Monday, November 22, 2010
Our Federal Legislators are Idiots
On January 1, 2011, the SGR formula once again kicks in unless fixed, reducing payments to physicians by now 30% !!!!
The Affordable Health Care Act (often called "Obamacare"), thinks that primary care needs to be incentivised (a neologism of the first order), so starting in January, we primary care docs will receive an incentive payment, up to 10% of our Medicare fees. I have appended the article explaining this incentive below. Read it if you are a masochist. My head spun when I read it.
Not that they are sending mixed messages, but the net reduction in my Medicare income will be at least 20% come January. Most physicians will not be able to afford this.
The legislators are idiots. Pure and simple.
Let's see if the new senators and congressmen prove to be otherwise. I won't hold my breath.
Incentive Payment Program for Primary Care Services, Section 5501(a) of The Affordable Care Act
Provider Types Affected
Physicians and non-physician practitioners submitting claims to Medicare carriers and Part A/B Medicare Administrative Contractors (A/B MAC) for primary care services provided to Medicare beneficiaries are affected.
What You Need to Know
This article, based on Change Request (CR) 7060, explains that Section 5501(a) of The Affordable Care Act provides for an incentive payment for primary care services furnished on or after January 1, 2011 and before January 1, 2016 by a primary care practitioner. The incentive payment will be paid on a monthly or quarterly basis in an amount equal to 10 percent of the payment amount for such services under Part B. See the Background and Additional Information Section of this article for further details regarding these changes.
Disclaimer This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT only copyright 2009 American Medical Association. Page 1 of 6 MLN Matters® Number: MM7060 Related Change Request Number: 7060 Disclaimer This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT only copyright 2009 American Medical Association. Page 2 of 6
Background
Section 5501(a) of The Affordable Care Act revises section 1833 of The Social Security Act by adding new paragraph (x), "Incentive Payments for Primary Care Services." Section 1833(x) of the Social Security Act states that, in the case of primary care services furnished on or after January 1, 2011 and before January 1, 2016 by a primary care practitioner, there also will be paid on a monthly or quarterly basis an amount equal to 10 percent of the payment amount for such services under Part B.
Specifically, the incentive payments will be made on a quarterly basis and will equal 10 percent of the amount paid for primary care services under the Medicare Physician Fee Schedule for those services furnished during the bonus payment year. (For bonus payments to Critical Access Hospitals paid under the optional method, see Chapter 4, Section 250.12 of the Medicare Claims Processing Manual at http://www.cms.gov/manuals/downloads/clm104c04.pdf on the Centers for Medicare & Medicaid Services (CMS) website.)
NOTE: The new Health Professional Shortage Area (HPSA) Surgical Incentive Payment Program (HSIP) and the new Primary Care Incentive Payment Program (PCIP) will be implemented in conjunction with one another for CY 2011. A separate article will be available at http://www.cms.gov/MLNMattersArticles/downloads/MM7063.pdf upon release of CR 7063 CR for HSIP. The former "special HPSA remittance" will now be known as the "special incentive remittance". This change is necessary as the PCIP is open to all eligible primary care providers regardless of the geographic location in which the primary care services are being furnished.
Primary Care Practitioner Defined
Section 5501(a)(2)(A) of The Affordable Care Act defines a primary care practitioner as:
•
A physician who has a primary specialty designation of family medicine, internal medicine, geriatric medicine, or pediatric medicine; or
•
A nurse practitioner, clinical nurse specialist, or physician assistant for whom primary care services accounted for at least 60 percent of the allowed charges under the Physician Fee Schedule (PFS) for the practitioner in a prior period as determined appropriate by the Secretary of Health and Human services.
MLN Matters® Number: MM7060 Related Change Request Number: 7060 Disclaimer This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT only copyright 2009 American Medical Association. Page 3 of 6
Primary Care Services Defined
Section 5501(a)(2)(B) of The Affordable Care Act defines primary care services as those services identified by the following Current Procedure Terminology (CPT) codes as of January 1, 2009 (and as subsequently modified by the Secretary of Health and Human Services, as applicable):
•
99201 through 99215 for new and established patient office or other outpatient Evaluation and Management (E/M) visits;
•
99304 through 99340 for initial, subsequent, discharge, and other nursing facility E/M services; new and established patient domiciliary, rest home (e.g., boarding home), or custodial care E/M services; and domiciliary, rest home (e.g., assisted living facility), or home care plan oversight services; and
•
99341 through 99350 for new and established patient home E/M visits.
These codes are displayed in the following table. All of these codes remain active in Calendar Year (CY) 2011 and there are no other codes used to describe these services.
