decisionhealth Newsletters, Part B News - 2012 Issue 7 (July)
NPPs would get additional reimbursement for post-discharge care, CMS proposes
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Article Overview
This article explains a proposed Medicare physician fee schedule change from CMS that would add payment support for post-discharge transitional care management. It is relevant to clinicians, coders, and practice administrators who follow Medicare policy, physician fee schedule updates, and payment changes affecting non-physician practitioners in primary care and other settings. The article also notes the public comment period and the broader budget-neutrality context surrounding the proposal.
Why This Topic Matters
The proposal could change how post-discharge transitional care is reimbursed for primary care teams and non-physician practitioners, while also affecting how Medicare payment adjustments are balanced across specialties.
What You Will Learn
- What CMS proposed in the 2013 Medicare physician fee schedule related to transitional care management
- How the proposal affects non-physician practitioners and primary care practices
- What general service and visit requirements were associated with the proposed payment change
- How the rulemaking and public comment process fits into the Medicare payment update cycle
- Why budget neutrality matters for other specialties and practice settings
Who Should Read This
- Medical coders
- Practice administrators
- Physician assistants
- Nurse practitioners
- Primary care physicians
- Reimbursement professionals
- Healthcare policy readers
Codes Discussed
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