decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2000 / AB-00-51
Subscribe or sign in to view the full article.
Article Overview
This June 2000 HCFA/DHHS Program Memorandum is aimed at Medicare intermediaries, carriers, providers, suppliers, and related billing entities. It addresses how to receive, acknowledge, retain, and match statements of intent with later claims, along with the administrative use of associated claim markers and the timing of processing instructions effective in October 2000.
Why This Topic Matters
It helps billing and claims-processing staff understand how Medicare handled late-filed claims tied to a prior statement of intent, including the administrative workflow that supports claim review and acceptance. The article is relevant to organizations managing Medicare Part A and Part B claims administration and contractor operations.
Article Sections
-
General Instructions to Intermediaries and Carriers on Receiving and Processing the SOI
Explains the administrative handling of statements of intent, including where they should be routed, acknowledgment practices, retention, and the relationship to later claims processing. It also references related guidance and Medicare administrative responsibilities.
-
Processing of Claims Submitted Beyond the Filing Deadline
Covers the workflow for claims received after the filing deadline when a prior statement of intent may exist. This section discusses verification, matching, and the timing considerations that affect whether a claim is processed or denied.
-
Special Coding Instructions
Describes claim-level administrative markers used to support contractor processing of claims associated with a statement of intent. It also notes how these markers interact with automated handling and claim review.
What You Will Learn
- How Medicare contractors were instructed to handle statements of intent and related claim submissions
- What administrative checks are performed when a claim is filed beyond the normal deadline
- How related claim markers support matching a statement of intent to a later claim
- Which organizations and roles are addressed by the memorandum
- The effective and implementation timing for the memorandum's instructions
Who Should Read This
- Medicare intermediaries
- Medicare carriers
- Provider billing staff
- Supplier billing staff
- Claims processing personnel
- Medicaid State Agencies and related entities
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com