decisionhealth Newsletters, Coder Pink Sheets - 2011 Issue 1 (January)
Congress passes 1-month fix; White House backs 1-year pay extension
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Article Overview
This article covers a short-term congressional fix for Medicare physician payment cuts, the administration’s support for a longer extension, and the political hurdles surrounding additional legislation. It also discusses a payment-policy change involving the multiple procedure payment reduction for therapy services and the general context for practices following Medicare fee schedule developments.
Why This Topic Matters
It helps physicians, coders, and practice managers understand near-term Medicare payment stability, pending legislative uncertainty, and related therapy reimbursement policy changes that can affect planning and claims management.
Article Sections
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Congressional action on Medicare physician payment relief
Overview of the temporary legislative fix, the threatened payment cuts, and the broader outlook for additional congressional action.
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White House support and Senate obstacles
Discussion of the administration’s position and the political issues affecting the prospect of a longer payment extension.
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Therapy payment reduction changes
Summary of the policy change tied to offsetting the temporary fix, including the general application of a multiple procedure payment reduction to therapy services.
What You Will Learn
- How temporary Medicare physician payment legislation affects near-term reimbursement
- What broader legislative and political issues may affect longer payment extensions
- How therapy payment policy changes are being used in connection with the temporary fix
- Which part of the Medicare fee schedule framework is implicated by the policy update
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle professionals
- Healthcare administrators
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