PPR News :: Oakland Physician Network Services Annual Insurance Symposium

Oakland Physician Network Services will be holding its annual Insurance Symposium on Wednesday, May 26th, 2010 from 7:30 a.m. to 12:30 p.m.  The symposium will take place at the Center Point Marriott in Pontiac, Michigan.

Professional Practice Resources is once again a proud sponsor of this event and will be available to discuss solutions to increase the profitability and efficiency of your practice.

Billing News :: Timely Filing Requirements for Medicare Fee-For-Service Claims

On March 23, 2010, President Obama signed into law the Patient Protection and Affordable Care Act (PPACA), which amended the time period for filing Medicare fee-for-service (FFS) claims as one of many provisions aimed at curbing fraud, waste, and abuse in the Medicare program.
  
Under the new law, claims for services furnished on or after January 1, 2010, must be filed within one calendar year after the date of service.  In addition, Section 6404 mandates that claims for services furnished before January 1, 2010, must be filed no later than December 31, 2010.  The following rules apply to claims with dates of service prior to January 1, 2010.  Claims with dates of service before October 1, 2009, must follow the pre-PPACA timely filing rules.  Claims with dates of service October 1, 2009, through December 31, 2009, must be submitted by December 31, 2010. 

Coding News :: Procedure Codes No Longer Payable Effective July 1, 2010

Effective July 1, 2010, BCBSM will no longer pay for the following injections:

• 90646 HIB Vaccine, PRP-D, IM
  
• 90665 Lyme Disease Vaccine, IM
  
• 90676 Rabies Vaccine, ID
  
• 90692 Typhoid Vaccine, H-P. SC/ID
  
• 90712 Oral Poliovirus Vaccine, live
  
• 90719 Diphtheria Vaccine, IM
  
• 90725 Cholera Vaccine, Injectable
  
• 90727 Plague Vaccine, IM
  
• J9093 Cyclophosphamide lyophilized, 100 MG
  
• J9094 Cyclophosphamide lyophilized, 200 MG
  
• J9095 Cyclophosphamide lyophilized, 500 MG
  
• J9096 Cyclophosphamide lyophilized, 1 GM
  
• J9097 Cyclophosphamide lyophilized, 2 GM