decisionhealth Newsletters, Coder Pink Sheets - 2011 Issue 8 (August)
Proposed 2012 physician fee schedule would cut your pay by 30%
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Article Overview
This article reviews CMS’s proposed 2012 Medicare physician fee schedule and explains why it matters for physicians and other billing professionals. It covers the expected physician payment update, specialty-level payment effects, proposed adjustments affecting advanced imaging interpretation, and policy updates related to annual wellness visits, PQRS/EHR reporting, and telehealth. The article is relevant to practices that bill Medicare and to readers tracking annual fee schedule proposals and compliance changes.
Why This Topic Matters
The proposal could affect Medicare reimbursement, specialty payment levels, and practice workflows across multiple service areas. It also signals upcoming changes that may influence reporting, wellness visit processes, imaging reimbursement, and telehealth participation.
Article Sections
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Proposed fee schedule impact on physician payments
Summarizes the overall proposed Medicare payment update and discusses the broad impact on physician reimbursement. It also notes projected effects on selected service types and specialties.
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Annual wellness visit updates
Describes proposed changes to annual wellness visit requirements and the addition of a health risk assessment. The section also addresses how follow-up care may be prompted by wellness visit findings.
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PQRS and EHRs
Covers proposed changes that would expand how electronic health records may support quality reporting. It places the proposal in the context of PQRS participation requirements.
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PQRS group reporting
Explains proposed simplification of group reporting options and notes updates to the measure set used for reporting. The section focuses on reporting structure rather than payment details.
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Telehealth changes
Reviews proposed updates to the telehealth service list and criteria for adding services. It highlights the article’s focus on access and service inclusion under Medicare telehealth policy.
What You Will Learn
- How the proposed 2012 Medicare physician fee schedule could affect physician reimbursement
- Which specialties and service categories are expected to be most affected
- What CMS proposed for annual wellness visits and related follow-up processes
- How PQRS reporting proposals intersect with EHR use and group reporting
- What telehealth policy changes CMS proposed for the coming year
Who Should Read This
- Physicians
- Medical practice managers
- Medical coders and billers
- Compliance and reimbursement staff
- Healthcare administrators
Codes Discussed
Modifiers Discussed
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