decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2002 / B-02-062
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Article Overview
This article summarizes a CMS Program Memorandum about Medicare coverage and payment handling for diabetes outpatient self-management training services. It is relevant to registered dietitians, Medicare carriers, billing staff, and provider organizations that submit claims for DSMT programs. The memo covers billing eligibility, claims processing issues, contractor education, and a later CMS instruction expected to address remaining program issues.
Why This Topic Matters
It helps readers understand a Medicare payment policy update affecting DSMT program billing and claim denial handling, especially where registered dietitians bill on behalf of accredited programs.
Article Sections
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Program Memorandum — DHHS Carriers CMS
Introduces the memorandum, its transmittal information, subject, and the broader Medicare administrative context.
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Provider Education
Describes contractor responsibilities for informing providers about denied claims and how the notice should be distributed.
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Future Instruction
Notes that CMS planned additional guidance to address remaining issues and clarify related payment topics.
What You Will Learn
- The scope of Medicare guidance addressed in the memorandum
- Which provider groups are affected by the update
- How the article frames claims processing and contractor communication
- What future CMS follow-up guidance is anticipated
Who Should Read This
- Registered dietitians
- Medicare contractors/carriers
- Billing and reimbursement staff
- Provider compliance teams
- Diabetes education program administrators
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