decisionhealth Newsletters, Coder Pink Sheets - 2006 Issue 8 (August)
When to use ABNs and NEMBs: Non-covered procedures
Subscribe or sign in to view the full article.
Article Overview
This article explains the distinction between Medicare advance beneficiary notices and notices used for services that are not covered, with emphasis on how urology practices communicate patient financial responsibility for non-covered procedures. It also includes a Medicare urology drug fee update table for mid-2006, making it relevant to billing staff, coders, and practice managers who work with Medicare compliance and drug reimbursement information.
Why This Topic Matters
Using the wrong Medicare patient-notification form can create compliance and billing risk, while awareness of the drug fee update helps practices monitor reimbursement-related changes in urology.
Article Sections
-
When to use ABNs and NEMBs: Non-covered procedures
Overview of Medicare patient-notification forms used in urology and the general distinction between covered and non-covered services. The section focuses on communication and compliance issues for practices handling Medicare beneficiaries.
-
Medicare’s urology drug fees updated as of June 2006
A fee update table listing urology-related drug items with codes, names, doses, and quarterly amounts. The section is presented as a reimbursement reference tied to Medicare reporting.
What You Will Learn
- How the article frames Medicare patient-notification forms for non-covered urology services
- What kinds of practice situations the article addresses
- What general type of billing and reimbursement information is included in the fee update
- Why the article is relevant to urology offices working with Medicare beneficiaries
Who Should Read This
- Urologists
- Urology billing staff
- Medical coders
- Practice managers
- Medicare compliance staff
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com