decisionhealth Newsletters, Coder Pink Sheets - 2017 Issue 9 (September)
Set your clock to report proposed prolonged preventive service codes
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Article Overview
This article reviews a proposed CMS update in the 2018 Medicare physician fee schedule that would add new prolonged preventive service reporting codes. It is aimed at medical coders, billers, and practice leaders who work with Medicare preventive services and time-based reporting. The discussion covers the policy context, timing considerations, documentation concerns, and a table of Medicare-covered preventive services with assumed valuation times.
Why This Topic Matters
The proposed change addresses a reporting gap for extended preventive service encounters and may affect workflow, documentation, and revenue cycle processes for practices that furnish Medicare-covered preventive care.
Article Sections
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Proposed prolonged preventive service codes
Introduces the proposed CMS reporting change and the general context for adding new prolonged preventive service codes under Medicare.
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How the time valuation works
Explains the general time-based framework described in the proposal and discusses how CMS ties valuation to typical service time for eligible preventive services.
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Utilization may start slow
Summarizes commentary on operational and documentation considerations that could affect adoption of the proposed reporting approach.
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Typical time associated with Medicare-covered preventive services
Presents the list of Medicare-covered preventive services included in the article and their associated assumed valuation times.
What You Will Learn
- The scope of the proposed Medicare preventive-service reporting update
- How CMS frames time valuation for prolonged preventive care encounters
- Operational and documentation considerations raised by the proposal
- Which Medicare-covered preventive services are listed in the article’s valuation table
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Practice administrators
- Physician practices
- Compliance teams
Codes Discussed
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