CMS Manual System
CMS Manual System Department of Health & Human Services (DHHS) Pub. 100-04 Medicare Claims ProcessingCenters for Medicare & Medicaid Services (CMS) Transmittal 133 Date: APRIL 2, 2004 CHANGE REQUEST 3115 I. SUMMARY OF CHANGES: Billing non-covered charges to fiscal intermediaries summary and new instructions Clarification to Change Request 2634, Transmittal 25 to claims processing, dated October 31, 2003. REVISED MATERIAL - EFFECTIVE DATE: April 5, 2004. IMPLEMENTATION DATE: April 16, 2004. Disclaimer for Manual changes only: The revision date and transmittal number apply only to the red italicized material. Any other material was previously published and remains unchanged. However, if this revision contains a table of contents, you will only receive the new/revised information, and not the entire table of contents. II. SCHEDULE OF CHANGES: (R = REVISED, N = NEW, D = DELETED) R/N/D CHAPTER/SECTION/SUBSECTION/TITLE R 1 Information on Noncovered Charges R 1 Requirements Related to Noncovered Charges Prior to Billing R 1 Excluded by Statute R 1 with Condition Code 21 R 1 of All Types of No Payment Claims R 1 Operational Information on Noncovered Charges R 1 Charges on Inpatient Bills R 1 Demand Bills (Condition Code 20)
CMS Manual System Department of Health & Human Services (DHHS) Pub. 100-04 Medicare Claims Processing Centers for Medicare & Medicaid Services (CMS) Transmittal 133 Date: APRIL 2, 2004
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