decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2003 / AB-03-063
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Article Overview
This CMS Program Memorandum reissues earlier guidance and explains a Common Working File update affecting Medicare Secondary Payer record processing. It is relevant to Medicare intermediaries, carriers, and coordination-of-benefits staff who need to understand the scope of the edit, related transaction handling, and the timing of implementation and discard dates.
Why This Topic Matters
It helps Medicare claims and coordination-of-benefits personnel identify when specific MSP records should not be posted and how the Common Working File behavior changed for the affected beneficiary coverage scenarios.
Article Sections
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Program Memorandum
Identifies the issuing agencies, transmittal information, and the reissued nature of the memorandum.
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Change Request 1922
Summarizes the subject of the system edit and the Medicare Secondary Payer processing issue addressed by the memorandum.
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Implementation and timing
Provides the effective date, implementation date, budget note, and discard timing for the memorandum.
What You Will Learn
- The administrative context and purpose of the memorandum
- The Medicare systems and coordination-of-benefits process areas affected
- The implementation and discard timing associated with the guidance
- Which organizations issued and distributed the program memorandum
Who Should Read This
- Medicare intermediaries
- Medicare carriers
- Claims processing staff
- Coordination of benefits personnel
- Healthcare reimbursement and compliance professionals
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