CMS Transmittals

CMS Transmittals

Medicare Card Project Updates

This Change Request (CR) contains language-only changes for updating the New Medicare Card Project-related language in Pub 100-05.

Grandfathered Tribal FQHC

This Change Request (CR) updates the Federally Qualified Health Center Prospective Payment System (FQHC PPS) grandfathered tribal FQHC base payment rate.

Part B Inpatient Services

The purpose of this Change Request (CR) is to provide billing instructions for hospital Part B inpatient services.

ASC Payment System Update

This recurring update notification describes changes to and billing instructions for various payment policies implemented in the April 2019 ASC payment system update.

Medicare Part B Drug Pricing

CMS will supply the contractors with the ASP and not otherwise classified (NOC) drug pricing files for Medicare Part B drugs on a quarterly basis.

Edit Software for July 2019

This Change Request (CR) announces the changes that will be included in the July 2019 quarterly release of the edit module for clinical diagnostic laboratory services.

MPFSDB Quarterly Update

Payment files were issued to contractors based upon the 2019 Medicare Physician Fee Schedule (MPFS) Final Rule. This Change Request (CR) amends those payment files.

Integrated OCE Specifications, Version 20.1

This notification provides the Integrated OCE instructions and specifications for the Integrated OCE that will be utilized under the Outpatient Prospective Payment System (OPPS) and non-OPPS for hospital outpatient departments, community mental health centers, all non-OPPS providers, and for limited services when provided in a home health agency not under the Home Health Prospective Payment System or to a hospice patient for the treatment of a non-terminal illness.