| Artículo |
Número de CR |
Fecha de Publicación
Inicial |
Fecha de
Implementación |
Fecha de
Publicación |
|
Notice of Interest Rate for Medicare Overpayments and
Underpayments |
3456 |
07/08/05 |
07/22/05 |
07/19/05 |
|
Access Process for Beneficiary Eligibility Inquiries/Replies (HIPAA
270/271 Transactions) (Extranet Only) |
3883
Revised |
05/20/05 06/15/05 |
08/22/05 |
06/29/05 |
|
Update of HCPCS Codes and File Names, Descriptions, and
Instructions for Retrieving the 2005 Ambulatory Surgical Center
(ASC) HCPCS Additions, Deletions, and Master Listing |
3905
Revised |
06/17/05 |
07/05/05 |
06/29/05 |
|
Anti-Cancer Chemotherapy for Colorectal Cancer |
3742
Revised |
05/20/05
06/17/05 |
04/18/05 |
06/27/05 |
|
New Healthcare Common Procedure Coding System (HCPCS) Drug
Codes |
3847 |
06/10/05 |
07/05/05 |
06/23/05 |
|
Reminder Regarding Medicare Billing Rules for Ambulance Services
Rendered to Medicare Patients During an Inpatient Hospital
Stay |
SE0536 |
N/A |
N/A |
06/23/05 |
|
New Remittance Advice (RA) Message for Referred Clinical
Diagnostic/Purchased Diagnostic Service Duplicate Claims |
3679
Revised |
06/10/05 |
07/05/05 |
06/23/05 |
|
Smoking and Tobacco Use Cessation Counseling |
3834
Revised |
05/20/05 |
07/05/05 |
06/14/05 |
|
Infusion Pumps: C-Peptide Levels as a Criterion for Use |
3705
Revised |
05/04/05
03/30/05 |
02/18/05 |
06/14/05 |
|
New Educational Products Available |
SE0537 |
N/A |
N/A |
06/09/05 |
|
Temporary Change in Carrier Jurisdictional Pricing Rules for
Purchased Diagnostic Services |
3630
Revised |
12/23/04 |
01/25/05 |
06/09/05 |
|
July Quarterly Update to 2005 Annual Update of HCPCS Codes Used for
Skilled Nursing Facility (SNF) Consolidated Billing (CB)
Enforcement |
3873 |
05/27/05 |
07/05/05 |
06/07/05 |
|
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version
11.2 Effective July 1, 2005 |
3823 |
05/20/05 |
07/0505 |
06/03/05 |
|
List of Medicare Telehealth Services |
3747
Revised |
04/01/05 |
05/02/05 |
05/27/05 |
|
MMA - Override of Automated Health Professional Shortage Area
(HPSA) and/or Physician Scarcity (PSA) Bonus Payments for Globally
Billed Services |
3827 |
05/13/05 |
06/13/05 |
05/2705 |
|
MMA – New April 2005 Quarterly Average Sales Price (ASP) Medicare
Part B Drug Pricing File and Revisions to January 2005 Quarterly
Average Sales Price (ASP) Medicare Part B Drug Pricing
File |
3846 |
05/13/05 |
07/05/05 |
05/27/05 |
Revision to Health Professional Shortage Area (HPSA) and Physician
Scarcity Area
(PSA) Payment Rules |
3822 |
05/06/05 |
10/15/05 |
05/26/05 |
|
Updated Requirements for Autologous Stem Cell Transplantation
(AuSCT) for Amyloidosis |
3797 |
04/15/05 |
05/16/05 |
05/25/05 |
|
Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive
Sleep Apnea (OSA) |
3843 |
05/06/05 |
06/06/05 |
05/19/05 |
|
Changes to the Laboratory National Coverage Determination (NCD)
Edit Software for July 2005 |
3806
Revised |
04/29/05 |
07/05/05 |
05/19/05 |
|
July Update to the 2005 Medicare Physician Fee Schedule
Database |
3870 |
05/06/05 |
07/05/05 |
05/19/05 |
|
Payments to Ambulatory Surgery Centers (ASCs) for New CPT Code
66711 |
3817 |
05/19/05 |
07/05/05 |
05/19/05 |
|
July Quarterly Update for 2005 Durable Medical Equipment,
Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule |
3779
Revised |
04/29/05 |
07/05/05 |
05/19/05 |
Further Clarification of CR3648, Which Revised the Medicare Benefit
Policy Manual
(Pub 100-02), Chapter 15, Regarding Therapy Services |
SE0533 |
N/A |
N/A |
05/17/05 |
|
Revisions to the Medicare Benefit Policy Manual (Pub 100-02),
Chapter 15, Sections 220 and 230 Regarding Therapy
Services |
3648 |
05/06/05 |
06/06/05 |
05/17/05 |
|
Correction of 2005 Payment Fees for Clinical Laboratory Travel –
Codes P9603 and P9604 |
3785 |
05/06/05 |
07/05/05 |
05/17/05 |
|
CMS Announces the National Provider Identifier (NPI) Enumerator
Contractor and Information on Obtaining NPIs |
SE0528 |
N/A |
N/A |
05/17/05 |
|
3rd Update to the 2004 Medicare Physician Fee Schedule
Database |
3415 |
04/29/05 |
07/05/05 |
05/13/05 |
|
July Quarterly Update for 2005 Durable Medical Equipment,
Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule |
3779 |
04/29/05 |
07/05/05 |
05/11/05 |
Correction to the Use of Group Codes for the Enforcement of
Mandatory Electronic
Submission of Medicare Claims |
3815 |
04/29/05 |
07/05/05 |
05/11/05 |
New HCPCS Codes and System Edits for Supplies and Accessories for
Ventricular
Assist Devices |
3761 |
04/29/05 |
10/03/05 |
05/11/05 |
|
Abarelix for the Treatment of Prostate Cancer |
3775 |
04/25/05 |
05/25/05 |
05/10/05 |
|
Expansion of Coverage for Percutaneous Transluminal Angioplasty
(PTA) |
3811 |
04/22/05 |
07/05/05 |
05/09/05 |
|
Electronically Requesting and Receiving Information Regarding
Claims Using the ASC X12N276/277 Claims Status Inquiry/Response
Transactions |
SE0524 |
N/A |
N/A |
05/09/05 |
|
Infusion Pumps: C-Peptide Levels as a Criterion for Use |
3705
Revised |
02/04/05
03/30/05 |
02/18/05 |
05/06/05 |
|
MMA - July 2005 Quarterly Average Sales Price (ASP) Medicare Part B
Drug Pricing File, Effective July 1, 2005 |
3783 |
04/22/05 |
07/05/05 |
05/06/05 |
|
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version
11.1, Effective April 1, 2005 |
3688 |
02/04/05 |
04/04/05 |
05/05/05 |
|
Centers for Medicare & Medicaid Services (CMS) Comprehensive
Error Rate Testing (CERT) Program - The Importance of Complying
with Requests for Claim Documentation |
SE0526
Revised |
N/A |
N/A |
05/04/05 |
|
Modified Edits for Matching Claims Data to Beneficiary
Records |
SE0516
Revised |
N/A |
N/A |
05/04/05 |
|
1st Update to the 2005 Medicare Physician Fee Schedule
Database |
3726
Revised |
02/11/05 |
04/04/05 |
05/03/05 |
|
Update to 100-04 and Therapy Code Lists |
3647
Revised |
04/01/05 |
07/05/05 |
05/02/05 |
|
Payment Policy Clarification Regarding the Healthcare Common
Procedure Coding System (HCPCS) Code Q3001 Performed in an
Ambulatory Surgery Center (ASC)) |
3789
Revised |
04/08/05 |
05/09/05 |
05/02/05 |
|
Revised Coding Guidelines for Drug Administration Codes |
3818 |
04/15/05 |
05/16/05 |
04/29/05 |
|
Billing for Syringes Used in the Treatment of End Stage Renal
Disease (ESRD) Patients |
SE0527 |
N/A |
N/A |
04/29/05 |
|
Clarification to the Health Professional Shortage Area (HPSA)
Language in the Medicare Claims Processing Manual |
3736 |
04/15/05 |
05/16/05 |
04/28/05 |
|
Infusion Pumps: C-Peptide Levels as a Criterion for Use |
