BC Advantage - 2009 Issue 1

CMS Offers a Reprieve from

Re-file claims going back to Oct. 2007 to recoup lost reimbursementThe Centers for Medicare and Medicaid Services (CMS) has rescinded a controversial change to national Correct Coding Initiative (CCI) guidelines. Although interventional radiologists should greet the reversal with enthusiasm, a final decision on the rule may yet alter reimbursement potential for the worse.Version 13.3 of the CCI, effective Oct. 1 2007, featured new language in Chapter 5, Section D, instructing physicians to report only one intervention per vessel, regardless of the number of interventions they actually performed. This was an unforeseen-and unwelcome-change. Previously, you could report multiple...

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