tci Medicare Compliance & Reimbursement - 2013 Issue 11

Industry Notes: You May Need to Resubmit AWV, IPPE Claims, CMS Says

Rural health clinics may have been shortchanged since January. Have your preventive visit payments been dwindling over the last few months? Centers for Medicare & Medicaid Services (CMS) has taken notice — and is trying to remedy the problem. At issue: The January 2013 quarterly release include an error that shorted rural health clinics for annual wellness visits (AWVs) and initial preventive physical exams (IPPEs) that they reported, CMS stated in a May 16 news blast. “Until system changes can be implemented, rural health clinics should follow the billing instructions outlined below to ensure there is no further...

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