decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 1 (January)
Resounding “no”: Medicare answers payment question for new phone/online codes
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Article Overview
This article covers Medicare’s response to new CPT telephone and online evaluation and management services introduced for 2008, including the related physician fee schedule context, CMS commentary, and implications for other payers. It is useful for coders, billing staff, compliance teams, and clinicians who need to understand how the new service categories were viewed by Medicare and how broader payment policy and CPT guidance may affect adoption.
Why This Topic Matters
The article helps readers understand the gap between new CPT service categories and Medicare coverage policy, which is important for charge capture, payer education, and anticipating whether commercial payers may treat these services differently.
What You Will Learn
- How Medicare addressed new telephone and online evaluation and management services
- How the 2008 physician fee schedule framed payment policy for these services
- What CMS and CPT leadership commentary suggested about future adoption
- How payer policy and state licensure can affect recognition of nonphysician professionals
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physicians
- Nonphysician healthcare professionals
- Practice managers
Codes Discussed
Code Ranges Discussed
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