[Federal Register Volume 67, Number 125 (Friday, June 28, 2002)]
[Notices]
[Pages 43762-43844]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 02-16147]
[[Page 43761]]
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Part III
Department of Health and Human Services
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Centers for Medicare & Medicaid Services
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Medicare and Medicaid Programs; Quarterly Listing of Program Issuances-
-Fourth Quarter, 1999 through First Quarter, 2002; Notice
Federal Register / Vol. 67, No. 125 / Friday, June 28, 2002 /
Notices
[[Page 43762]]
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DEPARTMENT OF HEALTH AND HUMAN SERVICES
Centers for Medicare & Medicaid Services
[CMS-9880-N]
Medicare and Medicaid Programs; Quarterly Listing of Program
Issuances--Fourth Quarter, 1999 through First Quarter, 2002
AGENCY: Centers for Medicare & Medicaid Services (CMS), HHS.
ACTION: Notice.
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SUMMARY: This notice lists CMS manual instructions, substantive and
interpretive regulations, and other Federal Register notices that were
published from October 1999, through March 2002, relating to the
Medicare and Medicaid programs. This notice also identifies certain
devices with investigational device exemption numbers approved by the
Food and Drug Administration that potentially may be covered under
Medicare, and provides information on national coverage determinations
affecting specific medical and health care services under Medicare.
Section 1871(c) of the Social Security Act requires that we publish
a list of Medicare issuances in the Federal Register at least every 3
months. Although we are not mandated to do so by statute, for the sake
of completeness of the listing, we are also including all Medicaid
issuances and Medicare and Medicaid substantive and interpretive
regulations (proposed and final) published during this timeframe.
FOR FURTHER INFORMATION CONTACT: It is possible that an interested
party may have a specific information need and not be able to determine
from the listed information whether the issuance or regulation would
fulfill that need. Consequently, we are providing information contact
persons to answer general questions concerning these items. Copies are
not available through the contact persons.
Questions concerning Medicare items in Addendum III may be
addressed to Karen Bowman, Office of Communications and Operations
Support, Division of Regulations and Issuances, Centers for Medicare &
Medicaid Services, C5-13-27, 7500 Security Boulevard, Baltimore, MD
21244-1850, (410) 786-5252.
Questions concerning Medicaid items in Addendum III may be
addressed to Cindy Potter, Center for Medicaid State Operations, Policy
Coordination and Planning Group, Centers for Medicare & Medicaid
Services, S2-01-01, 7500 Security Boulevard, Baltimore, MD 21244-1850,
(410) 786-6714.
Questions concerning Food and Drug Administration-approved
investigational device exemptions may be addressed to Sharon Hippler,
Office of Clinical Standards and Quality, Coverage and Analysis Group,
Centers for Medicare & Medicaid Services, C4-11-04, 7500 Security
Boulevard, Baltimore, MD 21244-1850, (410) 786-4633.
Questions concerning national coverage determinations should be
directed to Kimberly Long, Office of Clinical Standards and Quality,
Coverage and Analysis Group, Centers for Medicare & Medicaid Services,
S3-11-15, 7500 Security Boulevard, Baltimore, MD 21244-1850, (410) 786-
5702.
Questions concerning all other information may be addressed to
Christopher McClintick, Office of Communications and Operations
Support, Division of Regulations and Issuances, Centers for Medicare &
Medicaid Services, C5-13-15, 7500 Security Boulevard, Baltimore, MD
21244-1850, (410) 786-4682.
SUPPLEMENTARY INFORMATION:
I. Program Issuances
The Centers for Medicare & Medicaid Services (CMS) is responsible
for administering the Medicare and Medicaid programs. These programs
pay for health care and related services for 39 million Medicare
beneficiaries and 35 million Medicaid recipients. Administration of
these programs involves (1) furnishing information to Medicare
beneficiaries and Medicaid recipients, health care providers, and the
public and (2) maintaining effective communications with regional
offices, State governments, State Medicaid agencies, State survey
agencies, various providers of health care, fiscal intermediaries and
carriers that process claims and pay bills, and others. To implement
the various statutes on which the programs are based, we issue
regulations under the authority granted to the Secretary of the
Department of Health and Human Services under sections 1102, 1871,
1902, and related provisions of the Social Security Act (the Act). We
also issue various manuals, memoranda, and statements necessary to
administer the programs efficiently.
Section 1871(c)(1) of the Act requires that we publish a list of
all Medicare manual instructions, interpretive rules, statements of
policy, and guidelines of general applicability not issued as
regulations at least every 3 months in the Federal Register. We
published our first notice June 9, 1988 (53 FR 21730). Although we are
not mandated to do so by statute, for the sake of completeness of the
listing of operational and policy statements, we are continuing our
practice of including Medicare substantive and interpretive regulations
(proposed and final) published during the 3-month time frame.
II. How To Use the Addenda
This notice is organized so that a reader may review the subjects
of manual issuances, memoranda, substantive and interpretive
regulations, and Food and Drug Administration-approved investigational
device exemptions, and national coverage determinations published
during the timeframe to determine whether any are of particular
interest. We expect this notice to be used in concert with previously
published notices. Those unfamiliar with a description of our Medicare
manuals may wish to review Table I of our first three notices (53 FR
21730, 53 FR 36891, and 53 FR 50577) published in 1988, and the notice
published March 31, 1993 (58 FR 16837). Those desiring information on
the Medicare Coverage Issues Manual may wish to review the August 21,
1989 publication (54 FR 34555). Those interested in the procedures used
in making national coverage determinations may review the April 27,
1999 publication (64 FR 22619). In this publication, the 1989 proposed
rule affecting national coverage procedures and decisions (54 FR 4302)
was withdrawn, and the procedures for national coverage determinations
established.
To aid the reader, we have organized and divided this current
listing into six addenda:
Addendum I lists the publication dates of the most recent
quarterly listings of program issuances.
Addendum II identifies previous Federal Register documents
that contain a description of all previously published CMS Medicare and
Medicaid manuals and memoranda.
Addendum III lists a unique CMS transmittal number for
each instruction in our manuals or Program Memoranda and its subject
matter. A transmittal may consist of a single instruction or many.
Often, it is necessary to use information in a transmittal in
conjunction with information currently in the manuals.
Addendum IV lists all substantive and interpretive
Medicare and Medicaid regulations and general notices published in the
Federal Register during the quarters covered by this notice. For each
item we list the--
Date published;
[[Page 43763]]
Federal Register citation;
Parts of the Code of Federal Regulations (CFR) that have
changed (if applicable);
Agency file code number;
Title of the regulation;
Ending date of the comment period (if applicable); and
Effective date (if applicable).
