Outpatient Facility Coding Alert - 2011 Issue 5
Payer Spotlight: Medicare Enrollment Turnaround Times Are Delayed, One MAC Explains
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Article Overview
This article reports on guidance shared by NGS Medicare during an Ask the Contractor call. It covers broad Medicare administrative topics such as provider enrollment timing, electronic claims transition issues, ICD-10-related system planning, radiology payment processing, and temporary claims-processing interruptions. The piece is aimed at practices, billing staff, and coders who need to stay current on Medicare contractor operations and Medicare billing workflow changes.
Why This Topic Matters
Operational changes from a Medicare contractor can affect enrollment, claims submission, payment timing, and customer service access. This update helps readers understand the types of administrative and systems-related issues being discussed by the MAC.
Article Sections
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ICD-10 Will Impact Paper Filers
Discusses Medicare contractor comments about transition planning, electronic submission, and anticipated form changes related to the ICD-10 era.
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Medicare Shoots for 60-Day Enrollment Turnaround
Summarizes enrollment processing timelines, backlog-related delays, and how the effective date for billing is determined.
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MAC Automatically Adjusts Radiology Payments
Covers Medicare payment processing for multiple radiology services within the same family and how automated systems handle related reductions.
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Dark Days Coming
Describes a planned Medicare contractor system installation and the resulting temporary pause in claims processing and customer service access.
What You Will Learn
- How a Medicare contractor described enrollment application processing timelines
- What broad changes were discussed for electronic claim submission and ICD-10 readiness
- How Medicare payment processing was described for multiple radiology procedures
- What operational impact a scheduled contractor system installation may have on claims handling
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Provider enrollment staff
- Radiology billing teams
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