Program_Memos / 2003 / AB-03-127

Why This Topic Matters

It helps readers identify how CMS addressed claim submission and payment handling for a laboratory service when CLIA certification categories and HCPCS coding changes intersected in 2003.

Article Sections

1. General Information

   Background on the CLIA framework, the affected laboratory service, and the related HCPCS coding context. The section explains the policy setting that led to the memorandum.

2. Background

   Overview of the CLIA certification context and the coding changes referenced in the memorandum. It frames the issue addressed for calendar year 2003.

3. Policy

   CMS policy discussion on how the laboratory service fits within the CLIA PPM environment and how claims are handled at a general level. This section focuses on the coverage and certification context.

4. Business Requirements

   Administrative implementation content associated with the memorandum. The source notes that the detailed chart is unavailable in the provided text.

5. Supporting Information and Possible Design Considerations

   Supplemental implementation categories and operational notes. The section lists supporting topics without substantive detail in the provided text.