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In This Issue
2010 Medicare Resource-Based
Relative Value Scale: Good and
Bad News
The Centers for Medicare & Medicaid Services (CMS) released the 2010
Resource-Based Relative Value Scale (RBRVS) final rule on October 30, 2009.
You can find the published 2010 RBRVS on its Web site (www.cms.hhs.gov).
Bear in mind that relative value units (RVUs) are used by many Medicaid
programs and third-party payers as a basis for their payment policies. The
updated information should be used by practices to update fees and review
payer contracts.
Use Consultation and Transfer of Care Request Forms
Forms to document reason for referral or consultation and patient information to record
Reporting Aftercare Codes (V51–V58)
Aftercare codes for continued care during healing/recovery, or for long-term consequences of a disease
Have You Noticed the New Symbol (#) in CPT 2010?
# symbol to identify resequenced codes out of numerical order
Q&A
Preventive medicine service and hospital admission for jaundice for a 3-day-old newborn; counseling, antimalaria prophylaxis, and vaccines prior to international travel; care plan oversight for home phototherapy
Consultation Versus Transfer of Care
Criteria for when to use consultation 99241-99245 and when to use transfer of care 99201-99215
Denials to Dollars: Do You Use the Hassle Factor Form
for Private Payers? (Online Exclusive)
Hassle Factor Form data collection tool to track payer trends and report member-payer problems and for AAP to identify and prioritize payer issues
AAP Pediatric Coding Newsletter™, February 2010 Quiz (Online Exclusive)
Quiz for AAPC Continuing Education Units
Note: Given the relative frequency with which code and valuation revisions occur, some AAP Pediatric Coding Newsletter™ Online archived articles may not reflect the most current information available. While we make every effort to update articles or retire those no longer relevant, the volume and frequency of code and valuation revisions may result in some archived material being temporarily out of date.
Because the American Academy of Pediatrics (AAP) is not able to verify the accuracy of the facts relating to a patient encounter, we cannot be held responsible for any coding decisions that you make based on the guidance you receive from the AAP. It is your responsibility to only code for what you do during a patient encounter.
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