Primary Care Services Eligible for Primary Care Incentive Payments in CY 2011
CPT Codes
Description
99201
Level 1 new patient office or other outpatient visit
99202
Level 2 new patient office or other outpatient visit
99203
Level 3 new patient office or other outpatient visit
99204
Level 4 new patient office or other outpatient visit
99205
Level 5 new patient office or other outpatient visit
99211
Level 1 established patient office or other outpatient visit
99212
Level 2 established patient office or other outpatient visit
99213
Level 3 established patient office or other outpatient visit
99214
Level 4 established patient office or other outpatient visit
99215
Level 5 established patient office or other outpatient visit
99304
Level 1 initial nursing facility care
99305
Level 2 initial nursing facility care
99306
Level 3 initial nursing facility care
99307
Level 1 subsequent nursing facility care
99308
Level 2 subsequent nursing facility care
99309
Level 3 subsequent nursing facility care
MLN Matters® Number: MM7060 Related Change Request Number: 7060 Disclaimer This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT only copyright 2009 American Medical Association. Page 4 of 6 CPT Codes Description
99310
Level 4 subsequent nursing facility care
99315
Nursing facility discharge day management; 30 minutes
99316
Nursing facility discharge day management; more than 30 minutes
99318
Other nursing facility services; evaluation and management of a patient involving an annual nursing facility assessment
99324
Level 1 new patient domiciliary, rest home, or custodial care visit
99325
Level 2 new patient domiciliary, rest home, or custodial care visit
99326
Level 3 new patient domiciliary, rest home, or custodial care visit
99327
Level 4 new patient domiciliary, rest home, or custodial care visit
99328
Level 5 new patient domiciliary, rest home, or custodial care visit
99334
Level 1 established patient domiciliary, rest home, or custodial care visit
99335
Level 2 established patient domiciliary, rest home, or custodial care visit
99336
Level 3 established patient domiciliary, rest home, or custodial care visit
99337
Level 4 established patient domiciliary, rest home, or custodial care visit
99339
Individual physician supervision of a patient in home, domiciliary or rest home recurring complex and multidisciplinary care modalities; 30 minutes
99340
Individual physician supervision of a patient in home, domiciliary or rest home recurring complex and multidisciplinary care modalities; 30 minutes or more
99341
Level 1 new patient home visit
99342
Level 2 new patient home visit
99343
Level 3 new patient home visit
99344
Level 4 new patient home visit
99345
Level 5 new patient home visit
99347
Level 1 established patient home visit
99348
Level 2 established patient home visit
99349
Level 3 established patient home visit
99350
Level 4 established patient home visit
Primary Care Incentive Payment Program (PCIP)
For primary care services furnished on or after January 1, 2011 and before January 1, 2016, a 10 percent incentive payment will be provided to primary care practitioners, identified as: (1) in the case of physicians, enrolled in Medicare with a primary specialty designation of 08-family practice, 11-internal medicine, 37-pediatrics, or 38-geriatrics; or (2) in the case of non-physician practitioners, enrolled in Medicare with a primary care specialty designation of 50-Nurse
MLN Matters® Number: MM7060 Related Change Request Number: 7060 Disclaimer This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT only copyright 2009 American Medical Association. Page 5 of 6
Practitioner, 89-certified Clinical Nurse Specialist, or 97-Physician Assistant; and (3) for whom the primary care services displayed in the above table accounted for at least 60 percent of the allowed charges under the PFS for such practitioner during the time period that has been specified by the Secretary.
CMS will provide Medicare contractors with a list of the National Provider Identifiers (NPIs) of the primary care practitioners eligible to receive the incentive payments.
Eligible practitioners would be identified on a claim based on the NPI of the rendering practitioner. If the claim is submitted by a practitioner or group practice, the rendering practitioner’s NPI must be included on the line-item for the primary care service (identified in the above table) in order for a determination to be made regarding whether or not the service is eligible for payment under the PCIP. In order to be eligible for the PCIP, Physician Assistants, Clinical Nurse Specialists, and Nurse Practitioners must be billing for their services under their own NPI and not furnishing services incident to physicians’ services. Regardless of the specialty area in which they may be practicing, these specific non-physician practitioners are eligible for the PCIP based on their profession and historical percentage of allowed charges as primary care services that equals or exceeds the 60 percent threshold.
Beginning in CY 2011, primary care practitioners will be identified based on their primary specialty of enrollment in Medicare and percentage of allowed charges for primary care services that equals or exceeds the 60 percent threshold from Medicare claims data 2 years prior to the bonus payment year. A provision to accommodate newly enrolled Medicare providers will be released in 2011.