Addendum V includes listings of the Food and Drug
Administration-approved investigational device exemption numbers that
have been approved or revised during the quarters covered by this
notice. On September 19, 1995, we published a final rule (60 FR 48417)
establishing in regulations at 42 CFR 405.201 et seq. that certain
devices with an investigational device exemption approved by the Food
and Drug Administration and certain services related to those devices
may be covered under Medicare. It is our practice to announce all
investigational device exemption categorizations, using the
investigational device exemption numbers the Food and Drug
Administration assigns. The listings are organized according to the
categories to which the device numbers are assigned (that is, Category
A or Category B, and identified by the investigational device exemption
number).
Addendum VI includes completed national coverage
determinations from June 28, 1999, the effective date of Medicare's new
coverage process. Completed decisions are identified by title, a brief
description, effective date, and section in the appropriate federal
publication.
III. How To Obtain Listed Material
A. Manuals
Those wishing to subscribe to program manuals should contact either
the Government Printing Office (GPO) or the National Technical
Information Service (NTIS) at the following addresses:
Superintendent of Documents, Government Printing Office, ATTN: New
Orders, P.O. Box 371954, Pittsburgh, PA 15250-7954, Telephone (202)
512-1800, Fax number (202) 512-2250 (for credit card orders); or
National Technical Information Service, Department of Commerce,
5825 Port Royal Road, Springfield, VA 22161, Telephone (703) 487-4630.
In addition, individual manual transmittals and Program Memoranda
listed in this notice can be purchased from NTIS. Interested parties
should identify the transmittal(s) they want. GPO or NTIS can give
complete details on how to obtain the publications they sell.
Additionally, most manuals are available at the following Internet
address: http://www.hcfa.gov/pubforms/progman.htm.
B. Regulations and Notices
Regulations and notices are published in the daily Federal
Register. Interested individuals may purchase individual copies or
subscribe to the Federal Register by contacting the GPO at the address
given above. When ordering individual copies, it is necessary to cite
either the date of publication or the volume number and page number.
The Federal Register is also available on 24x microfiche and as an
online database through GPO Access. The online database is updated by 6
a.m. each day the Federal Register is published. The database includes
both text and graphics from Volume 59, Number 1 (January 2, 1994)
forward. Free public access is available on a Wide Area Information
Server (WAIS) through the Internet and via asynchronous dial-in.
Internet users can access the database by using the World Wide Web; the
Superintendent of Documents home page address is http://www.access.gpo.gov/nara/index.html, by using local WAIS client
software, or by telnet to swais.access.gpo.gov, then log in as guest
(no password required). Dial-in users should use communications
software and modem to call (202) 512-1661; type swais, then log in as
guest (no password required).
C. Rulings
We publish rulings on an infrequent basis. Interested individuals
can obtain copies from the nearest CMS Regional Office or review them
at the nearest regional depository library. We have, on occasion,
published rulings in the Federal Register. Rulings, beginning with
those released in 1995, are available online, through the CMS Home
Page. The Internet address is http://www.hcfa.gov/regs/rulings.htm.
D. CMS's Compact Disk-Read Only Memory (CD-ROM)
Our laws, regulations, and manuals are also available on CD-ROM and
may be purchased from GPO or NTIS on a subscription or single copy
basis. The Superintendent of Documents list ID is HCLRM, and the stock
number is 717-139-00000-3. The following material is on the CD-ROM
disk:
Titles XI, XVIII, and XIX of the Act.
CMS-related regulations.
CMS manuals and monthly revisions.
CMS program memoranda.
The titles of the Compilation of the Social Security Laws are
current as of January 1, 1999. (Updated titles of the Social Security
Laws are available on the Internet at http://www.ssa.gov/OP_Home/ssact/comp-toc.htm.) The remaining portions of CD-ROM are updated on a
monthly basis.
Because of complaints about the unreadability of the Appendices
(Interpretive Guidelines) in the State Operations Manual (SOM), as of
March 1995, we deleted these appendices from CD-ROM. We intend to re-
visit this issue in the near future and, with the aid of newer
technology, we may again be able to include the appendices on CD-ROM.
Any cost report forms incorporated in the manuals are included on
the CD-ROM disk as LOTUS files. LOTUS software is needed to view the
reports once the files have been copied to a personal computer disk.
IV. How To Review Listed Material
Transmittals or Program Memoranda can be reviewed at a local
Federal Depository Library (FDL). Under the FDL program, government
publications are sent to approximately 1,400 designated libraries
throughout the United States. Some FDLs may have arrangements to
transfer material to a local library not designated as an FDL. Contact
any library to locate the nearest FDL.
In addition, individuals may contact regional depository libraries
that receive and retain at least one copy of most Federal Government
publications, either in printed or microfilm form, for use by the
general public. These libraries provide reference services and
interlibrary loans; however, they are not sales outlets. Individuals
may obtain information about the location of the nearest regional
depository library from any library.
Superintendent of Documents numbers for each CMS publication are
shown in Addendum III, along with the CMS publication and transmittal
numbers. To help FDLs locate the materials, use the Superintendent of
Documents number, plus the transmittal number. For example, to find the
Intermediary Manual, Part 3--Claims Process, (HCFA Pub. 13-3)
transmittal entitled ``Mammography Screening,'' use the Superintendent
of Documents No. HE 22.8/6 and the transmittal number 1782.
(Catalog of Federal Domestic Assistance Program No. 93.773,
Medicare--Hospital Insurance, Program No. 93.774, Medicare--
Supplementary Medical Insurance Program, and Program No. 93.714,
Medical Assistance Program)
[[Page 43764]]
Dated: June 20, 2002.
Jacquelyn Y. White,
Director, Office of Communications and Operations Support.
Addendum I
This addendum lists the publication dates of the most recent
quarterly listings of program issuances.
June 4, 1998 (63 FR 30499)
August 11, 1998 (63 FR 42857)
September 16, 1998 (63 FR 49598)
December 9, 1998 (63 FR 67899)
May 11, 1999 (64 FR 25351)
November 2, 1999 (64 FR 59185)
December 7, 1999 (64 FR 68357)
January 10, 2000 (65 FR 1400)
May 30, 2000 (65 FR 34481)
Addendum II--Description of Manuals, Memoranda, and HCFA Rulings
An extensive descriptive listing of Medicare manuals and memoranda
was published on June 9, 1988, at 53 FR 21730 and supplemented on
September 22, 1988, at 53 FR 36891 and December 16, 1988, at 53 FR
50577. Also, a complete description of the Medicare Coverage Issues
Manual was published on August 21, 1989, at 54 FR 34555. (Please note
that in this publication the 1989 proposed rule referred to, concerning
the criteria for national coverage determinations, was withdrawn (64 FR
22619)). A brief description of the various Medicaid manuals and
memoranda that we maintain was published on October 16, 1992 (57 FR
47468).
