We have identified a problem with the processing of CPT code 99291 (Critical care; first 30-74 minutes) and 99292 (Critical care; each additional 30 minutes) when billed on the same day of a minor surgical procedure. The critical care when billed with a 25 modifier may have inadvertently denied. The problem has been resolved and any impacted claims will be automatically adjusted.
Highmark Medicare Services is the Part B Medicare Administrative Contractor for Pennsylvania (PA), Delaware (DE), Maryland (MD), New Jersey (NJ), and the District of Columbia Metropolitan Area (DCMA). For Part B services, A/B MAC Jurisdiction 12 includes the Counties of Arlington and Fairfax in Virginia and the City of Alexandria in Virginia. Services for the remainder of the state of Virginia will be covered under A/B MAC Jurisdiction 11. Learn more in the "About Us" section or browse our site below.
Medicare News & Website Updates for Part B
- July 02, 2009
-
Struggling for a way to audit your E/M coding? Not sure about the various sections and definitions for the items on the E/M scoresheet?  Please join us on July 13, 2009 at 9:00 am (EDT) for an E/M Basics Score Card Webinar. The registration and handout materials are now available.
Â
-
Enrollment Center
Enolling in Medicare? Visit this section for enrollment forms, tutorials, tips, contact information, and more. |
|
Reference Library
A good resource of reference materials and information needed in your day-to-day interaction with the Medicare program. |
|
|
|
Medical Policy Center
Coverage guidelines to help with reporting services and determine reimbursement. |
Outreach & Education
Educational tools and materials to help you understand the ever changing Medicare program. Information you’ll need to help you submit claims correctly. |
|
|
|
|
CERT
The CERT Program is a federally mandated, program integrity activity that was established by the Centers for Medicare and Medicaid Services (CMS) to monitor and improve the accuracy of Medicare payments to physicians and other non-physician practitioners. |
||
|
|