3705
Revised |
03/30/05 |
02/18/05 |
04/27/05 |
|
Expanded Coverage for PET Scans for Cervical and Other Cancers, New
Coding for PET Scans, and Billing Requirements for PET Scans for
Specific Indications of Cervical and Other Cancers |
3741
Revised |
04/01/05 |
04/18/05 |
04/27/05 |
|
Notice of Interest Rate for Medicare Overpayments and
Underpayments |
3455 |
04/20/05 |
04/25/05 |
04/25/05 |
|
Billing for Hemophilia Blood Clotting Factors (Medicare Claims
Processing Manual (Pub. 100-04), Chapter 17, Section 80.4) |
3755 |
04/08/05 |
05/09/05 |
04/21/05 |
|
Importance of Supplying Correct Provider Identification Information
Required in Items 17, 17a, 24K, and 33 of the Form CMS-1500, and
the Electronic Equivalent |
SE0529 |
N/A |
N/A |
04/20/05 |
|
New HCPCS Codes for Intravenous Immune Globulin (IVIG) |
3745 |
03/18/05 |
04/04/05 |
04/19/05 |
|
Medicare Announces Delay in Processing Certain Claims No Later Than
April 18, 2005 |
SE0531 |
04/01/05 |
04/01/05 |
04/14/05 |
|
List of Medicare Telehealth Services |
3747 |
04/01/05 |
01/01/05 |
04/12/05 |
#3:
Information for Providers, Physicians, Pharmacists and Their Staffs
About
Medicare Prescription Drug Coverage |
SE0520 |
N/A |
N/A |
04/06/05 |
|
MMA -
Hospice Pre-Election Evaluation and Counseling Services |
3585
Revised |
12/03/05 |
01/03/05 |
04/06/05 |
New
Remittance Advice (RA) Message for Referred Clinical
Diagnostic/Purchased
Diagnostic Service Duplicate Claims |
3679
Revised |
02/25/05 |
07/05/05 |
04/05/05 |
|
Anti-Cancer
Chemotherapy for Colorectal Cancer |
3742 |
03/29/05 |
04/18/05 |
04/01/05 |
|
Update
to the Healthcare Provider Taxonomy Codes (HPTC) Version
5.0 |
3716 |
02/18/05 |
04/04/05 |
03/30/05 |
|
MMA -
Clarification for Change Request (CR) 3267 |
3729
Revised |
03/04/05 |
06/06/05 |
03/30/05 |
|
MMA -
Diabetes Screening Tests |
3677 |
01/28/05 |
04/04/05 |
03/30/05 |
Skilled
Nursing Facility (SNF) Consolidated Billing (CB) as It Relates to
Therapy
Services |
SE0518 |
N/A |
N/A |
03/30/05 |
|
Claims
Status Code/Claims Status Category Code Update |
3715 |
03/04/05 |
07/05/05 |
03/30/05 |
MMA – April 2005 Quarterly Average Sales Price (ASP) Medicare Part
B Drug Pricing
File, Effective April 1, 2005, and New January 2005 Quarterly ASP
File |
3667 |
02/25/05 |
04/04/05 |
03/28/05 |
Population-Based Disease Management - Use of Group Health Plan
Payment System
for Medicare Disease Management Demonstration Serving Medicare Fee
For Service
Beneficiaries |
SE0519 |
N/A |
N/A |
03/28/05 |
Implementation of the Medicare Physician Fee Schedule (MPFS)
National Abstract
File for Purchased Diagnostic Tests and Interpretations |
3481
Revised |
10/09/04 |
04/04/05 |
03/28/05 |
|
Unprocessable Unassigned Form CMS-1500 Claims |
3500
Revised |
03/17/05 |
07/05/05 |
03/28/05 |
Implementation of the Abstract File for Purchased Diagnostic
Tests/Interpretations
(Supplemental to CR 3481) |
3694
Revised |
02/04/05 |
04/04/05 |
03/28/05 |
Billing for Implantable Automatic Defibrillators for Beneficiaries
in a Medicare
Advantage (MA) Plan and Use of the QR Modifier to Identify Patient
Registry
Participation |
3604
Revised |
03/08/05 |
04/04/05 |
03/28/05 |
Revised Manual Language to Item 24G (Days or Units) CMS-1500
Instructions
