Medicare provider rate increases.The Department of Health Care Policy and Financing announces payment rate increases for provider services that take place effective July 1, 2008. A summary of the rate increases is included below. After July 1st look for a complete list of codes and new reimbursement Reimbursement Payment made to someone for out-of-pocket expenses has incurred. rates in the Provider Bulletin for July 2008 which can be accessed at: http://www.chcpf.state.co.us/ACS/ Provider_Services/Bulletins/Bulletins.asp Evaluation and Management (E/M E/M Electro/Mechanical E/M Evaluation Model ) visits--The maximum allowable reimbursement for all E/M CPT CPT See: Carriage Paid To codes has been increased to 90% of the average Medicare payment Noun 1. medicare payment - a check reimbursing an aged person for the expenses of health care medicare check bank check, check, cheque - a written order directing a bank to pay money; "he paid all his bills by check" rate. For codes not reimbursed by Medicare, rates were increased to 90% of the national average payment rate. Current payment rates that exceeded 90% remain unchanged. Dental Services The maximum allowable reimbursement for dental codes has been raised to 52% of commercial rates (American Dental Association American Dental Association (ADA), n.pr a nonprofit professional association whose membership is dental professionals in the United States. Its purpose is to assist its members in providing the highest professional and ethical care to the citizens of the median). Providers should continue to refer to the December 2006 Bulletin for determining appropriate coding and procedures that require prior authorization prior authorization, n See predetermination. prior authorization Health insurance A cost containment measure that provides full payment of health benefits only if the hospitalization or medical treatment has been . Vision Services The maximum allowable reimbursement for vision services has been increased by 33.45%. Outpatient Substance Abuse Treatment and Special Connections The maximum allowable reimbursement for individual and group substance abuse therapy has been increased. Radiology radiology, branch of medicine specializing in the use of X rays, gamma rays, radioactive isotopes, and other forms of radiation in the diagnosis and treatment of disease. Conversion Factor The previous radiology conversion factor of 6.72 has been increased to 7.91. Reminder: Online Fee Schedule The Colorado Medicaid fee schedule is now available free of charge on the Department's website at http://www.chcpf.state.co.us/HCPF/ refmat/Reference_Include.asp. An updated fee schedule reflecting these rate increases will be posted on the Department's website at the end of July 2008. If you would like to enroll as a Medicaid provider you may access the provider application through the provider services link at http://www. chcpf.state.co.us/ACS/Provider_Services/provider_services.asp |
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