decisionhealth Newsletters, Part B News - 2011 Issue 11 (November)
Benchmark of the Week: Estimated loss for test reads by specialty, 2012
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Article Overview
This article explains a specialty-by-specialty benchmark showing estimated revenue losses associated with Medicare’s 2012 Multiple Procedure Payment Reduction for diagnostic imaging interpretation. It is intended for coding, billing, reimbursement, and practice management audiences who monitor imaging-related payment policy and specialty-level financial exposure. The article summarizes how the benchmark was built, what broad service categories were included, and how the impact varies across specialties.
Why This Topic Matters
It helps readers understand how a Medicare payment policy change could affect different specialties differently, especially those that interpret imaging studies more frequently. The benchmark is useful for evaluating reimbursement impact at a high level and for comparing specialties’ relative exposure to professional-component payment reductions.
What You Will Learn
- The general purpose of the benchmark and what payment policy change it analyzes.
- How specialty-level payment impact was estimated using Medicare data and read-volume assumptions.
- Which types of specialties are most and least affected in the benchmark.
- How to interpret the article’s chart and supporting table at a high level.
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle professionals
- Imaging specialists
- Health care administrators
Modifiers Discussed
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