Corporate Compliance

Transmittals and MLN Matters articles: CMS issues transmittal on ICD-10 conversions from ICD-9 and more

Medicare Insider, September 25, 2012

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CMS issues transmittal on ICD-10 conversions from ICD-9

On September 14, CMS issued a transmittal that creates and updates NCD hard-coded shared system edits that contain ICD-9 diagnosis codes with comparable ICD-10 diagnosis codes plus all associated coding infrastructure such as procedure codes, HCPCS/CPT codes, denial messages, frequency edits, POS/TOB/provider specialties, etc.

Effective date: October 1, 2014

Implementation date: January 7, 2013

View transmittal R1122OTN.

View MLN Matters article MM7818.

CMS issues instructions for retrieving the 2013 pricing and HCPCS data files

On September 14, CMS issued a transmittal that provides the annual update to the various pricing files used by the FIs/MACs to adjudicate Part B fee schedule paid claims.

Effective date: January 1, 2013

Implementation date: January 7, 2013
View transmittal R2546CP.

CMS issues claim status category and claim status codes update

On September 14, CMS issued a transmittal containing an update for the claim status and claim status category codes for use by Medicare contractors with the Health Care Claim Status Request and Response ASC X12N 276/277, Health Care Claim Acknowledgement ASC X12N 277.

Effective date: January 1, 2013

Implementation date: January 7, 2013

View transmittal R2547CP.



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