Program_Memos / 2002 / B-02-002

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This CMS program memorandum explains a web-based update to consolidated billing coding information for skilled nursing facility claims in calendar year 2002. It is relevant to carriers, providers, and billing staff who need to understand the broad categories of services addressed in the CMS guidance and the timing of the notice, implementation, and retention period.

Why This Topic Matters

The memorandum centralizes where to find CMS coding information affecting whether certain services in skilled nursing facility stays are billed to the carrier, the SNF, or otherwise handled under consolidated billing. It matters because it impacts claims processing, provider billing workflows, and awareness of CMS updates for 2002.

Article Sections

  1. Program Memorandum

    CMS transmittal information, subject line, date, and request number for the memorandum.

  2. Consolidated Billing Coding Information for SNF Residents

    Overview of the web-based coding information for skilled nursing facility consolidated billing and how it was intended to be used by carriers and providers.

  3. Code File Categories and Billing Handling

    General categories of services covered by the CMS files, including physician services, diagnostic test interpretations, ambulance services, and therapy services in different SNF stay scenarios.

  4. Provider Notification and Effective Dates

    Instructions for disseminating the notice, along with the effective date, implementation date, budget note, and retention period.

What You Will Learn

  • What CMS updated regarding consolidated billing coding information for skilled nursing facility claims.
  • Which broad service categories were included in the web-based code files.
  • Who the memorandum was directed to and how the update was to be communicated.
  • The timing and administrative lifecycle of the memorandum.

Who Should Read This

  • Medicare carriers
  • Durable medical equipment regional carriers (DMERCs)
  • Skilled nursing facilities
  • Physicians
  • Non-physician practitioners
  • Suppliers
  • Medical coders
  • Billing staff

Modifiers Discussed


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