E/M Coding Alert - 2014 Issue 42
Patient Access: Dispel 3 Common Myths to Properly Provide Interpreter Services
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Article Overview
This article explains common misunderstandings about providing interpreter services in medical practices and reviews general policy and billing considerations that affect patient access. It is aimed at practice staff, coders, and billing professionals who need to understand legal obligations, payer variability, and documentation issues related to interpretation support.
Why This Topic Matters
Interpreter access can affect compliance, patient communication, documentation, and whether certain services may be separately payable or handled as part of the broader visit. Understanding the general policy landscape helps practices reduce risk and plan appropriately for patients with communication barriers.
Article Sections
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Myth #1: You Don’t Have to Provide an Interpreter
Discusses legal and access obligations for patients who cannot communicate effectively and notes that payer policies may differ on whether interpreter services are separately reimbursed. It also addresses documentation and the need to verify payer-specific billing guidance.
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Myth #2: You Can Bill the Patient for the Interpreter Costs
Covers the general prohibition on shifting interpreter-related costs to patients and describes broader operational approaches practices may consider to manage access needs. It also emphasizes the importance of understanding legal and state-specific requirements.
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Myth #3: You Can’t Bill for Extra Time Interpretation Takes
Explains the general issue of whether additional time associated with interpretation may affect reporting of time-based services. The section also references documentation and payer policy considerations, along with examples of prolonged service concepts.
What You Will Learn
- How interpreter access relates to compliance and patient communication in a medical practice
- Why payer policies for interpreter-related services can vary
- What kinds of documentation issues are discussed when interpretation affects visit time
- How practices may think about operational planning for patients with communication barriers
Who Should Read This
- Medical practice administrators
- Coders
- Biller and revenue cycle staff
- Patient access teams
- Compliance staff
Codes Discussed
Code Ranges Discussed
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