decisionhealth Newsletters, Part B News - 2019 Issue 11 (November)
Payment, policy, coding changes in final 2020 Medicare physician fee schedule
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Article Overview
This article summarizes the final 2020 Medicare physician fee schedule and related CMS policy changes that practices should know for the coming year. It covers broad payment updates, quality reporting alignment efforts, specialty list changes, scope equipment pricing updates, procedure payment policy changes, coverage expansions, consent requirements, and transparency reporting. The piece is aimed at practices, coders, and billing staff who need a high-level understanding of how the final rule may affect operations and reporting.
Why This Topic Matters
The final physician fee schedule shapes Medicare reimbursement, quality reporting, and several practice workflows for the year ahead. Understanding the scope of the changes helps practices prepare for policy updates without relying on the full rule text.
Article Sections
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Floor drops on GPCIs again
Discusses annual updates to geographic practice cost indices and their impact on payment calculations across different regions.
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Shared Savings coming closer to QPP
Covers CMS efforts to align Shared Savings Program quality reporting with broader quality payment program approaches and measure updates.
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Medicaid PI edges closer to Medicare
Summarizes changes affecting Medicaid Promoting Interoperability reporting and the alignment of electronic clinical quality measures across programs.
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Additional 2020 updates
Provides a roundup of assorted 2020 policy and payment changes, including specialty list movement, scope pricing, endoscopy payment policy, coverage updates, consent requirements, and reporting changes.
What You Will Learn
- How the 2020 final rule affects Medicare payment and policy
- Which CMS quality reporting programs are being aligned or modified
- What kinds of specialty and procedure-related updates are included in the rule
- Which practice operations and reporting areas are affected by the 2020 updates
Who Should Read This
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle professionals
- Clinicians participating in Medicare reporting programs
Codes Discussed
Code Ranges Discussed
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