tci Medicare Compliance & Reimbursement - 2006 Issue 30
FEE SCHEDULE: You Can Bill For Casting Supplies, Nutrition Therapy Next Year
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Article Overview
This article explains a set of proposed 2007 Medicare physician fee schedule updates from CMS. It is aimed at coders, billing staff, and other reimbursement professionals who need to track changes affecting therapy services, supply payment, geographic adjustments, brachytherapy billing, and preventive screening coverage. The discussion covers broad policy shifts, newly created codes, and changes tied to payment methodology and coverage expansions.
Why This Topic Matters
These proposed fee schedule changes can affect how providers are paid, what services are separately reimbursable, and how preventive and therapy-related services are reported in Medicare billing workflows.
Article Sections
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Introduction to 2007 physician fee schedule changes
Overview of the proposed Medicare fee schedule updates and the general reimbursement areas affected.
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Casting and splinting supplies
Discussion of CMS action related to payment treatment for casting and splinting supplies.
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Medical nutrition therapy
Summary of changes affecting nutrition therapy services, including work RVUs and newly created billing codes.
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Osmolar contrast material
Explanation of CMS changes involving practice expense treatment for contrast material categories.
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Geographic Adjustment Factor
Discussion of geographic payment adjustments and the impact on certain rural areas.
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Brachytherapy
Coverage of changes to brachytherapy payment structure and relative value adjustments.
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Screening tests
Overview of preventive screening coverage updates, including ultrasound screening and colorectal screening policy changes.
What You Will Learn
- Which broad payment policy areas CMS addressed in the proposed 2007 fee schedule
- How the article frames therapy, supply, and screening-related reimbursement changes
- What categories of services were linked to newly created or revised Medicare billing items
- Which preventive screening topics were highlighted for Medicare coverage changes
Who Should Read This
- Medical coders
- Billing staff
- Reimbursement specialists
- Practice managers
- Healthcare compliance staff
Codes Discussed
Code Ranges Discussed
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