Addendum III.--Medicare and Medicaid Manual Instructions
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Transmittal No. Manual/Subject/Publication No.
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October 1999 through December 1999
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Intermediary Manual
Part 3--Claims Process
(HCFA Pub. 13-3)
(Superintendent of Documents No. HE 22.8/6)
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1782 Mammography Screening
1783 Clarification of Reimbursement for
Transfers That Result in Same Day Hospice
Discharge and Admission
1784 Bill Review for Partial Hospitalization
Services Provided in Community Mental
Health Centers
1785 Payment Calculation for Outpatient Claims
Medicare Secondary Payment Modules
1786 Pneumococcal Pneumonia, Influenza Virus and
Hepatitis B Vaccines
1787 Review of Form HCFA--1450 for Inpatient and
Outpatient Bills
Inpatient Part B Services
Outpatient Services
Calculating the Part B Payment
HCFA Common Procedure Coding System
Addition, Deletion, and Change of Local
Codes
Reporting Hospital Outpatient Services
Using HCFA Common Procedure
Coding System
Hospital Outpatient Partial Hospitalization
Services
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Carriers Manual
Part 3--Claims Process
(HCFA Pub. 14-3)
(Superintendent of Documents No. HE 22.8/7)
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1650 Services Eligible for HPSA Bonus Payments
Post-Payment Review
1651 Identifying a Screening Mammography Claim
1652 Medicare Physician Fee Schedule Database
2000 File Layout
1653 Type of Service
1654 Cryosurgery of the Prostate Gland
1655 HCFA Common Procedure Coding System
1656 Coverage of Chiropractic Services
1657 Review of the Health Insurance Claim Form--
HCFA-1500, Item 24
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Program Memorandum
Intermediaries (HCFA Pub. 60A)
(Superintendent of Documents No. HE 22.8/6-5)
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A-99-43 File Descriptions and Instructions for
Retrieving the 2000 Physician,
Clinical Lab, Durable Medical Equipment,
Prosthetics/Orthotics and
Supplies Fee
Schedule Payment Amounts through HCFA's
Mainframe
Telecommunications Systems
A-99-44 Discharges to Swing Bed Units and other
Post-Acute Care Providers
A-99-45 Requirements for Billing and Processing
Claims for Services Subject to Line Item
Data of Service Reporting
A-99-46 Implementation and Corrections to the
Federal Register Notice Published August
5, 1999 for Home Health Agency Cost
Limitation Effective October 1, 1999
A-99-47 Extended Repayment Schedules for Home
Health Agencies Affected by the Interim
Payment System
A-99-48 Renewal of Program Memorandum A-97-8--
Instructions to Implement the New Medicare
Summary Notice Combined with Program
Memorandum AB-98-31
A-99-49 Proper Reporting and Acceptance of Non-
covered Changes and Related Revenue Codes
A-99-50 Policy Clarification: Coding for Adequacy
of Hemodialysis
[[Page 43765]]
A-99-51 FY 2000 Prospective Payment System Tax,
Equity, and Fiscal Responsibility Act
Hospital, and Other Bill Processing
Changes
A-99-52 Home Health Agency Instructions for the
Provision of Advance Beneficiary Notices
And for Mandatory Claims Submission
(Demand Bills)
A-99-53 Skilled Nursing Facility Election of
Immediate Transition to 100% Federal Rate
and Special Rules for Certain Skilled
Nursing Facilities
A-99-54 Advance Beneficiary Notices Must Be Given
To Beneficiaries and Demand Bills Must Be
Submitted Promptly By Home Health Agencies
A-99-55 HAS BEEN RESCINDED AND WILL NOT BE RELEASED
A-99-56 Reopenings for Sole Community Hospital and
Medicare Dependent Hospital Cost Reports
Due to the Change to the Cost Report
Instructions in Calculating the Hospital
Specific Amount on Form HCFA-2552-96 and
Form HCFA-2552-92
A-99-57 Hospital Outpatient Procedures: Billing for
Contrast Material (Clarification)
A-99-58 Hospital Outpatient Procedures: Medicare
Changes for Radiology and Other Diagnostic
Coding Due to the 1999 HCFA Common
Procedure Coding System Update; Revised
Modifiers
A-99-59 New Composite Payment Rates Effective
January 1, 2000, and Reopening of the
Exception Process Under the End Stage
Renal Disease Composite Rate System
A-99-60 Implementation of H.R. 3426, the Medicare,
Medicaid, and the State Child Health
Insurance Program Balanced Budget
Refinement Act of 1999, P.L. 106-113,
Section 303 (a) Which Revises the Per-
Beneficiary Limitations on Home Health
Agency Costs for Certain Home Health
Agencies
A-99-61 Special Adjustment for Federal Skilled
Nursing Facility Prospective Payment Rates
and Special Payment Rules Applicable to
Certain Skilled Nursing Facilities
A-99-62 Clarification of Allowable Medicaid Days in
the Medicare Disproportionate Share
Hospital Adjustment Calculation
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Program Memorandum
Carriers
(HCFA Pub. 60B)
(Superintendent of Documents No. HE 22.8/6-5)
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B-99-35 Enrollment of Independent Diagnostic
Testing Facilities
B-99-36 Schedule for Completing the Calendar Year
2000 Update and Enrollment Process for the
Medicare Physician Fee Schedule Database
B-99-37 Calendar Year 2000 Participation Enrollment
and Medicare Participating Physicians and
Suppliers Directory Procedures
B-99-38 Addition of Current Procedural Terminology
Code 00300 to Use with G8 Monitored
Anesthesia Care Modifier
B-99-39 Corrections to Calendar Year 2000 Medicare
Physician Fee Schedule Database and Year
2000 Fact Sheet
B-99-40 Delay of Change to Form HCFA-1500
Instructions for Processing Physician
Claims in Global Payment Systems (Change
Request 457)
B-99-41 Instructions to Implement the New Medicare
Summary Notice Program Memorandum B-98-4
and AB-98-31
B-99-42 Calculation of National Standard Format for
Electronic Remittance Advice Amount Fields
and Balancing of Data; and Clarification
to Claim Field EAO 21 for Coordination of
Benefits
B-99-43 Issues Related to Critical Care Policy
B-99-44 Medicare Enrollment of Physical Therapists
in Private Practice and Occupational
Therapists in Private Practice Effective
on or after January 1, 1999
B-99-45 Emergency Changes to the 2000 Medicare
Physician Fee Schedule Database
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Program Memorandum
Intermediaries/Carriers
(HCFA Pub. 60A/B)
(Superintendent of Documents No. HE 22.8/6-5)
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AB-99-72 Instructions for Implementing and Updating
2000 Payment Amounts for Durable Medical
Equipment, Prosthetics, Orthotics, and
Supplies
AB-99-73 2000 Payment Limit for Ambulance Services
AB-99-74 Clarification to Medicare Carrier Manual
Sec. 2130 Prosthetic Devices and Coverage
Issues Manual Sec. 60-9 Durable Medical
Equipment Reference List--Coverage
Intermittent Catheterization
AB-99-75 Interim Instructions for Processing Claims
for Factor VIIa (Coagulation Factor,
Recombinant)
AB-99-76 Education of Medicare Providers on the
