| File |
Comm Date |
Subject |
| AB-03-140 |
9/12/2003 |
2004 Healthcare Common Procedure Coding System (HCPCS) Annual Update Reminder |
| AB-03-138 |
9/5/2003 |
Modification of Medicare Policy for Erythropoietin (EPO) |
| A-03-077 |
9/5/2003 |
October Medicare Outpatient Code Editor (OCE) Specifications Version 19.0 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective Payment System (OPPS) |
| A-03-074 |
8/29/2003 |
Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer Changes for FY 2004 |
| A-03-076 |
8/29/2003 |
October 2003 Update of the Hospital Outpatient Prospective Payment System (OPPS) |
| AB-03-129 |
8/22/2003 |
Addition of Three New International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) Diagnosis Codes to be Effective as Part of the October 1, 2003, ICD-9-CM Update. |
| B-03-065 |
8/22/2003 |
Changes to Code List for Therapy Services |
| AB-03-128 |
8/22/2003 |
Clarification to Transmittal AB-03-044 (CR 2611), Addition of New Temporary "K" Codes |
| B-03-064 |
8/22/2003 |
CLARIFICATION-ICD-9 Coding |
| A-03-073 |
8/22/2003 |
Fiscal Year (FY) 2004 Inpatient Prospective Payment System (IPPS), Long Term Care Hospital (LTCH), and Other Bill Processing Changes |
| AB-03-127 |
8/22/2003 |
Payment for the Fecal Leukocyte Examination Under a Clinical Laboratory Improvement Amendments of 1988 (CLIA) Certificate for Provider-Performed Microscopy (PPM) Procedures During CY 2003 |
| B-30-63 |
8/15/2003 |
Healthcare Provider Taxonomy Codes (HPTC) Crosswalk |
| AB-03-123 |
8/15/2003 |
Scheduled Release for October Updates to Software Programs and Pricing/Coding Files |
| B-03-061 |
8/8/2003 |
DMERCs - NCPDP Crosswalk Requirements |
| AB-03-119 |
8/8/2003 |
Final Update to the 2003 Medicare Physician Fee Schedule Database |
| A-03-066 |
8/8/2003 |
Hospital Outpatient Prospective Payment System (OPPS) Implementation Instructions |
| A-03-069 |
8/8/2003 |
October Outpatient Code Editor (OCE) Specifications Version (V4.3) |
| A-03-067 |
8/8/2003 |
The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2002 for Inpatient Prospective Payment System (IPPS) Hospitals |
| AB-03-116 |
8/8/2003 |
Update of Rates and Wage Index for Ambulatory Surgical Center (ASC) Payments Effective October 1, 2003 |
| B-30-57 |
8/1/2003 |
Additional Guidelines for Implementing the National Council for Prescription Drug Program (NCPDP) Format |
| AB-03-114 |
8/1/2003 |
Claims Processing and Payment of Incomplete Screening Colonoscopies |
| B-03-055 |
8/1/2003 |
Common Working File (CWF) Crossover Editing for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Claims During an Inpatient Stay |
| B-03-056 |
8/1/2003 |
Durable Medical Equipment Regional Carriers (DMERCs -- Additional Instructions for Health Insurance Portability and Accountability Act (HIPAA) Implementation of National Drug Codes (NDCs) and the NCPDP Format |
| AB-03-104 |
7/25/2003 |
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for October 1, 2003 |
| AB-03-106 |
7/25/2003 |
Third Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule |
| B-03-052 |
7/18/2003 |
Addition of Temporary "Q" Codes for Drugs Used in Infusion Pumps |
| AB-03-100 |
7/18/2003 |
October Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule |
| B-03-051 |
7/16/2003 |
Therapy Modifier Bypass for Ambulance Claims |
| AB-03-095 |
7/3/2003 |
Remittance Advice Remark and Reason Code Update |
| AB-03-096 |
7/3/2003 |
Quarterly Update of Healthcare Common Procedure Coding System (HCPCS) Codes Used for Home Health Consolidated Billing Enforcement |
| AB-03-097 |
7/3/2003 |
Delay in Implementation of Outpatient Therapy Caps to September 1, 2003 |
| A-03-058 |
7/3/2003 |
Change in Methodology for Determining Payment for Outliers Under the Acute Care Hospital Inpatient and Long-Term Care Hospital Prospective Payment Systems |
| A-03-059 |
7/3/2003 |
Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code 65 |
| A-03-056 |
6/27/2003 |
Payment Update for Long-term Care Hospital Prospective Payment System Rate Year 2004 |
| AB-03-091 |
6/20/2003 |
