Medicare Compliance & Reimbursement

Part B Payment:

It's Early in the Year-- And CMS Is Already Changing Its Fee Schedule

The bad news appears to outweigh the good news, unfortunately. When it comes to changing the 2011 fee schedule, CMS doesn't waste any time. On Feb. 4, the agency announced several changes to payment indicators that will impact the amounts that you collect from your MAC. The agency had good news -- but even more bad news -- in MLN Matters article MM7319, which had an effective date of Jan. 1 and an implementation date of April 4. Look for Higher Co-Surgery Payment For This Code CMS will change the co-surgery indicator for 57155 (Insertion of uterine tandems and/or vaginal ovoids for clinical brachytherapy) from 0 (Co-surgeons not permitted for this procedure) to 2 (Co-surgeons permitted; no documentation required if two specialty requirement is met). This means that you will be able to collect when two surgeons perform separate and distinct portions of this procedure. The bad news: Your bilateral surgery pay [...]
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