decisionhealth Newsletters, Answer Books - 2009 Issue 8 (August)
Medicare_Claims_Processing_Manual / CMS 100-04 Change Request 6292
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Article Overview
This article covers a CMS Medicare Claims Processing Manual change request and the supporting operational guidance for contractors, along with a detailed reference list of Medicare specialty codes used to identify different provider, supplier, and practitioner types. It is relevant to Medicare administrative staff, billing teams, and organizations that maintain claims-processing or provider enrollment systems. The material focuses on implementation, contact, funding, and specialty-code reference information rather than clinical policy.
Why This Topic Matters
Readers need this guidance to understand the CMS change request context and to recognize the specialty-code reference material used in Medicare claims administration and contractor operations.
Article Sections
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Business Requirements Table
Operational requirements for contractors and related implementation responsibilities tied to the change request.
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Provider Education Table
A placeholder section for provider education references associated with the instruction.
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Supporting Information
Supplementary notes and reference fields supporting the listed requirements.
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Contacts
Pre-implementation and post-implementation contact information for the change request.
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Funding
Statements describing funding and contract administration considerations for different contractor types.
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Non-physician Practitioner, Supplier, and Provider Specialty Codes
A reference list of two-character Medicare specialty codes and related notes on specialty-code use in independent laboratory situations.
What You Will Learn
- How this CMS change request is organized for contractor implementation
- What types of administrative and contact information are included
- How Medicare specialty code reference material is presented in the manual
- Which provider and supplier categories are covered by the specialty-code section
Who Should Read This
- Medicare contractors
- Medical billing and coding staff
- Provider enrollment and credentialing staff
- Healthcare compliance teams
- Revenue cycle teams
Codes Discussed
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