decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 11 (November)
Primary care sees net gain despite Medicare CF drop
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Article Overview
This piece reviews selected 2009 Medicare physician fee schedule changes with emphasis on how they affect primary care practices, telehealth, incentive programs, enrollment requirements, and other payment-related policy updates. It is useful for physicians, nonphysician practitioners, coders, billing staff, and practice managers who need a high-level view of Medicare fee schedule changes and the organizations and modifiers referenced in the rule.
Why This Topic Matters
The article highlights payment and compliance changes that can affect Medicare reimbursement, reporting, documentation, and service billing for primary care and related specialties.
Article Sections
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Payment overview and specialty impacts
Summarizes the overall fee schedule update and compares broad payment impacts across selected specialty designations.
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Selected Medicare fee schedule provisions for primary care
Reviews several policy and operational updates included in the final rule, including telehealth, incentive programs, enrollment issues, drug acquisition policy, geographic payment adjustments, and documentation requirements.
What You Will Learn
- How the 2009 Medicare physician fee schedule is framed for primary care
- Which broad Medicare policy areas are addressed in the final rule
- What types of operational and compliance changes are highlighted for practices
- Which organizations and programs are referenced in the fee schedule update
Who Should Read This
- Primary care physicians
- Family practice and internal medicine practices
- Nonphysician practitioners
- Medical coders
- Medical billers
- Practice managers
- Compliance staff
Codes Discussed
Code Ranges Discussed
Modifiers Discussed
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