BILLING: Inadequate Billing Codes May Restrict Consumer Access To Alternative Treatments

Article Overview

This article examines a dispute over whether a nontraditional billing code system should continue to be accepted for electronic claims in certain pilot settings. It places that issue in the broader context of the AMA’s CPT system, federal reimbursement policy, and arguments about competition, access to alternative treatments, and health IT savings. The piece is most relevant to readers tracking medical billing policy, claims administration, and the relationship between coding systems and provider participation.