Program_Memos / 2001 / AB-01-98

Why This Topic Matters

It helps billing and claims staff understand which Medicare remittance reporting category applies to this denial scenario and notes the timing and communication requirements associated with the change.

Article Sections

1. Program Memorandum and Subject

   Identifies the memorandum, issuing agencies, transmittal information, date, and the general topic of the reporting change.

2. Background and Prior Reporting Approach

   Summarizes the earlier remittance advice mapping referenced by the memorandum and the context for the update.

3. Revised Reporting Guidance

   Describes the updated group code handling for the denial scenario and the associated reporting approach referenced by the memorandum.

4. System, Notification, and Resubmission Instructions

   Covers implementation expectations for claims systems, provider notification, and the circumstance in which previously denied claims may be resubmitted.

5. Dates and Administrative Notes

   Lists the implementation date, effective date, retention period, and administrative follow-up notes.