Adoption of Standard Electronic Health
Care Transaction Formats in the United
States
AB-99-77 Implementation of Edits for Prostate Cancer
Screening
AB-99-78 Notice of New Interest Rate for Medicare
Overpayments and Underpayments
AB-99-79 Collection of Comprehensive Encounter Data
for Long-Term Care Demonstrations (Social
Health Maintenance Organization,
EverCare), Dual Eligible Demonstrations
and Department of Defense Subvention
Demonstration
AB-99-80 Clinical Diagnostic Laboratory Organ or
Disease Panel Codes Billing Procedures for
January 2000
AB-99-81 Calculation of Average Allowed Charges for
Residual Items and Services Excluding
Ambulance Services, Subject to the
Reasonable Charge Payment Methodology
AB-99-82 Procedures for Reporting of Medicare
Contractor NON-Medicare Secondary Payer
Currently Not Collectible Debts
AB-99-83 Final Rule Revising and Updating Medicare
Policies Concerning Ambulance Services
AB-99-84 Implementation of Calendar Year 2000
Clinical Diagnostic Laboratory Fee
Schedule and Laboratory and Ambulance
Costs Subject to Reasonable Charge Payment
Methodology in 2000
AB-99-85 Clinical Diagnostic Laboratory Organ or
Disease Panel Codes Claims Processing
Procedures for April 2000
AB-99-86 Durable Medical Equipment Regional Carrier
Operating Instructions for New National
Coverage of the Continuous Subcutaneous
Insulin Infusion Pump, Effective for
Services Performed on or after April 1,
2000
[[Page 43766]]
AB-99-87 Clarification of Medicare Coverage of
Abortion Services Instruction
AB-99-88 Program Memorandum on Statements of Intent
to File Claims for Claims Filing Periods
That End on December 31, 1999
AB-99-89 Start Date Options for Processing Year 2000
Services
AB-99-90 Clarification of Program Memorandum
Transmittal No. AB-98-35 (Consolidated
Billing for Skilled Nursing Facilities)
and Revision to Transmittal No. AB-98-18
(Consolidated Billing for Skilled Nursing
Facilities)
AB-99-91 Instructions for Implementing and Tracking
the Medicare Fraud and Abuse Incentive
Reward Program
AB-99-92 Temporary Conversion from Bundled Payments
to Regular Medicare Payments for The
Participating Centers of Excellence
Demonstration Testing Beginning with
Discharges after December 31, 1998
AB-99-93 Extension of the Limitation on Payment for
Services to Individuals Entitled to
Benefits On the Basis of End Stage Renal
Disease Who Are Covered by Group Health
Plans
AB-99-94 Reimbursement for Ambulance Services to Non-
hospital-Based Dialysis Facilities
AB-99-95 Access to Eligibility Data by Eligibility
Verification Vendors
AB-99-96 Data Collection for Program Integrity Y2K
Contingency Planning
AB-99-97 HCFA Office of the Inspector General
Hotline Referrals
AB-99-98 Extension of Medicare Benefits for
Immunosuppressive Drugs
AB-99-99 Cervical or Vaginal Smear Tests (Pap
Smears) Included in Calendar Year 2000
Clinical Diagnostic Laboratory Fee
Schedule
AB-99-100 Model Acknowledgment Letters for Valid and
Invalid Written Statements of Intent to
Claim Medicare Benefits (As Referenced In
PM Transmittal AB-99-88)
AB-99-101 Section 221 of the Balanced Budget
Refinement Act of 1999 ``Revision of
Provisions Relating to Therapy Services''
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Program Memorandum
State Survey Agencies
(HCFA Pub. 65)
(Superintendent of Documents No. HE 22.8/6-5)
------------------------------------------------------------------------
99-2 Guideline and Exhibits Regarding Regulatory
Requirements for Comprehensive Assessment
and Use of the Outcome and Assessment
Information Set
------------------------------------------------------------------------
State Operations Manual
Provider Certification
(HCFA Pub. 7)
(Superintendent of Documents No. HE 22.8/12)
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11 State Agency Identification of Potential
Provider and Suppliers
Provider-Based Designation
Hospital Merger/Multiple Campus Criteria
Certification of Hospitals with Multiple
Components as Single Hospital
12 Appendix A, Survey Procedures for Hospitals
13 Introduction
Definitions and Acronyms
Emphasis, Components and Applicability
Informal Dispute Resolution
Certification of Compliance and
Noncompliance for Skilled Nursing
Facility and Nursing Facilities
Action When Facility is not in Substantial
Compliance
Appeal of Certification of Noncompliance
Certification--Related Terms
Notice Requirements
Timing of Civil Money Penalties
Enforcement Action When Immediate Jeopardy
Exists
Key Dates When Immediate Jeopardy Exists
Enforcement Action When Immediate Jeopardy
Does Not Exist
Special Procedures for Recommending and
Providing Notice of Category 1
Remedies and Denial of Payment for New
Admissions
Key Dates When Immediate Jeopardy Does Not
Exist
Response to the Plan of Correction
New Deficiencies Identified
Action When There is Substandard Quality of
Care
Skilled Nursing Facility/Nursing Facility
Readmission to Medicare or Medicaid
Program After Termination
Enforcement Remedies for Skilled Nursing
Facilities and Nursing Facilities
Life Safety Code Enforcement Guidelines for
Skilled Nursing Facilities and Nursing
Facilities
Denial of Payment for All New Medicare and
Medicaid Admissions for Skilled Nursing
Facilities and Nursing Facilities
Basis for Imposing Civil Money Penalties
Determining Amount of Civil Money Penalty
Effective Date of Civil Money Penalty
Duration of Civil Money Penalty
Appeal of Noncompliance Which Led to
Imposition of Civil Money Penalty
Notice of Amount Due and Collectible
Continuation of Payment During Remediation
Sanctions for Inadequate State Survey
Performance
------------------------------------------------------------------------
[[Page 43767]]
Peer Review Organization Manual
(HCFA Pub. 19)
(Superintendent of Documents No. HE 22.8/8-15)
------------------------------------------------------------------------
77 Introduction
Assistants at Cataract Surgery
Hospital and Medicare+Choice Organization
Notices of Non-coverage
Hospital-Requested Higher-Weighted
Diagnostic Related Group Assignments
Potential Concerns Identified During
Project Data Collection
Referrals
78 Introduction
Quality Improvement Project Process
Selecting a Clinical Topic
Identifying Quality Indicators
Measuring Baseline Performance on Quality
Indicators
Developing and Conducting Interventions
Remeasuring Performance on Quality
Indicators
Documenting and Disseminating Results
National and Regional Projects
Local Projects
Medicare+Choice Organization Projects
Related Activities through Peer Review
Organization, Carrier,
Intermediary, and End-Stage Renal Disease
Network Cooperation
Information Collection
Publication Policy
Project Data Collection
79 Notice of Discharge and Medicare Appeal
Rights Citations and Authority
Notice of Discharge and Medicare Appeal
Rights
Medicare Enrollee Request for Peer Review
Organization Immediate Review
80 Physician/Provider Meeting Activities
Required by Statute
Physician/Provider Meeting Activities
Required by Peer Review
Organization Contract
