Online exclusive: More CMS payment, policy and coding proposals

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews proposed CMS changes for the 2015 Medicare physician fee schedule, with attention to payment policy, telehealth coverage, quality reporting flexibility, accountable care organization measurement, and coding revisions. It is aimed at readers who follow Medicare reimbursement and coding updates, including physicians, coders, billing staff, compliance teams, and practice administrators. The article summarizes the broad categories of proposals CMS is considering and the types of codes and services affected.

Why This Topic Matters

The proposals could affect how certain services are paid, reported, and administered under Medicare. Understanding the scope of the changes helps health care organizations assess operational impact and prepare for policy updates.

Article Sections

  1. CMS payment proposals

    Summarizes proposed Medicare payment policy changes discussed by CMS for the fee schedule cycle. The section focuses on broad reimbursement and valuation topics, including imaging-related payment concepts and practice expense updates.

  2. Proposed policy changes

    Covers policy updates CMS is proposing for service delivery, telehealth, quality reporting, and related administrative requirements. The section includes discussion of care settings, reporting flexibility, and measure-based programs.

  3. Coding policy proposals

    Reviews proposed coding changes across multiple service areas, including additions, deletions, and valuation revisions. The section addresses several specialty-specific service categories and Medicare code maintenance topics.

What You Will Learn

  • Which broad Medicare payment topics CMS is proposing to revise
  • What kinds of telehealth and reporting policy changes are under consideration
  • How CMS is approaching selected code maintenance and valuation updates
  • Which service categories are affected by the proposed coding changes

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Physician practices
  • Practice administrators
  • Revenue cycle teams

Codes Discussed

Code Ranges Discussed


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