decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2001 / AB-01-05
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Article Overview
This article is a Medicare Program Memorandum for intermediaries and carriers that addresses newly waived laboratory tests under CLIA and the related administrative updates. It is relevant to billing, claims processing, and provider notification teams that need to track HCFA guidance, implementation timing, and the affected laboratory test systems discussed in the attachment.
Why This Topic Matters
The memorandum helps readers understand which waived-test systems were recognized at the time, when changes were to be implemented, and how carriers were instructed to handle related claims and file updates. It also identifies a discontinued test code and the replacement referenced in the guidance, which is important for administrative accuracy and historical coding reference.
Article Sections
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Program Memorandum and subject
Introduces the transmittal, issuing agencies, date, change request, and the overall subject of the memorandum.
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New waived tests and implementation timing
Summarizes the newly approved waived tests, the associated administrative timing, and the instructions for provider notice and systems updates.
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Discontinued code and replacement
Notes the discontinued laboratory code and the replacement referenced in the memorandum, along with the affected test systems.
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Attachment: test list
Presents the attachment listing waived test systems, manufacturers, code assignments, and general test purposes across multiple laboratory categories.
What You Will Learn
- How the memorandum is structured and what administrative issue it addresses
- What kinds of waived laboratory test categories are included in the guidance
- How the article distinguishes newly added systems from previously listed test systems
- What implementation-related dates and notifications are mentioned
- How the attachment organizes waived test information for carriers and providers
Who Should Read This
- Medicare intermediaries
- Medicare carriers
- Billing and claims staff
- Medical coders
- Laboratory compliance personnel
- Provider office staff
Codes Discussed
Modifiers Discussed
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