decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2001 / AB-01-139
Subscribe or sign in to view the full article.
Article Overview
This article summarizes a CMS Program Memorandum for intermediaries and carriers about claims processing when a written statement of intent has been used to extend filing time limits. It covers contractor handling steps, acknowledgment procedures, claim review timing, and special claim-marking instructions tied to Medicare processing. The memorandum is relevant to billing and reimbursement staff who manage Medicare claims operations and timely filing workflows.
Why This Topic Matters
It helps Medicare claims staff understand the administrative process for statements of intent and the related claim-processing requirements in a CMS memorandum. The article is important for teams that review late claims, maintain contractor workflows, and apply the memorandum’s special filing-related guidance.
Article Sections
-
Program Memorandum Background and Scope
Introduces the memorandum, its reissue status, the change request, and the effective and discard dates. It also identifies the Medicare administrative audience and the general purpose of the guidance.
-
General Instructions for Receiving and Processing the Statement of Intent
Explains how contractors should handle receipt, routing, acknowledgment, and retention of a statement of intent. It also references related program memoranda for additional context.
-
Processing of Claims Submitted Beyond the Filing Deadline
Describes the workflow for reviewing claims that arrive after the filing deadline and the need to determine whether a statement of intent exists. It addresses the timing relationship between the acknowledgment letter and subsequent claim submission.
-
Special Coding Instructions
Summarizes the memorandum’s special claim-marking guidance used to facilitate matching statements of intent with claims. It also notes the involvement of Medicare contractor systems and the national billing committee.
What You Will Learn
- The memorandum’s purpose and affected Medicare administrative audience
- How statements of intent are handled at a general workflow level
- What the article says about timing and acknowledgment in late claim processing
- What special claim-marking guidance is referenced for matching claims to statements of intent
- Which CMS and Medicare references are cited as supporting context
Who Should Read This
- Medicare intermediaries
- Medicare carriers
- Billing and claims staff
- Revenue cycle professionals
- Medicare contractor operations staff
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com