decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 2 (February)
Anti-markup provisions delayed in final rule
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Article Overview
This brief update reviews a CMS delay to an expanded anti-markup policy in the physician fee schedule and explains which broad categories of diagnostic services are affected. It is written for physicians, urology practices, and coding/billing staff who follow Medicare payment policy and need to track changes in effective dates, site-of-service considerations, and related guidance from CMS and the AUA.
Why This Topic Matters
The timing of payment-policy changes can affect billing workflows, ordering relationships, and how physician groups structure diagnostic testing arrangements. Tracking postponements like this helps practices stay aligned with Medicare requirements and prepare for future rule changes.
What You Will Learn
- What CMS delayed in the physician fee schedule update
- How the postponement relates to purchased diagnostic services
- Which broad service settings are affected by the delay
- Why the change is relevant to physician groups and urology practices
Who Should Read This
- Physicians
- Urology practices
- Medical coders
- Medical billers
- Revenue cycle staff
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