decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2003 / AB-03-070
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Article Overview
This article is a CMS Program Memorandum addressing a second update to the 2003 Medicare Physician Fee Schedule Database, along with related contractor instructions and a telehealth payment timing update. It is relevant to Medicare billing and reimbursement staff, physician practice coders, and contractor teams who need to understand fee schedule file changes, effective dates, and related claims-processing guidance.
Why This Topic Matters
It documents Medicare fee schedule database corrections and timing guidance that can affect claims processing, payment rates, and contractor implementation for the affected period.
Article Sections
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Program Memorandum and Database Update Information
Introduces the transmittal, issuing organizations, change request, and the purpose of the Medicare Physician Fee Schedule Database update. It also includes file distribution information and general implementation timing.
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Revisions to the 2003 Medicare Physician Fee Schedule Database
Lists the affected fee schedule entries and the types of database revisions made for various services and supplies. The section also includes file-specific adjustments and effective dates for selected changes.
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Telehealth Services and Psychiatric Diagnostic Interview Examination
Describes the telehealth-related update for Medicare coverage and payment timing, including contractor processing directions and provider education instructions. It also references associated administrative messaging and implementation dates.
What You Will Learn
- The scope of the 2003 Medicare Physician Fee Schedule Database update
- Which general categories of fee schedule entries were revised
- How the memorandum addresses telehealth-related Medicare payment timing
- What implementation and effective-date information the memorandum provides
- Which contractor audiences were instructed to act on the update
Who Should Read This
- Medicare billing and reimbursement staff
- Physician practice coders
- Hospital and facility billing teams
- Medicare contractors and intermediaries
- Compliance and provider education staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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