100-20 One-Time Notification: Pub100_20 - One-Time Notification
us-cms-medicare-manuals-pub-100-20-pub100_20pdf100-20 One-Time Notification: Pub100_20 - One-Time NotificationGuidance
One-Time Notification Table of Contents Transmittals through Transmittal Number 13967, dated September 18, 2026, are included in this update. As new transmittals are being issued, they will be identified on this page. FILE COMM. DATE SUBJECT/SUMMARY OF CHANGES IMPL DATE CR NUM R13967OTN 09/18/26 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for October 2026 10/05/26 14429 R13934OTN 08/27/26 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for October 2026 10/05/26 14429 R13933OTN 08/19/26 Fiscal Intermediary Shared System (FISS) - Modify the Expert Claims Processing System (ECPS) to Process More Than 10 Medical Policy Reason Codes 01/04/27 14454 R13932OTN 08/21/26 A/B Medicare Administrative Contractors (MACs) Part A and the Fiscal Intermediary Shared System (FISS) to Implement and Process Medicare Secondary Payer (MSP) Claims Containing Certain Claim Adjustment Reason Codes (CARCs) 01/04/27 14553
R13928OTN 09/15/26 Implementation of the Award for the Jurisdiction H Part A and Part B Medicare Administrative Contractor (JH A/B MAC) 12/01/26 14584 R13923OTN 08/14/26 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)- January 2027 2 of 2 01/04/27 14570 R13910OTN 08/14/26 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)- October 2026 10/05/26 14464 R13906OTN 08/07/26 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)- January 2027 01/04/27 14537 R13903OTN 08/07/26 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)- January 2027 2 of 2 01/04/27 14570 R13888OTN 08/04/26 Send 'Reason for Denial' Value in Prior Authorization Data to the Integrated Data Repository (IDR) 10/05/26 14480
R13882OTN 07/23/26 Modify the Application Logic to Conditionally Retain the Medicare Carrier System (MCS) Medicare Secondary Payer (MSP) Claim Trailer Based on Specific Common Working File (CWF) Error Codes, Dispositions, and Override Values 01/04/27; 04/05/27 14529 R13877OTN 07/16/26 Expansion of the Supplemental Security Income (SSI) Ratio on the Inpatient Provider Specific File (PSF) 01/04/27 14531 R13873OTN 07/16/26 Implementation of VMS Application Programming Interfaces (APIs) to Support the Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Migration to the Centers for Medicare & Medicaid Services (CMS) Amazon Web Services (AWS) Contact Center Platform 10/05/26; 01/04/27 14538 R13865OTN 07/10/26 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for October 2026 10/05/26 14429 R13854OTN 07/02/26 Implementation of Editing for Programs of All-Inclusive Care for the Elderly (PACE) Inpatient Claims Submitted for Indirect Medical Education (IME) Payment 04/06/26; 07/06/26 14169
R13839OTN 06/25/26 Implementation of The Technical Consolidation of the Electronic Data Interchange (TCEDI) as the Production Translator for Inbound and Outbound X12 Transactions for Part A/B MACs 12/31/26 14473 R13818OTN 06/05/26 Implementation of Editing for Programs of All-Inclusive Care for the Elderly (PACE) Inpatient Claims Submitted for Indirect Medical Education (IME) Payment 04/06/26; 07/06/26 14169 R13816OTN 06/05/26 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for October 2026 10/05/26 14429 R13798OTN 05/28/26 Send 'Reason for Denial' Value in Prior Authorization Data to the Integrated Data Repository (IDR) 10/05/26 14480 R13776OTN 05/27/26 Billing of Distant Site Telehealth Services in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) 10/05/26 14468 R13760OTN 04/30/26 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)- July 2026 07/06/26 14356
R13752OTN 05/26/26 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)- October 2026 10/05/26 14464 R13742OTN 04/16/26 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for October 2026 10/05/26 14429 R13736OTN 04/16/26 Require Healthcare Integrated General Ledger Accounting System (HIGLAS) Users to Begin Using Phishing-resistant Multi-Factor Authentication (MFA) for Login 10 weeks from receipt of security tokens 14435 R13735OTN 04/14/26 Extensions of Certain Temporary Changes to the Low-Volume Hospital Payment Adjustment and the Medicare- Dependent Hospital (MDH) Program under the Inpatient Prospective Payment System (IPPS) Provided by the Consolidated Appropriations Act, 2026 04/17/26 14415 R13730OTN 05/27/26 Fiscal Intermediary Shared System (FISS) - Modify the Expert Claims Processing System (ECPS) to Process More Than 10 Medical Policy Reason Codes 10/05/26 14454
R13726OTN 04/10/26 Bypassing Reason Codes 31006 and 31007 for Outpatient Critical Access Hospital (CAH) Services Furnished by Certified Registered Nurse Anesthetists (CRNAs) 10/05/26 14417 R13724OTN 04/10/26 Contractor Instructions to Modify the Ambulatory Surgical Center Fee Schedule (ASC FS) Layout and ASC DRUG Record Layout 10/05/26 14414 R13706OTN 03/31/26 Medicare Administrative Contractors (MACs) Part B, the Multi- Carrier System (MCS) and Durable Medicare Equipment (DME) MACs Updates on Processing Medicare Secondary Payer (MSP) Claims Containing Certain Claim Adjustment Reason Codes (CARCs 07/06/26 14318 R13705OTN 03/26/26 National Correct Coding Initiative (NCCI) New/Updated Add-On Code (AOC) Edit File Format and Creation of an AOC File Retrieval Process in the Multi- Carrier System (MCS) – Implementation 04/06/26 14291 R13703OTN 03/27/26 Extensions of Certain Temporary Changes to the Low-Volume Hospital Payment Adjustment and the Medicare-Dependent Hospital (MDH) Program under the Inpatient Prospective Payment System (IPPS) Provided by the Consolidated Appropriations Act, 2026 04/16/26 14415
R13687OTN 03/19/26 Upload of Hospice Aggregate Cap Determination Letters and Hospice Filed Self- Determined Hospice Cap Documentation into the System for Tracking Audit and Reimbursement (STAR) 06/22/26 14228 R13674OTN 03/12/26 Provider Education for the Review Choice Demonstration (RCD) for Inpatient Rehabilitation Facility Services (IRFs) 05/01/26 14316 R13633OTN 02/23/26 Billing Code Clarification for National Coverage Determination (NCD) 210.13 Screening for Hepatitis C Virus (HCV) in Adults 07/06/26 14388 R13625OTN 02/06/26 Reporting of All Recovery Auditor-Initiated Claim Adjustments and their Subsequent Adjustments for Peri 04/06/26 14259 R13623OTN 02/05/26 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)- July 2026 07/06/26 14356 R13621OTN 02/11/26 Medicare Administrative Contractors (MACs) Part B, the Multi- Carrier System (MCS) and Durable Medicare Equipment (DME) MACs Updates on Processing Medicare Secondary Payer 07/06/26 14318
(MSP) Claims Containing Certain Claim Adjustment Reason Codes (CARCs) R13618OTN 02/05/26 Update to the Payment for Historically Excepted Tribal Federally Qualified Health Centers (FQHCs) for Calendar Year (CY) 2026 03/06/26 14349 R13617OTN 02/05/26 Availability of One-Click Provider Statistical and Reimbursement Report (PS&R) Summary Report Downloads in the Medicare Cost Report E- Filing (MCReF) System 03/06/26 14351 R13615OTN 03/17/26 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Stay of Enrollment 05/18/26 14148 R13598OTN 01/28/26 Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 7 01/05/26 14125 R13583OTN 01/15/26 Medicare Secondary Payer (MSP) Special Project Savings 9000 – Central Office Savings to be Reported and Appear on the Fiscal Intermediary Shared System (FISS) MSP Savings Summary Report (09A) 07/06/26 14321
R13571OTN 01/08/26 January 2026 Update for the Core Based Statistical Areas (CBSAs) for Ambulatory Surgical Centers (ASCs) 02/10/26 14338 R13569OTN 12/31/25 Integrated Data Repository (IDR) Daily Snapshot File 03/31/26 14256 R13564OTN 12/23/25 Extensions of Certain Temporary Changes to the Low-Volume Hospital Payment Adjustment and the Medicare- Dependent Hospital (MDH) Program under the Inpatient Prospective Payment System (IPPS) Provided by the Continuing Appropriations, Agriculture, Legislative Branch, Military Construction an 01/14/26 14341 R13560OTN 12/22/25 Editing for Hospital Services Provided to Hospice Enrollees 04/06/26 14219 R13555OTN 12/22/25 Editing for Duplicate Processing for Practitioner Professional Services and Critical Access Hospital (CAH) Professional Services 01/19/26 13900
R13526OTN 12/11/25 Provider Education for the Review Choice Demonstration (RCD) for Inpatient Rehabilitation Facility Services (IRFs) 03/02/26 14314 R13515OTN 12/04/25 Editing for Duplicate Processing for Practitioner Professional Services and Critical Access Hospital (CA 07/07/25; 01/19/26 13900 R13502OTN 12/05/25 National Correct Coding Initiative (NCCI) New/Updated Add-On Code (AOC) Edit File Format and Creation of an AOC File Retrieval Process in the Multi-Carrier System (MCS) – Implementation 04/06/26 14291 R13493OTN 12/05/25 Reporting of All Recovery Auditor-Initiated Claim Adjustments and their Subsequent Adjustments for Periodic Interim Payment (PIP) Facilities 04/06/26 14259 R13477OTN 12/05/25 Implementation of the Award for the Jurisdiction F (J-F) Part A and Part B Medicare Administrative 09/01/25 14277
R13455OTN 12/05/25 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)-April 2026 04/06/26 14263 R13447OTN 12/05/25 Edit to Prevent Overpayment of Long-term Stay in Hospice 04/06/26 14227 R13446OTN 11/20/25 Editing for Hospital Services Provided to Hospice Enrollees 04/06/26 14219 R13444OTN 12/04/25 JECT: Implementation of Editing for Programs of All- Inclusive Care for the Elderly (PACE) Inpatient Claims Submitted 04/06/26; 07/06/26 14169 R13443OTN 11/20/25 Display Testing/Production Region Identifier in ViPS Medicare System (VMS) Automated Parameters (VMAP) Phase 3 04/06/26 14147 R13442OTN 12/09/25 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange Front-End Updates for April 2026 04/06/25 14236
R13433OTN 09/25/25 Patient Driven Payment Model (PDPM) Corrections to Interrupted Stay Edits to Include Prospective Payment System (PPS) Swing Bed Providers 01/05/26 14161 R13401OTN 09/09/25 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)—January 2026 Update—CR 2 of 2 01/05/26 14194 R13400OTN 09/05/25 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)—January 2026 Update- CR 1 of 2 01/05/26 14197 R13396OTN 09/04/25 Provider Education for Prior Authorization (PA) of Certain Services in the Ambulatory Surgical Center (ASC) Setting 10/06/25 14199 R13393OTN 09/05/25 Enhancing MCS 276/277 Claim Status Processing to Include Medicare Adjudication Portal (MAP) Claims 01/05/26 14221 R13383OTN 08/26/25 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)—January 2026 Update—CR 2 of 2 01/05/26 14194
R13375OTN 08/21/25 CMS Manual System Department of Health & Human Services (DHHS) Pub 100-20 One-Time Notification Centers for Medicare & Medicaid Services (CMS) Transmittal 13375 Date: August 21, 2025 Change Request 14197 SUBJECT: International Classification of Diseases, 10th Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs)—January 2026 Update- CR 1 of 2 01/05/26 14197 R13360OTN 08/14/25 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs) January 2026 Update— CR 2 of 2 01/05/26 14194 R13342OTN 07/31/25 Addressing Potential Underpayment Issues For Critical Access Hospitals With Part A Rates That Exceeds Fiscal Intermediary Shared System (FISS) Field Size Limitation 01/05/26 14187 R13341OTN 07/31/25 Effective Date Change for Bypass of Common Working File (CWF) Edits on Inpatient Ancillary 12X Claims for Part A Benefits Exhaust 01/05/26 14185
R13340OTN 07/31/25 Patient Driven Payment Model (PDPM) Corrections to Interrupted Stay Edits to Include Prospective Payment System (PPS) Swing Bed Providers 01/05/26 14161 R13339OTN 07/31/25 Update the Multi-Carrier System (MCS) Full Procedure Code Inquiry (PL Segment) Screen 01/05/26 14143 R13338OTN 07/31/25 Display Testing/Production Region Identifier in ViPS Medicare System (VMS) Automated Parameters (VMAP) Phase 1 01/05/26 14142 R13336OTN 07/31/25 Update the Multi-Carrier System (MCS) Criteria Location Movement Maintenance (CM) Screen 01/05/26 14124 R13335OTN 07/31/25 Hold Split Claims Pulled for Review in ViPS Medicare System (VMS) Online Quality Control (OQC) 01/05/26 14093 R13327OTN 07/25/25 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs) - October 2025 07/07/25:10/ 06/25 14041
R13308OTN 07/17/25 Update of a National Uniform Billing Committee (NUBC) Condition Code “63”, “Incarcerated Beneficiaries” 08/18/2025 14120 R13300OTN 07/10/25 Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 7 01/05/2026 14125 R13286OTN 06/25/25 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)—July 2025 04/21/25;07/ 07/25 13939 R13251OTN 06/06/25 nternational Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs) - October 2025 07/08/25;10/ 06/25 14041 R13244OTN 06/09/25 Screening for Hepatitis C Virus (HCV) Health Insurance Portability and Accountability Act (HIPAA) Eligibility Transaction System (HETS) Coding Updates (Part 2 HETS Business Requirements for CR 14041) 10/06/25 14092 R13240OTN 05/22/25 Implementation of the Award for the Jurisdiction A Durable Medical Equipment Medicare Administrative Contractor (JA DME MAC) 06/01/25 14010
R13207OTN 05/02/25 Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Modify the Healthcare Common Procedure Code (HCPC) Type of Bill (TOB) Table, MAP1I51, to Allow Automation to Update Date Fields 10/06/25 14046 R13206OTN 05/02/25 Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Allow Override for Reason Code 31407 10/06/25 14030 R13205OTN 05/02/25 Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Allow Override for Reason Code 37221 10/06/25 14029 R13203OTN 05/02/25 User Enhancement Change Request (UECR): Update Multi- Carrier System (MCS) Correspondence Entry (CE) Screens and MCS Desktop Tool (MCSDT) to Include Edit, Audit, Common Working File (CWF) - (EAC) Error Code Search Field 10/06/25 13991 R13202OTN 05/01/25 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Update No Related Logic to Set Using FROM Date of Service (DOS) 10/06/25 13982
R13199OTN 04/29/25 Allow Payment for Healthcare Common Procedure Coding System (HCPCS) Code G2211 when Certain Part B Preventive Services are Provided on the Same Day 01/06/25 13705 R13189OTN 04/24/25 Update to the All-Inclusive Rate (AIR) Add-On Payment for High-Cost Drugs Provided by Indian Health Service (IHS) and Tribal Hospitals 10/06/25 14021 R13187OTN 04/24/25 Create a New Adjustment Reason Code for Adjustments Created When the Provider Didn't Respond to an Additional Documentation Request (ADR) 10/06/25 14006 R13176OTN 04/29/25 Rejections in the Medicare Adjudication Portal (MAP) 04/07/25 13924 R13174OTN 04/17/25 Continuation of System Changes to Automate Processing of Inpatient Claims for Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapy Cases 10/06/25 14028 R13151OTN 05/05/25 Extensions of Certain Temporary Changes to the Low-Volume Hospital Payment Adjustment and the Medicare-Dependent Hospital (MDH) Program under the Inpatient Prospective Payment System (IPPS) Provided by the 05/19/25 14045
Full-Year Continuing Appropriations and Extensions Act, 2025 R13130OTN 03/28/25 Revision to the Cost Report Acceptability Checklists - This CR Rescinds and Fully Replaces CR 11644. 10/01/24 13702 R13112OTN 03/21/25 User Management in the Medicare Adjudication Portal (MAP) for 837D Dental Claims 10/24/24;01/ 06/25; 04/07/25;07/ 07/25 13739 R13098OTN 03/27/25 Remove Part B Batch Eligibility Process (HELG) from the Common Working File (CWF) 01/03/17 9710 R13097OTN 03/20/25 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)—July 2025 04/21/25;07/ 07/25 13939 R13096OTN 03/28/25 Utilization of KX Modifier Medicare Physician Fee Schedule Payment for Dental Services Inextricably Linked to Covered Medical Services 07/01/25 13649
R13095OTN 03/20/25 Reporting Identifiers for the Healthcare Integrated General Ledger Accounting System (HIGLAS) Payments Reported for Periodic Interim Payment (PIP) Claims 04/07/25 13775 R13058OTN 01/16/25 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Updates to the Automated Paperless Exception System (APEX) Request Screen (APEX/1) 07/07/25 13779 R13056OTN 01/16/25 Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Creation of New Reason Codes to Validate the National Provider Identifier (NPI) on Prior Authorization (PA) Unique Tracking Numbers (UTNs) and Claims 07/07/25 13852 R13053OTN 01/16/25 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Copy Over Existing SuperOp Sequences (Active/Inactive/Archived) 07/07/25 13788 R13052OTN 01/16/25 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Create Error Message in the Beneficiary Information Tracking System (BITS) to Limit the Prior Authorization (PA) Healthcare Common Procedure Coding System (HCPCS) within a Unique 07/07/25 13787
Tracking Number (UTN) R13043OTN 01/10/25 Fiscal Intermediary Shared System (FISS) Changes to Automate the Application of Condition Code ZC for Chimeric Antigen Receptor (CAR) T-Cell and Other Immunotherapy Cases Involving a Clinical Trial of a Different Product 07/07/25 13926 R13041OTN 01/10/25 Editing for Duplicate Processing for Practitioner Professional Services and Critical Access Hospital (CAH) Professional Services 07/07/25 13900 R13034OTN 01/03/25 Phase 4: Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10- Digits in Length ($99,999,999.99) 07/07/25 13751 R13027OTN 12/23/24 Adjustments in the Medicare Adjudication Portal (MAP) for 837D Dental Claims (Phase 2 04/07/25 13873
R13015OTN 12/23/24 Allow Payment for Healthcare Common Procedure Coding System (HCPCS) Code G2211 when Certain Part B Preventive Services are Provided on the Same Day 01/06/25 13705 R13014OTN 12/23/24 Update to Billing Requirements for Intensive Outpatient Program (IOP) Services for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) 01/06/25 13580 R13009OTN 12/18/24 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) – Improve Processing of Capped Rental Items Billed with RT (right) / LT (left) Modifiers 7/7/25 13772 R12989OTN 12/05/24 Phase 4: Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10- Digits in Length ($99,999,999.99) 04/07/25 13751 R12984OTN 12/05/24 Payment Limitation for Certain Facility Healthcare Common Procedure Coding System (HCPCS) Codes Performed in Ambulatory Surgical Centers [ASC] 01/06/25 13687 R12965OTN 11/14/24 User Management in the Medicare Adjudication Portal (MAP) for 837D Dental Claims 10/21/24;04/ 07/25;07/07/ 25 13739
R12960OTN 11/13/24 All-Inclusive Rate (AIR) Add- On Payment for High-Cost Drugs Provided by Indian Health Service (IHS) and Tribal Hospitals 01/06/25 13698 R12958OTN 11/08/24 Updates to Billing for Care Coordination Services for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) 10/07/24;01/ 06/25 13581 R12955OTN 11/08/24 Implementation CR - To Send Provider-Based Practice Location Types to the Fiscal Intermediary Shared System (FISS) on Provider Enrollment Chain & Ownership System (PECOS) Extract Files and for FISS to Process so Medicare Administrative Contractors (MACs) Do Not Have to Check Manually for These Locations 04/07/25;07/ 07/25 13783 R12947OTN 11/05/24 Implementation of a New National Uniform Billing Committee (NUBC) Condition Code “KX”, “Documentation on file. Requirements specified in the medical policy have been met.” and Implementation of a New NUBC Value Code “92”, “Invoice Cost of Drug/Biologic. For use with Revenue Category 0636 when required by federal regulation.” 04/07/25 13803
R12942OTN 11/01/24 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Update the Quality Assurance (QA) subsystem to Automate Setting Date Ranges on the QA Selection – Date Card Screen (VMAP/2/2) 04/07/25 13780 R12941OTN 10/31/24 Updates to Allow Category II Codes to be Submitted on Rural Health Clinic (RHC) Claims 04/07/25 13817 R12940OTN 10/31/24 Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 5 01/06/25 13680 R12939OTN 11/01/24 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) – Improve Processing of Capped Rental Items Billed with RT (right) / LT (left) Modifiers 04/07/25;07/ 07/25 13772 R12938OTN 11/01/24 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Update Interactive Correspondence Online Reporting (ICOR) Subsystem to Add Wildcard Search Capability within Claim Control Number (CCN) 04/07/25 13747
R12933OTN 10/30/24 Utilization of KX Modifier Medicare Physician Fee Schedule Payment for Dental Services Inextricably Linked to Covered Medical Services 07/01/25 13649 R12932OTN 10/30/24 Implementation of the Award for the Jurisdiction J (J-J) Part A and Part B Medicare Administrative Contractor (JJ A/B MAC) 12/08/24 13841 R12924OTN 10/24/24 Implementation of the Award for the Jurisdiction J (J-J) Part A and Part B Medicare Administrative Contractor (JJ A/B MAC) 12/08/24 13841 R12922OTN 10/24/24 Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 6 04/7/25 13807 R12921OTN 10/24/24 User Enhancement Change Request (UECR): Update Multi-Carrier System (MCS) Portal Re-Openings Negative/Zero Adjustments Report (H99RBPRZ) 04/7/25 13759 R12920OTN 10/24/24 Fiscal Intermediary Shared System (FISS) - User Enhancement Change Request (UECR) - Expand Provider Name Field on Provider Address Screen 04/7/25 13756
R12919OTN 10/24/24 Fiscal Intermediary Shared System (FISS) - User Enhancement Change Request (UECR) - Expand Reason Code Narrative Length 04/07/25 13755 R12918OTN 10/24/24 User Enhancement Change Request (UECR): Update Multi-Carrier System (MCS) Import File Copy Request Screen 04/7/25 13748 R12917OTN 10/24/24 User Enhancement Change Request (UECR): Update the Summary Report - Healthcare Integrated General Ledger Accounting System (HIGLAS) 824 Status Notification Error Report (H99RJSUM) 04/7/25 13733 R12916OTN 10/24/24 User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) System Control Facility (SCF) System Element (SE) for Diagnosis Validation 04/7/25 13729 R12908OTN 10/24/24 Implementation of the Award for the Jurisdiction D Durable Medical Equipment Medicare Administrative Contractor (JD DME MAC) 09/1/24 13619 R12904OTN 10/24/24 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)—April 2025 (CR 2 of 2) 11/26/24;4/0 7/25 13828
R12903OTN 10/24/24 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)—April 2025 (CR 1 of 2) 11/26/24;4/0 7/25 13818 R12889OTN 10/10/24 Correction to Pulmonary Rehabilitation Services for Indian Health Services (IHS) 04/07/25 13813 R12884OTN 10/11/24 Phase 4: Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10- Digits in Length ($99,999,999.99) 04/07/25 13751 R12882OTN 10/11/24 Implementation of a New National Uniform Billing Committee (NUBC) Condition Code “KX”, “Documentation on file. Requirements specified in the medical policy have been met.” and Implementation of a New NUBC Value Code “92”, “Invoice Cost of Drug/Biologic. For use with Revenue Category 0636 when required by federal regulation.” 04/07/25 13803 R12881OTN 10/10/24 Tax Equity and Fiscal Responsibility Act (TEFRA) Reimbursement to Inpatient Prospective Payment System (IPPS) -Excluded Hospitals for Excess Costs Related to Providing CAR T-cell Therapy 07/29/24 13667
R12878OTN 10/11/24 Reporting Identifiers for the Healthcare Integrated General Ledger Accounting System (HIGLAS) Payments Reported for Periodic Interim Payment (PIP) Claims 04/07/25 13775 R12858OTN 09/27/24 Disable Beneficiary Eligibility Information from Medicare Administrative Contractor (MAC) Interactive Voice Response (IVR) Systems 03/21/24;03/ 31/25 13754 R12850OTN 09/19/24 User Management in the Medicare Adjudication Portal (MAP) for 837D Dental Claims 01/06/25 13739 R12846OTN 09/12/24 Migration of the Contractor Reporting of Operational and Workload Data (CROWD) to the Centers for Medicare & Medicaid Services (CMS) Enterprise Portal 09/12/24 12742 R12819OTN 09/05/24 Update The Cloud-based Provider Specific File (PSF) with Older Missing Records 10/08/24 13741 R12818OTN 08/30/24 American Dental Association (ADA) Paper Claims in the Medicare Adjudication Portal (MAP) for 837D Dental Claims 10/7/24 13728
R12785OTN 08/13/24 Instructions for Processing Requests for SSI Realignment for Cost Reporting Periods Starting Before October 1, 2013 07/31/24 13413 R12777OTN 08/08/24 Fiscal Intermediary Shared System (FISS) - Create New Search Function to Identify Claims in the Archived Claims File 11/01/24 13745 R12776OTN 08/08/24 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Accommodate Electrical Workers Insurance Fund (EWIF) and Indirect Payment Procedure (IPP) Providers Processing with Healthcare Integrated General Ledger Accounting System (HIGLAS) 01/06/25 13691 R12775OTN 08/08/24 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) – Current Dating on User Acceptance Testing (UAT) Report Jobs 01/06/25 13657 R12770OTN 08/07/24 Updating Calendar Year (CY) 2025 Medicare Diabetes Prevention Program (MDPP) Inflation Payment Rates 01/06/25 13712
R12768OTN 08/05/24 Replacement Wheelchair Equipment When the Manufacturer Exits Wheelchair Business 07/08/24 13610 R12757OTN 08/02/24 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs) and Update to the Appropriate Use Criteria (AUC) Program--January 2025 01/06/25 13706 R12752OTN 07/31/24 Updates to the Recovery Audit Contractor Data Warehouse (RACDW) Suppression Upload File Format 10/07/27 13527 R12751OTN 08/02/24 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for January 2025 01/06/25 13673 R12750OTN 07/31/24 Modernize the Vaccine Process and Roster Billing - Full Agile Pilot CR 04/03/23;07/ 03/23; 10/02/23;01/ 02/24; 04/01/24 12935 R12747OTN 07/26/24 Instructions for Processing Requests for SSI Realignment for Cost Reporting Periods Starting Before October 1, 2013 07/31/24 13413
R12743OTN 07/24/24 Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Expand the Home Health Payment Totals Screens to Display 6 Years of Claims Payment Information 01/06/25 13653 R12741OTN 07/24/24 User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) Criteria File (CRIT) Maintenance/Criteria Location Movement Maintenance (CT/CM) 01/06/25 13630 R12735OTN 07/24/24 Revision to the Cost Report Acceptability Checklists - This CR Rescinds and Fully Replaces CR 11644. 10/01/24 13702 R12727OTN 11/06/24 All-Inclusive Rate (AIR) Add- On Payment for High-Cost Drugs Provided by Indian Health Service (IHS) and Tribal Hospitals 01/06/25 13698 R12726OTN 07/18/24 Update to the Patient-Driven Payment Model (PDPM) Claim Editing 10/07/24;01/ 06/25 13689 R12725OTN 07/18/24 Implementation of Common Working File (CWF) Edits to Prevent Duplicate Payments for Compression Bandaging Systems 01/06/25 13670
R12723OTN 07/18/24 Revisions to Home Health Edit Matching Claims to Notices of Admission 01/06/25 13684 R12722OTN 07/18/24 Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 5 01/06/25 13680 R12720OTN 07/17/24 Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 4 07/01/24 13482 R12716OTN 07/11/24 New State Codes for Arizona, California, Nevada, and Texas 07/01/24;07/ 26/24 13685 R12714OTN 07/11/24 Update to the Patient-Driven Payment Model (PDPM) Claim Editing 01/06/25 13689 R12703OTN 06/27/24 Fiscal Intermediary Shared System (FISS) - User Enhancement Change Request (UECR) - Create a Beneficiary Liable Reason Code for National Coverage Determination (NCD) 210.14 10/7/24 13603
R12702OTN 06/27/24 Utilization of KX Modifier Medicare Physician Fee Schedule Payment for Dental Services Inextricably Linked to Covered Medical Services 07/01/24 13649 R12701OTN 06/27/24 New State Codes for Arizona, California, Nevada, and Texas 07/01/24 13685 R12672OTN 06/06/24 Replacement Wheelchair Equipment When the Manufacturer Exits Wheelchair Business 07/08/24 13610 R12668OTN 05/31/24 User Enhancement Change Request (UECR) - Enhance the Multi-Carrier System Desktop Tool (MCSDT) to Export Tables 10/07/24 13586 R12667OTN 05/31/24 Clarification of Liability for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Claims Overlapping Inpatient Hospital Stays 07/01/24 13631 R12641OTN 05/16/24 Updates to the Recovery Audit Contractor Data Warehouse (RACDW) Suppression Upload File Format 10/07/24 13527
R12636OTN 05/10/24 Implement Edits on Hospice Claims 04/01/24;06/ 03/24 13342 R12631OTN 05/09/24 Fiscal Intermediary Shared System (FISS) - New Process to Create and Use Overridable Reason Codes 10/07/24;01/ 06/25 13618 R12626OTN 05/09/24 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)--October 2024 06/10/24;07/ 01/24 13596 R12625OTN 05/07/24 Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Expiration of a Unique Tracking Number (UTN) on the Prior Authorization (PA) Tracking File 04/01/24;07/ 01/24 13284 R12619OTN 05/02/24 User Enhancement Change Request (UECR) - Enhance the Multi-Carrier System Desktop Tool (MCSDT) to Export Tables 10/07/24 13586 R12618OTN 05/02/24 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Increase the Number of Accumulation File Numbers (AFNs) That Can Be Assigned to a Procedure Code 10/7/24;01/0 6/25; 04/07/25 13585
R12617OTN 05/02/24 User Enhancement Change Request (UECR) - Enhance the MCS Desktop Tool (MCSDT) Table Manager and Customer Service Representative (CSR) Security Table 10/07/24 13538 R12616OTN 05/02/24 Fiscal Intermediary Shared System (FISS) - User Enhancement Change Request (UECR) - Create a Beneficiary Liable Reason Code for National Coverage Determination (NCD) 210.14 10/07/24 13603 R12588OTN 04/19/24 Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 2 10/07/24 13345 R12585OTN 04/16/24 Report of Hospice Election for Part D (Response File) 05/13/24 13348 R12579OTN 04/12/24 Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 4 07/01/24 13482 R12574OTN 04/11/24 Implementation of the Award for the Jurisdiction 15 (J-15) Part A and Part B Medicare Administrative Contractor (J15 A/B MAC) 05/31/24 13562
R12549OTN 03/19/24 Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Expiration of a Unique Tracking Number (UTN) on the Prior Authorization (PA) Tracking File 04/01/24 13284 R12539OTN 03/12/24 Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99) - Phase 3 04/01/24;07/ 01/24 13370 R12525OTN 03/01/24 Patient Driven Payment Model (PDPM) Corrections to Interrupted Stay Edits 04/01/24 13360 R12518OTN 02/22/24 Report of Hospice Election for Part D (Response File) 04/01/24 13348 R12513OTN 02/21/24 Change Request (CR) to Implement the Medicare Program Final Action: Treatment of Medicare Part C Days in the Calculation of a Hospital’s Medicare Disproportionate Patient Percentage 03/25/24 13294
R12508OTN 02/15/24 Appropriate Use Criteria for Advanced Diagnostic Imaging Policy Update in the Calendar Year 2024 Physician Fee Schedule Final Rule 01/03/25 13485 R12506OTN 02/08/24 User Enhancement Change Request (UECR): New Multi- Carrier System (MCS) Inquiry Search Screen Using a Procedure Code to Display an Associated Edit or Audit 01/06/25 13344 R12493OTN 02/01/24 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)--July 2024 Update 07/01/24 13507 R12490OTN 01/25/24 User Enhancement Change Request (UECR): ViPS Medicare System (VMS)- Update Suppression Adjustment Force Code Processing 07/01/24 12066 R12489OTN 01/25/24 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) – Update Paging on Claim/Pricing Inquiry Split Screen 07/01/24 13354 R12488OTN 01/25/24 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) – Update Electronic Funds Transfer (EFT) Process when a Change of Information (COI) Is Received 7/01/240 13022
