Billing Beat

Reimbursement Rate Reductions Effective May 1, 2015 through June 30, 2015

May 20, 2015

As a result of Public Act 099-0002, the department is required to reduce reimbursement rates paid to providers of laboratory and imaging services rendered on or after May 1, 2015 through June 30, 2015 by 16.75 percent. There are no changes in the procedures for billing the department. Providers should continue to bill their usual and customary charge for each procedure code. A revised fee schedule reflecting the rate reductions is posted to the HFS website. This reduction will also apply to reimbursement rates paid to providers for certain services. This rate reduction includes all services provided by a physician, mid-level or ancillary staff services billed under the physician’s NPI.

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