decisionhealth Newsletters, Coder Pink Sheets - 2009 Issue 8 (August)
Proposed 2010 physician fee schedule halts payment on consult codes
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Article Overview
This article explains the major elements of CMS’s proposed 2010 physician fee schedule and why they matter to physician practices. It focuses on broad payment policy changes affecting consultation services, evaluation and management services, anesthesia teaching rules, imaging-related practice expense assumptions, and accreditation requirements, along with the agencies, societies, and rulemaking timeline involved. The piece is aimed at physicians, coders, billers, and practice leaders who need to understand proposed Medicare payment changes and related administrative updates.
Why This Topic Matters
The proposed rule could shift Medicare payment patterns across multiple specialties and service lines, affecting revenue, compliance planning, and comment strategy for practices that bill Medicare. It also signals policy changes that may alter how certain services are reported and reimbursed in future fee schedules.
Article Sections
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Consultation code payment changes
This section discusses proposed Medicare changes affecting consultation services and how those changes relate to existing evaluation and management billing.
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Proposed fee schedule update and specialty impacts
This section covers the broader physician fee schedule proposal, including cross-specialty payment effects and references to physician practice cost data used in the proposal.
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Anesthesia teaching rules
This section addresses proposed policy changes for teaching anesthesiologists and the related Medicare rulemaking context.
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Imaging services and equipment-related payment changes
This section explains proposed adjustments affecting services that depend on high-cost imaging equipment and related practice expense calculations.
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Advanced imaging accreditation requirement
This section notes a proposed accreditation requirement for suppliers of the technical component of advanced imaging services.
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Comment period and effective dates
This section summarizes the rulemaking timeline, comment deadline, final rule timing, and the general effective date for the proposed changes.
What You Will Learn
- The main categories of Medicare physician payment changes included in the proposed rule.
- How the proposal affects consultation services, evaluation and management services, anesthesia, and imaging-related policies.
- Which organizations and advisory groups are associated with the discussion of the proposed fee schedule.
- The key rulemaking dates and implementation timeline described in the article.
Who Should Read This
- Physicians
- Medical coders
- Medical billers
- Practice managers
- Anesthesia practices
- Specialty society staff
- Revenue cycle teams
Codes Discussed
Code Ranges Discussed
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