R12487OTN 01/25/24 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) – Creation of a New Claim Edit to Stop Creation of a Tenth Adjustment 07/01/24 12783 R12486OTN 01/25/24 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) – FIND Command for SuperOp Value Set Definition Screen 07/01/24 12319 R12482OTN 01/25/24 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Create Multi-line Add Functionality and View Only Mode to the Message File (MSSG) 07/01/24 11556 R12481OTN 01/25/24 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Add System Auditing Function Expert (SAFE) system to Online Documentation System (OLDS) for Error Messages 07/01/24 11399 R12464OTN 01/18/24 Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 4 07/01/24 13482 R12463OTN 01/18/24 Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 3 07/01/24 13459
R12460OTN 01/18/24 Enforcing Billing Requirements for Intensive Outpatient Program (IOP) Services with Revenue Code 0905 for Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) 01/02/24 13264 R12454OTN 01/11/24 System Updates to Lump Sum Utility for Addition of Wage Index Fields 07/01/24 13456 R12450OTN 01/11/24 Updating Fiscal Intermediary Shared System (FISS) Editing for Practice Locations to Bypass Non-OPPS Provider 07/01/24 13415 R12447OTN 01/11/24 Modifications to the Automated Duplicate Primary Payer (DPP) Process 07/01/24 13450 R12444OTN 01/04/24 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)--January 2024 Update 01/02/24 13278 R12441OTN 01/03/24 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)--April 2024 Update-- CR 1 of 2 11/21/23;04/ 01/24 13390
R12440OTN 01/03/24 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)--April 2024 Update-- CR 2 of 2 11/21/23;01/ 02/24; 04/01/24 13391 R12428OTN 12/21/23 Provider Education for the Review Choice Demonstration (RCD) for Inpatient Rehabilitation Facility Services (IRFs) 01/24/24 13428 R12410OTN 12/13/23 Updating Calendar Year (CY) 2024 Medicare Diabetes Prevention Program (MDPP) Payment Rates 01/2/24 13484 R12405OTN 12/13/23 Direct Mailing Notification to Hospice Providers Regarding the Value-Based Insurance Design (VBID) Model, Hospice Benefit Component, Participating Medicare Advantage Organizations 01/16/24 13462 R12397OTN 12/07/23 Payment of Codes for Chemotherapy Administration and Nonchemotherapy Injections and Infusions 12/21/23 13468 R12392OTN 12/05/23 Enforcing Billing Requirements for Intensive Outpatient Program (IOP) Services with Revenue Code 0905 for Federally Qualified Health Centers (FQHC) and Rural Health Clinics (RHC) 01/02/24 13264
R12355OTN 11/09/23 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)--January 2024 Update 01/02/24 13278 R12351OTN 11/03/23 Requirements for a Provider Direct Mailing and Education & Outreach for Behavioral Health Initiatives 11/06/23 13389 R12350OTN 11/03/23 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)--April 2024 Update-- CR 2 of 2 11/21/23; 01/02/24; 04/01/24 13391 R12345OTN 10/31/23 Implementation of a National Fee Schedule for Medicare Part B Vaccine Administration CMS 04/03/23;01/ 02/24 12943 R12340OTN 11/02/23 Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99) - Phase 3 04/01/24;07/ 01/24 13370 R12335OTN 10/27/23 Allowing Audiologists to Furnish Certain Diagnostic Tests Without a Physician Order 01/02/24 13279
R12334OTN 10/27/23 Remittance Advice (RA) Changes due to Durable Medical Equipment Medicare Administrative Contractors (DME MACs) Transition to Healthcare Integrated General Ledger Accounting System (HIGLAS) 01/02/24;04/ 01/24;07/01/ 24;10/07/24 13265 R12331OTN 10/26/23 Report of Hospice Election for Part D (Response File) 04/01/24 13348 R12330OTN 10/26/23 Implement Edits on Hospice Claims 04/01/24 13342 R12292OTN 10/06/23 Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99) - Phase 2 01/02/24 13223 R12286OTN 10/05/23 Patient Driven Payment Model (PDPM) Corrections to Interrupted Stay Edits 04/01/24 13360 R12285OTN 10/05/23 Requirements for a Provider Direct Mailing and Education & Outreach for Behavioral Health Initiatives 11/06/23 13389
R12274OTN 09/27/23 Allow Users to Modify the Provider Demonstration File in the User Acceptance Testing (UAT) Environment - Full Agile Pilot CR 01/02/24 12934 R12273OTN 09/27/23 Report of Hospice Election for Part D 01/02/24 13202 R12269OTN 09/28/23 Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes - Part 2 04/01/24 13345 R12251OTN 09/15/23 Revision to Implementation of Consolidated Appropriations Act (CAA) of 2023, Section 4143: Waiver of Cap on Annual Payments for Nursing and Allied Health Education Payments 03/19/23 13337 R12250OTN 09/15/23 Modernize the Vaccine Process and Roster Billing - Full Agile Pilot CR 04/03/23;07/ 03/23; 10/02/23;01/ 21/24; 04/01/24 12935 R12240OTN 09/06/23 Patient Responsibility Reporting with Medicare Secondary Payer (MSP) 10/09/23 13037
R12235OTN 09/01/23 New Medicare Provider Specialty Codes (E1 and E2) and Payment for Marriage and Family Therapists and Mental Health Counselors 10/02/23 13167 R12223OTN 08/28/23 User Enhancement Change Request (UECR): Create New System Control Facility (SCF) Data Elements for Use in the Multi-Carrier System (MCS) 01/02/24; 04/01/24 10744 R12214OTN 08/18/23 OTC COVID-19 Tests 08/14/23; 08/15/23; 08/28/23 13336 R12213OTN 08/17/23 User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) to Display Edit/Audit and CWF Error Code Override Information on the MCS Desktop Tool (MCSDT) 01/02/24 13137 R12212OTN 08/17/23 User Enhancement Change Request (UECR): Fiscal Intermediary Shared System (FISS) - Expand Ability to Search Through the Revenue Lines and Apply User Defined Quantity Limits to One or More Services - Full Agile Pilot 07/03/23;10/ 02/23; 01/02/24;04/ 01/24 12592
R12207OTN 08/11/23 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)--October 2023 Update 08/07/23;10/ 02/23 13166 R12205OTN 08/11/23 Remittance Advice (RA) Changes due to Durable Medical Equipment Medicare Administrative Contractors (DME MACs) Transition to Healthcare Integrated General Ledger Accounting System (HIGLAS) 01/2/24;04/0 1/24; 07/01/24;01/ 07/24 13265 R12196OTN 08/10/23 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Cancellation Process Phase 2 01/02/24;04/ 01/24 13152 R12188OTN 08/04/23 Prior Authorization (PA) Changes to Implement the Inpatient Rehabilitation Facility (IRF) Review Choice Demonstration (RCD) 10/02/23 13251 R12184OTN 08/03/23 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)--January 2024 Update 01/02/24 13278 R12180OTN 08/03/23 Create Additional Location/Statuses in ViPS Medicare System (VMS) that are Excluded from Claims Processing Timeliness (CPT) 01/02/24 13268
R12179OTN 08/03/23 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Copy Tables and Screens from User Acceptance Testing (UAT) Regions to Production - Phase 1 01/02/24 13171 R12178OTN 08/03/23 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Include Additional Documentation Request (ADR) number on Adjustments 01/02/24 11906 R12163OTN 07/27/23 Fiscal Intermediary Shared System (FISS) - Correct CMS Standard on Reason Code File 01/02/24 13249 R12162OTN 07/27/23 Fiscal Intermediary Shared System (FISS) - Delete Obsolete Reason Codes 01/02/24 13247 R12161OTN 07/27/23 Fiscal Intermediary Shared System (FISS) - Create Utility to Update Reason Code File to Remove Deleted Codes 01/02/24 13245 R12160OTN 07/27/23 Report of Hospice Election for Part D 01/02/24 13202
R12159OTN 07/27/23 Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Add Inquiry Access for the Holiday Update Screen 01/02/24 13100 R12158OTN 07/27/23 Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Enhancement to the Duplicate Payment Process (DPP) 01/02/24 13097 R12155OTN 07/24/23 Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99) - Phase 1 10/02/23 13138 R12151OTN 07/21/23 Remittance Advice (RA) Changes due to Durable Medical Equipment Medicare Administrative Contractors (DME MACs) Transition to Healthcare Integrated General Ledger Accounting System (HIGLAS) 01/02/24;04/ 01/24; 07/01/24;10/ 07/24 13265 R12146OTN 07/21/23 Patient Driven Payment Model (PDPM) Corrections to Claims Processing Edits 01/02/24 13240 R12145OTN 07/20/23 Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99) - Phase 2 01/02/24 13223
R12144OTN 07/20/23 User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) to Accept Additional Payee Identification Code Qualifiers for Third Party Payee (TPP) Provider Level Balancing (PLB) Code L3 01/02/24 13170 R12143OTN 07/20/23 User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) to Display Edit/Audit and CWF Error Code Override Information on the MCS Desktop Tool (MCSDT) 01/02/24 13137 R12142OTN 07/20/23 User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) to Allow Punctuation on the Beneficiary Name, Sex, Date of Birth Update (BN Transaction) 01/02/24 12722 R12141OTN 07/20/23 User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) to Display the Internal Control Number (ICN) on the H99RBMSD and H99RBMSI Reports 01/02/24 12660 R12140OTN 07/20/23 User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) Additional Documentation Request (ADR) - ADS History Screen 01/02/24 11774 R12139OTN 07/20/23 User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) Checks Issued to Payee Screen 01/02/24 10797
R12138OTN 07/20/23 User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) Primary Function Keys (PF) for the Provider Enrollment Screens 01/02/24 10752 R12137OTN 07/20/23 User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) to Accept Alpha Numeric Values in the Division Number (DIV) Field of the Clerk Record and Department Profile Inquiry/Update Screens 01/02/24 10749 R12136OTN 07/20/23 User Enhancement Change Request (UECR): Create New System Control Facility (SCF) Data Elements for Use in the Multi-Carrier System (MCS) 01/02/24 10744 R12135OTN 07/20/23 User Enhancement Change Request (UECR): Update the DATAIN VppYUFLU in the Multi-Carrier System (MCS) to Allow for Alphanumeric Provider Specialty Codes 01/02/24 10706 R12134OTN 07/20/23 User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) to Display Additional Information on the Program Integrity Management Reporting (PIMR) Verification Reports 01/02/24 10681 R12129OTN 07/20/23 2022 Hospice Aggregate Cap Calculation 08/21/23 13226
R12119OTN 06/29/23 CMS Mammography Quality Standards Act (MQSA) File Reformatting 10/02/23 13132 R12118OTN 06/29/23 Addition of New Data Elements to the National Claims History (NCH) Claims Data Output 10/02/23 12945 R12114OTN 06/29/23 Modifications to the Automated Duplicate Primary Payment (DPP) Process 01/02/24 13230 R12110OTN 06/29/23 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front-End Updates for January 2024 01/02/24 13224 R12108OTN 06/29/23 Creation of the Medicare Fee- For-Service (FFS) Companion Guide for 837D (Dental Format) 09/01/23 13233 R12104OTN 06/29/23 Shared System Support Hours for Application Programming Interfaces (APIs) - January 2024 01/02/24 13239
R12103OTN 06/27/23 Update the Multi-Carrier System (MCS) to Reduce the Ambulatory Surgical Center (ASC) Code Pair at the Appropriate Rate 06/27/23 13163 R12095OTN 06/22/23 Allow Users to Modify the Provider Demonstration File in the User Acceptance Testing (UAT) Environment - Full Agile Pilot CR 07/25/23 12934 R12094OTN 06/22/23 Implementation of the Award for the Jurisdiction B Durable Medical Equipment Medicare Administrative Contractor (JB DME MAC) 09/01/23 13212 R12093OTN 06/22/23 Provider Education for the Review Choice Demonstration (RCD) for Inpatient Rehabilitation Facility Services (IRFs) 07/25/23 13243 R12092OTN 06/20/23 User Enhancement Change Request (UECR): Fiscal Intermediary Shared System (FISS) - Automate Inpatient/Skilled Nursing Facility Common Working File (CWF) Alerts Received on the L1001 and L1002 Reports 07/03/23 12991
R12091OTN 06/15/23 Allowing Audiologists to Furnish Certain Diagnostic Tests Without a Physician Order 07/03/23 13055 R12080OTN 06/15/23 Prior Authorization (PA) Changes to Implement the Inpatient Rehabilitation Facility (IRF) Review Choice Demonstration (RCD) 10/02/23 13251 R12071OTN 06/06/23 Addition of New Data Elements to the National Claims History (NCH) Claims Data Output 10/02/23 12945 R12066OTN 05/31/23 Fiscal Intermediary Shared System (FISS) Reason Code File Updates to Correct CMS Standard for Common Working File (CWF) Reason Codes 10/02/23 13084 R12037OTN 05/15/23 Skilled Nursing Facility (SNF) 5-Claim Probe and Educate Review 06/05/23 13164 R12022OTN 05/08/23 User Enhancement Change Request (UECR): Fiscal Intermediary Shared System (FISS) - Automate Inpatient/Skilled Nursing Facility Common Working File (CWF) Alerts Received on the L1001 and L1002 Reports 07/03/23 12991
R12019OTN 05/04/23 Healthcare Integrated General Ledger Accounting System (HIGLAS) Payment to CMSHQ – Return to Trust Fund 07/03/23 12944 R12017OTN 05/04/23 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)--October 2023 Update 08/07/23;10/ 02/23 13166 R12011OTN 04/27/23 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) – Update to Prevent Erroneous Claim Payment Outside of the Common Working File (CWF) 10/02/23 12211 R12006OTN 04/28/23 Correction to Payment Window Edits for Inpatient Prospective Payment System (IPPS)- Excluded Hospitals and IPPS- Excluded Units 10/02/23 13182 R12005OTN 04/27/23 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Copy Tables and Screens from User Acceptance Testing (UAT) Regions to Production - Phase 2 10/02/23 13148 R12004OTN 04/27/23 Retirement of Three California Localities in the Medicare Physician Fee Schedule (MPFS), and in Enrollment Records 10/02/23 13119
R12002OTN 04/28/23 User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) Sort Logic for the Edit/Audit/Procedure Processing Criteria Report H99RBSCC 10/02/23 13106 R12001OTN 04/27/23 Fiscal Intermediary Shared System (FISS) User Enhancement Change Request (UECR) - Modify Additional Development Request (ADR) Letters to Set Response Due Date from the Reason Code File 10/02/23 13098 R12000OTN 04/27/23 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) – Create Report for Changes in Provider Transaction Access Number (PTAN) Effective Dates 10/02/23 12882 R11999OTN 04/27/23 User Enhancement Change Request (UECR): Enhance the Multi-Carrier System (MCS) Common Working File (CWF) Error Code Screen and the User File Copy Request Screen 10/02/23 10683 R11990OTN 04/21/23 Update the Multi-Carrier System (MCS) to Reduce the Ambulatory Surgical Center (ASC) Code Pair at the Appropriate Rate 10/02/23;01/ 02/24 13163
R11989OTN 04/21/23 Shared System Support Hours for Application Programming Interfaces (APIs) - October 2023 10/02/23 13156 R11986OTN 04/21/23 Implementation to Expand Monetary Amount Fields Related to Billing and Payment to Accommodate 10-Digits in Length ($99,999,999.99) - Phase 1 10/02/23 13138 R11985OTN 04/20/23 CMS Mammography Quality Standards Act (MQSA) File Reformatting 10/02/23 13132 R11982OTN 04/20/23 Fiscal Intermediary Shared System (FISS) Reason Code File Updates to Correct CMS Standard for Common Working File (CWF) Reason Codes 10/02/23 13084 R11979OTN 04/20/23 User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) Procedure Maintenance Screen to Accept Lower Case Characters 10/02/23 12810 R11977OTN 04/20/23 User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) to Display Pre-Care and Post- Care Global Day Fields on the MCS Desktop Tool (MCSDT) 10/02/23 12358
R11976OTN 04/20/23 User Enhancement Change Request (UECR): Correct the Multi-Carrier System (MCS) Bundled Payments for Care Improvement (BPCI) Reports 10/02/23 12304 R11975OTN 04/20/23 User Enhancement Change Request (UECR): Fiscal Intermediary Shared System (FISS) and Healthcare Integrated General Ledger Accounting System (HIGLAS) - Identification of Hospice Cap Settlement Activities 10/02/23 11621 R11974OTN 04/20/23 User Enhancement Change Request (UECR) - Update the Multi-Carrier System HBBRC06 Report 10/02/23 10743 R11973OTN 04/20/23 User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) Checks Issued to Payee Screen 10/02/23 10713 R11971OTN 04/20/23 Addition of New Data Elements to the National Claims History (NCH) Claims Data Output 10/02/23 12945
R11969OTN 04/20/23 ViPS Medicare System (VMS) - Increase Edit Code Maximum 10/02/23;01/ 02/24 13060 R11958OTN 04/20/23 User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) Mass Adjustment Process to Include Selection Criteria for a Pricing Action Code (PAC) or Pricing Level Code 07/03/23 10718 R11954OTN 04/13/23 Implementation of a National Fee Schedule for Medicare Part B Vaccine Administration 04/03/23;01/ 02/24 12943 R11953OTN 04/12/23 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Update Beneficiary Information Tracking System (BITS) Edit BT06 to allow the Response Date to be equal to the Receipt Date 07/03/23 12954 R11952OTN 04/12/23 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)--July 2023 Update 03/03/23;07/ 03/23 13070
R11951OTN 04/13/23 Automate Maintainer Quarterly Edit Spreadsheets - Full Agile 07/03/23 13003 R11940OTN 04/04/23 User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) to Allow a User the Ability to Control Development Letter Creation for Adjustment Claims 07/03/23 10673 R11935OTN 06/01/23 Allowing Audiologists to Furnish Certain Diagnostic Tests Without a Physician Order 07/03/23 13055 R11932OTN 03/29/23 Enhancements to Patient Driven Payment Model (PDPM) Claim Edits to Improve Claim Processing 04/03/23 12896 R11928OTN 03/27/23 User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) Procedure Code Lookup Screen and the Procedure Maintenance Screen 04/17/23;07/ 03/23 10688 R11912OTN 03/16/23 Instructions Relating to the Evaluation of Section 1115 Waiver Days in the Calculation of Disproportionate Share Hospital Reimbursement 05/17/23 12669
R11904OTN 03/16/23 : Implementation of Consolidated Appropriations Act (CAA) of 2023, Section 4143: Waiver of Cap on Annual Payments for Nursing and Allied Health Education Payments 12/28/23 13122 R11899OTN 03/10/23 Upload of Notice Program Reimbursement (NPR) Letters, Interim Rate Reviews, and Tentative Settlement Documentation into the System for Tracking Audit and Reimbursement (STAR) 06/12/23 12748 R11894OTN 03/10/23 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Update Beneficiary Information Tracking System (BITS) Edit BT06 to allow the Response Date to be equal to the Receipt Date 07/03/23 12954 R11884OTN 03/01/23 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)--July 2023 Update 03/03/23;07/ 03/23 13070 R11879OTN 02/24/23 Enhancements to Patient Driven Payment Model (PDPM) Claim Edits to Improve Claim Processing 04/03/23 12896
R11878OTN 02/23/23 Extensions of Certain Temporary Changes to the Low-Volume Hospital Payment Adjustment and the Medicare Dependent Hospital (MDH) Program under the Inpatient Prospective Payment System (IPPS) Provided by the Further Continuing Appropriations and Extensions Act, 2023, and the Consolidated Appropriations Act, 2023 03/10/23 13103 R11869OTN 02/23/23 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) – Create an Audit Record for Manual Denials on Claim Edit Audit Trail (BUDS05) 07/03/23 12265 R11864OTN 02/16/23 User Enhancement Change Request (UECR): Fiscal Intermediary Shared System (FISS) - Automate Inpatient/Skilled Nursing Facility Common Working File (CWF) Alerts Received on the L1001 and L1002 Reports 07/03/23 12991 R11862OTN 02/16/23 User Enhancement Change Request (UECR): Fiscal Intermediary Shared System (FISS) - Reason Code 10404 Assigns on Accrete Claims 07/03/23 12879 R11860OTN 02/16/23 User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) Procedure Maintenance Screen PG Segment 07/03/23 10697
R11856OTN 02/09/23 User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) to Allow a User the Ability to Control Development Letter Creation for Adjustment Claims 07/03/23 10673 R11855OTN 02/09/23 User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) to Include Additional Navigational Functionality 07/03/23 10709 R11854OTN 02/09/23 User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) Procedure Code Lookup Screen and the Procedure Maintenance Screen 07/03/23 10688 R11853OTN 02/09/23 User Enhancement Change Request (UECR) - Update the Multi-Carrier System (MCS) to Display Additional Screen Data Accessible from the Detail History and Claim Screens 07/03/23;10/ 02/23 10682 R11852OTN 02/09/23 User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) Additional Documentation Request (ADR) Automated Development System (ADS) Letters 07/03/23 11300 R11847OTN 02/09/23 Healthcare Integrated General Ledger Accounting System (HIGLAS) Payment to CMSHQ – Return to Trust Fund 07/03/23 12944
R11845OTN 02/09/23 Modify the Health Insurance Claim Number (HICN)/Medicare Beneficiary's Identification (MBI) Correction Process for Fiscal Intermediary Shared System (FISS) 07/03/23 13087 R11838OTN 02/06/23 New State Codes for North Carolina and other States 04/03/23 12988 R11833OTN 02/02/23 Patient Responsibility Reporting with Medicare Secondary Payer (MSP) 07/03/23 13037 R11832OTN 02/02/23 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)--July 2023 Update 03/03/23;07/ 03/23 13070 R11814OTN 01/26/23 Expand Bills Pending Reports Parameter (PARM) in Fiscal Intermediary Shared System (FISS) 07/03/23 13068 R11813OTN 01/26/23 Update to Change Request (CR) 12636 Payment for Critical Access Hospitals (CAHs) Ancillary Services Submitted on 12X Type of Bill (TOB) Claim 07/03/23 13035
R11812OTN 01/26/23 Shared System Support Hours for Application Programming Interfaces (APIs) - July 2023 07/03/23 12968 R11772OTN 12/29/22 Changes to Beneficiary Coinsurance for Additional Procedures Furnished During the Same Clinical Encounter As Certain Colorectal Cancer Screening Tests 10/03/22;01/ 03/23 12656 R11753OTN 12/21/22 Provider Education for Prior Authorization (PA) Process for Facet Joint Interventions in the Hospital Outpatient Department (OPD) Setting 02/15/23 13016 R11751OTN 12/15/22 Updating Calendar Year (CY) 2023 Medicare Diabetes Prevention Program (MDPP) Payment Rates 01/03/23 12987 R11744OTN 12/13/22 Phase two: Undeliverable Medicare Summary Notices (UMSNs) - Beneficiary Do Not Forward Process 01/03/23;04/ 03/23 12238 R11743OTN 12/09/22 Implementation of the Award for the National Provider Enrollment (Medicare and Medicaid) Eastern Region (NPEAST) and Western Region (NPWEST) Durable Medical Equipment, Prosthetics, Orthotics and 11/07/22 12951
Supplies (DMEPOS) Enrollment Contractors I. SUMMARY OF CHANGES: The purpose of this Change Request (CR) is to R11740OTN 12/09/22 Extensions of Certain Temporary Changes to the Low-Volume Hospital Payment Adjustment and the Medicare Dependent Hospital (MDH) Program under the Inpatient Prospective Payment System (IPPS) provided by the Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023 11/01/22;12/ 17/22 12970 R11730OTN 12/08/22 Implementation of the Award for the Jurisdiction M (J-M) Part A and Part B Medicare Administrative Contractor (JM A/B MAC) 02/01/23 12971 R11728OTN 12/02/22 Medicare Administrative Contractors (MACs) Updating Their Systems to Integrate with Call Center Post-Transaction Feedback Collection from Providers – Implementation 02/28/23 12962 R11725OTN 11/30/22 User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) Edit/Audit/Procedure Processing Criteria Report H99RBSCC 04/03/23 12359
R11720OTN 11/23/22 MAC Use of Jira and Confluence 12/28/22 12974 R11719OTN 11/23/22 Update the Common Working File (CWF) to Apply Error Code 7282 to all Applicable Detail Lines of a Claim 04/03/23 13001 R11710OTN 11/17/22 Implementation of a National Fee Schedule for Medicare Part B Vaccine Administration CMS 04/03/23 12943 R11709OTN 11/17/22 User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) Comment Screen 04/03/23 10693 R11698OTN 11/09/22 Modern Solution to SuperOp Claim Counter Maximum Implementation 04/03/23;07/ 03/23; 10/02/23 12966 R11695OTN 11/09/22 New State Codes for North Carolina 04/03/23 12988
R11689OTN 11/09/22 User Enhancement Change Request (UECR): Add the Common Working File (CWF) Disposition Code to the Multi- Carrier System (MCS) Medicare Secondary Payer (MSP) 'I' Records Detail Screens, the MCS Desk Top Tool (MCSDT) and the MSP CWF Transaction Reject Report H99RB552 04/03/23 12530 R11688OTN 11/09/22 User Enhancement Change Request (UECR): Enhance the Multi-Carrier System (MCS) Detail History Screen 04/03/23 12270 R11686OTN 11/09/22 User Enhancement Change Request (UECR): ViPS Medicare System (VMS) - Reset Beneficiary and Provider Healthcare Integrated General Ledger Accounting System (HIGLAS) Flags 04/03/23 11900 R11681OTN 11/04/22 User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) Edit/Audit/Procedure Processing Criteria Report H99RBSCC 04/03/23 12359 R11680OTN 11/04/22 User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) to Include Additional Options for Requesting Duplicate Remittance Advices 04/03/23 10691
R11679OTN 11/04/22 User Enhancement Change Request (UECR): Enhance the Multi-Carrier System (MCS) Related Procedures Diagnosis Segments Screen 04/03/23 10670 R11676OTN 11/04/22 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)--April 2023 Update 04/03/23 12960 R11667OTN 10/27/22 User Enhancement Change Request (UECR): Update the Multi-Carrier System (MCS) to Display the Current Location of a History Claim on the Related History Line and the MCS Desktop Tool (MCSDT) Related History Window 04/03/23 10665 R11660OTN 10/21/222 Extensions of Certain Temporary Changes to the Low-Volume Hospital Payment Adjustment and the Medicare Dependent Hospital (MDH) Program under the Inpatient Prospective Payment System (IPPS) provided by the Continuing Appropriations and Ukraine Supplemental Appropriations Act, 2023 11/01/22 12970 R11659OTN 10/21/22 Updates to the Common Working File (CWF) for Editing and Claims Processing to Allow Medicare Fee-For- Service (FFS) Coverage of Kidney Acquisition Costs for Medicare Advantage (MA) Beneficiaries Provided by Maryland Waiver (MW) Hospitals 07/05/22;10/ 03/22 12589
R11651OTN 10/20/22 Shared System Support Hours for Application Programming Interfaces (APIs) - April 2023 04/03/23 12947 R11650OTN 10/20/22 Enhancements to Patient Driven Payment Model (PDPM) Claim Edits to Improve Claim Processing 04/03/23 12896 R11649OTN 10/20/22 User Enhancement Change Request (UECR): Fiscal Intermediary Shared System (FISS) - Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) Reason Code 31849 04/03/23 12621 R11648OTN 10/20/22 Instructions for Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs) to Print and Mail Previously Undeliverable Medicare Summary Notices (MSNs) 120 days from delivery of the final MSN files from VMS 12930 R11636OTN 10/05/22 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)--January 2023 Update- -2 of 2 09/06/22;01/ 03/23 12842 R11629OTN 10/06/22 User CR: Fiscal Intermediary Shared System (FISS) Enhancement to View All Changes for All Adjustment Types 04/03/23 12184
R11624OTN 10/04/22 Mobile Personal Identity Verification (PIV) Station 01/06/23 12863 R11623OTN 09/30/22 `Updates to the Common Working File (CWF) for Editing and Claims Processing to Allow Medicare Fee-For- Service (FFS) Coverage of Kidney Acquisition Costs for Medicare Advantage (MA) Beneficiaries Provided by Maryland Waiver (MW) Hospitals 07/05/22;10/ 03/22 12589 R11622OTN 09/29/22 Changes to Beneficiary Coinsurance for Additional Procedures Furnished During the Same Clinical Encounter As Certain Colorectal Cancer Screening 10/03/22;01/ 03/23 12656 R11585OTN 09/01/22 User Enhancement Change Request (CR) - Update the Multi-Carrier System (MCS) Desk Top Tool (MCSDT) Editing for Same Day Adjustments 01/03/23 10715 R11584OTN 08/31/22 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--January 2023 Update 09/06/22;10/ 03/22; 01/03/23 12822
R11582OTN 09/01/22 Mobile Personal Identity Verification (PIV) Station 12/30/22 12863 R11578OTN 08/25/22 Updated Merit-based Incentive Payment System (MIPS)/MIPS Value Pathways (MVP) Healthcare Common Procedure Coding System (HCPCS) Codes 01/03/23 12694 R11569OTN 08/18/22 Medicare Summary Notice (MSN) Created with Wrong Beneficiary Data - Update Beneficiary Data Streamlining Logic 08/08/22;10/ 03/22 12710 R11568OTN 08/18/22 User CR: MCS - HIMR Functions Menu Additional Fields 08/08/22;10/ 03/22 10727 R11546OTN 08/04/22 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs)--January 2023 Update- -2 of 2 09/06/22;01/ 03/23 12842 R11545OTN 08/05/22 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--January 2023 Update 10/03/22;01/ 03/23 12822
R11539OTN 08/05/22 Implementation of the Award for the Jurisdiction N (J-N) Part A and Part B Medicare Administrative Contractor (JN A/B MAC) 09/01/22 12811 R11535OTN 08/05/22 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front-End Updates for January 2023 01/03/23 12784 R11533OTN 07/29/22 Implementation of the Capital Related Assets Adjustment (CRA) for the Transitional Add-on Payment Adjustment for New and Innovative Equipment and Supplies (TPNIES) Under the End Stage Renal Disease Prospective Payment System (ESRD PPS) 01/03/23 12347 R11526OTN 07/28/22 User Enhancement Change Request (CR)- Update the Model Participant Provider (M1) Screen and Model Participant Provider Report (H99RVMPP) in the Multi-Carrier System (MCS) 01/03/23 12263 R11525OTN 07/28/22 User Enhancement Change Request (CR) - Update the Multi-Carrier System (MCS) Desk Top Tool (MCSDT) Editing for Same Day Adjustments 01/03/23 10715
R11522OTN 07/28/22 Remove Hard Coded Logic for Edits 004H and 005H - Remove the Edits from Displaying on the H99RBEA1 and H99RBEA2 Reports 01/03/23 12787 R11521OTN 07/28/22 Multi-Carrier System (MCS) Removal of the Physician Pay for Reporting (P4R), Physician Quality Reporting System (PQRS) and Electronic Prescribing (ERx) Incentive Payments Financial Logic from the Claims Processing System 01/03/23 12757 R11503OTN 07/21/22 Corrections to Processing of Canceled Home Health Notices of Admission and of Period Sequence Edits 01/03/23 12790 R11492OTN 07/08/22 User CR: MCS - HIMR Functions Menu Additional Fields 10/03/22 10727 R11491OTN 07/08/22 Interns and Residents Information System (IRIS) XML Format 08/19/22 12724
R11488OTN 07/07/22 New Edit for Prospective Payment System (PPS) Outpatient and Inpatient Bill Types Receiving an Outlier Payment When a Device Credit is Reported 01/03/23 12769 R11485OTN 07/07/22 Instructions to the Fiscal Intermediary Shared System [FISS] Edit to Expand the Existing MA Bypass Reusable Solution PARMCC78 and Modify the Existing Logic to Read the New PARMs 01/03/23 12733 R11461OTN 06/21/22 National Coverage Determination (NCD) 90.2, Next Generation Sequencing (NGS) 11/23/21 12483 R11460OTN 06/17/22 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--October 2022 Update 07/19/22;10/ 03/22 12705 R11453OTN 06/10/22 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--July 2021 07/06/21 12124 R11433OTN 05/26/22 Update to Addition of Disposition Category "U" to Recovery Audit Contractor Data Warehouse (RACDW) Appeals Layout File - This CR Rescinds and Fully Replaces CR 12528. 10/03/22 12703
