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11/18/2021 2020 Part B Utilization Data Loaded
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CMS Transmittals





Webinar Announcement:
2022 Medicare Coding and Reimbursement Update for Clinical Laboratories
Wednesday, December 8, 2021

Issue DateTransmittalTitleImplementation Date
2021-09-08 R10989OTN User CR: MCS - Enhancement to Automate the XHIC Error Process 2022-01-03
2021-09-10 R10987CP Home Health Notices of Admission -- Additional Manual Instructions 2021-11-10
2021-09-10 R10988CP Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to… 2021-10-04
2021-09-10 R10990OTN User CR: MCS - Enhance Health Professional Shortage Area (HPSA) Reports 2022-01-03
2022-01-03 R10970CP Shared System Support Hours for Application Programming Interfaces (APIs) 2022-01-03
2021-09-08 R10979CP Instructions for Retrieving the January 2022 Opioid Treatment Program (OTP) Payment Rates Through… 2022-01-03
2021-09-08 R10983CP Influenza Vaccine Payment Allowances - Annual Update for 2021-2022 Season 2021-10-01
2021-09-08 R10971CP 2022 Annual Update for the Health Professional Shortage Area (HPSA) Bonus Payments 2022-01-03
2021-09-08 R10975PI Changes of Information Involving Certified Providers and Certified Suppliers 2021-10-08
2021-09-08 R10991CP Instructions for Retrieving the January 2022 Medicare Physician Fee Schedule Database (MPFSDB)… 2022-01-03
2021-09-08 R10985CP Claims Processing Instructions for National Coverage Determination 20.33 - Transcatheter Edge-to-… 2021-10-08
2021-09-08 R10985NCD Claims Processing Instructions for National Coverage Determination 20.33 - Transcatheter Edge-to-… 2021-10-08
2021-09-08 R10984PI Updates to Chapters 1, 3, 4, 5, 8 and 9 of Publication (Pub.) 100-08 2021-10-08
2021-09-08 R10972CP  January 2022 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder 2022-01-03
2021-09-08 R10964CP Combined Common Edits/Enhancements Modules (CCEM) Code Set Update 2022-01-03
2021-09-08 R10973CP Annual Clotting Factor Furnishing Fee Update 2022 2022-01-03
2021-09-02 R10993DEMO Kidney Care Choices (KCC) Kidney Care First (KCF) - Payment Mechanism (PM) and Benefit Enhancements… 2021-04-05
2021-08-19 R10715DEMO Kidney Care Choices (KCC) Comprehensive Kidney Care Contracting (CKCC) - Payment and Benefit… 2021-04-05
2021-08-27 R10986OTN Send Electronic Funds Transfer [EFT] Information from Provider Enrollment Chain and Ownership… 2022-01-03
2021-08-19 R10963OTN International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to… 2022-01-03
2021-08-12 R10944CP Inpatient Psychiatric Facilities Prospective Payment System (IPF PPS) Updates for Fiscal Year (FY)… 2021-10-04
2021-08-19 R10955OTN User CR: Multi-Carrier-System (MCS) - Expand Number of Details on Provider Profiles Inquiry (PI)… 2022-01-03
2021-08-19 R10954OTN User CR: MCS - Mass Load PJ Segments 2022-01-03
2021-08-19 R10953OTN Update to Nursing and Allied Health (N&AH) Education Medicare Advantage (MA) Payment Rates -… 2021-11-19
2021-08-19 R10952CP Update to the Internet Only Manual (IOM) Publication (Pub.) 100-04, Chapter 3, Section 40.2.4… 2021-09-20
2021-08-19 R10977OTN Replacing Home Health Requests for Anticipated Payment (RAPs) with a Notice of Admission (NOA) --… 2022-04-04
2021-08-19 R10714DEMO Kidney Care Choices (KCC) Kidney Care First (KCF) - Payment Mechanism (PM) and Benefit Enhancements… 2021-04-05
2021-08-11 R10933OTN Implementation of the Capital Related Assets Adjustment (CRA) for the Transitional Add-on Payment… 2022-01-03
2021-08-12 R10950CP File Conversions Related to the Spanish Translation of the Healthcare Common Procedure Coding… 2021-10-04
2021-08-11 R10908OTN Fiscal Intermediary Shared System (FISS) - Restrict the Maryland Waiver Indicator (MWI) to State… 2022-01-03
2021-08-11 R10900C0M Updates to Pub. 100-09, Chapter 6 Beneficiary and Provider Communications Manual, Chapter 6,… 2021-09-14
