Posted by admin | Posted in Model Railway | Posted on 01-02-2009
Tags: code55, code75, doubleslip, model, modellbahn, peco, peco code 100 track, peco code 55, peco code 55 track, peco code 55 turnouts, peco code 83, peco code 83 track, points, trains
Looking For Peco Code ? Then This is Where You Want to Be
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 WYE 4 TURNOUT NS CODE 83 PECO INSULFROG DCC STREAMLINEED HO Scale $39.95 Time Remaining: 3h 15m Buy It Now for only: $39.95 |
 5 RH TURNOUT NS CODE 83 PECO INSULFROG DCC STREAMLINED HO Scale $34.95 Time Remaining: 3h 15m Buy It Now for only: $34.95 |
 N scale code 80 peco switches with motors $25.30 (7 Bids) Time Remaining: 3h 57m |
 N scale code 80 peco switches used $31.00 (8 Bids) Time Remaining: 4h 6m |
 N scale code 80 peco switches used $12.50 (5 Bids) Time Remaining: 4h 18m |
 N scale code 80 peco switch Y turnout $0.10 Time Remaining: 4h 23m |
 Peco 1739 Code 80 Medium 6 Turnout Left Hand In $18.12 Time Remaining: 16h 40m Buy It Now for only: $18.12 |
 Peco 1738 Code 80 Medium 6 Turnout Right Hand $18.12 Time Remaining: 16h 40m Buy It Now for only: $18.12 |
 N Gauge Peco SL E396 Electrofrog Medium Radius L H Code 80 $14.04 Time Remaining: 18h 14m Buy It Now for only: $14.04 |
 Peco Streamline SL 912 Rail Joiners G 45 Code G Scale $10.19 Time Remaining: 19h 32m Buy It Now for only: $10.19 |
 PECO CODE 100 RIGHT HAND CURVED TURNOUT PART ST 244 NEW IN PACKAGE $15.00 (1 Bid) Time Remaining: 1d 1h 7m |
 Peco SL 8382 HO Code 83 8 LH Turnout Insulfrog $28.85 Time Remaining: 1d 2h 58m Buy It Now for only: $28.85 |
 N Scale Code 80 Medium Radius Y Switch w Electrofrog by Peco Streamline Lot 43 $7.50 (4 Bids) Time Remaining: 1d 3h 32m |
 N Scale Code 80 Medium Radius Y Switch NS Rail by Peco Streamline SL E397 Lot 44 $4.83 (4 Bids) Time Remaining: 1d 3h 36m |
 N Scale Code 80 Medium Radius Y Switch NS Rail by Peco Streamline SL E397 Lot 45 $4.83 (3 Bids) Time Remaining: 1d 3h 39m |
 N Scale Code 80 Curved Righthand Switch NS Rail Insulfrog by Peco SL 386 Lot 46 $4.83 (3 Bids) Time Remaining: 1d 3h 43m |
 On30 scale 29 lengths of Peco Code 100 track sections $51.44 (4 Bids) Time Remaining: 1d 5h 2m |
 Peco SL 8310 HO Code 83 Conductive Rail Joiner 24 Pack $4.10 Time Remaining: 1d 16h 22m Buy It Now for only: $4.10 |
 Peco SL 8311 HO Code 83 Insulated Rail Joiner 12 Pack $4.10 Time Remaining: 1d 16h 22m Buy It Now for only: $4.10 |
 Peco SL 8314 HO Code 83 Track Fixing Pins $2.65 Time Remaining: 1d 16h 24m Buy It Now for only: $2.65 |
 Peco SL 8348 HO Code 83 4 Wye Turnout Insulfrog $23.35 Time Remaining: 1d 16h 26m Buy It Now for only: $23.35 |
 Peco SL 8361 HO Code 83 6 RH Turnout Insulfrog $25.05 Time Remaining: 1d 16h 37m Buy It Now for only: $25.05 |
 Peco SL 8362 HO Code 83 6 LH Turnout Insulfrog $25.05 Time Remaining: 1d 16h 38m Buy It Now for only: $25.05 |
 Peco SL 8381 HO Code 83 8 RH Turnout Insulfrog $28.95 Time Remaining: 1d 16h 41m Buy It Now for only: $28.95 |
