Revision of PWK (Paperwork) Fax/Mail Cover Sheets ........................... January 2018, p. 20
Appeals
Updated 2018 Amount in Controversy (AIC) for Administrative Law Judge Hearings or Federal District Court Appeals ................ January 2018, p. 38
Average Sales Price
April 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files .................................................................... March 2018, p. 31
January 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files ............................................................. December 2018, p. 16
July 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files ................................................................... August 2018, p. 14
October 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files ......................................................... October 2018, p. 21
B Top Billing
2018 Annual Update to the Therapy Code List ........................................ January 2018, p. 3 2018-2019 Influenza (Flu) Resources for Health
Care Professionals .................................................................. December 2018, p. 22 Accepting Payment from Patients with a Medicare
Set-Aside Arrangement (Reissued) ............................................. January 2018, p. 33
Activation of Systematic Validation Edits for OPPS Providers with Multiple Service Locations ................................ December 2018, p. 29
Adjustments to Qualified Medicare Beneficiary (QMB) Claims Processed Under CR 9911 .................................................... May 2018, p. 11
Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement ....................................... January 2018, p. 5
Billing Outpatient Diabetes Self-Management Training (DSMT) .................... April 2018, p. 8 Billing Requirement for OPPS Providers with Multiple
Service Locations .............................................................................. May 2018, p. 27 Claims Processing Actions to Implement Certain Provisions
of the Bipartisan Budget Act of 2018 ................................................... June 2018, p. 9 Common Working File (CWF) to Modify CWF Provider Queries
to Only Accept National Provider Identifier (NPI) as Valid Provider Number (Revised)................................................. January 2018, p. 19
CWF Hospice Periods Now Available on the Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) ............................August 2018, p. 4
Ensuring Correct Processing of Home Health Disaster Related Claims and Claims for Denial............................................... March 2018, p. 3
Ensuring Correct Processing of Home Health Disaster Related Claims and Claims for Denial (Revised) ................................. April 2018, p. 4
Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Guide Update ....................................................... September 2018, p. 3
Healthcare Provider Taxonomy Codes (HPTCs) April 2018 Code Set Update ...............................................................................April 2018, p. 12
Home Health Physician Certification ......................................................February 2018, p. 3 Hospice Workaround For Transfers in a Benefit Period ................................. July 2018, p. 3 Hurricane Florence and Medicare Disaster
Related North Carolina, South Carolina, and the Commonwealth of Virginia Claims ........................................... November 2018, p. 34
Hurricane Florence and Medicare Disaster Related North Carolina, South Carolina, and the Commonwealth of Virginia Claims (Revised) ........................... December 2018, p. 18
Hurricane Harvey and Medicare Disaster Related Texas Claims (Revised) .............................................................February 2018, p. 13
Hurricane Irma and Medicare Disaster Related South Carolina and Georgia Claims (Revised) ............................February 2018, p. 27
Hurricane Irma and Medicare Disaster Related United States Virgin Islands, Commonwealth of Puerto Rico and State of Florida Claims (Revised) .................................February 2018, p. 22
Hurricane Maria and Medicare Disaster Related United States Virgin Islands and Commonwealth of Puerto Rico Claims.................................................................. November 2018, p. 25
Hurricane Michael and Medicare Disaster Related Florida and Georgia Claims ........................................ December 2018, p. 25
Hurricane Nate and Medicare Disaster Related Alabama, Florida, Louisiana and Mississippi Claims (Revised) ....................... March 2018, p. 41
Identifying Prior Hospice Days When Calculating Hospice Routine Home Care Payments After a Transfer .................................. April 2018, p. 5
Medicare Fee-for-Service (FFS) Response to the 2017 California Wildfires (Revised)....................................................... January 2018, p. 34
Medicare Fee-for-Service (FFS) Response to the 2017 California Wildfires (Revised)............................................................ June 2018, p. 15
Medicare Fee-for-Service (FFS) Response to the 2017 Southern California Wildfires ......................................................February 2018, p. 31
Medicare Fee-for-Service (FFS) Response to the 2017 Southern California Wildfires (Revised)............................................. June 2018, p. 17
myCGS Video Education Now Available ............................................... October 2018, p. 22 New Common Working File (CWF) Medicare Secondary
Payer (MSP) Type of Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) (Rescinded) ......................................... January 2018, p. 16
New Direct Data Entry (DDE) Attending Physician Taxonomy Code Field and Reason Code 32113 .................................................April 2018, p. 21
New Hospice Quick Resource Tool ........................................................February 2018, p. 6
New Online Education Course for Home Health Providers ........................... June 2018, p. 3 New Physician Specialty Code for Medical
Genetics and Genomics ...................................................................... July 2018, p. 8 New Physician Specialty Code for Undersea and
Hyperbaric Medicine ................................................................. September 2018, p. 8 New Self-Service Option for Home Health Providers! .......................... December 2018, p. 5 October 2018 Integrated Outpatient Code Editor (I/OCE)
Specifications Version 19.3 ..................................................... November 2018, p. 15 Processing Instructions to Update the Identification
Code Qualifier Being Used in the NM108 Data Element at the 2100 Loop, NM1- Patient Name Segment in the 835 Guide...................................................................................... July 2018, p. 9
Quarterly Influenza Virus Vaccine Code Update – January 2019 .............................................................................. October 2018, p. 17
Quarterly Influenza Virus Vaccine Code Update – January 2019 (Revised) ........................................... November 2018, p. 13
Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement ..................................... January 2018, p. 11
Recent and Upcoming Improvements in Hospice Billing and Claims Processing..........................................................August 2018, p. 6
Recent and Upcoming Improvements in Hospice Billing and Claims Processing (Revised) ........................................ October 2018, p. 5