Peer Review Organization/Intermediary/
Carrier Coordination Activities
Additional Peer Review Organization/Carrier
Coordination Activities
Background
Confidentiality Requirements
Report Requirements
Publication Requirements
------------------------------------------------------------------------
Hospital Manual
(HCFA Pub. 10)
(Superintendent of Documents No. HE 22.8/2)
------------------------------------------------------------------------
745 Billing for Mammography Screening
746 Pneumococcal Pneumonia, Influenza Virus,
and Hepatitis B Vaccines
747 HCFA Common Procedure Coding System
Reporting Outpatient Services Using HCFA
Common Procedure Coding System
Billing for Hospital Outpatient Partial
Hospitalization Services
Completion of Form HCFA--1450 for Inpatient
and/or Outpatient Billing
------------------------------------------------------------------------
Home Health Agency Manual
(HCFA Pub. 11)
Superintendent of Documents No. HE 22.8/5
------------------------------------------------------------------------
291 Billing for Pneumococcal Pneumonia,
Influenza Virus, and Hepatitis B Vaccines
------------------------------------------------------------------------
Skilled Nursing Facility Manual
(HCFA Pub. 12)
Superintendent of Documents No. HE 22.8/3
------------------------------------------------------------------------
361 Special Billing Instructions for
Pneumococcal Pneumonia, Influenza Virus,
and Hepatitis B Vaccines
------------------------------------------------------------------------
[[Page 43768]]
Medicare Rural Health Clinic & Federally Qualified
Health Centers Manual
(HCFA Pub. 27)
Superintendent of Documents No. HE 22.8/19:985
------------------------------------------------------------------------
34 Billing for Mammography Screening by Rural
Health Clinics and Federally Qualified
Health Centers
------------------------------------------------------------------------
Medicare Renal Dialysis Facility Manual
(Non-Hospital Operated)
(HCFA Pub. 29)
Superintendent of Documents No. HE 22.8/13
------------------------------------------------------------------------
87 Pneumococcal Pneumonia, Influenza Virus and
Hepatitis B Vaccines
------------------------------------------------------------------------
Hospice Manual
(HCFA Pub. 21)
Superintendent of Documents No. HE 22.8/18
------------------------------------------------------------------------
56 Billing for Covered Medicare Services After
Hospice Benefits are Exhausted
Clarification of Reimbursement for
Transfers That Result in Same Day Hospice
Discharge and Admission
57 Special Billing Instructions for
Pneumococcal Pneumonia, Influenza Virus
and Hepatitis B Vaccines
------------------------------------------------------------------------
Outpatient Physical Therapy and Comprehensive
Outpatient Rehabilitation Facility Manual
(HCFA Pub. 9)
Superintendent of Documents No. HE 22.8/9
------------------------------------------------------------------------
7 Billing Instructions for Partial
Hospitalization Services Provided in
Community Mental Health Centers
8 Pneumococcal Pneumonia, Influenza Virus,
and Hepatitis B Vaccines
------------------------------------------------------------------------
Coverage Issues Manual
(HCFA Pub. 6)
Superintendent of Documents No. HE 22.8/14
------------------------------------------------------------------------
120 Infusion Pumps
121 Adult Liver Transplantation
------------------------------------------------------------------------
Provider Reimbursement Manual--Part 1
(HCFA Pub. 15-1)
(Superintendent of Documents No. HE 22.8/4)
------------------------------------------------------------------------
410 Dismissal for Lack of Board Jurisdiction
Provider Reimbursement Review Board
Jurisdiction
411 Development of Skilled Nursing Facility
Inpatient Routine Service Cost Limits
Provider Requests Regarding Applicability
of Cost Limits
Requests Regarding New Provider Exemption
General Requirements
Intermediary Responsibilities Regarding
Exceptions
Provider-Based Designation
Classification of Skilled Nursing
Facilities for Cost Limit Application
412 Regional Medicare Swing-Bed Skilled Nursing
Facility Rates
------------------------------------------------------------------------
Provider Reimbursement Manual--Part 2
Provider Cost Reporting Forms and Instructions
Chapter 32--Form HCFA-1728-94
(HCFA Pub. 15-2-32)
(Superintendent of Documents No. HE 22.8/4)
------------------------------------------------------------------------
8 Home Health Agency Cost Report
------------------------------------------------------------------------
Provider Reimbursement Manual--Part 2
Provider Cost Reporting Forms and Instructions
Chapter 35--Form HCFA-2540-96
(HCFA Pub. 15-2-35)
(Superintendent of Documents No. HE 22.8/4)
------------------------------------------------------------------------
6 Skilled Nursing Facility and Skilled
Nursing Facility Complex Cost Report
------------------------------------------------------------------------
7 Skilled Nursing Facility and Skilled
Nursing Facility Complex Cost Report
------------------------------------------------------------------------
[[Page 43769]]
Provider Reimbursement Manual--Part 2
Provider Cost Reporting Forms and Instructions
Chapter 36--Form HCFA-2552-96
(HCFA Pub. 15-2-36)
(Superintendent of Documents No. HE 22.8/4)
------------------------------------------------------------------------
6 Hospital and Hospital Health Care Complex,
Cost Reporting Form
------------------------------------------------------------------------
Provider Reimbursement Manual--Part 2
Provider Cost Reporting Forms and Instructions
Chapter 37--Form HCFA-2540S-97
(HCFA Pub. 15-2-37)
(Superintendent of Documents No. HE 22.8/4)
------------------------------------------------------------------------
2 Skilled Nursing Facility Cost Report
------------------------------------------------------------------------
State Medicaid Manual--Part 4
Services
(HCFA Pub. 45-5)
Superintendent of Documents No. HE 22. 8/10
------------------------------------------------------------------------
73 Personal Care Services
------------------------------------------------------------------------
Medicare/Medicaid
Sanction--Reinstatement Report
(HCFA Pub. 69)
------------------------------------------------------------------------
99-10 Report of Physicians/Practitioners,
Providers and/or Other Health Care
Suppliers Excluded/Reinstated--September
1999
99-11 Report of Physicians/Practitioners,
Providers and/or Other Health Care
Suppliers Excluded/Reinstated--October
1999
99-12 Report of Physicians/Practitioners,
Providers and/or Other Health Care
Suppliers Excluded/Reinstated--November
1999
------------------------------------------------------------------------
January 2000 through March 2000
------------------------------------------------------------------------
Intermediary Manual
Part 3--Claims Process
(HCFA Pub. 13-3)
(Superintendent of Documents No. HE 22.8/6)
------------------------------------------------------------------------
