decisionhealth Newsletters, Coder Pink Sheets - 2001 Issue 10 (October)
Empire Medicare
Subscribe or sign in to view the full article.
Article Overview
This article discusses two Medicare-related topics relevant to billing and coding staff: temporary claims submission issues affecting Empire Medicare after the Sept. 11 attacks, and a CMS clarification on preoperative services obtained outside the global period. It is useful for practices that submit Medicare claims and for readers tracking CMS payment policy, diagnosis documentation expectations, and carrier-level coverage determinations.
Why This Topic Matters
The piece helps readers understand a claims-processing disruption affecting a major Medicare carrier and a CMS policy update that may affect how preoperative evaluation claims are reviewed. It is relevant to Medicare billing workflow, coverage review, and documentation practices.
What You Will Learn
- Why Empire Medicare claims submission problems were occurring during the reported period
- That CMS issued a clarification affecting preoperative services outside the global period
- That diagnosis documentation and coverage review are part of the policy discussion
- What types of Medicare claims and administrative guidance are addressed in the update
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle personnel
- Physician practice managers
- Cardiology practice staff
- Medicare claims administrators
Codes Discussed
Code Ranges Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com