decisionhealth Newsletters, Coder Pink Sheets - 2015 Issue 8 (August)
Getting paid: SGR fix sets payment for your top 10 codes yesterday, today, next year
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Article Overview
This piece explains a Medicare payment update driven by the Medicare Access & CHIP Reauthorization Act of 2015 and presents a comparison of physician fee schedule payments across multiple time periods. It is aimed at anesthesia, pain management, and related provider audiences who track proposed reimbursement changes, conversion factors, and RVU-based payment impacts. The article includes a table of commonly billed services and notes the use of proposed 2016 RVUs and conversion factors.
Why This Topic Matters
Readers can quickly gauge how Medicare payment shifts may affect high-volume services and planning for the coming fee schedule year. The article is useful for practices that monitor reimbursement trends and proposed rule changes.
What You Will Learn
- How the Medicare SGR fix affected physician fee schedule payment comparisons
- How payment amounts are compared across multiple time periods
- Which specialty groups and service categories are highlighted in the update
- How proposed RVUs and conversion factors factor into payment estimates
Who Should Read This
- Anesthesiologists
- Certified registered nurse anesthetists
- Pain management specialists
- Interventional pain management specialists
- Medical coders
- Billing staff
- Practice administrators
Codes Discussed
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