Redesign of Hospice Periods – Additional Requirements .................... December 2018, p. 6 Reminder on Billing Requirements
Implemented for non-OPPS Providers ..................................... November 2018, p. 29 Reminder: Submitting Hospice Exceptions for Untimely
Notices of Election (NOE) ................................................................... June 2018, p. 4 Reminder: When to Submit Occurrence Code 27 on
Hospice Claims ....................................................................... December 2018, p. 78 Revisions to the Telehealth Billing Requirements for
Distant Site Services ......................................................................... July 2018, p. 11 Revisions to the Telehealth Billing Requirements
for Distant Site Services (Revised) ........................................... September 2018, p. 5
Revisions to the Telehealth Billing Requirements for Distant Site Services (Revised) ............................................ November 2018, p. 8
Suspended Claims Reminder ..................................................................... June 2018, p. 20 Tropical Storm Harvey and Medicare Disaster Related
Louisiana Claims (Revised) ........................................................February 2018, p. 18 Update to Chapter 15, Pub. 100-08, Certification
Statement Policies (Revised) ................................................... November 2018, p. 11 Update to Medicare Claims Processing Manual,
Chapter 24, Section 90 ................................................................ October 2018, p. 13 Updates to the Medicare Claims Processing Manual 24,
ASCA Waiver Review Form of Letters, Exhibits A-H .................... October 2018, p. 15
C Top CGS ListServ Notification Service
Change in Frequency to CGS Listserv Notifications .............................. January 2018, p. 14 Stay Informed and Join the CGS ListServ Notification Service ............... January 2018, p. 37 April 2018, p. 22 October 2018, p. 24
Claim Adjustment Reason Codes (CARC)
Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC), and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE)....................................................................... January 2018, p. 23
Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) CORE .................................................... July 2018, p. 10
Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) CORE ...................................................... November 2018, p. 17
Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP), and PC Print Update .................................... January 2018, p. 24
April 2018, p. 19 July 2018, p. 16
Claim Status Category Codes
Claim Status Category Codes and Claim Status Codes Update ............................................................................. January 2018, p. 26
Claim Status Category Codes and Claim Status Codes Update ............................................................................. January 2018, p. 26
August 2018, p. 20 November 2018, p. 22
Claim Submission Errors (CSEs)
New Online Education Course For Home Health Providers .......................... June 2018, p. 3
Common Working File (CWF)
Common Working File (CWF) to Modify CWF Provider Queries to Only Accept National Provider Identifier (NPI) as Valid Provider Number (Revised)................................................. January 2018, p. 19
Correction to Common Working File (CWF) Informational Unsolicited Response (IUR) 7272 for Intervening Stay ........................................................................ December 2018, p. 4
CWF Hospice Periods Now Available on the Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) ............................August 2018, p. 4
New Common Working File (CWF) Medicare Secondary Payer (MSP) Type of Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) (Rescinded) ......................................... January 2018, p. 16
Redesign of Hospice Periods – Additional Requirements .................... December 2018, p. 6
Computer Telephony Integration (CTI)
Changes to the Interactive Voice Response (IVR) and Computer Telephone Integration (CTI) and the Message .................................... June 2018, p. 5
Consolidated Billing
2019 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update............................................. December 2018, p. 15
Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement ....................................... January 2018, p. 5
Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement ..................................... January 2018, p. 11
Credit Balance Report (CBR)
Home Health and Hospice Top Medicare Credit Balance Submission Rejects ................................................................... November 2018, p. 7
Quarterly Reminder............................................................................... January 2018, p. 14 April 2018, p. 9 October 2018, p. 11
Current Procedural Terminology (CPT)
MM10303: 2018 Annual Update to the Therapy Code List ....................... January 2018, p. 3
D Top Drugs
April 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files .................................................................... March 2018, p. 31
January 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files ............................................................. December 2018, p. 16
July 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files ................................................................... August 2018, p. 14
October 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files ......................................................... October 2018, p. 21
Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – April 2018 Update............................................................................. April 2018, p. 16
Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – April 2018 Update (Revised) ................................................................ May 2018, p. 9
Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2018 Update ............................................................................. June 2018, p. 12
Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2018 Update (Revised) .............................................................. July 2018, p. 17
Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2018 Update (Revised) ..................................................... September 2018, p. 6
Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – October 2018 Update .................................................................. October 2018, p. 15
Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – October 2018 Update (Revised) .............................................. November 2018, p. 10
Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS)
April Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule .................................................................................... May 2018, p. 12
Calendar Year (CY) 2018 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule........ March 2018, p. 13
July Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule ................................................................................ August 2018, p. 17
October Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule .............................................................................. October 2018, p. 18
Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC), and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE)....................................................................... January 2018, p. 23
Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) CORE .................................................... July 2018, p. 10
Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) CORE ...................................................... November 2018, p. 17
Electronic Submission of Medical Documentation (esMD)
Modifications to the Implementation of the Paperwork (PWK) Segment of the Electronic Submission of Medical Documentation (esMD) System .........................................................April 2018, p. 11
Modifications to the Implementation of the Paperwork (PWK) Segment of the Electronic Submission of Medical Documentation (esMD) System (Revised) ......................... June 2018, p. 8
April Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule .................................................................................... May 2018, p. 12
Calendar Year (CY) 2018 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule........ March 2018, p. 13
July Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule ................................................................................ August 2018, p. 17
Summary of Policies in the Calendar Year (CY) 2018 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, and CT Modifier Reduction List ................................................................................ March 2018, p. 10
Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – July 2018 Update .......................... July 2018, p. 18
Update to the Medicare Physician Fee Schedule Database (MPFSDB) – April 2018 Update .........................................April 2018, p. 18
Fiscal Intermediary Standard System (FISS)
CWF Hospice Periods Now Available on the Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) ............................August 2018, p. 4
Fiscal Intermediary Standard System (FISS) Direct Data Entry (DDE) Guide Update ....................................................... September 2018, p. 3
New Direct Data Entry (DDE) Attending Physician Taxonomy Code Field and Reason Code 32113 .................................................April 2018, p. 21
User CR: FISS to Add Additional Search Features to Provider Direct Data Entry (DDE) Screen .................................... October 2018, p. 13
Frequently Asked Questions (FAQs)
Introducing the New Frequently Asked Questions (FAQs) Search Feature .................................................................................. June 2018, p. 7
H Top Healthcare Common Procedure Coding System (HCPCS)
Annual Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement ....................................... January 2018, p. 5
April 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) ............................................... May 2018, p. 17
January 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) ............................................ March 2018, p. 18
July 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) (Revised) ........................... August 2018, p. 21
October 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) ..................................... November 2018, p. 18
Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – April 2018 Update..............................................................................April 2018, p. 16
Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – April 2018 Update (Revised) ................................................................ May 2018, p. 9
Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2018 Update ............................................................................. June 2018, p. 12
Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2018 Update (Revised) .............................................................. July 2018, p. 17
Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2018 Update (Revised) ..................................................... September 2018, p. 6
Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – October 2018 Update .................................................................. October 2018, p. 15
Healthcare Common Procedure Coding System (HCPCS), continued…
Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – October 2018 Update (Revised) .............................................. November 2018, p. 10
Quarterly Update of HCPCS Codes Used for Home Health Consolidated Billing Enforcement ..................................... January 2018, p. 11
Home Health
2018 Annual Update to the Therapy Code List ........................................ January 2018, p. 3 Annual Update of HCPCS Codes Used for Home
Health Consolidated Billing Enforcement ....................................... January 2018, p. 5 April 2018 Update of the Hospital Outpatient
Prospective Payment System (OPPS) ............................................... May 2018, p. 17 CMS Takes Action to Modernize Medicare Home Health...........................August 2018, p. 3 December 2018, p. 3 Claims Processing Actions to Implement Certain Provisions
of the Bipartisan Budget Act of 2018 ................................................... June 2018, p. 9 Correction to Common Working File (CWF) Informational
Unsolicited Response (IUR) 7272 for Intervening Stay ........................................................................ December 2018, p. 4
Ensuring Correct Processing of Home Health Disaster Related Claims and Claims for Denial............................................... March 2018, p. 3
Ensuring Correct Processing of Home Health Disaster Related Claims and Claims for Denial (Revised) ................................. April 2018, p. 4
Home Health Care: Proper Certification Required – Reminder ..................... April 2018, p. 3 Home Health Physician Recertification Estimate Tip...................................... May 2018, p. 3 Home Health Physician Certification ......................................................February 2018, p. 3 Home Health Prospective Payment System (HH PPS)
Rate Update for Calendar Year (CY) 2018 ..................................... January 2018, p. 6 January 2018 Update of the Hospital Outpatient
Prospective Payment System (OPPS) ............................................ March 2018, p. 18 July 2018 Update of the Hospital Outpatient
Prospective Payment System (OPPS) (Revised) ........................... August 2018, p. 21
New Physician Specialty Code for Medical Genetics and Genomics ...................................................................... July 2018, p. 8
New Physician Specialty Code for Undersea and Hyperbaric Medicine ................................................................. September 2018, p. 8
New Self-Service Option for Home Health Providers! .......................... December 2018, p. 5 October 2018 Update of the Hospital Outpatient
Prospective Payment System (OPPS) ..................................... November 2018, p. 18 Quarterly Update of HCPCS Codes Used for Home
Health Consolidated Billing Enforcement ..................................... January 2018, p. 11 Reminder on Billing Requirements
Implemented for non-OPPS Providers ..................................... November 2018, p. 29 Revisions to the Home Health Pricer to Support Value-Based
Purchasing and Payment Standardization (Revised).....................February 2018, p. 4 Therapy Cap Values for Calendar Year (CY) 2018 ................................ January 2018, p. 10 Update to Chapter 15, Pub. 100-08, Certification
