Getting paid: CMS revises fees for 824 codes; tell your MAC if it owes you money

Why This Topic Matters

The update may affect reimbursement on a large number of claims, including retroactive payment adjustments and small underpayments or overpayments. Readers need to know which services are impacted and how CMS expects contractors and providers to handle claim corrections.

Article Sections

1. Fee schedule update overview

   Summarizes the CMS physician fee schedule update, its general payment impact, and the effective date referenced in the article.

2. Affected musculoskeletal services

   Covers the musculoskeletal services highlighted as affected by the update, including several procedure groups and related reimbursement changes.

3. Medicare payment indicator changes

   Describes selected changes to Medicare payment indicators for specific procedures and the general categories of billing effects discussed in the article.

4. How MAC adjustments are handled

   Explains the article’s discussion of contractor handling of claim adjustments and the timing noted for implementation.