decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2000 / AB-00-78
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Article Overview
This program memorandum from HCFA/DHHS outlines the 2001 update for items and services that remain subject to the reasonable charge payment methodology, excluding ambulance services. It is relevant to Medicare billing and reimbursement staff who need to know which HCPCS and CPT-related services are included, the general update approach, and the effective and implementation timing.
Why This Topic Matters
The memo affects how certain Medicare carriers and DMERCs handle reasonable charge updates for a defined set of services for 2001. It is useful for billing, reimbursement, and compliance teams tracking annual payment update instructions and jurisdiction-specific code groupings.
Article Sections
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Transmittal AB-00-78
Administrative transmittal information for the program memorandum, including issuing agency and date.
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Change Request 1282
The memorandum topic, scope, and general update timing for the 2001 reasonable charge update program.
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Code groups subject to the reasonable charge update
Grouped listings of items and services covered under the update, organized by jurisdiction and service category.
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Effective date and implementation information
Timing, operational notes, retention guidance, and contact information for the memorandum.
What You Will Learn
- What the memorandum addresses at a high level
- Which broad service categories are included in the update
- How the guidance is organized by carrier jurisdiction
- What timing and implementation information is provided
- Which organizations issued the memorandum
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle staff
- Compliance teams
- Durable medical equipment billing staff
- Medicare reimbursement professionals
Codes Discussed
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