decisionhealth Newsletters, Answer Books - 2006 Issue 3 (March)
Program_Memos / 2003 / B-03-063
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Article Overview
This article covers a CMS program memorandum on an updated crosswalk between Medicare specialty codes and Healthcare Provider Taxonomy Codes (HPTC). It is relevant to billing, provider enrollment, contractor education, and claims processing teams that work with provider classification data. The article also notes the effective and implementation dates, the source organizations involved, and the availability of an updated attachment listing the crosswalk.
Why This Topic Matters
Accurate provider specialty taxonomy alignment affects enrollment, claim handling, and internal reference materials used by contractors and providers. This memo gives organizations a structured update to reference when reviewing provider specialty data.
Article Sections
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Background
Introduces the federal standards context for electronic health care transactions and the role of provider taxonomy data.
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Provider Education
Describes the organizations maintaining and distributing the taxonomy code set and how contractors may support provider inquiries.
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Implementation
Summarizes the crosswalk update, related timing information, and the operational guidance for contractors.
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Attachment
Presents the Medicare specialty code and provider taxonomy crosswalk referenced by the memorandum.
What You Will Learn
- How the memorandum frames the purpose of the provider taxonomy crosswalk
- Which organizations are associated with maintaining and distributing the taxonomy code set
- What kinds of administrative updates accompany the crosswalk revision
- How the attachment is organized and what subject areas it covers
Who Should Read This
- Medicare contractors
- Provider enrollment staff
- Medical billing and claims teams
- Healthcare compliance staff
- Practice administrators
Codes Discussed
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