Regarding the Billing of Oxygen and Oxygen Equipment |
3753 |
03/18/05 |
07/01/05 |
03/28/05 |
|
New Contrast Agents Healthcare Common Procedure Coding System
(HCPCS) Codes |
3748 |
03/11/05 |
04/04/05 |
03/28/05 |
|
Skilled Nursing Facility Consolidated Billing and Erythropoietin
(EPO, Epoetin Alfa) and Darbepoetin Alfa (Aranesp) |
SE0434
Revised |
N/A |
N/A |
03/14/05 |
|
Coordination of Benefits Agreement (COBA) Detailed Error Report
Notification |
3709 |
02/25/05 |
07/05/05 |
03/04/05 |
|
Skilled Nursing Facility Consolidated Billing |
SE0431
Revised |
N/A
02/18/05 |
N/A |
03/04/05 |
|
Skilled Nursing Facility Consolidated Billing As It Relates to
Ambulance Services |
SE0433
Revised |
N/A
02/18/05 |
N/A |
03/04/05 |
|
Skilled Nursing Facility Consolidated Billing as it Relates to
Certain Diagnostic Tests |
SE0440
Revised |
N/A
02/18/05 |
N/A |
03/04/05 |
|
MMA - The Facts for Providers Regarding the Medicare Prescription
Drug Plans That Will Become Available in 2006 |
SE0502 |
N/A |
N/A |
03/04/05 |
|
Skilled Nursing Facility Consolidated Billing and Preventive /
Screening Services |
SE0436
Revised |
N/A
02/18/05 |
N/A |
03/03/05 |
|
Skilled Nursing Facility Consolidated Billing as It Relates to
Prosthetics and Orthotics |
SE0437
Revised |
N/A
02/18/05 |
N/A |
03/03/05 |
|
Medicare Prescription Drug, Improvement, and Modernization Act
(MMA) – Skilled Nursing Facility Consolidated Billing and Services
of Rural Health Clinics and Federally Qualified Health
Centers |
SE0438
Revised |
N/A
02/18/05 |
N/A |
03/02/05 |
|
Skilled Nursing Facility Consolidated Billing as It Relates to
Clinical Social Workers |
SE0439
Revised |
N/A |
N/A |
03/02/05 |
|
Skilled Nursing Facility Consolidated Billing as It Relates to
Certain Types of Exceptionally Intensive Outpatient Hospital
Services |
SE0432
Revised |
N/A |
N/A |
02/25/05 |
|
Tool Available for Registering Patients with Implantable
Cardioverter Defibrillators |
SE0517 |
N/A |
N/A |
02/22/05 |
|
MMA- Revisions to Payment for Services Provided Under a Contractual
Arrangement |
3628 |
02/11/05 |
03/15/05 |
02/22/05 |
|
April Quarterly Update to 2005 Annual Update of HCPCS Codes Used
for Skilled Nursing Facility (SNF) Consolidated Billing (CB)
Enforcement |
3683
Revised |
01/21/05
02/09/05 |
04/04/05 |
02/22/05 |
|
Revisions to January 2005 Quarterly Average Sales Price (ASP)
Medicare Part B Drug Pricing File |
3728 |
02/03/04 |
02/05/05 |
02/18/05 |
|
Skilled Nursing Facility (SNF) Consolidated Billing Service
Furnished Under an “Arrangement” with an Outside Entity |
3592
Revised |
12/23/04
02/08/05 |
01/24/05 |
02/18/05 |
|
Update to 100-04 and Therapy Code Lists |
3647 |
02/04/05 |
07/05/05 |
02/17/05 |
|
Health Care Eligibility/Benefit Inquiry and Response |
JSM05168 |
N/A |
N/A |
02/14/05 |
|
The Centers for Medicare & Medicaid Services (CMS)
Consolidation of the Claims Crossover Process |
SE0504 |
N/A |
N/A |
02/14/05 |
|
MMA - Medical Review (MR) of Rural Air Ambulance Services |
3571
Revised |
02/01/05 |
02/14/05 |
02/07/05 |
MMA - Independent Laboratory Billing for the Technical Component
(TC) of Physician Pathology Services to Hospital Patients
(Supplemental to
CR 3467) |
3675 |
01/28/05 |
07/05/05 |
02/07/05 |
|
