decisionhealth Newsletters, Answer Books - 2009 Issue 1 (January)
Medicare Fee Schedule / How to use the database
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Article Overview
This short educational article shows how to read selected Medicare fee schedule database indicators for example procedures and what those fields are generally used to tell coders and billers. It is aimed at readers who need a practical orientation to Medicare fee schedule lookups, including reimbursement-related indicators and global period information.
Why This Topic Matters
Understanding the database fields helps coding and billing staff verify how Medicare classifies a service and identify the kinds of payment indicators that affect claim processing.
What You Will Learn
- How to locate and interpret major Medicare fee schedule database indicators
- How selected payment and global period fields are presented in lookup results
- How database indicators relate to common billing and reimbursement questions
- How to use example codes as a guide to navigating the Medicare fee schedule
Who Should Read This
- Medical coders
- Billers
- Revenue cycle staff
- Compliance staff
- Practice managers
Codes Discussed
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