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Primary Care Coding Alert

Big RVU Change:

Feds Fortify DEXA RVUs, Downgrade Conversion Factor

Published on Thu Apr 01, 2010

Midyear switch means about 1 RVU more for bone density study. According to a recent CMS communiqué, FPs who provide certain bone density studies will be getting a retroactive reimbursement bump; there will also, however be a slight degradation of the Medicare conversion factor beginning on June 1. The $kinny: CMS is only changing the conversion factor from $36.0846 to $36.0791, states CMS Transmittal 700, published May 10. Medicare administrative contractors (MACs) will use this conversion factor to calculate your payments after May 31. The transmittal failed to address the 800-pound gorilla in the room, however the 21 percent pay cut FP practices are scheduled to face on June 1. (At press time, Congress had not addressed the pay cut. Check out the next issue of Family Practice Coding Alert to see how it all shakes out.) Silver Lining: More Cash for DEXAs The transmittal contained some very good news [...]
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