decisionhealth Newsletters, Coder Pink Sheets - 2012 Issue 12 (December)
Fee schedule - Plan your practice’s revenue in 2013, with or without the pay cut
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Article Overview
This article reviews a Medicare fee schedule comparison for anesthesia and pain management practices, focusing on projected 2013 revenue changes relative to 2012. It is intended for coders, billers, and practice managers who want a quick view of how common services may be affected by updated physician fee schedule calculations and different conversion factor scenarios. The article presents a payment comparison table and notes the source of the calculations from APCPS analysis of physician fee schedule addenda.
Why This Topic Matters
Understanding projected fee schedule changes helps practices anticipate revenue impacts, compare payment scenarios, and plan for annual Medicare updates. This is especially relevant for specialty practices that rely on a small set of frequently billed procedures and office visits.
What You Will Learn
- How the article compares current and projected Medicare physician fee schedule payments
- Which broad service categories are included in the payment comparison
- How fee schedule calculations can vary based on different conversion factor scenarios
- What source material was used to generate the payment projections
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Anesthesia practices
- Pain management practices
Codes Discussed
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