Program_Memos / 2001 / AB-01-67

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article explains Medicare policy guidance on written statements of intent used to preserve timely filing for Medicare Part A and Part B claims. It is aimed at providers, suppliers, beneficiaries, Medicaid State agencies, and Medicare contractors, and it covers eligibility to submit a statement, required content, filing timing, and contractor processing responsibilities.

Why This Topic Matters

It matters because it clarifies a Medicare administrative process that can affect whether a claim is considered timely and properly submitted. The memorandum also updates prior program guidance and identifies the operational responsibilities of contractors and regional offices.

Article Sections

  1. Purpose of a Statement of Intent

    Explains the general purpose of the memorandum and the role of a statement of intent within Medicare filing procedures. It also references the governing framework and related manual provisions.

  2. Who Can Submit Statements of Intent

    Describes the categories of parties that may submit a statement of intent under Medicare policy. The section identifies broad participant groups and circumstances addressed by the guidance.

  3. Contents of a Valid Statement of Intent

    Outlines the information that must accompany a valid statement of intent and distinguishes the submission requirements for different types of submitters. It also notes how the submission must relate to claim filing information.

  4. HCFA/Medicare Contractor Responsibilities

    Summarizes what Medicare contractors and regional offices are expected to do when receiving and processing a statement of intent. The section covers notification, review, and forwarding responsibilities.

What You Will Learn

  • The general purpose of a statement of intent in Medicare filing.
  • Which broad categories of parties are permitted to submit one.
  • What types of information must accompany a valid submission.
  • How Medicare contractors and regional offices are instructed to handle submissions.
  • How the memorandum relates to prior program guidance and effective dates.

Who Should Read This

  • Medical coders
  • Billing staff
  • Revenue cycle professionals
  • Hospitals and providers
  • Physicians and suppliers
  • Medicare contractors
  • Compliance staff

Codes Discussed

Code Ranges Discussed

  • MCM: 3005-3005.4
  • MIM: 3605.2-3605.3
  • MIM: 3307 - 3312.5

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