E/M Coding Alert - 2005 Issue 31
Part B Coding Coach: 3 Ways To Ease Coding Woes With The Fee Schedule Database
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Article Overview
This article explains how to use Medicare’s Physician Fee Schedule database as a reference for common coding and billing questions. It focuses on broad areas such as payment-related RVU information, global period lookup, and bilateral surgery indicators, and it notes that CMS updates to the fee schedule can affect code status. The piece is aimed at coders, billers, students, and surgical practices that need to verify Medicare-related coding details at a high level.
Why This Topic Matters
It helps readers understand where to look for Medicare fee schedule data that can support reimbursement review, global period awareness, and bilateral billing checks. That makes it relevant for practices trying to spot discrepancies and keep coding workflows aligned with current Medicare fee schedule information.
Article Sections
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Track RVUs
Discusses using the Medicare Physician Fee Schedule database to review relative value information and compare payment-related data in different settings. Includes general discussion of reimbursement review and fee schedule lookup use cases.
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Find Global Periods
Covers how the fee schedule database presents global days information and how that data relates to common surgical service categories. Also introduces general modifier application considerations tied to global period status.
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Better Bilateral Billing
Describes how the fee schedule database can be used to check bilateral surgery indicators and assess whether bilateral reporting is allowed. Also notes that Medicare fee schedule updates can affect bilateral status information.
What You Will Learn
- How the Medicare Physician Fee Schedule database is used as a coding reference
- How fee schedule data supports reimbursement review
- How to locate and interpret global period information at a general level
- How bilateral surgery indicators are used in billing review
- Why fee schedule updates can matter to coding and billing workflows
Who Should Read This
- Medical coders
- Medical billers
- Surgical practices
- Coding students
- Revenue cycle staff
Codes Discussed
Modifiers Discussed
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