decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2002 / B-02-064
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Article Overview
This CMS Program Memorandum addresses a Medicare system processing change tied to ICD-9-CM diagnosis coding and HIPAA date-of-service compliance. It is relevant to Medicare carriers, DMERC-related processing, billing staff, and software vendors that manage diagnosis code edits and annual code updates. The article outlines the implementation timeframe, system handling considerations, and general communication expectations for the change.
Why This Topic Matters
The memo matters because it affects how Medicare systems evaluate diagnosis codes for claims spanning annual ICD-9-CM updates. It helps readers understand the operational and compliance impact of date-based code processing in Medicare claims workflows.
What You Will Learn
- What Medicare system processing change the memorandum addresses
- How the update relates to ICD-9-CM and HIPAA compliance
- Which Medicare entities and users are affected
- What implementation timing and communication considerations are discussed
Who Should Read This
- Medicare carriers
- DMERC claims processors
- Billing staff
- Software vendors
- Health information management professionals
Codes Discussed
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