BC Advantage - 2015 Issue 6
What you need to know about SGR fix and ICD-10
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Article Overview
This article explains how the Medicare Access and CHIP Reauthorization Act of 2015 changed physician payment policy after the SGR formula was repealed, and why it matters for providers preparing for ICD-10. It discusses the shift toward new Medicare performance-based payment programs, the relationship to existing quality initiatives, and the policy debate around possible ICD-10 delay or hardship measures. The piece is aimed at physicians, coders, practice managers, and health system leaders tracking Medicare reimbursement and ICD-10 readiness.
Why This Topic Matters
The article is relevant to organizations that needed to understand both Medicare payment reform and ICD-10 implementation risk at the same time. It highlights how federal payment policy, quality reporting, and coding transition timelines can affect reimbursement planning and operational readiness.
What You Will Learn
- How the SGR repeal changed the Medicare physician payment outlook
- What general categories of performance-based payment policy were introduced
- How ICD-10 implementation timing and delay concerns were being discussed
- Why provider readiness and transition planning were emphasized
Who Should Read This
- Physicians
- Medical coders
- Practice managers
- Revenue cycle staff
- Hospital and health system administrators
- Compliance professionals
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