Statement Policies (Revised) ................................................... November 2018, p. 11
Hospice
2018 Annual Update to the Therapy Code List ........................................ January 2018, p. 3 CWF Hospice Periods Now Available on the Fiscal Intermediary
Standard System (FISS) Direct Data Entry (DDE) ............................August 2018, p. 4 Enhancements to Processing of Hospice Routine Home Care Payments ...... July 2018, p. 3 Fiscal Intermediary Standard System (FISS) Direct Data
Entry (DDE) Guide Update ....................................................... September 2018, p. 3 Hospice Election Statements Lack Required Information or Have
Other Vulnerabilities – Reminder ......................................................... May 2018, p. 4 Hospice: Proposed Updates to the Wage Index and Payment
Rates for FY 2019 .............................................................................. June 2018, p. 3 Hospice Workaround For Transfers in a Benefit Period ................................. July 2018, p. 3 Identifying Prior Hospice Days When Calculating Hospice
Routine Home Care Payments After a Transfer .................................. April 2018, p. 5
Manual Updates Related to Payment Policy Changes Affecting the Hospice Aggregate Cap Calculation and the Designation of Hospice Attending Physicians ................ November 2018, p. 3
New Hospice Quick Resource Tool ........................................................February 2018, p. 6 Recent and Upcoming Improvements in Hospice
Billing and Claims Processing..........................................................August 2018, p. 6 Recent and Upcoming Improvements in Hospice
Billing and Claims Processing (Revised) ........................................ October 2018, p. 5 Redesign of Hospice Periods – Additional
Requirements ............................................................................ December 2018, p. 6 Reminder on Billing Requirements
Implemented for non-OPPS Providers ..................................... November 2018, p. 29 Reminder: Submitting Hospice Exceptions for Untimely
Notices of Election (NOE) ................................................................... June 2018, p. 4 Reminder: When to Submit Occurrence Code 27 on
Hospice Claims ....................................................................... December 2018, p. 78 Update to Hospice Payment Rates, Cap, Hospice Wage Index and Hospice Pricer for FY 2019 ............................................ October 2018, p. 3
I Top Integrated Outpatient Code Editor (I/OCE)
April 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.1 (Revised)................................................ May 2018, p. 15
January 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.0 .............................................................. March 2018, p. 7
July 2018 Integrated Outpatient Code Editor (I/OCE) Specification Version 19.2 (Revised) ............................................. August 2018, p. 15
October 2017 Integrated Outpatient Code Editor (I/OCE) Specifications Version 18.3 (Revised).......................................... January 2018, p. 21
October 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.3 ..................................................... November 2018, p. 15
Changes to the Interactive Voice Response (IVR) and Computer Telephone Integration (CTI) and the Message .................................... June 2018, p. 5
Interest
Update to the Interest Paid on Clean Non-PIP Claims Not Paid Timely ..........................................................................February 2018, p. 33
August 2018, p. 32
J Top J15 Go Mobile App
CGS Website Updates ................................................................................. April 2018, p. 8
K Top
L Top
Local Coverage Determination (LCDs)
Local Coverage Determinations (LCDs) ............................................ December 2018, p. 10
M Top Medicare Beneficiary Identifier (MBI)
Medicare Administrative Contractor (MAC) Provider Medicare Beneficiary Identifier (MBI) Lookup Tool .............................................. July 2018, p. 5
New Medicare Beneficiary Identifier (MBI) Get It, Use It .......................... August 2018, p. 28 New Medicare Beneficiary Identifier (MBI)
Get It, Use It (Revised) ........................................................... September 2018, p. 13 New Medicare Card: New Web Page Information .................................. January 2018, p. 27 New Medicare Card Project – Important Updates ....................................... June 2018, p. 14
Medicare Cost Report E-Filing (MCReF) ..................................................... July 2018, p. 12
Medicare Learning Network® (MLN)
MM9893 (Rescinded): New Common Working File (CWF) Medicare Secondary Payer (MSP) Type of Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) ............................................................ January 2018, p. 16
MM9911 (Revised): Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System ................. January 2018, p. 16
MM10098 (Revised): Common Working File (CWF) to Modify CWF Provider Queries to Only Accept National Provider Identifier (NPI) as Valid Provider Number .................................... January 2018, p. 19
MM10124: Revision of PWK (Paperwork) Fax/Mail Cover Sheets ......... January 2018, p. 20 MM10151 (Revised): Suppression of the Standard Paper
Remittance Advice (SPR) in 45 days if also Receiving Electronic Remittance Advice (ERA) ................................................. March 2018, p. 6
MM10167 (Revised): Revisions to the Home Health Pricer to Support Value-Based Purchasing and Payment Standardization ............................................................................February 2018, p. 4
MM10180: Identifying Prior Hospice Days When Calculating Hospice Routine Home Care Payments After a Transfer ..................... April 2018, p. 5
MM10230 (Revised): October 2017 Integrated Outpatient Code Editor (I/OCE) Specifications Version 18.3 ................................... January 2018, p. 21
MM10268: Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC), and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE)....................................................................... January 2018, p. 23
MM10270: Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP), and PC Print Update .................................... January 2018, p. 24
MM10271: Claim Status Category Codes and Claim Status Codes Update ............................................................................. January 2018, p. 26
MM10303: 2018 Annual Update to the Therapy Code List ....................... January 2018, p. 3 MM10308: Annual Update of HCPCS Codes Used for Home
Health Consolidated Billing Enforcement ....................................... January 2018, p. 5 MM10310: Home Health Prospective Payment System (HH PPS)
Rate Update for Calendar Year (CY) 2018 ..................................... January 2018, p. 6 MM10341: Therapy Cap Values for Calendar Year (CY) 2018 ............... January 2018, p. 10 MM10372: Ensuring Correct Processing of Home Health Disaster
Related Claims and Claims for Denial............................................... March 2018, p. 3 MM10372 (Revised): Ensuring Correct Processing of Home Health
Disaster Related Claims and Claims for Denial .................................. April 2018, p. 4 MM10374: Quarterly Update of HCPCS Codes Used for Home
