This article updates, as needed, the claim status and claim status category codes used for the Accredited Standards Committee (ASC) X12 276/277 health care claim status request and response and the ASC X12 277 health care claim acknowledgment transactions. [MM12299]
This article provides specific instruction for implementing the DMEPOS competitive bidding program (CBP) files. Medicare updates the DMEPOS CBP files on a quarterly basis to implement necessary changes to HCPCS codes, ZIP codes, and single payment amounts. [MM12445]
This article was revised to reflect a new CR 12357. The revision did not impact the substance of the article. The CR release date, transmittal number, and web address were changed; all other information is the same. [MM12357]
This article was revised due to a revised CR 12417, which corrected the fixed dollar loss threshold amount to $16,040. The CR release date, transmittal number, and the web address of the CR were changed. The revised fixed dollar loss threshold amount is shown in dark red font on page 3. All other information remains the same. [MM12417]
This article was revised to reflect a revised CR 12399. The CR revision did not impact the substance of the article. The CR transmittal number and the web address of the CR were changed; all other information is the same. [MM12399]
This article is for physicians, providers, and suppliers submitting claims to MACs for services they provide to Medicare patients. [MM12428]
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