Check out new billing opportunities you can take advantage of July 1

Subscribe or sign in to view the full article.

Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews selected Medicare billing changes taking effect July 1, including expanded coverage, payment updates, and Correct Coding Initiative edit changes. It is aimed at coders, billers, and practice administrators who follow physician fee schedule updates, outpatient payment policy, ASC facility fee changes, and Part B drug reimbursement changes. The piece provides a practical overview of the service categories affected and points to the related CMS and Medicare guidance sources.

Why This Topic Matters

It helps readers spot policy changes that may affect reimbursement and billing workflow across multiple specialties and settings.

Article Sections

  1. Medicare coverage and payment updates effective July 1

    An overview of the types of Medicare changes discussed in the article, including coverage expansion, payment adjustments, and edit-related updates. It frames the policy changes by date and source.

  2. Magnetic resonance angiography (MRA)

    A discussion of coverage changes related to MRA services and the clinical areas mentioned in the update. The section also references related Medicare guidance sources.

  3. Mammography

    Coverage and edit changes affecting mammography-related billing are summarized here, along with the related coding and payment context. The section focuses on a corrected edit issue affecting separate payment.

  4. Anesthesia

    This section addresses coding edits affecting anesthesia-related claims and mentions the role of modifiers in resolving edit conflicts. It references bundled intraoperative services in the update.

  5. Ophthalmology

    A payment update for selected ophthalmology and optometry services is discussed, tied to physician fee schedule corrections. The section notes the impact on a specific exam-related service.

  6. Ambulatory surgical centers

    This section reviews additional ASC facility fee eligibility under Medicare and the types of surgical services affected. It highlights the broader significance for ASC participation and payment.

  7. Part B drug reimbursement

    A brief update on reimbursement changes for selected Part B drugs and injectable products. The section focuses on payment movement rather than clinical use.

What You Will Learn

  • Which broad Medicare policy categories changed on July 1
  • How coverage and payment updates are grouped across specialties and settings
  • What types of CMS guidance and edit updates are referenced
  • How ASC and Part B drug reimbursement changes fit into the broader update
  • Which service areas may be most affected by the July 1 changes

Who Should Read This

  • Medical coders
  • Medical billers
  • Revenue cycle staff
  • Practice administrators
  • Compliance staff
  • Healthcare consultants

Codes Discussed

Modifiers Discussed


Subscribe or sign in to view the full article.

Official DecisionHealth® Newsletter Archives includes:

  • Includes over 25,000 articles from:
    • Coder Pink Sheets
    • Part B News
    • Answer Books newsletters
  • Current newsletters added each quarter
  • Timely news and guidance vital for your practice
  • Fully searchable through Find-A-Code's Comprehensive Search
  • Codes mentioned in articles are linked to the Find-A-Code Code Information pages
  • Code Information pages link back to related articles
  • Save yourself tons of research time, find everything in one place!
Access to this feature is available in the following products:
  • DecisionHealth Coding, Billing and Compliance Library

Related Articles

Articles are listed in order of calculated relevance.

demo
request yours today
subscribe
start today
newsletter
free subscription

Thank you for choosing Find-A-Code, please Sign In to remove ads.

Aimee- AI -powered coding assistant - Try it now for Free Would you like Aimee - AI
to help you with this?