decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2000 / AB-00-32
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Article Overview
This article is a program memorandum from HCFA/Department of Health and Human Services covering newly approved waived tests, related code file updates, and the addition of modifier-based recognition for certain laboratory services. It is relevant to laboratory coders, billing staff, compliance teams, and Medicare contractors who manage CLIA-waived test reporting and claim processing guidance.
Why This Topic Matters
It helps readers understand which laboratory test systems were newly recognized, how the related coding updates were handled, and what administrative guidance accompanied the change for Medicare processing and contractor files.
Article Sections
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Program Memorandum and change request background
Introduces the transmittal, its issuance date, and the relationship to an earlier memorandum and change request. It also states the broad purpose of the update.
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New waived tests and coding update instructions
Summarizes the newly approved waived tests, the associated coding update process, and the Medicare contractor file implications. It also notes the handling of related system updates and administrative timing.
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Attachment: waived test list
Presents a detailed listing of waived test systems by manufacturer, related code assignments, and general test purpose categories. The attachment includes multiple laboratory screening and monitoring test families.
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Implementation and contact information
Provides administrative notes about budget implementation, discard timing, and the listed contact person for questions.
What You Will Learn
- How the memorandum fits into the program update process
- What broad categories of waived laboratory tests are covered
- How the article frames Medicare contractor file updates for waived tests
- What kinds of administrative details accompany the memorandum
Who Should Read This
- Medical coders
- Laboratory billing staff
- Medicare contractors
- Compliance teams
- Revenue cycle professionals
Codes Discussed
Modifiers Discussed
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