decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 4 (April)
Multispecialty Round-up: Primary Care
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Article Overview
This article addresses two primary care topics of interest to coding and billing staff: a CMS-sponsored EHR demonstration for small and medium-sized practices and a Medicare claims payment issue involving bone mass measurement testing. It is relevant to primary care administrators, coders, and practice managers who follow CMS updates, Medicare coverage policy, and claims processing changes.
Why This Topic Matters
It highlights a new CMS initiative that could affect practice technology planning and a separate Medicare policy clarification that may affect claim denial patterns for bone density testing services.
Article Sections
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Primary care providers solicited for CMS EHR demo
Overview of a CMS demonstration project aimed at small and medium primary care practices, including participation details, timing, and the general focus on electronic health records and quality measurement.
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BMMs wrongly denied
Discussion of Medicare claims denials related to bone mass measurement testing and the broad policy context for different testing technologies used in primary care settings.
What You Will Learn
- What the article says about a CMS demonstration opportunity for primary care practices
- How the article frames a Medicare bone mass measurement payment issue
- Which general practice and billing topics are emphasized for primary care offices
- What types of CMS and Medicare updates the article highlights for coders and managers
Who Should Read This
- Primary care coders
- Billing and reimbursement staff
- Practice managers
- Physician office administrators
- Compliance staff
Codes Discussed
Code Ranges Discussed
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