CMS Transmittals and Federal Register Regulations, May 14-20, 2021
Transmittals
Pub. 100-04, Medicare Claims Processing
Pub. 100-08, Medicare Program Integrity
Pub. 100-03, Medicare National Coverage Determinations
Pub. 100-20, One-Time Notification
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Additional Payment Edits for DMEPOS Suppliers of Custom Fabricated and Prefabricated (Custom Fitted) Orthotics. Update to Change Request (CR) 3959, CR 8390, and CR 8730, Trans. 10801 (May 20, 2021)
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Addition of the Shared System CWF to the Business Requirements for the Healthcare Common Procedure Coding System (HCPCS) codes U0002QW and 87635QW Mentioned in Change Request 11765, Trans. 10798 (May 20, 2021)
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Replacing Home Health Requests for Anticipated Payment (RAPs) with a Notice of Admission (NOA) – Implementation, Trans. 10795 (May 20, 2021)
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International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determination (NCDs)--July 2021, Trans. 10804 (May 17, 2021)
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Provider Education for Required Prior Authorization (PA) Process for the Cervical Fusion with Disc Removal and Implanted Spinal Neurostimulators in the Hospital Outpatient Department (OPD) Setting, Trans. 10720 (May 14, 2021)
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Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents (NFI) - Updates and Clarifications, Trans. 10781 (May 12, 2021)
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Waiver of Coinsurance and Deductible for Hepatitis B Preventive Service Vaccine Code, Section 4104 of the Patient Protection and Affordable Health Care Act (the Affordable Care Act), Removal of Barriers to Preventive Services in Medicare, Trans. 10769 (May 11, 2021)
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Updates to Reason Code Bypass for Editing on Provider Submitted Adjustment Claims Resulting in a Diagnosis Related Group (DRG) Weight Increase, Trans. 10767 (May 11, 2021)
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Medicare Fee-for-Service (FFS) Coverage of Costs for Kidney Acquisitions in Maryland Waiver (MW) Hospitals for Medicare Advantage (MA) Beneficiaries, Trans. 10765 (May 11, 2021)
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October Quarterly Update to 2021 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement, Trans. 10770 (May 11, 2021)
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Correction to Osteoporosis Drug Processing, Trans. 10763 (May 11, 2021)
Pub. 100-01, Medicare General Information, Eligibility and Entitlement
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