decisionhealth Newsletters, Part B News - 2002 Issue 9 (September)
Ability to bill pre- and post-service charges sought for add-ons
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Article Overview
This article discusses a proposed change to the physician fee schedule that could affect reimbursement for add-on services with certain global periods. It summarizes comments from the AMA, ACC, the Society of Cardiovascular and Interventional Radiology, and the American College of Surgeons about recognizing additional pre-service and post-service work, and it explains why the issue matters to multiple specialties and to CMS policy development.
Why This Topic Matters
The topic is relevant to coding, billing, and reimbursement professionals who track proposed Medicare payment policy changes affecting add-on services. It highlights how specialty societies are seeking broader recognition of work and practice expense associated with these services.
What You Will Learn
- How a proposed physician fee schedule change may affect payment for add-on services
- Which specialty organizations commented on pre-service and post-service reimbursement for add-ons
- How CMS and the AMA RUC are involved in evaluating add-on services with separately identifiable work
- Why some specialties view additional payment for related work as important
Who Should Read This
- Medical coders
- Coding auditors
- Physician billing staff
- Revenue cycle professionals
- Healthcare compliance staff
- Physician practice administrators
Codes Discussed
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