tci Medicare Compliance & Reimbursement - 2008 Issue 37
Industry Notes: Deductible No Longer Applies To 'Welcome to Medicare' Exam, CMS Says
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Article Overview
This article covers a short CMS industry update on Medicare physician payment changes discussed at the CPT and RBRVS 2009 Annual Symposium. It is relevant to coders, billers, and reimbursement professionals who track Medicare preventive services, physician fee schedule updates, and payment policy changes affecting enrollment exams and immunization administration.
Why This Topic Matters
It highlights Medicare policy changes that affect how preventive enrollment services are handled and notes a payment update related to vaccine administration work. Readers working with Medicare reimbursement and physician fee schedule updates will want the broader context behind these changes.
Article Sections
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Medicare deductible change for the Welcome to Medicare exam
Discusses a Medicare policy update affecting the enrollment exam and how it relates to beneficiary cost sharing.
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Removal of the ECG requirement
Notes a change in the service requirements discussed by CMS and the educational nature of the visit with possible referral for diagnostic testing.
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Immunization administration RVU update
Introduces a separate payment update involving vaccine administration services and physician work valuation.
What You Will Learn
- How CMS summarized recent Medicare physician payment policy updates
- What general payment and coverage issues were discussed for the Welcome to Medicare exam
- What broad category of vaccine administration payment change was noted
- How the article frames the relevance of these updates for Medicare reimbursement stakeholders
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Compliance staff
- Physician practice managers
- Reimbursement professionals
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