decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2000 / AB-00-61
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Article Overview
This program memorandum from HCFA/DHHS explains updates to the list of CLIA-waived laboratory tests and how those changes were to be handled in Medicare contractor systems. It is relevant to laboratory billing, compliance, and claims processing staff who need to track newly waived tests, effective dates, implementation timing, and the associated code update notices.
Why This Topic Matters
It helps readers understand which laboratory test systems were newly recognized as waived and how Medicare contractors were instructed to reflect those changes in their covered code files and claims workflows.
Article Sections
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Program Memorandum Overview
Introduces the transmittal, issuing organizations, subject, and timing information for the memorandum.
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Waived Tests and Contractor System Updates
Summarizes the newly approved waived tests, effective dates, and general contractor update requirements tied to CLIA-covered code files.
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Claims and Remittance Guidance
Addresses how contractors should treat related denial messaging, claim adjustments, and administrative handling of the update.
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Attachment: Waived Test List
Presents the attached catalog of waived laboratory tests, manufacturers, and associated coding information used for administrative reference.
What You Will Learn
- How this memorandum fits into Medicare administrative guidance for waived laboratory tests
- What types of waived testing updates were communicated in the memorandum
- How the attachment organizes waived tests by manufacturer and coding information
- What operational timing and contractor update topics are addressed in the notice
Who Should Read This
- Medical coders
- Laboratory billing staff
- Compliance staff
- Medicare contractors
- Revenue cycle professionals
Codes Discussed
Modifiers Discussed
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