Fee schedule

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews a CMS Medicare physician fee schedule proposal from 2002 and summarizes expected payment changes for several specialties, with particular attention to gastroenterology services and common office visits. It also notes a separate CMS discussion involving conscious sedation payment policy and a Relative Value Update Committee workgroup. The piece is useful for physicians, coders, and billing staff tracking proposed Medicare reimbursement changes and related policy review topics.

Why This Topic Matters

Proposed fee schedule changes can affect practice revenue, Medicare allowable amounts, and planning for common procedures and office visits. The article also highlights a policy issue under review that may be relevant to coding and payment discussions in procedural specialties.

What You Will Learn

  • How CMS proposed changes could affect Medicare physician reimbursement overall and across selected specialties.
  • How selected gastroenterology procedures and office visit codes were impacted in the proposed fee schedule discussion.
  • What policy issue CMS left unresolved regarding separate payment for conscious sedation and related review activity.
  • intended_audiences

Who Should Read This

  • Physicians
  • Medical coders
  • Billing staff
  • Practice administrators
  • Gastroenterology practices
  • Radiology and other specialty practices

Codes Discussed


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