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Prostate Biopsy Claims Affected by Policy Change

Medicare carrier for region J1 and region J11 first to adopt an update published by NCCI

CEO SUMMARY: Quietly, with no fanfare and little advance public notice, the Medicare program is taking steps to change reimbursement policy for prostate biopsies. On August 7, 2012, Palmetto GBA adopted the new policy published on January 1, 2012, by the National Correct Coding Initiative (NCCI). Pathology billing experts and attorneys state that this policy …

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