2003 fee schedule update includes in-facility payments

Why This Topic Matters

Payment and setting rules can change how services are billed and reimbursed. This update affects whether certain services are payable in a facility, how some items are priced, and which component or carrier is responsible for payment handling.

Article Sections

1. Medicare fee schedule update overview

   Introduces the quarterly physician fee schedule update and the general scope of corrections and payment changes included in the notice.

2. Facility and supervision changes for selected services

   Discusses changes affecting payment setting, supervision requirements, and other updates for several office and facility services.

3. PET, imaging, and drug-related payment updates

   Summarizes revised payment handling for selected imaging services and injectable items, including carrier and regional pricing references.

4. Procedure payment adjustments and multiple procedure policy

   Covers additional updates involving selected procedures, base code relationships, and multiple procedure payment treatment.

5. CMS implementation and retroactive billing guidance

   Notes CMS guidance on whether carriers will make retroactive adjustments and how reported mistakes are to be handled.