BC Advantage - 2022 Issue 9
What's In Store for Radiology In The 2023 Medicare Proposed Rule?
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Article Overview
This article reviews the 2023 Medicare Physician Fee Schedule proposed rule and the parts most relevant to radiology practices. It discusses proposed payment changes, radiology-related CPT code valuation updates, telehealth policy flexibilities, the AUC/CDS delay, and Quality Payment Program revisions including MVPs, measures, and reporting changes. It is intended for radiology billing, reimbursement, compliance, and practice management audiences who need to track upcoming CMS policy changes.
Why This Topic Matters
The proposed rule can affect Medicare reimbursement, telehealth operations, and quality reporting obligations for radiology practices. It also signals which policy areas CMS is changing for the coming year and helps practices anticipate administrative and financial impacts.
Article Sections
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MPFS Payment Provisions
Discusses the proposed Medicare fee schedule payment update and its projected effect on radiology-related specialties. Also notes CMS valuation actions affecting radiology procedures and related services.
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Quality Payment Program (QPP)
Summarizes proposed and finalized changes affecting quality reporting, MIPS Value Pathways, measures, improvement activities, scoring, and participation rules. Includes information relevant to radiology practices within the broader QPP framework.
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Conclusion
Provides a closing perspective on the proposed rule and notes advocacy and follow-up activities related to the Medicare payment changes.
What You Will Learn
- How the 2023 Medicare proposed rule may affect radiology payment and reimbursement
- Which broad radiology-related service areas CMS addressed in the proposed rule
- What policy topics were included for telehealth and AUC/CDS timing
- What QPP and MIPS-related changes were proposed for the 2023 performance year
- How the article frames the potential practice impact of the proposed changes
Who Should Read This
- Radiology practices
- Medical billing and coding professionals
- Reimbursement analysts
- Practice managers
- Compliance staff
- Healthcare administrators
Codes Discussed
Modifiers Discussed
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