Program_Memos / 2002 / AB-02-152

Why This Topic Matters

It helps billing and claims-processing teams understand a CMS operational update affecting how certain claims are reviewed and edited for skilled nursing facility residents. The memorandum also documents timing, file availability, and administrative handling requirements that may affect workflow.

Article Sections

1. Program Memorandum

   Introductory memorandum information from DHHS and CMS, including transmittal details, issue date, and the change request reference.

2. Subject and file notice

   A notice about a CMS file available through CMSMTS and the general purpose of the file for claims editing. It also identifies the audience and whether the memorandum is informational or operative.

3. Data set name and record layout

   Technical file specifications for the dataset, including record format, block size, character code, sort sequence, and field layout.

4. Handling claims already processed

   General instructions for handling claims that may have been processed incorrectly and what to do when errors are identified.

5. Attachments and administrative dates

   Information about where to access the attachment and the memorandum’s effective date, implementation date, budget note, discard date, and contact information.