R11418OTN 05/19/22 Interns and Residents Information System (IRIS) XML Format 08/19/22 12724 R11416OTN 05/19/22 User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Off-line History Retrieval of Canceled Claims 10/03/22 12706 R11413OTN 05/12/22 User CR: ViPS Medicare System (VMS) - Improve Transportation within VMS Subsystems 10/03/22 11590 R11409OTN 05/12/22 User Enhancement - Update the Multi-Carrier System (MCS) to Display the Full History of a Claims' Audit Trail Location 10/03/22 12239 R11400OTN 05/04/22 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--October 2022 Update 10/03/22 12705 R11391OTN 04/29/22 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs) -- July 2022 03/12/22;07/ 05/22 12606
R11390OTN 04/28/22 Implementation of the Award for the Jurisdiction K (J-K) Part A and Part B Medicare Administrative Contractor (JK A/B MAC) 05/01/22 12695 R11377OTN 04/29/22 Updating Reason Code 32287 Edit in the Fiscal Intermediary Shared System (FISS) to Allow Processing of Claims Containing COVID-19 Vaccine and Other Vaccines When Billed on the Same Claim 10/03/22 12711 R11376OTN 04/29/22 Medicare Summary Notice (MSN) Created with Wrong Beneficiary Data - Update Beneficiary Data Streamlining Logic 10/03/22 12710 R11374OTN 04/29/22 Changes to Beneficiary Coinsurance for Additional Procedures Furnished During the Same Clinical Encounter As Certain Colorectal Cancer Screening Tests 10/03/22;01/ 03/23 12656 R11373OTN 04/29/22 Update the Common Working File Utilization Reject 86x7 and 86x6 10/03/22 12643 R11369OTN 04/28/22 User CR: MCS - SCF Claim Field Update for Rendering Provider Number 10/03/22 12622
R11368OTN 04/29/22 User CR: ViPS Medicare System (VMS) - Allow Updates to the Submitted Medicare Beneficiary Identifier (MBI) 10/03/22 11777 R11367OTN 04/28/22 User CR: MCS - HIMR Functions Menu Additional Fields 10/03/22 10727 R11366OTN 04/28/22 Section 127 of the Consolidated Appropriations Act: Graduate Medical Education (GME) Payment for Rural Track Programs (RTPs) 10/01/22 12709 R11364OTN 04/27/22 Common Working File (CWF) Editing - National Coverage Determination (NCD) 270.3 Blood-Derived Products for Chronic, Non-Healing Wounds 07/05/22 12611 R11356OTN 04/14/22 New State Codes for California 10/03/22 12644 R11346OTN 04/07/22 Updates For Medical Severity Diagnosis Related Groups (MS-DRG) Subject to Inpatient Prospective Payment System (IPPS) Replaced Devices Offered Without Cost or With a Credit Policy- Fiscal Years (FYs) 2021-2022 10/03/22 12662
R11345OTN 04/07/22 Instruction to the Multi-Carrier System Maintainer to Remove Edits 055D and 179D from the H99RBEA1 and H99RBEA2 Reports 10/03/22 12640 R11343OTN 04/07/22 System Limitation Update for Centralized Flu Billers (CFB), Pneumococcal and Covid-19 Vaccinations 10/03/22 12673 R11342OTN 04/06/22 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs) -- July 2022 03/12/22;07/ 05/22 12606 R11340OTN 04/07/22 Updates to Current Inpatient Claim Edits 10/03/22 12647 R11339OTN 04/07/22 Payment for Critical Access Hospitals (CAHs) Ancillary Services Submitted on 12X Type of Bill (TOB) Claim 10/03/22 12636 R11337OTN 04/07/22 Electronic Transmission of Medicare Administrative Contractor Provider Enrollment Recommendations of Approval 04/15/22 12670
R11336OTN 04/07/22 Request for Read-Only Access to the CMS Shared Systems for the Comprehensive Error Rate Testing (CERT) Review Contractor (RC) 07/11/22 12646 R11333OTN 04/06/22 User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Claim Page 2 Adjustment Document Control Number (AD DCN) to Match the Claim Page 6 Cross Reference DCN (XREF DCN) 07/05/22 12497 R11331OTN 03/30/22 Phase two: Undeliverable Medicare Summary Notices (UMSNs) - Beneficiary Do Not Forward Process 04/04/22;07/ 05/22; 01/03/23;04/ 03/23 12238 R11328OTN 03/31/22 Increase SuperOp Claim Counter Maximum 07/05/22 12684 R11321OTN 03/23/22 Revisions to Medicare Administrative Contractor (MAC) Standardized Monthly Status Report (MSR) Narrative Template - This CR Rescinds and Fully Replaces CR 12144. 04/22/22 12620 R11291OTN 03/10/22 Revisions to Medicare Administrative Contractor (MAC) Standardized Monthly Status Report (MSR) Narrative Template - This CR Rescinds and Fully Replaces CR 12144. 04/11/22 12620
R11290OTN 03/02/22 Correction to Processing When Osteoporosis Drugs Are Billed for Other Indications 07/05/22 12551 R11289OTN 03/08/22 User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Modify Reason Code 38205 to Include All Patient Status Codes 07/05/22 12493 R11285OTN 03/03/22 User CR: MCS - Create an Audit Trail for Updates to Multi-Carrier System (MCS) Eligible Professional (EP) Screen 07/05/22 10678 R11273OTN 02/18/22 Send Electronic Funds Transfer (EFT) Information from Provider Enrollment Chain and Ownership System (PECOS) to Fiscal Intermediary Shared System (FISS) - Implementation CR, Consolidation of January 2022 and April 2022 Releases 01/03/22;04/ 04/22 12346 R11270OTN 02/17/22 User CR: MCS - Add Search by Rendering National Provider Identifier (NPI) Option 07/05/22 10671
R11264OTN 02/10/22 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs) -- July 2022 03/12/22;07/ 05/22 12606 R11262OTN 02/10/22 Common Working File (CWF) Editing - National Coverage Determination (NCD) 270.3 Blood-Derived Products for Chronic, Non-Healing Wounds 07/05/22;10/ 03/22 12611 R11256OTN 02/09/22 Update to Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) Claims Containing Non- Covered days 04/04/22 12501 R11254OTN 02/04/22 Mobile Personal Identity Verification (PIV) Station 03/05/22 12601 R11252OTN 02/04/22 User CR: ViPS Medicare System (VMS) - Update Beneficiary Information Tracking System (BITS) Menu to Include a Selection Field of Electronic Submission of Medical Documentation (esMD) Transaction ID 07/05/22 12057 R11248OTN 02/04/22 Nursing and Allied Health Medicare Advantage Payment - Revision to CY 2018 08/08/22 12596
R11240OTN 01/27/22 Updates to the Common Working File (CWF) for Editing and Claims Processing to Allow Medicare Fee-For- Service (FFS) Coverage of Kidney Acquisition Costs for Medicare Advantage (MA) Beneficiaries Provided by Maryland Waiver (MW) Hospitals 07/05/22;10/ 03/22 12589 R11238OTN 01/27/22 ViPS Medicare System (VMS) - Track Claim Counter Activity in SuperOp - Implementation of User CR 11558 07/05/22 12580 R11236OTN 01/27/22 Updating the Exempt Diagnosis Codes Present on Admission (POA) File to Accommodate Multiple Effective and Termination Dates 07/05/22 12572 R11235OTN 01/27/22 User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Modify Access to Reason Code File Update to Allow Narrative Only Updates 07/05/22 12570 R11234OTN 01/27/22 User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Medicare Secondary Payer (MSP) Reports RPT800AA and RPT800AB Updates 07/05/22 12565
R11232OTN 01/27/22 User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Claim Page 2 Adjustment Document Control Number (AD DCN) to Match the Claim Page 6 Cross Reference DCN (XREF DCN) 07/05/22 12497 R11230OTN 01/27/22 User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Modify Reason Code 38205 to Include All Patient Status Codes 07/05/22 12493 R11229OTN 01/27/22 User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Clear PRMNAPRO Screen Upon Completion of Job 07/05/22 12261 R11228OTN 01/27/22 User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - MAP1I81 Online Grab Request to Include Line Numbers 07/05/22 12054 R11227OTN 01/27/22 User CR: MCS - Test UAT Future Dates Beyond the Current Year 07/05/22 11903 R11226OTN 01/27/22 User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Expert Claims Processing System (ECPS) Enhancement to Process Notice of Elections (NOEs) with Frequency B or E 07/05/22 10771
R11220OTN 01/26/22 Updating the 32287 Reason Code Edit in the Fiscal Intermediary Shared System (FISS) to Allow Processing of Claims Containing Healthcare Common Procedure Coding System (HCPCS) Code Q0249 07/05/22 12539 R11209OTN 01/14/22 Send Electronic Funds Transfer (EFT) Information from Provider Enrollment Chain and Ownership System (PECOS) to Fiscal Intermediary Shared System (FISS) - Implementation CR, Consolidation of January 2022 and April 2022 Releases 01/03/22;04/ 04/22 12346 R11204OTN 01/20/22 Modify Fiscal Intermediary Shared System (FISS) Existing Logic for Vaccine Administration Codes for Non- outpatient Prospective Payment System (Non-OPPS) Island Providers 02/28/22 12588 R11198OTN 01/26/22 Implementation of Medicare Administrative Contractor (MAC) Appeals Upload Process Changes for the Recovery Audit Contractor (RAC) Data Warehouse (RACDW) and Addition of Disposition Category "U" to RACDW Appeals Layout File 01/07/22 12528 R11196OTN 01/27/22 MAC Participation in Change Request (CR) Development 03/16/22 12547
R11194OTN 01/20/22 Prevent Loading of Dental HCPCS Codes in the Fiscal Intermediary Shared System 07/05/22 12535 R11192OTN 01/20/22 Updating the 32287 Reason Code Edit in the Fiscal Intermediary Shared System (FISS) to Allow Processing of Claims Containing Healthcare Common Procedure Coding System (HCPCS) Code Q0249 07/05/22 12539 R11191OTN 01/20/22 New Occurrence Span Code and Revenue Code for Acute Hospital Care at Home 07/05/22 12540 R11190OTN 01/20/22 Correction to Processing When Osteoporosis Drugs Are Billed for Other Indications 07/05/22 12551 R11185OTN 01/12/22 User CR: MCS - Enhancement to Automate the XHIC Error Process 01/03/22;04/ 04/22 11400 R11179OTN 01/12/22 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs) -- April 2022 (CR 1 of 2) 01/14/22;11/ 23/21;04/04/ 22 12480
R11178OTN 01/05/22 Skilled Nursing Facility (SNF) Claims Processing Update to Fiscal Year End (FYE) Edits 01/03/22 12457 R11175OTN 01/14/22 CY2022 Telehealth Update Medicare Physician Fee Schedule 04/04/22 12549 R11166OTN 12/21/21 Implementation of the Capital Related Assets Adjustment (CRA) for the Transitional Add-on Payment Adjustment for New and Innovative Equipment and Supplies (TPNIES) Under the End Stage Renal Disease Prospective Payment System (ESRD PPS) 01/03/22 12347 R11162OTN 12/14/21 Medicare Diabetes Prevention Program (MDPP) Service Period Change from 2 Years to 1 Year 01/03/22 12398 R11160OTN 12/16/21 Direct Mailing Notification to Hospice Providers Regarding the Hospice Benefit Component, Value-Based Insurance Design (VBID) Model, Participating Medicare Advantage Organizations (MAOs) 01/31/22 12524 R11156OTN 12/10/21 Addition of the QW modifier to Healthcare Common Procedure Coding System (HCPCS) Code 86328 01/03/22 12557
R11155OTN 12/10/21 Correct Processing of Home Health Claims if the Request for Anticipated Payment (RAP) or Notice of Admission (NOA) Was More Than 30 Days Late and Correct Identification Critical Access Hospital Sub- Unit Discharges as Institutional Periods of Care 04/04/22 12461 R11144OTN 12/02/21 Implementation of Medicare Administrative Contractor (MAC) Appeals Upload Process Changes for the Recovery Audit Contractor (RAC) Data Warehouse (RACDW) and Addition of Disposition Category "U" to RACDW Appeals Layout File 01/07/22 12528 R11141OTN 11/30/21 User Change Request (UCR) - Fiscal Intermediary Shared System (FISS) - Implement New Search Functionality for Reason Codes, Expert Claims Processing System (ECPS) and Medical Policy Parameters (MPP) 04/04/22;07/ 05/22 12441 R11132OTN 11/19/21 Medicare Diabetes Prevention Program (MDPP) Service Period Change from 2 Years to 1 Year 01/03/22 12398 R11123OTN 11/15/21 Send Electronic Funds Transfer (EFT) Information from Provider Enrollment Chain and Ownership System (PECOS) to Fiscal Intermediary Shared System (FISS) - Implementation CR, Consolidation of January 2022 and April 2022 Releases. 01/03/22 12346
R11104OTN 11/10/21 User CR: Multi-Carrier System (MCS) - PSUP Query System Lookup 04/04/22 10889 R11103OTN 11/10/21 Clarifying Instructions for Billing and Processing and Payment of Claims Based on Locality of the Home Infusion Therapy (HIT) Service Visit 04/04/22 12508 R11101OTN 11/10/21 User CR: Multi-Carrier System (MCS) - Add Receipt Date to "AC" Segment 04/04/22 11449 R11100OTN 11/10/21 User CR: Multi-Carrier System (MCS) - Beneficiary Age Data Element 04/04/22 10716 R11110OTN 11/10/21 Phase two: Undeliverable Medicare Summary Notices (UMSNs) - Beneficiary Do Not Forward Process 04/04/22 12238 R11103OTN 11/10/21 Clarifying Instructions for Billing and Processing and Payment of Claims Based on Locality of the Home Infusion Therapy (HIT) Service Visit 04/04/22 12508
R11098OTN 11/10/21 MAC Customer Experience (MCE) Provider Enrollment Survey Link 01/13/22 12449 R11083OTN 10/29/21 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs) -- April 2022 (CR 2 of 2 for April 2022) 12/02/21 12482 R11078OTN 10/28/21 User Change Request (UCR) - Fiscal Intermediary Shared System (FISS) - Implement New Search Functionality for Reason Codes, Expert Claims Processing System (ECPS) and Medical Policy Parameters (MPP) 04/04/22 12441 R11076OTN 10/28/21 User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Workload Reports to Capture Optical Character Reader (OCR) and Paper Claim Counts Correctly 04/04/22 12055 R11068OTN 10/21/21 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determinations (NCDs) -- April 2022 (CR 1 of 2) 11/23/21 12480 R11060OTN 10/22/21 Skilled Nursing Facility (SNF) Claims Processing Update to Fiscal Year End (FYE) Edits 04/04/22 12457
R11055OTN 10/21/21 National Coverage Determination (NCD) 90.2, Next Generation Sequencing (NGS) 11/23/21 12483 R11054OTN 10/14/21 Send Electronic Funds Transfer (EFT) Information from Provider Enrollment Chain and Ownership System (PECOS) to ViPS Medicare System (VMS): Implementation CR 01/03/22 12350 R11041OTN 10/21/21 Update to Nursing and Allied Health (N&AH) Education Medicare Advantage (MA) Payment Rates - Calendar Year (CY) 2019 01/03/22 12407 R11033OTN 10/01/21 Implementation of the Award for the Jurisdiction L (J-L) Part A and Part B Medicare Administrative Contractor (JL A/B MAC) 12/01/21 12448 R11025OTN 09/28/21 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--January 2022 10/04/21 12399 R11010OTN 10/01/21 Mobile Personal Identity Verification (PIV) Station Installation 11/02/21 12437
R11007OTN 09/16/21 Send Electronic Funds Transfer [EFT] Information from Provider Enrollment Chain and Ownership System [PECOS] to ViPS Medicare System [VMS]: Implementation CR 01/03/22 12350 R11002OTN 09/16/21 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 10/04/21 12282 R11001OTN 09/16/21 Direct Mailing Notification to the Medicare Administrative Contractors (MACs) Regarding Clinical Laboratory Fee Schedule (CLFS) 09/30/21 12452 R10990OTN 09/10/21 User CR: MCS - Enhance Health Professional Shortage Area (HPSA) Reports 01/03/22 11588 R10989OTN 09/08/21 User CR: MCS - Enhancement to Automate the XHIC Error Process 01/03/22 11400 R10986OTN 08/27/21 Send Electronic Funds Transfer [EFT] Information from Provider Enrollment Chain and Ownership System [PECOS] to ViPS Medicare System [VMS] : Implementation CR 01/03/22 12350
R10977OTN 08/19/21 Replacing Home Health Requests for Anticipated Payment (RAPs) with a Notice of Admission (NOA) -- Implementation 10/4/21;01/0 3/22; 04/03/22 12227 R10963OTN 08/19/21 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--January 2022 09/20/22; 01/03/22 12399 R10957OTN 08/19/21 Send Electronic Funds Transfer [EFT] Information from Provider Enrollment Chain and Ownership System [PECOS] to Fiscal Intermediary Shared System [FISS] - Implementation CR, Consolidation of January 2022 and April 2022 Releases. 01/03/22; 04/04/22 12346 R10955OTN 08/19/21 User CR: Multi-Carrier-System (MCS) - Expand Number of Details on Provider Profiles Inquiry (PI) Screen 01/03/22 10692 R10954OTN 08/19/21 User CR: MCS - Mass Load "PJ" Segments 01/03/22 10653 R10953OTN 08/19/21 Update to Nursing and Allied Health (N&AH) Education Medicare Advantage (MA) Payment Rates - Calendar Year (CY) 2019 11/19/21 12407
R10951OTN 08/11/21 Phase One Changes Needed to Implement the Revised Process for Handling Undeliverable Beneficiary Addresses in VMS 01/03/22 12276 R10933OTN 08/11/21 Implementation of the Capital Related Assets Adjustment (CRA) for the Transitional Add-on Payment Adjustment for New and Innovative Equipment and Supplies (TPNIES) Under the End Stage Renal Disease Prospective Payment System (ESRD PPS) 01/03/22 12347 R10928OTN 08/03/21 Medicare Fee-for-Service (FFS) Coverage of Costs for Kidney Acquisitions in Maryland Waiver (MW) Hospitals for Medicare Advantage (MA) Beneficiaries 10/04/21 12206 R10917OTN 08/10/21 User Change Request (UCR): Fiscal Intermediary Shared System (FISS) - Periodic Interim Payment (PIP) Timeliness Report Update 01/03/22 12061 R10916OTN 08/11/21 User Change Request (UCR): Fiscal Intermediary Shared System (FISS)- All Zero Electronic Funds Transfer Numbers (EFT#) Not Possible in the Healthcare Integrated General Ledger System (HIGLAS) 01/03/22 10757 R10914OTN 08/11/21 Send Electronic Funds Transfer [EFT] Information from Provider Enrollment Chain and Ownership System [PECOS] to ViPS Medicare System [VMS]: Implementation CR 01/03/22 12350
R10908OTN 08/11/21 Fiscal Intermediary Shared System (FISS) - Restrict the Maryland Waiver Indicator (MWI) to State Codes 21 and 80 01/03/22 12383 R10899OTN 07/27/21 Viable Information Processing Systems (ViPS) Medicare Systems (VMS) Changes to Accommodate National Provider Identifier Associations 04/05/21 11990 R10896OTN 07/21/21 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 10/04/21 12282 R10890OTN 07/19/21 Replacing Home Health Requests for Anticipated Payment (RAPs) with a Notice of Admission (NOA) -- Implementation 10/04/21 12227 R10885OTN 08/09/21 Clinical Laboratory Fee Schedule (CLFS) - Instructions to Remove Co- insurance/Deductible Multi- Carrier System (MCS) Logic 01/03/22 12343 R10866OTN 06/29/21 October Quarterly Update to 2021 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 10/04/21 12272
R10863OTN 07/13/21 User CR: MCS - Beneficiary Do Not Forward DLV Flag Changes Needed 10/04/21 11447 R10861OTN 07/13/21 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Prior Authorization Coversheet Requirements 08/12/21 12267 R10856OTN 07/13/21 Implementation of the Award for the Jurisdiction E (J-E) Part A and Part B Medicare Administrative Contractor (JE A/B MAC) 08/01/21 12306 R10842OTN 06/11/21 Implementation of the Hospital Outpatient Department (HOPD) Prior Authorization (PA) Paired Items of Service for the X12 278 PA Transactions 10/04/21 11743 R10832OTN 06/02/21 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--July 2021 07/06/21 12124 R10827OTN 06/11/21 Addition of the QW Modifier to Healthcare Common Procedure Coding System (HCPCS) Codes 0240U, 0241U, 87637 07/06/21 12318
R10817OTN 05/21/21 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--October 2021 10/04/21 12279 R10804OTN 05/14/21 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--July 2021 07/06/21 12124 R10801OTN 05/20/21 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 10/04/21 12282 R10798OTN 05/20/21 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 07/06/21 12294 R10795OTN 05/20/21 Replacing Home Health Requests for Anticipated Payment (RAPs) with a Notice of Admission (NOA) -- Implementation 07/23/21 12227 R10792OTN 05/2021 Mobile Personal Identity Verification (PIV) Station Installation 06/22/21 12281
R10789OTN 05/12/21 The Fiscal Intermediary Shared System (FISS) Business Requirement for Rejected Claims Throwing Off the Provider and Statistical Reimbursement (PS&R) System Managed Care Days 10/04/21 12251 R10781OTN 05/12/21 Initiative to Reduce Avoidable Hospitalizations among Nursing Facility Residents (NFI) - Updates and Clarifications 06/18/21 12217 R10780OTN 05/04/21 Update to Rural Health Clinic (RHC) Payment Limits 04/05/21 12185 R10770OTN 05/11/21 October Quarterly Update to 2021 Annual Update of HCPCS Codes Used for Skilled Nursing Facility (SNF) Consolidated Billing (CB) Enforcement 10/04/21 12272 R10769OTN 05/11/21 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 10/04/21 12230 R10767OTN 5/11/21 Updates to Reason Code Bypass for Editing on Provider Submitted Adjustment Claims Resulting in a Diagnosis Related Group (DRG) Weight Increase 10/04/21 12216
R10765OTN 05/11/21 Medicare Fee-for-Service (FFS) Coverage of Costs for Kidney Acquisitions in Maryland Waiver (MW) Hospitals for Medicare Advantage (MA) Beneficiaries 10/04/21 12206 R10764OTN 05/11/21 Ensuring Allogenic Stem Cell Acquisition Charges Are Not Included in the Inpatient Prospective Payment System (IPPS) Payment Calculation 10/04/21 12200 R10763OTN 05/11/21 Correction to Osteoporosis Drug Processing 10/04/21 12199 R10759OTN 05/11/21 Fiscal Intermediary Shared System (FISS) - Modify Total Number of Bills Pending Reports to Exclude Clean Claims Delayed in the Processing System 10/04/21 12170 R10755OTN 05/11/21 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for October 2021 10/04/21 12207 R10732OTN 04/26/21 Addition of the QW Modifier to Healthcare Common Procedure Coding System (HCPCS) Code 87636 07/06/21 12269
R10720OTN 05/14/21 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 06/17/21 12214 R10718OTN 04/26/21 Cognitive Assessment & Care Plan Services 05/26/21 12247 R10717OTN 04/27/21 MAC Participation in Change Requests Developed through Agile Methodology 05/07/21 12223 R10694OTN 03/24/21 Create a New Media Preference Indicator Custom Format and New eMedicare Correspondence Preference Indicator 07/06/21 11746 R10687OTN 03/31/21 Medicare Administrative Contractor (MAC) Enhanced Release Testing 07/06/21 12150 R10686OTN 03/24/21 Expand Retention of Claims History for Outpatient, Part B, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) to 5 years 10/05/20 11626
R10679OTN 03/15/21 Update to Rural Health Clinic (RHC) Payment Limits 04/05/21 12185 R10673OTN 03/19/21 Send Electronic Funds Transfer (EFT) Information from Provider Enrollment Chain and Ownership System (PECOS) to Multi-Carrier System (MCS) Phase 2 04/05/21 11987 R10670OTN 03/12/21 Modification to Existing Common Working File (CWF) Edits for Osteoporosis Drug Codes Billable on Home Health Claims 07/06/21 12016 R10663OTN 03/16/21 Revisions to Medicare Administrative Contractor (MAC) Standardized Monthly Status Report (MSR) Narrative Template 04/20/21 12144 R10655OTN 03/16/21 Mobile Personal Identity Verification (PIV) Station Installation 04/15/21 11723 R10634OTN 03/16/21 User CR: ViPS Medicare System (VMS) - Update Interactive Correspondence Online Reporting (ICOR) Mail Date Calculation 07/06/21 12043
R10624OTN 03/23/21 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--July 2021 07/06/21 12124 R10616OTN 03/12/21 User Change Request (CR): Multi-Carrier System (MCS) - Correct Coding Initiative (CCI) Related Procedure Codes 07/06/21 11798 R10600OTN 03/16/21 Modification to Existing Editing for Screening Pap Smears and Pelvic Examinations 07/06/21 12090 R10599OTN 03/11/21 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for July 2021 07/06/21 12089 R10597OTN 03/12/21 Submission of Condition Codes to the Inpatient Prospective Payment System (IPPS) Pricer to Report Services Provided as Part of an Expanded Access Approval or Emergency Use Authorization 07/06/21 12086 R10596OTN 03/16/21 Correction to Period Sequence Edits on Home Health Claims 07/06/21 12085
R10593OTN 03/19/21 Modernization of the Electronic Files Transfer (EFT) Processes Associated with Medicare Integrated Systems Testing (MIST) Contractor Testing and Fiscal Intermediary Shared System (FISS) Alpha Testing with the Coordination of Benefits and Recovery (COB and R) System on Behalf of the Benefits Coordination and Recovery Center (BCRC) 07/06/21 12073 R10592OTN 03/12/21 Intermediary Shared System (FISS) - Eliminate Multiple Common Working File (CWF) Replies Received in the Same Cycle 07/06/21 12067 R10579OTN 03/19/21 Special Provisions for Radiology Additional Documentation Requests 12/01/20 11659 R10566OTN 01/14/21 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--April 2021 12/16/20 12027 R10552OTN 01/05/21 Modification to Existing Common Working File (CWF) Edits for Osteoporosis Drug Codes Billable on Home Health Claims 07/06/21 12016
R10551OTN 01/05/21 Send Electronic Funds Transfer (EFT) Information from Provider Enrollment Chain and Ownership System (PECOS) to Multi-Carrier System (MCS) Phase 2 04/05/21 11987 R10549OTN 01/08/21 Shared System Enhancement 2018: Rewrite Fiscal Intermediary Shared System (FISS) module FSSB6001, Common Working File (CWF) Unsolicited Response Function 07/06/21 11010 R10545OTN 12/31/20 ESRD Treatment Choices (ETC) Model Implementation: Home Dialysis Payment Adjustment (HDPA) & Waiver of the Kidney Disease Education (KDE) Benefit 01/04/21 12038 R10530OTN 12/23/20 Instructions to Medicare Administration Contractor (MAC) on COVID-19 Emergency Declaration Blanket Waivers for Medicare- Dependent, Small Rural Hospitals and Sole Community Hospitals 03/29/21 12070 R10529OTN 12/23/20 Addition of the QW modifier to Healthcare Common Procedure Coding System (HCPCS) Codes 87811 and 87428 04/05/21 12093 R10528OTN 12/23/20 Updating Calendar Year (CY) 2021 Medicare Diabetes Prevention Program (MDPP) Payment Rates 01/04/21 12030
R10525OTN 12/17/20 Implementation of the New Ambulatory Surgical Center (ASC) Payment Indicator “K5” 01/04/21 11803 R10520OTN 12/14/20 Updates to Nursing and Allied Health Education Medicare Advantage Payment Policies 12/21/20 11642 R10515OTN 12/10/20 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--April 2021 12/16/20 12027 R10508OTN 12/03/20 Update to the Fiscal Intermediary Shared System (FISS) Integrated Outpatient Code Editor (IOCE) Claim and Return Buffer Interface Changes 04/05/21 11953 R10501OTN 12/01/20 Shared Systems Report of Medicare Summary Notice (MSN) Counts by Type 04/05/21 12039 R10500OTN 12/01/20 COBOL Version 6.2 Upgrade - Phased Implementation for Fiscal Intermediary Shared System (FISS) and Multi Carrier System (MCS) 01/04/21 11851
R10499OTN 12/01/20 COBOL Version 6.2 Upgrade - Phased Implementation for ViPS Medicare System (VMS) and the Common Working File (CWF) 01/04/21 11850 R10495OTN 11/24/20 ESRD Treatment Choices (ETC) Model Implementation: Home Dialysis Payment Adjustment (HDPA) & Waiver of the Kidney Disease Education (KDE) Benefit 01/04/21 12038 R10491OTN 11/25/20 Medicare Administrative Contractors (MACs) to Allow Medicare Diabetes Prevention Program (MDPP) Suppliers to Use the Same Centers for Disease Control (CDC) Organizational Codes 04/05/21 11931 R10486OTN 11/19/20 Updates to Nursing and Allied Health Education Medicare Advantage Payment Policies 12/14/20 11642 R10478OTN 11/20/20 Shared Systems Report of Medicare Summary Notice (MSN) Counts by Type 04/05/21 12039 R10475OTN 11/20/20 April 2021 Healthcare Common Procedure Coding System (HCPCS) Quarterly Update Reminder 04/05/21 12029
R10471OTN 11/20/20 Provide Systematic Auto- Inactivation of SuperOp Events for Related Entity Action Records (EARs) in ViPS Medicare System (VMS) - Implementation of User CR 11397 04/05/21 11890 R10470OTN 11/20/20 Implementation of Two (2) New NUBC Condition Codes. Condition Code “90”, “Service provided as Part of an Expanded Access Approval (EA)” and Condition Code “91”, “Service Provided as Part of an Emergency Use Authorization (EUA)” 02/22/21 12049 R10462OTN 11/13/20 Implementation of the Award for the Jurisdiction C Durable Medical Equipment Medicare Administrative Contractor (JC DME MAC) 01/04/21 11985 R10458OTN 11/13/20 Direct Mailing Notification to Hospice Providers Regarding the Hospice Benefit Component, Value-Based Insurance Design (VBID) Model, for Participating Medicare Advantage Organizations (MAOs) 12/06/20 12045 R10452OTN 11/06/20 Implementation of the Award for the Jurisdiction 6 Part A and Part B Medicare Administrative Contractor (J-6 A/B MAC) 11/12/20 11976 R10449OTN 11/06/20 Part A Opt Out Common Working File (CWF) Report 04/05/21 11993
R10446OTN 11/06/20 Viable Information Processing Systems (ViPS) Medicare Systems (VMS) Changes to Accommodate National Provider Identifier Associations 04/05/21 11990 R10432OTN 10/30/20 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--April 2021 12/16/20 12027 R10430OTN 10/30/20 ESRD Treatment Choices (ETC) Model Implementation: Home Dialysis Payment Adjustment (HDPA) & Waiver of the Kidney Disease Education (KDE) Benefit 01/04/21 12038 R10429OTN 10/30/20 Processing of Multiple Unsolicited Responses on the Same Home Health Claims 04/05/21 12021 R10424OTN 10/30/20 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for April 2021 04/05/21 11994 R10422OTN 10/30/20 Send Electronic Funds Transfer (EFT) Information from Provider Enrollment Chain and Ownership System (PECOS) to Multi-Carrier System (MCS) Phase 2 04/05/21 11987
R10417OTN 10/30/20 Update to the Fiscal Intermediary Shared System (FISS) Integrated Outpatient Code Editor (IOCE) Claim and Return Buffer Interface Changes 04/05/21 11953 R10412OTN 10/30/20 Special Provisions for Radiology Additional Documentation Requests 12/01/20 11659 R10409OTN 10/27/20 Utility to Reprocess Bypassed Common Working File (CWF) Informational Unsolicited Responses (IURs) 01/04/21 11637 R10395OTN 10/15/20 Implementation for First Coast Service Options (FCSO) and Novitas for the CMS Enterprise Identity Management OKTA/Saviynt Migration 01/15/21 11452 R10378OTN 09/29/20 Implementation of the Error Scenario for the Document Code File (DCF) and Data Element Format Revisions for Providers Participating in the Electronic Medical Documentation Requests (eMDR) via the Electronic Submission of Medical Documentation (esMD) System 10/05/20 11728
R10361OTN 09/17/20 Update to the Implementation of the Increased Payments for COVID-19 Discharges Under the Inpatient Prospective Payment System (IPPS) Under Section 3710 of the CARES Act 10/05/20 11925 R10352OTN 09/10/20 Updates to Bills Pending Reports to Assist Medicare Administrative Contractors (MACs) with Monthly Status Report (MSR) 01/04/21 11922 R10317OTN 08/21/20 Update to the International Classification of Diseases, Tenth Revision (ICD-10) Diagnosis Codes for Vaping Related Disorder and Diagnosis and Procedure Codes for the 2019 Novel Coronavirus (COVID-19) 04/06/20 11623 R10316OTN 08/21/20 Revision to the Cost Report Acceptability Checklists - This CR Rescinds and Fully Replaces CR 10920 12/31/20 11644 R10315OTN 08/21/20 Updates to Nursing and Allied Health Education Medicare Advantage Payment Policies 11/23/20 11642 R10302OTN 08/13/20 Shared System Enhancement 2018: Rewrite Fiscal Intermediary Shared System (FISS) module FSSB6001, Common Working File (CWF) Unsolicited Response Function 04/01/19 11010
R10301OTN 08/14/20 Updates to Bills Pending Reports to Assist Medicare Administrative Contractors (MACs) with Monthly Status Report (MSR) 01/04/21 11922 R10295OTN 08/14/20 Shared System Support Hours for Application Programming Interfaces (APIs) 01/04/21 11893 R10291OTN 08/06/20 Expand Retention of Claims History for Outpatient, Part B, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) to 5 years 10/05/20 11626 R10287OTN 08/07/20 User CR: ViPS Medicare System (VMS) - Enhancements to the Claim Edit Audit Trail Screen (BUDS05) 01/04/21 11649 R10286OTN 08/07/20 User CR: ViPS Medicare System (VMS) - Create a Beneficiary Record Submitted with Medicare Beneficiary Identifier (MBI) 01/04/21 11779 R10283OTN 08/07/20 COBOL Version 6.2 Upgrade - Phased Implementation for ViPS Medicare System (VMS) and the Common Working File (CWF) 01/04/21 11850
