decisionhealth Newsletters, Coder Pink Sheets - 2014 Issue 7 (July)
New chronic care payments, changes to global periods in proposed fee schedule
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Article Overview
This article summarizes major proposals in the 2015 Medicare physician fee schedule, including chronic care management payment changes, supervision and electronic health record requirements, global period revisions, quality reporting updates, and value modifier changes. It is intended for physicians, billing staff, coders, and practice administrators who track Medicare policy and reimbursement updates. The discussion also touches on image interpretation payment policy and the broader structure of the proposed rule.
Why This Topic Matters
The proposed changes could affect how practices bill for chronic care, manage postoperative payment periods, participate in quality reporting, and prepare for future Medicare reimbursement adjustments. Understanding the scope of the rule helps practices anticipate operational and compliance changes before the final fee schedule is issued.
Article Sections
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Proposed fee schedule
Introduces the main Medicare payment proposal and summarizes the chronic care management discussion that follows. It frames the rule as part of the annual physician fee schedule update.
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Payments set until April
Covers temporary payment context, conversion factor timing, and related Medicare payment update issues. It explains how the proposed rule fits into the larger reimbursement timeline.
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Other notable proposals
Reviews several additional policy changes in the proposed rule, including surgery global period revisions, quality reporting changes, value modifier updates, and image interpretation payment comments.
What You Will Learn
- How the proposed fee schedule addresses chronic care management payment policy
- What operational requirements are highlighted for chronic care management services
- What changes are proposed for global surgery periods
- How the proposal affects quality reporting and value-based payment programs
- What other Medicare payment policy topics are included in the rule
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Practice administrators
- Revenue cycle professionals
- Compliance staff
Codes Discussed
Modifiers Discussed
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