decisionhealth Newsletters, Part B News - 2007 Issue 4 (April)
Carrier-priced codes, new RVUs top fee schedule corrections
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Article Overview
This article covers corrections to the 2007 Medicare Physician Fee Schedule issued by CMS, including updates to carrier-priced imaging-related services, changes to the physician self-referral list, and revised RVUs and payment rates for selected services. It is relevant to coders, billers, compliance staff, and practices that need to understand whether claims or payment calculations are affected by the correction notice. The article also touches on Medicare policy language related to clinical trial device payment limitations and facility-based billing considerations.
Why This Topic Matters
Fee schedule corrections can change how claims are priced, paid, or reviewed for compliance. Practices need to know which services were reclassified, which list changes affect self-referral screening, and which payment rates were revised so they can review affected claims and internal billing workflows.
Article Sections
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Fee schedule correction overview
Introduces the Medicare Physician Fee Schedule correction notice and the general types of updates included. It frames the changes as part of a CMS correction effective for the 2007 payment year.
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Carrier-priced imaging codes revised
Summarizes a group of imaging-related services that were reclassified within the correction notice. It also notes the setting-related context associated with these services.
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Physician self-referral list updates
Covers additions to and removals from the physician self-referral list. The section also references related Medicare compliance language and category A device payment language in clinical trials.
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Practice expense RVU corrections
Describes corrections to practice expense RVUs for selected monitoring services. It explains that the notice includes updated payment effects tied to those revisions.
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Corrected 2007 payment rates
Presents a table of procedures with revised national payment amounts. This section serves as the fee schedule correction list for the affected codes.
What You Will Learn
- What kinds of Medicare fee schedule corrections CMS included in the notice
- Which broad categories of services were affected by pricing and RVU updates
- How self-referral list changes are presented in a correction notice
- What types of services received corrected payment rates in the update
- How CMS correction notices can affect billing and compliance review
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Compliance professionals
- Physician practices
- Hospital outpatient billing staff
Codes Discussed
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