decisionhealth Newsletters, Part B News - 2022 Issue 11 (November)
Age lowered for colon cancer screening, audiologists can order, and more
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Article Overview
This article reviews several regulatory updates finalized in the 2023 Medicare physician fee schedule. It is relevant to coders, billing staff, compliance teams, and providers who need to track changes in preventive screening coverage, audiology service ordering, dental service reimbursement, Medicare Part B drug billing requirements, and geographic adjustment methodology.
Why This Topic Matters
The changes discussed can affect coverage, claim submission, modifier use, and payment calculations across multiple clinical and billing workflows.
Article Sections
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Physician fee schedule
Introduces selected updates finalized in the 2023 Medicare physician fee schedule and the broad policy areas addressed in the article.
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Colorectal cancer screening change
Covers preventive colorectal screening policy updates tied to Medicare coverage and follow-up screening considerations.
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Audiologists can order services
Summarizes changes affecting audiology service ordering and related diagnostic hearing testing coverage under Medicare.
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Medicare economic index
Describes revisions to the Medicare economic index and how the update relates to fee schedule payment inputs.
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Dental services
Reviews coverage and payment considerations for certain dental services connected to covered medical care.
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Single-dose drugs
Addresses Medicare Part B drug billing updates involving discarded drug amounts, related modifiers, and implementation timing.
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GPCIs
Summarizes geographic practice cost index updates, formula refinements, and related 2023 payment locality adjustments.
What You Will Learn
- Which broad Medicare physician fee schedule areas were updated for 2023
- How preventive screening coverage changes are addressed in the rule
- What changed for audiology service ordering and billing
- How Medicare payment index and locality adjustments were revised
- Which parts of dental and Part B drug policy were finalized
- How the final rule organizes several payment methodology updates
Who Should Read This
- Medical coders
- Billing staff
- Compliance teams
- Healthcare providers
- Practice managers
- Revenue cycle professionals
Codes Discussed
Modifiers Discussed
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