decisionhealth Newsletters, Part B News - 2001 Issue 6 (June)
Don't overlook these 6 new billing opportunities
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Article Overview
This article reviews a set of newly effective Medicare billing opportunities and coverage changes for services rendered on or after July 1. It is aimed at coders, billers, and reimbursement staff who need a quick view of updated Medicare guidance affecting screening services, therapy, procedures, supplies, and imaging claims, along with the code families and administrative policy changes involved.
Why This Topic Matters
It helps revenue cycle and coding professionals identify which Medicare-covered services are affected by new policy changes and where new or revised billing pathways may apply. The article is relevant for teams monitoring HCPCS, CPT, and ICD-9-CM references tied to coverage updates.
Article Sections
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Screening colonoscopy for non-high-risk patients
Introduces a Medicare screening service update and the related coverage timing for eligible patients.
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Biofeedback for the treatment of urinary incontinence
Summarizes an expanded coverage area for therapy-related services and the affected patient group.
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Cryosurgery of the prostate
Describes a Medicare coverage change involving a prostate procedure and its billing context.
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Casting and splinting
Covers supply billing changes associated with casting and splinting, including a reference to supporting carrier guidance.
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Positron emission tomography (PET) scans
Explains updated Medicare billing resources for PET imaging and the associated coverage administration changes.
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Enterectomy, cadaver donor
Notes a newly restricted coverage situation for a transplant-related procedure and the need for carrier review.
What You Will Learn
- Which broad Medicare billing and coverage areas were newly updated
- Which code families are referenced for screening, therapy, procedure, supply, and imaging services
- How the article frames the policy changes as they relate to Medicare coverage administration
- Which organizations and memo references are associated with the updates
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle staff
- Compliance staff
- Practice managers
Codes Discussed
Code Ranges Discussed
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