100-04 Medicare Claims Processing Manual: Chapter 22 Crosswalk

Medicare Claims Processing Manual
Chapter 22 – Remittance Advice
Crosswalk
New
Chap.
New
Sect.
Int.
Pub,13-3
Carrier
Pub. 14-3
Program
Memos
Description
22 	10 	B3-7030 	A-01-057, A-03-005,
AB-03-026
Background
22 	20 	A3-3750 	General Remittance Completion Requirements
22 	30 	A-01-057, A-02-070,
AB-02-067, B-01-35
Remittance Balancing
22 	40 	A3-3750 	Electronic Remittance Advice
22 	40.1 	A3-3750 	A-02-070, AB-02-067,
AB-03-060
ANSI ASC X12N 835
22 	40.2 	AB-02-067 	Generating an ERA if Required Data is Missing or Invalid
22 	40.3 	A3-3751 	A-01-057, A-02-070,
AB-02-067, B-01-35
Electronic Remittance Advice Data Sent to Banks
22 	40.4 	A3-3751 	A-01-057 	Medicare Standard Electronic PC-Print Software
22 	40.5 	A-01-57 	835 Implementation Guide
22 	50 	A3-3754 	B3-3024.5 	A-01-057, A-01-93,
B-01-076
Standard Paper Remittance Advice Notices
22 	50.1 	A-02-012, B-02-023,
R1763B3
The Do Not Forward (DNF) Initiative
22 	50.2 	A3-3754 	SPR Formats

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Description
22 	50.2.1 	A3-3754 	A-00-36 	Part A/FI SPR Format
22 	50.2.2 	Part B/Carrier and DMERC SPR Format
22 	50.3 	A3-3754 	FI SPR Crosswalk to the 835
22 	50.4 	B-01-076 	Carrier and DMERC SPR Crosswalk to the 835
22 	60 	Remittance Advice Codes
(section heading only)
22 	60.1 	A-02-070, AB-02-067,
AB-02-142,
AB-01-132, AB-03-012
Standard Adjustment Reason Codes
22 	60.2 	AB-02-142, AB-01-132,
AB-02-067, AB-03-012,
AB-03-095
Remittance Advice Remark Codes
22 	60.3 	B3-7030.2 	Group Codes
22 	60.4 	AB-02-142, AB-03-012 	Requests for Additional Codes
22 	70 	A3-3754 	B-02-050 	FI ERA Requirement Changes to Accommodate OPPS and
HH PPS
22 	70.1 	A3-3753 	Scope of Remittance Changes for HH PPS
22 	70.2 	A3-3753 	Payment Methodology of the HH PPS Remittance: HIPPS
Codes
22 	70.3 	A3-3753 	Items Not Included in HH PPS Episode Payment
22 	70.4 	A3-3753 	835 Version 3051.4A.01 Line Level Reporting
Requirements for the Request for Anticipated Payment
(RAP) Payment for an Episode
22 	70.5 	A3-3753 	835 Version 3051.4A.01 Line Level Reporting
Requirements for the Claim Payment in an Episode (More
Than Four Visits)

New
Chap.
New
Sect.
Int.
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Memos
Description
22 	70.6 	A3-3753 	835 Version 3051.4A.01 Line Level Reporting
Requirements for the Claim Payment in an Episode (Four
or Fewer Visits)
22 	70.7 	A-02-103 	PPS Partial Episode Payment (PEP) Adjustment