1788 Provider Electronic Billing File Record
Formats
1789 HCFA Common Procedure Coding System for
Hospital Outpatient Radiology Services and
Other Diagnostic Procedures
1790 Oral Cancer Drugs
1791 Claims Processing Timeliness
------------------------------------------------------------------------
Carriers Manual
Part 2--Program Administration
(HCFA Pub. 14-2)
(Superintendent of Documents No. HE 22.8/7-3)
------------------------------------------------------------------------
140 Function Standards for Claims Processing
Claims Operations
------------------------------------------------------------------------
Carriers Manual
Part 3--Program Administration
(HCFA Pub. 14-3)
(Superintendent of Documents No. HE 22.8/7)
------------------------------------------------------------------------
1658 Billing Requirement for Global Surgeries
1659 External Counterpulsation
1660 Clinical Psychologists Services
1661 National Emphysema Treatment Trial
Background
Coverage Summary
Beneficiaries Participating in the Study
Sites of Service
Format for Submitted Claims
Identifying National Emphysema Treatment
Trial
Bypassing Existing Edits in Your System
Common Working File Processing of National
Emphysema Treatment Trial
Dates of Service
Late Claim Submission
Termination of the Beneficiary's
Participation
Coding
Payment
Managed Care
[[Page 43770]]
Responding to Billing Questions
Denied Claims
Participating Clinical Center
1662 Transmyocardial Revascularization
Medicare Coverage of Abortion Services
1663 Pancreas Transplants
Billing Instructions Pancreas Transplants
------------------------------------------------------------------------
Program Memorandum
Intermediaries (HCFA Pub. 60A)
(Superintendent of Documents No. HE 22.8/6-5)
------------------------------------------------------------------------
A-00-01 Consolidated Billing for Skilled Nursing
Facility Patients When Receiving
Outpatient Emergency Care in a Medicare-
Participating Hospital or Critical Access
Hospital
A-00-02 Installation of the Medicare Outpatient
Code Editor Version 15.1
A-00-03 Implementation of H. R. 3426, the Medicare,
Medicaid, and the State Child Health
Insurance Program Balanced Budget
Refinement Act of 1999, P.L 106-113,
Section 301 (a) Which Provides an
Adjustment to Defray the Cost Incurred by
a Home Health Agency Attributable to Data
Collection and Reporting Requirements
Under the Outcome and Assessment
Information Set
A-00-04 Provider Statistical and Reimbursement
Report Unibill Record
A-00-05 Claims Processing Instructions for the
National Institutes of Health National
Emphysema Treatment Trial
A-00-06 Instructions for an End-Stage Renal Disease
Facility to Retain Its Previously Approved
Exception Payment Rate
A-00-07 Addition of Modifiers 25, 58, 78, and 79 to
the List of Modifiers Approved for
Hospital Outpatient Use and Correction to
Program Memorandum A-99-41
A-00-08 Payment Safeguard Review of Skilled Nursing
Facility Prospective Payment Bills--
Updated Instructions
A-00-09 Hospital Outpatient Services Prospective
Payment System Background
A-00-10 Discarding Program Memoranda on Surety
Bonds
A-00-11 Medicare Home Health Benefit-Section 4615
of the Balanced Budget Act of 1997,
Clarification That No Home Health Benefits
Are Authorized Based Solely on Drawing
Blood
A-00-12 Revision of Final Date to Accept
Abbreviated Version of the UB-92 for
Encounter Data Collection
A-00-13 Procedures for Financial Reporting of
Medicare Letter of Credit Draws and
Collections between the Hospital Insurance
and Supplemental Medicare Insurance Trust
Funds
A-00-14 Hospital Outpatient Radiology Services
A-00-15 Hospital Outpatient Procedures: Medicare
Changes for Radiology and Other Diagnostic
Coding Due to the 1998 HCFA Common
Procedure Coding System Update: Changes
Miscellaneous
A-00-16 The Balanced Budget Refinement Act Revision
to PM Trasmittal No. A-99-51: FY 2000
Prospective Payment System and Excluded
Hospital Bill Processing Changes--Wage
Adjust 75th Percentile Cap of the Target
Amounts or Excluded Hospitals and Units
------------------------------------------------------------------------
Program Memorandum
Carriers
(HCFA Pub. 60B)
(Superintendent of Documents No. HE 22.8/6-5)
------------------------------------------------------------------------
B-00-01 Paramedic Intercept Provisions of the
Balanced Budget Act of 1997
B-00-02 Payment for Teleconsultations in Rural
Health Professional Shortage Areas
B-00-03 Emergency Change to the 2000 Medicare
Physician Fee Schedule Database
B-00-04 Fee-for Services Enrollment of Managed Care
Organizations for the Indirect Payment
Procedure
B-00-05 Adjustment to Remittance Advice Explanation
of Medicare Benefits and Medicare Summary
Notice Messages Generated by Carriers for
Services Subject to the Facility/Non-
Facility Payment Differential on the
Medicare Physician Fee Schedule Database
B-00-06 Matrix to Complete Provider/Supplier
Enrollment Application (Form HCFA-855 )
B-00-07 Change to Correct Coding Edits, Version
6.1, Effective April 1, 2000
B-00-08 Instruction for Usage of the Revised Oxygen
Certificate of Medical Necessity Form
484.2 (11/99)
B-00-09 Clarification of Medicare Policies
Concerning Ambulance Services
B-00-10 First Quarterly Update to the 2000 Medicare
Physician Fee Schedule Database
B-00-11 Paramedic Intercept--New Definition for
Rural
B-00-12 Notification Process for Changes to Health
Professional Shortage Area Designations
B-00-13 Calculation of National Standard Format for
Electronic Remittance Advice Amount Fields
and Balancing of National Standard Format
Data; and Clarification to Claim National
Standard Format Field EAO 21 for
Coordination of Benefits--Modification of
Program Memorandum B-99-42 (CR1016) of
December 1999
------------------------------------------------------------------------
Program Memorandum
Intermediaries/Carriers
(HCFA Pub. 60A/B)
(Superintendent of Documents No. HE 22.8/6-5)
------------------------------------------------------------------------
AB-00-01 Prospective Payment System for Outpatient
Rehabilitation Services and Application of
Financial Limitation
AB-00-02 Durable Medical Equipment Regional Carrier--
Pre Discharge Delivery of Durable Medical
Equipment Prosthetic, Orthotics & Supplies
for Fitting and Training
AB-00-03 Notice of New Interest Rate for Medicare
Overpayments and Underpayments
[[Page 43771]]
AB-00-04 April Quarterly Update for 2000 Durable
Medical Equipment, Prosthetics, Orthotics,
and Supplies Fee Schedule
AB-00-05 Operating Instructions for Expanded
Coverage of the Electrical Osteogenic
Stimulator for Fracture Healing. Effective
for Services Performed on or after 4/1/
2000
AB-00-06 Do not Forward Initiative
AB-00-07 Moratorium on Data Center Movements
AB-00-08 Payment for All Comprehensive Outpatient
Rehabilitation Facility Services Under the
Medicare Physician Fee Schedule
AB-00-09 Transmittal number AB-00-09 has been
reserved for Y2k contingency planning and
will have a limited distribution.
