decisionhealth Newsletters, Part B News - 2005 Issue 12 (December)
E/M modifications may be attempt to win new Medicare claims processing contracts
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Article Overview
This article discusses reported changes or interpretations of Medicare evaluation and management guidance and links them to a broader shift in Medicare Part A and Part B claims administration. It is relevant to coders, billers, compliance staff, and reimbursement professionals tracking CMS contracting changes and how contractors may be preparing for future performance expectations.
Why This Topic Matters
It helps readers understand why evaluation and management guidance may be changing in the Medicare environment and how those changes may relate to claims processing competition and contractor oversight.
What You Will Learn
- How Medicare claims processing contracting changes may be influencing evaluation and management guidance
- What Medicare Administrative Contractors are in the context of Part A and Part B administration
- Why error-rate concerns matter in the broader claims processing environment
- How industry observers are interpreting Medicare contractor behavior
Who Should Read This
- Medical coders
- Billing specialists
- Compliance professionals
- Revenue cycle staff
- Healthcare reimbursement professionals
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