decisionhealth Newsletters, Coder Pink Sheets - 2012 Issue 11 (November)
2013 fee schedule: Prepare for new DME visit requirement, PQRS measures
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Article Overview
This article summarizes several Medicare fee schedule updates for 2013 that are relevant to orthopedic and other physician practices. It covers broad operational areas such as durable medical equipment face-to-face documentation, outpatient therapy reporting, imaging payment policy, and physician quality reporting requirements, along with the organizations and implementation timeline involved. The piece is useful for practices tracking Medicare payment policy changes and preparing for annual reporting and documentation updates.
Why This Topic Matters
It helps practices identify which parts of the 2013 Medicare physician fee schedule may affect documentation, reporting workflows, and quality reporting participation. The article is especially relevant for billing, compliance, and practice management teams that need to prepare for rule changes on a defined effective timeline.
Article Sections
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Fee schedule overview and payment context
Introduces the final Medicare physician fee schedule for 2013 and its potential impact on practice operations and payment policy. Provides context on timing and overall scope.
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DME face-to-face visit requirement
Discusses documentation and encounter requirements related to certain durable medical equipment orders. Notes the related Medicare billing process and implementation timeline.
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Outpatient therapy reporting
Covers new reporting elements for therapy claims, including functional status and severity-related reporting concepts. Also addresses timing requirements and annual therapy cap changes.
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MPPR extends to bone imaging
Describes a payment policy update involving multiple procedure payment reduction for bone imaging services. Identifies the affected imaging context and effective date.
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Measures groups and PQRS participation
Summarizes changes to physician quality reporting system participation through measures groups and group reporting options. Includes discussion of thresholds, timelines, and practice-level participation requirements.
What You Will Learn
- What areas of the 2013 Medicare physician fee schedule are addressed in the article
- How the article frames documentation and reporting updates for physician practices
- Which broad Medicare payment and quality reporting topics are emphasized
- What implementation timing and participation deadlines are highlighted
Who Should Read This
- Orthopedic practices
- Physician billing staff
- Practice managers
- Compliance teams
- Coding professionals
- Quality reporting staff
Codes Discussed
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