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Here's CMS's full statement on claims denials involving providers billing the new annual wellness visit exam. CMS has investigated complaints that claims submitted by physicians for the new Annual Wellness Visit that went into effect on January 1, 2011, are being improperly denied, and has determined that this is not a national problem, but that there are a few contractors that have improperly denied these claims.
CMS is focusing on workers compensation payments in its latest round of changes to the list of Claim Adjustment Reason Codes (CARCs) and Remittance Advice Remark Codes (RARCs) that are sent to you from payers. A total of three new CARCs and RARCs are being added, while seven are being modified. You will start seeing the new codes appearing on affected claims in April, when the changes are implemented, according to Transmittal 2131 to the Medicare Claims Processing Manual, released Jan. 7.

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