I understand that the prices listed on the Medicare Fee Schedule are the Par fees, and that the Fee Schedule in WebPT is informational only, the fees are set by the MAC.
Previously, this pricing would be off by cents, but it is now off by dollars. This complicates adding the KX modifier on-time. Many clinics and people will be losing thousands of dollars if they are dependent on the WebPT program for that info - many of us are depending on this to be more accurate than it currently is. I have already supplied an EOB to Support showing the large difference in pricing.
Hello, and thanks for your feedback! We update the Medicare Fee schedule values each year, but understand that these are difficult to track and keep accurate. We are considering how we can better leverage billing information to update this in the future.
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