Modifying Editing for Rural Health Clinics (RHC) and Federally Qualified Health Centers (FQHC)…

Internet Only Manual (IOM) Update, Publication (Pub.) 100-01, Chapter…

New Edit Implementation for Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS…

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April
2025 Update…

April Quarterly Update for 2025 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (…

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

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

Instructions for Downloading the Medicare ZIP Code File for April 2025 Files

Instructions for Retrieving the January 2025 Opioid Treatment Program (OTP) Payment Rates…

April Quarterly Update for 2025 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (…

Removal of Gender References from CMS Publication (Pub.) 100-08, Chapter 10

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

April 2025 Integrated Outpatient Code Editor (I/OCE) Specifications Version 26.1

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

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

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

Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid…

Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid…

Transmittal 1692 issued July 29, 2016, is being rescinded and replaced by Transmittal 13098,…

Revision to the Cost Report Acceptability Checklists - This CR Rescinds and Fully Replaces CR…

April 2025 Update of the Hospital Outpatient Prospective Payment System (OPPS)

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

Transmittal 12965 issued November 14, 2024, is being rescinded and replaced by Transmittal 13112…

Transmittal 12878 issued October 11, 2024, is being rescinded and replaced by Transmittal 13095…

Transmittal 13016 issued December 23, 2024, is being rescinded and replaced by Transmittal 13070…

Transmittal 13054 issued January 16, 2025, is being rescinded and replaced by Transmittal 13132…

Transmittal 12976 issued November 21, 2024, is being rescinded and replaced by Transmittal 13101…

International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to…

Transmittal 13052 issued January 16, 2025, is being rescinded and replaced by Transmittal 13128…

Rural Health Clinic (RHC) and Federally Qualified Health Center (FQHC) Medicare Benefit Policy…

Enhancing Compliance and Payment Accuracy for Physician Services in Skilled Nursing Facilities…

Update to Provider Enrollment Appeals and Rebuttals Processing Instructions and Model Letters

Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04 Chapter 3, Inpatient Hospital…

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

Healthcare Common Procedure Coding System (HCPCS) Codes Subject to and Excluded from Clinical…

Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - April 2025 Update

The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year (FY) 2023 for…

Indian Health Services (IHS) Hospital Payment Rates for Calendar Year 2025

Sixteenth General Update to Provider Enrollment Instructions in Chapter 10 of CMS Publication…

Manual Updates Regarding Home Health Adjustments and Skilled Nursing Facility, Home Health and…

Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to…

This transmittal updates Chapter 43, Hospice Cost Report (Form CMS-1984-14), to revise and…

April 2025 Coding Updates for the Inpatient Psychiatric Facilities Prospective Payment System (…

Instructions for Downloading the Medicare ZIP Code File for April 2025 Files

Roster Billing for Hepatitis B - July 2025 Release

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

Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid…

Updates to Medicare Benefit Policy Manual and Medicare Claims Processing Manual for Opioid…

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…