R10278OTN 08/07/20 Create a New Media Preference Indicator Custom Format and New eMedicare Correspondence Preference Indicator 01/04/21 11746 R10275OTN 08/07/20 Correction to Editing Update for Vaccine Services 01/04/21 11867 R10271OTN 08/07/20 Utility to Reprocess Bypassed Common Working File (CWF) Informational Unsolicited Responses (IURs) 01/04/21 11637 R10261OTN 07/31/20 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--January 2021 Update 08/31/20 11905 R10258OTN 07/31/20 Send Electronic Funds Transfer (EFT) Information from Provider Enrollment Chain and Ownership System (PECOS) to Multi-Carrier System (MCS) Phase 1 01/04/21 11873 R10252OTN 07/31/20 COBOL Version 6.2 Upgrade - Phased Implementation for Fiscal Intermediary Shared System (FISS) and Multi Carrier System (MCS) 01/04/21 11851
R10250OTN 07/31/20 Update the Combined Common Edits Module (CCEM) for Compatibility with JAVA Software Version 1.8 (also known as JAVA 8) 01/04/21 11848 R10248OTN 07/31/20 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for January 2021 01/04/21 11826 R10241OTN 07/31/20 Reason Code Updates for the 2020 Annual Therapy Current Procedural Terminology (CPT) Codes in Change Request (CR) 11501 01/04/21 11762 R10240OTN 07/31/20 IDR Shared Systems (IDRSS) Reference File Request for the Fiscal Intermediary Shared System (FISS) Adjustment Reason Codes 01/04/21 11639 R10231OTN 07/24/20 Addition of the QW modifier to Healthcare Common Procedure Coding System (HCPCS) code 87426 10/05/20 11927 R10223OTN 07/14/20 Medicare Appeals System (MAS) Enhanced Web Services for Part A Medicare Administrative Contractors 08/18/20 11786
R10212OTN 07/10/20 Reprocessing of Fiscal Year (FY) 2019 and 2020 Inpatient Prospective Payment System (IPPS) Claims for Certain Hospitals 08/25/20 11847 R10205OTN 07/01/20 New Point of Origin Code for Transfer From a Designated Disaster Alternate Care Site 08/03/20 11836 R10191OTN 06/19/20 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--July 2020 Update 03/24/20 11655 R10178OTN 06/12/20 New Point of Origin Code for Transfer From a Designated Disaster Alternate Care Site 07/06/20 11836 R10172OTN 06/12/20 Medicare Appeals System (MAS) Enhanced Web Services for Part A Medicare Administrative Contractors 07/13/20 11786 R10162OTN 05/27/20 COBOL Version 6.2 Upgrade - Additional Analysis and Phase I Implementation 10/05/20 11677
R10161OTN 05/26/20 Therapy Codes Update 06/16/20 11791 R10160OTN 05/22/20 Summary of Policies in the Calendar Year (CY) 2020 Medicare Physician Fee Schedule (MPFS) Public Health Emergency (PHE) Interim Final Rules 06/12/20 11895 R10155OTN 05/21/20 Provider Education for Required Prior Authorization (PA) of Hospital Outpatient Department (OPD) Services 06/17/20 11671 R10143OTN 05/14/20 Editing Update for Abdominal Aortic Aneurism and Screening Pap Smears and Pelvic Examinations 10/05/20 11504 R10139OTN 05/15/20 Therapy Codes Update 07/06/20 11791 R10119OTN 05/08/20 User Change Request (CR): Fiscal Intermediary Shared System (FISS) - Invalid User IDs on the Operator Control File 10/05/20 10758
R10118OTN 05/08/20 User CR: ViPS Medicare System (VMS) - Contractor Options Screen Contractor Options Screen (VMAP/1/1) Automation 10/05/20 11565 R10116OTN 05/08/20 Extension of Payment for Section 3712 of the Coronavirus Aid, Relief, and Economic Security Act (CARES Act) 10/05/20 11784 R10112OTN 05/08/20 Common Working File (CWF) to Medicare Beneficiary Database (MBD) Extract File Changes to send Hospice DOEBA, DOLBA dates and days used to support HIPAA Eligibility Transaction System (HETS) 10/05/20 11741 R10110OTN 05/08/20 Implement Error Tracking into the Recovery Audit Contractor (RAC) Data Warehouse (RACDW) Non-RAC Prepayment File Layout 10/05/20 11731 R10109OTN 05/08/20 Updates to Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) to Correct the Adjustment Process 10/05/20 11727 R10106OTN 05/08/20 User Change Request (UCR): Implementation Requirements for Analysis UCR 10766 - Reduce Unmailable Medicare Summary Notices (uMSNs) Created in the Fiscal Intermediary Shared System 10/05/20 11669
R10105OTN 05/08/20 User CR: ViPS Medicare System (VMS) - Update Waiver of Liability Claim Edits 6142 and 6143 10/05/20 11646 R10104OTN 05/08/20 Expand Retention of Claims History for Outpatient, Part B, and Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) to 5 years 10/05/20 11626 R10103OTN 05/08/20 Editing Update for Abdominal Aortic Aneurism and Screening Pap Smears and Pelvic Examinations 10/05/20 11504 R10102OTN 05/08/20 User Change Request (CR): Fiscal Intermediary Shared System (FISS) - Operator Control File Enhancement for Online Parm Access 10/05/20 10767 R10019OTN 05/07/20 Payment Change for Wheelchair Accessories and Seat and Back Cushions used with Complex Rehabilitative Manual Wheelchairs and Certain Manual Wheelchairs under Section 106 of the Further Consolidated Appropriations Act, 2020 07/06/20 11635 R10095OTN 04/30/20 Updates to Ensure the Original 1-Day and 3-Day Payment Window Edits are Consistent With Current Policy 07/06/20 11559
R10094OTN 04/29/20 Implementation for First Coast Service Options (FCSO) and Novitas for the CMS Enterprise Identity Management OKTA/Saviynt Migration 01/04/21 11452 R10092OTN 05/01/20 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--October 2020 Update 06/01/20 11749 R10091OTN 05/01/20 Systematic Updating of the Spanish Medicare Summary Notice (MSN) Short Descriptors 10/05/20 11748 R10089OTN 05/01/20 Implementation of the Error Scenario for the Document Code File (DCF) and Data Element Format Revisions for Providers Participating in the Electronic Medical Documentation Requests (eMDR) via the Electronic Submission of Medical Documentation (esMD) System 10/05/20 11728 R10083OTN 05/01/20 Update to Medicare Shared Savings Program (SSP) Skilled Nursing Facility (SNF) Affiliates' Requirement to Include Demonstration Code 77 on SNF Waiver Claims 10/05/20 11714
R10078OTN 05/01/20 Additional Coordination of Benefits (COB) Workload Numbers Added to the Medicare Part B Contractor Reporting Operational Workload Data (CROWD) Table for Purposes of Identifying Medicare Secondary Payer (MSP) Part B Recovery Savings for the Benefits Coordination and Recovery Center (BCRC) and the Commercial Repayment Center (CRC) Contractors 10/05/20 11690 R10077OTN 05/01/20 Coding Support for Secure Destruction Program Implemented in Change Request (CR) 11363 10/05/20 11682 R10076OTN 05/01/20 COBOL Version 6.2 Upgrade - Additional Analysis and Phase I Implementation 10/05/20 11677 R10066OTN 04/24/20 Addition of the QW modifier to Healthcare Common Procedure Coding System (HCPCS) code U0002 and 87635 05/08/20 11765 R10065OTN 04/23/20 Fiscal Intermediary Shared System (FISS) Enhancement of PC Print Billing Software 07/01/19 11070
R10061OTN 04/24/20 Provider Education for Required Prior Authorization (PA) of Hospital Outpatient Department (OPD) Services 05/26/20 11671 R10055OTN 04/17/20 Implementation of the Award for the Jurisdiction 5 Part A and Part B Medicare Administrative Contractor (J-5 A/B MAC) 03/01/20 11555 R10043OTN 04/09/20 Implementation of Additional Requirement to add Healthcare Common Procedure Coding System (HCPC) and Current Procedural Terminology (CPT) - HCPC/CPT as Paired Items of Service for Prior Authorization and Medicare Claims Processing for Part A and Home Health and Hospice 07/06/20 11516 R10034OTN 04/03/20 Fiscal Intermediary Shared System (FISS) Enhancement of PC Print Billing Software 07/01/19 11070 R10032OTN 04/03/20 User CR: ViPS Medicare System (VMS) Report Daily Edit Receipts 07/06/20 11315 R10029OTN 04/01/20 Update to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for Vaping Related Disorder and 2019 Novel Coronavirus (COVID-19) 04/06/20 11623
R10025OTN 04/01/20 Update to the Home Health Grouper for New Diagnosis Codes for Vaping Related Disorder and COVID-19. 04/06/20 11656 R10024OTN 04/01/20 Second Update to CR 11152 Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) 07/06/20 11632 R10021OTN 03/27/20 Implementation of Additional Requirement to add Healthcare Common Procedure Coding System (HCPC) and Current Procedural Terminology (CPT) - HCPC/CPT as Paired Items of Service for Prior Authorization and Medicare Claims Processing for Part A, Part B, DME, and Home Health and Hospice 07/06/20 11516 R10018OTN 03/26/20 Shared System Enhancement 2018: Rewrite Fiscal Intermediary Shared System (FISS) module FSSB6001, Common Working File (CWF) Unsolicited Response Function 04/01/19 11010 R2444OTN 03/13/20 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2018 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs) 04/13/20 11679
R2443OTN 03/13/20 Schedule and Policies for Termination of the Rural Community Hospital Demonstration 06/12/20 11674 R2439OTN 02/21/20 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--July 2020 Update 03/24/20 11655 R2438OTN 02/21/20 Implementation of Additional Requirement to add Healthcare Common Procedure Coding System (HCPC) and Current Procedural Terminology (CPT) - HCPC/CPT as Paired Items of Service for Prior Authorization and Medicare Claims Processing for Part A, Part B, DME, and Home Health and Hospice 07/06/20 11516 R2437OTN 02/14/20 User CR: ViPS Medicare System (VMS) Report Daily Edit Receipts 07/06/20 11315 R2436OTN 02/14/20 User CR: ViPS Medicare System (VMS) Analysis and Design to Create Auto- Inactivation Utility for SuperOp 07/06/20 11397
R2435OTN 02/14/20 User CR: ViPS Medicare System (VMS) Analysis and Redesign of SuperOp Claim Counter Functionality 07/06/20 11558 R2434OTN 02/13/20 Implementation for First Coast Service Options (FCSO) and Novitas for the CMS Enterprise Identity Management OKTA/Saviynt Migration 04/06/20 11452 R2433OTN 02/07/20 Update to the Home Health Grouper for New Diagnosis Code for Vaping Related Disorder 07/06/20 11656 R2431OTN 02/07/20 Second Update to CR 11152 Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) 07/06/20 11632 R2430OTN 02/07/20 Update to the Fiscal Intermediary Shared System (FISS) Integrated Outpatient Code Editor (IOCE) Claim Return Buffer 07/06/20 11569 R2429OTN 02/07/20 Updates to Ensure the Original 1-Day and 3-Day Payment Window Edits are Consistent with Current Policy 07/06/20 11559
R2428OTN 02/07/20 Multi-Carrier System (MCS) Financial Changes for Combining Pay Alone Payments in the Healthcare General Ledger Accounting System (HIGLAS) Payment Sets 07/06/20 11522 R2427OTN 02/04/20 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--April 2020 Update 12/18/19 11491 R2426OTN 01/31/20 Update to the International Classification of Diseases, Tenth Revision, Clinical Modification (ICD-10-CM) for Vaping Related Disorder 04/06/20 11623 R2425OTN 01/31/20 Implementation of Usage of the K3 Segment for Reporting Line Level Ordering Provider on Institutional Claims for Advanced Diagnostic Imaging 07/06/20 11571 R2424OTN 01/31/20 Analysis of the Combined Common Edits Module (CCEM) for compatibility with JAVA Software Version 1.8 (also known as JAVA 8) 07/06/20 11604 R2422OTN 01/22/20 Add Dates of Service (DOS) for Pneumococcal Pneumonia Vaccination (PPV) Health Care Procedure Code System (HCPCS) Codes (90670, 90732), and remove Next eligible dates for PPV HCPCS 04/06/20 11335
R2421OTN 01/16/20 User Change Request (CR) - Adjustment Reason Code to Identify Office of the Inspector General (OIG) Initiated Overpayments and Healthcare Integrated General Ledger Accounting System (HIGLAS) Demand Letter Verbiage 04/06/20 10787 R2420OTN 01/16/20 Implementation to Adopt the Document Codes into the Post- Pay Electronic Medical Documentation Requests (eMDR) to Participating Providers via the Electronic Submission of Medical Documentation (esMD) System 04/06/20 11474 R2419OTN 01/15/20 Implementation to Send Pre- Pay Electronic Medical Documentation Requests (eMDR) to Participating Providers via the Electronic Submission of Medical Documentation (esMD) System 10/07/19 11141 R2418OTN 01/15/20 Implementation to Accept Document Codes and Include Appropriate Document Code(s) in the Pre-Pay Electronic Medical Documentation Requests (eMDR) to Participating Providers, via the Electronic Submission of Medical Documentation (esMD) System 04/06/20 11473 R2417OTN 01/10/20 Implementation to Send Post- Pay Electronic Medical Documentation Requests (eMDR) to Participating Providers via the Electronic Submission of Medical Documentation (esMD) System 10/07/19 11142
R2416OTN 01/08/20 User CR: ViPS Medicare System (VMS) - Increase Edit Code Maximum 04/06/20 11398 R2415OTN 01/03/20 Updates to Bills Pending Report for the Fiscal Intermediary Shared System (FISS) 04/06/20 11404 R2414OTN 01/03/20 ViPS Medicare System (VMS) Online and Print Reporting of Automated Claims Examination System (ACES) Statistics 04/06/20 11521 R2413OTN 01/03/20 New State Codes for California, Kentucky and West Virginia 04/06/20 11600 R2412OTN 12/31/19 Expand Narrative File Message Number Range Implementation 07/01/19 11156 R2409OTN 12/20/19 Medicare Shared Savings Program (SSP) Skilled Nursing Facility (SNF) Affiliates' Updated Qualifying Stay Edits 04/06/20 11511
R2408OTN 12/12/19 Add Dates of Service (DOS) for Pneumococcal Pneumonia Vaccination (PPV) Health Care Procedure Code System (HCPCS) Codes (90670, 90732), and remove Next eligible dates for PPV HCPCS. 04/06/20 11335 R2407OTN 12/13/19 User Change Request: Enhancement to Update Electronic Funds Transfer (EFT) Process 04/06/20 10770 R2406OTN 12/10/19 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for January 2020 01/06/20 11341 R2405OTN 12/06/19 Expand Other Amounts Indicator to Carry Additional Values 01/06/20 11387 R2404OTN 12/06/19 Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging – Educational and Operations Testing Period - Claims Processing Requirements 01/06/20 11268 R2403OTN 11/27/19 Automation of Part B Underpayment Processing of Recovery Audit Contractor (RAC) Adjustments 01/06/20 11285
R2402OTN 11/27/19 Implementation to Adopt the Document Codes into the Post- Pay Electronic Medical Documentation Requests (eMDR) to Participating Providers via the Electronic Submission of Medical Documentation (esMD) System 04/06/20 11474 R2401OTN 11/22/19 Fiscal Intermediary Shared System (FISS) Reason Code Reports to Show Status for Active Reason Codes 04/06/20 11458 R2399OTN 11/22/19 User CR: ViPS Medicare System (VMS) Update to the Automated Paperless Exception System (APEX) Selection Process 04/06/20 11235 R2398OTN 11/22/19 Updates to Bills Pending Report for the Fiscal Intermediary Shared System (FISS) 04/06/20 11404 R2397OTN 11/15/19 User CR: ViPS Medicare System (VMS) Updates to Entry Code (VEC9) Processing 04/06/20 11234 R2396OTN 11/15/19 Create a New Standalone Health Insurance Master Record (HIMR) Application - Analysis Only 04/06/20 11552
R2395OTN 11/15/19 Implementation to Accept Document Codes and Include Appropriate Document Code(s) in the Pre-Pay Electronic Medical Documentation Requests (eMDR) to Participating Providers, via the Electronic Submission of Medical Documentation (esMD) System 04/06/20 11473 R2394OTN 11/15/19 Updating Fiscal Intermediary Shared System (FISS) Editing for Practice Locations to Bypass Mobile Facility and/or Portable Units and Services Rendered in the Patient's Home 04/06/20 11470 R2393OTN 11/15/19 Mobile Personal Identity Verification (PIV) Station Installation 12/02/19 11539 R2392OTN 11/08/19 Refinement of the Transitional Drug Add-on Payment Adjustment (TDAPA) 04/06/20 11514 R2390OTN 11/08/19 Enhance Maximum Claim Counter for Edits and Audits - Implementation 04/06/20 11469 R2389OTN 11/08/19 User CR: ViPS Medicare System (VMS) Increase Number of SuperOp Occurrences within a Value Set 04/06/20 11306
R2388OTN 11/0819 User Change Request (CR) - Adjustment Reason Code to Identify Office of the Inspector General (OIG) Initiated Overpayments and Healthcare Integrated General Ledger Accounting System (HIGLAS) Demand Letter Verbiage 04/06/20 10787 R2387OTN 11/08/2019 Positron Emission Tomography (PET) Scan - Allow Tracer Codes Q9982 and Q9983 in the Fiscal Intermediary Shared System (FISS) 04/06/20 11537 R2386OTN 11/08/19 ViPS Medicare System (VMS) Online and Print Reporting of Automated Claims Examination System (ACES) Statistics 04/06/20 11521 R2385OTN 11/08/19 Medicare Shared Savings Program (SSP) Skilled Nursing Facility (SNF) Affiliates' Updated Qualifying Stay Edits 04/06/20 11511 R2384OTN 11/08/2019 User CR: ViPS Medicare System (VMS) - Increase Edit Code Maximum 04/06/20 11398 R2383OTN 11/08/19 User Change Request: Fiscal Intermediary Shared System (FISS) - Hook Option for National Provider Identifier (NPI) Does Not Select Claims 04/06/20 10769
R2382OTN 11/01/19 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--April 2020 Update 12/18/19 11491 R2381OTN 11/01/19 Addition of Medical Severity Diagnosis Related Groups (MS-DRG) Subject to Inpatient Prospective Payment System (IPPS) Replaced Devices Offered Without Cost or With a Credit Policy 04/06/20 11508 R2380OTN 11/01/19 Editing Update for Vaccine Services 04/06/20 11492 R2379OTN 11/01/19 Updates to CR 11152 Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) 04/06/20 11513 R2377OTN 11/01/19 User Change Request: Analysis for Medicare Summary Notices (MSNs) without Beneficiary Address after Finalist 12/03/19 10766 R2376OTN 10/23/19 User CR: MCS - Updates to Beneficiary Deliverable Logic for Internal/Clerk Duplicate Medicare Summary Notices (MSNs) and Temporary Addresses 01/06/20 10660
R2375OTN 10/18/19 Advanced Provider Screening (APS) Phase 2 Go-Live 11/18/19 11174 R2374OTN 10/18/19 Updating Calendar Year (CY) 2020 Medicare Diabetes Prevention Program (MDPP) Payment Rates 01/06/20 11455 R2373OTN 10/10/19 Home Health Orders for Nurse Practitioners under the Maryland Total Cost of Care (TCOC) Model 01/06/20 11330 R2372OTN 10/11/19 Add Dates of Service (DOS) for Pneumococcal Pneumonia Vaccination (PPV) Health Care Procedure Code System (HCPCS) Codes (90670, 90732), and remove Next eligible dates for PPV HCPCS. 04/06/20 11335 R2371OTN 10/09/19 New Overpayment Field Established within the ViPS Medicare System (VMS) for Healthcare Integrated General Ledger Accounting System (HIGLAS) Reporting 10/07/19 11297 R2370OTN 10/08/19 Integrated Data Repository (IDR) Weekly Scheduled Full Provider Master File Extracts 01/06/20 11299
R2369OTN 10/04/19 Implementation for First Coast Service Options (FCSO) and Novitas for the CMS Enterprise Identity Management OKTA/Saviynt Migration 03/31/20 11452 R2368OTN 10/04/19 Reconciliation Effort Between Shared Systems and Provider Enrollment Chain and Ownership System (PECOS) 11/05/19 11427 R2367OTN 10/03/19 Integrated Data Repository (IDR) Weekly Scheduled Full Provider Master File Extracts 01/06/20 11299 R2366OTN 10/03/19 Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) 07/01/19 11152 R2365OTN 09/27/19 Discontinuing the Erythropoietin Stimulating Agent (ESA) Monitoring Policy System Edits under the End Stage Renal Dialysis Prospective Payment System (ESRD PPS) 01/06/20 11244 R2364OTN 09/25/19 User Change Request: Fiscal Intermediary Standard System (FISS) - Autopopulate the Line Item User Action Code for Hard Coded 59XXX Reason Codes 01/06/20 11382
R2363OTN 09/25/19 Instructions Relating to the Self-Disallowance Requirement for Determining Jurisdiction over Appeals 03/08/19 10912 R2362OTN 09/19/19 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--January 2020 Update 01/06/20 11392 R2361OTN 09/10/19 Solutions to the Medicare Administrative Contractor (MAC) Prepayment Review Reports 01/06/20 11326 R2360OTN 09/06/19 Integrated Data Repository (IDR) Weekly Scheduled Full Provider Master File Extracts 01/06/20 11299 R2359OTN 09/05/19 User CR: ViPS Medicare System (VMS) Changes to Provide Cross Copy Functionality for Multiple SuperOp Events and Value Sets 01/06/20 10890 R2358OTN 09/06/19 Implementation of the Award for the Jurisdiction H Part A and Part B Medicare Administrative Contractor (JH A/B MAC) 09/30/19 11421
R2357OTN 09/06/19 Additional Instructions to Hospitals on the Election of a Medicare-Supplemental Security Income (SSI) Component of the Disproportionate Share (DSH) Payment Adjustment for Cost Reports that Involve SSI Ratios for Fiscal Year (FY) 2004 and Earlier, or SSI Ratios for Hospital Cost-Reporting Periods for Patient Discharges Occurring Before October 1, 2004 12/09/19 10484 R2356OTN 08/30/19 Utilizing Data from the USPS Secure Destruction Program to Suppress Mailing Medicare Summary Notices (MSNs) to Undeliverable Addresses: Implementation by All MACs - This CR Rescinds and Fully Replaces CR 11075. 01/06/20 11363 R2355OTN 08/28/19 Implementation to Send Post- Pay Electronic Medical Documentation Requests (eMDR) to Participating Providers via the Electronic Submission of Medical Documentation (esMD) System 10/07/19 11142 R2354OTN 08/30/19 Utilizing the Blank Page on Odd-Numbered Medicare Summary Notices to Promote CMS Priorities: All MACs - This CR Rescinds and Fully Replaces CR 11140. 01/06/20 11364 R2353OTN 08/16/19 User CR: MCS - Updates to Beneficiary Deliverable Logic for Internal/Clerk Duplicate Medicare Summary Notices (MSNs) and Temporary Addresses 01/06/20 10660
R2352OTN 08/16/19 User Change Request: Fiscal Intermediary Standard System - Online PARM 6L Line Numbers 01/06/20 10755 R2351OTN 08/16/19 User Change Request: Fiscal Intermediary Standard System (FISS) - Wage Index for End Stage Renal Disease (ESRD) Providers Incorrect on MAP1C15 01/06/20 11382 R2350OTN 08/16/19 User Change Request: Fiscal Intermediary Standard System (FISS) - Autopopulate the Line Item User Action Code for Hard Coded 59XXX Reason Codes 01/06/20 11382 R2349OTN 08/09/19 Solutions to the Medicare Administrative Contractor (MAC) Prepayment Review Reports 01/06/20 11326 R2348OTN 08/09/19 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs)--January 2020 Update 01/06/20 11392 R2347OTN 08/09/19 User CR: ViPS Medicare System (VMS) to Report Claims Paid Outside of CWF 01/06/20 11305
R2346OTN 08/09/19 User Change Request (CR): Fiscal Intermediary Shared System (FISS) - Add Tape Flags W, T, and O to the 6H Status Location (SLOC) Function 01/06/20 10765 R2345OTN 08/09/19 Integrated Data Repository (IDR) Weekly Scheduled Full Provider Master File (PMF) Extracts 01/06/20 11299 R2344OTN 08/09/19 User Change Request: FISS - Bypass 38021 for New Patient Discharge Status 01/06/20 10772 R2343OTN 08/09/19 Expand Other Amounts Indicator to Carry Additional Values 01/06/20 11387 R2342OTN 08/09/19 Supplemental to Change Request (CR) 10829 Medicare Appeals System (MAS) Data Collection Web Services Pilot (DCP) Additional Appeals Reporting Requirements for the Pilot Jurisdictions (JD and J15) 11/12/19 11376 R2341OTN 08/09/19 Shared System Enhancement 2018: Minimize Data Elements on Daily Extracts to Medicare Beneficiary Database (MBD) and Next Generation Desktop (NGD) 01/06/20 11324
R2340OTN 08/09/19 User Change Request: Fiscal Intermediary Standard System (FISS) - SC10 File Fix Utility Enhancement 01/06/20 10774 R2339OTN 08/09/19 User CR: ViPS Medicare System (VMS) Changes to Provide Cross Copy Functionality for Multiple SuperOp Events and Value Sets 01/06/20 10890 R2338OTN 08/09/19 Bypassing Payment Window Edits for Donor Post-Kidney Transplant Complication Services 01/06/20 11312 R2337OTN 08/09/19 User CR: MCS - Enhance CA Screen to Display Initial Transactions on an Adjustment 01/06/20 10662 R2336OTN 08/09/19 User CR: ViPS Medicare System (VMS) changes for Auto-Removal of Certificates of Medical Necessity (CMNs) associated with Super-Deleted Initial CMNs 01/06/20 11145 R2335OTN 08/02/19 Instructions for Use of Informational Remittance Advice Remark Code Alert on Laboratory Service Remittance Advices 01/06/20 11369
R2334OTN 08/02/19 Technical Change: Modification to Durable Medical Equipment (DME) Claims Cancellation Process 01/06/20 11379 R2333OTN 08/02/19 Update Encounter Data Version of Combined Common Edit Module (CCEM) to Use Receipt Date 01/06/20 11365 R2332OTN 08/02/19 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for January 2020 01/06/20 11341 R2331OTN 08/02/19 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 01/06/20 11307 R2330OTN 08/02/19 Medicare Shared Savings Program (SSP) Skilled Nursing Facility (SNF) Affiliates' Requirement to Include Demonstration Code 77 on SNF Waiver Claims 01/06/20 11290 R2329OTN 08/02/19 Automation of Part B Underpayment Processing of Recovery Audit Contractor (RAC) Adjustments 01/06/20 11285
R2326OTN 07/31/19 Oxygen Policy Update 01/07/19 10837 R2325OTN 07/24/19 Implementation to Send Post- Pay Electronic Medical Documentation Requests (eMDR) to Participating Providers via the Electronic Submission of Medical Documentation (esMD) System 10/07/19 11142 R2324OTN 07/24/19 Implementation to Send Pre- Pay Electronic Medical Documentation Requests (eMDR) to Participating Providers via the Electronic Submission of Medical Documentation (esMD) System 10/07/19 11141 R2323OTN 07/26/19 Appropriate Use Criteria (AUC) for Advanced Diagnostic Imaging – Educational and Operations Testing Period - Claims Processing Requirements 01/06/20 11268 R2322OTN 07/18/19 Possible Use of Session Initiation Protocol (SIP) at Medicare Administrative Contractors (MACs) - Analysis Only 07/25/19 10971 R2321OTN 07/12/19 Fee For Service (FFS) Applications Upgrade Customer Information Control System (CICS) to Transaction Server (TS) v5.4 and Liberty Profile Functionality 01/06/20 11162
R2320OTN 07/08/19 FISS Integrated Outpatient Code Editor (IOCE) Claim Return Buffer Interface Changes Related to New Return Code Field Updates 10/07/19 11183 R2319OTN 07/05/19 Implementation to Send Pre- Pay Electronic Medical Documentation Requests (eMDR) to Participating Providers via the Electronic Submission of Medical Documentation (esMD) System 10/07/19 11141 R2318OTN 07/03/19 New Bills Pending Reports to Assist Medicare Administrative Contractors (MACs) with Monthly Status Report (MSR) 10/07/19 11257 R2317OTN 06/28/19 Possible Use of Session Initiation Protocol (SIP) at Medicare Administrative Contractors (MACs) 07/30/19 11308 R2316OTN 06/25/19 Fiscal Intermediary Shared System (FISS) Enhancement of PC Print Billing Software 07/01/19 11070 R2315OTN 06/14/19 Mobile Personal Identity Verification (PIV) Station Pilot Project 07/16/19 11304
R2313OTN 06/10/19 FISS Integrated Outpatient Code Editor (IOCE) Claim Return Buffer Interface Changes Related to New Return Code Field Updates 10/07/19 11183 R2311OTN 05/24/19 New Bills Pending Reports to Assist Medicare Administrative Contractors (MACs) with Monthly Status Report (MSR) 10/07/19 11257 R2310OTN 05/17/19 Viable Information Processing Systems (ViPS) Medicare Systems (VMS) Changes to Accommodate National Provider Identifier Associations Analysis and Development 07/01/19 11096 R2309OTN 05/17/19 New Overpayment Field Established within the ViPS Medicare System (VMS) for Healthcare Integrated General Ledger Accounting System (HIGLAS) Reporting 10/07/19 11297 R2308OTN 05/15/19 New CWF Edit for Part A Outpatient Medicare Advantage (MA), Health Maintenance Organization (HMO) 01/07/19 10813 R2307OTN 05/17/19 Additional Processing Instructions to Update the Standard Paper Remit (SPR) 10/07/19 11289
R2306OTN 05/09/19 Analysis for First Coast Service Options (FCSO) and Novitas for the CMS Enterprise Identity Management OKTA/Saviynt Migration 01/15/19 10791 R2305OTN 05/10/19 Implementation to Send Post- Pay Electronic Medical Documentation Requests (eMDR) to Participating Providers via the Electronic Submission of Medical Documentation (esMD) System 10/07/19 11142 R2304OTN 05/10/19 Automatic Transmission of the Prepayment File to the Recovery Audit Contractor (RAC) Data Warehouse (DW) 10/07/19 11256 R2303OTN 05/09/19 Shared System Enhancement 2018: Rewrite Fiscal Intermediary Shared System (FISS) module FSSB6001, Common Working File (CWF) Unsolicited Response Function 04/01/19 11010 R2302OTN 05/10/19 Implementation to Send Pre- Pay Electronic Medical Documentation Requests (eMDR) to Participating Providers via the Electronic Submission of Medical Documentation (esMD) System 10/07/19 11141 R2301OTN 05/10/19 User CR: MCS - Update the RB55 Job to Include Processing of Additional Fields on the Procedure Code File 10/07/19 10652
R2300OTN 05/10/19 Reporting the Patient Relationship Categories and Codes 08/12/19 11259 R2299OTN 05/03/19 Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) 07/01/19 11152 R2298OTN 05/03/19 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs) 10/07/19 11229 R2297OTN 05/03/19 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 10/07/19 11209 R2296OTN 05/03/19 Updating Fiscal Intermediary Shared System (FISS) for Pricing Drugs at Different Rates Depending on Provider Type 10/07/19 11199 R2295OTN 05/03/19 Archiving and Retrieving of the Integrated Outpatient Code Editor (I/OCE) for Processing Claims 10/07/19 11196
R2294OTN 05/03/19 FISS Integrated Outpatient Code Editor (IOCE) Claim Return Buffer Interface Changes Related to New Return Code Field Updates 10/07/19 11183 R2293OTN 05/03/19 Systems Changes to Allow IPPS-Excluded Hospitals to Operate IPPS-Excluded Units 10/07/19 11173 R2292OTN 05/03/19 User CR: FISS - Analysis Only - Enhancement to Allow MACs to Copy VSAM Files from One Region to Another to Reduce File Maintenance 10/07/19 11018 R2291OTN 05/03/19 User CR: FISS - Expand Number of Archived Claims That May Be Retrieved per Cycle 10/07/19 10764 R2290OTN 05/03/19 User CR: ViPS Medicare System (VMS) - New Standard Paper Remittance (SPR) Files for Use on Durable Medical Equipment Medicare Administrative Contractors (DME MAC) Web Portals 10/07/19 10722 R2289OTN 05/03/19 User CR: FISS Update RPTMEDR1 to Provide Medical Policy Parameters (MPP) Status 10/07/19 10538
R2288OTN 05/03/19 User CR: FISS - Develop Enhanced Claims Search Reporting in FISS - Phase 2 10/07/19 10534 R2287OTN 05/03/19 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for October 2019 10/07/19 11238 R2285OTN 05/03/19 Common Working File (CWF) to Medicare Beneficiary Database (MBD) Extract File Changes to send all Hospice periods to Support HIPAA Eligibility Transaction System (HETS) 10/07/19 11277 R2280OTN 04/19/19 MAC Reporting of Issuance of Compliance Letters to Specific Providers and Suppliers Regarding Inappropriate Billing of Qualified Medicare Beneficiaries (QMBs) for Medicare Cost-Sharing 06/21/19 11250 R2279OTN 04/12/19 Direct Mailing Notification to the Medicare Administrative Contractors (MACs) Regarding Clinical Laboratory Fee Schedule (CLFS) 05/03/19 11271 R2276OTN 04/05/19 Update to Claim Processing Logic to Allow 53 Automated Development System (ADS) Messages (Three Header and 50 Claim Lines) 10/07/19 11164
R2275OTN 04/05/19 User CR: MCS - Add Date to NU Screen for Health Insurance Claim Number (HICN) Changes 10/07/19 10689 R2273OTN 03/29/19 Revision to the Cost Report Acceptability Checklists 07/01/19 10920 R2271OTN 03/29/19 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2017 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs) 04/29/19 11187 R2270OTN 03/13/19 Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) 07/01/19 11152 R2269OTN 03/07/19 User CR: MCS - Health Professional Shortage Area (HPSA) No Pay Remittances Should Not Be Sent for Do Not Forward (DNF) Provider 07/01/19 10656 R2268OTN 03/08/19 Instructions Relating to the Self-Disallowance Requirement for Determining Jurisdiction over Appeals 04/08/19 10912
