decisionhealth Newsletters, Coder Pink Sheets - 2010 Issue 12 (December)
2011 Physician Fee Schedule contains second round of Medicare pay cuts
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Article Overview
This article reviews major 2011 Medicare Physician Fee Schedule developments affecting physician reimbursement. It focuses on conversion factor changes, practice expense adjustments, multiple procedure payment reduction policy, and equipment utilization assumptions, with attention to how these updates affect several common services and imaging-related policies. It is relevant for physicians, coders, billers, and reimbursement professionals monitoring CMS fee schedule changes.
Why This Topic Matters
These policy updates can affect reimbursement for commonly billed services, imaging studies, and procedure categories across multiple specialties. Understanding the scope of the final rule and related payment changes helps practices anticipate revenue impacts and follow Medicare fee schedule updates.
Article Sections
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Physician fee schedule payment changes
Overview of the Medicare payment update timeline and the fee schedule changes affecting physician reimbursement. Includes discussion of national payment updates and selected common services.
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More changes that could impact your pay
Additional final-rule provisions that may affect reimbursement. Covers practice expense adjustments, imaging payment policy updates, and equipment utilization assumptions.
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Intercostals
Discussion of practice expense revisions related to intercostal nerve procedures and associated relative value unit changes.
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Multiple procedure payment reduction
Summary of imaging policy changes tied to the multiple procedure payment reduction framework and related service categories.
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75% equipment utilization rate
Explanation of the finalized equipment utilization assumption update for advanced imaging equipment and the effective date of the policy.
What You Will Learn
- How the article frames the 2011 Medicare Physician Fee Schedule updates
- Which broad reimbursement policy areas are discussed
- What categories of services are affected by the fee schedule changes
- How CMS policy updates are grouped in the article
- Which specialties and service types are most relevant to the discussion
Who Should Read This
- Physician practices
- Medical coders
- Medical billers
- Revenue cycle professionals
- Reimbursement analysts
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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