decisionhealth Newsletters, Answer Books - 2006 Issue 10 (October)
Medicare_Claims_Processing_Manual / 3888
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Article Overview
This Medicare Claims Processing Manual transmittal explains CMS’s annual ICD-9-CM update cycle for 2005 and the associated implementation timing. It is aimed at Medicare contractors and providers who need to understand the scope of the update, the affected claim types, and the supporting addenda and manual attachments used for diagnosis and procedure code maintenance.
Why This Topic Matters
The article matters because annual ICD-9-CM updates affect Medicare claims reporting, contractor processing, and provider billing workflows. It also documents the official update timing, references to CMS and NCHS resources, and the range of diagnosis and procedure code changes included in the addenda.
Article Sections
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General Information
Background and policy context for the annual ICD-9-CM update, including the timing of the update and the claim types affected. Also notes related CMS and NCHS resources.
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Business Requirements
Administrative requirements and implementation content for contractors. The chart referenced in the source is unavailable.
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Provider Education
Provider education content associated with the update. The chart referenced in the source is unavailable.
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Supporting Information and Possible Design Considerations
Implementation and systems-support information, including interfaces, dependencies, and related operational considerations.
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Schedule, Contacts, and Funding
Effective and implementation dates, contact information, and funding notes for the update.
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Attachments / Annual Addenda Tables
Attached ICD-9-CM tables covering new, invalid, and revised diagnosis and procedure code titles for the annual addenda.
What You Will Learn
- How CMS describes the annual ICD-9-CM update process for Medicare claims.
- What types of claim settings are referenced in the update.
- Which supporting CMS manual and external resources are cited for code maintenance.
- What kinds of code addenda tables are included in the attachment package.
- What implementation timing and contractor coordination information are provided.
Who Should Read This
- Medicare contractors
- Medical coders
- Billing staff
- Revenue cycle teams
- Compliance teams
- Healthcare providers
- Systems implementers
Codes Discussed
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