Health Consolidated Billing Enforcement ..................................... January 2018, p. 11 MM10385: January 2018 Integrated Outpatient Code
Editor (I/OCE) Specifications Version 19.0 ........................................ March 2018, p. 7 MM10393: Summary of Policies in the Calendar Year (CY)
2018 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, and CT Modifier Reduction List ................................................................................ March 2018, p. 10
MM10395: Calendar Year (CY) 2018 Update for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule............................................................... March 2018, p. 13
MM10397: Modifications to the Implementation of the Paperwork (PWK) Segment of the Electronic Submission of Medical Documentation (esMD) System ........................................April 2018, p. 11
MM10397 (Revised): Modifications to the Implementation of the Paperwork (PWK) Segment of the Electronic Submission of Medical Documentation (esMD) System ......................................... June 2018, p. 8
MM10402: Healthcare Provider Taxonomy Codes (HPTCs) April 2018 Code Set Update ..............................................................April 2018, p. 12
MM10417: January 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) ............................................ March 2018, p. 18
MM10433: Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR9911 ......................................................April 2018, p. 14
MM10433 (Revised): Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR9911 ........................................................ May 2018, p. 6
MM10447: April 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files .................................................................... March 2018, p. 31
MM10454: Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – April 2018 Update..............................................................................April 2018, p. 16
MM10454 (Revised): Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – April 2018 Update................................................................................ May 2018, p. 9
MM10457: New Physician Specialty Code for Medical Genetics and Genomics ...................................................................... July 2018, p. 8
MM10488: Update to the Medicare Physician Fee Schedule Database (MPFSDB) – April 2018 Update .........................................April 2018, p. 18
MM10489: Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update ....................................................April 2018, p. 19
MM10494: Adjustments to Qualified Medicare Beneficiary (QMB) Claims Processed Under CR 9911 .................................................... May 2018, p. 11
MM10503: April Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule .................................................................................... May 2018, p. 12
MM10514 (Revised): April 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.1 ......................................... May 2018, p. 15
MM10515 (Revised): April 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) ............................................... May 2018, p. 17
MM10517: Manual Updates Related to Payment Policy Changes Affecting the Hospice Aggregate Cap Calculation and the Designation of Hospice Attending Physicians ................ November 2018, p. 3
MM10531 (Revised): Claims Processing Actions to Implement Certain Provisions of the Bipartisan Budget Act of 2018...................... June 2018, p. 9
MM10542: User CR: FISS to Add Additional Search Features to Provider Direct Data Entry (DDE) Screen ..................................... October 2018, p. 13 MM10558: Provider/Supplier Reporting of Adverse Legal Actions ........... August 2018, p. 12 MM10559: Update to Medicare Claims Processing Manual,
Chapter 24, Section 90 ................................................................ October 2018, p. 13 MM10565: Processing Instructions to Update the Identification
Code Qualifier Being Used in the NM108 Data Element at the 2100 Loop, NM1- Patient Name Segment in the 835 Guide...................................................................................... July 2018, p. 9
MM10566: Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) CORE .................................................... July 2018, p. 10
MM10573: Enhancements to Processing of Hospice Routine Home Care Payments ......................................................................... July 2018, p. 3
MM10583: Revisions to the Telehealth Billing Requirements for Distant Site Services ......................................................................... July 2018, p. 11
MM10583 (Revised): Revisions to the Telehealth Billing Requirements for Distant Site Services ........................................................... September 2018, p. 5
MM10583 (Revised): Revisions to the Telehealth Billing Requirements for Distant Site Services ............................................................ November 2018, p. 8
MM10611: Medicare Cost Report E-Filing (MCReF) .................................... July 2018, p. 12
MM10619: Updates to Publication 100-04, Chapters 1 and 27, to Replace Remittance Advice Remark Code (RARC) MA61 with N382 ................................................................................ July 2018, p. 15
MM10620: Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP) and PC Print Update .................................................... July 2018, p. 16
MM10624: Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2018 Update ............................................................................. June 2018, p. 12
MM10624 (Revised): Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2018 Update .............................................................................. July 2018, p. 17
MM10624 (Revised): Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – July 2018 Update ..................................................................... September 2018, p. 6
MM10631: Update to Hospice Payment Rates, Cap, Hospice Wage Index and Hospice Pricer for FY 2019 ............................................ October 2018, p. 3 MM10644: Quarterly Update to the Medicare Physician Fee
Schedule Database (MPFSDB) – July 2018 Update .......................... July 2018, p. 18 MM10666: New Physician Specialty Code for Undersea and
Hyperbaric Medicine ................................................................. September 2018, p. 8 MM10667: July 2018 Quarterly Average Sales Price (ASP)
Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files ........................................................... August 2018, p. 14
MM10699 (Revised): July 2018 Integrated Outpatient Code Editor (I/OCE) Specification Version 19.2 ...................................... August 2018, p. 15
MM10707: July Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Fee Schedule ................................................................................ August 2018, p. 17
MM10777: Claim Status Category and Claim Status Codes Update ........ August 2018, p. 20 MM10781 (Revised): July 2018 Update of the Hospital Outpatient
Prospective Payment System (OPPS) ...........................................August 2018, p. 21
MM10834: Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – October 2018 Update .................................................................. October 2018, p. 15
MM10834 (Revised): Quarterly Healthcare Common Procedure Coding System (HCPCS) Drug/Biological Code Changes – October 2018 Update .............................................................. November 2018, p. 10