AB-00-10 Implementing Instructions for Services
Provided in Religious Nonmedical Health
Care Institutions
AB-00-11 Medicare Secondary Payer--Identification
and Write Off/Adjustment of Medicare
Secondary Payer Settlement Related Group
Health Plan Based Accounts Receivable, and
Write Off of Unsupportable
AB-00-12 Correction to Coordination of Benefits
Contractor Numbers
AB-00-13 New Waived Tests--Effective Data Receipt
AB-00-14 Questions and Answers Regarding the
Prospective Payment System for Outpatient
Rehabilitation Services and Physical
Medicine Current Procedural Terminology
Coding Guidance
AB-00-15 Delay of Hyperbaric Oxygen Therapy Coverage
Policy
AB-00-16 Instructions to All Medicare Contractors
for Reporting Audited Year 2000 Costs on
the Final Administrative Costs Proposals
AB-00-17 Clarification of Liver Transplant Policy
AB-00-18 Consolidated Billing for Skilled Nursing
Facilities--The Balanced Budget Refinement
Act of 1999
AB-00-19 Access to Eligibility Data by Eligibility
Verification Vendors
AB-00-20 Guidance on April Release Implementation
------------------------------------------------------------------------
State Operations Manual
Provider Certification
(HCFA Pub. 7)
(Superintendent of Documents No. HE 22.8/12)
------------------------------------------------------------------------
14 Nurse Aid Training and Competency
Evaluation Programs and Competency
Evaluation Programs
------------------------------------------------------------------------
Peer Review Organization Manual
(HCFA Pub. 19)
(Superintendent of Documents No. HE 22.8/8-15)
------------------------------------------------------------------------
81 Peer Review Organization Responsibilities
Background
Statutory Authority for Memorandum of
Agreement
Scope
Provider Memorandum of Agreement
Specifications
Introduction
Intermediary/Carrier Memorandum of
Agreement Specifications
------------------------------------------------------------------------
Hospital Manual
(HCFA Pub. 10)
(Superintendent of Documents No. HE 22.8/2)
------------------------------------------------------------------------
748 HCFA Common Procedure Coding System for
Hospital Outpatient Radiology Services and
Other Diagnostic Procedures
749 Oral Cancer Drugs
Oral Anti-Nausea Drugs as Full Therapeutic
Replacements for Intravenous Dosage Forms
as Part of a Cancer Chemotherapeutic
Regimen
750 Claims Processing Timelines
------------------------------------------------------------------------
Home Health Agency Manual
(HCFA Pub. 11)
Superintendent of Documents No. HE 22.8/5
------------------------------------------------------------------------
292 Claims Processing Timeliness
------------------------------------------------------------------------
Skilled Nursing Facility Manual (HCFA Pub. 12)Superintendent of
Documents No. HE 22.8/3
------------------------------------------------------------------------
362 Claims Processing Timeliness
------------------------------------------------------------------------
Rural Health Clinic Manual & Federally Qualified Health Centers Manual
(HCFA Pub. 27) Superintendent of Documents No. He 22.8/19:985
------------------------------------------------------------------------
35 Claims Processing Timeliness
------------------------------------------------------------------------
Renal Dialysis Facility Manual (Non-Hospital Operated) (HCFA Pub. 29)
Superintendent of Documents No. 22. 8/13
------------------------------------------------------------------------
88 Claims Processing Timeliness
------------------------------------------------------------------------
[[Page 43772]]
Hospice Manual (HCFA Pub. 21) Superintendent of Documents No. HE 22. 8/
18
------------------------------------------------------------------------
58 Claims Processing Timeliness
------------------------------------------------------------------------
Outpatient Physical Therapy and Comprehensive Outpatient Rehabilitation
Facility Manual (HCFA Pub. 9) Superintendent of Documents No. HE 22. 8/9
------------------------------------------------------------------------
9 Claims Processing Timeliness
------------------------------------------------------------------------
Coverage Issues Manual (HCFA Pub. 6)Superintendent of Documents No. HE
22. 8/14
------------------------------------------------------------------------
122 External Counterpulsation for Severe Angina
123 Osteogenic Stimulation
------------------------------------------------------------------------
Provider Reimbursement Manual--Part 1 (HCFA Pub. 15-1)
(Superintendent of Documents No. HE 22.8/4)
------------------------------------------------------------------------
413 Travel Expense
------------------------------------------------------------------------
State Medicaid Manual
Part 2--State Organization and General Administration (HCFA Pub. 45-2)
Superintendent of Documents No. HE 22. 8/10
------------------------------------------------------------------------
92 Compliance with Disclosure of Information
on Physician Incentive Plan Regulations
------------------------------------------------------------------------
Medicare/Medicaid
Sanction--Reinstatement Report
(HCFA Pub. 69)
------------------------------------------------------------------------
00-01 Report of Physicians/Practitioners,
Providers and/or Other Health Care
Suppliers Excluded/Reinstated--December
1999
00-02 Report of Physicians/Practitioners,
Providers and/or Other Health Care
Suppliers Excluded/Reinstated--January
2000
00-03 Report of Physicians/Practitioners,
Providers and/or Other Health Care
Suppliers Excluded/Reinstated--February
2000
------------------------------------------------------------------------
[April 2000 through June 2000]
------------------------------------------------------------------------
Intermediary Manual
Part 2--Claims Process
(HCFA Pub. 13-2)
(Superintendent of Documents No. HE 22.8/6)
------------------------------------------------------------------------
413 Assessment of Benefit Savings Attributable
to Medical Review Activities
414 These Manual Changes Reflect Budget
Performance Requirements implemented in
Fiscal Year 2000 for the Beneficiary
Telephone Customer Service
