Medicare Compliance & Reimbursement - 2009 Issue 33
PART B REVENUE BOOSTER: 4 Income Opportunities You Don't Want to Overlook
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Article Overview
This article is a practical Medicare Part B revenue-focused coding and billing piece for practices and clinics. It covers broad areas where revenue can be lost or delayed, including diagnosis code updates, skilled nursing facility patient-status issues, supply billing, and physician credentialing/enrollment timing. The guidance is aimed at helping billing and coding staff, practice managers, and clinicians understand the general categories of Medicare-related considerations addressed in the article.
Why This Topic Matters
It matters because small oversight in Medicare Part B workflows can affect reimbursement, create refund exposure, or delay payment. The article highlights common operational areas that coding and billing teams monitor to protect revenue and keep claims moving.
Article Sections
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Update your ICD-9 codes
Discusses annual diagnosis-code update preparation and the importance of keeping practice forms current for Medicare claims processing.
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Stay on top of SNF patient status
Covers skilled nursing facility patient-status considerations, consolidated billing concerns, and related Medicare billing workflow issues for outpatient encounters.
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Bill your supplies, when reimbursable
Explains general supply-billing considerations under Medicare, including situations where certain items may be separately reportable and references HCPCS supply codes.
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Don't wait to get your new physician credentialed
Addresses physician enrollment and credentialing timing, including retroactive billing-related timing concepts under Medicare enrollment processes.
What You Will Learn
- How the article frames common Medicare Part B revenue protection issues
- The general areas where diagnosis code updates can affect claims readiness
- Why skilled nursing facility status can influence billing workflows
- How the article approaches supply reimbursement under Medicare
- How physician enrollment timing relates to retrospective billing opportunities
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle teams
- Physician offices
- Outpatient clinics
Codes Discussed
Modifiers Discussed
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