Medicare proposes end to consults; possible 11% cut to cardio RVUs

Why This Topic Matters

The article highlights proposed Medicare payment and coding policy changes that could significantly affect physician reimbursement, specialty referral workflows, and practice planning. It is especially important for cardiology practices and other groups that bill Medicare for evaluation, consultation, imaging, and rehabilitation services.

Article Sections

1. CMS releases proposed 2010 Medicare physician fee schedule

   Overview of the proposed rule, its publication timeline, and when the changes were expected to take effect. The section frames the major payment and policy topics addressed in the article.

2. Projected fee reductions and cardiology impact

   Discussion of the expected across-the-board physician fee update and the estimated effect on cardiology reimbursement. This section also summarizes the broader concerns raised by specialty organizations.

3. Consultation services and E/M redistribution

   Coverage of CMS proposals affecting consultation payment policy and the related shift in relative value units toward other evaluation and management services. The section also notes historical audit and utilization context.

4. Practice expense and imaging proposals

   Explanation of proposed changes to practice expense calculations, imaging equipment utilization assumptions, and accreditation requirements for advanced imaging technical services. The section also includes the public comment process and official resources.