decisionhealth Newsletters, Part B News - 2019 Issue 8 (August)
Money in motion: The top 10 winners and losers from 2020 proposed rates
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Article Overview
This article reviews a Part B News analysis of the proposed 2020 Medicare physician fee schedule and identifies services with the largest projected payment increases and decreases. It is aimed at coding, billing, and reimbursement professionals who need a quick read on which specialties and service types were most affected by the proposed rate changes. The discussion also notes CMS activity around chronic care management and the use of placeholder HCPCS codes in the proposed 2020 framework.
Why This Topic Matters
Proposed Medicare fee schedule changes can shift reimbursement patterns, affect service lines differently, and signal areas where coding and payment updates may be important for planning and monitoring. This summary helps readers quickly gauge whether the full article is relevant to their specialty or reimbursement work.
Article Sections
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Proposed 2020 Medicare physician fee schedule analysis
Overview of the rate-change analysis and the broad categories of services showing notable movement in the proposed schedule.
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Imaging services among the largest gainers
Discussion of imaging-related services identified as major projected winners in the analysis.
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Services facing the largest proposed cuts
Summary of the services identified as having the steepest projected payment declines.
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Chronic care management codes and proposed HCPCS replacements
Coverage of CMS activity related to chronic care management coding and the proposed transition to placeholder HCPCS codes.
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Top 10 gainers and losers by percentage
A ranking-oriented presentation of the biggest proposed percentage increases and decreases.
What You Will Learn
- How the proposed 2020 Medicare physician fee schedule affected different service categories
- Which broad types of services were identified as major gainers or losers
- How chronic care management coding was discussed in relation to proposed HCPCS changes
- What kinds of reimbursement shifts were highlighted in the analysis
Who Should Read This
- Medical coders
- Coding auditors
- Revenue cycle professionals
- Practice managers
- Billing staff
- Physician reimbursement analysts
Codes Discussed
Code Ranges Discussed
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