February 2008 Medicare Bulletin - North Carolina Insert
Posted February 5, 2008
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Table of Contents
- 2008 Chiropractic Fee Schedule - North Carolina
- 2008 North Carolina Medicare Clinical Psychologist Fee Schedule
- 2008 North Carolina Medicare Clinical Social Worker Fee Schedule
- North Carolina Medicare Part B Intermediate (102) Workshop
Top2008 North Carolina Medicare Clinical Psychologist Fee Schedule
| Procedure Code | Non Facility Fee | Facility Fee | |
| 90801AH | $142.27 | 122.24 | |
| 90802AH | $150.78 | $131.79 | |
| * | 90804AH | $59.76 | $52.02 |
| * | 90806AH | $84.87 | $79.60 |
| * | 90808AH | $125.37 | $119.75 |
| * | 90810AH | $63.42 | $56.74 |
| * | 90812AH | $92.16 | $84.08 |
| * | 90814AH | $131.96 | $124.93 |
| * | 90816AH | $56.33 | $56.33 |
| * | 90818AH | $83.87 | $83.87 |
| * | 90821AH | $124.40 | $124.40 |
| * | 90823AH | $60.84 | $60.84 |
| * | 90826AH | $89.36 | $89.36 |
| * | 90828AH | $129.62 | $129.62 |
| * | 90845AH | $78.01 | $76.26 |
| *# | 90846AH | $82.67 | $81.27 |
| *# | 90847AH | $102.89 | $97.62 |
| *# | 90849AH | $30.83 | $28.02 |
| * | 90853AH | $29.19 | $27.43 |
| * | 90857AH | $32.79 | $29.27 |
| * | 90880AH | $103.19 | $93.69 |
| 96101AH | $81.24 | $80.54 | |
| 96102AH | $47.93 | $21.57 | |
| 96103AH | $37.31 | $22.54 | |
| 96105AH | $64.45 | $64.45 | |
| 96110AH | $10.66 | $10.66 | |
| 96111AH | $122.14 | $120.03 | |
| 96116AH | $90.70 | $85.08 | |
| 96118AH | $105.82 | $83.67 | |
| 96119AH | $67.26 | $27.54 | |
| 96120AH | $60.16 | $22.19 | |
| 96125AH | $87.70 | $73.99 |
* The procedure code is subject to the 62.5% outpatient psychiatric payment limitation (i.e., the allowed amount is reduced to 62.5% of the allowable amount).
# The procedure code has a restricted coverage status. Documentation must be included in order to review for coverage.
© All Current Procedural Terminology (CPT) codes and descriptors are copyrighted 2007 by the American Medical Association.
2008 North Carolina Medicare Clinical Social Worker Fee Schedule
| Procedure Code | Non Facility Fee | Facility Fee | |
| 90801AJ | $106.70 | $91.68 | |
| 90802AJ | $113.09 | $98.84 | |
| * | 90804AJ | $44.82 | $39.02 |
| * | 90806AJ | $63.65 | $59.70 |
| * | 90808AJ | $94.03 | $89.81 |
| * | 90810AJ | $47.57 | $42.56 |
| * | 90812AJ | $69.12 | $63.06 |
| * | 90814AJ | $98.97 | $93.70 |
| * | 90816AJ | $42.25 | $42.25 |
| * | 90818AJ | $62.90 | $62.90 |
| * | 90821AJ | $93.30 | $93.30 |
| * | 90823AJ | $45.63 | $45.63 |
| * | 90826AJ | $67.02 | $67.02 |
| * | 90828AJ | $97.22 | $97.22 |
| * | 90845AJ | $58.51 | $57.20 |
| *# | 90846AJ | $62.00 | $60.95 |
| *# | 90847AJ | $77.17 | $73.22 |
| *# | 90849AJ | $23.12 | $21.02 |
| * | 90853AJ | $21.89 | $20.57 |
| * | 90857AJ | $24.59 | $21.95 |
| * | 90880AJ | $77.39 | $70.27 |
| 96102AJ | $35.95 | $16.18 | |
| 96103AJ | $27.98 | $16.91 | |
| 96105AJ | $48.34 | $48.34 | |
| 96110AJ | $8.00 | $8.00 | |
| 96111AJ | $91.61 | $90.02 | |
| 96119AJ | $50.45 | $20.66 | |
| 96120AJ | $45.12 | $16.64 | |
| 96125AJ | $65.78 | $55.49 |
* The procedure code is subject to the 62.5% outpatient psychiatric payment limitation (i.e., the allowed amount is reduced to 62.5% of the allowable amount).
# The procedure code has a restricted coverage status. Documentation must be included in order to review for coverage.
© All Current Procedural Terminology (CPT) codes and descriptors are copyrighted 2007 by the American Medical Association.
2008 Chiropractic Fee Schedule – North Carolina
| Code | PAR F/S | NON PAR F/S | LIMITING CHARGE | |
| 98940 | 23.21 | 22.05 | 25.36 | |
| # | 98940 | 19.69 | 18.71 | 21.52 |
| 98941 | 32.15 | 30.54 | 35.12 | |
| # | 98941 | 27.93 | 26.53 | 30.51 |
| 98942 | 42.11 | 40.00 | 46.00 | |
| # | 98942 | 37.89 | 36.00 | 41.40 |
| 98943 | NC | NC | NC |
# These amounts apply when service is performed in a
facility setting.
Limiting charge applies to unassigned claims by non-participating providers.
NC indicates that the service is non-covered by Medicare.
© All Current Procedural Terminology (CPT) codes and descriptors are copyrighted 2007 by the American Medical Association.
North Carolina Medicare Part B Intermediate (102) Workshops
The 2008 “Medicare Intermediate” workshops are coming in February! The curriculum is designed for people who are more advanced in filing claims to Medicare or for those newer billers who have completed the Medicare 101 workshop. Consider the benefits of receiving instruction that will:
- provide additional foundation for your compliance with Medicare rules and regulations
- increase your awareness of resources and tools that will help answer your Medicare questions
- help you to understand more advanced Medicare billing guidelines and requirements
If you or your staff members have more than 2 years’ experience filing Medicare Part B claims for professional services, clinical lab, and diagnostic tests, or have recently completed the Medicare 101 curriculum, sign up now. (Note: DME and Ambulance billing guidelines are not covered in this workshop.)
Topics to be covered:
- Local Coverage Determinations
- Evaluation & Management
- Medicare Secondary Payer
- Overpayment/ Recovery
- Comprehensive Error Rate Testing (CERT)
- Provider Enrollment
- Incident To Billing Guidelines
Registration Fee:
$60.00 (includes continental breakfast and lunch)
Locations/Dates/Time:
| Date | Location |
| February 5, 2008 | Greensboro Airport Marriott |
| February 7, 2008 | Greenvile Hilton |
| February 6, 2008 | Crowne Plaza One Resort Drive Ashvile, NC 28806 |
Registration and additional details are available at: http://www.cignagovernmentservices.com/partb/education/NC/wrkshp_sem_NC.html. Space is limited. Register today!
