Medicare Expands MPPR Policy to TC Ophthalmology Procedures

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Just in case you missed it on the VisionWeb Blog:

Medicare has expanded the Multiple Procedure Payment Reduction (MPPR) policy and, effective January 1, 2013, will implement cuts to concurrent diagnostic eye services. If more than one test is performed on the same day, the payment for the technical component (TC) of the less expensive service will be reduced by 20 percent. The MPPRs do not apply to professional component (PC) services.

For more information check out the Medicare Learning Network’s MLN Matters.

You may also view the official, detailed instruction issued to your Carrier and A/B Mac on the CMS website.

Claire Goldsmith MidPage