Medicare_Claims_Processing_Manual / Chapter_17 / 80.2.2

Why This Topic Matters

Jurisdiction determines which Medicare entity processes a claim, so this guidance affects claim routing, submission workflow, and administrative compliance for drug-related services.

Article Sections

1. Claims Processing Jurisdiction for Oral Anti-Emetic Drugs

   Introduces the jurisdiction topic and explains that the article compares billing responsibility by drug combination and setting. It also notes the effective-date framework used in the section.

2. Chart 1

   Summarizes jurisdiction rules for claims with dates of service on or after January 1, 1998. The section presents combinations involving oral and intravenous chemotherapy drugs with anti-emetic drugs and identifies the Medicare processing entity involved.

3. Chart 2

   Summarizes earlier jurisdiction rules that apply to claims with dates of service before January 1, 1998. The section compares the same broad drug-combination categories under the prior policy framework.

4. Provider enrollment note

   Provides a short administrative note about provider billing requirements related to DMERC claims submission. It also references contact information for obtaining supplier enrollment materials.