2021-08-11 R10916OTN User Change Request (UCR): Fiscal Intermediary Shared System (FISS)- All Zero Electronic Funds… 2022-01-03
2021-08-11 R10951OTN Phase One Changes Needed to Implement the Revised Process for Handling Undeliverable Beneficiary… 2022-01-03
2021-08-11 R10943CP Inpatient Rehabilitation Facility (IRF) Annual Update: Prospective Payment System (PPS) Pricer… 2021-10-04
2021-08-11 R10936DEMO Federally Qualified Health Center (FQHC) Participation in and Payment Under the Maryland Primary… 2022-01-03
2021-08-11 R10945PI Removal of Provider Enrollment Policy from Chapter 15 in Publication (Pub.) 100-08 2021-09-13
2021-08-10 R10907CP Implementation of the GV Modifier for Rural Health Clinics (RHCs) and Federally Qualified Health… 2022-01-03
2021-08-11 R10914OTN Send Electronic Funds Transfer [EFT] Information from Provider Enrollment Chain and Ownership… 2022-01-03
2021-08-09 R10884CP Medicare Part A Skilled Nursing Facility (SNF) Prospective Payment System (PPS) Pricer Update FY… 2021-10-04
2021-08-10 R10904CP Skilled Nursing Facility (SNF) Claims Processing Updates 2022-01-03
2021-08-10 R10909PI Fourth General Update to Chapter 10 of Publication (Pub.) 100-08 2021-09-13
2021-08-10 R10910PI Updates to Exhibit 16 in Exhibits Chapter of Publication (Pub.) 100-08 2021-09-13
2021-08-10 R10917OTN User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Periodic Interim Payment (PIP… 2022-01-03
2021-08-10 R10906CP Waiver of Coinsurance and Deductible for Screening for Lung Cancer with Low Dose Computed… 2022-01-03
2021-08-06 R10880BP Internet Only Manual Updates to Pub. 100-01, 100-02, and 100-04 to Implement Consolidated… 2021-11-08
2021-08-09 R10883CP Clarifying Instructions for Billing and Processing Claims with Multiple Units to Indicate the… 2022-01-03
2021-08-09 R10885OTN Clinical Laboratory Fee Schedule (CLFS) - Instructions to Remove Co-insurance/Deductible Multi-… 2022-01-03
2021-08-06 R10893PI Revision to Medicare Administrative Contractor (MAC) Complaint Screening Process - Checking the… 2021-09-06
2021-08-06 R10894DEMO Modifications/Improvements to Value-Based Insurance Design (VBID) Model – Implementation 2022-01-03
2021-08-06 R10892BP Internet Only Manual Updates to Publication (Pub.) 100-02 to Implement Updates to Policy and… 2021-11-08
2021-08-06 R10897CP New Waived Tests 2021-10-04
2021-08-06 R10640CP Update of Internet Only Manual (IOM), Pub. 100-04, Chapter 8 - Outpatient ESRD Hospital,… 2021-09-07
2021-08-06 R10881CP REVISIONS TO CHAPTERS 13 AND 32 TO UPDATE CODING 2021-09-07
2021-08-06 R10880GI Internet Only Manual Updates to Pub. 100-01, 100-02, and 100-04 to Implement Consolidated… 2021-11-08
2021-08-06 R10880CP Internet Only Manual Updates to Pub. 100-01, 100-02, and 100-04 to Implement Consolidated… 2021-11-08
2021-08-04 R10929CP Update to Hospice Payment Rates, Hospice Cap, Hospice Wage Index and Hospice Pricer for FY 2022 2021-10-04
2021-08-03 R10928OTN Medicare Fee-for-Service (FFS) Coverage of Costs for Kidney Acquisitions in Maryland Waiver (MW)… 2021-10-04
2021-08-02 R10927NCD National Coverage Determination (NCD) Removal 2021-06-22
2021-07-27 R10899OTN Viable Information Processing Systems (ViPS) Medicare Systems (VMS) Changes to Accommodate National… 2021-04-05
2021-07-20 R10891NCD National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) T-cell Therapy - This… 2021-09-20
2021-07-21 R10896OTN Additional Payment Edits for DMEPOS Suppliers of Custom Fabricated and Prefabricated (Custom Fitted… 2021-10-04
2021-07-19 R10891CP National Coverage Determination (NCD 110.24): Chimeric Antigen Receptor (CAR) T-cell Therapy - This… 2021-09-20
2021-07-19 R10890OTN Replacing Home Health Requests for Anticipated Payment (RAPs) with a Notice of Admission (NOA) --… 2021-10-04
2021-07-15 R10875CP Instructions for Downloading the Medicare ZIP Code Files for October 2021 2021-10-04
2021-07-19 R10888NCD National Coverage Determination (NCD) Removal 2021-06-22
2021-07-14 R10869CP Updates to Chapter 4, Section 10.11.9 - Methodology for Calculation of the Cost-to-Charge Ratio [… 2021-08-13
