decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2000 / B-00-73
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Article Overview
This 2000 HCFA Program Memorandum explains a correction to CCI edits affecting vaccine administration billing and associated evaluation and management code edits. It is relevant to professional coders, billing staff, and compliance teams who work with HCPCS and CPT code edits, claim reprocessing, and carrier system updates. The article also identifies the effective and implementation dates and includes contact information for follow-up.
Why This Topic Matters
It documents a historical coding-edit change that could affect how claims were denied, resubmitted, or reprocessed during the specified period. Readers can use it to understand the scope of the memo and whether it applies to vaccine administration and E/M billing workflows.
Article Sections
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Program Memorandum / Transmittal Information
Administrative header information from DHHS, HCFA, and the transmittal identifies the memo as a carrier communication and gives the date and change request reference.
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Change Request 1459
The memo identifies the request number and the subject area covered by the edit correction.
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Introduction
This section describes the purpose of the memorandum, the affected HCPCS vaccine administration services, and the associated E/M edit update at a general level.
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Effective and Implementation Dates
This section provides the timing information for when the memorandum takes effect, when it is implemented, and when it should be discarded.
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Contact Information
This section provides a HCFA contact for questions related to the memorandum.
What You Will Learn
- What type of HCFA Program Memorandum this is
- Which broad billing areas are affected by the edit correction
- What timing information is provided for the memo's use
- What type of carrier follow-up or claim maintenance is addressed
Who Should Read This
- Medical coders
- Billing staff
- Claims processing teams
- Compliance teams
- Healthcare administrators
Codes Discussed
Modifiers Discussed
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