decisionhealth Newsletters, Part B News - 2017 Issue 7 (July)
Set your clock to report proposed prolonged preventive service codes
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Article Overview
This article covers a proposed Medicare physician fee schedule update from CMS introducing new prolonged preventive service reporting codes for 2018. It is relevant to coders, billers, compliance staff, and medical practices that perform Medicare-covered preventive services and need to understand the general scope of the proposal, the services implicated, and the timing/valuation framework discussed in the article.
Why This Topic Matters
The proposal addresses a reporting gap for extended preventive visits and may affect how practices capture time-based services, documentation, and reimbursement workflow for Medicare preventive care.
Article Sections
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Preventive services
Introduces the proposed Medicare change and the broad preventive service context in which it applies.
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How the time valuation works
Summarizes the proposed valuation approach, timing framework, and the general operational considerations discussed for practices and billing staff.
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Utilization may start slow
Discusses expected adoption challenges, compliance considerations, and workflow implications for different practice settings.
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Typical time associated with Medicare-covered preventive services
Presents the list of Medicare-covered preventive services referenced in the article along with the typical time assumptions used for valuation.
What You Will Learn
- What the proposed CMS change is intended to address
- Which broad Medicare preventive service categories are discussed
- How the article frames time-based valuation for extended preventive care
- What operational and compliance considerations practices may face
- Why documentation and billing workflow matter for these services
Who Should Read This
- Medical coders
- Medical billers
- Compliance staff
- Revenue cycle teams
- Primary care practices
- Preventive care providers
Codes Discussed
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