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Medicare Physician Fee Schedule (MPFS) news. The Deficit Reduction Act of 2005
(DRA) has been signed into law. Among other provisions, the DRA mandates a 0% update from the 2005
MPFS. Some of the fee schedule amounts may have changed from 2005 rates, however. Changes may have occurred in one or more of several factors that are used to calculate the fee schedule amount. For more information, go to the Palmetto GBA Ohio home page in the "News" section:
www.palmettogba.com/boh.
The March 2006 Medicare Advisory is now available! Go to www.palmettogba.com/boh
and select Medicare Advisories from the middle of the page. Highlights of this month's issue:
- What is the Competitive Acquisition Program for Part B Drugs (CAP), and what does it mean to Medicare Part B providers? Is it voluntary? When does it take effect? How will claims be submitted to Part B? Read more in the CAP article. Learn about the process for requesting an exception when a patient has reached the physical therapy cap.
- Not sure how to handle multiple inpatient consults during a single hospital stay? Find out all the facts in the "Frequently Asked Questions" article from our clinical review staff.
- Need to submit a claim for multiple "identical" services performed on the same date by the same physician or medical provider? Refer to the article on "Repeat or Duplicate Services on the Same Day."
- For the purposes of drug administration, are multiple lumen lines considered separate IV sites? The answer is in the article, "Sequential & Concurrent Infusion Coding Guidelines."
- Palmetto GBA can help you reduce the amount of paper you handle, which can save you time and money and help us use Medicare program dollars more efficiently. Learn about free or low-cost options in "Electronic Transactions: Compliance and Saving the Forests" at
www.PalmettoGBA.com/boh/EDI
, then select General Information.
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