decisionhealth Newsletters, Part B News - 2008 Issue 7 (July)
2 alternatives to delayed anti-markup rule proposed
Subscribe or sign in to view the full article.
Article Overview
This article covers CMS’s proposed alternatives to the delayed anti-markup rule within the 2009 Medicare Physician Fee Schedule, along with related clarifications to existing regulatory language. It is relevant to physician practices, diagnostic testing providers, and billing/compliance professionals who need to understand how the proposed approaches may affect practice structures and testing arrangements. The discussion focuses on the general policy framework, site-of-service concepts, and examples used to illustrate how the proposals might apply across different practice settings.
Why This Topic Matters
The proposed changes could affect how physician groups structure diagnostic testing services and bill for them under Medicare. Understanding the scope of the proposals helps practices assess potential compliance and operational impact.
Article Sections
-
First alternative
This section outlines the first proposed approach in the Medicare Physician Fee Schedule and discusses its broad effect on diagnostic testing arrangements and practice structure.
-
Second alternative
This section describes the second proposed approach, including the site-of-service framework and related clarification of office-based testing locations.
What You Will Learn
- The general purpose of the proposed anti-markup rule alternatives
- How CMS is framing the two alternative approaches in the 2009 Medicare Physician Fee Schedule
- Why the proposals may affect different types of physician practice structures
- What kinds of clarifications are being made to existing rule language
Who Should Read This
- Physician group administrators
- Medical practice managers
- Billing and coding professionals
- Healthcare compliance staff
- Healthcare attorneys
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com