Biling: 2 Ways the New Healthcare Law Affects Medicare Pay

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews two provisions in the Patient Protection and Affordable Care Act that affect Medicare Part B practices. It is aimed at clinicians, billers, and coders who need to understand general Medicare payment and filing changes, including timing changes for claim submission and a new primary care payment adjustment tied to broad evaluation and management service categories. The article also notes the specialty types and organizations involved in the discussion and explains why the changes may matter operationally for practices.

Why This Topic Matters

The article highlights Medicare billing changes that may affect claim submission workflows and practice revenue under the new law. It is relevant to healthcare billing staff and primary care practices monitoring policy changes.

Article Sections

  1. Claim submission time limit changes

    Discusses a Medicare Part B filing deadline change under the new law and notes that exceptions may be specified later.

  2. Primary care payment adjustment

    Covers a new payment adjustment for certain primary care practitioners, including the specialties and broad service categories referenced in the article.

What You Will Learn

  • How the article frames Medicare Part B billing changes under the new healthcare law
  • What general claim filing timeline issue is discussed
  • What broad category of primary care payment adjustment is described
  • Which practitioner groups and specialties are mentioned in connection with the payment change
  • What broad service categories are referenced in the primary care discussion

Who Should Read This

  • Medical coders
  • Medical billers
  • Primary care practices
  • Medicare billing staff
  • Practice administrators

Codes Discussed

  • CPT: 99201
  • CPT: 99215
  • CPT: 99304
  • CPT: 99340
  • CPT: 99341
  • CPT: 99350

Code Ranges Discussed

  • CPT: 99201-99215
  • CPT: 99304-99340
  • CPT: 99341-99350

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