tci Medicare Compliance & Reimbursement - 2013 Issue 19

Reimbursement: Expect to Recoup Money You Lost to Two Troublesome Edits

CMS has good news for you on various fronts. The Centers for Medicare & Medicaid Services (CMS) plans to delete CCI 19.2, which bundled 92012 and 92014 into scores of procedure codes. More good news: You may be able to recoup the money you lost under this edit.   That’s the word from an Aug. 27 CMS Open Door Forum, in which CMS’s Chris Ritter acknowledged that edits bundling 92012 (Ophthalmological services: medical examination and evaluation, with initiation or continuation of diagnostic and treatment program; intermediate, established patient ) and 92014 (Ophthalmological services: medical examination and...

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