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CMS Manual System

CMS Manual System Department of Health & Human Services (DHHS) Pub. 100-02 Medicare Benefit Policy Centers for Medicare & Medicaid Services (CMS) Transmittal 42 Date: DECEMBER 16, 2005 CHANGE REQUEST 4259 SUBJECT: January 2006 Update of the Hospital Outpatient Prospective Payment System (OPPS) Manual Instruction: Changes to Coding and Payment for Observation I. SUMMARY OF CHANGES: This transmittal deletes outdated found in the Medicare Benefit Policy Manual , Pub 100-02, Chapter 6, and replaces it with a new This Manual update reflects changes included in the January 2006 OPPS OCE and the January 2006 OPPS PRICER. NEW/REVISED MATERIAL - EFFECTIVE DATE*: January 01, 2006 IMPLEMENTATION DATE: January 03, 2006 Disclaimer for Manual changes only: The revision date and transmittal number apply to the red italicized material only.

service, it must give the beneficiary proper written advance notice of noncoverage under limitation on liability procedures (see Pub. 100-04 , Medicare Claims Processing Manual; Chapter 30, “Financial Liability Protections,” §20, at

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