Medicare Compliance & Reimbursement - 2009 Issue 2
Reader Questions: Think Twice Before Filing for Interpreter Service
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Article Overview
This reader question article reviews how interpreter services are treated by Medicare and many other payers, and why those services are often considered incidental rather than separately reimbursable. It is relevant for coding, billing, and compliance staff who need a general understanding of payer policy, legal nondiscrimination requirements, and where to confirm payer-specific guidance before submitting claims.
Why This Topic Matters
Interpreter service billing can affect claim submission, payer compliance, and revenue cycle workflows. The article helps readers recognize that coverage and reporting expectations may differ by payer and should be verified before billing.
Article Sections
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Question
The reader asks about diagnosis coding in connection with interpreter services for a Medicare patient.
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Answer
The response addresses general reimbursement treatment for interpretive services and references federal nondiscrimination requirements.
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Impact
This section discusses how interpretive services are generally viewed in relation to other billed services and references Medicare-related status information and payer practices.
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Recommendation
This section advises verifying payer-specific billing guidance in writing and considering alternate billing approaches based on individual payer policy.
What You Will Learn
- How interpreter services are generally treated by Medicare and other payers
- What compliance and nondiscrimination considerations are mentioned in connection with service delivery
- Why payer-specific billing guidance should be confirmed before submitting claims
- What general billing and coverage issues may arise when translation time is involved
Who Should Read This
- Medical coders
- Billing staff
- Revenue cycle teams
- Compliance professionals
- Physician practices
- Hospital outpatient coding staff
Codes Discussed
Code Ranges Discussed
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