decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2003 / AB-03-071
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Article Overview
This article explains a CMS Program Memorandum for the July 2003 DMEPOS fee schedule update. It is relevant to Medicare DMEPOS billing and reimbursement workflows because it addresses new HCPCS additions, fee schedule revisions, payment category movements, contractor file handling, and implementation dates for 2003 claims.
Why This Topic Matters
Providers, suppliers, and Medicare contractors needed this update to apply the correct 2003 DMEPOS fee schedule and payment-category assignments, and to process affected claims and fee schedule files on the proper timeline.
Article Sections
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Program Memorandum / Scope
Introduces the memorandum and states its purpose in relation to the July quarterly DMEPOS fee schedule update.
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Background
Summarizes the context for the quarterly fee schedule update and describes revisions involving existing and newly added HCPCS items. It also discusses claim-processing timing and payment-category movement for selected items.
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Implementation
Outlines the new HCPCS items effective for July 2003, contractor fee schedule responsibilities, file availability, and the effective periods for payment under the updated fee schedule.
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Education
Describes contractor responsibilities for notifying providers and posting updated fee schedule information.
What You Will Learn
- How the July 2003 DMEPOS fee schedule update is structured
- Which types of HCPCS items were newly addressed in the memorandum
- How contractor processing and fee schedule file updates were scheduled
- What operational steps were required for provider notification and implementation
Who Should Read This
- Medicare DMEPOS suppliers
- Durable medical equipment contractors
- Medicare billing staff
- Reimbursement and coding professionals
Codes Discussed
Code Ranges Discussed
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