New Remittance Advice (RA) Message for Referred Clinical
Diagnostic/Purchased |
3679 |
01/28/05 |
07/05/05 |
02/04/05 |
|
MMA - Coming Soon - The New Medicare Prescription Drug
Program |
SE0501 |
N/A |
N/A |
02/03/05 |
|
Skilled Nursing Facility Consolidated Billing and Erythropoietin
(EPO, Epoetin Alfa) and Darbepoetin Alfa (Aranesp) |
SE0434 |
N/A |
N/A |
02/03/05 |
|
April Quarterly Update to 2005 Annual Update of HCPCS Codes Used
for Skilled Nursing Facility (SNF) Consolidated Billing (CB)
Enforcement |
3683 |
01/21/05 |
04/04/05 |
02/03/05 |
|
Administrative Simplification Compliance Act (ASCA) Enforcement of
Mandatory Electronic Submission of Medicare Claims |
3440
Revised |
01/27/05 |
07/05/05 |
02/03/05 |
|
Notice of Interest Rate for Medicare Overpayments and
Underpayments |
3454 |
02/02/05 |
02/08/05 |
02/03/05 |
|
MMA-Diabetes Screening Tests |
3637
Revised |
01/21/05 |
01/03/05 |
02/02/05 |
|
Unprocessable Unassigned Form CMS-1500 Claims |
3500 |
01/21/05 |
07/05/05 |
02/02/05 |
|
How to Locate Specific Transmittals/Change Requests (CRs) of
Interest That Are Posted on Centers for Medicare & Medicaid
Services (CMS) Web Sites |
SE-0506 |
N/A |
01/14/05 |
01/31/05 |
|
Psychotherapy Notes |
3457 |
01/21/05 |
02/22/05 |
01/31/05 |
|
Remittance Advice Remark Code and Claim Adjustment Reason Code
Update |
3636 |
01/21/05 |
04/04/05 |
01/31/05 |
|
Revisions to January 2005 Quarterly Average Sales Price (ASP)
Medicare Part B Drug Pricing File |
3695 |
01/13/05 |
01/18/05 |
01/28/05 |
|
Modification to Reporting of Diagnosis Codes for Screening
Mammography Claims |
3562 |
01/14/05 |
07/05/05 |
01/27/05 |
|
Addition of CLIA Edits to Certain Health Care Procedure Coding
System (HCPCS) Codes for Mohs Surgery |
3458 |
01/14/05 |
07/05/05 |
01/26/05 |
|
Update to Billing Requirements for PET Scans for Dementia and
Neurodegenerative Diseases and Update for Special Payment
Procedures for all PET Scan Services Performed in Critical Access
Hospitals |
3640 |
01/14/05 |
04/04/05 |
01/26/05 |
|
Updated Skilled Nursing Facility (SNF) No Pay File for April
2005 |
3642 |
01/14/05 |
04/04/05 |
01/26/05 |
|
Influenza Treatment Demonstration |
3696 |
01/21/05 |
01/17/05 |
01/25/05 |
|
Ambulance Inflation Factor |
3599 |
12/23/04 |
01/25/05 |
01/19/05 |
|
Interest Payment on Clean Claims Not Paid Timely |
3557 |
12/23/04 |
01/25/05 |
01/19/05 |
|
MMA - Independent Laboratory Billing for the Technical Component
(TC) of Physician Pathology Services to Hospital Patients |
3467 |
11/26/04 |
01/03/05 |
01/19/05 |
|
MMA - 2005 Drug Administration Coding Revisions |
3631 |
12/10/04 |
01/17/05 |
01/19/05 |
|
Correction to January 2005 Annual Update of HCPCS Codes Used for
Skilled Nursing Facility (SNF) Consolidated Billing (CB)
Enforcement |
3613 |
12/30/04 |
01/03/05 |
01/19/05 |
|
2005 Annual Update for Skilled Nursing Facility (SNF) Consolidated
Billing for the Common Working File (CWF) and Medicare
Carriers |
3535 |
12/29/04 |
01/05/05 |
01/17/05 |
|
MMA - New Dispensing/Supply Fee Codes for Oral Anti-Cancer, Oral
Anti-Emetic, Immunosuppressive, and Inhalation Drugs |
3620
Revised |
12/29/04 |
01/05/05 |
01/17/05 |
|
Emergency Update to the 2005 Medicare Physician Fee Schedule
Database (MPFSDB) |
