decisionhealth Newsletters, Part B News - 2012 Issue 7 (July)
Primary care payment increase would require new work, organization
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Article Overview
This article discusses a proposed CMS physician fee schedule change affecting primary care practices and the workflow, documentation, and care-coordination preparation needed to support post-discharge transitional care management billing. It is aimed at physicians, practice managers, coders, and compliance staff evaluating how new documentation and team-based processes may affect revenue and operations. The article focuses on general planning considerations, practice organization, and documentation themes rather than detailed coding mechanics.
Why This Topic Matters
Primary care groups may need new workflows, documentation templates, and coordination processes to support proposed post-discharge payment opportunities. Understanding the operational impact helps practices assess readiness and plan for staffing, EHR, and communication changes.
Article Sections
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Proposed fee schedule
Introduces the proposed CMS payment change and its potential effect on primary care practices. Discusses the general context for post-discharge transitional care management and the expected need for documentation and coordination work.
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Prepare for workflow changes
Outlines practice operational areas that may need review, including documentation of non-face-to-face time, care coordination processes, post-discharge communication, and template planning. Emphasizes broad preparation steps for integrating the new service into office workflow.
What You Will Learn
- What types of practice operations may be affected by the proposed CMS payment change
- Why documentation and care coordination processes may need to be reviewed
- How workflow planning and templates relate to post-discharge transitional care management
- Which practice settings may be better positioned to adapt to the proposed change
Who Should Read This
- Primary care physicians
- Family medicine practices
- Practice managers
- Medical coders
- Compliance staff
- Care coordination teams
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