decisionhealth Newsletters, Part B News - 2025 Issue 12 (December)
Do extra housekeeping as post-shutdown payments clear
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Article Overview
This article explains what providers and billing teams should watch as Medicare claims and payments resume normal timing after a government shutdown. It focuses on operational revenue-cycle topics such as claims processing, remittance review, accounts receivable monitoring, EFT reconciliation, and coordination with clearinghouses and revenue cycle teams, along with a general reminder to review telehealth eligibility and coding in the post-waiver environment.
Why This Topic Matters
It helps billing, compliance, and revenue-cycle staff anticipate short-term payment timing variability and avoid avoidable claim or posting issues during a return to normal Medicare processing.
What You Will Learn
- How Medicare payment and claims processing may behave as backlog clears after a shutdown
- What operational items billing teams should monitor during payment normalization
- Why remittance, EFT, and accounts receivable tracking matter during catch-up periods
- Why telehealth claims may need closer eligibility and coding review in the current environment
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle managers
- Practice administrators
- Compliance staff
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