decisionhealth Newsletters, Coder Pink Sheets - 2003 Issue 5 (May)
2 Strategies to Survive Medicare Physician Pay Cuts
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Article Overview
This article explains two high-level ways GI practices may respond to Medicare physician payment cuts. It focuses on general billing oversight for services that may be missed and on the business considerations involved in changing Medicare participation status. The piece is aimed at gastroenterology coders, billers, and practice administrators who track reimbursement changes and revenue protection strategies.
Why This Topic Matters
It helps GI practices understand where revenue may be lost in routine billing and what operational issues arise when considering a shift in Medicare provider status.
Article Sections
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Overlooked codes / lost revenue
Discusses a common revenue-risk area for GI practices related to missed reporting of certain radiology-related services and the general issue of ensuring services performed are captured in billing.
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Go non-par
Covers the business option of changing Medicare participation status and the practical considerations practices weigh when evaluating that choice.
What You Will Learn
- How Medicare payment reductions are affecting GI practices in general terms
- Why billing review can help reduce lost revenue from overlooked services
- What it means for a practice to consider non-participating provider status
- Which types of practice leaders may find this guidance relevant
Who Should Read This
- Gastroenterology coders
- Medical billers
- Practice administrators
- Revenue cycle staff
- Physician practice managers
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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