Coordination with Other Payments
Section 5501(a)(3) of The Affordable Care Act provides payment under the PCIP as an additional payment amount for specified primary care services without regard to any additional payment for the service under section 1833(m) of The Social Security Act. Therefore, an eligible primary care physician furnishing a primary care service in a HPSA may receive both a HPSA physician bonus payment under the established program and a PCIP payment under the new program beginning in CY 2011.
MLN Matters® Number: MM7060 Related Change Request Number: 7060 Page 6 of 6
Additional Information
If you have questions about this article, please contact your Medicare carrier and/or MAC at their toll-free number which may be found at http://www.cms.gov/MLNProducts/downloads/CallCenterTollNumDirectory.zip on the CMS website. The official instruction, CR 7060, issued to your Medicare carrier and/or MAC regarding this change may be viewed at http://www.cms.gov/Transmittals/downloads/R2039CP.pdf on the CMS website.
News Flash - Each Office Visit is an Opportunity. Medicare patients give many reasons for not getting their annual flu vaccination, but the fact is that there are 36,000 flu-related deaths in the United States each year, on average. More than 90% of these deaths occur in people 65 years of age and older. Please talk with your Medicare patients about the importance of getting their annual flu vaccination. This Medicare-covered preventive service will protect them for the entire flu season. And remember, vaccination is important for health care workers too, who may spread the flu to high risk patients. Don’t forget to immunize yourself and your staff. Protect your patients. Protect your family. Protect yourself. Get Your Flu Vaccine - Not the Flu. Remember – Influenza vaccine plus its administration are covered Part B benefits. Note that influenza vaccine is NOT a Part D covered drug. For information about Medicare’s coverage of the influenza vaccine and its administration, as well as related educational resources for health care professionals and their staff, please visit http://www.cms.gov/MLNProducts/Downloads/Flu_Products.pdf and http://www.cms.gov/AdultImmunizations on the CMS website.
Disclaimer This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT only copyright 2009 American Medical Association.
The Affordable Health Care Act (often called "Obamacare"), thinks that primary care needs to be incentivised (a neologism of the first order), so starting in January, we primary care docs will receive an incentive payment, up to 10% of our Medicare fees. I have appended the article explaining this incentive below. Read it if you are a masochist. My head spun when I read it.
Not that they are sending mixed messages, but the net reduction in my Medicare income will be at least 20% come January. Most physicians will not be able to afford this.
The legislators are idiots. Pure and simple.
Let's see if the new senators and congressmen prove to be otherwise. I won't hold my breath.
Incentive Payment Program for Primary Care Services, Section 5501(a) of The Affordable Care Act
Provider Types Affected
Physicians and non-physician practitioners submitting claims to Medicare carriers and Part A/B Medicare Administrative Contractors (A/B MAC) for primary care services provided to Medicare beneficiaries are affected.
What You Need to Know
This article, based on Change Request (CR) 7060, explains that Section 5501(a) of The Affordable Care Act provides for an incentive payment for primary care services furnished on or after January 1, 2011 and before January 1, 2016 by a primary care practitioner. The incentive payment will be paid on a monthly or quarterly basis in an amount equal to 10 percent of the payment amount for such services under Part B. See the Background and Additional Information Section of this article for further details regarding these changes.
Disclaimer This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT only copyright 2009 American Medical Association. Page 1 of 6 MLN Matters® Number: MM7060 Related Change Request Number: 7060 Disclaimer This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT only copyright 2009 American Medical Association. Page 2 of 6
Background
Section 5501(a) of The Affordable Care Act revises section 1833 of The Social Security Act by adding new paragraph (x), "Incentive Payments for Primary Care Services." Section 1833(x) of the Social Security Act states that, in the case of primary care services furnished on or after January 1, 2011 and before January 1, 2016 by a primary care practitioner, there also will be paid on a monthly or quarterly basis an amount equal to 10 percent of the payment amount for such services under Part B.
Specifically, the incentive payments will be made on a quarterly basis and will equal 10 percent of the amount paid for primary care services under the Medicare Physician Fee Schedule for those services furnished during the bonus payment year. (For bonus payments to Critical Access Hospitals paid under the optional method, see Chapter 4, Section 250.12 of the Medicare Claims Processing Manual at http://www.cms.gov/manuals/downloads/clm104c04.pdf on the Centers for Medicare & Medicaid Services (CMS) website.)
