tci Medicare Compliance & Reimbursement - 2005 Issue 37

Medical Supplies: Feds May Wrap Casts, Splints Into Surgical Codes

Providers hoping CMS increases RVUs to compensate for bundling.Medical offices that provide a lot of casts or splints could be casting away money next year.The Centers for Medicare and Medicaid Services wants to stop paying separately for casting and splint supplies (Q4001-Q4051) in 2006, according to the physician fee schedule proposed rule. Instead, CMS will make the supplies part of the practice expense RVUs for a laundry list of surgical codes. Provider perspective: The change will have minimal impact if CMS increases the RVUs for the surgical codes to accommodate the cost of the casting and splint...

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