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Published in HIPAA 5010

"Non-compliant entities will be subject to enforcement action on July 1, 2012"

Two critical deadlines face practices within the next three Days.

  • HIPAA Version 5010 deadline is June 30th. All claims non-compliant entities will be subject to enforcement action on July 1, 2012.
  • Mediare 1.5% payment adjustment for 2013 is for all professionals that do not successfully e-prescribe by June 30, 2012
Published in HIPAA 5010

Many practices and medical billers have seen that flu shot CPT code 90658 is no longer being paid. Claims are being rejected. "Why am I not getting paid for Flu Shots from  Medicare?" What changes to medical billing and coding have been made by CMS (Center for Medicare and Medicaid Services) ? There are now five separate HCPCS codes that must be used to appropriately bill Medicare. To receive reimbursement these codes must be used in your medical billing.

Published in Billing & Coding Tips