Outpatient Facility Coding Alert - 2015 Issue 4
Billing: 5 Tips You Need to Know for Clean 2015 Claims
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Article Overview
This article summarizes a set of Medicare billing updates and claim-submission reminders discussed in a MAC webinar. It focuses on broad 2015 changes affecting specialty enrollment, telehealth coverage, medically unlikely edits, hepatitis C screening coverage, and intensive behavioral therapy for obesity. The piece is aimed at billing staff, coders, and practices that submit Medicare claims and want a quick overview of the areas affected by the update.
Why This Topic Matters
It helps readers identify whether the article applies to their Medicare billing workflow and the service lines they support, especially where coverage, reporting, and claim-processing rules changed for 2015.
Article Sections
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Introduction
An overview of the 2015 Medicare claim-processing updates and the webinar source for the guidance.
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Update Your Interventional Cardiology Specialty Code
A discussion of specialty enrollment changes and related Medicare administrative guidance for interventional cardiology.
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Expand Your Telehealth Options
A summary of telehealth-related service category additions and the general timing of those changes.
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Medically Unlikely Edit Changes
General reminders about Medicare claim edits, denial handling, and reporting considerations associated with edited services.
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Hepatitis C Coverage Expands
Coverage expansion information for hepatitis C screening, including general eligibility and setting considerations.
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Intensive Behavioral Therapy for Obesity Is Payable
A brief update on Medicare coverage for group-based obesity counseling services and related billing context.
What You Will Learn
- Which broad Medicare billing topics were highlighted in the 2015 update
- How the article frames specialty enrollment and telehealth changes
- What general claim-edit and coverage updates were emphasized for certain preventive and behavioral services
- Which service areas the webinar discusses for Medicare providers and billers
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Medicare provider offices
- Compliance staff
Codes Discussed
Modifiers Discussed
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