decisionhealth Newsletters, Part B News - 2012 Issue 11 (November)
Cardiology, ophthalmology, group practices suffer blow from newest MPPR cuts
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Article Overview
This article explains how CMS expanded multiple procedure payment reduction (MPPR) policies in the final 2013 Medicare physician fee schedule and what that means for imaging-related reimbursement. It is relevant to cardiology, ophthalmology, radiology, and multispecialty group practices that bill Medicare for diagnostic and imaging services. The piece summarizes the affected service categories, the types of payment component reductions involved, and the broader impact of the policy change.
Why This Topic Matters
The article helps readers understand a significant Medicare payment change that could affect reimbursement patterns, scheduling decisions, and practice revenue for imaging services across several specialties.
Article Sections
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MPPR cuts
Overview of the updated Medicare payment reduction policy and how it affects imaging-related reimbursement for individual providers and group practices.
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MPPR extends to bone imaging
Discussion of the policy’s extension to bone imaging services and its relation to previously unaffected diagnostic studies.
What You Will Learn
- How the 2013 Medicare physician fee schedule expanded MPPR policies
- Which specialty areas and practice settings are affected by the reimbursement changes
- What broad categories of imaging services are subject to reduced payment
- How the article frames the operational impact of the policy update
Who Should Read This
- Medical coders
- Billing specialists
- Cardiology practices
- Ophthalmology practices
- Radiology groups
- Practice administrators
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
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