Medicare Compliance & Reimbursement - 2013 Issue 16
Physician Note: Ready for Ordering/Referring Edits? CMS Is Not
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Article Overview
This article provides a brief Medicare Part B policy update about the postponed implementation of CMS ordering and referring edits, with context on prior timing changes and interim claims processing activity. It is relevant for physician practices, billing staff, compliance teams, and other providers who track Medicare edits and administrative rollout updates.
Why This Topic Matters
The delay affects how practices monitor Medicare claims, prepare for denial edits, and coordinate enrollment and ordering/referring processes during the interim period.
What You Will Learn
- The status of CMS’s planned rollout for Medicare ordering and referring denial edits
- How interim informational edits relate to the delayed implementation
- The broader timeline of the phase two delay as described in the update
- Why practices and billing teams were monitoring the announcement
Who Should Read This
- Physician practices
- Billing and coding professionals
- Compliance staff
- Medicare Part B providers
- Practice managers
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