decisionhealth Newsletters, Part B News - 2010 Issue 1 (January)
Conversion factor used to calculate your reimbursements goes up slightly
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Article Overview
This article covers a 2010 Medicare physician fee schedule update affecting reimbursement calculations. It discusses the conversion factor change, related CMS technical corrections, service-level payment effects for selected office and imaging services, and the expiration of the work GPCI floor in multiple localities. It is relevant to medical coders, billers, reimbursement staff, and physician practices following Medicare payment policy updates and geographic adjustment changes.
Why This Topic Matters
The article helps readers understand why some Medicare physician payments changed in 2010 and why reimbursement may vary by locality. It is useful for tracking payment schedule updates and geographic factors that can affect practice revenue.
Article Sections
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Conversion factor update and expected change
Introduces the 2010 Medicare physician fee schedule conversion factor update and notes the broader expected direction of payment changes.
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CMS technical corrections and payment effects
Summarizes CMS-related adjustments affecting physician fee schedule calculations and illustrates how selected services were affected differently.
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Geographic practice cost index changes
Explains the expiration of the work GPCI floor and identifies the affected localities and states. The section also notes the policy context surrounding the geographic adjustment.
What You Will Learn
- How a Medicare physician fee schedule conversion factor update can affect reimbursements
- Why some service payments may move differently than the overall update
- How geographic practice cost indices can influence payment levels by locality
- Which types of policy changes were discussed in connection with 2010 Medicare payment adjustments
Who Should Read This
- Medical coders
- Medical billers
- Revenue cycle staff
- Physician practice managers
- Reimbursement specialists
Codes Discussed
Code Ranges Discussed
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