decisionhealth Newsletters, Coder Pink Sheets - 2006 Issue 10 (October)
Get ready for 2007 with this 9-point coder's checklist
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Article Overview
This article is a practical year-end planning checklist for coders and billing staff preparing for 2007. It covers the main categories of annual coding and reimbursement updates, including federal and CMS publication timelines, fee schedule resources, coding policy references, compliance review materials, and orthopedic coding references. It is aimed at professionals who need to confirm that their systems, references, and compliance checks are current before the new year begins.
Why This Topic Matters
Annual updates can affect code maintenance, reimbursement workflows, policy review, and compliance monitoring. The checklist helps readers identify which official resources to verify so they can stay current for the upcoming coding year.
Article Sections
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New procedure codes
Overview of upcoming updates to procedure coding resources and when annual changes generally become effective. Mentions CPT, HCPCS, and CPT Category III as part of the preparation process.
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ICD-9 Codes and guidelines
Discussion of annual diagnosis code and guideline update timing and where to check for the latest official guidance. Focuses on yearly maintenance of diagnosis coding references.
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Fee schedules
Covers the annual Medicare physician fee schedule release and the related Federal Register material. Emphasizes reviewing the publication before assigning relative value information.
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Relative Value File
Introduces the CMS relative value file as a supporting resource for Medicare billing information at the code level. Describes the type of reference data included in the file.
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CCI policy updates
Summarizes annual updates to CMS Correct Coding Initiative policy resources and the need to use the current manual. Addresses the general purpose of this reference material.
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Government audit plans
Explains how to review federal audit planning resources, including the HHS Office of Inspector General Work Plan. Also points readers to related oversight and enforcement resources.
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Check the Exclusion List
Notes the importance of reviewing exclusion-related compliance resources maintained by the OIG. Frames the topic as part of broader practice compliance review.
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Ortho coding tools
Highlights orthopedic coding reference updates for the new year. Refers to specialty-specific reference books and coding support tools.
What You Will Learn
- Which annual coding and reimbursement resources need to be reviewed before the new year
- How federal and CMS publication timelines affect coding reference updates
- What types of compliance and audit resources are commonly checked during year-end preparation
- Which specialty-specific references are mentioned for orthopedic coding support
Who Should Read This
- Medical coders
- Coding managers
- Billing staff
- Practice administrators
- Compliance staff
- Orthopedic office personnel
Modifiers Discussed
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