 Peco SL 8390 HO Code 83 90 degree crossing Insulfrog $21.25 Time Remaining: 1d 16h 47m Buy It Now for only: $21.25 |
 Peco SL E387F N Code 55 Curved LH turnout Electrofrog $19.25 Time Remaining: 1d 17h 53m Buy It Now for only: $19.25 |
 Peco SL E388F N Code 55 Large Rad RH turnout Electrofro $19.25 Time Remaining: 1d 17h 54m Buy It Now for only: $19.25 |
 Peco SL E389F N Code 55 Large Rad LH turnout Electrofro $19.25 Time Remaining: 1d 17h 54m Buy It Now for only: $19.25 |
 Peco SL E391F N Code 55 Small Rad RH turnout Electrofro $15.45 Time Remaining: 1d 17h 55m Buy It Now for only: $15.45 |
 Peco SL E393F N Code 55 Short Crossing 20 deg Electrofrog $15.45 Time Remaining: 1d 17h 56m Buy It Now for only: $15.45 |
 Peco SL E8348 HO Code 83 4 Wye Turnout Electrofrog $23.65 Time Remaining: 1d 17h 58m Buy It Now for only: $23.65 |
 Peco SL E8352 HO Code 83 5 LH Turnout Electrofrog $24.75 Time Remaining: 1d 17h 59m Buy It Now for only: $24.75 |
 Peco SL E8361 HO Code 83 6 RH Turnout Electrofrog $25.05 Time Remaining: 1d 17h 59m Buy It Now for only: $25.05 |
 Peco SL E8362 HO Code 83 6 LH Turnout Electrofrog $25.05 Time Remaining: 1d 18h Buy It Now for only: $25.05 |
 Peco SL E8364 HO Code 83 6 Diamond Crossing Electrofrog $26.55 Time Remaining: 1d 18h Buy It Now for only: $26.55 |
 Peco SL E8377 HO Code 83 7 LH Curved Turnout Electrofr $28.95 Time Remaining: 1d 18h 1m Buy It Now for only: $28.95 |
 PECO STREAMLINE SL E380F N GAUGE SINGLE SLIP ELECTROFROG UNIVERSAL FINE CODE 55 $14.90 (3 Bids) Time Remaining: 1d 19h 59m |
 HO PECO CODE 100 INSULFROG LONG CROSSING $9.99 Time Remaining: 1d 23h 25m |
 Peco HO Scale Code 100 6 Medium RH Turnout NEW SL 95 $18.09 Time Remaining: 2d 1h 51m Buy It Now for only: $18.09 |
 Peco HO Scale Code 100 Nickel Silver Rail Joiners NEW 12Pk SL 10 $3.59 Time Remaining: 2d 2h 4m Buy It Now for only: $3.59 |
 HO Scale Peco Code 100 Streamline Medium Radius Three Way Turnout $19.99 (1 Bid) Time Remaining: 2d 4h 3m |
 HO Scale Peco Code 100 Streamline Medium Radius Three Way Turnout $19.99 (1 Bid) Time Remaining: 2d 4h 4m |
 HO Scale PECO 36 in FLEX TRACK NS CODE100 American $6.95 Time Remaining: 2d 4h 24m Buy It Now for only: $6.95 |
 Peco N Scale Code 80 Code 55 Insulated Rail Joiners Pt SL 311 1 Dozen $3.90 Time Remaining: 2d 9h 46m Buy It Now for only: $3.90 |
 Peco SL 37 STREAMLINE GAUGE RE RAILER CODE 75 100 YANKEEDABBLER $9.49 Time Remaining: 2d 14h 17m Buy It Now for only: $9.49 |
 Peco SL 8300 3 FLEX CODE 83 25 BOX YANKEEDABBLER $143.99 Time Remaining: 2d 14h 18m Buy It Now for only: $143.99 |
 Peco SL 8310 HO RAIL JOINERS CODE 83 N S YANKEEDABBLER $4.99 Time Remaining: 2d 14h 18m Buy It Now for only: $4.99 |
 Peco SL 8311 HO RAIL JOINERS CODE 83 YANKEEDABBLER $4.99 Time Remaining: 2d 14h 18m Buy It Now for only: $4.99 |
 Peco SL 8351 5 RIGHT HAND T O CODE 83 INSULFROG YANKEEDABBLER $27.99 Time Remaining: 2d 14h 18m Buy It Now for only: $27.99 |
 Peco SL 8352 5 LEFT HAND T O CODE 83 INSULFROG YANKEEDABBLER $27.99 Time Remaining: 2d 14h 18m Buy It Now for only: $27.99 |
