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New Waived Tests

This change will inform contractors of new CLIA waived tests approved by the Food and Drug Administration.

Chapter 4 Update to UPIC Workload Entry

The purpose of this Change Request (CR) is to update Section 4.12 in Chapter 4 of Pub. 100-08 to provide instructions related to Unified Program Integrity Contractor (UPIC) workload entry and update requirements in the Unified Case Management System (UCM).

IPPS Correction

The purpose of this Change Request (CR) is to install a corrected IPPS Pricer program.

Immunosuppression

The purpose of this Change Request (CR) is to update Chapter 4 of Publication (Pub.) 100-08 to account for recent updates to policies related to the delivery of immunosuppressive drugs.

Manual Updates for Chapter 1 and 3

This Change Request (CR) updates Payer Only Codes in Pub. 100-04, Chapter 1 and corrects Chapter 3, Section 90.3 by removing a duplicate section.

Evaluation and Management Codes for Radiation Therapy

This change request revises Chapter 13 of the Medicare Claims Processing Manual to allow for billing of E/​M codes for levels I through III when performed for the purpose of reporting physician work associated with radiation therapy planning, radiation treatment device construction, and radiation treatment management when performed on the same date of service as superficial radiation treatment delivery.

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.

Home Health Certification and Recertification

This Change Request (CR) updates the Medicare Benefit Policy Manual, (Pub. 100-02), Chapter 7 and the Medicare Program Integrity Manual (Pub. 100-08), Chapter 6, to reflect policy changes finalized in the CY 2019 Home Health Prospective Payment System (HH PPS) Final Rule (83 FR 56406), related to recertification for home health services.
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