decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2002 / AB-02-095
Subscribe or sign in to view the full article.
Article Overview
This 2002 CMS Program Memorandum explains a policy update affecting coordination-of-benefits crossover trading partner agreements between Medicare intermediaries/carriers and various trading partners. It is relevant to Medicare billing and payer coordination staff, compliance teams, and organizations that manage crossover data exchange, because it outlines the general categories of entities covered, the transition toward a standard agreement, and the administrative steps surrounding existing and new agreements.
Why This Topic Matters
Organizations that exchange Medicare crossover claims data need to understand which trading partner relationships are affected and how CMS planned to phase in a standard agreement. The memo is useful for compliance, contracting, and operations staff responsible for data-sharing arrangements and beneficiary data protections.
Article Sections
-
Program Memorandum and policy background
Introduces the CMS memorandum, its purpose, and the overall policy context for coordination-of-benefits crossover arrangements.
-
New policy for trading partner agreements
Describes the general policy direction for agreements with insurer and non-insurer entities and the intended transition over time.
-
Use of existing TPA documents
Explains how existing agreement documents may continue to be used during the transition period before the standard agreement is released.
-
Questions and answers on implementation
Addresses common implementation scenarios involving new agreements, renewals, and interactions with different categories of trading partners.
-
Effective date and contact information
Provides the effective and implementation dates, retention timing, and contact details for follow-up questions.
What You Will Learn
- The purpose and scope of the CMS memorandum
- Which broad categories of trading partners are affected
- How CMS describes the transition to a standard agreement
- How existing agreement documents are treated during the interim period
- What implementation topics are addressed in the memo's question-and-answer format
Who Should Read This
- Medicare intermediaries and carriers
- Billing and reimbursement staff
- Healthcare compliance professionals
- Payer contracting teams
- Organizations involved in coordination of benefits data exchange
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com