2021-07-15 R10878CP Update to the Internet-only Manual (IOM) Publication (Pub.) 100-04, Medicare Claims Processing… 2021-08-16
2021-07-15 R10877CP Changes to the Laboratory National Coverage Determination [NCD] Edit Software for October 2021 2021-10-04
2021-07-14 R10868PI Third General Update to Chapter 10 of Publication (Pub.) 100-08 2021-08-13
2021-07-14 R10870CP October 2021 Quarterly Average Sales Price [ASP] Medicare Part B Drug Pricing Files and Revisions… 2021-10-04
2021-07-13 R10851CP Quarterly Update to the National Correct Coding Initiative [NCCI] Procedure-to-Procedure [PTP]… 2021-10-04
2021-07-14 R10862CP Section 50 in Chapter 30 of Publication (Pub.) 100-04 Manual Updates 2021-10-14
2021-07-13 R10861OTN Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Prior Authorization… 2021-08-12
2021-07-13 R10849PI Revising Subsection 3.5.4, Tracking Medicare Contractors' Prepayment and Postpayment Reviews, in… 2021-08-13
2021-07-13 R10847CP Implement Operating Rules - Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer… 2021-10-04
2021-07-13 R10856OTN Implementation of the Award for the Jurisdiction E (J-E) Part A and Part B Medicare Administrative… 2021-08-01
2021-07-13 R10857CP Annual (2022) Update of the International Classification of Diseases, Tenth Revision, Clinical… 2021-10-04
2021-07-13 R10887FM Notice of New Interest Rate for Medicare Overpayments and Underpayments -4th Qtr Notification for… 2021-07-19
2021-07-13 R10863OTN User CR: MCS - Beneficiary Do Not Forward DLV Flag Changes Needed 2021-10-04
2021-07-02 R10872CP Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for… 2021-10-04
2021-07-01 R10856CP July Quarterly Update for 2021 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (… 2021-07-06
2021-06-29 R10866OTN October Quarterly Update to 2021 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (… 2021-10-04
2021-06-25 R10858CP July 2021 Update of the Ambulatory Surgical Center [ASC] Payment System 2021-07-06
2021-06-21 R10860CP Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) - July 2021 Update 2021-07-06
2021-06-15 R10853CP Quarterly Update for Clinical Laboratory Fee Schedule (CLFS) and Laboratory Services Subject to… 2021-07-06
2021-06-17 R10859DEMO Direct Contracting Model - Professional and Global Options: Homebound Home Health Waiver and… 2021-01-04
2021-06-15 R10854CP Changes to the Laboratory National Coverage Determination (NCD) Edit Software for July 2021 2021-07-06
2021-06-11 R10824CP July 2021 Integrated Outpatient Code Editor (I/OCE) Specifications Version 22.2 2021-07-06
2021-06-11 R10P241i This transmittal updates Chapter 41, Skilled Nursing Facility and Skilled Nursing Facility Health… 2021-06-11
2021-06-11 R10833CP Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS)… 2021-10-04
2021-06-11 R10842OTN Implementation of the Hospital Outpatient Department (HOPD) Prior Authorization (PA) Paired Items… 2021-10-04
2021-06-11 R10837NCD National Coverage Determination (NCD) 20.9.1 Ventricular Assist Devices (VADs) 2021-07-27
2021-06-11 R10837CP National Coverage Determination (NCD) 20.9.1 Ventricular Assist Devices (VADs) 2021-07-27
2021-06-11 R10825CP July 2021 Update of the Hospital Outpatient Prospective Payment System (OPPS) 2021-07-06
2021-06-11 R10826CP  Shared System Support Hours for Application Programming Interfaces (APIs) 2021-10-04
2021-06-11 R10823CP Combined Common Edits/Enhancements Modules (CCEM) Code Set Update 2021-10-04
2021-06-11 R10834CP Quarterly Update to Home Health (HH) Grouper 2021-10-04
2021-06-11 R10827OTN Addition of the QW Modifier to Healthcare Common Procedure Coding System (HCPCS) Codes 0240U, 0241U… 2021-07-06
2021-06-11 R10828PI Provider Enrollment Rebuttal Process - Additional Instructions for Returning Applications and… 2021-07-12
2021-06-11 R10840CP Updates to the Internet Only Publication 100-04, Chapter 1, Section 10.1 and Chapter 20, Section 10 2021-07-12