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| 2/4/2021 @ 10:49:00 AM
Post 21 of 47
Contributor: Shirley Gamble, Sterling Medical Center
Nathan, Did you ever find the 2018 list of codes for the RHC Modifier HCPCS Conflicts? Also, any update on this issue in regards to answers from CMS, etc.? I did check the 2021 Updates and there have been no new codes added to this list. Thank you ---------- Original Comments ---------- Last Post By: Nathan Baugh, National Association of Rural Health Clinics CMS created a "RHC Modifier HCPCS Conflict Additions" list in April of 2018. If a code is on this list, it means that CMS has told the MACs to reject claims with that code and modifier CG. The end policy is that CMS has determined that these services DO NOT meet the definition of a RHC encounter. NARHC is gathering all relevant information on this issue and will be pursuing this issue further with CMS. We may need to contest CMS determinations on a code-by-code basis. I believe 7 codes were on this list in 2018 and then 11 more were added through the course of 2020 for a total of 18 HCPCs codes on this list. Right now, I only have the 11 codes added in 2020 but I am working to identify the other 7. 10060 2/4/2021 @ 11:28:00 AM
Post 22 of 47
Contributor: Julie York, Marengo Family Medical Clinic
Following
Julie York Clinic Billing Supervisor Compass Memorial.org 2/4/2021 @ 12:05:00 PM
Post 23 of 47
Contributor: Nathan Baugh, National Association of Rural Health Clinics
The full Conflict add-on list is below. No new codes were added in January and I am hopeful that in April we may see some of these codes removed off this list: 10060 2/24/2021 @ 10:58:00 AM
Post 24 of 47
Contributor: Gail Cameron, Family Medicine Clinic - Onawa
Nathan, What do you recommend we do for past and future claims? Should we continue to submit them and hope that these procedures are removed from the conflict list? I think someone asked if we could change these to an E/M code, but not sure I seen an answer? Thank you! Gail Cameron ---------- Original Comments ---------- Last Post By: Nathan Baugh, National Association of Rural Health Clinics The full Conflict add-on list is below. No new codes were added in January and I am hopeful that in April we may see some of these codes removed off this list: 10060 2/24/2021 @ 11:00:00 AM
Post 25 of 47
Contributor: Gary Lucas, ArchProCoding
Hello ,
I am currently teaching 2 live classes today with very limited access to emails until tomorrow midmorning. * Please allow additional time for a reply - but know that I will be able to check emails periodically throughout the day but may not be able to reply as per normal. Should you need immediate assistance please reach to Julia Scott, our Member Services Director, at Julia@ArchProCoding.com or call 404-937-6633 option #1 or leave me a voicemail at the same phone number at option #4. Thank you! Gary Lucas VP - Education Arch Pro Coding -- Gary Lucas Vice President - Education Association for Rural and Community Health Professional Coding *(Arch Pro Coding)* www.ArchProCoding.com w) 404-937-6633, option #4 2/24/2021 @ 11:22:00 AM
Post 26 of 47
Contributor: Julie York, Marengo Family Medical Clinic
Following
Julie York Clinic Billing Supervisor Compass Memorial Healthcare 300 W May St Marengo, IA 52301 Phone: 319-642-8155 Fax: 319-642-8142 jyork@compassmemorial.org 3/11/2021 @ 6:24:00 PM
Post 27 of 47
Contributor: Nathan Baugh, National Association of Rural Health Clinics
Good news! As we were hoping, CMS will remove the below codes from the RHC Conflict Add-On list on April 1! As a refresher, because of this "RHC Conflict Add-On List," if these codes were the primary reason for the visit and billed on their own with Modifier CG, the MACs were told to reject these claims. 3/11/2021 @ 6:28:00 PM
Post 28 of 47
Contributor: Ellen Maxwell, Crawford Memorial Hospital RHCs
That is Great news, Thank you so much :)
[A screenshot of a cell phone Description automatically generated] Ellen Maxwell Director, Clinic Systems Phone: 618-546-2581 1000 N. Allen Street Robinson IL 62454 [cid:image006.png@01D7169B.B21AC600] [A picture containing drawing Description automatically generated] [A close up of a logo Description automatically generated] 3/12/2021 @ 8:39:00 AM
Post 29 of 47
Contributor: Kelly Emstrom, Aspirus Medford Clinic
Will it be DOS 4/1/21 only going forward or will it be any claim they receive on or after 4/1/21?
Kelly Emstrom, CPC, RH-CBS Clinic Coding Manager / Revenue Cycle 135 S. Gibson Street, Medford, WI 54451 Phone: 715-748-8103 ext 17255 Fax: 715-748-8896 Kelly.emstrom@aspirus.org The information contained in this e-mail message is intended for the personal and confidential use of the designated recipient named above. This message may contain medical records and, as such, is privileged and confidential. If the reader of this message is not the intended recipient or agent responsible for delivering it to the intended recipient, you are hereby notified that you have received this e-mail in error, and that any review, dissemination, distribution, or copying of this transmission is strictly prohibited. If you have received this communication in error, please notify me immediately by telephone or e-mail. Although this e-mail is believed to be free of viruses and other defects that could affect any computer system that receives it, it is the responsibility of the recipient to ensure it is virus free. 3/12/2021 @ 9:46:00 AM
Post 30 of 47
Contributor: Gail Cameron, Family Medicine Clinic - Onawa
Thank you to all who worked on this issue!!
Just one question - what do we do about our past claims? Gail Cameron Family Medicine Clinic Onawa, IA 51040 |
