decisionhealth Newsletters, Coder Pink Sheets - 2007 Issue 1 (January)
Bush signs law freezing Medicare conversion factor at 2006 rate
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Article Overview
This article explains a late legislative fix to the 2007 Medicare physician fee schedule and summarizes which payment elements for cardiology practices were changed versus left in place. It is aimed at physicians, coders, billing staff, and practice managers who need a high-level understanding of fee schedule updates, imaging payment issues, and reporting-related incentives without reading the full premium analysis.
Why This Topic Matters
The piece helps readers quickly assess how Medicare policy changes may affect cardiology reimbursement, especially for high-volume office, imaging, and hospital-related services. It is relevant for planning, fee review, and monitoring local carrier and Medicare payment updates.
Article Sections
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Medicare fee schedule update and cardiology impact
Introduces the late legislative change to the Medicare physician fee schedule and its general effect on cardiology practices. Summarizes the broader payment environment for the coming year.
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What will change and what will remain the same
Outlines the major fee schedule components affected by the legislation and those that continue unchanged. Covers conversion factor, RVUs, geographic adjustments, reporting-related incentives, imaging payment policy, therapy exceptions, screening benefit, recovery audit activity, and carrier-priced services.
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2007 Cardiology Medicare fee winners & losers
Presents a comparative table of selected cardiology-related services showing revised payment patterns for 2007. Highlights services grouped as having higher or lower fees under the updated schedule.
What You Will Learn
- Which broad Medicare payment policy elements were altered by the year-end legislation
- How the article organizes cardiology fee schedule changes into items that change and items that remain in place
- What categories of cardiology services are discussed in the 2007 reimbursement comparison table
- Why imaging and reporting-related provisions are important to cardiology practices
- Which organizations and Medicare policy programs are referenced in the update
Who Should Read This
- Cardiologists
- Medical coders
- Billing specialists
- Practice managers
- Revenue cycle staff
- Healthcare consultants
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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