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    APA Services Inc.

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    December 8, 2011 |Vol. 8, No. 21

    CMS announces delay in enforcement of new standards for electronic claims submission

    Psychologists will want to check to make sure that the payer or clearinghouse has upgraded to the 5010 format
    • Medicare reimbursement advocacy crucial after Joint Committee failure
      Psychology now must wage an end-of-year battle to halt the scheduled 27.4 percent Sustainable Growth Rate (SGR) cut and prevent expiration of the 5 percent psychotherapy payment extender
    • CMS issues clarification on billing codes for testing services
      Clarifications address issues of when more than one code can be billed and when psychologists can bill for professional time
    • NCQA addresses integration of mental and behavioral health in medical home models
      APA comments promote mental health screening and integration of mental and behavioral health services in NCQA medical home model
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