.1 -  Initial Beneficiary Notices  140.6.2 -  Initial Physician Notices  140.7 -  Processing Beneficiary Requests for Appeal  140.8 -