decisionhealth Newsletters, Part B News - 2014 Issue 11 (November)
Online exclusive: More coverage of the final 2015 Medicare physician fee schedule
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Article Overview
This premium article provides an overview and analysis of the final 2015 Medicare physician fee schedule, including payment updates, policy revisions, and coding-related changes across multiple service areas. It is aimed at coders, billers, compliance staff, and practice managers who need to understand how the final rule affects Medicare reimbursement, reporting, and future code set implementation. The article also covers CMS actions involving laboratory policy, FQHC billing, imaging, dialysis, EHR hardship timing, appeals, and selected procedure and reporting code changes.
Why This Topic Matters
The final physician fee schedule can affect how services are reported, paid, and documented under Medicare. Understanding these changes helps practices anticipate operational impacts and prepare for upcoming policy and coding transitions.
Article Sections
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Payment changes
Discusses Medicare payment updates affecting selected service areas and highlights several broader payment methodology adjustments. Also covers changes tied to lab policy, FQHC billing, imaging interpretation policy, and home dialysis payment administration.
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Policy changes
Summarizes policy and operational changes involving data disclosure, electronic health record hardship timing, practice expense inputs, malpractice RVU review, future code valuation processes, film-to-digital transition plans, and appeals standards.
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Coding changes
Covers reporting and code-structure updates related to provider-based settings, drug screening, stereotactic radiosurgery, obesity counseling, and prostate biopsy specimen billing.
What You Will Learn
- Which broad Medicare payment areas were revised in the final 2015 physician fee schedule
- What policy topics CMS addressed for future rulemaking and implementation timing
- Which reporting and code-set changes were highlighted for provider-based services and selected procedures
- How the article frames the impact of fee schedule changes on Medicare operations and compliance
Who Should Read This
- Medical coders
- Billing staff
- Compliance professionals
- Practice managers
- Revenue cycle teams
- Physician office administrators
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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