Program_Memos / 2002 / AB-02-181

Why This Topic Matters

It explains how Medicare contractors were expected to manage the transition between 2002 and 2003 processing periods, including claims handling, directory updates, and outreach during a delayed final rule publication.

Article Sections

1. Program Memorandum and claim processing guidance

   Introduces the CMS transmittal and outlines contractor guidance for processing claims during the 2002-to-2003 transition period. It covers the timing of implementation, interim files, and operational handling for different claim categories.

2. Intermediary processing instructions

   Provides parallel instructions for intermediaries on handling claims, effective dates, and provider routing during the transition. It also addresses treatment of services subject to the physician fee schedule versus other Medicare services.

3. Physician Participation Enrollment

   Describes the extended participation enrollment period and related system updates for carriers. It explains the timing of enrollment records, directory updates, and the effect of participation decisions on processing.

4. Revised Due Dates for Loading Medicare Participating Physician/Supplier Directories (MEDPARD) and for Reporting Participation Data to CMS

   Lists revised operational deadlines for directory loading and reporting participation data. The section is focused on contractor administration and system scheduling.

5. Physician/Practitioner Outreach and Education

   Outlines required provider education and communication steps for carriers and intermediaries. It covers website posting, call center messaging, mailing coordination, and other outreach channels.

6. Attachment 1 Schedule of Key Activities

   Provides a chronological schedule of major implementation milestones and contractor actions. The timeline includes publication, enrollment, system loading, and later adjustment-related activities.

7. Attachment 2 CY 2003 Physician Fee Schedule Implementation

   Contains narrative background on the 2003 physician fee schedule implementation and its delayed operational changes. It also summarizes the general transition framework for providers and contractors.

8. Attachment 3 Frequently Asked Questions

   Presents common questions and answers about the 2003 implementation timeline, enrollment period, claim handling, and provider communications. It is intended to support education and consistent messaging.