MM10845 (Revised): Update to Chapter 15, Pub. 100-08, Certification Statement Policies ............................................... November 2018, p. 11
MM10857: Healthcare Provider Taxonomy Codes (HPTCs) October 2018 Code Set Update ............................................... November 2018, p. 12
MM10858: Updates to the Medicare Claims Processing Manual 24, ASCA Waiver Review Form of Letters, Exhibits A-H .................... October 2018, p. 15
MM10871: Quarterly Influenza Virus Vaccine Code Update – January 2019 .............................................................................. October 2018, p. 17
MM10871 (Revised): Quarterly Influenza Virus Vaccine Code Update – January 2019 ........................................................... November 2018, p. 13
MM10881: October Quarterly Update for 2018 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Fee Schedule .............................................................................. October 2018, p. 18
MM10898: Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – October 2018 Update .............. October 2018, p. 19
MM10899: October 2018 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files ......................................................... October 2018, p. 21
MM10900: October 2018 Integrated Outpatient Code Editor (I/OCE) Specifications Version 19.3 ............................... November 2018, p. 15
MM10901: Local Coverage Determinations (LCDs) ........................... December 2018, p. 10
MM10904: Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) CORE ...................................................... November 2018, p. 17
MM10923: October 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) ..................................... November 2018, p. 18
MM10925: Claim Status Category and Claim Status Codes Update ......................................................................... November 2018, p. 22
MM10960: Correction to Common Working File (CWF) Informational Unsolicited Response (IUR) 7272 for Intervening Stay ........................................................................ December 2018, p. 4
MM10967: Redesign of Hospice Periods – Additional Requirements ............................................................................ December 2018, p. 6
MM10981: 2019 Annual Update of Healthcare Common Procedure Coding System (HCPCS) Codes for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Update .......... December 2018, p. 15
MM11016: January 2019 Quarterly Average Sales Price (ASP) Medicare Part B Drug Pricing Files and Revisions to Prior Quarterly Pricing Files ............................................................. December 2018, p. 16
SE1128 (Revised): Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program ......................................................... January 2018, p. 29
SE1128 (Revised): Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program ..........................................................February 2018, p. 9
SE1128 (Revised): Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program ............................................................... May 2018, p. 23
SE1128 (Revised): Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program ...................................................... September 2018, p. 9
SE1613 (Revised): Next Generation Accountable Care Organization – Implementation ....................................................... March 2018, p. 34
SE17019 (Reissued): Accepting Payment from Patients with a Medicare Set-Aside Arrangement ...................................... January 2018, p. 33
SE17020 (Revised): Hurricane Harvey and Medicare Disaster Related Texas Claims ................................................................February 2018, p. 13
SE17021 (Revised): Tropical Storm Harvey and Medicare Disaster Related Louisiana Claims .............................................February 2018, p. 18
SE17022 (Revised): Hurricane Irma and Medicare Disaster Related United States Virgin Islands, Commonwealth of Puerto Rico and State of Florida Claims .................................February 2018, p. 22
SE17024 (Revised): Hurricane Irma and Medicare Disaster Related South Carolina and Georgia Claims ...............................February 2018, p. 27
SE17028 (Revised): Hurricane Maria and Medicare Disaster Related United States Virgin Islands and Commonwealth of Puerto Rico Claims ..................................... November 2018, p. 25
SE17034 (Revised): Hurricane Nate and Medicare Disaster Related Alabama, Florida, Louisiana and Mississippi Claims .......... March 2018, p. 41
SE17035 (Revised): Medicare Fee-for-Service (FFS) Response to the 2017 California Wildfires ........................................................ January 2018, p. 34
SE17035 (Revised): Medicare Fee-for-Service (FFS) Response to the 2017 California Wildfires ............................................................. June 2018, p. 15
SE17037: Medicare Fee-for-Service (FFS) Response to the 2017 Southern California Wildfires ..............................................February 2018, p. 31
SE17037 (Revised): Medicare Fee-for-Service (FFS) Response to the 2017 Southern California Wildfires .................................................... June 2018, p. 17
SE18002: Billing Requirement for OPPS Providers with Multiple Service Locations .............................................................................. May 2018, p. 27
SE18006: New Medicare Beneficiary Identifier (MBI) Get It, Use It ..........August 2018, p. 28
SE18006 (Revised): New Medicare Beneficiary Identifier (MBI) Get It, Use It ........................................................................... September 2018, p. 13
SE18007: Recent and Upcoming Improvements in Hospice Billing and Claims Processing..........................................................August 2018, p. 6
SE18007 (Revised): Recent and Upcoming Improvements in Hospice Billing and Claims Processing........................................................ October 2018, p. 5
SE18008: Provider Enrollment – Unlicensed Residents ........................... August 2018, p. 31 SE18012: Reminder on Billing Requirements
Implemented for non-OPPS Providers ..................................... November 2018, p. 29 SE18014: Hurricane Florence and Medicare Disaster
Related North Carolina, South Carolina, and the Commonwealth of Virginia Claims ........................................... November 2018, p. 34
SE18014 (Revised): Hurricane Florence and Medicare Disaster Related North Carolina, South Carolina, and the Commonwealth of Virginia Claims ........................................... December 2018, p. 18
SE18015: 2018-2019 Influenza (Flu) Resources for Health Care Professionals .................................................................. December 2018, p. 22
SE18021 (Revised): Hurricane Michael and Medicare Disaster Related Florida and Georgia Claims ........................................ December 2018, p. 25
SE18023: Activation of Systematic Validation Edits for OPPS Providers with Multiple Service Locations ................................ December 2018, p. 29
Medicare Physician Fee Schedule Database (MPFSDB)
Quarterly Update to the Medicare Physician Fee Schedule Database (MPFSDB) – October 2018 Update .............. October 2018, p. 19
Medicare Secondary Payer (MSP)
Accepting Payment from Patients with a Medicare Set-Aside Arrangement (Reissued) ............................................. January 2018, p. 33
