decisionhealth Newsletters, Part B News - 2017 Issue 7 (July)
CMS gives you time to get to know 5 new patient relationship modifiers
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Article Overview
This article covers CMS patient relationship categories and the planned Medicare claims modifiers tied to MACRA implementation. It is relevant to physicians, applicable practitioners, and coding professionals who track Medicare policy updates and reporting requirements. The discussion focuses on the broad categories CMS released, the planned rollout timing, and the general context for how these modifiers fit into Medicare claims reporting.
Why This Topic Matters
The topic matters because it describes a new CMS reporting framework that affects Medicare claims and provider-patient relationship categorization. Coding and compliance teams need to know which policy update is being introduced, who it applies to, and when it is expected to take effect.
What You Will Learn
- The purpose of CMS patient relationship categories in Medicare claims reporting
- The broad types of provider-patient relationships CMS identified
- Which practitioner groups are included in the reporting framework
- The planned implementation timing and voluntary nature of early reporting
- How CMS positioned the modifiers within Medicare policy updates
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physicians
- Non-physician practitioners
- Practice administrators
Codes Discussed
Modifiers Discussed
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