decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2002 / B-02-034
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Article Overview
This Program Memorandum explains CMS implementation planning for a national pharmacy transaction standard used for electronic retail pharmacy claims and related transaction types. It is relevant to Medicare operations, DMERCs, and the ViPS Medicare System, and it outlines the general timing, scope, and follow-up instructions associated with the transition.
Why This Topic Matters
The article helps organizations understand that a national pharmacy electronic transaction standard is being adopted and that certain Medicare processing entities must prepare for implementation within a defined timeframe.
Article Sections
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Program Memorandum
Introductory administrative details for the memorandum and issuing agencies.
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Subject: Implementation of the NCPDP Telecommunications Standard Version 5.1 and the equivalent Batch Standard Version 1.1 for Retail Pharmacy Drug Transactions
Overview of the memorandum topic and the general transaction areas covered by the implementation notice.
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Implementation planning and system impact
Discussion of affected systems, implementation timing, release planning, and follow-up guidance for the transition.
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Effective date, implementation date, and retention
Administrative dates associated with the memorandum and its period of use.
What You Will Learn
- Which organizations and systems are affected by the memorandum
- What general transaction areas are included in the implementation notice
- How CMS frames the implementation timeline and follow-up guidance
- What administrative dates are associated with the memorandum
Who Should Read This
- Medicare carriers
- DMERCs
- System implementers
- Healthcare IT and claims processing staff
- Coding and compliance professionals
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