tci Medicare Compliance & Reimbursement - 2006 Issue 22

REIMBURSEMENT: New Rule Could Boost RVUs For E/M Codes At Surgical Procedures' Expense

Include the 'KX' modifier on every line of your PT claims.You could get a glimpse of the future of your reimbursement soon--and it's not all bright. The Centers for Medicare & Medicaid Services shocked providers when it issued a list of codes that would see drastic drops in their practice expense payments under a new proposal. Audiologists, hematologists and cardiologists stood to lose double-digit percentages. There were four possible methods of calculating practice-expenses, with different impacts on doctors.Now CMS officials say they'll put out a proposed rule laying out its plans for changing practice-expense calculations in the...

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