decisionhealth Newsletters, Coder Pink Sheets - 2014 Issue 12 (December)
Fee schedule 2015: Medicare restores fees for epidurals but removes separate imaging payment
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Article Overview
This article reviews a 2015 Medicare physician fee schedule update focused on epidural injection services and associated imaging payment changes. It is aimed at coders, billing staff, pain management practices, and reimbursement professionals who need to understand how Medicare policy changes may affect claims processing, practice expense assumptions, payer contracts, and internal billing workflows. The discussion also references professional organizations and ongoing review activity relevant to future valuation of these services.
Why This Topic Matters
The topic matters because fee schedule changes can affect payment, claim submission workflow, and negotiations with other payers. Practices that perform epidural injections need to know how Medicare’s policy shift may affect reimbursement and whether related billing processes should be updated.
What You Will Learn
- How Medicare’s 2015 fee schedule changed reimbursement for epidural injection services
- Why imaging payment was handled differently than in prior years
- What operational billing and software updates practices were advised to consider
- How Medicare policy may influence private payer and managed care negotiations
- Which organizations and review processes were mentioned in connection with future valuation changes
Who Should Read This
- Medical coders
- Billing staff
- Practice administrators
- Pain management practices
- Reimbursement specialists
Codes Discussed
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