Corporate Compliance

Note from Peggy: Expansion of the multiple procedure payment reduction

Medicare Update for Physician Services, January 5, 2012

CMS is planning to expand the Multiple Procedure Payment Reduction (MPPR). While the expansion is not as extensive as CMS originally proposed, it does promise to get larger in the coming years. Medicare has a longstanding policy to reduce payment by 50% for the second and subsequent surgical procedures furnished to the same patient by the same physician on the same day. Full payment is made for the highest paying procedure. The reduction applies to the second and subsequent procedures furnished to the same patient in the same session.

Continue reading Peggy's note at the Medicare Mentor blog

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