Program_Memos / 2000 / AB-00-58

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article summarizes HCFA guidance for the CY 2000 third quarter release across Medicare claims processing systems. It is intended for carriers, fiscal intermediaries, and other billing and system-maintenance stakeholders who need to understand release timing, change-request categories, and provider communication expectations. The memorandum also touches on outpatient prospective payment system implementation and related claims-processing coordination.

Why This Topic Matters

Organizations responsible for Medicare claims processing and provider communication needed to align system updates, testing, and operational messaging with the scheduled release dates. The memorandum helps readers understand which changes were immediate, delayed, or tied to later effective dates.

Article Sections

  1. Program Memorandum and Release Overview

    Introduces the memorandum, issuing organizations, transmittal information, and the overall purpose of the quarterly release guidance. Summarizes the scope of systems and contractor impacts.

  2. Change Requests Implemented on July 3, 2000

    Lists change requests scheduled for early implementation and notes which types of entities or operational areas they affect. Includes a brief exception related to a coding change for one system.

  3. Change Requests Included in the Release With No Change to the Effective Date

    Describes change requests that would be installed with the release while keeping their original effective dates. Explains the handling of claims processing and resubmission timing for these items.

  4. Change Requests Deferred With a Change in Effective Date

    Covers change requests whose effective dates shift to coincide with the release date. Includes general billing and coverage-related topics spanning several Medicare operational areas.

  5. Change Requests in the Release With a New Effective Date of August 1, 2000

    Addresses outpatient PPS-related changes tied to a later payment effective date and the release installation date. Summarizes the bill types and claim categories referenced for this transition.

  6. Provider Notification

    Outlines instructions for informing providers, training staff, and communicating release timing. Emphasizes outreach expectations and general implementation messaging.

What You Will Learn

  • How the CY 2000 third quarter release was being phased in across Medicare systems
  • How the memorandum categorizes change requests by implementation timing
  • What provider notification and outreach activities were expected
  • How the outpatient PPS transition was being communicated operationally

Who Should Read This

  • Medicare carriers
  • Fiscal intermediaries
  • Claims processing contractors
  • Provider education staff
  • Billing and reimbursement administrators

Codes Discussed


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