decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2002 / AB-02-144
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Article Overview
This article is a CMS program memorandum about the Virginia Cardiac Surgery Initiative demonstration. It explains the scope of the demonstration, the affected Medicare contractors and participating hospitals, the general payment model, and the administrative requirements tied to implementation. The material is most relevant to hospital and physician billing teams, Medicare contractors, and compliance staff tracking CMS demonstration projects and related transmittals.
Why This Topic Matters
It documents a CMS demonstration that changes how selected cardiac surgery inpatient services are processed and paid for in participating Virginia hospitals. Readers can use it to determine whether the memorandum affects their facility, contractor workflow, or claims administration responsibilities.
Article Sections
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Scope
Overview of the demonstration’s coverage, the contractors and hospitals affected, and the planned operational timing.
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Background
Context for the Virginia Cardiac Surgery Initiative and the broader demonstration framework referenced by CMS.
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Related Change Requests (CRs)
List of prior transmittals and change requests referenced as related guidance for the demonstration.
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Business Requirements
Administrative requirements for participating hospitals and physicians, including claims-processing and reporting workflow topics.
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Attachment: Implementation
Effective and implementation dates, funding notes, and retention instructions for the program memorandum.
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Table 1 - VCSI Participating Hospitals
Roster of participating hospitals and their Medicare provider numbers for the demonstration.
What You Will Learn
- The overall purpose and scope of the Virginia Cardiac Surgery Initiative demonstration
- Which Medicare contractors and provider types are affected
- The general relationship between the demonstration and prior CMS transmittals
- The administrative areas involved in implementation and claims processing
- The participating hospital roster referenced by CMS
Who Should Read This
- Hospital revenue cycle teams
- Physician billing staff
- Medicare administrative contractors
- Compliance and reimbursement analysts
- Health information management professionals
Codes Discussed
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