decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2001 / AB-01-93
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Article Overview
This article is a program memorandum for a Medicare demonstration project. It outlines changes to demonstration-site participation, effective and implementation timing, fiscal intermediary and carrier responsibilities, claim-processing setup, beneficiary notice handling, and related administrative contacts. The material is relevant to Medicare contractors, billing staff, and organizations participating in the demonstration.
Why This Topic Matters
It helps readers understand how the demonstration was administered across multiple sites and contractors, and how claims and enrollment-related processes were organized during implementation.
Article Sections
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Effective Date of Demonstration Sites
Covers the rollout timing for participating sites and the phased implementation schedule.
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Role of Fiscal Intermediaries
Describes the responsibilities assigned to fiscal intermediaries for demonstration enrollment-related processing and site-specific routing.
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Impact on Carriers
Summarizes which carriers were involved in demonstration claim processing and the general division of responsibilities.
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Claims Processing Rules
Outlines general processing instructions related to services, monthly billing, payment-rate handling, and beneficiary notices.
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Attachment III – Revised: Demonstration Sites and Contractors Used for Processing Claims
Lists the demonstration sites, service areas, and the contractor assignments used for processing enrollment and claim activities.
What You Will Learn
- How the demonstration was expanded to include an additional site
- How responsibilities were divided among fiscal intermediaries and carriers
- What types of administrative claim-processing topics were addressed
- What implementation and effective dates were specified for the memorandum
- How the attachment organized site and contractor assignments
Who Should Read This
- Medicare contractors
- Billing and claims staff
- Provider administrative staff
- Demonstration program administrators
- Healthcare compliance professionals
Codes Discussed
Code Ranges Discussed
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