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 premium article reviews the 2013 Medicare physician fee schedule in the context of the temporary fix to the sustainable growth rate formula. It explains why payment amounts may still change despite avoiding a major cut, and it highlights broader Medicare reimbursement effects tied to budget neutrality, therapy payment policy, imaging payment adjustments, and sequestration. The article is aimed at coders, billers, and physician practices that need to understand the year’s fee schedule environment and its practical reimbursement implications.
Why This Topic Matters
Even when a large fee reduction is averted, practices can still experience significant reimbursement changes from fee schedule recalculations and related policy adjustments. Understanding these updates helps organizations anticipate payment variation and prepare for Medicare revenue shifts.
What You Will Learn
- How the 2013 Medicare physician fee schedule changed overall reimbursement conditions
- What factors affected payment calculations for physician services
- Why therapy and imaging reimbursement were expected to be impacted
- How broader federal budget actions influenced Medicare payment stability
Who Should Read This
- Medical coders
- Medical billers
- Physician practice administrators
- Revenue cycle staff
- Healthcare reimbursement professionals
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