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Medicare Compliance & Reimbursement

Industry Notes:

CMS Issues New 'Centralized Flu' NPP Specialty Code

Published on Sun Sep 16, 2012

If you were beginning to think that CMS had a specialty code for almost everything, here's news that will bolster your suspicions. The agency recently announced that it would be issuing new specialty code 'C1' to designate non-physician practitioners whose primary specialty is centralized flu.Although CMS does not expound on how to use the specialty code, most analysts believe that it will be used by facilities that perform mass flu immunizations. The new code will not be billable until midway through the upcoming flu season, since it takes effect on Jan. 1, 2013.Specialty code C1 is only applicable to the CMS-855B enrollment application, CMS notes in MLN Matters article MM7884. To read more about the new code, visit www.cms.gov/Outreach-and-Education/Medicare-Learning-Network-MLN/MLNMattersArticles/Downloads/MM7884.pdf. Will CMS Implement Pre-Pay Audits in Your State?Prepare yourself: Starting August 27, 2012 CMS began its Recovery Audit Prepayment Review prepayment audits in 11 states, according to an announcement on [...]
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