R2267OTN 03/06/19 New State Code for CA, FL, LA, MI, MS, OH, PA, TN and TX 04/22/19 11065 R2266OTN 02/28/19 Revising the Remittance Advice Messaging for the 20- Hour Weekly Minimum for Partial Hospitalization Program (PHP) Services 07/01/19 11066 R2265OTN 02/25/19 Revising the Remittance Advice Messaging for the 20- Hour Weekly Minimum for Partial Hospitalization Program (PHP) Services 07/01/19 11066 R2264OTN 02/21/19 Implementation to Exchange the list of Electronic Medical Documentation Requests (eMDR) for Registered Providers via the Electronic Submission of Medical Documentation (esMD) System 07/01/19 11003 R2263OTN 02/22/19 Implementation of the Award for the Jurisdiction 8 (J-8) Part A and Part B Medicare Administrative Contractor (J8 A/B MAC) 03/01/19 11153 R2262OTN 02/21/19 Ensuring Organ Acquisition Charges Are Not Included in the Inpatient Prospective Payment System (IPPS) Payment Calculation 07/01/19 11087
R2261OTN 02/13/19 Direct Mailing Notification to MACs Regarding Addressing the Opioid Crisis 02/28/19 11069 R2260OTN 02/15/19 User CR: MCS - Add MSP Confirmed Flag and Cost Avoid to History Screen, IDR, and other Files 07/01/19 10669 R2259OTN 02/15/19 Modification of the MCS Claims Processing System Logic for Modifier 59, XE, XS, XP, and XU Involving the National Correct Coding Initiative (NCCI) Procedure to Procedure (PTP) Column One and Column Two Codes 07/01/19 11168 R2258OTN 02/15/19 User CR: MCS - Display Region on Select MCS Screens 07/01/19 10657 R2257OTN 02/15/19 User CR: MCS - Health Professional Shortage Area (HPSA) No Pay Remittances Should Not Be Sent for Do Not Forward (DNF) Provide 07/01/19 10656 R2255OTN 02/08/19 Shared System Enhancement 2018: Rewrite Fiscal Intermediary Shared System (FISS) module FSSB6001, Common Working File (CWF) Unsolicited Response Function 04/01/19 11010
R2253OTN 02/08/19 Implementation of Additional Contact with Providers in the Event of a Rejected Cost Report Filing 03/12/19 10919 R2252OTN 02/08/19 Implementation of the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) 07/01/19 11152 R2251OTN 02/08/19 Utilizing the Blank Page on Odd-Numbered Medicare Summary Notices to Promote CMS Priorities 04/01/19 11140 R2250OTN 02/01/19 ViPS Medicare System (VMS) changes to the IC4301 - RAC Reopenings and Appeals Tracking Report to Display the Current Appeal Level 07/01/19 10646 R2249OTN 02/01/19 Analysis on Systems to use Documentation Code References in Additional Documentation Request (ADR) Letters and to Include Non- Medical ADRs for Electronic Medical Documentation Requests (eMDRs) via the Electronic Submission of Medical Documentation (esMD) System 07/01/19 11139
R2248OTN 02/01/19 Implementation to Exchange the list of Electronic Medical Documentation Requests (eMDR) for Registered Providers via the Electronic Submission of Medical Documentation (esMD) System 07/01/19 11003 R2247OTN 02/01/19 Analysis Call to Discuss Multi- Carrier System (MCS) Limitation When Quantity Allowed is Greater Than Quantity Billed 07/01/19 11149 R2246OTN 02/01/19 Expand Narrative File Message Number Range Implementation 070/01/19 11156 R2245OTN 02/01/19 Processing Instructions to Update the Standard Paper Remit (SPR) 07/01/19 11112 R2244OTN 02/01/19 Multi-Carrier System (MCS) Analysis Change Request (CR) to create Application Program Interfaces (APIs) for Letter Writing 07/01/19 11154 R2243OTN 02/01/19 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs) 07/01/19 11134
R2241OTN 01/29/19 Enhancing the Verification Process of Common Working File (CWF) Part A Provider Inquiries 04/01/19 10983 R2240OTN 01/25/19 User CR: MCS - Print Report Edit/Audit and PJ/PL/PM Set- Up PJ/PL or PL/PM 07/01/19 10659 R2239OTN 01/24/19 Targeted Probe and Educate 10/01/17 10249 R2238OTN 01/25/19 Reduce/Eliminate Screen- Scraping for Shared Systems by Creating Transaction-based Access to Common Working File (CWF) Beneficiary Data - Analysis and Design 07/01/19 11133 R2237OTN 01/25/19 Viable Information Processing Systems (ViPS) Medicare Systems (VMS) Changes to Accommodate National Provider Identifier Associations Analysis and Development 07/01/19 11096 R2235OTN 01/25/19 Ensuring Organ Acquisition Charges Are Not Included in the Inpatient Prospective Payment System (IPPS) Payment Calculation 07/01/19 11087
R2234OTN 01/25/19 Utilizing Data from the USPS Secure Destruction Program to Suppress Mailing Medicare Summary Notices (MSNs) to Undeliverable Addresses 04/01/19 11075 R2233OTN 01/25/19 Shared System Enhancement 2018: Automate Health Insurance Master Record (HIMR) Lookup Within Common Working File (CWF) 07/01/19 11095 R2232OTN 01/25/19 Revising the Remittance Advice Messaging for the 20- Hour Weekly Minimum for Partial Hospitalization Program (PHP) Services 07/01/19 11066 R2231OTN 01/25/19 Processing Veterans Administration (VA) Inpatient Claims Exempt from Present on Admission (POA) Reporting 07/01/19 11053 R2230OTN 01/25/19 Removal of Quality Programs from the Medicare Physician Fee Schedule (MPFS) Disclosure Report 07/10/19 11119 R2229OTN 01/25/19 Lock the Claim Term Date on File 41 - Analysis Only 07/01/19 11107
R2228OTN 01/25/19 Fiscal Intermediary Shared System (FISS) Enhancement of PC Print Billing Software 07/01/19 11070 R2227OTN 01/25/19 New State Code for CA, FL, LA, MI, MS, OH, PA, TN and TX 07/01/19 11065 R2226OTN 01/25/19 Synchronize the Common Working File (CWF) and Enrollment Data Base (EDB) Entitlement Data 07/01/19 11052 R2224OTN 01/22/19 ViPS Medicare System (VMS) Prepayment Review File 04/01/19 10461 R2223OTN 01/18/19 Multi-Carrier System (MCS) Prepayment Review File 04/01/19 10460 R2222OTN 01/18/19 Update to the Medicare Fee- For-Service (FFS) Companion Guides 03/01/19 11131
R2221OTN 01/18/19 Fiscal Intermediary Standard System (FISS) Prepayment Review Report 04/01/19 10414 R2220OTN 01/11/2019 Direct Mailing Notification to MACs Regarding Addressing the Opioid Crisis 02/15/19 11069 R2219OTN 01/11/2019 Shared System Enhancement 2018: Enhance Common Working File (CWF) Internal Testing Facility (ITF) Response Records 04/01/19 10974 R2218OTN 01/04/2019 ViPS Medicare System (VMS) Prepayment Review File 04/01/19 10461 R2217OTN 12/28/2018 Multi-Carrier System (MCS) Prepayment Review File 04/01/19 10460 R2216OTN 12/28/2018 Clarification of Part B Recovery Audit Contractor (RAC) Appeals Case File Sharing Process 07/01/19 11037
R2215OTN 12/28/2018 Analysis of the Combined Common Edits/Enhancements Module (CCEM) and MSSQL and Oracle Relational Data Base Management Systems 07/01/19 11050 R2214OTN 12/14/18 Transitioning the Pricing, Data Analysis and Coding (PDAC) to the New Contractor 01/14/19 11071 R2213OTN 12/14/18 Implementing the Revised Patient's Request for Medical Payment Form CMS-1490S, Version 01/18 01/07/19 10957 R2209OTN 12/07/18 Analysis and Implementation for First Coast Service Options (FCSO) and Novitas for the CMS Enterprise Identity Management OKTA/Saviynt Migration 01/16/19 10791 R2208OTN 11/30/18 Implementing the Insertion of a Sheet of Paper Promoting the Electronic Medicare Summary Notices (eMSNs) into Mailed Medicare Summary Notices (MSNs) 01/07/19 10910 R2206OTN 11/21/18 Implementation of a Bundled Payment for Multi-Component Durable Medical Equipment (DME) 01/07/19 10854
R2204OTN 11/14/18 Update to the Long Description for Spanish Records on The Procedure Descriptor Master File for all Adds and Updates That Were Not Loaded with Change Request (CR) 10286 01/07/19 10977 R2203OTN 11/09/18 User CR: FISS to Add Location/Statuses to the 6H File Fix 01/07/19 10546 R2202OTN 11/09/18 International Classification of Diseases, 10th Revision (ICD- 10) and Other Coding Revisions to National Coverage Determination (NCDs) 04/01/19 11005 R2201OTN 11/09/18 User CR: Fiscal Intermediary Shared System (FISS) - Implementation of the Molecular Diagnostic Services (MolDX) 04/01/19 10760 R2200OTN 11/09/18 International Classification of Diseases, Tenth Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) 01/07/19 10859 R2199OTN 11/09/18 Appeon PowerBuilder Upgrade Analysis Only 04/01/19 11041
R2198OTN 11/09/18 Enhancing the Verification Process of Common Working File (CWF) Part A Provider Inquiries 04/01/19 10983 R2197OTN 11/09/18 ViPS Medicare System (VMS) Prepayment Review File 04/01/19 10461 R2196OTN 11/09/18 Analysis to Create a Standard Coded List of Document Types to be used by Review Contractors (RC) for Requesting Documentation in Pre-Pay and Post-Pay Additional Documentation Request (ADR) Letters (and/or Electronic Medical Documentation Requests (eMDR) via the Electronic Submission of Medical Documentation (esMD) System) 04/01/19 11001 R2195OTN 11/09/18 Analysis to Discuss and Resolve the Challenges Around the Design of (Pre-/Post-Pay) Electronic Medical Documentation Requests (eMDR) via the Electronic Submission of Medical Documentation (esMD) System 04/01/19 11002
R2194OTN 11/02/18 Medicare Cost Report E-Filing (MCReF) 01/02/19 10611 R2193OTN 11/02/18 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Update 01/07/19 10838 R2192OTN 11/02/18 Implementation of Healthcare Common Procedure Coding System (HCPCS) Code J3591 and Additional Changes for End Stage Renal Disease (ESRD) Claims 01/07/19 10851 R2191OTN 11/02/18 Multi-Carrier System (MCS) Prepayment Review File 04/01/19 10460 R2190OTN 11/02/18 Shared System Enhancement 2018: Improve Organization of the International Code of Diseases, Tenth Revision (ICD-10) File during Creation 04/01/19 11009 R2189OTN 11/02/18 User CR: Update FISS Utility to Retain Original Claim Receipt Date 04/01/19 10903
R2188OTN 11/02/18 Fiscal Intermediary Standard System (FISS) Prepayment Review Report 04/01/19 10414 R2187OTN 11/02/18 Shared System Enhancement 2018: Rewrite Fiscal Intermediary Shared System (FISS) module FSSB6001, Common Working File (CWF) Unsolicited Response Function 04/01/19 11010 R2186OTN 11/02/18 Shared System Enhancement 2018: Analysis to Minimize Data for Medicare Beneficiary Database (MBD) Extract 04/01/19 10975 R2185OTN 11/02/18 User Change Request (CR): Multi-Carrier System (MCS) - Enhance System Control Facility (SCF) to Add Fraud Prevention System (FPS) Criteria 04/01/19 10680 R2183OTN 11/02/18 Shared System Enhancement 2018: Move Authorized Reason Code Override Processing to FSSBSTUF 04/01/19 11011 R2182OTN 11/02/18 User Change Request (CR): Multi-Carrier System (MCS) - Analysis to Enhance the Maximum Claim Counter Process for Edits and Audits 04/01/19 10655
R2181OTN 11/02/18 User CR: ViPS Medicare System (VMS) Changes to Bypass Claim Edit 0192 on an Adjustment Claim when Payment was Suppressed on the Previous Adjustment 04/01/19 10724 R2180OTN 11/02/18 FISS Integrated Outpatient Code Editor (IOCE) Claim and Return Buffer Interface Changes Related to new Contractor Line Level Bypass Updates 04/01/19 10988 R2179OTN 11/02/18 User Change Request (CR): ViPS Medicare System (VMS) Changes to Edit Dispensing and Supply Fee Codes Allowed when Related Drug Codes are Denied in Batch 04/01/19 10580 R2178OTN 11/02/18 Removal of the Provider Requirement for Reporting on an Institutional Claim a Value Code (VC) 05 - Professional Component-Split Implementation 04/01/19 10986 R2176OTN 11/02/18 Revision of Skilled Nursing Facility (SNF) Consolidated Billing (CB) Edits for Ambulance Services Rendered to Beneficiaries in a Part A SNF Stay 04/01/19 10955 R2175OTN 10/26/18 Shared System Enhancement 2018: Establish a HMBI Query/Response Log 04/01/19 11008
R2174OTN 10/26/18 Correction to Common Working File (CWF) Informational Unsolicited Response (IUR) 7272 for Intervening Stay 04/01/19 10960 R2173OTN 10/26/18 Shared System Enhancement 2018: Renovate 2029 Serial Date Processing – Analysis Only 04/01/19 10944 R2172OTN 10/26/18 Shared System Enhancement 2018: Remove Obsolete VIPS Medicare System (VMS) logic Related to the ViPS Medicare Automated Parameter (VMAP) Carrier Parameter Table 04/01/19 10949 R2171OTN 10/26/18 Analysis to Implement Changes to Regulations Allowing Inpatient Prospective Payment System (IPPS)- Excluded Hospitals to Operate IPPS-Excluded Units 04/01/19 10953 R2170OTN 10/26/18 Analysis of the Combined Common Edits/Enhancements Module (CCEM) and Intelligent Data Stream (IDS) Reporting Software to Ensure Effective Operation Under Java Version 8 04/01/19 10993 R2168OTN 10/26/18 Provider Enrollment Chain and Ownership System (PECOS) Data Source Change 01/01/19 10413
R2167OTN 10/26/18 Decommissioning of the Client Letter Application within VIPS Medicare System (VMS) 04/01/19 10996 R2166OTN 10/26/18 Shared System Enhancement 2018: Enhance Common Working File (CWF) Internal Testing Facility (ITF) Response Records 04/01/19 10974 R2165OTN 10/26/18 Fiscal Intermediary Shared System (FISS) AGILE Development and Implementation of Application Programming Interface (API) for Medicare Administrative Contractors (MACs) 04/01/19 11013 R2164OTN 10/26/18 Shared System Enhancement 2018: Enhance Common Working File (CWF) Data Extract Process 04/01/19 10976 R2163OTN 10/26/18 Shared System Enhancement 2018 ViPS Medicare Systems (VMS): Streamline the use of Assembler Language Code (ALC) Modules 04/01/19 10946 R2162OTN 10/26/18 Modify Common Working File (CWF) Editing to Apply Code G0476 to Female Beneficiaries Only 04/01/19 10623
R2161OTN 10/26/18 Shared System Enhancement 2018: Remove Default Automated Development System (ADS) and Field ADS Questions 04/01/19 10943 R2160OTN 10/26/18 Shared System Enhancement 2018: Eliminate action code logic 04/01/19 10945 R2159OTN 10/26/18 Shared System Enhancement 2018: Remove Remaining Obsolete Access Restriction by Granular User Services (ARGUS) Processing 04/01/19 10934 R2158OTN 10/26/18 Shared System Enhancement 2018: Establish Beneficiary Data Streaming (BDS) Log Files 04/01/19 11007 R2157OTN 10/26/18 Systems Changes to Address Acute Kidney Injury (AKI) Claims and Outlier Payments 04/01/19 10985 R2156OTN 10/26/18 Update to Common Working File (CWF) Edit of Medicare Advantage (MA) Enrollees' Inpatient Claims from Approved Teaching Hospitals Billed with Indirect Medical Education (IME) or Coverage with Evidence Development (CED) 04/01/19 10959
R2154OTN 10/26/18 Shared System Enhancement 2018: Streamline National Provider Identifier (NPI) Processing in the VIPS Medicare System (VMS) 04/01/19 10948 R2153OTN 10/26/18 Medicare Cost Report E-Filing (MCReF) 06/12/18 10611 R2152OTN 10/12/18 Procedures for Shared Systems to Handle Foreign (non US) Addresses 01/07/19 10844 R2151OTN 10/12/18 Updating Calendar Year (CY) 2019 Medicare Diabetes Prevention Program (MDPP) Payment Rates 01/07/19 10970 R2149OTN 10/05/18 Analysis to Implement the Skilled Nursing Facility (SNF) Patient Driven Payment Model (PDPM) 04/01/19 10950 R2148OTN 10/05/18 Claim Based Incentive Programs - Non-Assigned Claim Update 04/01/19 10804
R2147OTN 10/05/18 Update to the Long Description for Spanish Records on The Procedure Descriptor Master File for all Adds and Updates That Were Not Loaded with Change Request (CR) 10286 11/06/18 10977 R2146OTN 10/05/18 Update to Common Working File (CWF) Benefit Period Logic for Occurrence Code 22 on Skilled Nursing Facility (SNF) and Swing Bed Inpatient Claims 04/01/19 10922 R2145OTN 10/05/18 Shared System Enhancement 2018: Implementation of the Medicare Summary Notice (MSN) Zip Code Analyzer Tool 04/01/19 10935 R2144OTN 10/01/18 User CR: FISS to Add Location/Statuses to the 6H File Fix 01/07/19 10546 R2143OTN 09/28/18 Implementation of the Award for the Jurisdiction F (J-F) Part A and Part B Medicare Administrative Contractor (JF A/B MAC) 11/30/18 10917 R2142OTN 09/28/18 New Modifier for Expanding the Use of Telehealth for Individuals with Stroke 01/07/19 10883
R2141OTN 09/21/18 Implementing the Insertion of a Sheet of Paper Promoting the Electronic Medicare Summary Notices (eMSNs) into Mailed Medicare Summary Notices (MSNs) 01/02/19 10910 R2139OTN 09/14/18 Monthly Status Report (MSR) Excel Data Template Updates and Implementation of Medicare Administrative Contractor (MAC)/Centers for Medicare & Medicaid Services (CMS) Data Exchange (MDX) Portal System - This CR Rescinds and Fully Replaces CR 10399. 09/27/18 10870 R2138OTN 09/11/18 International Classification of Diseases, Tenth Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) 09/28/18 10859 R2137OTN 09/06/18 National Correct Coding Initiative (NCCI) Add-on Codes for Non-Outpatient Prospective Payment System (OPPS) Institutional Providers Implementation 10/01/18 10504 R2136OTN 09/05/18 Standardization of Case File Transmittal and Provider Information Processes, Bankruptcy, Payment Hold, and Cancellation Reporting Between the Medicare Administrative Contractors (MAC) and the Recovery Audit Contractor (RAC) 10/01/18 10369
R2135OTN 08/31/18 Medicare Appeals System (MAS) Part B and Durable Medical Equipment (DME) Data Collection Web Services Pilot 10/01/18 10829 R2134OTN 08/24/18 Shared System Enhancement 2015: Resolve Operating Report (ORPT) Issues - Development and Implementation 07/03/17 9734 R2133OTN 08/17/18 Clarification of Policies Related to Reasonable Cost Payment for Nursing and Allied Health Education Programs 01/07/19 10552 R2132OTN 08/17/18 User CR: MCS - Enhance H9 Screen to Hold Information After Claim Finalizes 01/07/19 10650 R2131OTN 08/17/18 Ensuring Home Health Standardized Amounts Are Reflected in the National Claims History 01/07/19 10523 R2126OTN 08/10/18 User CR: FISS to Add Location/Statuses to the 6H File Fix 01/07/19 10546
R2122OTN 08/10/18 International Code of Diseases, Tenth Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) 01/07/19 10859 R2120OTN 08/10/18 New CWF Edit for Part A Outpatient Medicare Advantage (MA), Health Maintenance Organization (HMO) 01/07/19 10813 R2119OTN 08/10/18 Process Improvement for Recovery Audit Contractor (RAC) Mass Adjustment Input File – Underpayment Adjustment Enhancement 01/07/19 10493 R2116OTN 08/10/18 Modifications to the National Coordination of Benefits Agreement (COBA) Medicare Crossover Process 01/07/19 10815 R2115OTN 08/10/18 Correct the CWF Handling of Beneficiaries with 14+ MSP Occurrences for HETS 01/0719 10811 R2113OTN 08/10/18 Combined Common Edits/Enhancements Module (CCEM) Updates for JAVA (version 6) to JAVA (version 7) 01/07/19 10822
R2112OTN 08/10/18 User CR: FISS to Add Additional Search Features to Provider Direct Data Entry (DDE) Screen 01/07/19 10542 R2111OTN 08/10/18 Modifications Within Common Working File (CWF) to Adjustment Claims Exceeding Annual Therapy Threshold 01/07/19 10810 R2109OTN 12/14/18 Guidance for Medicare Administrative Contractors (MACs) Processing Beneficiary and Family Centered Care (BFCC) Quality Improvement Organizations (QIO) Two- Midnight (2MN) Short Stay Review (SSR) Determinations 11/13/18 10600 R2108OTN 08/03/18 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System - (Removing /Archiving demonstration codes 44 and 47) 01/07/19 10846 R2106OTN 08/03/18 Procedures for Shared Systems to Handle Foreign (non US) Addresses 01/07/19 10844 R2105OTN 08/03/18 User CR: MCS - Analysis to Expand Narrative File Message Number Range 01/07/19 10637
R2104OTN 08/03/18 Analysis of the Structured Data Elements for Sending Additional Documentation Request (ADR) Decision Letters and Prior Authorization/Pre-Claim Review (PA/PCR) Decision Letters Electronically via the Electronic Submission of Medical Documentation (esMD) System 11/05/18 10807 R2102OTN 08/03/18 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 3 01/07/19 10814 R2101OTN 08/03/18 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 4 01/07/19 10551 R2100OTN 07/20/18 Analysis for First Coast Service Options (FCSO) and Novitas for the Security Assertion Markup Language 2.0 (SAML 2.0) Migration 07/30/18 10790 R2099OTN 07/20/18 Client Letter Code Removal and Decommission in the ViPS Medicare System (VMS) 01/07/19 10835
R2098OTN 07/12/18 Implementation of Automating First Claim Review in Serial Claims for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) 07/02/18 10426 R2097OTN 06/26/18 Clean-up of Fiscal Intermediary Shared System (FISS) Reason Codes and Quarterly Reports 10/01/18 10255 R2096OTN 09/22/18 Global Surgical Days for Critical Access Hospital (CAH) Method II 07/02/18 10425 R2095OTN 06/20/18 Revisions to the Telehealth Billing Requirements for Distant Site Services 10/01/18 10583 R2094OTN 06/20/18 Update to the Hospital Transfer Policy for Early Discharges to Hospice Care 10/01/18 10602 R2093OTN 06/07/2018 Standardization of Case File Transmittal and Provider Information Processes, Bankruptcy, Payment Hold, and Cancellation Reporting Between the Medicare Administrative Contractors (MAC) and the Recovery Audit Contractor (RAC) 10/01/18 10369
R2092OTN 06/08/2018 Analysis for First Coast Service Options (FCSO) and Novitas for the Security Assertion Markup Language 2.0 (SAML 2.0) Migration 06/25/18 10790 R2090OTN 05/24/18 Use the VMAP/4D States Table in all VMS Address Processing 10/01/18 10524 R2086OTN 05/04/18 Combined Common Edits/Enhancements Module (CCEM) Updates for Apache POI (version 3.14.0) to Apache POI (version 3.17) and Analysis from JAVA (version 6) to JAVA (version 7) 10/01/18 10625 R2085OTN 05/04/18 Implementation of Procedures for Undeliverable Medicare Summary Notices (uMSNs) and Summary MSNs for Previously Undeliverable MSNs for FISS and MCS (No- Pay only) 10/01/18 10035 R2084OTN 05/04/18 Analysis and Design for Fiscal Intermediary Shared System (FISS), Multi-Carrier System (MCS), and Viable Information Processing System (VIPS) Medicare System (VMS) Prepayment Review Report 10/01/18 10608 R2083OTN 05/04/18 Implementation of Changes to the Pre-Payment Additional Documentation Request (ADR) Letters for Medical Review 10/01/18 10525
R2082OTN 05/04/18 Analysis for Mandatory Support of Review Contractors to Send Electronic Medical Documentation Requests (eMDR) to Participating Providers via the Electronic Submission of Medical Documentation (esMD) System 10/01/18 10526 R2081OTN 05/11/18 Transition Letter Writing from Client Letter Software to the Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs) 10/01/18 10634 R2080OTN 05/04/18 Fee-For-Service (FFS) Shared System Maintainers (SSMs) Standardized Release Identification (ID) Format 10/01/18 10562 R2079OTN 05/04/18 Identifying and Eliminating Discrepancies between the Provider Enrollment, Chain and Ownership System (PECOS) and the Fiscal Intermediary Shared System (FISS) 10/01/18 10564 R2077OTN 05/04/18 Clean-up of Fiscal Intermediary Shared System (FISS) Reason Codes and Quarterly Reports 10/01/18 10255
R2076OTN 05/04/18 International Code of Diseases, Tenth Revision (ICD-10) and Other Coding Revisions to National Coverage Determinations (NCDs) 10/01/18 10622 R2075OTN 04/30/18 Medicare Cost Report E-Filing (MCReF) 06/12/18 10611 R2074OTN 04/27/18 Modifying FISS Part B Claims Overlap Edits 10/01/18 10518 R2073OTN 04/27/18 Use the VMAP/4D States Table in all VMS Address Processing 10/01/18 10524 R2072OTN 04/27/18 Implementation of Business Requirements to Increase Claim Counter Maximum and Create Auto-Deletion Utility 10/01/18 10522 R2071OTN 05/01/18 Phase 4 - Updating the Fiscal Intermediary Shared System (FISS) to Make Payment for Drugs and Biologicals Services for Outpatient Prospective Payment System (OPPS) Providers 10/01/18 10519
R2070OTN 04/27/18 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System - (Removing/Archiving Demonstration Codes 51 and 56) 10/01/18 10508 R2069OTN 04/27/18 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 3 10/01/18 10496 R2068OTN 04/27/18 Common Working File (CWF) Split Medicare Part A Claims to Carry 50 Lines per Segment Rather than 100 Lines per Segment 10/01/18 10495 R2067OTN 04/27/18 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 2 10/01/18 10469 R2066OTN 04/27/18 Enhancement for Undeliverable Pay Medicare Summary Notices (MSNs) for Multi-Carrier System (MCS) Users 10/01/18 10439 R2065OTN 04/27/18 Part B Detail Line Expansion - Multi-Carrier System (MCS) Phase 9 10/1/18 10034
R2064OTN 04/27/18 Part B Detail Line Expansion - Fiscal Intermediary Shared System (FISS) 07/02/18 10628 R2063OTN 04/27/18 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 10/1/18 10565 R2062OTN 04/27/18 Updates to Peritoneal Dialysis Claims Processing, Provider Statistical and Reimbursement Report (PSR) and Payment for Ultrafiltration for Beneficiaries with Acute Kidney Injury (AKI) 10/01/18 10574 R2057OTN 04/27/18 Common Working File (CWF) to Increase Next Eligible Date Occurrences to 99 for Preventative Services 10/01/18 10532 R2056OTN 04/27/18 User CR: Develop Enhanced Claims Search Reporting in Fiscal Intermediary Shared System (FISS) - Phase 1 10/01/18 10533 R2055OTN 04/27/18 Update to the Hospital Transfer Policy for Early Discharges to Hospice Care 10/01/18 10602
R2054OTN 04/13/18 Change in Type of Service (TOS) for Current Procedural Terminology (CPT) Code 77067 04/13/18 10607 R2051OTN 04/04/18 Claims Processing Actions to Implement Certain Provisions of the Bipartisan Budget Act of 2018 04/02/18 10531 R2050OTN 04/03/18 Modifications to the Implementation of the Paperwork (PWK) Segment of the Electronic Submission of Medical Documentation (esMD) System 07/02/18 10397 R2049OTN 03/30/18 National Supplier Clearinghouse (NSC) Numbers Shortage for Walgreen TIN 04/02/18 10594 R2048OTN 03/23/18 Fiscal Intermediary Shared System (FISS) Internal Crosswalk Modification 07/02/18 10554 R2047OTN 03/23/18 Claims Processing Actions to Implement Certain Provisions of the Bipartisan Budget Act of 2018 04/02/18 10531
R2045OTN 03/16/18 Identifying and Eliminating Discrepancies in Shared System Enrollment Data and Provider Enrollment Chain and Ownership System (PECOS) Data 07/02/18 10411 R2044OTN 03/16/18 National Correct Coding Initiative (NCCI) Add-on Codes for Non-Outpatient Prospective Payment System (OPPS) Institutional Providers Implementation 04/02/18 10504 R2043OTN 03/16/18 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2016 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCH) 04/16/18 10527 R2042OTN 03/16/18 Adjustments to Qualified Medicare Beneficiary (QMB) Claims Processed Under CR 9911 09/20/18 10494 R2041OTN 03/13/18 Redesign of Flu Vaccines in Fiscal Intermediary Shared System (FISS) 07/02/18 10415
R2040OTN 03/02/18 Appropriate Use Criteria for Advanced Diagnostic Imaging – Voluntary Participation and Reporting Period - Claims Processing Requirements – HCPCS Modifier QQ 07/02/18 10481 R2039OTN 02/28/18 ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs) 04/02/18 10473 R2034OTN 02/16/18 Identifying and Eliminating Discrepancies in Shared System Enrollment Data and Provider Enrollment Chain and Ownership System (PECOS) Data 07/02/18 10411 R2033OTN 02/16/18 ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs 04/02/18 10473 R2032OTN 02/16/18 Provider Enrollment, Chain, and Ownership System (PECOS) Extract Changes for Multi-Carrier System (MCS) - Analysis Only 07/02/18 10455 R2031OTN 02/16/18 Modifications to the Implementation of the Paperwork (PWK) Segment of the Electronic Submission of Medical Documentation (esMD) System 07/02/18 10397
R2030OTN 02/02/18 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Core Reports - Phase 3 07/02/18 10464 R2029OTN 02/02/18 Implementation of Automating First Claim Review in Serial Claims for prosthetics, Orthotics, and Supplies (DMEPOS)Durable Medical Equipment, P 07/02/18 10426 R2028OTN 02/02/18 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Financial Reports - Phase 3 07/02/18 10463 R2026OTN 02/02/18 Part B Detail Line Expansion - Multi-Carrier System (MCS) Phase 8 07/02/18 10033 R2025OTN 02/02/18 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 1 07/02/18 10451 R2022OTN 01/26/18 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 04/02/18 10292
R2021OTN 01/26/18 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Financial Reports - Phase 2 07/02/18 10437 R2019OTN 01/26/18 Redesign of Flu Vaccines in Fiscal Intermediary Shared System (FISS) 07/02/18 10415 R2018OTN 01/26/18 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Core Reports - Phase 2 07/02/18 10444 R2017OTN 01/26/18 Updates to Common Working File (CWF) Edits for Acute Kidney Injury (AKI) Claims 07/02/18 10430 R2016OTN 01/26/18 Part B Detail Line Expansion - VMS 07/02/18 10032 R2015OTN 01/26/18 Updates to the Common Working File (CWF) to Allow Entry Code 9 Durable Medical Equipment (DME) Claims to Process Correctly 07/02/18 10376
R2014OTN 01/26/18 Identifying Prior Hospice Days When Calculating Hospice Routine Home Care Payments After a Transfer 07/02/18 10180 R2013OTN 01/26/18 Global Surgical Days for Critical Access Hospital (CAH) Method II 07/02/18 10425 R2012OTN 01/26/18 Analysis of Reject Responses for Prior Authorization/Pre- Claim Review Requests (PA/PCR) via the Electronic Submission of Medical Documentation (esMD) System and Usage of Standardized Review Reason Codes and Statements 07/02/18 10396 R2011OTN 01/26/18 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Codes 46, 48, and 49 within the Fiscal Intermediary Shared System (FISS) 07/02/18 10401 R2010OTN 01/26/18 Analysis Only: Procedures to Handle Foreign (non US) Addresses 07/02/18 10428 R2008OTN 01/24/18 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF) 04/02/18 10017
R2006OTN 01/19/18 Monthly Status Report (MSR) Excel Data Template Updates and Implementation of MAC/CMS Data Exchange (MDX) Portal System 02/20/18 10399 R2005OTN 01/18/18 ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs) 01/29/18 10318 R2000OTN 01/12/18 MCS Proof of Concept to Convert Existing MCSDT Window to Utilize API Technology 07/02/18 10449 R1999OTN 01/10/18 Implementation of the Transitional Drug Add-On Payment Adjustment 01/02/18 10065 R1998OTN 01/04/18 HIGLAS Enhancement Required for Implementation of Overpayment based Denials 04/02/18 10166 R1997OTN 01/05/18 Enhancement to the Recovery Audit Contractor (RAC) Mass Adjustment Input File 07/02/18 10394
R1996OTN 01/05/18 Analyze Common Working File (CWF) System and Identify Layouts with Minimum FILLER Areas Available 04/02/18 10387 R1994OTN 12/28/17 Suppression of the Standard Paper Remittance Advice (SPR) in 45 Days if Also Receiving Electronic Remittance Advice (ERA) 01/02/18 10151 R1993OTN 12/29/17 Analyze the Common Working File (CWF) System and Identify Customer Information Control System (CICS) Screens Requiring Expansion 04/02/18 10389 R1991OTN 12/29/17 Method of Cost Settlement for Inpatient Services for Rural Hospitals Participating Under the Rural Community Hospital Demonstration 01/29/18 10373 R1990OTN 12/21/17 Suppression of the Standard Paper Remittance Advice (SPR) in 45 Days if Also Receiving Electronic Remittance Advice (ERA) 01/02/18 10151 R1989OTN 12/20/17 Fiscal Intermediary Shared Systems (FISS) Enhancements to the Mass Adjustment of Process Recovery Audit Contractor (RAC) Claims 04/02/18 10304
R1988OTN 12/19/17 National Provider Identification Crosswalk System (NPICS) Retirement Analysis Only - Engage Shared Systems Maintainers (SSMs) and Medicare Administrative Contractors (MACs) in Meetings and Correspondence Related to the NPICS Retirement with the Integrated Data Repository (IDR) Team 01/02/18 10007 R1987OTN 12/15/17 Archiving National Provider Identifier Crosswalk System (NPICS) System Logic in the Durable Medical Equipment (DME) Claims Processing System 04/02/18 10279 R1985OTN 12/13/17 Analysis Only- Medicare Reporting on the Return of Self-Identified Overpayments 07/02/18 10127 R1982OTN 12/01/17 Line Level versus Claim Level Reporting – Analysis Only 01/02/18 10150 R1981OTN 12/01/17 Fiscal Year (FY) 2014 and 2015 Worksheet S-10 Revisions: Further Extension for All Inpatient Prospective Payment System (IPPS) Hospitals 01/02/18 10378
