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New Update for Providers Who Participate with MVP/MVP-Related Products: -

Melanie Posted Wed 23rd of June, 2010 15:54:38 PM

Thought I would share this information for those of us who 'play' with MVP.

We received a fax with this exact verbiage:

Dear Participating MVP Provider:

MVP Health care will be rolling out the CMS May 2010 version of the annual changes to fee schedules on 08/01/2010. These changes are applicable to most IPA and directly contracted providers.

In addition to the RVU changes, this year CMS has discontinued the coverage of CPT/HCPCS consultation codes when submitting claims. This includes inpatient codes (99251-99255) and office/outpatient codes (99241-99245) for various places of service, except for telehealth consultation G-codes. Instead of consultation codes, provider are instructed to bill initial hospital care (99221-99223), initial nursing facility care (99304-99306) or initial office visits (99201-99205), as applicable.

MVP is aligning itself with this change for ALL of its health plans. This means that claims with a date of service ON OR AFTER 08/01/2010, containing the consultation codes noted above will be denied.

I have not seen any board-related comments from people nor anything active in our List-Serv applications - so I thought this would be helpful for those who are par with MVP....who may not have received this auto-fax from MVP.

This is definitely helpful, but also a detriment financially-speaking as MVP is pulling this off so late in the 'game' of things.

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