decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2001 / AB-01-53
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Article Overview
This article covers a 2001 Medicare program memorandum from HCFA on the quarterly DMEPOS fee schedule update, file transmission details, and related coverage and payment-category handling for selected HCPCS items. It is relevant to Medicare contractors, DMEPOS billing teams, and reimbursement staff who manage fee schedule updates, coverage changes, and implementation timing.
Why This Topic Matters
It identifies which Medicare contractors were responsible for fee schedule submission and distribution, clarifies the timing of 2001 fee schedule updates, and signals coverage-related changes affecting DMEPOS claims processing.
Article Sections
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Program Memorandum and Transmittal Information
Administrative context for the memorandum, including the issuing agencies, transmittal reference, date, and change request.
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July Updates for 2001 DMEPOS Fee Schedule
Overview of the quarterly fee schedule update process, including timing, file handling, and the split between two effective periods in 2001.
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Gap-Fill Instructions for Selected HCPCS Codes
Instructions for regional carriers on handling selected HCPCS items within the DMEPOS fee schedule update workflow.
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Coverage Update for Selected HCPCS Codes
Information about a coverage change affecting selected HCPCS items and the related claims-processing and manual-update implications.
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Effective Date and Implementation
The memorandum’s effective and implementation dates for the fee schedule update periods.
What You Will Learn
- The scope of the 2001 DMEPOS fee schedule update
- How the memorandum distinguishes between two 2001 fee schedule effective periods
- Which HCPCS items were addressed for gap-filling and coverage update purposes
- Which organizations and contractor groups were involved in distributing and implementing the update
- The timing of the memorandum’s effective and implementation dates
Who Should Read This
- Medicare intermediaries
- Medicare carriers
- DMERCs
- DMEPOS billing and reimbursement staff
- Health care compliance staff
Codes Discussed
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