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Medicare Compliance & Reimbursement

PROGRAM MEMO ROUNDUP

Published on Thu May 29, 2003

Health care providers who've been shortchanged on services involving mammography-related computer aided detection equipment may be entitled to more money than their Medicare contractor has been doling out. Mammography-related CAD equipment only needs Food and Drug Administration certification for screening and diagnostic mammograms (film and digital), the Centers for Medicare & Medicaid Services explains in a May 16 program memorandum (AB-03-072; http://cms.hhs.gov/manuals/pm_trans/AB03072.pdf). CMS instructs contractors to make appropriate adjustments if providers bring previously processed claims to their attention. In other recent program memoranda, CMS:
advises fiscal intermediaries and contractors on certain Health Insurance Portability and Accountability Act transactions standard compliance issues (B-03-040; http://cms.hhs.gov/manuals/pm_trans/A03040.pdf and A-03-041; http://cms.hhs.gov/manuals/pm_trans/A03041.pdf); and
updates contractors on coordination of benefits procedures (AB-03-066; http://cms.hhs.gov/manuals/pm_trans/AB03066.pdf).  
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