decisionhealth Newsletters, Part B News - 2016 Issue 12 (December)
Revised list of Stark designated health services swaps old codes for new
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Article Overview
This Medicare-focused article explains a 2017 update to the list of codes used for Stark physician self-referral designated health services, along with related preventive tests and services guidance. It is intended for coders, compliance staff, and billing professionals who track annual code-list changes and want to understand the scope of the update and the organizations involved.
Why This Topic Matters
Annual Stark-related code list updates can affect compliance reviews, billing workflows, and whether a service is treated as a designated health service or a preventive service exception. Readers need to know which code sets are being updated and that the article discusses a specific CMS-related discrepancy.
What You Will Learn
- How the 2017 Medicare physician fee schedule update affects Stark-related code lists
- Which general categories of designated health services are involved
- How preventive services are discussed in relation to Stark exceptions
- Why annual code-list revisions matter for compliance and billing review
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Physician practice managers
- Revenue cycle teams
Codes Discussed
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