------------------------------------------------------------------------
Intermediary Manual
Part 3--Claims Process
(HCFA Pub. 13-3)
(Superintendent of Documents No. HE 22.8/6)
------------------------------------------------------------------------
1792 Payment for Blood Clotting Factor
Administered to Hemophilia Inpatients
1793 Clarification of Reimbursement for
Transfers That Result in Same Day Hospice
Discharge and Admission
1794 Billing for Abortion Services
1795 Review of Form HCFA-1450 for Inpatient and
Outpatient Bills
Review of Hospice Bills
1796 Provider Electronic Billing File and Record
Formats
1797 Routine Services and Appliances
Pneumococcal Pneumonia, Influenza Virus and
Hepatitis B Vaccines
1798 Limitation of Liability for Provider Claims
Under Parts A and B of Medicare Program
Medical Review for Coverage of Skilled
Nursing Facility Services
1799 Medicare Rural Hospital Flexibility Program
Requirements for Critical Access Hospital
Services and Critical Access Hospital Long-
Term Care Services
Payment for Services Furnished by a
Critical Access Hospital Services
------------------------------------------------------------------------
Carriers Manual
Part 2--Claims Process
(HCFA Pub. 14-2)
(Superintendent of Documents No. HE 22.8/7)
------------------------------------------------------------------------
141 These Manual Changes Reflect Budget
Performance Requirements Implemented in
Fiscal Year 2000 for Beneficiary Telephone
Customer Service
------------------------------------------------------------------------
[[Page 43773]]
Carriers Manual
Part 3--Claims Process
(HCFA Pub. 14-3)
(Superintendent of Documents No. HE 22.8/7)
------------------------------------------------------------------------
1664 Payment for Oral Anti-Emetic Drugs When
Used as Full Replacement for Intravenous
Anti-Emetic Drugs as Part of a Cancer
Chemotherapeutic Regimen Claims Processing
Jurisdiction
1665 Correction in Section G, to the Type of
Service for 78267 and 78268
1666 Chiropractic Services
1667 Reasonableness and Necessity
Billing for Pneumococcal, Hepatitis B, and
Influenza Virus Vaccines
Billing Requirements
Payment Requirements
Simplified Roster Bills
1668 Durable Medical Equipment, Prosthetic, and
Orthotic Supplies: Contents have been
moved to the Program Integrity Manual
(Pub. 83)
Medical Review Program General Information:
Contents have been moved to the Program
Integrity Manual (Pub. 83)
Fraud and Abuse Background, Exhibits and
Appendices: Contents have been moved to
the Program Integrity Manual (Pub. 83)
1669 Durable Medical Equipment Regional Carrier
Billing Procedures
------------------------------------------------------------------------
Program Memorandum
Intermediaries (HCFA Pub. 60A)
(Superintendent of Documents No. HE 22.8/6-5)
------------------------------------------------------------------------
A-00-17 Change to FY 2000 Hospital Prospective
Payment System Policies as Required by the
Medicare, Medicaid, and State Child Health
Insurance Program Balanced Budget
Refinement Act of 1999, P. L. 106-113
A-00-18 Fiscal Intermediary Community Mental Health
Center Enrollment and Change of Ownership
Site Visit Process and Coordination with
National Site Visit Contractor
A-00-19 Implementation of Provider Enrollment,
Chain and Ownership System
A-00-20 The Report of Benefit Savings
A-00-21 Revised Outpatient Code Editor
Specifications for the Outpatient
Prospective Payment System
A-00-22 Instructions For Reporting Additional
Detailed Information of Form HCFA-750
Contractor Financial Report (Fiscal
Intermediaries Only)
A-00-23 Hospital Outpatient Prospective Payment
System Implementation Instructions
A-00-24 Upcoming Training on Home Health
Prospective Payment System, Outpatient
Prospective Payment System and Skilled
Nursing Prospective Payment System
Refinements and Consolidated Billing
A-00-25 Provider Statistical and Reimbursement
Report
A-00-26 Payment of Skilled Nursing Facility Claims
for Beneficiaries Disenrolling from
Terminating Medicare+Choice Plans Who Have
Not Met the 3-Day Stay Requirement
A-00-27 Permitting Reclassification of Certain
Urban Hospitals as Rural Application
Procedures
A-00-28 Clarification of Provider Cost Report
Filing Requirements
A-00-29 Electronic Filing of Provider Cost Reports;
Home Health Agencies and Skilled Nursing
Facilities
A-00-30 Announcement of Medicare Rural Health
Clinics and Federally Qualified Health
Centers Payment Rate Increases and Policy
Clarifications and Guidance for Services
Furnished by Rural Health Clinics and
Federally Qualified Health Centers
A-00-31 Reporting a Patient's Reason for Visit on a
Part A Outpatient Claim
A-00-32 Effectuating Favorable Final Appellate
Decisions That a Beneficiary is ``Confined
to Home''--Regional Home Health
Intermediaries Only
A-00-33 Education and Outreach to Coordination of
Benefits Trading Partners
A-00-34 Provider Statistical and Reimbursement
Report
A-00-35 Revised Outpatient Code Editor
Specifications for the Outpatient
Prospective Payment System
A-00-36 Hospital Outpatient Prospective Payment
System Implementation Instructions
A-00-37 Line Item Denials and the Reporting of
Savings Generated by Claim Expansion and
Line Item Processing
------------------------------------------------------------------------
Program Memorandum
Carriers
(HCFA Pub. 60B)
(Superintendent of Documents No. HE 22.8/6-5)
------------------------------------------------------------------------
B-00-14 Revisions to Durable Medical Equipment
Regional Carrier Information Form (DIF)
Immunosuppressive Drugs Durable Medical
Equipment Regional Carrier Form (latest
revision 7/25/95)
B-00-15 Change to Health Insurance Claim Form HCFA-
1500 Instructions for Processing Physician
Claims in Global Payment Systems
B-00-16 Provider Education Article: Role of
Physicians in the Home Health Prospective
Payment System
B-00-17 Emergency Changes to the 2000 Medicare
Physician Fee Schedule Database
B-00-18 Emergency Changes to the 2000 Medicare
Physician Fee Schedule Database
B-00-19 Durable Medical Equipment Regional Carrier
Report on Expansion of Immunosuppressive
Drugs
B-00-20 Collection and Submission of Data for the
Provider Enrollment and Chain Ownership
System
B-00-21