NOTE: The new Health Professional Shortage Area (HPSA) Surgical Incentive Payment Program (HSIP) and the new Primary Care Incentive Payment Program (PCIP) will be implemented in conjunction with one another for CY 2011. A separate article will be available at http://www.cms.gov/MLNMattersArticles/downloads/MM7063.pdf upon release of CR 7063 CR for HSIP. The former "special HPSA remittance" will now be known as the "special incentive remittance". This change is necessary as the PCIP is open to all eligible primary care providers regardless of the geographic location in which the primary care services are being furnished.
Primary Care Practitioner Defined
Section 5501(a)(2)(A) of The Affordable Care Act defines a primary care practitioner as:
•
A physician who has a primary specialty designation of family medicine, internal medicine, geriatric medicine, or pediatric medicine; or
•
A nurse practitioner, clinical nurse specialist, or physician assistant for whom primary care services accounted for at least 60 percent of the allowed charges under the Physician Fee Schedule (PFS) for the practitioner in a prior period as determined appropriate by the Secretary of Health and Human services.
MLN Matters® Number: MM7060 Related Change Request Number: 7060 Disclaimer This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT only copyright 2009 American Medical Association. Page 3 of 6
Primary Care Services Defined
Section 5501(a)(2)(B) of The Affordable Care Act defines primary care services as those services identified by the following Current Procedure Terminology (CPT) codes as of January 1, 2009 (and as subsequently modified by the Secretary of Health and Human Services, as applicable):
•
99201 through 99215 for new and established patient office or other outpatient Evaluation and Management (E/M) visits;
•
99304 through 99340 for initial, subsequent, discharge, and other nursing facility E/M services; new and established patient domiciliary, rest home (e.g., boarding home), or custodial care E/M services; and domiciliary, rest home (e.g., assisted living facility), or home care plan oversight services; and
•
99341 through 99350 for new and established patient home E/M visits.
These codes are displayed in the following table. All of these codes remain active in Calendar Year (CY) 2011 and there are no other codes used to describe these services.
Primary Care Services Eligible for Primary Care Incentive Payments in CY 2011
CPT Codes
Description
99201
Level 1 new patient office or other outpatient visit
99202
Level 2 new patient office or other outpatient visit
99203
Level 3 new patient office or other outpatient visit
99204
Level 4 new patient office or other outpatient visit
99205
Level 5 new patient office or other outpatient visit
99211
Level 1 established patient office or other outpatient visit
99212
Level 2 established patient office or other outpatient visit
99213
Level 3 established patient office or other outpatient visit
99214
Level 4 established patient office or other outpatient visit
99215
Level 5 established patient office or other outpatient visit
99304
Level 1 initial nursing facility care
99305
Level 2 initial nursing facility care
99306
Level 3 initial nursing facility care
99307
Level 1 subsequent nursing facility care
99308
Level 2 subsequent nursing facility care
99309
Level 3 subsequent nursing facility care
MLN Matters® Number: MM7060 Related Change Request Number: 7060 Disclaimer This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT only copyright 2009 American Medical Association. Page 4 of 6 CPT Codes Description
99310
Level 4 subsequent nursing facility care
99315
Nursing facility discharge day management; 30 minutes
99316
Nursing facility discharge day management; more than 30 minutes
99318
Other nursing facility services; evaluation and management of a patient involving an annual nursing facility assessment
99324
Level 1 new patient domiciliary, rest home, or custodial care visit
99325
Level 2 new patient domiciliary, rest home, or custodial care visit
99326
Level 3 new patient domiciliary, rest home, or custodial care visit
99327
Level 4 new patient domiciliary, rest home, or custodial care visit
99328
Level 5 new patient domiciliary, rest home, or custodial care visit
99334
Level 1 established patient domiciliary, rest home, or custodial care visit
99335
Level 2 established patient domiciliary, rest home, or custodial care visit
99336
Level 3 established patient domiciliary, rest home, or custodial care visit
99337
Level 4 established patient domiciliary, rest home, or custodial care visit
99339
Individual physician supervision of a patient in home, domiciliary or rest home recurring complex and multidisciplinary care modalities; 30 minutes
99340
Individual physician supervision of a patient in home, domiciliary or rest home recurring complex and multidisciplinary care modalities; 30 minutes or more
99341
Level 1 new patient home visit
99342
Level 2 new patient home visit
99343
Level 3 new patient home visit
99344
Level 4 new patient home visit
99345
Level 5 new patient home visit
99347
Level 1 established patient home visit
99348
Level 2 established patient home visit
99349
Level 3 established patient home visit
99350
Level 4 established patient home visit
Primary Care Incentive Payment Program (PCIP)
For primary care services furnished on or after January 1, 2011 and before January 1, 2016, a 10 percent incentive payment will be provided to primary care practitioners, identified as: (1) in the case of physicians, enrolled in Medicare with a primary specialty designation of 08-family practice, 11-internal medicine, 37-pediatrics, or 38-geriatrics; or (2) in the case of non-physician practitioners, enrolled in Medicare with a primary care specialty designation of 50-Nurse
MLN Matters® Number: MM7060 Related Change Request Number: 7060 Disclaimer This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT only copyright 2009 American Medical Association. Page 5 of 6
Practitioner, 89-certified Clinical Nurse Specialist, or 97-Physician Assistant; and (3) for whom the primary care services displayed in the above table accounted for at least 60 percent of the allowed charges under the PFS for such practitioner during the time period that has been specified by the Secretary.