3595 |
12/23/05 |
01/03/05 |
01/17/05 |
|
Temporary Change in Carrier Jurisdictional Pricing Rules for
Purchased Diagnostic Services |
3630 |
12/28/04 |
01/03/05 |
01/17/05 |
|
Electrocardiographic Services |
3590 |
12/27/05 |
01/03/05 |
01/17/05 |
|
Ambulance Fee Schedule – Medical Conditions List |
3619 |
12/15/04 |
01/03/05 |
01/17/05 |
|
Instructions for Provider Notification regarding Medicare Part B
Enrollment for TRICARE-Eligible Beneficiaries |
JSM05171 |
01/13/05 |
01/01/05 |
01/14/05 |
|
Chemotherapy Demonstration Project |
3670 |
12/30/04 |
01/17/05 |
01/13/05 |
|
MMA - Initial Preventive Physical Examination |
3638 |
12/22/04 |
01/03/05 |
01/13/05 |
|
MMA – Implementation of Section 921 of the Medicare Modernization
Act (MMA) – Provider Customer Service Program |
3376 |
09/10/04 |
01/05/05 |
12/30/04 |
|
Ocular Photodynamic Therapy (OPT) with Verteporfin for Age-Related
Macular Degeneration (AMD) |
3191
Revised |
04/01/04 |
04/01/04 |
12/30/04 |
|
April 2005 Update of Health Care Claims Status Codes and Health
Care Claims Status Category Codes for Use with the Health Care
Claim Status Request and Response ASC X12N 276/277 |
3566 |
12/17/04 |
04/04/05 |
12/30/04 |
|
MMA - Coverage of Routine Costs of Clinical Trials Involving
Investigational Device Exemption (IDE) Category A Devices |
3548 |
12/17/04 |
01/03/05 |
12/28/04 |
|
Emergency Change to Carrier Instructions for the End Stage Renal
Disease (ESRD) 50/50 Rule Implementation |
3609 |
12/17/04 |
01/03/05 |
12/28/04 |
|
End Stage Renal Disease (ESRD) Reimbursement for Automated
Multi-Channel Chemistry (AMCC) Tests |
2813
Revised |
04/30/04 |
On Hold |
12/28/04 |
|
MMA - New Dispensing/Supply Fee Codes for Oral Anti-Cancer, Oral
Anti-Emetic, Immunosuppressive, and Inhalation Drugs |
3620
Revised |
12/16/04 |
01/17/05 |
12/27/04 |
|
MMA - Drugs Paid by Average Selling Price Beginning January 1,
2005 |
3232
Revised |
12/16/04 |
01/03/05 |
12/27/04 |
|
MMA-Cardiovascular Screening Blood Tests |
3411 |
12/17/04 |
01/03/05 |
12/27/04 |
|
MMA - Medicare Prescription Drug, Improvement and Modernization Act
of 2003 Information for Medicare Rural Health Providers, Suppliers,
and Physicians |
SE0450
Revised |
N/A |
N/A |
12/23/04 |
|
Minimum Number of Drug Pricing Files That Must Be Maintained Online
for Medicare |
3231
Revised |
08/03/04 |
01/03/05 |
12/23/04 |
|
Unsolicited/Voluntary Refunds |
3274 |
07/30/04 |
10/01/04
01/03/05 |
12/17/04 |
|
Common Working File (CWF) Duplicate Claim Edit for Referred
Clinical Diagnostic Services and Purchased Diagnostic
Services |
3551 |
10/29/04 |
04/04/05 |
12/16/04 |
|
Guidance Regarding Elimination of Standard Paper Remittance (SPR)
Advice Notices in the Old Format |
SE0451
Revised |
N/A |
01/01/05 |
12/15/04 |
|
MMA-Hospice Pre-Election Evaluation and Counseling
Services |
3585 |
12/08/04 |
01/03/05 |
12/15/04 |
|
MMA - Medicare Prescription Drug, Improvement and Modernization Act
of 2003 Information for Medicare Rural Health Providers, Suppliers,
and Physicians |
SE0450 |
N/A |
N/A |
12/14/04 |
|
Carrier and DMERC 835 Flat File Change and Replacement of
Deactivated Reason Code A2 |
3236
Revised |
07/30/04 |
01/03/05 |
12/14/04 |
|
MMA - Changes to the Laboratory National Coverage Determination
