AMA CPT® Assistant - 1996 Issue 12 (December)

1997 Medicare Payment Policy Changes Affecting Coding (December 1996)

December 1996 pages 1-4 1997 Medicare Payment Policy Changes Affecting Coding On November 22, 1996, HCFA (the Health Care Financing Administration) published in the Federal Register the Final Rule, which contained the 1997 Medicare physician payment schedule, the 1997 relative value units, and several payment policy changes. This Federal Register also announced the 1997 conversion factors (see table on page 2). The Final Rule represents the completion of Medicare's first comprehensive five-year review of the RBRVS. The results indicate that the five-year review was very successful in addressing many of the long-standing concerns about the accuracy of the relative...

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CPT® Assistant content is the official source for CPT® coding guidance. It is an instrumental tool when appealing insurance denials and validating coding to auditors. Monthly issues and an extensive archive provide comprehensive guidance on proper CPT® coding for past, present and upcoming code set releases. Archives date back to 1990 for historical use of codes, changes, rationales, coding tips and trends in the industry.

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