Oxygen Program
Frequently Asked Questions
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LATEST UPDATES
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Answers to the most commonly asked questions related to rates
for Respiratory and Oxygen Services and Equipment |
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7/1/2008 - The July 1, 2008 Rate Updates are available for download.
12/11/07 - The January 1, 2008 Rate Updates will be available for
download this week.
11/1/07: New codes as of 6/1/07, K0553, K0554 and K0555, were shown to
be covered and were corrected to show they are not covered.
7/1/07 Rates Updated
1/1/07 - Codes will be updated
7/1/06 - Rates were updated
12/22/05- CMS has made changes to the billing codes for this program.
HRSA is updating our fee schedule to match the codes of CMS.
Revisions will be effective for dates of service on and after January 1,
2006. Changes may include additions, deletions and changes of
descriptions. Depending on the changes there may also be changes
to some rates and policy.
7/1/05 - The new July 1,
2005 fee schedule became effective
1/12/05 - This fee schedule will be updated next on July 1, 2005.
1/1/05
- MAA published the new
fee schedule with updated HCPCS according to those that CMS deleted and
added. MAA received the updates on 10/28/04 and immediately started
the update process. CMS did not make the rates available until
December 29. CMS no longer allows any grace period to use the deleted
codes.
7/1/04 - Revised
reimbursement rates for implementation on July 1 have been posted at:
http://maa.dshs.wa.gov//RBRVS/index.html
4/1/04 - The HCPCS codes were updated to reflect the deleted, replaced and
new codes as defined by CMS.
8/4/03 - Fixed a typo on page D2. Fee for A4558 changed to $5.45.
8/27/03
- Code 6600E was
"reinstated" until further notice. Page D12 was replaced online to
reflect this change.
9/3/03 -
Effective for dates of service on and after September 1, 2003, the rate
for procedure code A4556 is $10.32. Page D2 of the billing
instructions has been updated to reflect this. This is a website
update only.
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Rates Reimbursement Contact
Melissa Usitalo:
usitaml@dshs.wa.gov
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Melissa
is the
contact for the actual reimbursement rates.
For questions regarding the actual amounts paid, billing
questions, or policy questions
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Related WAC (Washington Administrative Code)
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The WAC provides information on policy, parameters of the
program, as well as the methodology used to determine
reimbursement rates. |
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Billing Instructions
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The BI includes policy related to the program, the process for
billing services and the maximum amount we will reimburse (the
rate) for the service/item. |
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Fee Schedule
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The fee schedule is a spreadsheet of billing codes and maximum
reimbursement amounts. |
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For comments or questions regarding Oxygen Respiratory Therapy,
email
contact us
Page modified: November 2009
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