decisionhealth Newsletters, Coder Pink Sheets - 2014 Issue 4 (April)
Getting paid: CMS now can collect physician survey data and set work, PE values
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Article Overview
This article covers changes in Medicare physician payment policy tied to the SGR temporary fix law, including CMS authority to collect its own survey-based data on physician work and practice expense and use it in valuation processes. It also discusses the implications for specialty groups, the existing role of the AMA RUC, and the related Government Accountability Office review. The piece is intended for physicians, coders, practice administrators, and reimbursement professionals tracking Medicare valuation policy.
Why This Topic Matters
The topic matters because changes in how Medicare values physician services can affect reimbursement, specialty-level payment policy, and the balance of influence between CMS and specialty society survey processes.
What You Will Learn
- How recent Medicare policy changes affect collection of physician survey data
- The general roles of CMS, the RUC, and the GAO in physician fee valuation
- Why physician specialties may be interested in these survey and valuation changes
- How the SGR temporary fix law relates to Medicare work and practice expense valuation
Who Should Read This
- Physicians
- Medical coders
- Practice administrators
- Reimbursement specialists
- Healthcare consultants
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