decisionhealth Newsletters, Part B News - 2019 Issue 8 (August)
The floor falls on GPCIs in 40 regions — with no rescue in sight
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Article Overview
This article covers a Medicare payment policy update affecting Geographic Practice Cost Indices (GPCIs) and the possible expiration of a temporary work GPCI floor in 2020. It is relevant to providers, practice managers, and coders who track Medicare reimbursement changes by geography. The piece discusses the three GPCI components, the role of CMS review cycles, and the regional impact of proposed updates and statutory exceptions.
Why This Topic Matters
Geographic adjustments can change Medicare reimbursement across entire regions, so understanding this policy change helps organizations anticipate payment shifts and monitor whether Congress or CMS will extend existing protections.
What You Will Learn
- How Geographic Practice Cost Indices affect Medicare payment variation by region
- Why the 2020 review cycle is important for work GPCI updates
- Which general categories of geographic areas may be affected by the policy change
- What broad CMS and Congressional factors influence whether a temporary floor remains in place
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle professionals
- Healthcare administrators
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