Outpatient Facility Coding Alert - 2013 Issue 40
Physician Notes: CMS Sets Jan. 6 as Ordering/Referring Edit Implementation Date
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Article Overview
This article covers a CMS announcement about the implementation date for Medicare ordering and referring edits, including the types of claims affected and the context of prior delays. It is relevant for physician practices, billing staff, and compliance teams that track Medicare claim-edit changes and related enrollment or matching requirements. The article also points readers to the CMS MLN Matters notice that announced the update.
Why This Topic Matters
Changes to Medicare ordering and referring edits can affect claim processing for multiple service categories, so practices need to know when the edits take effect and what claim submissions may be impacted.
What You Will Learn
- When CMS announced the updated implementation timing for ordering and referring edits.
- Which broad Medicare claim categories are affected by the edit change.
- Why the timing update matters for practice billing and compliance workflows.
- Where the CMS notice associated with the update was published.
Who Should Read This
- Physician practices
- Medical billers and coders
- Revenue cycle teams
- Compliance staff
- Healthcare administrators
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