ED Coding & Reimbursement Alert - 2009 Issue 5
INDUSTRY NOTES:CMS To Spend More On Physician And Clinical Services In 2009
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Article Overview
This article is a short industry news roundup focused on Medicare and CMS updates. It covers payment trends for physician and clinical services, a change in the outpatient therapy cap implementation timeline, an oxygen equipment billing update, a national coverage policy for sleep apnea testing, and two pieces of home care-related federal legislation. It is useful for coders, billing staff, compliance teams, and providers who follow CMS transmittals, Medicare coverage decisions, and legislative developments.
Why This Topic Matters
The article highlights operational changes that can affect Medicare claims processing, coverage, and reimbursement across several service areas. It is relevant for organizations that need to track CMS guidance, transmittals, and policy changes that may alter billing workflows or service access.
What You Will Learn
- How CMS describes near-term Medicare payment trends for physician and clinical services
- What timing issue CMS noted for the outpatient therapy cap change
- Which Medicare billing updates were announced for oxygen equipment repairs or service
- What broad national coverage change CMS made for sleep apnea testing
- What home care-related legislation was reintroduced in Congress
Who Should Read This
- Medical coders
- Billing specialists
- Revenue cycle staff
- Compliance professionals
- DME suppliers
- Home health agencies
- Sleep medicine providers
- Policy analysts
Codes Discussed
Modifiers Discussed
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