Billing Beat

2015 rates for some RVU-based codes corrected March 11, 2015

March 30, 2015

The wrong 2015 Resource Based Relative Value Scale (RBRVS) amounts were loaded for about 5,600 codes. This means that professional claims billed to DMAP with dates of service on or after January 1, 2015, may have incorrectly paid at a higher or lower rate than the one described in the fee schedule. This system error was corrected on March 11, 2015, so the affected codes now reflect the rates posted in the fee schedule. The week of April 6, DMAP plans to reprocess affected 2015 claims to apply the correct payment amounts. Reprocessing information will appear on paper and electronic remittance advices produced for April 10. Adjusted claims will have an ICN beginning with “52”.

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