decisionhealth Newsletters, Part B News - 2014 Issue 11 (November)
Breaking news: Fee schedule has more money for chronic care, more rules for PQRS
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Article Overview
This article reviews selected provisions from the final 2015 Medicare physician fee schedule. It is aimed at physicians, practice administrators, coders, compliance staff, and revenue cycle teams who need a plain-language overview of policy updates affecting chronic care management, quality reporting, payment timing, global surgery policy, mammography add-on payment, Open Payments reporting, and locum tenens arrangements.
Why This Topic Matters
The fee schedule affects how practices bill, report quality measures, and prepare for payment changes in the coming year. Understanding the scope of the final rule helps organizations assess operational impact and compliance needs.
Article Sections
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Chronic care management payment and requirements
Overview of the new Medicare chronic care management payment policy and the general requirements described in the final rule. The section also notes related supervision and electronic record considerations.
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Payments set through March, may drop in April
Discussion of the physician payment conversion factor timing and the possibility of later-year payment changes tied to the broader Medicare payment formula.
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Notable fee schedule provisions
Summary of additional finalized payment and reporting changes affecting quality reporting, global surgery policy, imaging payment, transparency reporting, and substitute physician billing arrangements.
What You Will Learn
- What areas of the Medicare physician fee schedule changed for the coming year
- Which practice operations are affected by chronic care management policy updates
- How the article frames quality reporting, payment timing, and other fee schedule provisions
- Which broader Medicare programs and reporting systems are discussed in connection with the final rule
Who Should Read This
- Physicians
- Medical coders
- Practice managers
- Compliance staff
- Revenue cycle staff
- Quality reporting personnel
Codes Discussed
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