Question

Medicare's Multiple Procedure Payment Reduction (MPPR) program saves costs by reducing the payment to providers for some CPT codes that are considered "always therapy". When multiple CPT codes are billed during a visit, one code is reimbursed at the full physician's fee schedule rate while the subsequent codes are reimbursed at a 50% reduced rate.

a. True
b. False

Answer 1

The statement is true. Medicare's Multiple Procedure Payment Reduction (MPPR) program reduces payment to providers for 'always therapy' CPT codes, reimbursing the first code at full rate and subsequent codes at 50% reduced rate.

Step-by-step explanation:

The statement is true. Medicare's Multiple Procedure Payment Reduction (MPPR) program reduces the payment to providers for some CPT codes that are considered 'always therapy', when multiple CPT codes are billed during a visit. The first code is reimbursed at the full physician's fee schedule rate, while subsequent codes are reimbursed at a 50% reduced rate. This helps save costs by reducing payments to providers for multiple procedures.