Two questions I am often asked is how does the Centers for Medicare and Medicaid (CMS) determine the payment for each CPT code and why is the same CPT code paid differently depending on where the practice or facility is located? In this article, I will answer how CMS determines the payment for each CPT code and why the same CPT code reimburses differently based on the location of your practice or organization. QuestionHow does CMS determine the payment for each CPT code? Answer QuestionWhat is included in the work relative value unit (RVU) of a CPT code? Answer QuestionWhat

With the start of each new year, the question of can I collect the deductible and/or coinsurance from a Medicare beneficiary at the time of service or must I submit the claim to my Medicare Administrative Contractor first and wait for the explanation of benefits (EOB) to see what the financial responsibility is to the Medicare beneficiary? Well, the Centers for Medicare and Medicaid Services (CMS) does answer this question. In CMS Publication