R1980OTN 11/29/17 Shared System Enhancement 2015: Removing/Archiving Obsolete On Request Jobs within the Multi-Carrier System (MCS) 04/02/18 10290 R1978OTN 11/17/17 Implementation of Changes to Certificate of Medical Necessity (CMN) and CMN DME Information Form (CMN DIF) as a result of the New Medicare Card Project 04/02/18 10367 R1976OTN 11/09/17 Common Working File (CWF) to Modify CWF Provider Queries to Only Accept National Provider Identifier (NPI) as valid Provider Number 01/02/18 10098 R1975OTN 11/09/17 ICD-10 and Other Coding Revisions to National Coverage Determinations (NCDs) 12/29/17 10318 R1974OTN 11/09/17 Revision of PWK (Paperwork) Fax/Mail Cover Sheets 04/02/18 10124 R1973OTN 11/09/17 Multi-Carrier System (MCS) Modernization Proof of Concept Number 8 04/02/18 10375
R1972OTN 11/09/17 Analysis Only: Develop Enhanced Claims Search Reporting in Fiscal Intermediary Shared System (FISS) 04/02/18 10364 R1971OTN 11/09/17 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 04/02/18 10292 R1970OTN 11/09/17 Establish an Automated Process For Creating Mass Adjustments Utilizing Expert Claims Processing System (ECPS) - Analysis Only 04/02/18 10363 R1969OTN 11/09/17 Partial Settlement of 2- Midnight Policy Court Cases 12/11/17 10337 R1968OTN 11/09/17 Tracking Status of Claims Adjustments 04/02/18 10288 R1967OTN 11/08/17 CICS Region Merge(s) for A/B MACs - Analysis Only 01/02/18 10191
R1966OTN 11/03/17 Out-of-Jurisdiction Providers (OJP) and Qualified Chain Providers (QCP) Move to Correct A/B MAC Jurisdiction - Analysis CR Only 01/02/18 10192 R1965OTN 11/03/17 Shared System Enhancement 2015: Resolve Operating Report (ORPT) Issues - Development and Implementation 07/03/17 9734 R1964OTN 11/03/17 Fee For Service (FFS) Applications Upgrade Customer Information Control System (CICS) to Transaction Server (TS) v5.2 01/02/18 9961 R1962OTN 11/03/17 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Core Reports - Phase 1 04/02/18 10294 R1960OTN 11/03/17 Implementation of the Award for the Jurisdiction Part A and Part B Medicare Administrative Contractor (JJ A/B MAC) 01/29/18 10316 R1959OTN 11/03/17 Analysis Only: VMS Accreditation Logic Related to HCPCS Codes Contained in Multiple Product and Service Codes 04/02/18 10300
R1958OTN 11/03/17 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Financial and Expert Claims Processing System (ECPS) Reports - Phase 1 04/02/18 10293 R1957OTN 11/03/17 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF) - Removing/Archiving demonstration codes 51 and 56 04/02/18 10251 R1956OTN 11/01/17 Analysis and Design Working Sessions for the Development of a Pre-Payment Common Additional Documentation Request (ADR) Letter 10/02/17 9936 R1954OTN 10/27/17 New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) 07/03/17 9893 R1953OTN 10/27/17 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 1 11/06/17 10305 R1952OTN 10/27/17 Calculating Interim Rates for Graduate Medical Education (GME) Payments to New Teaching Hospitals 10/23/17 10240
R1951OTN 10/27/17 Shared System Enhancement 2015: Removing/Archiving Obsolete On Request Jobs within the Multi-Carrier System (MCS) 04/02/18 10290 R1950OTN 10/27/17 Fiscal Intermediary Shared System (FISS) and VIPS Medicare Shared System (VMS) to Update Records Based on the Automation of Prior Authorization (PA) Requests/Pre-Claim Reviews (PCR) and their Responses with Multiple Services (for programs like Home Health (HH) 04/02/18 10282 R1949OTN 10/27/17 Remove Obsolete Edits from the Fiscal Intermediary Shared Systems (FISS) 04/02/18 10274 R1948OTN 10/27/17 Archiving National Provider Identifier Crosswalk System (NPICS) System Logic in the Muti-Carrier System (MCS) 04/02/18 10278 R1947OTN 10/27/17 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for April 2018 04/02/18 10260
R1946OTN 10/27/17 Shared System Enhancement 2015: Removing/Archiving Obsolete Reports within the Multi-Carrier System (MCS) 04/02/18 10289 R1945OTN 10/27/17 Add Date of Receipt to the Beneficiary Data Streamlining (BDS) Part A Claims Layout 04/02/18 10326 R1944OTN 10/27/17 MCS Analysis Only: Undeliverable Medicare Summary Notices (UMSNs) - Beneficiary Do Not Forward Process 04/02/18 10332 R1943OTN 10/27/17 Assign the Correct 935 Indicator on Adjustment Claims Submitted through the Provider Portal 04/02/18 10301 R1942OTN 10/27/17 Common Working File (CWF) to Medicare Beneficiary Database (MBD) Extract File Changes for Detailed Skilled Nursing Facility Data to Support HIPAA Eligibility Transaction System (HETS) 04/02/18 10111 R1941OTN 10/27/17 Transitional Drug Add-on Payment Adjustment (TDAPA) for patients with Acute Kidney Injury (AKI) 04/02/18 10281
R1939OTN 10/27/17 Fiscal Intermediary Shared Systems (FISS) Enhancements to the Mass Adjustment of Process Recovery Audit Contractor (RAC) Claims 04/02/18 10304 R1938OTN 10/27/17 Archiving National Provider Identifier Crosswalk System (NPICS) System Logic in the Durable Medical Equipment (DME) Claims Processing System 04/02/18 10279 R1937OTN 10/27/17 Provider Education and Referral Reporting 11/27/17 10263 R1936OTN 10/19/17 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 01/02/18 10155 R1935OTN 10/19/17 FISS Process Enhancements – Analysis Only 01/02/18 10119 R1933OTN 10/06/17 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System - (Removing/Archiving demonstration codes 38, 42 and 43) 04/02/18 10250
R1930OTN 10/06/17 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Phase 1 11/06/17 10305 R1927OTN 09/29/17 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Core Reports 10/30/17 10252 R1923OTN 09/22/17 Calculating Interim Rates for Graduate Medical Education (GME) Payments to New Teaching Hospitals 10/23/17 10240 R1922OTN 09/22/17 Shared System Enhancement 2014: Implementation of Fiscal Intermediary Shared System (FISS) Obsolete Financial and Expert Claims Processing System (ECPS) Reports 10/23/17 10253 R1919OTN 09/15/17 Targeted Probe and Educate 10/01/17 10249 R1918OTN 09/13/17 Correcting Payment of Inpatient Prospective Payment System (IPPS) Transfer Claims Assigned to Medicare Severity- Diagnosis Related Group (MS DRG) 385 and Allowing Part A Deductible on Medicare Secondary Payer (MSP) Same Day Transfer Inpatient Claims 01/02/18 10145
R1917OTN 09/13/17 Shared System Enhancement 2014 – Identification of Fiscal Intermediary Standard System (FISS) Obsolete Reports - Analysis Only 10/02/17 9564 R1915OTN 09/08/17 Medicare Administrative Contractor (MAC) and Pricing, Data Analysis and Coding (PDAC) Contractor Implementation of the New Medicare Card Project 04/02/18 10112 R1913OTN 09/06/17 FISS Integrated Outpatient Code Editor (IOCE) Claim and Return Buffer Interface Changes Related to OPPS 2018 Annual Updates 01/02/18 10116 R1912OTN 09/01/17 HIGLAS Enhancement Required for Implementation of Overpayment based Denials 04/02/18 10166 R1910OTN 08/18/17 Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) 10/02/17 9904 R1909OTN 08/18/17 Implementation of Section 1557 for Medicare Redetermination Notices (MRNs) by Adding a Notice and Tagline Sheet 10/02/17 9938
R1906OTN 08/18/17 Out-of-Jurisdiction Providers (OJP) and Qualified Chain Providers (QCP) Move to Correct A/B MAC Jurisdiction - Analysis CR Only 01/02/18 10192 R1905OTN 08/18/17 Modify VMS Accreditation Logic to Accept Additional Modifiers 01/02/18 10217 R1904OTN 08/18/17 Multi-Carrier System (MCS), Fiscal Intermediary Shared System (FISS) and VIPS Medicare Shared System (VMS) Automation of Prior Authorization (PA) Requests/Pre-Claim Reviews (PCR) and their Responses with Multiple Services (for programs like Home Health (HH)) via the Electronic Submission of Medical Documentation (esMD) System 01/02/18 10087 R1903OTN 08/11/17 Implement Changes to Effect the Functionality of Combination Force Codes in the ViPS Medicare System (VMS) 01/02/18 10225 R1901OTN 08/11/17 Automating the HCPCS Load Process 01/02/18 10215
R1900OTN 08/11/17 CICS Region Merge(s) for A/B MACs - Analysis Only 01/02/18 10191 R1896OTN 08/04/17 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System - (Removing/Archiving demonstration codes 03, 04 and 15) 01/02/18 10171 R1895OTN 08/04/17 System Changes to Implement Section 15010 of the 21st Century Cures Act, Temporary Exception for Certain Severe Wound Discharges from Certain Long-Term Care Hospitals (LTCHs) 01/02/18 10185 R1893OTN 08/04/17 Combined Common Edits/Enhancements Module (CCEM) Updates to Business and Holiday Tables 01/02/18 10201 R1892OTN 08/04/17 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System 01/02/18 10126 R1891OTN 08/04/17 Provider-Based Determination 11/06/17 10095
R1890OTN 08/04/17 Suppression of the Standard Paper Remittance Advice (SPR) in 45 Days if also receiving Electronic Remittance Advice (ERA) 01/02/18 10151 R1889OTN 08/04/17 Implementation of the Transitional Drug Add-On Payment Adjustment 01/02/18 10065 R1887OTN 07/28/17 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF) 07/03/17 10017 R1885OTN 07/27/17 Shared System Maintainers (SSMs) Standardized Release Identification (ID) Format Analysis and Design 01/02/18 10129 R1884OTN 07/27/17 Analysis Only- Medicare Reporting on the Return of Self-Identified Overpayments 01/02/18 10127 R1883OTN 07/28/17 System Changes to Implement Section 15009 of the 21st Century Cures Act, Temporary Exception for Certain Spinal Cord Specialty Hospitals under the Long Term Care Hospital (LTCH) Prospective Payment System (PPS) 01/02/18 10182
R1880OTN 07/27/17 Shared Savings Program (SSP) Demonstration Code 77 Modification 01/02/18 10144 R1879OTN 07/27/17 Common Working File (CWF) to Increase the Next Eligible Date Occurrences for Preventive Services to 99 Occurrences - Analysis 01/02/18 10022 R1877OTN 07/27/17 Common Working File (CWF) to Modify CWF Provider Queries to Only Accept National Provider Identifier (NPI) as valid Provider Number 01/02/18 10098 R1876OTN 07/27/17 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 01/02/18 10155 R1875OTN 07/27/17 ICD-10 Coding Revisions to National Coverage Determinations (NCDs) 09/13/17 10184 R1874OTN 07/27/17 Implementation CR: Integrating NLR into the HQR system 01/02/18 10134
R1873OTN 07/28/17 Line Level versus Claim Level Reporting – Analysis Only 01/02/18 10150 R1872OTN 07/27/17 Common Working File (CWF) to Add User Identification (ID) Information to CWF Provider Queries Audit File(s) 01/02/18 10130 R1871OTN 07/27/17 FISS Process Enhancements – Analysis Only 01/02/18 10119 R1870OTN 07/27/17 Correcting Payment of Inpatient Prospective Payment System (IPPS) Transfer Claims Assigned to Medicare Severity- Diagnosis Related Group (MS DRG) 385 and Allowing Part A Deductible on Medicare Secondary Payer (MSP) Same Day Transfer Inpatient Claims 01/02/18 10145 R1868OTN 07/14/17 Fee For Service (FFS) Applications Upgrade Customer Information Control System (CICS) to Transaction Server (TS) v5.2 10/02/17 9961
R1867OTN 07/14/17 Renovate MCS Correspondence Entry Driver Program H99P1C00 01/02/18 9828 R1866OTN 07/14/17 National Provider Identification Crosswalk System (NPICS) Retirement Analysis Only - Engage Shared Systems Maintainers (SSMs) and Medicare Administrative Contractors (MACs) in Meetings and Correspondence Related to the NPICS Retirement with the Integrated Data Repository (IDR) Team 01/02/18 10007 R1865OTN 07/14/17 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for January 2018 01/02/18 10162 R1863OTN 06/30/17 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2015 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCH) 7/31/17 10026 R1862OTN 06/30/17 Introductory Letters for Suppliers and Providers Related to the Prior Authorization for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items 07/31/17 10146
R1861OTN 06/29/17 Targeted Probe and Educate Pilot 07/03/17 10073 R1860OTN 06/23/17 Updates to the CMS-855R Processing Guide 07/25/17 10114 R1859OTN 06/22/17 Common Working File (CWF) to Archive Inactive Part B Consistency Edits 10/02/17 9975 R1855OTN 05/02/17 Targeted Probe and Educate Pilot 07/03/17 10073 R1854OTN 05/26/17 ICD-10 Coding Revisions to National Coverage Determinations (NCDs) 10/2/17 10086 R1849OTN 05/12/17 Implementation of Modifier CG for Type of Bill 72x 10/02/17 9989
R1847OTN 05/12/17 Common Working File (CWF) to reject CWF Provider Queries containing Health Insurance Claim Numbers (HICNs) starting with '9' 10/02/17 10097 R1846OTN 05/12/17 MCS Implementation of the Restructured Clinical Lab Fee Schedule 10/02/17 10057 R1844OTN 05/05/17 Modification to Two Fiscal Intermediary Shared System (FISS) Edits Created Through Change Request (CR) 9681 10/02/17 10103 R1843OTN 05/05/17 Analysis for Common Working File (CWF) to Medicare Beneficiary Database (MBD) Extract File Changes for Detailed Skilled Nursing Facility Data to Support HIPAA Eligibility Transaction System (HETS) 10/02/17 10050 R1842OTN 05/05/17 Remove HSQLDB from the Combined Common Edits/Enhancements Module (CCEM) 10/02/17 10088 R1841OTN 05/05/17 Medicare Fee-for-Service Recovery Audit Contractor (RAC) Data Centers 06/06/17 10051
R1840OTN 05/05/17 Update FISS Editing to Include All Three Patient Reason for Visit Code Fields 10/02/17 9672 R1839OTN 04/28/17 Implementation of Section 1557 for Medicare Redetermination Notices (MRNs) by Adding a Notice and Tagline Sheet 10/02/17 9938 R1838OTN 04/28/17 Part B Detail Line Expansion - Common Working File (CWF) 10/02/17 10031 R1837OTN 04/28/17 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects within the Fiscal Intermediary Shared System (Analysis Only) 10/02/17 10019 R1836OTN 04/28/17 Analysis Only-Provider Number Validation Update for the Shared Systems Maintainer (SSM) 10/02/17 9999 R1835OTN 04/28/17 Reason Codes 36233 and 36330 Bypass for Claims Submitted on the 72x Type of Bill for Services Provided to Beneficiaries with Acute Kidney Injury (AKI) and edits related to not separately payable drugs 10/02/17 9987
R1834OTN 04/28/17 Analysis and Design Working Sessions for the Development of a Pre-Payment Common Additional Documentation Request (ADR) Letter 10/02/17 9936 R1833OTN 04/28/17 Implementing the remittance advice messaging for the 20- hour weekly minimum for Partial Hospitalization Program services 10/02/17 9880 R1832OTN 04/28/17 Update FISS Editing to Include the Admitting Diagnosis Code Field 10/02/17 9753 R1831OTN 04/28/17 Introductory Letters for Suppliers and Providers Related to the Prior Authorization for Durable Medical Equipment, Prosthetics, Orthotics, and Supplies (DMEPOS) Items 05/30/17 10068 R1819OTN 04/07/17 Update to Common Working File (CWF) Blood Editing on Medicare Advantage (MA) Enrollees' Inpatient Claims for Indirect Medical Education (IME) Payment 10/02/17 10012 R1818OTN 04/07/17 Annual Updates to the Prior Authorization/Pre-Claim Review Federal Holiday Schedule Tables for Generating Reports 10/02/17 9995
R1817OTN 04/07/17 Enrollment Data Base (EDB) and Common Working File (CWF) Data Resync - Analysis and Design 10/02/17 9994 R1815OTN 04/07/07 Common Working File (CWF) to Archive Inactive Part B Consistency Edits 10/02/17 9975 R1814OTN 03/31/17 Shared System Enhancement 2014 – Identification of Fiscal Intermediary Standard System (FISS) Obsolete Reports - Analysis Only 10/03/16 9564 R1813OTN 03/31/17 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects Within the Common Working File (CWF) 07/03/17 10017 R1812OTN 03/31/17 HIGLAS Connectivity Updates and Testing 05/30/17 10042 R1811OTN 03/29/17 Shared System Enhancement 2014 – Identification of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Analysis Only 04/03/17 9566
R1809OTN 03/24/17 Client Letter v5.2 Upgrade - DME MAC Training and Testing 04/24/17 10027 R1808OTN 03/24/17 Advanced Provider Screening (APS) Phase 1 Go-Live 05/15/17 9983 R1807OTN 03/17/17 Intern and Resident Information System (IRIS) Data Upload into STAR 04/17/17 9984 R1803OTN 02/17/17 Innovation Payment Contractor (IPC) for D1 D4 File Exchange 07/03/17 9899 R1799OTN 02/17/17 Preventing Hospice Notices of Election with Future Dates 07/03/17 9932 R1798OTN 02/17/17 ICD-10 Coding Revisions to National Coverage Determinations (NCDs) 03/20/17 9982
R1797OTN 02/10/17 Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) 07/03/17 9904 R1796OTN 02/10/17 Processing Updates for VMS From Provider Enrollment, Chain and Ownership System (PECOS) Extract File 07/03/17 9962 R1795OTN 02/10/17 Advance Care Planning (ACP) Implementation for Outpatient Prospective Payment System (OPPS) Claims 07/03/17 9862 R1794OTN 02/10/17 Provider Enrollment, Chain and Ownership System (PECOS) Extract File - Analysis 07/03/17 9949 R1792OTN 02/03/17 ICD-10 Coding Revisions to National Coverage Determination (NCDs) 03/03/17 9861 R1791OTN 02/03/17 Change to Beneficiary Liability and Cost Report Days for Sub- clause (II) Long Term Care Hospitals (LTCHs) 07/03/17 9912
R1790OTN 02/03/17 Shared System Enhancement 2016: Complete Disablement of Health Maintenance Organization (HMO) Inquiry Transaction, HIHO, and Related Vestige Within Common Working File (CWF) 07/03/17 9974 R1789OTN 02/03/17 Shared System Enhancement 2016: Common Working File (CWF) to Show Date for Informational Unsolicited Response (IUR) Indicator on Claim History 07/03/17 9965 R1788OTN 02/03/17 Combined Common Edits/Enhancements (CCEM) Proxool and Apache Software Upgrades 07/03/17 9929 R1787OTN 02/03/17 New Common Working File (CWF) Medicare Secondary Payer (MSP) Type for Liability Medicare Set-Aside Arrangements (LMSAs) and No-Fault Medicare Set-Aside Arrangements (NFMSAs) 07/03/17 9893 R1786OTN 02/03/17 Update for Additional International Classification of Diseases (ICD)-10 Codes for the System Changes to Implement Section 231 of the Consolidated Appropriations Act, 2016, Temporary Exception for Certain Severe Wound Discharges From Certain Long-Term Care Hospitals (LTCHs) 07/03/17 9872
R1785OTN 02/03/17 Payment for Oxygen Volume Adjustments and Portable Oxygen Equipment- FISS 07/03/17 9928 R1783OTN 02/02/17 Implementing FISS Updates to Accommodate Section 603 Bipartisan Budget Act of 2015 - Phase 2 07/03/17 9907 R1776OTN 01/27/17 Instructions to Hospitals on the Election of a Medicare- Supplemental Security Income (SSI) Component of the Disproportionate Share (DSH) Payment Adjustment for Cost Reports that Involve SSI Ratios for Fiscal Year (FY) 2004 and earlier, or SSI Ratios for Hospital Cost-reporting Periods for Patient Discharges Occurring before October 1, 2004 01/19/17 9896 R1775OTN 01/27/17 Updated Editing of Professional Therapy Services 07/03/17 9933 R1774OTN 01/13/17 Shared System Enhancement 2014 – Identification of Fiscal Intermediary Standard System (FISS) Obsolete Reports - Analysis Only 10/03/16 9564
R1772OTN 01/11/17 Common Working File (CWF) Reorganization of Daily Beneficiary Extract Files 04/03/17 9787 R1771OTN 01/10/17 Fraud Prevention System (FPS) 2 Edit Migration Testing 02/21/17 9920 R1770OTN 01/06/17 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 04/03/17 9681 R1769OTN 01/06/17 eMSN and Alternate Format MSN Service Improvements 01/03/17 9731 R1768OTN 01/06/17 Shared System Enhancement 2015: Resolve Operating Report (ORPT) Issues - Development and Implementation 07/3/17 9734 R1767OTN 01/06/17 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for July 2017 07/3/17 9881
R1765OTN 12/23/16 SSNRI: MAC-Only Analysis and Planning for the Social Security Number Removal Initiative (SSNRI) Project 02/24/17 9884 R1758OTN 11/23/16 Updates for the Shared System Maintainers to implement the Social Security Number Removal Initiative (SSNRI) 04/03/17 9858 R1757OTN 11/18/16 Issuing Compliance Letters to Specific Providers and Suppliers Regarding Inappropriate Billing of Qualified Medicare Beneficiaries (QMBs) for Medicare Cost-Sharing 12/16/16 9817 R1756OTN 11/18/16 Analysis Only - Modification of Process for Handling the Provider Enrollment Chain Ownership System (PECOS) Extract File 04/03/17 9560 R1755OTN 11/18/16 ICD-10 Coding Revisions to National Coverage Determination (NCDs) 01/20/17 9861 R1754OTN 11/18/16 Common Working File and Fraud Prevention System 2.0 Predictive Modeling and Edits, Data Feed Migration 01/03/17 9853
R1753OTN 11/18/16 Coding Revisions to National Coverage Determination (NCDs) 01/03/17 9751 R1752OTN 11/18/16 System Specific Enhancement 2014: String Testing Automation 07/05/16 9224 R1751OTN 11/18/16 Adding a Foreign Language Tagline Sheet to Medicare Summary Notices (MSNs) 12/05/16 9617 R1750OTN 11/10/16 Increasing the Number of Address Fields in MCS to Match the Address Fields in CWF in Order to Improve the Undeliverable Medicare Summary Notices (uMSNs) Situation: Phase One of Improving FFS9372 04/03/17 9857 R1748OTN 11/08/16 Adding a Foreign Language Tagline Sheet to Medicare Summary Notices (MSNs) 10/28/16 9617 R1747OTN 11/04/16 Issuing Compliance Letters to Specific Providers and Suppliers Regarding Inappropriate Billing of Qualified Medicare Beneficiaries (QMBs) for Medicare Cost-Sharing 04/03/17 9817
R1746OTN 11/04/16 Medicare Electronic Health Record (EHR) Incentive Program – Analysis of Meaningful Use Hospital Transition into Hospital Quality Reporting System 04/03/17 9836 R1745OTN 11/04/16 Part B Detail Line Expansion - Checkpoint Discussion Meetings 04/03/17 9840 R1744OTN 11/04/16 Audit Trail for Reason Code Edit Changes 04/03/17 9366 R1743OTN 11/04/16 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 04/03/17 9808 R1740OTN 10/28/16 Shared System Enhancement 2015: National Coverage Determination (NCD) – Fiscal Intermediary Shared System (FISS) Implementation 04/03/17 9783 R1738OTN 10/27/16 Network Fee Reduction for Acute Kidney Injury (AKI) services submitted on Type of Bill 72x 04/03/17 9814
R1736OTN 10/27/16 Shared System Enhancement 2014 – Identification of Fiscal Intermediary Shared System (FISS) Obsolete On-Request Jobs - Analysis Only 04/03/17 9566 R1735OTN 10/27/16 System Specific Enhancement 2014: Retaining Most Recent Update for Auxiliary (Aux) File Data in Common Working File (CWF) 04/03/17 9786 R1734OTN 10/27/16 Phase 3 - Updating the Fiscal Intermediary Shared System (FISS) to Make Payment for Drugs and Biologicals Services for Outpatient Prospective Payment System (OPPS) Providers 04/03/17 9742 R1733OTN 10/27/16 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 04/03/17 9681 R1732OTN 10/27/16 Phase Three: Changing Fiscal Intermediary Shared System (FISS) Action on Informational Unsolicited Responses (IURs) From Canceled Claims to Adjustments 04/03/17 9816 R1731OTN 10/26/16 Fiscal Intermediary Shared System (FISS) Heath Information Technology for Economic and Clinical Health (HITECH) Quarterly Report 01/03/17 9555
R1730OTN 10/21/16 Part B Detail Line Expansion – MCS Phase 5 04/03/17 9800 R1729OTN 10/21/16 Analysis Only - Populate MCS PE Screens from PECOS (Phased Approach) 04/03/17 9805 R1728OTN 10/21/16 Part B Detail Line Expansion – MCS Phase 6 04/03/17 9801 R1725OTN 10/13/16 Changes to the End-Stage Renal Disease (ESRD) Facility Claim (Type of Bill 72X) to Accommodate Dialysis Furnished to Beneficiaries with Acute Kidney Injury (AKI) 01/03/17 9598 R1724OTN 10/07/16 Common Working File (CWF) Reorganization of Daily Beneficiary Extract Files 04/03/17 9787 R1722OTN 09/29/16 Updating the Fiscal Intermediary Shared System (FISS) to Make Payment for Drugs and Biologicals Services for Outpatient Prospective Payment System (OPPS) Providers 07/05/16 9479
R1721OTN 09/29/16 Adding a Foreign Language Tagline Sheet to Medicare Summary Notices (MSNs) 12/05/16 9617 R1720OTN 09/23/16 Reporting of All Recovery Auditor-Initiated Claim Adjustments and their Subsequent Adjustments for Periodic Interim Payment (PIP) Facilities 01/03/17 9662 R1718OTN 09/15/16 Common Working File (CWF) to Remove Remaining Federal Tax Information (FTI) Received through the Internal Revenue Service (IRS), Social Security Administration (SSA), Centers for Medicare and Medicaid Services (CMS) Medicare Secondary Payer (MSP) Data Match Program from CWF 01/03/17 9699 R1717OTN 09/15/16 Section 504: Adding a Qualified Reader Preference in Alternate Formats 01/03/17 9730 R1716OTN 09/16/16 Affordable Care Act - Operating Rules - Requirements for Phase II and Phase III Compliance for Batch Processing 04/03/17 9358
R1715OTN 09/16/16 Updates to the 72X Type of Bill for Home and Self- Dialysis Training, Retraining, and Nocturnal Hemodialysis 01/03/17 9609 R1714OTN 09/01/16 Shared System Enhancement 2014 – Identification of Fiscal Intermediary Standard System (FISS) Obsolete Reports - Analysis Only 10/02/17 9564 R1713OTN 09/01/16 Editing Update for Screening for Sexually Transmitted Infections 01/03/17 9719 R1712OTN 08/30/16 Shared System Enhancement 2014 – Identification of Fiscal Intermediary Standard System (FISS) Obsolete Reports - Analysis Only 10/01/16 9564 R1711OTN 08/26/16 Medicare Appeals System (MAS) Level 1 Part A and Home, Heath, Hospice (HHH) Onboarding Effort 12/31/16 9683 R1710OTN 08/26/16 Adding a Foreign Language Tagline Sheet to Medicare Summary Notices (MSNs) 10/28/16 9617
R1708OTN 08/19/16 Coding Revisions to National Coverage Determination (NCDs) 01/03/17 9751 R1707OTN 08/12/16 eMSN and Alternate Format MSN Service Improvements 01/03/17 9731 R1706OTN 08/05/16 Health Insurance Portability and Accountability Act (HIPAA) Electronic Data Interchange (EDI) Front End Updates for January 2017 01/03/17 9666 R1704OTN 08/05/16 Implementing Provider File Updates and PECOS to FISS Interface Via Extract File Updates to Accommodate Section 603 Bipartisan Budget Act of 2015 01/03/17 9613 R1703OTN 08/05/16 Recovery Auditor Mass Adjustment and Reporting Process Enhancements - Analysis Only 01/03/17 9587 R1702OTN 08/05/16 Section 504: Adding a Qualified Reader Preference in Alternate Formats 01/03/17 9730
R1701OTN 08/05/16 Combined Common Edits/Enhancements (CCEM) Third Party Software Upgrades 01/03/17 9738 R1699OTN 08/05/16 Appropriate Use Criteria for Advanced Imaging – Analysis and Design 01/03/17 9707 R1698OTN 08/05/16 Editing Update for Screening for Sexually Transmitted Infections 01/03/17 9719 R1697OTN 08/05/16 Reporting of All Recovery Auditor-Initiated Claim Adjustments and their Subsequent Adjustments for Periodic Interim Payment (PIP) Facilities 01/03/17 9662 R1696OTN 08/05/16 Shared System Enhancement 2014 - Additional Removal of Obsolete Reports and On- Request Jobs from the ViPS Medicare System (VMS) -- Implementation 01/03/17 9618 R1695OTN 08/05/16 Fiscal Intermediary Shared System (FISS) Heath Information Technology for Economic and Clinical Health (HITECH) Quarterly Report 01/03/17 9555
R1693OTN 07/29/16 Common Working File (CWF) to Remove Remaining Federal Tax Information (FTI) Received through the Internal Revenue Service (IRS), Social Security Administration (SSA), Centers for Medicare and Medicaid Services (CMS) Medicare Secondary Payer (MSP) Data Match Program from CWF 01/03/17 9699 R1688OTN 07/29/16 Part B Detail Line Expansion – MCS Phase 2 01/03/17 9653 R1687OTN 07/29/16 Common Working File (CWF) to Locate Medicare Beneficiary Record and Provide Responses to Provider Queries 01/03/17 9740 R1686OTN 07/29/16 Part B Detail Line Expansion – MCS Phase 7 01/03/17 9663 R1685OTN 07/29/16 Update the Primary Insurer's Policy Number of the Insured Field to 17 Bytes on the Health Insurance Master Record (HIMR) Screen Found in the Medicare Secondary Payer (MSP) Auxiliary File 01/03/17 9728
R1683OTN 07/21/16 Shared Savings Program (SSP) Accountable Care Organization (ACO) Qualifying Stay Edits 10/03/17 9568 R1681OTN 07/15/16 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2014 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCH) 08/16/17 9648 R1679OTN 07/01/16 Shared Savings Program (SSP) Accountable Care Organization (ACO) Qualifying Stay Edits 01/03/17 9568 R1677OTN 06/23/16 Revised Fee Schedules for Healthcare Common Procedure Coding System (HCPCS) Code E1012 in Association with Change Request 9642 07/05/16 9692 R1675OTN 06/16/16 System Changes to Implement Section 231 of the Consolidated Appropriations Act, 2016, Temporary Exception for Certain Severe Wound Discharges From Certain Long-Term Care Hospitals (LTCHs) 10/03/16 9599 R1674OTN 06/17/16 Medicare Administrative Contractors (MACs) Analysis of the Proposed Contract CMS Security Clause Update 07/18/16 9645
R1673OTN 06/10/16 Shared System Enhancement 2015 Analysis and Design HUOPCUT Hospice Period and Health Maintenance Organization (HMO) Processing 06/20/16 9419 R1672OTN 06/03/16 Coding Revisions to National Coverage Determinations (NCDs) 10/3/16 9631 R1671OTN 06/02/16 Payment Change for Group 3 Complex Rehabilitative Power Wheelchairs Accessories and Seat and Back Cushions under Section 2 of the Patient Access and Medicare Protection Act (PAMPA) for Home Health Claims 10/3/16 9586 R1670OTN 05/20/16 Shared System Enhancement 2014 – Identification of Fiscal Intermediary Standard System (FISS) Obsolete Reports - Analysis Only 10/03/16 9564 R1669OTN 05/20/16 Guidance on Implementing System Edits for Certain Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) 10/03/16 9371 R1668OTN 05/13/16 National Provider Identifier Crosswalk System (NPICS) Retirement Analysis Only - Engage Shared Systems Maintainers and Medicare Administrative Contractors (MACs) in Meetings and Correspondence Related to the NPICS Retirement with the 10/03/16 9604
Stakeholders R1667OTN 05/12/16 Analysis Only CR - Medicare ID end-date 10/03/16 9605 R1665OTN 05/13/16 Coding Revisions to National Coverage Determinations (NCDs) 10/03/16 9631 R1664OTN 05/13/16 Reporting Medicare Administrative Contractor (MAC) Provider Education Website Analytic Data to the Provider Customer Service Program Contractor Information Database (PCID) 06/14/16 9619 R1660OTN 05/06/16 Shared Savings Program (SSP) Accountable Care Organization (ACO) Qualifying Stay Edits 10/03/16 9568 R1659OTN 05/06/16 Convert Assembler Code to COBOL or Best Coding Language to Improve MCS System Maintainability and Sustainability, Analysis only 10/03/16 9624
R1658OTN 04/29/16 Coding Revisions to National Coverage Determinations 07/05/16 9540 R1657OTN 04/29/16 Issuing Continuing Compliance Letters to Specific Providers and Suppliers 02/22/16 9462 R1655OTN 04/29/16 Recurring calls with the Fiscal Intermediary Shared System (FISS) for any in-depth discussions 10/03/16 9556 R1654OTN 04/29/16 System Changes to Implement Section 231 of the Consolidated Appropriations Act, 2016, Temporary Exception for Certain Severe Wound Discharges From Certain Long-Term Care Hospitals (LTCHs) 10/03/16 9599 R1653OTN 04/29/16 New State Code for AZ, ID, NY, and WV 10/03/16 9567 R1652OTN 04/29/16 Analysis Only: To Obtain a Rough Order of Magnitude (ROM) from Durable Medical Equipment Medicare Administrative Contractors (DME MACs), GDIT/VMS, the National Supplier Clearinghouse (NSC) and the Common Electronic Data 10/03/16 9593
Interchange (CEDI) Contractor to Develop and Implement a Process for DME MAC Provider Self-Service Internet Portal Authentication of Medicare Providers Using EDI Enrollment Data Elements R1651OTN 04/28/16 National Provider Identifier Crosswalk System (NPICS) Retirement Analysis Only - Engage Shared Systems Maintainers and Medicare Administrative Contractors (MACs) in Meetings and Correspondence Related to the NPICS Retirement with the Stakeholders 10/03/16 9604 R1650OTN 04/28/16 Shared System Enhancement 2015: Archive/Remove Inactive Medicare Demonstration Projects 10/03/16 9473 R1649OTN 04/28/16 Phase 2 of Updating the Fiscal Intermediary Shared System (FISS) to Make Payment for Drugs and Biologicals Services for Outpatient Prospective Payment System (OPPS) Providers 10/03/16 9601 R1647OTN 04/28/16 Payment Change for Group 3 Complex Rehabilitative Power Wheelchairs Accessories and Seat and Back Cushions under Section 2 of the Patient Access and Medicare Protection Act (PAMPA) for Home Health Claims 10/03/16 9586
