Program_Memos / 2002 / AB-02-075

Why This Topic Matters

It clarifies a Medicare payment methodology update and the timing for implementation, which can affect how covered drugs and biologicals are processed and communicated across claims systems.

Article Sections

1. Background

   Introduces the reimbursement context for certain drugs and biologicals and identifies the general categories of services covered by the memorandum.

2. Policy

   Outlines the method used to establish the payment allowance limit and the general steps used to apply the policy.

3. Implementation

   Notes that the instructions continue prior guidance and addresses continuity of the existing process.

4. Provider Education

   Addresses communication to suppliers and providers regarding the continuation of the policy and the effective and implementation dates.