AMA Clinical Examples in Radiology - 2008 Bulletin 1
CMS to Implement 10.6% Cut in Physician Payment as of July 1, 2008
CMS to Implement 10.6% Cut in Physician Payment as of July 1, 2008 The Centers for Medicare and Medicaid Services (CMS) announced in Transmittal 312 (February 1, 2008) that, if Congress does not pass legislation regarding the sustainable growth rate (SGR) formula on which Medicare physician payments are based, the current conversion factor (CF) in the Medicare Physician Fee Schedule (MPFS) of $38.0870 will be reduced to $34.0682—a 10.6% reduction—effective on July 1, 2008. This cut is the result of CMS using the SGR formula and determining the update needed to the conversion factor if...
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Article Overview
This article explains a 2008 Medicare payment update affecting the Medicare Physician Fee Schedule and describes how pending legislation could change the conversion factor midyear. It also notes related temporary extensions tied to therapy cap exceptions, geographic adjustment rules, and the Physician Quality Reporting Initiative. The piece is relevant to physicians, billing staff, and reimbursement professionals monitoring CMS payment policy and federal legislation.
Why This Topic Matters
The article helps readers track midyear Medicare physician payment changes and understand why federal legislation could alter scheduled reimbursement updates. It is useful for practices and billing teams that need to stay aligned with CMS policy updates affecting payment planning and enrollment.
What You Will Learn
- How CMS described the 2008 Medicare physician payment update
- What policy and legislation were affecting the scheduled conversion factor change
- Which related Medicare provisions were extended in the same law
- Why the update was important for providers following Medicare payment policy
Who Should Read This
- Physicians
- Medical billers
- Coders
- Practice managers
- Reimbursement specialists
- Healthcare administrators
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