 Peco SL 8361 6 RIGHT HAND T O CODE 83 INSULFROG YANKEEDABBLER $28.49 Time Remaining: 2d 14h 18m Buy It Now for only: $28.49 |
 Peco SL 8362 6 LEFT HAND T O CODE 83 INSULFROG YANKEEDABBLER $28.49 Time Remaining: 2d 14h 18m Buy It Now for only: $28.49 |
 Peco SL 8364 6 DIAMOND CROSSING CODE 83 INSULFROG YANKEEDABBLER $29.49 Time Remaining: 2d 14h 19m Buy It Now for only: $29.49 |
 Peco SL 8381 8 RIGHT HAND TURNOUT CODE 83 INSULFROG YANKEEDABBLER $32.99 Time Remaining: 2d 14h 19m Buy It Now for only: $32.99 |
 Peco SL 8382 8 LEFT HAND TURNOUT CODE 83 INSULFROG YANKEEDABBLER $32.99 Time Remaining: 2d 14h 19m Buy It Now for only: $32.99 |
 Peco SL E186 RIGHT HAND T O DOUBLE CURVE CODE 75 ELECTROFROG YANKEEDABBLER $24.49 Time Remaining: 2d 14h 21m Buy It Now for only: $24.49 |
 Peco SL E187 LEFT HAND T O DOUBLE CURVE CODE 75 ELECTROFROG YANKEEDABBLER $24.49 Time Remaining: 2d 14h 21m Buy It Now for only: $24.49 |
 Peco SL E190 Double Slip 12 DEC CODE 75 ELECTROFROG YANKEEDABBLER $69.99 Time Remaining: 2d 14h 21m Buy It Now for only: $69.99 |
 Peco SL E197 SMALL Y CODE 75 ELECTROFROG YANKEEDABBLER $21.49 Time Remaining: 2d 14h 22m Buy It Now for only: $21.49 |
 Peco SL E198 LARGE Y CODE 75 ELECTROFROG YANKEEDABBLER $21.99 Time Remaining: 2d 14h 22m Buy It Now for only: $21.99 |
 Peco SL E199 3 WAY TURNOUT CODE 75 ELECTROFROG YANKEEDABBLER $49.99 Time Remaining: 2d 14h 22m Buy It Now for only: $49.99 |
 Peco SL E8351 5 RIGHT HAND T O CODE 83 ELECTROFROG YANKEEDABBLER $27.99 Time Remaining: 2d 14h 22m Buy It Now for only: $27.99 |
 Peco SL E8352 5 LEFT HAND T O CODE 83 ELECTROFROG YANKEEDABBLER $27.99 Time Remaining: 2d 14h 22m Buy It Now for only: $27.99 |
 Peco SL E8361 6 RIGHT HAND T O CODE 83 ELECTROFROG YANKEEDABBLER $28.99 Time Remaining: 2d 14h 22m Buy It Now for only: $28.99 |
 Peco SL E8362 6 LEFT HAND T O CODE 83 ELECTROFROG YANKEEDABBLER $28.99 Time Remaining: 2d 14h 22m Buy It Now for only: $28.99 |
 Peco SL E8381 8 RIGHT HAND TURNOUT CODE 83 ELECTFROG YANKEEDABBLER $32.99 Time Remaining: 2d 14h 23m Buy It Now for only: $32.99 |
 Peco SL E8382 8 LEFT HAND TURNOUT CODE 83 ELECTRFROG YANKEEDABBLER $32.99 Time Remaining: 2d 14h 23m Buy It Now for only: $32.99 |
 Peco Individulay IL 713 Slide Rail Baseplates For Code 143 Rail 7mm Scale $5.08 Time Remaining: 2d 16h 10m Buy It Now for only: $5.08 |
 PECO SL 180 HO Scale Code 75 Insulfrog Single Slip Turnout Nickel Silver Rail $40.00 Time Remaining: 2d 23h 19m |
 Peco SL 380F N Scale Code 55 Single Slip Insulfrog $49.99 Time Remaining: 2d 23h 34m |
 PECO Streamline Curved Right Hand Turnout Code 80 SL386 $22.49 Time Remaining: 2d 23h 42m Buy It Now for only: $22.49 |
 TWO Boxes of Peco Streamline SL 700BH O Gauge Track Fine Standard Code 124 $250.00 Time Remaining: 3d 6h 33m |
How to Get Paid For Consulting When Medicare Eliminates Consultation Codes January 1, 2010
