General Surgery Coding Alert - 2007 Issue 41
PHYSICIAN NOTES: Medicare Cuts Payment for Two Oncology Drugs
Subscribe or sign in to view the full article.
Article Overview
This article summarizes several late-2007 Medicare and payer-related developments relevant to physicians, oncology practices, and billing staff. It covers Medicare payment changes for two oncology drugs, a MedPAC update on physician payment policy, telehealth billing requirements tied to a Medicare neurobehavioral status exam service, and audit findings involving improper claims and cost waivers in a state employee health plan. The piece is useful for readers tracking reimbursement, compliance, and billing policy changes.
Why This Topic Matters
The article touches on reimbursement, telehealth claim handling, and audit/compliance issues that can affect practice revenue and billing accuracy. It is relevant to providers and billing professionals who need to stay current on Medicare and payer policy updates.
Article Sections
-
Oncology drug payment update
Discusses a Medicare payment change affecting two oncology drugs and the broader reimbursement impact on treating patients with those therapies.
-
MedPAC payment recommendations
Summarizes MedPAC’s physician payment and dialysis facility update proposals, along with its related policy discussion for Congress and CMS.
-
Telehealth billing for neurobehavioral status exams
Covers Medicare billing guidance for a telehealth-delivered neurobehavioral status exam service and the related claim-reporting requirements.
-
Audit findings on improper claims
Reviews audit results involving allegedly inflated claims and waived patient cost-sharing in a state employee health plan, with attention to compliance concerns.
What You Will Learn
- How the article frames Medicare reimbursement changes affecting oncology practice revenue
- What policy updates MedPAC was considering at the time
- What billing topic is addressed for telehealth-delivered Medicare services
- What the audit findings suggest about payer oversight and compliance
Who Should Read This
- Physicians
- Oncology practices
- Medical coders
- Billing staff
- Practice managers
- Compliance professionals
Codes Discussed
Modifiers Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com