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MPFSDB July Update Corrects Payment Files

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  • In Billing
  • July 2, 2010
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The July update to the 2010 Medicare Physician Fee Schedule Database (MPFSDB) amends payment files based on the 2010 MPFS Final Rule. Certain payment files required updating in accordance with recent health reform legislation, and one payment file was found to contain errors in omission.
The Centers for Medicare & Medicaid Services (CMS) issued June 25 amended payment files to contractors in Transmittal 1992, Change Request (CR) 6974.
Attachment 1 to CR 6974 lists changes included in the July update to the 2010 MPFSDB, effective Jan. 1.
Attachment 2 to CR 6974 lists files containing the 2.2 percent update beginning June 1 as provided in the Preservation of Access to Care for Medicare Beneficiaries and Pension Relief Act of 2010 (HR 3962), signed into law June 25. Payment files also include Affordable Care Act updates, the July release updates for codes that have an effective date prior to July 1, and corrected Outpatient Prospective Payment System (OPPS) payment amounts that were inadvertently not included on previous payment files for CPT® radiology codes 76510, 76820, 76821, 78811, 78812, 78813, 78814, 78815, and 78816.

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