decisionhealth Newsletters, Answer Books - 2010 Issue 7 (July)
Medicare_Claims_Processing_Manual / CMS 100-04, Change Request 6711
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Article Overview
This article summarizes a CMS Medicare Claims Processing Manual update focused on discarded drugs and biologicals. It is aimed at billing, coding, and claims-processing staff who need to understand the scope of the manual revision, the affected chapter section, the effective and implementation dates, and the general policy area addressed. The content also points readers to related guidance within the manual for claims involving discarded medication amounts and the use of the relevant modifier.
Why This Topic Matters
It helps providers, contractors, and billing teams identify that CMS revised Medicare claims manual language for discarded drugs and biologicals and where the updated policy is located.
Article Sections
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Summary of Changes
High-level overview of the manual update and the general policy area affected.
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Changes in Manual Instructions
Administrative information describing the revised manual location and the nature of the instruction update.
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Attachment - Business Requirements
Supporting implementation material, including background, policy context, contacts, and funding notes related to the change request.
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40 - Discarded Drugs and Biologicals
The revised manual section discussing Medicare claims processing guidance for discarded drugs and biologicals and related billing context.
What You Will Learn
- What area of the Medicare Claims Processing Manual was revised
- What implementation and effective dates apply to the update
- What general topic the CMS change request addresses
- Where related guidance is referenced within the manual
Who Should Read This
- Medical coders
- Billing staff
- Claims processors
- Medicare contractors
- Compliance staff
Modifiers Discussed
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