decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2002 / AB-02-104
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Article Overview
This article explains a Medicare program memorandum focused on HCPCS and DMEPOS fee schedule updates effective in 2002. It is relevant to DMEPOS suppliers, Medicare contractors, and coding/billing staff who need to track newly added codes, revised fee schedule files, implementation timing, and related data analysis and education activities.
Why This Topic Matters
The memorandum affects how certain prosthetics, orthotics, and ostomy-related items are reported and paid under Medicare fee schedule files. It also addresses contractor implementation steps and monitoring of concurrent billing practices.
Article Sections
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HCPCS and DMEPOS fee schedule updates
Overview of the fee schedule update and the broad categories of items affected. Includes timing, file distribution, and contractor payment-file context.
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SADMERC Data Analysis
Directions for contractor data analysis related to billing patterns and claim review. Describes the reporting focus and measurement period at a high level.
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Implementation
Instructions for downloading files, confirming receipt, and handling contractor implementation activities. Also includes general education and distribution expectations.
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Education
Outreach and publication requirements for Medicare contractor bulletins and web posting. Covers dissemination of the memorandum's information to stakeholders.
What You Will Learn
- Which broad HCPCS and DMEPOS fee schedule changes are addressed
- How the memorandum organizes contractor implementation tasks
- What type of claim analysis is referenced for monitoring billing patterns
- What education and publication steps are required for contractors
- Which general timing milestones apply to the update
Who Should Read This
- Medicare contractors
- DMEPOS suppliers
- Medical coders and billers
- Compliance staff
- Revenue cycle professionals
Codes Discussed
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