Billing News Feb 2012



Clear Claim Connectionô to reflect correct coding rules for ClaimsXtenô processing

  • February 16, 2012

During the first quarter of 2012, the Clear Claim Connection reference tool will reflect the ClaimsXtenô clinical rule processing. ClaimsXten is a product of McKesson, an international health care services and information technology company. Clear Claim Connection, also known as C3, is a Web-based disclosure solution for Michigan professional...

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Molecular Pathology Procedure test codes

  • February 16, 2012

Beginning Jan. 1, 2012, the AMA has established additional Molecular Pathology Procedure test codes. Each of these new Molecular Pathology Procedure test codes represents a test that is currently being used and that may be billed with existing CPT codes. For example, a provider performs a genetic test that is generally billed as follows in order...

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Immediate Recoupment for Fee for Service Claims Overpayments

  • February 16, 2012

Change Request (CR) 7688 implements a standard "immediate recoupment" process that gives providers the option to avoid interest from accruing on claims overpayments when the debt is recouped in full prior to or by the 30th day from the initial demand letter date. Currently, Medicare contractors begin recoupment of an overpayment on Day...

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Medicare pay cut delayed 10 months under tentative agreement

  • February 16, 2012

Physicians will get a 10-month reprieve from a 27.4 percent cut in Medicare payments scheduled for March 1 under a tentative agreement reached Tuesday by a House-Senate committee. A payment freeze will be in effect through the end of the year. The agreement is part of a deal to extend a payroll tax cut and added unemployment benefits. Under...

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MGMA calls on HHS to take immediate action on 5010-related payment delays

  • February 16, 2012

The Medical Group Management Association on Wednesday urged the U.S Department of Health and Human Services to take immediate action to help alleviate payment disruptions that have occurred due to the transition to HIPAA 5010. "Should the government not take the necessary steps, many practices face significantly delayed revenue, operational...

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MEDICARE REMIT EASY PRINT - FEBRUARY 2012 UPDATE

  • February 16, 2012

Medicare Remit Easy Print (MREP) software is available for free to Medicare providers and suppliers and can be used to access and print remittance advice information, including special reports, from the HIPAA 835. A new version of the Medicare Remit Easy Print (MREP) software (version 3.2.2) dated December 15, 2011, is available to download from...

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Outpatient Reprocessing Claims for Procedure Code 80050

  • February 16, 2012

TMHP has identified an issue that impacts outpatient claims that were submitted with procedure code 80050 and dates of service from April 1, 2011, through August 31, 2011. These claims may have been paid at an incorrect rate by Texas Medicaid.

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Revised and Clarified Place of Service (POS) Coding Instructions

  • February 16, 2012

Change Request 7631 revises and clarifies national policy for POS code assignment. Instructions are provided regarding the assignment of POS for all services paid under the MPFS and for certain services provided by independent laboratories. In addition to establishing a national policy for the correct assignment of POS codes, instructions are...

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