decisionhealth Newsletters, Coder Pink Sheets - 2008 Issue 7 (July)
Proposed 2009 fee schedule would require new imaging standards
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Article Overview
This article reviews proposed 2009 Medicare physician fee schedule changes released by CMS and explains the broader policy context around the pending fee fix legislation. It is relevant to physicians, NPPs, billing professionals, and compliance staff who track Medicare payment policy, diagnostic testing requirements, telehealth billing, and quality reporting program updates. The discussion covers proposed regulatory changes, timing for comments and implementation, and the status of Medicare payment adjustments.
Why This Topic Matters
The proposed changes could affect physician reimbursement, diagnostic testing oversight, telehealth billing options, supply pricing reviews, and quality reporting obligations. Readers who bill Medicare services need to understand the scope and timing of these updates to assess operational impact and prepare for future policy changes.
Article Sections
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Proposed 2009 physician fee schedule changes
Overview of CMS’s proposed updates to the physician fee schedule and the general payment context for 2009. The section introduces several categories of regulatory and reimbursement changes under review.
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Diagnostic testing standards and telehealth billing
Discussion of proposed changes affecting physician-provided diagnostic testing standards and billing for telehealth-delivered follow-up inpatient consultations. The section focuses on Medicare policy updates affecting these services.
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Misvalued services, high-cost supplies, and quality reporting
Summary of CMS efforts to identify potentially misvalued services, review high-cost supply pricing, and expand the Physician Quality Reporting Initiative. The section also notes the related comment and implementation timeline.
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Medicare pay hold officially ends
Brief update on the status of the Medicare payment hold and the pending legislative and administrative timeline. The section discusses when payment changes were expected to resume and the uncertainty around final timing.
What You Will Learn
- How CMS framed the proposed 2009 physician fee schedule changes
- Which broad payment and compliance areas were targeted in the proposal
- What policy areas were affected by the telehealth and diagnostic testing updates
- How CMS planned to handle supply pricing reviews and quality reporting expansion
- The reported timeline for comments, final rule issuance, and implementation
Who Should Read This
- Physicians
- NPPs
- Medical coders
- Billing staff
- Revenue cycle professionals
- Compliance staff
- Practice administrators
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