Outpatient Facility Coding Alert - 2008 Issue 36
Industry Notes: Medicare Owes Millions In Back Pay To Physicians
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Article Overview
This article is a brief industry update for physicians and coding/billing professionals that highlights Medicare payment disruptions tied to UPIN assignment issues in Hawaii, California, and Nevada. It also mentions a separate hospice reimbursement topic related to payment for care at the beginning and end of a patient’s episode, making the note relevant to readers tracking Medicare administrative and payment changes.
Why This Topic Matters
It flags a Medicare operational issue that can affect physician cash flow and billing follow-up, and it points to another Medicare payment topic affecting hospices. Readers who manage claims, enrollment, or reimbursement policy may want to know about the administrative cause of delayed payments and the broader payment environment discussed in the note.
What You Will Learn
- The article’s focus on Medicare payment delays affecting physicians in selected states.
- The role of a contractor-related UPIN assignment problem in those delays.
- The article’s mention of a separate hospice payment topic.
- Why the note may be relevant to billing, reimbursement, and practice operations.
Who Should Read This
- Physicians
- Medical billing staff
- Coding professionals
- Practice managers
- Revenue cycle teams
- Hospice administrators
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