decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2003 / AB-03-013
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Article Overview
This article is a CMS Program Memorandum about newly approved CLIA-waived tests and the Medicare billing context for those tests. It is intended for laboratory billing staff, coders, compliance teams, and providers who need to understand how the update affects Medicare claims, code-file maintenance, and the organization of the waived-test list.
Why This Topic Matters
It helps readers determine whether their laboratory or practice billing workflows need updates for CLIA-waived testing and Medicare claims processing. The memorandum also signals changes to the official waived-test reference list and the timing of implementation.
Article Sections
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Program Memorandum background and subject
Introduces the CMS transmittal, effective date, implementation date, and the general topic of newly approved waived tests under CLIA.
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Overview of changes to the waived-test list
Summarizes how the attached waived-test list was reorganized and what kinds of list changes were made.
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Attachment: CLIA waived tests by CPT code
Presents the attached reference list of waived tests organized by CPT code, manufacturer, and general use categories.
What You Will Learn
- How this CMS memorandum updates the CLIA waived-test reference list
- What general categories of laboratory testing are covered in the attachment
- How the article organizes waived tests and related Medicare claims information
- Which organizations and stakeholders are referenced in the memorandum
Who Should Read This
- Medical coders
- Laboratory billing staff
- Compliance personnel
- Clinical laboratory managers
- Medicare claims staff
- Healthcare providers
Codes Discussed
Modifiers Discussed
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