Program_Memos / 2002 / AB-02-038

Why This Topic Matters

The article clarifies Medicare billing treatment for a specific group of diagnostic services in SNF settings, helping providers and contractors avoid incorrect payment handling and understand which billing pathway applies in different beneficiary stay situations.

Article Sections

1. Program Memorandum background and change request

   Introduces the memorandum, its relationship to an earlier issuance, and the reason for the updated guidance. It also identifies the general subject area covered by the change request.

2. Billing guidance for audiologic function tests in SNF settings

   Summarizes the billing and payment framework discussed for audiologic function tests when furnished to beneficiaries associated with skilled nursing facilities. This section addresses the general division of responsibilities among providers, SNFs, carriers, and intermediaries.

3. Effective date, implementation, and administrative instructions

   Covers the timing provisions for the memorandum and the administrative steps contractors are instructed to take. It also notes distribution and communication expectations for provider education.