decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 7 (July)
Medicare fee fix possible during 10-day claims hold
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Article Overview
This news article covers a temporary Medicare claims-processing hold, the status of congressional action on a physician payment fix, and CMS’s proposed changes for the next physician fee schedule year. It is relevant to physicians, practice managers, coders, and compliance staff who need to monitor Medicare payment timing, annual fee-schedule policy updates, quality reporting changes, diagnostic testing standards, and new billing opportunities associated with CMS proposals.
Why This Topic Matters
The article helps readers track Medicare payment timing and understand the scope of CMS’s proposed policy changes for the next year so they can stay current with federal reimbursement updates and operational planning.
Article Sections
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Medicare claims hold and physician payment timing
This section describes the temporary delay in Medicare claims processing tied to pending federal action on physician payment. It focuses on payment timing and the immediate administrative impact on claims submitted during the specified period.
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Proposed 2009 Medicare physician fee schedule
This section summarizes CMS’s proposed next-year physician fee schedule and the broader policy areas the agency says it is reviewing. It addresses fee schedule development, valuation review priorities, diagnostic testing standards, quality reporting, and telehealth-related billing changes.
What You Will Learn
- How a temporary Medicare claims hold affects payment timing
- What CMS proposed in its upcoming physician fee schedule
- Which policy areas CMS identified for possible review or expansion
- How quality reporting and diagnostic testing standards are being updated
- What general types of billing changes are being considered for telehealth services
Who Should Read This
- Physicians
- Medical practice managers
- Medical coders
- Billing staff
- Compliance professionals
- Healthcare administrators
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