decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 12 (December)
Calculating the practice impact of 2009 code and fee changes
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Article Overview
This article is aimed at cardiology practices and billing staff who need to understand how selected 2009 CPT and Medicare fee changes may affect reimbursement. It discusses the main categories of service affected, including echocardiography, stress echo, contrast-related services, and device monitoring, and it describes a general approach for estimating locality-adjusted Medicare fees using CMS resources.
Why This Topic Matters
For practices that frequently bill the services discussed, even modest fee or coding changes can materially affect revenue projections and budgeting for the year ahead. The article helps readers identify which service lines need review and where to look for official fee schedule data.
Article Sections
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Echocardiography and stress echo fee impact
Compares broad reimbursement changes affecting echocardiography and stress echo services. It frames how practices may estimate revenue impact when service combinations change between years.
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New device monitoring codes
Discusses the introduction of new device monitoring service categories and the general challenges of comparing them with prior-year reporting patterns. It also touches on remote services, telephone checks, and programming evaluations at a high level.
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Calculating 2009 Medicare fees
Outlines a general method for estimating Medicare allowable amounts using relative value data and geographic practice cost information. It references CMS as the source for the fee schedule resources.
What You Will Learn
- Which broad cardiology service areas are affected by 2009 fee changes
- How the article suggests estimating the financial impact of changing service mix
- Where CMS-based fee schedule inputs fit into Medicare locality adjustments
- What categories of device monitoring services are discussed in the article
Who Should Read This
- Cardiology practice managers
- Medical coders
- Billing staff
- Revenue cycle staff
- Physician practice administrators
Codes Discussed
Code Ranges Discussed
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