decisionhealth Newsletters, Coder Pink Sheets - 2011 Issue 11 (November)
2012 fee schedule: SGR cut now 27.4%
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Article Overview
This article summarizes major elements of the 2012 Medicare physician fee schedule and explains why the changes matter to physician practices, hospital-owned practices, and groups reporting Medicare quality and e-prescribing measures. It covers payment update impacts, CMS policy changes affecting diagnostic imaging, annual wellness visits, RVU revisions, and expanded electronic prescribing reporting options.
Why This Topic Matters
The fee schedule affects Medicare reimbursement, reporting obligations, and operational planning for a wide range of practices. Understanding the scope of the 2012 changes helps practices prepare for payment shifts, compliance updates, and reporting requirements.
Article Sections
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Payment update and projected fee impacts
Summarizes the Medicare physician payment update and examples of how selected services are affected under the 2012 fee schedule.
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Advocacy response and publication timing
Describes physician group reaction to the schedule release and notes the timing of the final rule and effective date.
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Multiple procedure payment reduction for test interpretations
Reviews CMS changes affecting professional component payment for certain diagnostic imaging interpretations.
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New annual wellness visit mandates
Explains new documentation and process requirements associated with annual wellness visits.
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Three-day payment window for hospital-run practices
Outlines policy changes affecting hospital-owned or hospital-operated practices and related payment setting updates.
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Mixed RVU changes for 2012
Summarizes RVU finalization for selected codes and broader changes identified in the fee schedule.
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E-Prescribe reporting changes
Covers revised electronic prescribing reporting thresholds, reporting methods, and related incentive and penalty framework changes.
What You Will Learn
- How the 2012 Medicare physician fee schedule affects overall physician reimbursement
- Which broad policy areas changed in the final rule
- What categories of practices and reporting programs are impacted
- How CMS is changing payment methodology and reporting requirements
Who Should Read This
- Physician practices
- Medical coders
- Coding managers
- Revenue cycle staff
- Practice administrators
- Compliance staff
Codes Discussed
Code Ranges Discussed
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