Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 60.4

Determining Frequency Standards

Last amended: 2015Year: 2015Length: 85 wordsOfficial source
60.4 - Determining Frequency Standards (Rev. 3436, Issued: 12-30-15, Effective: 10-09-14, Implementation: 09-08-15 for non-shared MAC edits; 01-04-16 - For all shared system changes.) To determine the 11-, 23-, 35-, 47-, and 119-month periods, start counts beginning with the month after the month in which a previous test/procedure was performed. EXAMPLE: The beneficiary received an FOBT in January 2000. Start count beginning with February 2000. The beneficiary is eligible to receive another blood test in January 2001 (the month after 11 full months have passed).
Medicare Claims Processing Manual (Pub. 100-04), Ch. 18 § 60.4: Determining Frequency Standards | Justis AI