decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2000 / B-00-57
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Article Overview
This article covers a HCFA program memorandum and implementation guide update for Medicare Part B outbound X12N 837 coordination-of-benefits mapping. It is relevant to billing, claims, and EDI professionals who need to understand the affected transaction guide, the related data elements, and the effective and implementation dates for the update.
Why This Topic Matters
Organizations that submit or process Medicare Part B coordination-of-benefits transactions need to keep implementation guides and crosswalks aligned with current guidance. This memo identifies a specific mapping update and timing information that can affect outbound claims data handling and system configuration.
Article Sections
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Change Request 1327
Introduces the program memorandum topic and identifies the subject area for the update.
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HCFA Implementation Guide for Medicare B COB 837 V30R51
Presents the implementation-guide attachment and the transaction segment context affected by the update. It includes data element summaries and related segment information for the outbound COB mapping.
What You Will Learn
- What the memorandum updates in the Medicare Part B outbound COB process
- Which transaction guide and segment area are affected
- What timing information accompanies the update
- How the article frames the related data-element mapping content
Who Should Read This
- Medical coders
- Billing specialists
- Claims analysts
- EDI implementation staff
- Revenue cycle professionals
- Medicare administrative staff
Codes Discussed
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