decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 12 (December)
Get ready for 2008 with this 10-point checklist
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Article Overview
This article is a practical planning guide for gastroenterology billing and coding offices preparing for the 2008 year cycle. It surveys the main categories of yearly updates and reference materials that practices should review, including procedure and diagnosis code changes, Medicare fee schedule resources, national coding policy updates, government audit planning, exclusion screening, specialty coding tools, and staff education preparation.
Why This Topic Matters
Year-end readiness affects whether a practice is up to date with annual code set changes, payer policy resources, and compliance checks before the new year begins. The article helps billing and coding teams identify the broad administrative and reference areas they should review to reduce disruption, denials, and compliance risk.
Article Sections
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New procedure and supply codes
Introduces the annual review of updated procedure and supply code resources and the timing of implementation for the new year. It also points readers to sources for current code set releases.
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ICD-9 codes and guidelines
Covers the yearly diagnosis code update cycle and related guideline revisions. The section emphasizes checking official sources for the most current materials.
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Fee schedules
Discusses the Medicare physician fee schedule as part of annual planning and references the supporting publication timeline. It frames the fee schedule as a key resource for the upcoming year.
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Relative Value File
Describes a Medicare resource used to review code-level billing information after the fee schedule is released. The section addresses the kind of practice management details this file contains.
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CCI policy updates
Highlights the annual update cycle for national Correct Coding Initiative policy materials. It emphasizes obtaining the most current reference manual.
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Government audit plans
Reviews federal oversight resources that outline audit priorities and compliance concerns for the coming year. The section also mentions related enforcement and improper payment materials.
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Check the exclusion list
Focuses on exclusion-screening as part of compliance preparation. It points to the need to verify business relationships against the applicable federal list.
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Gastro coding tools
Mentions specialty-specific coding reference materials aimed at gastroenterology practices. This section is oriented toward practice support tools rather than policy changes.
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Set up your coding and billing staff education plans for 2008
Encourages planning for staff training, conferences, and specialty education resources in the coming year. The section ties education planning to billing accuracy and compliance readiness.
What You Will Learn
- Which major yearly coding and billing resources practices should review before the new year.
- How annual updates affect procedure, diagnosis, and policy reference materials.
- What kinds of Medicare, compliance, and audit resources are relevant to year-end preparation.
- Why staff education and specialty reference tools are part of readiness planning.
Who Should Read This
- Gastroenterology practices
- Medical coders
- Billing staff
- Practice managers
- Compliance staff
Modifiers Discussed
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