Part B Payments: Boost 2022 Coding and Billing Caliber With 6 Top Tips

Why This Topic Matters

The piece helps readers understand the kinds of operational updates and compliance reminders that affect Medicare Part B claims processing in 2022. It is useful for organizations updating coding resources, training staff, and reviewing billing workflows tied to MAC guidance.

Article Sections

1. Tip 1: Check Code Books Often and Update Coding Resources Regularly

   Discusses keeping current coding references and reviewing claims documentation before submission. The focus is on maintaining coding resources and supporting accurate reporting across common code sets.

2. Tip 2: Ensure Your Practice Coders Determine Codes — Not the MAC Reps

   Explains the role of practice coders versus MAC customer service representatives in code determination. It emphasizes using records and documentation to support internal coding workflows.

3. Tip 3: Appeal Denials in a Timely Manner

   Covers denial follow-up and the appeal process for Medicare claims. It highlights time-sensitive administrative steps and where practices can find procedural guidance.

4. Tip 4: Identify Drugs You Inject/Infuse

   Addresses billing considerations when drugs are administered by injection or infusion. The section focuses on reporting the medication information required for claim processing.

5. Tip 5: Educate Staff on the Rules for Telehealth Devices

   Reviews Medicare telehealth technology expectations and related billing considerations during the public health emergency. It also touches on telephone-based services and associated reporting elements.

6. Tip 6: Don’t Confuse Split/Shared E/M Requirements

   Summarizes 2022 split/shared evaluation and management billing concepts involving physicians and nonphysician practitioners. The section covers the reporting context for these visits and related claim notation.