tci Medicare Compliance & Reimbursement - 2004 Issue 37

Physicians: Don't Expect Payors To Be Up-To-Date On New Codes

Here's how to ensure smooth sailing while payors adjust.Just because Medicare expects providers to dive into new codes Oct. 1 without a grace period doesn't mean other payors will be ready for the change. Prepare to wear multiple hats until everyone arrives on the same page.Many non-Medicare payors often take a few extra months to get up to speed on new CPT and ICD-9 codes. So, for example, from January until April providers will be required to use the new CPT codes with Medicare, but other payors may only accept the old codes, according to consultant Mary...

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