The CMS has released its final 2010 Physicians Fee Schedule. One of the most significant changes was the elimination of payment for consultation codes as of January 1, 2010.
This does not mean you can no longer do consultative work, it just means that you will have to bill these services differently than you do now. Here are the facts regarding this new ruling and the potential impact on your practice.
1. Consultation codes 99241-99245 (outpatient/office) and 99251-99255 (inpatient) have been eliminated effective January 1, 2010. Telehealth consultation G-codes (G0425-G0427) will not be eliminated.
2. Starting January 1, 2010, CPT codes for new (99201-99205) or established (99211-99215) patients should be used to replace consultations in the office/outpatient setting.
3. Starting January 1, 2010, CPT codes in the inpatient hospital setting (99221-99223) should be used to replace inpatient consultation codes (99251-99255), and for nursing facility consultations use codes (99304-99306).
4. To distinguish the difference between the admitting physician of record from the consultants for initial hospital inpatient and nursing facility admissions, CMS will develop a modifier. Currently, modifier "AI" is for principal physician of record, however Medicare has not finalized the modifier to be used for consultations.
5. Medicare states that its changes are budget neutral. RVUs for all E/M codes have been increased in an attempt to offset the fees lost from the elimination of consultation codes. The increase in E/M payments is approximately 6% for outpatient/office codes and 2% for inpatient codes above 2009 levels.
An important note regarding commercial or private insurance. No information has been released by other third party payers regarding payment for consultation codes as of yet. However, if a patient has Medicare as a secondary payer, a decision will need to be made by the physician as to how you will report the consultation. Any consultation claim filed with a commercial insurer such as Blue Cross or Aetna who is primary using the eliminated consultation codes when Medicare is secondary would result in a denial for the secondary claim by Medicare. In those instances where Medicare is secondary, you may want to consider using the new guidelines as stated above for reporting consultation codes.
One more note. If you have not updated your enrollment information with Medicare since November 2003, you must do so by April 5, 2010. Although enrolled in Medicare, many physicians who are eligible to refer Medicare beneficiaries to other Medicare providers or suppliers for services do not have current enrollment records in Medicare. A current enrollment record is one that is in the Medicare provider enrollment, chain and ownership system (PECOS) and also contains the physician's national provider identifier (NPI).
About the Author
Jeff Roh owns Profast Billing Solutions, which offers physicians billing services. For more information on how providers can increase their revenue and cash-flow, visit http://www.profastbilling.com.