The Centers for Medicare & Medicaid Services (CMS) has announced that coinsurance and deductible are not being waived on claims containing codes G0473 (intensive behavioral therapy for obesity) and 77063 (screening digital breast tomosynthesis, bilateral).
CMS notes the problem, a result of a systems error, will be corrected on April 6, 2015.
For claims with dates of service of January 1, 2015, through March 31, 2015, Medicare administrative contractors will be mass adjusting these claims and issuing corrected payments for all impacted claims.
CMS states providers must reimburse beneficiaries for any overpayment caused by this error.