Medicare Contractor Annual Update of the International Classification of Diseases, Ninth Revision, Clinical Modification (ICD-9-CM) |
| B-03-047 |
6/20/2003 |
Changes to Correct Coding Edits, Version 9.3, Effective October 1, 2003 |
| B-03-048 |
6/20/2003 |
Addition of Temporary Codes Q4052 and Q4053 |
| A-03-054 |
6/20/2003 |
Revision to CR 2573, Transmittal A-03-013, dated February 14, 2003: 3-Day Payment Window Refinements Under the Short-Term Hospital Inpatient Prospective Payment System |
| A-03-051 |
6/13/03 |
July 2003 Update of the OPPS |
| B-03-046 |
6/10/03 |
Provider Education: Establishing New Requirements for ICD-9-CM Coding on Claims Submitted to Medicare Carriers - Increased Role for Physicians/Practitioners |
| A-03-050 |
6/6/03 |
July Medicare OCE Specifications Version 18.2 For
Bills From Hospitals That Are Not Paid Under the OPPS |
| A-03-048 |
6/6/03 |
July Outpatient Code Editor (OCE) Specifications Version (V4.2) |
| AB-03-084 |
6/6/03 |
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 1, 2003 |
| B-03-045 |
6/6/03 |
ICD-9-CM Coding Requirements for Claims Submitted to Medicare Carriers |
| A-03-045 |
5/30/03 |
Payment to Hospitals and Units Excluded from the IPPS for Direct Graduate Medical Education (DGME) and Nursing and Allied Health (N&AH) Education for Medicare+Choice (M+C) Enrollees |
| AB-03-073 |
5/23/03 |
Provider Education Article: Financial Limitation of Claims for Outpatient Rehabilitation Services |
| AB-03-072 |
5/16/03 |
Mammography Computer Aided Detection (CAD) Equipment |
| B-03-040 |
5/16/03 |
Update of the Place of Service (POS) Code Set |
| AB-03-071 |
5/9/03 |
July Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule |
| AB-03-070 |
5/9/03 |
Second Update to the 2003 Medicare Physician Fee Schedule Database |
| AB-03-065 |
5/9/03 |
Scheduled Release for July Updates to Software Programs and Pricing/Coding Files |
| A-03-035 |
5/2/03 |
Reporting of Revenue Codes Under the OPPS |
| A-03-034 |
5/2/03 |
Modification to Medicare Timely Filing Edit for Claims Paid Under Certain Prospective Payment Systems |
| A-03-033 |
5/2/03 |
End Stage Renal Disease (ESRD) Reimbursement for Automated Multi-Channel Chemistry (AMCC) Tests |
| A-03-032 |
5/2/03 |
Addition of Patient Status Code 43, Deletion of Patient Status Codes 71 and 72, and Information on New Patient Status Code |
| AB-03-057 |
5/2/03 |
Implementation of the Financial Limitation for Outpatient Rehabilitation Services |
| AB-03-056 |
5/2/03 |
New Waived Tests March 21, 2003 |
| AB-03-054 |
5/2/03 |
Diagnosis Code for Screening Pap Smear and Pelvic Examination |
| AB-03-053 |
5/2/03 |
Availability of Online Screens for the Laboratory National Coverage Determinations (NCDs) |
| B-03-032 |
5/2/03 |
Continuation of April and July 2003 Change Requests (CRs 2424 and 2524): Create Import/Export Functionality Between the Unique Provider Identification Number System (UPIN) and the Provider Enrollment Chain Ownership System (PECOS) |
| AB-03-048 |
4/25/03 |
End Stage Renal Disease (ESRD) Coordination Period |
| B-03-029 |
4/25/03 |
Managed Care Reasonable Charge Data Disclosure Requirements for Ambulance
Services |
| A-03-030 |
4/18/03 |
Provider-based Status On or After October 1, 2002 |
| AB-03-047 |
4/18/03 |
Single Drug Pricer (SDP) Clarifications |
| B-03-028 |
4/18/03 |
Durable Medical Equipment Regional Carriers (DMERC) ICD-9-CM Coding |
| B-03-026 |
4/18/03 |
Standard System Acceptance of Primary Payer Information at the Line Level |
| A-03-029 |
4/11/03 |
Corrections to: Changes to the Hospital Inpatient Prospective Payment Systems and Rates and Costs of Graduate Medical Education, etc.; as Published in the Federal Register, FY 2003 (67 FR 49982, August 1, 2002) |
| A-03-028 |
4/11/03 |
January Medicare OCE Specifications Version 18.1R1 For Bills From Hospitals That Are Not Paid Under the OPPS |
| A-03-027 |
4/11/03 |
Updated OPPS: Requirements for Provider Education and Training |
| AB-03-045 |
4/11/03 |
Addition of Temporary “K” Codes |
| AB-03-044 |
4/11/03 |
Addition of Temporary “K” Codes |
| AB-03-043 |
4/11/03 |
Addition of “K” Codes for Surgical Dressings |
| B-03-023 |
4/11/03 |
