decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2001 / AB-01-125
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Article Overview
This Medicare program memorandum from CMS explains a payment update affecting telehealth facility fee claims under the Medicare Physician Fee Schedule database and related carrier/intermediary processing. It is relevant to billing, claims processing, and reimbursement staff who need to understand the effective dates, pricing setup, and general payment handling referenced in the memorandum.
Why This Topic Matters
The article clarifies Medicare payment administration for a specific telehealth-related HCPCS code and explains how the policy was to be handled by carriers and intermediaries during the stated timeframe. This matters to people responsible for claims submission, pricing file maintenance, and Medicare reimbursement operations.
Article Sections
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Change Request 1846
Introduces the purpose of the memorandum and the Medicare payment update being clarified for a telehealth-related HCPCS code.
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Carriers
Summarizes carrier-side processing and MPFSDB file handling guidance for the identified code, including the relevant effective period and pricing setup.
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Intermediaries
Summarizes intermediary-side payment handling for the same code and the applicable time period.
What You Will Learn
- The scope of the Medicare payment clarification addressed by the memorandum
- How the article frames carrier and intermediary processing responsibilities
- Which general claims-processing and pricing-file topics are covered
- The effective dates and implementation timing referenced in the memorandum
Who Should Read This
- Medical coders
- Billing staff
- Claims processors
- Revenue cycle professionals
- Medicare reimbursement specialists
- Provider office administrators
Codes Discussed
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