decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2003 / AB-03-061
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Article Overview
This article is a CMS Program Memorandum that explains the purpose, filing window, required contents, and processing responsibilities associated with statements of intent for Medicare claims. It is relevant to providers, suppliers, Medicaid state agencies, beneficiaries, contractors, and billing staff who work with Medicare Part A and Part B claims administration and timely filing policy.
Why This Topic Matters
The memorandum clarifies administrative requirements that affect whether a Medicare claim may be accepted after the standard filing period and how contractors are expected to respond. It helps billing and compliance teams understand the scope of supporting information needed for these submissions and the roles of intermediaries, carriers, and regional offices.
Article Sections
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Program Memorandum
Administrative header information identifying the issuing agency, transmittal, and date of the memorandum.
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Subject and effective scope
Background on the memorandum’s purpose, the policy area it addresses, and the timeframe covered by the guidance.
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Purpose of a Statement of Intent
General explanation of how statements of intent relate to Medicare claims filing and timely filing policy, along with references to governing regulations and manuals.
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Who Can Submit Statements of Intent
Overview of the categories of parties that may submit statements of intent under Medicare policy.
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Contents of a Valid Statement of Intent
General content requirements for a valid submission, including the types of identifying and service information that must accompany it.
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CMS/Medicare Contractor Responsibilities
Responsibilities assigned to contractors and regional offices for reviewing, acknowledging, and routing statements of intent.
What You Will Learn
- The administrative purpose of statements of intent in Medicare claims filing
- Which broad parties may be involved in submitting a statement of intent
- What general information categories are required for a valid submission
- How CMS assigns responsibilities to contractors and regional offices
- How the memorandum fits within Medicare timely filing policy and related manual references
Who Should Read This
- Medical billers and coders
- Provider compliance staff
- Medicare contractors
- Health information management staff
- Revenue cycle professionals
- Medicaid agency staff
Codes Discussed
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