decisionhealth Newsletters, Answer Books - 2008 Issue 12 (December)
Physician_Fee_Schedule_Rules / 2001
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Article Overview
This article presents a 2001 Medicare physician fee schedule final rule and its addenda. It discusses selected payment policy clarifications, budget-neutrality considerations, and how the annual fee schedule tables are organized for CPT and HCPCS services, including status indicators, modifiers, RVUs, and global period information. It is intended for coders, billing staff, compliance teams, and others who work with Medicare physician payment rules and fee schedule references.
Why This Topic Matters
It helps readers understand the year’s Medicare physician fee schedule updates and the structure of the payment reference tables used to review services under Part B. It is relevant to anyone comparing policy changes, interpreting addendum data, or tracking administrative updates affecting physician reimbursement.
Article Sections
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Ocular Photodynamic Therapy and Other Ophthalmological Treatments
Discusses Medicare payment policy and national coding activity for ophthalmology-related services.
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Electrical Bioimpedance
Addresses national pricing for a covered service and its budgetary effect within the Medicare program.
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Global Period for Insertion, Removal, and Replacement of Pacemakers and Cardioverter Defibrillators
Describes proposed and final considerations related to global period policy for certain cardiology procedures.
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Antigen Supply
Covers a change involving the allowable supply period for antigen billing under Medicare Part B.
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Increased Space Allotment in Physical Therapy Salary Equivalency Guidelines
Addresses an adjustment affecting practice expense calculations for therapy services.
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Budget-Neutrality
Summarizes the annual budget-neutrality framework used for physician fee schedule updates.
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Impact on Beneficiaries
Discusses the rule’s general implications for access to care and beneficiary experience.
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Federalism
Notes the rule’s review under federalism criteria and its effect on state roles and responsibilities.
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Part 410 and Part 414 Regulatory Amendments
Lists the regulatory sections revised in the final rule and the related Medicare program authorities.
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Addendum A -- Explanation and Use of Addenda B
Introduces the annual fee schedule addenda and explains how the payment tables are organized.
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Addendum B—2001 Relative Value Units and Related Information Used in Determining Medicare Payments for 2001
Explains the data elements included in the yearly CPT and HCPCS payment reference tables and the meaning of their indicators.
What You Will Learn
- How the 2001 physician fee schedule rule is organized
- What broad payment and administrative topics are addressed in the final rule
- How the annual CPT and HCPCS addendum tables are structured
- What types of RVU and status information appear in the payment reference materials
- Which general categories of services and specialties are discussed in the rule
Who Should Read This
- Medical coders
- Physician billers
- Revenue cycle staff
- Compliance professionals
- Medicare reimbursement analysts
- Practice administrators
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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