Outpatient Facility Coding Alert - 2013 Issue 18
Physician Note: You May Need to Resubmit AWV, IPPE Claims, CMS Says
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Article Overview
This brief CMS-focused update is for rural health clinic and Medicare billing staff tracking preventive visit payment issues. It covers a January 2013 system error, the affected preventive visit claim types, and the general resubmission guidance CMS provided while a fix was pending.
Why This Topic Matters
The article matters because it addresses a payment processing problem that may have delayed or reduced Medicare reimbursement for certain preventive services in rural health clinics. Readers need to know that CMS issued an interim billing update and that previously held claims may be returned for resubmission.
What You Will Learn
- What CMS said about a preventive visit claims processing issue
- Which general claim categories were affected
- How the article frames the interim billing update and resubmission process
- Why rural health clinic billing staff should review older preventive visit claims
Who Should Read This
- Rural health clinic billing staff
- Medicare revenue cycle teams
- Physician office coders
- Compliance and reimbursement staff
Codes Discussed
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