decisionhealth Newsletters, Part B News - 1999 Issue 11 (November)
Congress will require HCFA to accept PE-RVU data from specialty societies
Subscribe or sign in to view the full article.
Article Overview
This article explains recent Congressional and HCFA developments affecting Medicare practice expense reimbursement, with emphasis on how specialty societies may contribute supplemental physician cost data. It is aimed at coding and reimbursement professionals who track Medicare fee schedule policy, specialty survey methodology, and upcoming changes that could affect practice expense relative value units. The discussion includes the role of specialty society data, HCFA’s current survey approach, and the review of broader survey-based practice expense reporting.
Why This Topic Matters
Practice expense RVUs influence Medicare reimbursement and can materially affect specialty payments. Understanding how HCFA may incorporate specialty society survey data helps readers monitor policy changes that may alter reimbursement methodology across specialties.
Article Sections
-
Congressional and HCFA developments
This section summarizes the federal policy context and the pending changes affecting practice expense reimbursement methodology.
-
Specialty society survey data and HCFA review
This section discusses specialty society participation in data collection, HCFA’s consideration of survey-based evidence, and the broader review of practice expense reporting inputs.
-
Impact on specialty reimbursement
This section addresses the effect of the policy discussion on specialty reimbursement patterns and the comparison of data availability across specialties.
What You Will Learn
- How Congressional action may affect Medicare practice expense data collection
- Why specialty societies are involved in physician cost survey processes
- How HCFA is evaluating survey-based practice expense information
- What kinds of reimbursement issues are being discussed for affected specialties
Who Should Read This
- Medical coders
- Reimbursement specialists
- Practice managers
- Compliance staff
- Healthcare finance professionals
- Physician specialty society staff
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com