decisionhealth Newsletters, Coder Pink Sheets - 2005 Issue 12 (December)
Fee schedule: Expect 4%-5% cuts next year, look for SGR fight in future
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Article Overview
This article reviews the 2006 Medicare Physician Fee Schedule and the broader payment policy issues surrounding it. It discusses the overall direction of physician reimbursement, the role of CMS and specialty society survey data, and why these changes matter to physicians and specialty groups watching Medicare payment policy. The piece is most relevant to readers tracking fee schedule updates, practice expense methodology, and future sustainable growth rate debates.
Why This Topic Matters
Medicare fee schedule changes can affect physician reimbursement across specialties, making it important for coding, billing, and reimbursement professionals to understand the direction of payment policy and the organizations involved.
What You Will Learn
- How the 2006 Medicare Physician Fee Schedule affected physician reimbursement overall
- How practice expense survey data factored into the fee schedule discussion
- Why CMS methodology and future policy changes were important to physician specialties
- What broader payment policy issues were expected to continue in coming months
Who Should Read This
- Physician coders
- Billing staff
- Practice administrators
- Reimbursement specialists
- Health policy readers
- Urology practices
Codes Discussed
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