Update - Federally Qualified Health Center (FQHC) Participation in and Payment Under the…

This transmittal updates Chapter 48, Home Office Cost Statement, Form CMS-287-22, to clarify
…

This transmittal updates Chapter 42, Independent Renal Dialysis Facility Cost Report,
Form…

Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) -
Creation of…

Documentation for Claims for Replacement of Essential Accessories for Beneficiary-Owned…

Internet Only Manual Update, Pub. 100-04, Chapter 3 (Inpatient Hospital Billing), Sections 20.1.…

Qualifications for Speech-Language Pathologists Furnishing Outpatient Speech-Language Pathology…

Payment for Part B Preventive Vaccines and Their Administration on the Claim for Rural Health…

User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Create Error Message in the…

Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Copy Over Existing SuperOp…

User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Updates to the Automated…

The Recovery and Adjustment of Medicare Claims where the Department of Veteran Affairs (VA) also…

Updates to several sections in Chapter 1 of the State Payment of Medicare Premiums Manual.

January 2025 Integrated Outpatient Code Editor (I/OCE) Specifications Version 26.0

Phase 4: Implementation to Expand Monetary Amount Fields Related to Billing and Payment to…

Extensions of Certain Temporary Changes to the Low-Volume Hospital Payment Adjustment and the…

January 2025 Update of the Ambulatory Surgical Center [ASC] Payment System

Clinical Laboratory Fee Schedule – Medicare Travel Allowance Fees for Collection of Specimens…

April 2025 Quarterly Update to Healthcare Common Procedure Coding System (HCPCS) Codes Used for…

Editing for Duplicate Processing for Practitioner Professional Services and Critical Access…

Fiscal Intermediary Shared System (FISS) Changes to Automate the Application of Condition Code…

Calendar Year (CY) 2025 Home Infusion Therapy (HIT) Payment Rates and Instructions for…

Notice of New Interest Rate for Medicare Overpayments and Underpayments - 2nd Quarter…

Update to the Payment for Historically Excepted Tribal Federally Qualified Health Centers (FQHCs…

Medicare Benefit Policy Manual, Chapter 15 Update for Dental Services

Adjustments in the Medicare Adjudication Portal (MAP) for 837D Dental Claims (Phase 2)

Billing Instructions Related to Expedited Determinations Based on Medicare Change of
Status…

Allow Payment for Healthcare Common Procedure Coding System (HCPCS) Code G2211 when Certain Part…

Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 18 Section 60.3 and…

This transmittal updates Chapter 33, Organ Procurement Organizations (OPOs) and independent…

Update to Billing Requirements for Intensive Outpatient Program (IOP) Services for Rural Health…

Updates to the Medicare Carrier System (MCS), the Viable Information Processing Systems Medicare…

Revisions to Medicare Part B Coverage of Pneumococcal Vaccinations for the Medicare Benefit…

Updates to No Legal Obligation to Pay for or Provide Services and Examples of Application of…

Updates to No Legal Obligation to Pay for or Provide Services and Examples of Application of…

This transmittal updates Chapter 40, Hospital and Hospital Health Care Complex Cost Report (Form…

User Enhancement Change Request (UECR): ViPS Medicare System (VMS) – Improve Processing of…

Internet Only Manual (IOM) Update to 100-04 Chapter 12, Section 30.5 - Payment for Codes for…

Calendar Year 2025 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (…

Chapter 3 Revisions (Segment 1) in Publication (Pub.) 100-08 Program Integrity Manual (PIM)

Revisions to the State Operations Manual (SOM) Appendix X, Transplant Program Interpretive…

The Fiscal Year 2025 Updates for the CMS Internet Only Manual (IOM) Publication (Pub.) 100-06,…

Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 32 Sections 90, 190.…

Calendar Year (CY) 2025 Annual Update for Clinical Laboratory Fee Schedule and
Laboratory…

April 2025 Update to the Medicare Severity – Diagnosis Related Group (MS-DRG) Grouper and…

Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS…

Revisions to State Operations Manual (SOM) Appendix Q – Core Guidelines for Determining…

Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS…

Quarterly Update to the National Correct Coding Initiative (NCCI) Procedure-to-Procedure (PTP)…

