2011 APG Updates/Policy Changes
July 2011
- Epogen & 3107 Subsumed by APGs (PDF, 10KB, 1pg.)
- Use of Visit and Episode Rate Codes in Free-Standing Diagnostic and Treatment Centers (PDF, 12KB, 2pg.)
May/June 2011
- NCCI Edits Applied to APG Claims (PDF, 15KB, 1pg.)
- U6 Modifier Policy (PDF, 45KB, 3pg.)
- Family Planning
- 3M EAPG Mainframe Software Known Product Issue - alert regarding procedure based weights grouping to APG 490 Incidental to Medical, Significant Procedure; Therapy Visit Issue Alert: Proc Based grouping to 490 not paying; (PDF, 10KB, 1pg.)
- HIV/AIDS Counseling and Testing Service Rate Codes will be Subsumed by the APG Payment System on July 1, 2011 (delayed from April 1, 2011): (PDF, 102KB, 1pg.)
- Dental Anesthesia (PDF, 12KB, 1pg.)
- Dental POS Billing
- 3M EAPG Mainframe Software Known Product Issue - alert regarding visit rate codes being treated as episode rate codes (PDF, 10KB, 1pg.)
February 2011
- Important information regarding January 2011 billing changes for dialysis clinic providers (PDF, 63KB, 1pg.)
- HIV/AIDS Counseling and Testing Service Rate Codes will be Subsumed by the APG Payment System on July 1, 2011 (delayed from April 1, 2011): (PDF, 102KB, 3pg.)
- Implementation for the New Ancillary Billing Policy for Free-Standing Diagnostic and Treatment Centers has now been delayed until July 1, 2011. Free-Standing Diagnostic and Treatment Centers now have until May 31, 2011 to opt into the contracting option. Detailed information is available at: (PDF, 45KB, 3pg.)
January 2011
- Reimbursement changes for Vagus Nerve Stimulation (VNS) Therapy services (PDF, 13KB, 1pg.)
- January 2011 APG Updates and Changes (PDF, 93KB, 5pg.)
- January 1, 2011 APG Changes Presented to Hospitals on December 17, 2010: (PDF, 177KB, 18pg.)