decisionhealth Newsletters, Part B News - 2018 Issue 5 (May)
Millions gained from ESRD management codes as billing restrictions loosen
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Article Overview
This piece examines Medicare payment and claims patterns for commonly reported end-stage renal disease (ESRD) management services. It is aimed at coding and reimbursement professionals, especially those working with nephrology and dialysis-related billing, and it also notes policy changes affecting telehealth reporting for these services.
Why This Topic Matters
Understanding which ESRD management services drive the most Medicare volume and payment helps providers and coders monitor reporting patterns and anticipate the effect of expanded telehealth options.
What You Will Learn
- Which ESRD management services were most commonly reported in Medicare claims data
- How reimbursement and claim volume trends are described for selected ESRD-related services
- What broad telehealth reporting changes are referenced for ESRD management coding
- Which provider specialties are most associated with reporting these services
Who Should Read This
- Medical coders
- Billing staff
- Nephrology practices
- Revenue cycle professionals
- Compliance teams
- Healthcare analysts
Codes Discussed
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