R1646OTN 04/28/16 Upgrade (Jaspersoft) reporting software for the Combined Common Edits/Enhancement Module (CCEM) 10/03/16 9592 R1645OTN 04/28/16 Analysis of the Combined Common Edits/Enhancements Module (CCEM) 3rd Party Software 10/03/16 9594 R1644OTN 04/26/16 Reclassification of Certain Durable Medical Equipment HCPCS Codes Included in Competitive Bidding Programs (CBP) from the Inexpensive and Routinely Purchased Payment Category to the Capped Rental Payment Category 07/05/16 8822 R1640OTN 04/01/16 End Stage Renal Disease (ESRD) Cost Audits 05/02/16 9534 R1639OTN 03/24/16 Reporting Principal and Interest Amounts When Refunding Previously Recouped Money on the Remittance Advice (RA) 04/04/16 9168 R1636OTN 03/11/16 Implementation of the Award for Jurisdiction B Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Workload 07/05/16 9526
R1635OTN 03/11/16 VIPS Medicare System (VMS), Analysis and Design for Jurisdiction A (JA) and Jurisdiction B (JB) Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs) Transitions 07/05/16 9574 R1634OTN 03/11/16 Implementation of the Award for Jurisdiction A Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Workload 07/05/16 9546 R1633OTN 03/11/16 Settlement Effectuation Instructions for the Department of Health and Human Services' (DHHS) Office of Medicare Hearings and Appeals (OMHA) Settlement Conference Facilitation (SCF) Pilot Related to Part A Appeals (Phase 3) 04/11/16 9521 R1631OTN 02/26/16 Shared System Enhancement 2015 Edit Control/Override Table, Analysis and Design 07/05/16 9418 R1630OTN 02/26/16 Coding Revisions to National Coverage Determinations 07/05/16 9540 R1627OTN 02/16/16 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP): Implementation of Round 2 Re-compete of the DMEPOS CBP Program and 07/05/16 9490
National Mail Order (NMO) Re-compete R1626OTN 02/19/16 Reclassification of Certain Durable Medical Equipment HCPCS Codes Included in Competitive Bidding Programs (CBP) from the Inexpensive and Routinely Purchased Payment Category to the Capped Rental Payment Category 07/05/16 8822 R1625OTN 02/05/16 Identifying “No Documentation” Medical Necessity Denials for Claims Flagged for Recovery Auditor Review 07/06/16 8913 R1624OTN 02/05/16 System Specific Enhancement 2015: Fiscal Intermediary Standard System (FISS) Enhanced Purge Process 07/05/16 9399 R1623OTN 02/05/16 Using scrubbed Medicare beneficiary/legal rep address data within the Fee-For-Service (FFS) systems - Analysis and Design 07/05/16 9464 R1622OTN 02/05/16 Shared System Enhancement 2015 Analysis and Design HUOPCUT Hospice Period and Health Maintenance Organization (HMO) Processing 07/05/16 9419
R1620OTN 02/05/16 Shared System Enhancement 2015: National Coverage Determination (NCD) Analysis Process 07/05/16 9414 R1619OTN 02/05/16 Revision to Fiscal Intermediary Shared System (FISS) Lab Travel Allowance Editing to Include New Specimen Collection Code G0471 07/05/16 9471 R1618OTN 02/05/16 System Specific Enhancement 2015: Replace FISS ACS/Development Letters with HP Exstream, Analysis Only 07/05/16 9398 R1617OTN 02/04/16 System Specific Enhancement 2014: String Testing Automation 07/05/16 9224 R1616OTN 02/04/16 Updating the Fiscal Intermediary Shared System (FISS) to Make Payment for Drugs and Biologicals Services for Outpatient Prospective Payment System (OPPS) Providers 07/05/16 9479 R1615OTN 02/04/16 Advance Care Planning (ACP) Services furnished by Rural Health Clinics (RHCs) 07/05/16 9503
R1610OTN 02/04/16 System Specific Enhancement 2014: Fiscal Intermediary Standard System (FISS) Edit/Rules Engine Analysis and Design 07/05/16 9211 R1609OTN 02/04/16 Accredited Standards Committee (ASC) X12 Healthcare Claims Acknowledgement (277CA) Flat File Update 07/05/16 9454 R1607OTN 01/29/16 Shared System Enhancement 2015 Improve Efficiency of Drug Code, Provider, and Procedure and Diagnosis Codes Processing, Analysis and Design 07/05/16 9420 R1606OTN 01/29/16 Shared System Enhancement 2015 Edit Control/Override Table, Analysis and Design 07/05/16 9418 R1605OTN 01/29/16 Common Working File (CWF) Daily Beneficiary Extract Files Reaching Maximum Record Size, Analysis and Design for Possible Data Reorganization 07/05/16 9451 R1604OTN 01/29/16 Part B Detail Line Expansion – MCS Phase 3 07/05/16 9539
R1603OTN 01/29/16 Part B Detail Line Expansion – MCS Phase 1 07/05/16 9537 R1602OTN 01/29/16 Part B Detail Line Expansion – MCS Phase 4 07/05/16 9538 R1601OTN 01/29/16 Payment Clarification for the Purchase of Used Inexpensive and Routinely Purchased Durable Medical Equipment (DME) when Previously Rented 07/05/16 9491 R1600OTN 01/29/16 Award of Medicare Administrative Contractor (MAC) Contract for Jurisdiction 15 03/01/16 9456 R1598OTN 01/29/16 Shared System Enhancement 2015 Resolve Operating Report (ORPT) Issues, Analysis and Design 07/05/16 9417 R1597OTN 01/29/16 System Specific Enhancement 2014: Create A Single Trailer- Generating Module in Common Working File (CWF) 07/05/16 9184
R1596OTN 01/26/16 Required Billing Updates for Rural Health Clinics 04/04/16 9269 R1595OTN 01/22/16 Issuing Continuing Compliance Letters to Specific Providers and Suppliers 02/22/16 9462 R1593OTN 01/22/16 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2016 07/05/16 9496 R1592OTN 01/15/16 Award of Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Contract for Jurisdiction D 03/01/16 9453 R1591OTN 01/08/16 Changes to the Medicare Electronic Health Record (EHR) Incentive Program Payment Adjustment beginning January 1, 2016 01/04/16 9441 R1590OTN 01/05/16 Implementation of Procedures for Undeliverable Medicare Summary Notices (uMSNs) 04/04/16 9372
R1589OTN 12/31/15 Updating Scanning for the Information Security and Privacy Group (ISPG) Enterprise Vulnerability Management Program (EVMP) 02/01/16 9445 R1588OTN 12/24/15 Settlement Effectuation Instructions for the Department of Health and Human Services' (DHHS) Office of Medicare Hearings and Appeals (OMHA) Settlement Conference Facilitation (SCF) Pilot 01/13/16 9217 R1587OTN 12/17/15 Instruction to Apply the Part A Deductible on a Medicare Secondary Payer (MSP) Inpatient Same Day Transfer Claim 04/04/16 9394 R1586OTN 12/17/15 Eliminate Two Case-mix Payment Adjustments (Monoclonal Gammopathy and Bacterial Pneumonia) Available Under the End State Renal Disease (ESRD) Prospective Payment System (PPS) in Accordance With Section 632 of the American Taxpayer Relief Act (ATRA) 01/04/16 9268 R1585OTN 12/16/15 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 07/05/16 9054
R1583OTN 12/11/15 Settlement Effectuation Instructions for the Department of Health and Human Services' (DHHS) Office of Medicare Hearings and Appeals (OMHA) Settlement Conference Facilitation (SCF) Pilot 01/13/16 9217 R1580OTN 12/03/15 ICD-10 Conversion/Coding Infrastructure Revisions to National Coverage Determinations (NCDs)--3rd Maintenance CR 01/04/16 9252 R1578OTN 11/19/15 System Specific Enhancement 2014: Process Health Maintenance Organization (HMO) edits in a single module in Common Working File (CWF) Analysis Only 04/04/16 9185 R1577OTN 11/20/15 System Specific Enhancement 2015: Remove Direct Claim Updates within the Daily Batch Cycle Analysis and Design CR 04/04/16 9400 R1575OTN 11/13/15 Shared System Enhancement 2015: Identify Inactive Medicare Demonstration Projects (Analysis Only) 04/04/16 9325 R1574OTN 11/13/15 Shared System Enhancement 2015: Technical Improvements to the Redesigned Medicare Summary Notice (MSN) process 04/04/16 9381
R1573OTN 11/13/15 Shared System Enhancement 2014 - Removal of Obsolete Reports and On-Request Jobs from the ViPS Medicare System (VMS) -- Implementation 04/04/16 9421 R1572OTN 11/06/15 Removal of Device Portion from Certain Discontinued Device-Intensive Ambulatory Surgical Center (ASC) Procedures Prior to the Administration of Anesthesia 04/04/16 9297 R1570OTN 11/06/15 Reporting Principal and Interest Amounts When Refunding Previously Recouped Money on the Remittance Advice (RA) 04/04/16 9168 R1569OTN 11/06/15 Shared System Enhancement 2015: Combined Common Edits/Enhancements Module (CCEM) Claim Tracking and Logging 04/04/16 9425 R1568OTN 11/06/15 Implementation of Procedures for Undeliverable Medicare Summary Notices (uMSNs) 04/04/16 9372 R1567OTN 11/06/15 System Specific Enhancements 2014: Retaining most recent update for Auxiliary (Aux) file data in Common Working File (CWF) Analysis Only 04/04/16 9186
R1565OTN 11/06/15 System Specific Enhancement 2015: Fiscal Intermediary Standard System (FISS) Extend Hard Segregation of Security 04/04/16 9402 R1564OTN 11/06/15 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for April 2016 04/04/16 9405 R1561OTN 11/06/15 Part B Detail Line Expansion - Trailer 08 Update 04/04/16 9379 R1560OTN 11/05/15 Instruction to Apply the Part A Deductible on a Medicare Secondary Payer (MSP) Inpatient Same Day Transfer Claim 04/04/16 9394 R1559OTN 11/05/15 Shared System Enhancement 2015: Modify Purged Claim History to Improve Efficiency 04/04/16 9422 R1557OTN 11/05/15 System Specific Enhancement 2015: Archive Competitive Bidding Demonstration Logic in ViPS Medicare System (VMS) 04/04/16 9376
R1556OTN 11/05/15 Shared System Enhancement 2015: Eliminate Remaining Uses of AREAFILE and CUSTCHRG Virtual Storage Access Method Files 04/04/16 9373 R1554OTN 11/05/15 System Specific Enhancements 2014: Retaining Most Recent Update for Auxiliary (Aux) File Data in Common Working File (CWF) 04/04/16 9337 R1553OTN 11/05/15 New State Code for CT, MA, NJ, PR, GA, NC, SC, TN, AR, OK, CO, CA, OR, LA, NM, TX and WA 04/04/16 9300 R1552OTN 11/05/15 Medicare Remit Easy Print (MREP) Upgrade 04/04/16 9291 R1551OTN 11/05/15 System Specific Enhancements 2014: Move PAP smear Risk Indicator (PAPRI) and Technical (TECH)/Professional (PROF) Dates to Screening Auxiliary file 04/04/16 9188 R1550OTN 11/05/15 System Specific Enhancement 2014: Process Health Maintenance Organization (HMO) edits in a single module in Common Working File (CWF) 04/04/16 9185
R1549OTN 10/30/15 Shared System Enhancement 2014 - Removal of Railroad Board (RRB) obsolete reports identified by Multi-Carrier System (MCS) Shared System Maintainer (SSM) 04/04/16 9294 R1548OTN 10/30/15 Analysis Only: To Obtain the Level of Effort (LOE) from Medicare Administrative Contractors (MACs) to Implement Multifactor Authentication (MFA) as an Option for Non-Organization Users and to also Obtain the Level of Effort (LOE) from Medicare Administrative Contractors (MACs) to Implement Multifactor Authentication (MFA) as a Requirement for Non- Organization Users 12/02/15 9309 R1545OTN 09/30/15 Procedures for Processing Under Tolerance Part A 935, Part A-Other, Part A and B Healthcare Professional Shortage Area (HPSA), and Part A-Provider Recovery Audit Contractor (RAC) Identified debts in the Healthcare Integrated General Ledger Accounting System (HIGLAS) 07/05/16 9221 R1544OTN 09/22/15 Implementation of Long-Term Care Hospital (LTCH) Prospective Payment System (PPS) Based on Specific Clinical Criteria 07/06/15 9015
R1542OTN 09/04/15 Implementation of Biosimilar Claim Modifiers 01/04/16 9284 R1541OTN 08/28/15 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for October 2015 10/01/15 9145 R1540OTN 08/28/15 Modification to the Telehealth Originating Site Facility Fee Billing Requirements for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) 10/05/15 9144 R1539OTN 08/28/15 Implementing the Insertion of a Sheet of Paper Promoting the Electronic Medicare Summary Notices (eMSNs) into Mailed Medicare Summary Notices (MSNs) 09/29/15 9275 R1538OTN 08/28/15 Medicare Prior Authorization of Power Mobility Devices (PMDs) Demonstration: Advance Determination of Medicare Coverage (ADMC) Reviews for Beneficiaries Who Have Representative Payees 09/29/15 9286 R1537OTN 08/21/15 ICD-10 Conversion/Coding Infrastructure Revisions to National Coverage Determinations (NCDs)--3rd Maintenance CR 01/04/16 9252
R1536OTN 08/21/15 Increasing Tax Withholding to 100 Percent for Internal Revenue Service (IRS) Federal Payment Levy Program (FPLP) 10/16/15 9285 R1535OTN 08/14/15 International Classification of Diseases, 10th Revision (ICD- 10) Additional Acknowledgement Testing Reporting 09/15/15 9256 R1534OTN 08/07/15 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for January 2016 01/04/16 9259 R1533OTN 08/07/15 Update Hard Coded Audit 205A MSP Return Code 3925 and Edit 152D 01/04/16 9237 R1528OTN 08/06/15 Reporting of Anti-Cancer and Anti-Emetic Drugs 01/04/16 9255 R1527OTN 08/06/15 Update for Paper Claims Processing Under the Administrative Simplification Compliance Act (ASCA) 09/08/15 9210
R1525OTN 08/06/15 Add Original Common Working Files (CWF) Occurrence Number to the CWF Feed to MBD 01/04/16 9209 R1524OTN 08/06/15 Medicare Remit Easy Print (MREP) Upgrade 01/04/16 9203 R1523OTN 07/31/15 Procedures for Processing Under Tolerance Part A 935, Part A-Other, Part A and B Healthcare Professional Shortage Area (HPSA), and Part A-Provider Recovery Audit Contractor (RAC) Identified debts in the Healthcare Integrated General Ledger Accounting System (HIGLAS) 04/04/16 9221 R1522OTN 07/31/15 Data Act Treasury Referral Timeframe and Reporting - DME MAC Changes 08/31/15 9193 R1521OTN 07/24/15 CMS Information Security Acceptable Risk Safeguards Update - Multifactor Authentication 09/25/15 9277
R1519OTN 07/10/15 Medicare Appeals System (MAS) Upgrade 07/27/15 9208 R1518OTN 07/10/15 Contractor Reporting of Operational and Workload Data (CROWD) Form 5 Remittance Advice Reporting 08/11/15 9181 R1517OTN 07/02/15 Tester Resolution Reports for International Classification of Diseases, Tenth Revision (ICD-10) Limited End to End Testing with Submitters 05/29/15 9137 R1516OTN 07/02/15 Analysis and Design for Part B Detail Line Expansion 10/05/15 9096 R1514OTN 07/02/15 Award of Medicare Administrative Contractor (MAC) Contract for Jurisdiction J 06/01/15 8960 R1511OTN 06/12/15 Classification of Speech Generating Devices (SGD) and Accessories under the Payment Category for Inexpensive or Routinely Purchased Durable Medical Equipment 10/05/15 9179
R1510OTN 06/12/15 Award of Medicare Administrative Contractor (MAC) Contract for Jurisdiction M 07/13/15 9171 R1508OTN 06/05/15 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2013 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCH) 07/06/15 9195 R1507OTN 05/22/15 HIGLAS Release 12 (R12) Upgrade and Organizational Transitions for A/B MACs - R12 Upgrade 06/23/15 9135 R1505OTN 05/22/15 Analysis for Inserting a Pre- printed Sheet of Paper in Medicare Summary Notice (MSN) Envelopes 06/23/15 9161 R1504OTN 05/20/15 ICD-10 Conversion/Coding Infrastructure Revisions/ICD-9 Updates to National Coverage Determinations (NCDs)--2nd Maintenance CR 06/22/15 9087 R1503OTN 05/15/15 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2015 07/06/15 9064
R1502OTN 05/15/15 Analysis - Procedures for Undeliverable Medicare Summary Notices (MSNs) 10/05/15 9047 R1500OTN 05/08/15 IDR Shared Systems Daily Claims Feeds Expansion to Accommodate Medical Review Data Elements 10/05/15 9126 R1499OTN 05/08/15 Section 504: Implement National Medicare Summary Notices (MSNs) in Alternate Formats 10/05/15 9153 R1498OTN 05/08/15 Modifications to the National Coordination of Benefits Agreement (COBA) Crossover Process 10/05/15 9054 R1497OTN 05/08/15 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for October 2015 10/01/15 9145 R1496OTN 05/08/15 Modification to the Telehealth Originating Site Facility Fee Billing Requirements for Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) 10/05/15 9144
R1495OTN 08/19/15 Revision to Medicare Code Editor (MCE) Edit, Procedure Inconsistent with Length of Stay (LOS) for International Classification of Diseases, Tenth Revision, Procedure Classification System (ICD-10- PCS) Respiratory Ventilation, Greater than 96 Consecutive Hours 10/05/15 9117 R1494OTN 08/19/15 Updates of Medicare Severity Diagnosis Related Groups (MS-DRGs) to the List Subject to Inpatient Prospective Payment System (IPPS) Replaced Devices Offered without Cost or with a Credit Policy 10/05/15 9121 R1492OTN 05/05/15 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2015 07/06/15 9064 R1491OTN 05/01/15 Identification of Obsolete Shared System Maintainer (SSM) On-Request Jobs - FISS and VMS 10/05/15 9102 R1490OTN 05/01/15 Identification of Obsolete Shared System Maintainer (SSM) Reports - FISS and VMS 10/05/15 9103
R1489OTN 05/01/15 Analysis and Design for Part B Detail Line Expansion 10/05/15 9096 R1488OTN 04/17/15 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2012 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCH) 05/18/15 8835 R1486OTN 04/10/15 Increasing Tax Withholding to 30% for IRS Federal Payment Levy Program (FPLP) 06/19/15 9154 R1485OTN 04/10/15 Continuation of Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Assessments 07/06/15 9132 R1483OTN 03/31/15 Identifying “No Documentation” Medical Necessity Denials for Claims Flagged for Recovery Auditor Review 07/06/15 8913 R1482OTN 03/27/15 Use of Modifiers KK, KG, KU, and KW under the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program 07/06/15 9059
R1481OTN 03/27/15 Tester Resolution Reports for International Classification of Diseases, Tenth Revision (ICD-10) Limited End to End Testing with Submitters 05/29/15 9137 R1480OTN 03/26/15 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2015 07/06/15 9064 R1478OTN 03/06/15 ICD-10 Conversion/Coding Infrastructure Revisions/ICD-9 Updates to National Coverage Determinations (NCDs)--2nd Maintenance CR 04/06/15 9087 R1476OTN 02/26/15 International Classification of Diseases, Tenth Revision (ICD-10) Limited End-to-end Testing with Submitters for 2015 01/05/15 8867 R1475OTN 02/27/15 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for April 2015 04/06/15 8851 R1473OTN 02/27/15 Correction of the Maintenance of the Medicare Status Code 07/06/15 9080
R1470OTN 02/13/15 Durable Medical Equipment Prosthetics Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP): Additional Instructions for Grandfathered Items Subject to CBP 07/06/15 9060 R1469OTN 02/13/15 Develop Rough Order of Magnitude (ROM) for Appeals Workload in Preparation for Implementation of International Classification of Diseases-10th Revision (ICD- 10) 03/16/15 9036 R1468OTN 02/13/15 Identification of Obsolete Shared System Maintainer (SSM) Reports 07/06/15 9022 R1467OTN 02/13/15 Reporting Force Balance Claim Payment on the Electronic Remittance Advice (ERA) 835 and Cross Over Beneficiary (COB) 837 Claim Transactions 07/06/15 9050 R1466OTN 02/13/15 Use of Modifiers KK, KG, KU, and KW under the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program 07/06/15 9059 R1463OTN 02/06/15 Identification of Obsolete Shared System Maintainer (SSM) On-Request Jobs 07/06/15 9023
R1462OTN 02/06/15 Identifying “No Documentation” Medical Necessity Denials for Claims Flagged for Recovery Auditor Review 10/05/15 8913 R1460OTN 01/30/15 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2015 07/06/15 9064 R1459OTN 01/30/15 Continuation of Systematic Validation of Payment Group Codes for Prospective Payment Systems (PPS) Based on Patient Assessments 07/06/15 9016 R1458OTN 01/30/15 Fee for Service Beneficiary Data Streamlining (FFS BDS) Phase II Beneficiary Address Analysis and Design 07/06/15 9029 R1457OTN 01/30/15 Renaming PPS-FLX6- PAYMENT Field in the Inpatient Prospective Payment System (IPPS) Pricer Output 07/06/15 9031 R1456OTN 01/30/15 Phase Two: Changing Fiscal Intermediary Shared System (FISS) Action on Informational Unsolicited Responses (IURs) From Canceled Claims to Adjustments 07/06/15 8990
R1455OTN 01/30/15 Corrections to Processing Service Facility Information on Hospice Claims 07/06/15 9042 R1450OTN 01/09/15 Moratorium on Classification of Long-Term Care Hospitals (LTCH) or Satellites/Increase in Certified LTCH Beds 02/10/15 9025 R1449OTN 12/19/14 2015 Electronic Health Record System Payment Adjustment Letter 12/29/14 9024 R1446OTN 12/05/14 IDR Shared Systems Daily Claims Feeds Expansion to Accommodate Medical Review Data Elements 01/05/15 8823 R1445OTN 12/05/14 Rescind and Replace of CR 8409: Reclassification of Certain Durable Medical Equipment from the Inexpensive and Routinely Purchased Payment Category to the Capped Rental Payment Category 04/07/14 8566 R1444OTN 11/06/14 Analysis and Design to Automate Adjustments That Are Completed In The Common Working File (CWF) When Inpatient (INP) Or Skilled Nursing Facility (SNF) Claims Are Processed Out Of Sequence 04/06/15 8934
R1441OTN 11/06/14 Implementation Instructions for the A/B and DME Medicare Administrative Contractors (MACs) and their Designated Shared Systems to Send the Correct Cost Avoided Indicator and Special Project Type to the Common Working File (CWF) To Ensure Correct Savings is Applied Both to the Medicare Secondary Payer (MSP) Savings Report and the Originating Contractor 04/06/15 8762 R1440OTN 11/06/14 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for April 2015 04/06/15 8851 R1438OTN 11/06/14 Data Quality between the Fiscal Intermediary Shared System (FISS) and the Common Working File (CWF) 04/06/15 8931 R1437OTN 11/06/14 Data Quality Between the Multi Carrier System (MCS) and ViPS Medicare System (VMS) and the Common Working File (CWF) 04/06/15 8930 R1436OTN 11/06/14 Fee for Service Beneficiary Data Streamlining (FFS BDS) Phase II Analysis 04/06/15 8915
R1435OTN 11/06/14 New Informational Unsolicited Response (IUR) Process for Durable Medical Equipment (DME) Items Furnished during a Part A Hospital Inpatient Stay 04/06/15 8844 R1434OTN 11/06/14 Payment for G0101 and Q0091 in Rural Health Clinics (RHCs) and Federally Qualified Health Centers (FQHCs) that Bill under the All-Inclusive Rate (AIR) System 04/06/15 8927 R1433OTN 11/06/14 Additional Instruction on the Use of Claims Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs) with Regard to Operating Rule: 360 Compliance 04/06/15 8790 R1429OTN 10/01/14 Fee for Service Beneficiary Data Streamlining (FFS BDS) Updates to Operational Issues 01/05/15 8677 R1428OTN 09/24/14 Correction to Hospice Notice of Revocation Processing 01/05/15 8795 R1424OTN 08/22/14 IDR Shared Systems Daily Claims Feeds Expansion to Accommodate Medical Review Data Elements 01/05/15 8823
R1423OTN 08/22/14 International Classification of Diseases, 10th Revision (ICD- 10) Testing - Acknowledgement Testing with Providers 09/30/14 8858 R1422OTN 08/15/14 Specific Modifiers for Distinct Procedural Services 01/05/14 8863 R1421OTN 08/15/14 Revised Modification to the Medically Unlikely Edit (MUE) Program 01/05/14 8853 R1420OTN 08/15/14 DMEPOS Competitive Bidding Program (CBP): Correction to VMS Processing of Wheelchair Accessory Claims for Round 2 01/05/15 8864 R1418OTN 08/08/14 Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - July 1, 2014 version 3.1.1 09/02/14 8711 R1414OTN 08/01/14 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for January 2015 01/05/15 8753
R1413OTN 08/01/14 Medicare Remit Easy Print (MREP) Enhancement 01/05/15 8856 R1412OTN 08/01/14 Modifying FISS Part B Claims Overlap Edits related to CMS- 1599-F 01/05/15 8820 R1411OTN 08/01/14 Removal of User-Controlled Effective Date to Apply Therapy Caps to Critical Access Hospital (CAH) Claims 01/05/15 8686 R1410OTN 08/01/14 Instructions for Removing Logic Involving the IUR Implemented with CR8271 01/05/15 8573 R1409OTN 08/01/14 IDR Shared Systems Daily Claims Feeds Expansion to Accommodate Ambulance Data Elements 01/05/15 8741 R1408OTN 08/01/14 Fee for Service Beneficiary Data Streamlining (FFS BDS) Updates to Operational Issues 01/05/15 8677
R1407OTN 08/01/14 Inpatient Hospital Claims and Medicare Secondary Payer (MSP) Claims with Medicare Coinsurance Days and/or Medicare Lifetime Reserve Days Occurring in the Seventh or More Calendar Years – Analysis and Design Only 01/05/15 8555 R1406OTN 08/01/14 Add Smoking Cessation Initial Session Date to the Common Working File (CWF) to Medicare Beneficiary Database (MBD) Extract File 01/05/15 8631 R1405OTN 08/01/14 Diagnosis Reporting on Home Health Claims 01/05/15 8813 R1404OTN 08/01/14 Modify the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) File to no longer include Preventive Healthcare Common Procedure Coding System (HCPCS) Codes that have been terminated 01/05/15 8745 R1403OTN 08/01/14 Change in Applying Co- insurance and Lifetime Reserve (LTR) Amounts on Informational Only Claims with Condition Code (CC) 04 01/05/15 8704
R1401OTN 08/01/14 Fee for Service Beneficiary Data Streamlining (FFS BDS) - Phase II - Auxiliary Data 01/05/15 8681 R1399OTN 08/01/14 Federally Qualified Health Centers Prospective Payment System- Recurring File Updates 01/05/15 8854 R1397OTN 07/25/14 Consolidation of HIGLAS Organizations for a MAC - Organization Merges 07/27/14 8817 R1396OTN 07/25/14 Clarification of Remittance Advice Code Combination Reports Generated by Shared Systems 07/07/14 8616 R1395OTN 07/16/14 Implementation of a Prospective Payment System (PPS) for Federally Qualified Health Centers (FQHCs) 10/6/14 8743 R1392OTN 06/25/14 Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - June 1, 2014 version 3.1.0 09/02/14 8711
R1390OTN 06/06/14 Implementing the Re- competition Award for the Jurisdiction N (formerly Jurisdiction 9) Part A/Part B Medicare Administrative Contractor (A/B MAC) Workload 07/08/14 8759 R1388OTN 05/23/14 ICD-10 Conversion/Coding Infrastructure Revisions/ICD-9 Updates to National Coverage Determinations (NCDs)-- Maintenance CR 10/06/14 8691 R1386OTN 05/16/14 Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) File to Include Diagnosis Codes on the Health Insurance Portability and Accountability Act Eligibility Transaction System (HETS) 270/271 Transactions 10/06/14 8456 R1385OTN 05/16/14 Additional States Requiring Payment Edits for DMEPOS Suppliers of Prosthetics and Certain Custom-Fabricated Orthotics. Update to CR 3959 and CR 8390 06/17/14 8730 R1384OTN 05/16/14 Posting the Limiting Charge after Applying the Electronic Health Record (EHR) and Physician Quality Reporting System (PQRS) Negative Adjustments 10/06/14 8667 R1383OTN 05/09/14 Implementation of a Prospective Payment System (PPS) for Federally Qualified Health Centers (FQHCs) 10/06/14 8743
R1380OTN 05/02/14 Present on Admission (POA) Indicator Editing for Maryland Waiver Hospitals 10/06/14 8709 R1379OTN 05/02/14 Anesthesiologist/Certified Registered Nurse Anesthetist (CRNA) Related Services in a Method II Critical Access Hospital (CAH) 10/06/14 8708 R1378OTN 05/02/14 Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - June 1, 2014 version 3.0.5 10/06/14 8711 R1377OTN 05/01/14 Hewlett Packard Enterprise Services, LLC (HPES) Shared Systems Maintainer (SSM) support for Medicare Administrator Contractors (MACs) testing and inquiries for the Combined Common Edits/Enhancements Module (CCEM) for Part A and Part B 10/06/14 8722 R1376OTN 05/01/14 Return Maintenance of the ANSILIST to the Durable Medical Equipment (DME) Medicare Administrative Contractors (MACs) 10/06/14 8729
R1375OTN 05/01/14 Adding New MSP Data Fields to the CWF Daily File 10/06/14 8733 R1374OTN 05/01/14 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for October 2014 10/06/14 8700 R1373OTN 04/28/14 CWF Editing for Vaccines Furnished at Hospice - Correction 04/07/14 8620 R1371OTN 04/18/14 Instructions to Contractors for Implementing Section 5506 of the Affordable Care Act (ACA) - Preservation of Resident Cap Positions from Closed Teaching Hospitals – Rounds 1, 2, 3 and After 05/19/14 8633 R1370OTN 04/10/14 Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - February 1, 2014 version 3.0.4 07/07/14 8651
R1369OTN 04/10/14 Clarification of Remittance Advice Code Combination Reports Generated by Shared Systems 10/06/14 8616 R1367OTN 04/09/14 Implementation of NACHA Operating Rules for Health Care Electronic Funds Transfers (EFT) 07/07/14 8629 R1366OTN 04/08/14 Termination of the Common Working File ELGA, ELGH, HIQA, HIQH, and HUQA Part A Provider Queries 04/07/14 8248 R1365OTN 04/02/14 Reporting principal and interest amounts when refunding previously recouped money on the Remittance Advice (RA) 10/06/14 8485 R1363OTN 03/28/14 Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - February 1, 2014 version 3.0.4 06/30/14 8651 R1362OTN 03/25/14 Rescind and Replace of CR 8409: Reclassification of Certain Durable Medical Equipment from the Inexpensive and Routinely Purchased Payment Category to the Capped Rental Payment 04/07/14 8566
Category R1361OTN 03/25/14 Implementation of NACHA Operating Rules for Health Care Electronic Funds Transfers (EFT) 07/07/14 8629 R1360OTN 03/18/14 Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - October 1, 2013 version 3.0.3 05/05/14 8518 R1359OTN 03/18/14 The Coordination of Benefits Contractor (COBC) to Remove and No Longer Apply Federal Tax Information (FTI) Received through the Internal Revenue Service (IRS), Social Security Administration (SSA), Centers for Medicare and Medicaid Services (CMS) Medicare Secondary Payer (MSP) Data Match Program on the Common Working File (CWF) 07/07/14 8353 R1358OTN 03/14/14 Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - October 1, 2013 version 3.0.3 04/07/14 8518
R1357OTN 03/07/14 International Classification of Diseases, 10th Revision (ICD- 10) Testing with Providers through the Common Edits and Enhancements Module (CEM) and Common Electronic Data Interchange (CEDI) 03/12/14 8465 R1356OTN 03/06/14 Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) File to Include Diagnosis Codes on the Health Insurance Portability and Accountability Act Eligibility Transaction System (HETS) 270/271 Transactions 10/06/14 8456 R1352OTN 02/21/14 International Classification of Diseases, Tenth Revision (ICD-10) Limited End to End Testing with Submitters 07/07/14 8602 R1351OTN 02/21/14 Implementation of HIPAA Standards and Operating Rules for Health Care Electronic Funds Transfers 07/07/14 8619
R1350OTN 02/21/14 Clarification of Remittance Advice Code Combination Reports Generated by Shared Systems 07/07/14 8616 R1349OTN 02/21/14 Implementation of NACHA Operating Rules for Health Care Electronic Funds Transfers (EFT) 07/07/14 8629 R1348OTN 02/21/14 Handling Bankrupt Suppliers within VMS 04/06/15 8502 R1347OTN 02/14/14 Inpatient Prospective Payment System (IPPS) Hospital Extensions per the Pathway for SGR Reform Act of 2013 04/07/14 8627 R1345OTN 02/14/14 Implementing Operating Rule (OR)-Phase III ERA Or Dual Delivery of ERA and Paper Remittance 07/07/14 8570 R1344OTN 02/07/14 Fee for Service Beneficiary Data Streamlining (FFS BDS) 07/07/14 8603
R1342OTN 02/06/14 Reporting principal and interest amounts when refunding previously recouped money on the Remittance Advice (RA) 07/07/14 8485 R1341OTN 02/06/14 Changing Fiscal Intermediary Shared System (FISS) Action on Informational Unsolicited Responses (IURs) From Canceled Claims to Adjustments 07/07/14 8554 R1340OTN 02/06/14 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2014 07/07/14 8571 R1339OTN 02/06/14 CWF Editing for Vaccines Furnished at Hospice - Correction 04/07/14 8620 R1337OTN 02/05/14 Encounter Data System Payer ID: Payer ID Creation for the Financial Alignment Demonstration for Medicare Medicaid Plans (MMPs) 07/07/14 8489 R1336OTN 02/05/14 Modifying the Daily Common Working File (CWF) to Medicare Beneficiary Database (MBD) File to Include Diagnosis Codes on the Health Insurance Portability and Accountability Act Eligibility Transaction System (HETS) 270/271 Transactions 07/07/14 8456
