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SlitLamp provides illuminating e-news for Colorado ophthalmologists. It keeps you in the know on the evolving Colorado health care scene by detailing the latest legislative and regulatory happenings. It also spotlights the information and resources you need for your practice.

 

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Medicaid provider rate increases

Posted By Chet Seward, Tuesday, July 15, 2014

CSEPS joined a number of medical societies and other stakeholders to advocate for increased reimbursement rates for ophthalmologists within Medicaid during the last legislative session. (Read the letter CSEPS sent to the state here.) Access to much needed specialty care has been hampered for some time given low reimbursement rates that frequently do not cover an ophthalmologist’s costs associated with providing care.

The General Assembly and Governor Hickenlooper approved a 2% increase for most fee-for-service benefits including physician and clinic services and vision services.In addition, the legislature approved a series of targeted rate increases for specific providers, codes and specialties. According to a Department of Health Care Policy and Financing fact sheet, “These (targeted) increases are intended to address large inequities in rates and to demonstrate the Department’s priority to pay for services that provide high value for clients.” The objective was to raise codes from current levels to approximately 80% of Medicare rates. Be aware that the following eye codes were positively affected by these changes:

  • Code 92002 – Eye exam, new patient
  • Code 92004 – Eye exam, new patient
  • Code 92012 – Eye exam established patient
  • Code 92014 – Eye exam & treatment
  • Code 92018 – New eye exam & treatment
  • Code 92019 – Eye exam & treatment
  • Code 92020 – Special eye evaluation
  • Code 92060 – Special eye evaluation
The June 2014 Medicaid Provider Bulletin provides more details about both the across the board and targeted rate increases.

Tags:  2014 legislative session  advocacy  Medicaid  reimbursement 

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Legislative update - July/August 2014

Posted By Chet Seward, Tuesday, July 15, 2014
Dick Brown
by Dick Brown, CSEPS lobbyist

The 2014 Colorado legislative session is now officially on the books and CSEPS has the scoop on the bills that passed that can and will affect you and your practice. We have developed a compendium that identifies and summarizes key bills from the session that are important to ophthalmologists. This is a great resource for physicians and their office staff. The information is organized by subject area including topics like:

  • Criminal offenses;
  • Employer-employee relations;
  • Health care financing;
  • Insurance;
  • Liability and court procedures;
  • Pharmaceuticals;
  • Professions and licensing; and
  • Public health.

While the compiler is not an attorney, the compendium provides a summary and an explanation of each selected new law. Questions regarding a more technical legal question should be referred to an attorney. Access the compendium here.

Tags:  2014 legislative session  advocacy 

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