New Common Working File (CWF) Medicare Secondary Payer (MSP) Type of Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) (Rescinded) ......................................... January 2018, p. 16
Accepting Payment from Patients with a Medicare Set-Aside Arrangement (Reissued) ............................................. January 2018, p. 33
New Common Working File (CWF) Medicare Secondary Payer (MSP) Type of Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) (Rescinded) ......................................... January 2018, p. 16
MLN Connects®
April 2018 – May 2018 Weekly Messages .................................................... June 2018, p. 7 August 2018 – September 2018 ............................................................ October 2018, p. 12 December 2017 – January 2018 Weekly Messages .............................. February 2018, p. 8 February 2018 – March 2018 Weekly Messages .........................................April 2018, p. 10 January 2018 – February 2018 Weekly Messages ..................................... March 2018, p. 5 July 2018 – August 2018 Weekly Messages....................................... September 2018, p. 4 June 2018 – July 2018 Weekly Messages ............................................... August 2018, p. 12 March 2018 – April 2018 Weekly Messages .................................................. May 2018, p. 6 May 2018 – June 2018 Weekly Messages .................................................... July 2018, p. 7 November 2017 – December 2017 Weekly Messages........................... January 2018, p. 15 October 2018 – November 2018 Weekly Messages .......................... December 2018, p. 10 September 2018 – October 2018 Weekly Messages ........................... November 2018, p. 7
myCGS
Attention myCGS Users: Multi-Factor Authentication (MFA) Email Reminder.................................................................................. April 2018, p. 7
Medicare Credit Balance Quarterly Reminder........................................ January 2018, p. 14 July 2018, p. 6 myCGS Enhancement: Audit & Reimbursement (A&R)
Secure Messaging................................................................... November 2018, p. 24 myCGS Video Education Now Available ............................................... October 2018, p. 22
Common Working File (CWF) to Modify CWF Provider Queries to Only Accept National Provider Identifier (NPI) as Valid Provider Number (Revised)................................................. January 2018, p. 19
New Medicare Card
New Medicare Card: New Web Page Information .................................. January 2018, p. 27 New Medicare Card: Web Updates .......................................................... March 2018, p. 32 New Medicare Card: When Will My Medicare Patients Receive Their Cards? ..................................................................... March 2018, p. 33
Notices of Election (NOEs)
Recent and Upcoming Improvements in Hospice Billing and Claims Processing..........................................................August 2018, p. 6
Recent and Upcoming Improvements in Hospice Billing and Claims Processing (Revised) ........................................ October 2018, p. 5
Reminder: Submitting Hospice Exceptions for Untimely Notices of Election (NOE) ................................................................... June 2018, p. 4
O Top Outpatient Prospective Payment System (OPPS)
Activation of Systematic Validation Edits for OPPS Providers with Multiple Service Locations ................................ December 2018, p. 29
April 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) ............................................... May 2018, p. 17
Billing Requirement for OPPS Providers with Multiple Service Locations .............................................................................. May 2018, p. 27
January 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) ............................................ March 2018, p. 18
July 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) (Revised) ...........................August 2018, p. 21
Outpatient Prospective Payment System (OPPS), continued…
October 2018 Update of the Hospital Outpatient Prospective Payment System (OPPS) ..................................... November 2018, p. 18
P Top Paperwork (PWK) Fax/Mail Cover Sheets
Revision of PWK (Paperwork) Fax/Mail Cover Sheets ........................... January 2018, p. 20
Payments
Enhancements to Processing of Hospice Routine Home Care Payments ...... July 2018, p. 3 Home Health Prospective Payment System (HH PPS)
Rate Update for Calendar Year (CY) 2018 ..................................... January 2018, p. 6 Hospice: Proposed Updates to the Wage Index and Payment
Rates for FY 2019 .............................................................................. June 2018, p. 3 Manual Updates Related to Payment Policy Changes
Affecting the Hospice Aggregate Cap Calculation and the Designation of Hospice Attending Physicians ................ November 2018, p. 3
Revisions to the Home Health Pricer to Support Value-Based Purchasing and Payment Standardization (Revised).....................February 2018, p. 4
Update to Hospice Payment Rates, Cap, Hospice Wage Index and Hospice Pricer for FY 2019 ............................................ October 2018, p. 3
PC Print Software
Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP), and PC Print Update .................................... January 2018, p. 24
April 2018, p. 19 July 2018, p. 16
Provider Enrollment
Provider/Supplier Reporting of Adverse Legal Actions ............................. August 2018, p. 12
Adjustments to Qualified Medicare Beneficiary (QMB) Claims Processed Under CR 9911 .................................................... May 2018, p. 11
December 2018, p. 9 Prohibition on Billing Dually Eligible Individuals Enrolled
in the Qualified Medicare Beneficiary (QMB) Program (Revised) ...................................................................... January 2018, p. 29
Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program (Revised) .......................................................................February 2018, p. 9
Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program (Revised) ............................................................................ May 2018, p. 23
Prohibition on Billing Dually Eligible Individuals Enrolled in the Qualified Medicare Beneficiary (QMB) Program (Revised) ................................................................... September 2018, p. 9
Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System (Revised) ................ January 2018, p. 16
Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR9911 .....................................................................................April 2018, p. 14
Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR9911 (Revised) ....................................................................... May 2018, p. 6
Quarterly Provider Update
CMS Comprehensive Resource ............................................................ January 2018, p. 28 April 2018, p. 22 July 2018, p. 21 October 2018, p. 23
Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC), and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE)....................................................................... January 2018, p. 23
Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) CORE .................................................... July 2018, p. 10
Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) CORE ...................................................... November 2018, p. 17
Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR9911 .....................................................................................April 2018, p. 14
Reinstating the Qualified Medicare Beneficiary Indicator in the Medicare Fee-For-Service Claims Processing System from CR9911 (Revised) ....................................................................... May 2018, p. 6
Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP), and PC Print Update .................................... January 2018, p. 24
April 2018, p. 19 July 2018, p. 16 Suppression of the Standard Paper Remittance Advice (SPR)
in 45 days if also Receiving Electronic Remittance Advice (ERA) (Revised) .................................................................... March 2018, p. 6
Updates to Publication 100-04, Chapters 1 and 27, to Replace Remittance Advice Remark Code (RARC) MA61 with N382 .............. July 2018, p. 15
Remittance Advice Remark Codes (RARC)
Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC), and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) Committee on Operating Rules for Information Exchange (CORE)....................................................................... January 2018, p. 23
Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) CORE .................................................... July 2018, p. 10
Implement Operating Rules – Phase III Electronic Remittance Advice (ERA) Electronic Funds Transfer (EFT): Committee on Operating Rules for Information Exchange (CORE) 360 Uniform Use of Claim Adjustment Reason Codes (CARC), Remittance Advice Remark Codes (RARC) and Claim Adjustment Group Code (CAGC) Rule – Update from Council for Affordable Quality Healthcare (CAQH) CORE ...................................................... November 2018, p. 17
Remittance Advice Remark Code (RARC), Claims Adjustment Reason Code (CARC), Medicare Remit Easy Print (MREP), and PC Print Update .................................... January 2018, p. 24
April 2018, p. 19 July 2018, p. 16 Updates to Publication 100-04, Chapters 1 and 27, to Replace
Remittance Advice Remark Code (RARC) MA61 with N382 .............. July 2018, p. 15
Request for Anticipated Payment (RAP)
New Self-Service Option for Home Health Providers! .......................... December 2018, p. 5
S Top
Section 1135 and Section 1812(f) Waivers
Hurricane Florence and Medicare Disaster Related North Carolina, South Carolina, and the Commonwealth of Virginia Claims ........................................... November 2018, p. 34
Hurricane Florence and Medicare Disaster Related North Carolina, South Carolina, and the Commonwealth of Virginia Claims (Revised) ........................... December 2018, p. 18
Hurricane Harvey and Medicare Disaster Related Texas Claims (Revised) .............................................................February 2018, p. 13
Hurricane Irma and Medicare Disaster Related South Carolina and Georgia Claims (Revised) ........................... February 2018, p. 27
Section 1135 and Section 1812(f) Waivers, continued…
Hurricane Irma and Medicare Disaster Related United States Virgin Islands, Commonwealth of Puerto Rico and State of Florida Claims (Revised) .................................February 2018, p. 22
Hurricane Michael and Medicare Disaster Related Florida and Georgia Claims ........................................ December 2018, p. 25
Hurricane Nate and Medicare Disaster Related Alabama, Florida, Louisiana and Mississippi Claims (Revised) ....................... March 2018, p. 41
Hurricane Maria and Medicare Disaster Related United States Virgin Islands and Commonwealth of Puerto Rico Claims.................................................................. November 2018, p. 25
Medicare Fee-for-Service (FFS) Response to the 2017 California Wildfires (Revised)....................................................... January 2018, p. 34
Medicare Fee-for-Service (FFS) Response to the 2017 California Wildfires (Revised)............................................................ June 2018, p. 15
Medicare Fee-for-Service (FFS) Response to the 2017 Southern California Wildfires ......................................................February 2018, p. 31
Medicare Fee-for-Service (FFS) Response to the 2017 Southern California Wildfires (Revised)............................................. June 2018, p. 17
Tropical Storm Harvey and Medicare Disaster Related Louisiana Claims (Revised) ........................................................February 2018, p. 18
T Top Taxonomy Codes
Healthcare Provider Taxonomy Codes (HPTCs) October 2018 Code Set Update ............................................... November 2018, p. 12
New Direct Data Entry (DDE) Attending Physician Taxonomy Code Field and Reason Code 32113 .................................................April 2018, p. 21
Telehealth
Revisions to the Telehealth Billing Requirements for Distant Site Services ......................................................................... July 2018, p. 11
Revisions to the Telehealth Billing Requirements for Distant Site Services (Revised) ........................................... September 2018, p. 5
Revisions to the Telehealth Billing Requirements for Distant Site Services (Revised) ............................................ November 2018, p. 8
Summary of Policies in the Calendar Year (CY) 2018 Medicare Physician Fee Schedule (MPFS) Final Rule, Telehealth Originating Site Facility Fee Payment Amount and Telehealth Services List, and CT Modifier Reduction List ................................................................................ March 2018, p. 10
Therapy
2018 Annual Update to the Therapy Code List ........................................ January 2018, p. 3 Therapy Cap Values for Calendar Year (CY) 2018 ................................ January 2018, p. 10
Therapy Cap
Therapy Cap Values for Calendar Year (CY) 2018 ................................ January 2018, p. 10
U Top Unsolicited/Voluntary Refunds
Provider Awareness .............................................................................. January 2018, p. 38
V Top Vaccine
2018-2019 Influenza (Flu) Resources for Health Care Professionals .................................................................. December 2018, p. 22
Quarterly Influenza Virus Vaccine Code Update – January 2019 .............................................................................. October 2018, p. 17
Quarterly Influenza Virus Vaccine Code Update – January 2019 (Revised) ........................................... November 2018, p. 13
Enhancements to Processing of Hospice Routine Home Care Payments ...... July 2018, p. 3
W Top Website
CGS Website Updates .......................................................................... January 2018, p. 12 February 2018, p. 7 March 2018, p. 4 April 2018, p. 8 May 2018, p. 4 June 2018, p. 5 July 2018, p. 5 August 2018, p. 11 September 2018, p. 3 October 2018, p. 10 November 2018, p. 5 December 2018, p. 9 Introducing the New Frequently Asked Questions (FAQs)
Search Feature .................................................................................. June 2018, p. 7 New CGS Medicare Deductible and Coinsurance Look-Up ......................... July 2018, p. 20 New Hospice Quick Resource Tool ........................................................February 2018, p. 6 New Self-Service Option for Home Health Providers! .......................... December 2018, p. 5
