tci Medicare Compliance & Reimbursement - 2009 Issue 5
PART B MYTHBUSTER :These Deadly Myths Could Rob Your Practice
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Article Overview
This article reviews a small set of billing and coding myths that can affect practice revenue and patient billing. It focuses on Medicare-related reimbursement concepts, payer contract variation, fee schedules, deductible and coinsurance handling, and the way these issues influence office-visit billing. The content is aimed at practice managers, coders, and billing staff who want a quick check against common misconceptions.
Why This Topic Matters
Understanding these billing myths helps practices avoid revenue loss, billing errors, and confusion about how payer contracts and Medicare cost-sharing affect patient responsibility.
What You Will Learn
- How payer contracts can affect reimbursement differences
- How Medicare participation can affect patient billing responsibilities
- How deductibles and coinsurance relate to a billed office visit
- Why fee schedules may differ across insurers and contracts
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Physician office administrators
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