Outpatient Facility Coding Alert - 2011 Issue 44
Part B Revenue Booster: Keep These 6 Essential Coding Tips in Mind for 2012
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Article Overview
This article reviews several 2012 coding and reimbursement updates relevant to Medicare, CPT, anesthesia billing, imaging-related procedure reporting, and patient status definitions. It is aimed at coders, billers, and practice managers who need to stay current with annual code set changes, payer guidance, and documentation notes that can affect claim processing.
Why This Topic Matters
Keeping up with annual coding updates helps practices avoid claim errors, payment delays, and audit risk while maintaining accurate reimbursement under Medicare and CPT-based workflows.
Article Sections
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New Medicare screening code
Introduces a new Medicare-covered preventive service and notes its place in 2011-2012 reimbursement updates.
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CPT errata for 2012
Summarizes the existence of CPT correction materials for the 2012 edition and highlights that multiple manual updates were issued online.
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Anesthesia billing in a critical access hospital
Explains a payment-related update tied to anesthesia services in a critical access hospital setting and references related CMS transmittal guidance.
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Imaging guidance for paravertebral facet joint injections
Covers the CPT note added for certain procedure reporting and discusses related audit attention and comparison with other procedure categories.
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Definition of a new patient
Describes a revised CPT patient-status definition for 2012 and how specialty and subspecialty distinctions affect billing classification.
What You Will Learn
- Which 2012 Medicare and CPT topics were highlighted as important practice updates.
- How annual errata and transmittal-based changes can affect billing workflows.
- What broad areas of coding were emphasized for auditing and reimbursement awareness.
- How CPT updates can influence patient classification and selected outpatient reporting scenarios.
Who Should Read This
- Medical coders
- Medical billers
- Practice managers
- Revenue cycle staff
- Physician office administrators
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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