Online only: CMS finalizes changes to therapy cap, screening tests, Physician Compare

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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 a set of CMS final rule changes for 2014 that affect Medicare coverage, reporting, and payment administration across multiple settings. It is useful for billing staff, compliance teams, therapists, physicians, ACO participants, and other practice leaders who need a high-level view of policy updates involving therapy services, screening tests, Physician Compare, and related data collection initiatives.

Why This Topic Matters

The changes discussed affect how practices, hospitals, and reporting groups prepare for 2014 Medicare participation. Understanding the scope of these updates helps organizations identify which operational and reporting processes may need attention.

Article Sections

  1. Therapy cap extended to critical access hospitals

    Discusses a CMS policy update affecting therapy services furnished in critical access hospitals and related Medicare administrative requirements for 2014.

  2. Abdominal aortic aneurysm ultrasound screening coverage changes

    Summarizes changes to Medicare coverage criteria for a preventive screening test and the types of beneficiaries involved.

  3. More providers can order colorectal cancer screening fecal occult blood tests

    Explains CMS changes expanding which practitioners may order a preventive screening test and the access rationale behind the update.

  4. Physician Compare expansion approved despite provider concerns

    Covers CMS plans for collecting and publishing provider performance and patient experience data on the Physician Compare site.

  5. No new multiple procedure policies, but four codes added

    Notes a Medicare payment policy update affecting a small set of therapy-related procedure codes and a deleted code for 2014.

  6. Approach for off-campus, provider-based hospital department data collection not finalized

    Describes CMS consideration of methods for collecting data on services furnished in acquired practices and billed as hospital outpatient services.

  7. ACO reporting of shared savings

    Summarizes ACO reporting requirements tied to shared savings participation and the CMS web interface.

What You Will Learn

  • Which Medicare policy areas CMS updated for 2014
  • How the article frames changes affecting therapy, screening, reporting, and data collection
  • What operational topics are highlighted for practices and organizations
  • Which general reporting and payment programs are discussed

Who Should Read This

  • Medical coders
  • Billing staff
  • Compliance professionals
  • Physician practice administrators
  • Therapy providers
  • Hospital outpatient and revenue cycle teams
  • Accountable care organization participants

Codes Discussed

Code Ranges Discussed

Modifiers Discussed


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