ED Coding & Reimbursement Alert - 2016 Issue 25
Physician Notes: MLN Offers Weekly Provider Compliance Advice in New Outreach
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Article Overview
This article summarizes a new Medicare Learning Network outreach effort focused on provider compliance and claims issues, with chiropractic services highlighted as the inaugural topic. It also notes a separate HHS/CMS policy update tied to opioid prescribing and hospital quality measurement. The piece is useful for providers, coders, compliance staff, and revenue cycle professionals tracking billing education and federal payment policy changes.
Why This Topic Matters
It helps readers identify a CMS education initiative relevant to specialty billing compliance and flags a federal policy change connected to opioid-related quality measures that may affect hospital payment calculations.
What You Will Learn
- How Medicare Learning Network outreach is being used to address provider compliance and claims issues
- Why chiropractic billing is highlighted as a common area of improper payment risk
- What broad CMS/HHS actions are being taken in response to opioid overprescribing concerns
- How federal quality measurement policy can intersect with provider payment
Who Should Read This
- Physicians
- Chiropractors
- Medical coders
- Billing staff
- Compliance officers
- Revenue cycle professionals
- Hospital administrators
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