Payer Updates: Get to the Bottom of These Pressing Issues

Why This Topic Matters

These payer updates can affect day-to-day billing workflow, documentation practices, and compliance risk for Medicare Part B providers and their staff.

Article Sections

1. Contract with Medicare? You Can Still Limit New Medicare Patients

   Discusses a payer-related question about whether practices may limit acceptance of new Medicare patients. The section summarizes contractor commentary on provider choice and the implications once a patient is accepted.

2. Individual Payers Can Decide Who Performs AWVs

   Covers Medicare annual wellness visit guidance as presented by a MAC, including who may participate in the service and how related documentation and reporting topics are addressed.

3. Be Within ‘Speaking Loudly Distance’ for Incident-to Services

   Reviews Medicare incident-to service guidance from contractor education, including supervision, personnel relationships, and situations that may affect whether the service remains within that framework.