E/M Coding Alert - 2015 Issue 9
Reader Questions: Deal with New Medicare 'Opt Out' Process
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Article Overview
This brief reader Q&A covers a change to the Medicare opt-out process for physicians and surgery practices under MACRA. It focuses on renewal timing, the difference between newer and older opt-out affidavits, and the role of CMS and Medicare Administrative Contractors in the process. The article is relevant to billing staff, practice managers, and providers who need to track Medicare participation status and related administrative deadlines.
Why This Topic Matters
Changes to Medicare participation procedures can affect administrative workflow, contract status, and filing deadlines for practices that choose not to participate. This article helps readers recognize which opt-out filings are affected and which organizations are involved in the renewal process.
What You Will Learn
- How the Medicare opt-out process changed under MACRA
- Which filings are subject to automatic renewal and which are not
- What organizations are involved in managing opt-out renewal notices
- How the timing of opt-out renewal differs based on filing date
Who Should Read This
- Physicians
- Surgery practices
- Practice managers
- Medical billing staff
- Compliance staff
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