ED Coding & Reimbursement Alert - 2013 Issue 19
CMS Clarifies 3 Hot Issues
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Article Overview
This article summarizes recent CMS clarifications relevant to Medicare billing and compliance. It covers signature policy exceptions, updated bilateral payment indicators for selected services, and how certain time-based encounters should be reported when they cross the ICD-10 transition date. The material is aimed at providers, coders, and billing staff who need to understand current CMS policy updates and transmittal guidance.
Why This Topic Matters
These CMS clarifications affect how claims and supporting documentation are handled, making them important for correct Medicare reporting and for avoiding avoidable billing errors.
Article Sections
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Signature policy clarification
Discusses a CMS exception related to signature requirements and related documentation policy under Medicare guidance.
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Bilateral billing updates
Reviews CMS changes to bilateral payment indicators and the affected service categories under the MLN Matters update.
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Reporting services spanning the ICD-10 date
Explains CMS guidance on how certain emergency room and observation services crossing the ICD-10 implementation date are reported on claims.
What You Will Learn
- How CMS is handling recent documentation and signature policy clarification
- Which kinds of services were affected by updated bilateral billing guidance
- How CMS addresses claims for encounters that span the ICD-10 transition date
- What types of Medicare claim reporting issues are clarified in recent transmittals and MLN Matters articles
Who Should Read This
- Medical coders
- Billing staff
- Compliance staff
- Physician office administrators
- Hospital outpatient billing teams
- Medicare providers
Codes Discussed
Modifiers Discussed
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