decisionhealth Newsletters, Coder Pink Sheets - 2006 Issue 11 (November)
Cardiac cath fees left in the hands of local carriers
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Article Overview
This article explains a Medicare payment policy update affecting cardiac catheterization and some interventional radiology services. It is relevant to cardiology, interventional radiology, and medical coding professionals who track fee schedule status, payment component changes, and CMS pricing decisions for 2007. The discussion stays at a high level and outlines the payment categories involved and the reason the issue arose.
Why This Topic Matters
Payment status changes can affect reimbursement, claim handling, and fee schedule monitoring for services commonly billed in cardiology and interventional radiology settings. Readers need to know which portions of the services are being treated differently and how CMS is handling pricing for the year mentioned.
What You Will Learn
- How Medicare payment policy is affecting cardiac catheterization services
- Which broad service categories are being handled differently in the fee schedule
- Why pricing for certain procedure components is being revisited
- How CMS and local carriers are involved in the payment process
Who Should Read This
- Medical coders
- Billing staff
- Cardiology practices
- Interventional radiology practices
- Revenue cycle professionals
- Compliance staff
Codes Discussed
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