April 2025 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions…

Updates of Chapter 4 and Exhibits in Publication (Pub.) 100-08, Including the Unified Program…

National Coverage Determination (NCD) 210.15 - Pre-Exposure Prophylaxis (PrEP) for Human…

Revisions to State Operations Manual (SOM), Chapter 2, section 2779A1 – CCN for Medicare…

National Coverage Determination (NCD) 210.15 - Pre-Exposure Prophylaxis (PrEP) for Human…

Combined Common Edits/Enhancements Modules (CCEM) Code Set Update

Quarterly Update to Home Health (HH) Grouper

Phase 4: Implementation to Expand Monetary Amount Fields Related to Billing and Payment to…

Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds…

Making Care Primary (MCP) Informational Unsolicited Responses (IURs)

Updates to sections 20.2.2, 20.2.9, 20.2.10, 40.1, 50.2, 50.3, and 80 of Chapter 16-B of the…

Update to Medicare Deductible, Coinsurance and Premium Rates for Calendar Year (CY) 2025

Summary of Policies in the Calendar Year (CY) 2025 Medicare Physician Fee Schedule (MPFS) Final…

Implementation of System Changes for the End Stage Renal Disease (ESRD) Prospective Payment…

April 2025 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder

Requirements for Adjusting/Demanding and Reporting Office of the Inspector General (OIG)…

The Fiscal Intermediary Shared System (FISS) Submission of Copybook Files to the Provider and…

Manual Update for Pneumococcal Vaccine for 21-Valent Conjugate Vaccine

April 2025 Update to the Inpatient Prospective Payment System (IPPS) For Correction to Total…

Claim Status Category Codes (CSCC) and Claim Status Codes (CSC) Update

April 2025 Bi-Annual Update of the International Classification of Diseases, Tenth Revision,…

Update to Medicare Deductible, Coinsurance and Premium Rates for Calendar Year (CY) 202501

User Management in the Medicare Adjudication Portal (MAP) for 837D Dental Claims

January 2025 Annual Rural Emergency Hospital (REH) Monthly Facility Payment Amount

Updates to the Publication 100-04 Claims Processing Manual in the Internet Only Manual (IOM) to…

All-Inclusive Rate (AIR) Add-On Payment for High-Cost Drugs Provided by Indian Health Service (…

Revisions to Chapter 12 (The Comprehensive Error Rate Testing (CERT) Program) of Publication (…

Implementation of Changes in the End-Stage Renal Disease (ESRD) Prospective Payment System (PPS…

Implementation of System Changes for the End Stage Renal Disease (ESRD) Prospective Payment…

Update in Performance Based Adjustments (PBA) Processing for Kidney Care Choices (KCC) Model -…

Updates of Chapter 4 and Exhibits in Publication (Pub.) 100-08, Including the Unified Program…

Update to the Federally Qualified Health Center (FQHC) Prospective Payment System (PPS) for…

Implementation CR - To Send Provider-Based Practice Location Types to the Fiscal Intermediary…

Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS)…

Medicare Financial Management Manual Chapter 3 - Overpayments 10-90 Updates 2024

National Fee Schedule for Medicare Part B Vaccine Administration CMS - January 2025

Update to Rural Health Clinic (RHC) All Inclusive Rate (AIR) Payment Limit for Calendar Year (CY…

Implementation of a New National Uniform Billing Committee (NUBC) Condition Code “KX”, “…

Allogeneic Hematopoietic Stem Cell Transplantation (HSCT) for Myelodysplastic Syndromes (MDS)…

New Waived Tests

Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 5

User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Update Interactive…

User Enhancement Change Request (UECR): ViPS Medicare System (VMS) – Improve Processing of…

User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Update the Quality…

File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding…

Updates to Allow Category II Codes to be Submitted on Rural Health Clinic (RHC) Claims

User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Add Testing/Production…

Utilization of KX Modifier Medicare Physician Fee Schedule Payment for Dental Services…

Updates of Chapter 1, Chapter 2, Chapter 3, Chapter 4, and Appendices in Publication (Pub.) 100-…

Implementation of the Award for the Jurisdiction J (J-J) Part A and Part B Medicare…

Implementation of the Award for the Jurisdiction J (J-J) Part A and Part B Medicare…