decisionhealth Newsletters, Coder Pink Sheets - 2015 Issue 7 (July)
Don’t try to appeal epidural/fluoroscopy denials from Medicare
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Article Overview
This article is for pain management practices, coding professionals, and billing teams tracking Medicare policy changes. It covers a Medicare bundling edit involving fluoroscopy and epidural services, the timing of the edit’s release, and the related CMS correct coding initiative update. The article also touches on how backdating and overpayment awareness can affect claims processing and compliance.
Why This Topic Matters
It helps readers understand a Medicare edit that may affect claim payment, denial management, and compliance workflows for affected pain management services.
What You Will Learn
- How a Medicare coding edit can affect bundled procedure reporting
- What CMS correct coding initiative updates are relevant to the issue
- Why timing and backdated edits matter for claim administration
- How overpayment awareness can affect provider obligations
Who Should Read This
- Pain management practices
- Medical coders
- Billing specialists
- Revenue cycle staff
- Compliance staff
Codes Discussed
Code Ranges Discussed
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