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Wiki cms drops consult codes

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mshelly87

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Hello everyone we all know that CMS has dropped consult codes effective 1/1/2010 and this also holds true for medicaid correct? I am just trying to clarify for my DR's i told them that it includes medicaid pt's as well but i am just double checking. shelly
 
Depends on the state. If the state's payment policy is based on CMS' payment policy then most likely they will not be recognizing the consult codes as well. Delaware is one of these states.
 
CMS drops Medicare consults

These may vary depending on your location, but this is the list of payors I have that are following in Medicare's foot steps.

Traditional Medicare
UnitedHealthcare Medicare Solutions
Secure Horizons
AARP
MedicareComplete
Evercare
AmeriChoice
Medicare Advantage benefit plans
Summacare
 
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