R1334OTN 01/24/14 Occurrence Span Code 72; Identification of Outpatient Time Associated with an Inpatient Hospital Admission and Inpatient Claim for Payment 02/25/14 8586 R1330OTN 12/27/13 Revised Beneficiary Liability and Messages Associated with Denials for Claims for Services Furnished to Incarcerated Beneficiaries 04/07/14 8488 R1329OTN 12/26/13 Immediate Suspension of Postpayment Patient Status Reviews of Inpatient Hospital Admissions 10/1/13-12/31/13 12/02/13 8508 R1326OTN 12/06/13 Informational Unsolicited Response (IUR) or Reject for Ambulance SNF to SNF Transfer 04/07/14 8408 R1323OTN 11/29/13 Medicare Appeals System (MAS) Level 1 Implementation 12/06/13 8354 R1322OTN 11/22/13 Merge of the Daily CMS-1522 PULSE Roll-Up Number Report Data for A/B MAC Workloads 01/27/14 8529
R1320OTN 11/22/13 Revised Beneficiary Liability and Messages Associated with Denials for Claims for Services Furnished to Incarcerated Beneficiaries 02/24/14 8488 R1318OTN 11/15/13 Use of Claim Adjustment Reason Code 23 04/07/14 8297 R1316OTN 11/15/13 Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE - October 1, 2013 version 3.0.3 04/07/14 8518 R1315OTN 11/15/13 Immediate Suspension of Postpayment Patient Status Reviews of Inpatient Hospital Admissions 10/1/13-12/31/13 12/02/13 8508 R1314OTN 11/13/13 Implementation of the Award for the Jurisdiction K (JK) Part A and Part B Medicare Administrative Contractor (A/B MAC) to National Government Services 10/07/13 8303 R1313OTN 11/07/13 Termination of the Common Working File ELGA, ELGH, HIQA, HIQH, and HUQA Part A Provider Queries 04/07/14 8248
R1312OTN 11/07/13 Common Working File (CWF) and Fiscal Intermediary Standard System (FISS) Informational Unsolicited Response (IUR) or Denial of Inpatient Services Related to a Hospice Terminal Diagnosis 04/07/14 8273 R1311OTN 11/06/13 Informational Unsolicited Response (IUR) or Reject for Ambulance SNF to SNF Transfer 04/07/14 8408 R1310OTN 11/06/13 HCPCS Analysis CR for Conversion of Old HCPCS Code to New 04/07/14 8451 R1309OTN 11/06/13 FISS Claims Processing Update for Ambulance Services 04/07/14 8251 R1308OTN 11/06/13 MREP and PC Print Updates for Operating Rules Phase III 360 Rule Compliance 04/07/14 8479 R1307OTN 11/06/13 The Coordination of Benefits Contractor (COBC) to Remove and No Longer Apply Federal Tax Information (FTI) Received through the Internal Revenue Service (IRS), Social Security Administration (SSA), Centers for Medicare and Medicaid Services (CMS) 04/07/14 8353
Medicare Secondary Payer (MSP) Data Match Program on the Common Working File (CWF) R1305OTN 11/06/13 Denial for Power Mobility Device (PMD) Claim from a Supplier of Durable Medical, Orthotics, Prosthetics, and Supplies (DMEPOS) When Ordered By a Non-Authorized Provider 04/07/14 8239 R1303OTN 11/01/13 International Classification of Diseases, 10th Revision (ICD- 10) Testing with Providers through the Common Edits and Enhancements Module (CEM) and Common Electronic Data Interchange (CEDI) 03/03/14 8465 R1302OTN 11/01/13 Braille and Large Print Medicare Summary Notices 01/06/14 8260 R1301OTN 10/18/13 Virtual Data Center Contract (VDC) Workload Realignment 10/07/13 8449 R1299OTN 09/30/13 MCS Prepayment Review Report 10/07/13 8224
R1298OTN 09/30/13 CWF Editing for Vaccines Furnished at Hospice 10/07/13 8098 R1297OTN 09/27/13 VMS Prepayment Review Report 10/07/13 8225 R1293OTN 09/13/13 Display of ICD-10 Local Coverage Determinations (LCDs) on the Medicare Coverage Database (MCD) 04/10/13 8348 R1291OTN 08/30/13 Standardizing the standard - Operating Rules for code usage in Remittance Advice 10/07/13 8182 R1290OTN 08/27/13 MCS Prepayment Review Report 10/07/13 8224 R1288OTN 08/23/13 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for January 2014 01/06/14 8345
R1286OTN 08/16/13 Handling Bankrupt Suppliers within VMS 01/06/14 8414 R1285OTN 08/16/13 Further Instruction to Use Non- Alert Remittance Advice Remark Codes (RARCs) 10/07/13 8391 R1283OTN 08/15/13 Multi Carrier System (MCS) Modifications to Liability Assignment Regarding Therapy Cap Claim Denials 08/16/13 8321 R1281OTN 08/16/13 Implement Operating Rules - Phase III ERA EFT: CORE 360 Uniform Use of Claim Adjustment Reason Codes (CARC) and Remittance Advice Remark Codes (RARC) Rule - Update from CAQH CORE 01/06/14 8365 R1280OTN 08/16/13 Ambulatory Surgical Center Quality Reporting (ASCQR) Program Payment Reduction (MIEA-TRCHA, 2006) - Implementation 01/06/14 8349 R1277OTN 08/09/13 Medicare Physician Fee Schedule Database (MPFSDB) Field Revisions for the New Purchased Diagnostic Test (PDT) Indicator and New Effective Date Field 01/06/14 8388
R1276OTN 08/09/13 Revision to the CWF Edit for Technical Component (TC) of Pathology Services Occurring on the Same Day as an Outpatient Hospital Visit 01/06/14 8399 R1274OTN 08/02/13 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2011 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCH) 09/03/13 8406 R1272OTN 08/02/13 CEDI Removal of 4010A1 Jobs and Processes 10/07/13 8398 R1271OTN 08/02/13 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for January 2014 01/06/14 8345 R1268OTN 07/26/13 Update to Post Acute Transfer Edit 7272 to Extend Home Health Agency CMS Certification Number (CCN) Range and Add Bypass 01/06/14 8367 R1266OTN 07/26/13 Common Working File (CWF) Informational Unsolicited Response (IUR) and Reject for Hospital to Hospital Transfers 01/06/14 8231
R1264OTN 07/26/13 Addition of the End Stage Renal Disease (ESRD) Facilities Located in the Pacific Rim to the ESRD Prospective Payment System (PPS) 01/06/14 8368 R1262OTN 07/26/13 Informational Unsolicited Response (IUR) or Reject for Add-On Codes billed without respective Primary Codes 01/06/14 8271 R1261OTN 07/26/13 Fee for Service Beneficiary Data Streamlining (FFS BDS) Local Beneficiary File Analysis 01/06/14 8285 R1259OTN 07/25/13 HIPAA 5010 and D.0 2013 Annual Recertification 08/26/13 8352 R1258OTN 07/25/13 Redaction of Health Insurance Claim Numbers (HICNs) in Medicare Redetermination Notices (MRNs) 01/06/14 8268 R1257OTN 07/19/13 Medicare Appeals System (MAS) Level 1 Implementation 08/19/13 8152
R1253OTN 07/10/13 Change in Creation Date for CMS Standard Edit/Audit/Reason Code Reports 07/19/13 7846 R1252OTN 07/09/13 Standardizing the Standard - Phase I 01/06/14 7910 R1251OTN 06/27/13 Affordable Care Act (ACA) Model 4 Bundled Payments for Care Improvement - Episode of Care - Implementation Phase 3 07/01/13 8070 R1250OTN 06/25/13 Incentive Payment Related to Prior Authorization for Power Mobility Devices (PMD) 07/01/13 8056 R1248OTN 06/14/13 Multi Carrier System (MCS) Modifications to Liability Assignment Regarding Therapy Cap Claim Denials 10/07/13 8321 R1247OTN 06/10/13 Implementation of CMS Ruling 1455-R (Medicare Program; Part B Billing in Hospitals) 07/01/13 8277
R1246OTN 06/07/13 Implementation of the Award for the Jurisdiction K (JK) Part A and Part B Medicare Administrative Contractor (A/B MAC) to National Government Services 10/07/13 8303 R1245OTN 06/07/13 Implementing the Re- competition Award for the Jurisdiction L (formerly Jurisdiction 12) Part A/Part B Medicare Administrative Contractor (A/B MAC) Workload 07/01/13 8327 R1244OTN 05/31/13 Common Working File (CWF) Informational Unsolicited Response (IUR) or Reject for a new patient visit billed by the same physician or physician group within the past three years 10/07/13 8165 R1243OTN 05/31/13 Implementation of CMS Ruling 1455-R (Medicare Program; Part B Billing in Hospitals) 07/01/13 8277 R1242OTN 05/30/13 Change in Creation Date for CMS Standard Edit/Audit/Reason Code Reports 06/21/13 7846 R1240OTN 07/19/13 Affordable Care Act (ACA) Model 4 Bundled Payments for Care Improvement Episode of Care Implementation Phase Two 04/01/13 7887
R1239OTN 05/21/13 New Healthcare Common Procedure Coding System (HCPCS) Codes for Customized Durable Medical Equipment 07/01/13 8158 R1237OTN 05/17/13 Analysis and Design of VMS for implementing system changes for handling Bankrupt Suppliers 10/07/13 8310 R1236OTN 05/22/13 Standardizing the Standard - Phase I 01/06/14 7910 R1234OTN 05/10/13 MSP Claims and use of CARC 23 - Analysis and Design 10/07/13 8308 R1232OTN 05/06/13 New Healthcare Common Procedure Coding System (HCPCS) Codes for Customized Durable Medical Equipment 07/01/13 8158 R1231OTN 05/03/13 Common Working File (CWF) Informational Unsolicited Response (IUR) or Reject for a new patient visit billed by the same physician or physician group within the past three years 10/07/13 8165
R1228OTN 05/02/13 Debts Referred to Treasury through the Healthcare Integrated General Ledger Accounting System (HIGLAS) 10/07/13 8216 R1227OTN 05/02/13 Update to the Common Working File (CWF) Qualifying Stay Edit for Skilled Nursing Facility (SNF) and Swing Bed (SB) Providers 10/07/13 8210 R1225OTN 05/02/13 Reporting of Principal and Interest when returning previously recouped money - Analysis 10/07/13 8092 R1224OTN 05/03/13 Phase III ERA Enrollment Operating Rules 10/07/13 8223 R1220OTN 05/03/13 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for October 2013 10/07/13 8234 R1219OTN 05/03/13 National Competitive Bidding Program (CBP): Instructions for Processing CBP Oxygen and Capped Rental Item Claims with the Start of the Round One Re-compete 10/07/13 8270
R1218OTN 05/03/13 American Recovery and Reinvestment Act of 2009 Electronic Health Record (EHR) Incentive : New Critical Access Hospital Banking Information File Transfer for Eligible Professional Payment 10/07/13 8209 R1217OTN 05/03/13 CWF Editing for Vaccines Furnished at Hospice 10/07/13 8098 R1216OTN 05/03/13 Applying Multiple Procedure Payment Reductions to Therapy Cap Amounts for Critical Access Hospital Claims 10/07/13 8278 R1215OTN 05/03/13 VMS Prepayment Review Report 10/07/13 8225 R1214OTN 05/03/13 Medicare System Update to Include Line Level National Provider Identifier (NPI) Sanction Editing on Critical Access Hospital (CAH) Method II Outpatient Claims 10/07/13 8170 R1213OTN 05/03/13 Updating the Shared Systems and Common Working File (CWF) to no Longer Create Veteran Affairs (VA) “I” records in the Medicare Secondary Payer (MSP) Auxiliary File 10/07/13 8198
R1212OTN 05/03/13 MCS Prepayment Review Report 10/07/13 8224 R1211OTN 05/03/13 Modification to Change Request (CR)7254 10/07/13 8280 R1210OTN 04/19/13 Implementing the Re- competition Award for the Jurisdiction C Durable Medical Equipment (DME) Medicare Administrative Contractor (MAC) Workload 05/01/13 8235 R1209OTN 04/11/13 Recovery of Annual Wellness Visit (AWV) Overpayments 07/01/13 8153 R1208OTN 04/11/13 Use of Q6 Modifier for Locum Tenens by Providing Performing Provider NPT “FOR ANALYSIS ONLY” 04/01/13 8124 R1207OTN 04/12/13 Direct Mailing to Referral Agents about the DMEPOS Competitive Bidding Program Round 2 and National Mail- Order for Diabetic Testing Supplies 05/13/13 8262
R1205OTN 04/04/13 Incentive Payment Related to Prior Authorization for Power Mobility Devices (PMD) 07/01/13 8056 R1203OTN 03/22/13 CMS Administrator's Ruling: Part A to Part B Rebilling of Denied Hospital Inpatient Claims 07/01/13 8185 R1202OTN 03/22/13 Transition to New Centers for Medicare and Medicaid Services (CMS) Identity Mark 04/22/13 8113 R1201OTN 03/22/13 Implementation of the Award for Jurisdiction E Part A/Part B Medicare Administrative Contractor (JE A/B MAC) 07/01/13 8226 R1200OTN 03/21/13 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2010 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs) 12/03/12 8078 R1199OTN 03/15/13 International Classification of Diseases (ICD)-10 Conversion from ICD-9 and Related Code Infrastructure of the Medicare Shared Systems as They Relate to CMS National Coverage Determinations (NCDs) 07/01/13 8197
R1197OTN 03/15/13 Implementation of the Award for Jurisdiction 6 Part A/Part B Medicare Administrative Contractor (J6 A/B MAC) 07/01/13 8227 R1196OTN 03/08/13 Outpatient Therapy Functional Reporting Non-Compliance Alerts 04/01/13 8166 R1195OTN 03/01/13 Inpatient Prospective Payment System (IPPS) Hospital Extensions per the American Taxpayer Relief Act of 2012 04/01/13 8214 R1194OTN 02/22/13 Multiple Procedure Payment Reduction (MPPR) for Selected Therapy Services 04/01/13 8206 R1193OTN 02/15/13 Standardizing the Standard - Phase I 10/07/13 7910 R1192OTN 02/15/13 The Inclusion of Veterans Administration (VA) Skilled Nursing Facility (SNF) claims to the VA Medicare Remittance Advice (eMRA) Process- Implementation 07/01/13 8089
R1191OTN 02/15/13 ICD-10 CR--Updates to National Coverage Determination/Local Coverage Determination (NCD/LCD) Processing in the VMS Shared System 10/07/13 8207 R1190OTN 02/15/13 Recovery of Annual Wellness Visit (AWV) Overpayments 07/01/13 8153 R1189OTN 02/15/13 Bundled Payments for Care Improvement Model 4 - HI and SMI Payment Attribution and Outlier Payments 07/01/13 8196 R1187OTN 02/08/13 Standardizing the standard - Operating Rules for code usage in Remittance Advice 07/01/13 8182 R1186OTN 02/08/13 FISS Prepayment Review Report 07/01/13 8175 R1184OTN 02/08/13 Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) National Competitive Bidding (NCB): Using the “KY” Modifier to Bill for Accessories for Non- NCB Wheelchair Base Units 07/01/13 8181
R1183OTN 02/08/13 Revision to CWF and VMS: Reject or Informational Unsolicited Response (IUR) Edit for Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Provided During an Inpatient Stay 07/01/13 8172 R1182OTN 02/08/13 Incentive Payment Related to Prior Authorization for Power Mobility Devices (PMD) 07/01/13 8056 R1176OTN 02/01/13 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for July 2013 07/01/13 8177 R1174OTN 02/01/13 Changes to the Laboratory National Coverage Determination (NCD) Software for ICD-10 07/01/13 8202 R1173OTN 02/01/13 Durable Medical Equipment, Prosthetics, Orthotics, and Supplies Competitive Bidding Program: Correction to the Medicare Summary Notice Message for PEN Items Furnished to Traveling Beneficiaries 07/01/13 8189 R1171OTN 01/31/13 Instructions to Contractors for Implementing Section 5506 of the Affordable Care Act (ACA)-Preservation of Resident Cap Positions from Closed Teaching Hospitals - Round 1 and Round 2 Only 03/04/13 7746
R1170OTN 01/31/13 Common Working File (CWF) Informational Unsolicited Response (IUR) or Reject for place of service billed by physician office and either ambulatory surgical center or inpatient hospital, for the same beneficiary, same date of service, and same procedure, based on sequence received of the Part B claim 07/01/13 7892 R1169OTN 01/31/13 Modification of Payment Window Edit in the Common Working File (CWF) to Modify Diagnostic Service List 07/01/13 8046 R1167OTN 01/31/13 Correction to Common Working File (CWF) A/B Crossover Edit 7272 for Transfer to Home for Home Health Services 07/01/13 8139 R1165OTN 01/18/13 International Classification of Diseases (ICD)-10 Conversion from ICD-9 and Related Code Infrastructure of the Medicare Shared Systems as They Relate to CMS National Coverage Determinations (NCDs) 04/01/13 8109
R1164OTN 01/18/13 Implementation of New and Revised Medicare Summary Notice (MSN) Messages and Discontinuation of Obsolete MSN Messages 02/18/13 8106 R1163OTN 01/18/13 Medicare Remit Easy Print (MREP) Enhancement 04/01/13 8149 R1162OTN 01/04/13 International Classification of Diseases (ICD)-10 Conversion from ICD-9 and Related Code Infrastructure of the Medicare Shared Systems as They Relate to CMS National Coverage Determinations (NCDs) 04/01/13 8109 R1161OTN 12/28/12 Implementation of New and Revised Medicare Summary Notice (MSN) Messages and Discontinuation of Obsolete MSN Messages 02/18/13 8106 R1160OTN 12/21/12 Quarterly Update for the Durable Medical Equipment, Prosthetics, Orthotics and Supplies (DMEPOS) Competitive Bidding Program (CBP) - April 2013 04/01/13 8144 R1159OTN 12/21/12 New Healthcare Common Procedure Coding System (HCPCS) Codes for Replacement Accessories and Supplies for External Ventricular Assist Devices or Any Ventricular Assist Device (VAD) for Which Payment Was Not Made Under Medicare Part A 04/01/13 7888
R1158OTN 12/18/12 Use of Q6 Modifier for Locum Tenens by Providing the Substitute Physician’s Unique Identifier 04/01/13 8124 R1157OTN 12/14/12 Standardizing the Standard - Phase I 01/07/13 7910 R1156OTN 12/13/12 Addition of New Common Working File (CWF) Medicare Secondary Payer (MSP) Utilization Edit Codes for CWF to Send the Shared Systems When the Diagnosis Code on the Claim is Considered a Match with the Family of DX Codes in CWF for Non-Group Health Plan (NGHP) MSP Claims 10/01/12 7605 R1155OTN 07/19/13 Affordable Care Act (ACA) Model 4 Bundled Payments for Care Improvement - Episode of Care - Implementation Phase 3 07/01/13 8070
R1152OTN 11/16/12 New Screens and Processes for ICD-9/ICD-10, ICD-10/ICD-9 Diagnosis and Procedure Codes Conversions for Medicare Secondary (MSP) Claims Using the General Equivalence Mappings (GEMS) 2013 Table in CWF 04/01/13 8034 R1151OTN 11/16/12 Use of Q6 Modifier for Locum Tenens by Providing Performing Provider NPI - Analysis only CR 04/01/13 8124 R1149OTN 11/06/12 Multiple Procedure Payment Reduction (MPPR) on the Technical Component (TC) of Diagnostic Cardiovascular and Ophthalmology Procedures 01/07/13 7848 R1148OTN 11/02/12 Fee for Service Beneficiary Data Streamlining (FFS BDS) 04/01/13 8091 R1147OTN 11/02/12 Implementation of the Revised Health Insurance Claim Form CMS-1500 (02/12) (Analysis Only) 04/01/13 8015 R1145OTN 11/02/12 Health Insurance Portability and Accountability Act (HIPAA) EDI Front End Updates for April 2013 04/01/13 8073
R1144OTN 11/02/12 MCS/TACs System Edits 04/01/13 8053 R1142OTN 11/02/12 Editing for Duplicate Payment of Nonphysician Outpatient Services Provided During an Inpatient Hospital Admission 04/01/13 7849 R1141OTN 11/02/12 The Supplemental Security Income (SSI)/Medicare Beneficiary Data for Fiscal Year 2010 for Inpatient Prospective Payment System (IPPS) Hospitals, Inpatient Rehabilitation Facilities (IRFs), and Long Term Care Hospitals (LTCHs) 12/03/12 8078 R1140OTN 11/02/12 Termination of the Common Working File ELGB Provider Query 04/01/13 8086 R1139OTN 11/01/12 Durable Medical Equipment (DME) National Competitive Bidding (NCB): National Mail Order (NMO) Program Implementation for Diabetic Supplies 04/01/13 8080 R1138OTN 11/01/12 Adding Bankruptcy Status Field to the Recovery Audit Contractor Daily and Weekly Reports 04/01/13 8083
R1137OTN 11/01/12 PWK System Modifications for Processing Days 04/01/13 8014 R1136OTN 11/01/12 National Correct Coding Initiative (NCCI) Associated Modifier Changes (Additions) 01/07/13 8111 R1134OTN 11/01/12 New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Incarcerated Medicare Beneficiaries 04/01/13 8007 R1133OTN 11/01/12 New Informational Unsolicited Response (IUR) Process to Identify Previously Paid Claims for Services Furnished to Medicare Beneficiaries Classified as "Unlawfully Present" in the United States 04/01/13 8009 R1130OTN 10/26/12 Implementation of the Redesigned MSN 04/01/13 8081 R1129OTN 10/12/12 Elimination of the Fiscal Intermediary Shared System (FISS) Off Quarter User Releases 01/07/13 8022
R1128OTN 10/05/12 Recompiling of Application Data Structure Descriptors 10/26/12 8099 R1124OTN 09/25/12 Manual Medical Review of Therapy Services 10/01/12 8036 R1122OTN 09/14/12 International Classification of Diseases (ICD)-10 Conversion from ICD-9 and Related Code Infrastructure of the Medicare Shared Systems as They Relate to CMS National Coverage Determinations (NCDs) (CR 1 of 3) (ICD-10) 01/07/13 7818 R1119OTN 09/14/12 Implementation of the Award for the Jurisdiction 5 Part A and Part B Medicare Administrative Contractor (J5 A/B MAC) Reprocurment Including a New Workload Number for the Remaining WPS Legacy Workload 10/22/12 8059 R1117OTN 08/31/12 Manual Medical Review of Therapy Services 10/01/12 8036
R1116OTN 08/24/12 Standardizing the Standard - Phase I 01/07/13 7910 R1115OTN 08/24/12 Implement Fraud Prevention Predictive Modeling Prepayment Edits for Shared Systems (xref CR7787) 01/07/13 7861 R1114OTN 08/17/12 New Field Established within FISS and MCS 01/17/13 8012 R1112OTN 08/10/12 Health Insurance Portability and Accountability Act (HIPAA) 5010 837 Institutional (837I) Edits and 5010 837 Professional (837P) Edits January 2013 01/07/13 7880 R1111OTN 08/06/12 Expand Place of Service Address to Include Full Address 04/01/13 7786 R1110OTN 08/03/12 Revision of Medicare Summary Notice (MSN) for Non-Competitive Bid Claims 07/02/12 7729
R1108OTN 08/03/12 Fee For Service Common Eligibility Services (FFS CES) - Common Working File (CWF) Detail Analysis, Design and Requirements 01/07/13 7895 R1107OTN 08/03/12 The Medicare Secondary Payer Payment Module (MSPPAY) to be Maintained by the Shared System Maintainers for all Future Enhancements 01/07/13 7826 R1104OTN 08/02/12 Application of the Multiple Procedure Payment Reduction (MPPR) on the Professional Component (PC) and Technical Component (TC) of Certain Diagnostic Imaging Procedures to Physicians in the Same Group Practice 01/07/13 7747 R1103OTN 08/01/12 Health Insurance Portability and Accountability Act (HIPAA) 5010 and D.0 Execution of the Annual Recertification Program 09/04/12 7904 R1102OTN 08/01/12 Direction to Modify Institutional Reason Code 39012 01/07/13 7832 R1101OTN 07/19/12 Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number 01/03/12 7499
R1100OTN 06/28/12 Fiscal Intermediary Shared System (FISS) System Enhancement for Including Line Level Rendering Physicians/Practitioners National Provider Identifier (NPI) and Name Information in the Comprehensive Error Rate Testing (CERT) Resolution Record 10/01/12 7807 R1099OTN 06/28/12 Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number 01/03/12 7499 R1098OTN 06/22/12 Addition of New Common Working File (CWF) Medicare Secondary Payer (MSP) Utilization Edit Codes for CWF to Send the Shared Systems When the Diagnosis Code on the Claim is Considered a Match with the Family of DX Codes in CWF for Non-Group Health Plan (NGHP) MSP Claims 10/01/12 7605 R1097OTN 06/15/12 Change in Creation Date for CMS Standard Edit/Audit/Reason Code Reports 10/15/12 7846 R1095OTN 06/07/12 Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the ViPS Medicare System (VMS) 07/02/12 7603
R1093OTN 05/23/12 Automated Tracking and Reporting of Recovery Audit- Associated Re-openings and Appeals 04/02/12 7604 R1091OTN 05/16/12 Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the Fiscal Intermediary Shared System (FISS) 04/02/12 7601 R1089OTN 05/11/12 Implement Fraud Prevention Predictive Modeling Prepayment Edits 10/01/12 7787 R1088OTN 05/10/12 Reporting of Recoupment for Overpayment on the Remittance Advice (RA) with Patient Control Number 01/03/12 7499 R1087OTN 05/04/12 Expand Place of Service Address to Include Full Address 10/1/12 7786 R1085OTN 05/02/12 Establish an Automated Process between ViPS Medicare System (VMS) and the Provider Enrollment Chain and Ownership System (PECOS) to Post Payment Suspension Alert Codes and Related Data to All Four Durable Medical Equipment Medicare Administrator 10/01/12 7424
Contractors (DME MAC) Jurisdictions R1084OTN 04/26/12 Common Edits and Enhancements Module (CEM) and Receipt, Control, and Balancing Updates – October 2012 10/01/12 7811 R1083OTN 04/27/12 Temporary Direction to Accommodate Organ Donor Complications Billing on 837I Claims 10/01/12 7816 R1082OTN 04/27/12 FISS update for Clinical Laboratory Fee Schedule upload to include Kansas Payment Locality Structure 10/01/12 7815 R1079OTN 04/27/12 New Occurrence Code to Report Date of Death 10/01/12 7792 R1077OTN 04/26/12 Update to the Fiscal Intermediary Shared Systems (FISS) Outpatient Provider Specific File (OPSF) for Children’s Hospitals 10/01/12 7798
R1076OTN 04/26/12 Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes - October 2012 10/01/12 7769 R1075OTN 05/18/12 Medicare Fee-for-Service (FFS) Editing and Flat File Utility 10/1/12 7823 R1073OTN 04/26/12 American Recovery and Reinvestment Act of 2009 Electronic Health Record (EHR) Incentive Program: Financial Information File Transfer Modifications for Eligible Hospitals 10/01/12 7776 R1072OTN 04/26/12 Fiscal Intermediary Shared System (FISS) System Enhancement for Including Line Level Rendering Physicians/Practitioners National Provider Identifier (NPI) and Name Information in the Comprehensive Error Rate Testing (CERT) Resolution Record 10/01/12 7807 R1071OTN 04/26/12 Expansion of the Laboratory National Coverage Determination (NCD) Edit Software 10/01/12 7808
R1070OTN 04/26/12 Request to Require Hours for Research and Conference Calls with Maintainers, MACs, and EDCs and Additional Requirements for IDR Shared Systems 10/01/12 7756 R1067OTN 04/26/12 Fee for Service Common Eligibility Services Conference Calls and Research 10/01/12 7800 R1066OTN 04/27/12 Implementation of the HIPAA Version 5010 276/277 Claim Status Edits October 2012 Release 10/01/12 7804 R1065OTN 04/26/12 Addition of New Common Working File (CWF) Medicare Secondary Payer (MSP) Utilization Edit Codes for CWF to Send the Shared Systems When the Diagnosis Code on the Claim Is Considered a Match with the Family of DX Codes in CWF for Non-Group Health Plan (NGHP) MSP Claims 10/01/12 7605 R1064OTN 04/26/12 Health Insurance Portability and Accountability Act (HIPAA) 5010 837 Institutional (837I) Edits and 5010 837 Professional (837P) Edits - October 2012 10/01/12 7817
R1062OTN 04/06/12 Health Insurance Portability and Accountability Act (HIPAA) 5010 and D.0 Annual Re-Certification Program 05/07/12 7758 R1061OTN 03/30/12 Implementation of the Award for the Jurisdiction 8 Part A and Part B Medicare Administrative Contractor (J8 A/B MAC) including New Workload Numbers for Indiana and Michigan 07/02/12 7752 R1060OTN 04/13/12 Implementation of the Award for the Jurisdiction H Part A and Part B Medicare Administrative Contractor (JH A/B MAC) Including New Workload Numbers for Arkansas, Colorado, Louisiana, Mississippi, New Mexico, Oklahoma, and Texas as well as for the J4 WPS Legacy Part A Workload 07/02/12 7812 R1058OTN 03/14/12 Emergency March 2012 Update (MCTRJCA) to the CY 2012 Medicare Physician Fee Schedule (MPFS) Database 03/15/12 7767 R1057OTN 03/09/12 Implementation of a Correction of Initial Default Values for Medically Unlikely Edits (MUEs) 01/03/12 7418
R1056OTN 03/09/12 Revision of Medicare Summary Notice (MSN) for Non-Competitive Bid Claims 07/02/12 7729 R1055OTN 03/09/12 Medicare Fiscal Intermediaries Shared System (FISS), HealthCare Integrated General Ledger Accounting System (HIGLAS), and Change of Ownership Process Revisions for IRS Form 1099 Reporting 07/02/12 7732 R1054OTN 03/07/12 Use of Revised Remittance Advice Remark Code (RARC) N103 When Denying Services Furnished to Federally Incarcerated Beneficiaries 07/02/12 7678 R1052OTN 03/01/12 Analysis and Design of Edits to Correct Recovery Auditor Identified Improper Payments in MCS 07/02/12 7673 R1051OTN 02/29/12 Analysis of Improper Overpayments to Design Edits to Correct these Overpayments in CWF, MCS, and FISS 07/02/12 7661 R1050OTN 02/29/12 Automated Tracking and Reporting of Recovery Audit- Associated Reopenings and Appeals 04/02/12 7604
R1049OTN 02/24/12 Implement Fraud Prevention Predictive Modeling Prepayment Edits - Analysis and Design Only 07/02/12 7669 R1047OTN 02/17/12 Enhancements to the Recovery Audit Mass Adjustment/Reporting Process in the ViPS Medicare System (VMS) 07/02/12 7603 R1046OTN 02/17/12 Fiscal Intermediary Shared System (FISS) and Common Working File (CWF) System Enhancement for Storing Line Level Rendering Physicians/Practitioners National Provider Identifier (NPI) and Physician Specialty Code Information 07/02/12 7578 R1043OTN 03/01/12 Delayed Work from CR 7589: Request to Require Hours for Research and Conference Calls with Maintainers, MACs, and EDCs and Additional Requirements for IDR Shared Systems 07/02/12 7662 R1042OTN 02/03/12 Creation of New Indicator for Use on the Ambulatory Surgical Centers (ASCs) Payment Indicator File for Reporting Quality Measures 04/02/12 7472 R1040OTN 02/03/12 Interaction of Multiple Procedure Payment Reduction (MPPR) on Imaging Procedures and the Outpatient Prospective Payment System (OPPS) Cap on the Technical Component of Imaging Procedures 07/02/12 7703
R1039OTN 02/3/12 International Classification of Diseases-10th Edition (ICD- 10), Inclusion of Type of Bill (TOB) 33X, Home Health, Outpatient (includes HHA visits under a Part A Plan of treatment) 07/02/12 7704 R1038OTN 01/27/12 Updates to Editing of Patient Discharge Status Codes on Hospice Claims 07/02/12 7690 R1037OTN 01/27/12 Health Insurance Portability and Accountability (HIPAA) 5010/D.0 Fixes - July 2012 07/02/12 7664 R1033OTN 01/27/12 Analysis of Improper Overpayments to Design Edits to Correct these Overpayments in CWF, MCS, and FISS 07/2/12 7661 R1032OTN 01/26/12 Revisions to the Hospice Medicare Summary Notice (MSN) 07/02/12 7675
R1031OTN 01/26/12 Analysis and Design of Edits to Correct Recovery Auditor Identified Improper Payments in MCS 07/02/12 7673 R1030OTN 01/26/12 Health Insurance Portability and Accountability Act (HIPAA) 5010 837 Institutional (837I) Edits and 5010 837 Professional (837P) Edits – July 2012 Version 07/02/12 7719 R1029OTN 01/26/12 Delayed Work from CR 7589: Request to Require Hours for Research and Conference Calls with Maintainers, MACs, and EDCs and Additional Requirements for IDR Shared Systems 07/02/12 7662 R1028OTN 01/27/12 Contractor Instructions to Implement International Classification of Diseases-10th Revision (ICD-10) Plans 04/01/13 7592 R1027OTN 01/26/12 New Occurrence Span Code to Report Antepartum Days 07/02/12 7716 R1026OTN 01/26/12 Implementation of the HIPAA Version 5010 276/277 Claim Status Edits July 2012 Release 07/02/12 7582
R1025OTN 01/26/12 Enterprise Electronic Change Information Management Portal (ECHIMP) 07/02/12 7643 R1024OTN 01/26/12 Common Edits and Enhancements Modules (CEM) Code Set Update 07/02/12 7665 R1023OTN 01/26/12 Common Edits and Enhancements Module (CEM) and Receipt, Control, and Balancing Updates - July 2012 07/02/12 7713 R1022OTN 01/26/12 Fee for Service Common Eligibility Services Conference Calls and Research 07/02/12 7712 R1021OTN 01/26/12 Automated Tracking and Reporting of Recovery Audit- Associated Reopenings and Appeals 04/02/12 7604 R1019OTN 01/25/12 Update to the Fiscal Year (FY) 2012 List of Codes Exempt from Reporting Present on Admission (POA) 07/02/12 7680
R1016OTN 01/25/12 Direct Mailing to Medicare Providers About the 2012 Electronic Prescribing Payment 02/27/12 7730 R1015OTN 01/20/12 Emergency Update to the CY 2012 Medicare Physician Fee Schedule Database (MPFSDB) 01/26/12 7737 R1014OTN 01/06/12 Instructions to Teaching Hospitals for Reporting the Internal Revenue Service (IRS) Refund of Medical Resident FICA Taxes 02/06/12 7685 R1013OTN 01/06/12 Contractor Instructions to Implement International Classification of Diseases-10th Revision (ICD-10) Plans 04/01/13 7592 R1012OTN 01/06/12 Use of Revised Remittance Advice Remark Code (RARC) N103 When Denying Services Furnished to Federally Incarcerated Beneficiaries 07/02/12 7678
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