(NCD) Edit Software for January 2005 |
3429 |
11/26/04 |
01/03/05 |
12/14/04 |
|
Fee Schedule Update for 2005 for Durable Medical Equipment,
Prosthetics, Orthotics,and Supplies (DMEPOS) |
3574 |
11/19/04 |
01/03/05 |
12/01/04 |
|
MMA Drug Pricing Update—Payment Limit for J0207
(Amifostine) |
3552 |
11/05/04 |
12/06/05 |
11/23/04 |
|
2005 Annual Update for Clinical Laboratory Fee Schedule and
Laboratory Services Subject to Reasonable Charge Payment |
3526 |
11/05/04 |
01/03/05 |
11/23/04 |
|
MMA-January 2005 Quarterly Average Sales Price (ASP) Medicare Part
B Drug Pricing File, Effective January 1, 2005 |
3539 |
10/29/04 |
01/03/05 |
11/15/04 |
|
Update of HCPCS Codes and File Names, Descriptions, and Instruction
for Retrieving the 2005 Ambulatory Surgical/Surgery Center (ASC)
HCPCS Deletions and Master Listing |
SE0463 |
10/22/04 |
01/03/05 |
11/15/04 |
|
Reminder Notice of the Implementation of the Ambulance Transition
Schedule |
3473 |
10/22/04 |
01/03/05 |
11/15/04 |
|
Inappropriate Access to or Use of Electronic Data Interchange (EDI)
Transaction Data by Third Party Entities |
SE0461 |
N/A |
N/A |
11/15/04 |
|
Annual Update of HCPCS Codes Used for Home Health (HH) Consolidated
Billing Enforcement Provider Types |
3525 |
10/29/04 |
01/03/05 |
11/15/04 |
|
Notice of Interest Rate for Medicare Overpayments and
Underpayments |
3453 |
11/04/04 |
11/12/04 |
11/12/04 |
|
Quarterly Update to Correct Coding Initiative (CCI) Edits, Version
11.0, Effective January 1, 2005 |
3491 |
10/22/04 |
01/03/05 |
11/04/04 |
|
Manual Revision Regarding Waiver of Annual Deductible and
Coinsurance for Both Ambulatory Surgery Centers (ASCs) and
ASC/Hospital Outpatient Department Physician Services |
3471 |
10/22/04 |
11/22/04 |
11/04/04 |
|
Temporary Change in Carrier Jurisdictional Pricing Rules for
Purchased Diagnostic Services |
3464 |
10/22/04 |
11/22/04 |
11/04/04 |
|
Invalid Diagnosis Code Editing – Second Phase |
3260 |
10/22/04 |
04/04/05 |
11/04/04 |
|
Percutaneous Transluminal Angioplasty (PTA) |
3489 |
10/15/04 |
10/12/05 |
10/27/04 |
|
Remittance Advice Remark Code and Claim Adjustment Reason Code
Update |
3466 |
10/15/04 |
01/05/05 |
10/27/04 |
|
MMA-Proposed Implementation of the Physician Scarcity Bonus and
Revision to the Health Professional Shortage Area (HPSA) |
SE0453 |
N/A |
01/05/05 |
10/13/04 |
|
MMA - Reasonable Charge Update for 2005 for Splints, Casts,
Dialysis Supplies, Dialysis Equipment, Therapeutic Shoes, and
Certain Intraocular Lenses |
3430 |
09/10/04 |
01/03/05 |
10/04/04 |
|
Coverage by Medicare Advantage Organizations for NCD Services Not
Previously Included in the Medicare Advantage’s Capitated
Rates |
3301
As instructed by CR3465 |
N/A |
01/01/05 |
10/04/04 |
|
MMA - Physician Education for the Revisions to the HPSA Bonus
Payment Processes and Implementation of the PSA Bonus
Payments |
SE0449 |
N/A |
01/01/05 |
09/29/04 |
|
Update of Health Care Claims Status Codes and Health Care Claims
Status Category Codes for Use with the Health Care Claim Status
Request and Response ASC X12N 276/277 |
3361 |
07/23/04 |
01/03/05 |
07/29/04 |
|
Elimination of the 90-day Grace Period for HCPCS Codes |
3093 |
02/06/04 |
01/01/05 |
03/05/04 |