decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2000 / AB-00-38
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Article Overview
This program memorandum addresses Medicare contractor system changes for the Fiscal Intermediary Standard System and the VIPS Medicare Systems Standard Systems. It explains the general subject matter of duplicate edit hard coding, identifies the affected system environments, and notes the effective and implementation dates so readers can determine whether the notice is relevant to their operations.
Why This Topic Matters
It matters to providers, intermediaries, carriers, and system administrators who work with Medicare claims processing systems and need to know when HCFA required duplicate edits to be hard coded in affected standard systems.
Article Sections
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Program Memorandum and Subject
Introduces the transmittal, issuing organizations, and the general subject of the memorandum. It frames the notice as a systems-related update for specific Medicare processing environments.
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Background and System Edit Changes
Summarizes the rationale for the memorandum and describes the affected standard systems. It outlines the categories of duplicate edits addressed for intermediaries and carriers without giving operational details.
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Effective Date and Implementation
Lists the timing information associated with the memorandum and indicates when the instructions apply. It also notes the time period after which the memorandum may be discarded.
What You Will Learn
- The scope of the Medicare system environments addressed by the memorandum
- The general subject of duplicate edit hard coding in standard systems
- The timing and applicability of the program memorandum
- Which types of organizations and users the notice is meant to inform
Who Should Read This
- Medicare intermediaries
- Medicare carriers
- Claims processing system administrators
- Healthcare reimbursement and coding staff
- Revenue cycle and compliance teams
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