CMS will provide Medicare contractors with a list of the National Provider Identifiers (NPIs) of the primary care practitioners eligible to receive the incentive payments.
Eligible practitioners would be identified on a claim based on the NPI of the rendering practitioner. If the claim is submitted by a practitioner or group practice, the rendering practitioner’s NPI must be included on the line-item for the primary care service (identified in the above table) in order for a determination to be made regarding whether or not the service is eligible for payment under the PCIP. In order to be eligible for the PCIP, Physician Assistants, Clinical Nurse Specialists, and Nurse Practitioners must be billing for their services under their own NPI and not furnishing services incident to physicians’ services. Regardless of the specialty area in which they may be practicing, these specific non-physician practitioners are eligible for the PCIP based on their profession and historical percentage of allowed charges as primary care services that equals or exceeds the 60 percent threshold.
Beginning in CY 2011, primary care practitioners will be identified based on their primary specialty of enrollment in Medicare and percentage of allowed charges for primary care services that equals or exceeds the 60 percent threshold from Medicare claims data 2 years prior to the bonus payment year. A provision to accommodate newly enrolled Medicare providers will be released in 2011.
Coordination with Other Payments
Section 5501(a)(3) of The Affordable Care Act provides payment under the PCIP as an additional payment amount for specified primary care services without regard to any additional payment for the service under section 1833(m) of The Social Security Act. Therefore, an eligible primary care physician furnishing a primary care service in a HPSA may receive both a HPSA physician bonus payment under the established program and a PCIP payment under the new program beginning in CY 2011.
MLN Matters® Number: MM7060 Related Change Request Number: 7060 Page 6 of 6
Additional Information
If you have questions about this article, please contact your Medicare carrier and/or MAC at their toll-free number which may be found at http://www.cms.gov/MLNProducts/downloads/CallCenterTollNumDirectory.zip on the CMS website. The official instruction, CR 7060, issued to your Medicare carrier and/or MAC regarding this change may be viewed at http://www.cms.gov/Transmittals/downloads/R2039CP.pdf on the CMS website.
News Flash - Each Office Visit is an Opportunity. Medicare patients give many reasons for not getting their annual flu vaccination, but the fact is that there are 36,000 flu-related deaths in the United States each year, on average. More than 90% of these deaths occur in people 65 years of age and older. Please talk with your Medicare patients about the importance of getting their annual flu vaccination. This Medicare-covered preventive service will protect them for the entire flu season. And remember, vaccination is important for health care workers too, who may spread the flu to high risk patients. Don’t forget to immunize yourself and your staff. Protect your patients. Protect your family. Protect yourself. Get Your Flu Vaccine - Not the Flu. Remember – Influenza vaccine plus its administration are covered Part B benefits. Note that influenza vaccine is NOT a Part D covered drug. For information about Medicare’s coverage of the influenza vaccine and its administration, as well as related educational resources for health care professionals and their staff, please visit http://www.cms.gov/MLNProducts/Downloads/Flu_Products.pdf and http://www.cms.gov/AdultImmunizations on the CMS website.
Disclaimer This article was prepared as a service to the public and is not intended to grant rights or impose obligations. This article may contain references or links to statutes, regulations, or other policy materials. The information provided is only intended to be a general summary. It is not intended to take the place of either the written law or regulations. We encourage readers to review the specific statutes, regulations and other interpretive materials for a full and accurate statement of their contents. CPT only copyright 2009 American Medical Association.
Comments:
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Joe,
I just read the whole damn thing (as I have nothing much else to do these days), and I have such a headache that I can barely see. You are SO,SO right! This is like reading an insurance policy. I'll have to go back to your first draft and read it again, but it sounds great (even though it will never happen in our lifetimes).
Post a Comment
I just read the whole damn thing (as I have nothing much else to do these days), and I have such a headache that I can barely see. You are SO,SO right! This is like reading an insurance policy. I'll have to go back to your first draft and read it again, but it sounds great (even though it will never happen in our lifetimes).
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