Map out next year’s Medicare revenue in 2013 with or without SGR cut

Why This Topic Matters

Understanding projected Medicare payment changes helps practices anticipate revenue shifts, compare current and future reimbursement, and monitor policy-driven changes tied to the physician fee schedule and conversion factor updates.

Article Sections

1. Physician payments

   Introduces the topic of projected physician reimbursement changes for selected services in 2013 and frames the article around CMS payment review activity.

2. CMS review of potentially misvalued codes

   Summarizes the general Medicare payment policy background, including CMS review of potentially misvalued services and its relationship to fee schedule updates.

3. Additional review and projected payment impact

   Covers the broader group of services that underwent additional review before finalizing 2013 relative value units and payment projections.

4. Payment calculation and SGR context

   Explains how the projected payments were calculated and describes the general impact of the sustainable growth rate environment on 2013 reimbursement.