Correct Payment of January and February 2003 Physician Services |
| A-03-020 |
4/2/03 |
April 2003 Update of the Hospital Outpatient Prospective Payment System |
| A-03-026 |
4/2/03 |
April Outpatient Code Editor Specifications Version (V4.1) |
| A-03-023 |
3/28/03 |
Implementation of the Temporary Equalization of Urban and Rural Standardized Payment Amounts Under the Medicare Inpatient Hospital Prospective Payment System (IPPS) as Required By Section 402(b) of Public Law 108-7 |
| A-03-019 |
3/14/03 |
Reactivation of OPPS Outpatient Code Editor Edit 15, “Service Unit Out Of Range” and Guidance on Editing for Low Osmolar Contrast Media (LOCM) Procedures |
| AB-03-035 |
3/3/03 |
Emergency Changes to the 2003 Medicare Physician Fee Schedule Database |
| A-03-017 |
2/28/03 |
Payment for Services To Be Paid on a Fee Schedule But For Which There Is No Price |
| AB-03-031 |
2/28/03 |
Addition or Modification of Temporary “K” Codes and Change in Status for Code A4232 |
| AB-03-030 |
2/28/03 |
Changes to the Laboratory National Coverage Determination (NCD) Edit Software for April 1, 2003 |
| B-03-018 |
2/28/03 |
Changes to Correct Coding Edits, Version 9.2, Effective July 1, 2003 |
| AB-03-027 |
2/24/03 |
Payment Change for the 2003 Medicare Physician Fee Schedule (MPFS) and Further Extension of the 2003 Participation Enrollment Process |
| A-03-014 |
2/21/03 |
Further Guidance Regarding Billing Under the Outpatient Prospective Payment System (OPPS) |
| A-03-011 |
2/14/03 |
Changes in Payment for Certain Services Provided by Outpatient Physical Therapy (OPT) Providers Under the Medicare Physician Fee Schedule (MPFS) |
| A-03-013 |
2/14/03 |
3-Day Payment Window Refinements Under the Short-Term Hospital Inpatient Prospective Payment System |
| AB-03-022 |
2/14/03 |
Use of the American Medical Association's (AMA's) Physicians' Current Procedural Terminology, Fourth Edition (CPT) Codes on Contractors' Web Sites |
| AB-03-019 |
2/11/03 |
Notice of Interest Rate for Medicare Overpayments and Underpayments |
| AB-03-017 |
2/7/03 |
Scheduled Release for April Updates to Software Programs and Pricing/Coding Files |
| A-03-008 |
2/3/03 |
Clarification of 3-Day Payment Window vs. 1-Day Payment Window for Hospitals Excluded from Inpatient Prospective Payment System (IPPS) |
| A-03-007 |
2/3/03 |
Payment to Hospitals and Units Excluded from the Acute Inpatient Prospective Payment System for Direct Graduate Medical Education (DGME) and Nursing and Allied Health (N&AH) Education for Medicare+Choice (M+C) Enrollees |
| A-03-006 |
2/3/03 |
Update the Medicare Secondary Payment Module to Apportion Prospective Payment System Outlier Amounts to all Service Lines With Medicare Reimbursement That are PRICER Related and Potential Outlier Service Lines |
| AB-03-011 |
2/3/03 |
Identifying the Primary Payer Amounts to Send to the Medicare Secondary Payer Pay Module (MSPPAY) and the Shared Systems When There Are Multiple Primary Payers on Electronic and Hardcopy Claims |
| B-03-011 |
2/3/03 |
Correct Payment of January and February 2003 Physician Services |
| B-03-007 |
2/3/03 |
Minimum Number of Pricing Files That Must Be Maintained Online for Medicare Physician Fee Schedule (MPFS) Services |
| AB-03-007 |
1/24/03 |
Second Clarification of Medicare Policy Regarding the Implementation of the Ambulance Fee Schedule |
| AB-03-006 |
1/24/03 |
April Quarterly Update for 2003 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule |
| B-03-002 |
1/24/03 |
DMERCs - VIPS Medicare System (VMS) Implementation to Process ICD-9 CM |
| A-03-004 |
1/17/03 |
Calculating Provider-Specific Medicare Outpatient Cost-to-Charge Ratios (CCRs) and Instructions on Cost Report Treatment of Hospital Outpatient Services Paid on a Reasonable Cost Basis |
| A-03-003 |
1/17/03 |
January OCE Specifications Version (V4.0) |
| B-03-001 |
1/17/03 |
Emergency Update to the 2003 Medicare Physician Fee Schedule Database |
| A-03-001 |
1/7/03 |
January Medicare Outpatient Code Editor (OCE) Specifications Version 18.1 For Bills From Hospitals That Are Not Paid Under the Outpatient Prospective |
