Part B Insider (Multispecialty) Coding Alert
90654: Quell Confusion About New Flu Shot Code
Plus: If hospice patient recovers, he may not be eligible for hospice. When it comes to Part B payment, you can't always count on an "effective date" being the same thing as a "coverage date." Such is the case with 90654 (Influenza virus vaccine, split virus, preservative-free, for intradermal use), which debuted on Jan. 1, 2011, but was too late to make the 2011 CPT® book so it makes its first appearance in the 2012 manual. Even though the code was added "effective January 1, 2011," it didn't become payable by Medicare until May 9, 2011, a new MLN Matters article explains. In fact, MACs didn't reimburse for 90654 until May 9, 2011, notes article MM7580, which came out on Oct. 28. To read the entire article, visit www.cms.gov/MLNMattersArticles/downloads/MM7580.pdf.
Part B Insider (Multispecialty) Coding Alert
- Part B Pay:
CMS Slashes 2012 Conversion Factor by Over 27 Percent Vs. Current Rates
Plus: Pay for Radiation oncology, pulmonology, and cardiology will drop even more.Get ready for another [...] - Annual Wellness Visits:
2012 Fee Schedule Boosts AWV Pay, Adds 'Health Risk Assessment' Tool Criteria
Look for five percent more in your annual wellness visit RVUs effective Jan. 1.Although your [...] - Check Out CMS's Definition of 'HRA'
In the absence of a CMS-issued health risk assessment (HRA) form for practices to complete [...] - Enrollment:
CMS Reminds Practices of 60-Day Revalidation Timeline
But, the agency stresses, wait for a request letter before you revalidate.If you're still waiting [...] - Part B Coding Coach:
CPT® 2012 Vastly Impacts Pathology Code Section
3 groups clarify parallel services.Prepare for a CPT® special-stain overhaul starting Jan. 1, 2012, but [...] - Clip-and-Save:
Chart Your New Course for Special Stain Coding 2012
Clarify groups and units.Use the following table to look ahead to CPT® 2012 special stain [...] - Physician Note:
90654: Quell Confusion About New Flu Shot Code
Plus: If hospice patient recovers, he may not be eligible for hospice.When it comes to [...] - In other news
Medicare may not pay for discharge planning when a hospice patient is no longer terminally [...] - Reader Question:
ABN Not Required for These Psychiatric Visits
Question: We know that "PR-122" is a "Psychiatric reduction in payment" code for Medicare carriers. [...]
