AMA CPT® Assistant - 2007 Issue 1 (January)
2007 Medicare Physician Payment Changes (January 2007)
January 2007 pages 1-6 2007 Medicare Physician Payment Changes The Medicare conversion factors for 2007 are as follows: Medicare Physician Payment Schedule: $37.8975 Anesthesia: $16.1851 Coding Changes and Work Relative Values For the 2007 Medicare Physician Fee Schedule, the American Medical Association (AMA)/ Specialty Society RVS Update Committee (RUC) reviewed Current Procedural Terminology (CPT) codes through the new and revised process as well as through the Five-Year Review process. For the new and revised process, the RUC submitted work relative value recommendations, direct practice expense inputs, and professional liability insurance information associated with 254 CPT codes to...
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Article Overview
This article reviews major 2007 Medicare physician payment updates and the CMS policy changes behind them. It is aimed at coding, reimbursement, and practice management professionals who need a high-level understanding of physician fee schedule revisions, valuation review processes, practice expense methodology changes, geographic adjustment updates, imaging-related payment policy changes, and related Medicare initiatives affecting claims and reporting.
Why This Topic Matters
The article helps readers understand how CMS updates can affect physician reimbursement, relative values, and payment methodology across multiple specialties and service categories. It is useful for professionals tracking annual Medicare payment policy changes and their operational impact.
Article Sections
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January 2007 pages 1-6
Introductory publication information for the article.
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Coding Changes and Work Relative Values
Discusses the annual physician fee schedule review process and the broad specialty areas affected by work value updates. It also addresses budget neutrality and related CMS implementation details.
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Practice Expense Relative Values
Summarizes changes to CMS practice expense methodology, including direct and indirect payment calculation updates and related survey data developments.
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Professional Liability Insurance
Notes the status of CMS professional liability insurance policy for the year covered by the article.
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Geographic Practice Cost Indicies
Describes CMS activity related to geographic practice cost index updates and timing for future revisions.
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Deficit Reduction Act
Reviews Medicare payment policy changes tied to imaging services under the Deficit Reduction Act and the types of services affected.
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Medically Unlikely Edits
Covers CMS’s planned editing initiative for claim review and the staged implementation timeline discussed in the article.
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Abdominal Aortic Aneurysm
Summarizes the Medicare preventive screening topic addressed in connection with the article’s discussion of beneficiary coverage.
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Physician Voluntary Reporting Program
Describes the physician quality reporting program and its connection to Medicare reporting incentives.
What You Will Learn
- How CMS reviewed and updated physician work values for 2007.
- Which broad specialty groups were affected by the Medicare fee schedule review.
- How practice expense methodology was revised for Medicare payment.
- What CMS discussed regarding geographic practice cost indices and budget neutrality.
- How imaging-related payment policy changes under the Deficit Reduction Act fit into the 2007 update cycle.
- How CMS’s claim-editing and physician quality reporting initiatives were evolving in 2007.
Who Should Read This
- Medical coders
- Billing and reimbursement staff
- Practice managers
- Physician office administrators
- Compliance teams
- Healthcare revenue cycle professionals
Codes Discussed
Modifiers Discussed
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