decisionhealth Newsletters, Part B News - 2020 Issue 12 (December)
Fees and payment indicators complete the picture for new codes
Subscribe or sign in to view the full article.
Article Overview
This article covers final payment determinations for a set of new Medicare physician fee schedule codes effective January 1, 2021, including codes previewed earlier in the rulemaking process and additional codes created by CMS during the interim. It is aimed at coding and reimbursement professionals who need to understand how Medicare presents fees, facility-versus-non-facility payment status, carrier pricing, and reimbursement indicators in the final rule context.
Why This Topic Matters
Knowing the final payment determinations and indicator conventions helps practices and billing teams interpret whether newly released services are paid under Medicare and how the payment display should be read. The article is relevant for organizations updating fee schedules and preparing for the 2021 effective date.
What You Will Learn
- How final Medicare physician fee schedule payment determinations are presented for new codes
- What the effective date means for the listed services
- How payment display indicators are used in the final fee information
- Which broad categories of new or interim codes are discussed in the article
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle professionals
- Physician practice managers
- Compliance staff
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com