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Issue #192 - March 7, 2012


AAPC EdgeBlast

Physician Pay Set Through 2012

One worry providers can set aside is the Medicare pay cut of 27.4 percent that was set to go into effect March 1. Congress and President Obama have approved the "Doc Fix" legislation, postponing cuts until next year.

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HHS: Return Overpayments within 60 Days

The U.S. Department of Health & Human Services (HHS) wants providers and suppliers who receive funds under Medicare to return overpayments within 60 days. Specifically, overpayments would have to be reported and returned by "60 days after the date on which the overpayment was identified; or any corresponding cost report is due, if applicable," according to a notice of proposed rule-making (NPRM) in the Feb. 16 Federal Register.

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CMS Unveils Proposed Stage 2 EHR Meaningful Use Requirements

The Centers for Medicare & Medicaid Services (CMS) released Feb. 24 a Fact Sheet on its proposed definition of Stage 2 meaningful use of electronic health records (EHRs).

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Internet PECOS Eases Medicare Enrollment

The Centers for Medicare & Medicaid Services (CMS) is introducing an Internet-based Provider Enrollment, Chain, and Ownership System (PECOS) application for providers and suppliers to speed review and allow electronic signatures.

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CMS Offers 496 Edit Resolution

In the Medicare FFS Provider e-News for Feb. 22, under the Claims, Pricer and Code Updates heading, is a so-called "resolution" from the Centers for Medicare & Medicaid Services (CMS) for providers receiving the 496 edit on electronically filed claims using the new 5010 transaction standard. According to CMS, since the implementation of Version 5010 on Jan. 1, the number of billers receiving the 496 edit has increased considerably.

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Resubmit Rejected OPPS Claims, CMS Says

The Centers for Medicare & Medicaid Services (CMS) has identified a Medicare claims processing issue that is causing certain hospital outpatient services rendered in an institutional setting to be processed incorrectly.

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Coding Tips

AMA Makes Further Corrections to CPT® 2012
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ADI Service Denials Being Reprocessed
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Out with Q2044, In with J0490
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TrailBlazer: Testopel Non-covered
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CMS Clarifies Intensive Behavioral Therapy Coverage
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Coding STI Screening and HIBC Services
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Medical News

VA, DoD Part Ways on EHR Component
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UHG Launches Health Care Data Through Cloud
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Featured Items
Docs' Pay Set Thru 2012
HHS: Return Overpayments
Stage 2 Meaningful Use
Internet PECOS
CMS: 496 Edit Resolution
Resubmit Rejected OPPS
Coding Tips
Medical News
Coding Job Links


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CPT® codes Copyright 2011 American Medical Association. All Rights Reserved. CPT® is a trademark of the AMA. No fee schedules, basic units, relative values or related listings are included in CPT®. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use.