Read 12-10-10%20Claims%20Reprocessing%20for%20April%202010%20Reimbursement%20Rate%20Changes%20for%20Procedure%20Codes%2090806%2090847%2090853.pdf text version

Claims Reprocessing for April 2010 Reimbursement Rate Changes for Procedure Codes 90806, 90847, and 90853

Information posted December 10, 2010

TMHP has identified an issue that impacts claims that were submitted with procedure code 90806, 90847, or 90853 and dates of service on or after April 1, 2010. The reprocessing of affected claims to apply the April 2010 reimbursement rate updates did not occur. Affected claims will now be reprocessed, and payments will be adjusted accordingly. No action on the part of the provider is necessary. Providers can refer to the article titled "TMHP Updating Reimbursement Rates That Are Effective for April 1, 2010," which was published on this website on July 22, 2010, for the rate information for these procedure codes. For more information, call the TMHP Contact Center at 1-800-925-9126.

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