Delores L. Galias, RN, RHIT

STATEMENT OF CONFIDENTIALITY:
The information contained in this electronic message and any attachments to this message are intended for the exclusive use of the addressee(s) and may contain confidential or privileged information. If you are not the intended recipient, please notify D. Galias, RN, RHIT immediately at [EMAIL PROTECTED] and destroy all copies of this message and any attachments.  Thank you for your cooperation

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The CMS Quarterly Provider Update (QPU) was updated on Friday, December
19, 2003, to include the following recently published instructions. To
view the entire text of these documents, or for more information, visit
the QPU at http://www.cms.hhs.gov/providerupdate/whatsnew.asp

INSTRUCTIONS RELEASED -- CORRECTIONS AND/OR CLARIFICATIONS

Transmittal 29 of the One-Time Notification Manual, entitled "Revised
American National Standards Institute X12N 837 Professional Health Care
Claim Companion Document," was released. This instruction affects
Physicians and Non-Physicians.

Transmittal 30 of the One-Time Notification Manual, entitled "Changes
in Transitional Outpatient Payment (TOP) for 2004," was released. This
instruction affects Hospitals.

Transmittal 44 of the Medicare Claims Processing Manual, entitled
"Electronic Submission of Claims Under HIPPA," was released. This
instruction affects All Providers.

Transmittal 46 of the Medicare Claims Processing Manual, entitled
"January Outpatient Code Editor (OCE) Specifications Version 5.0," was
released. This instruction affects Skilled Nursing Facilities.

Transmittal 48 of the Medicare Claims Processing Manual, entitled
"National Council for Prescription Drug Programs (NCPDP) Batch
Transaction Standard 1.1 Billing Request Companion Document," was
released. This instruction affects Durable Medical Equipment,
Prosthetics, Orthotics and Supplies.

INSTRUCTION RELEASED -- MID-QUARTER

Transmittal 31 of the One-Time Notification Manual, entitled "Emergency
Revised 2004 Update of the DMEPOS and Clinical Laboratory Fee
Schedules," was released. This instruction affects Durable Medical
Equipment, Prosthetics, Orthotics and Supplies.

INSTRUCTION RELEASED -- MANUALIZATION

Transmittal 51 of the Medicare Claims Processing Manual, entitled
"January Medicare Outpatient Code Editor (OCE) Specifications Version
19.1 For Bills From Hospitals That Are Not Paid Under the Outpatient
Prospective Payment System (OPPS)," was released. This instruction
affects Hospitals.

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