decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2001 / AB-01-187
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Article Overview
This CMS Program Memorandum for intermediaries and carriers describes updates to waived laboratory test reporting, including the addition and replacement of covered test identifiers, the use of the QW modifier, and effective/implementation timing. It is intended for billing, coding, and claims-processing staff who maintain CLIA-covered test files and need to track Medicare-recognized waived test systems.
Why This Topic Matters
The article is relevant because it documents Medicare coding maintenance for waived tests and shows which laboratory tests received updated reporting identifiers for 2002. It also helps readers understand the administrative context for carrier file updates, claim handling, and the transition of waived test systems.
Article Sections
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Transmittal AB-01-187
Administrative transmittal information from CMS, including the subject of the memorandum, timing details, and general instructions for carriers and intermediaries.
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Waived test updates and CLIA-covered file changes
General guidance on revised waived test reporting, including CLIA-related file maintenance, modifier use, and claim-processing notes.
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List of waived tests
A long catalog of waived laboratory test systems organized by manufacturer and reporting identifier, with general use categories and Medicare-related notes.
What You Will Learn
- How CMS organized waived test updates in this Program Memorandum
- What categories of laboratory testing were included in the waived test list
- How the memorandum addresses claim-processing and file-maintenance updates
- Which general administrative dates apply to the memorandum
- What types of laboratories and billing staff would need to review the update
Who Should Read This
- Medical coders
- Billing staff
- Laboratory managers
- Revenue cycle staff
- Medicare claims processing staff
- Compliance staff
Codes Discussed
Modifiers Discussed
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