decisionhealth Newsletters, Coder Pink Sheets - 2013 Issue 1 (January)
2013 physician fee schedule: SGR cuts are fixed for another year, but expect new cuts to therapy, imaging
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Article Overview
This article explains the major Medicare physician fee schedule developments for 2013 and the related federal policy actions that shaped physician reimbursement. It is aimed at practices, coders, and billing professionals who need a high-level understanding of annual fee schedule changes, relative value unit updates, conversion factor changes, and Medicare payment policy shifts affecting therapy, imaging, and other services.
Why This Topic Matters
These updates can change allowed Medicare payment amounts and affect reimbursement planning, contract analysis, and operational forecasting for physician practices. The article also places the fee schedule changes in the context of congressional action and other payment reductions that may influence multiple specialties.
What You Will Learn
- How the 2013 Medicare physician fee schedule was affected by federal legislative action
- What broad payment components changed in the annual fee schedule update
- Why therapy, imaging, and other provider payments were part of the policy discussion
- How wider Medicare payment reductions and government-wide spending actions may affect practices
Who Should Read This
- Physician practices
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle professionals
- Orthopedic practices
- Therapists
- Radiology groups
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