decisionhealth Newsletters, Coder Pink Sheets - 2013 Issue 8 (August)
Proposed physician fee schedule 2014: CMS silent on pay cut, focuses on incident-to, PQRS and more in proposed rule
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Article Overview
This article summarizes major provisions in CMS’s proposed 2014 physician fee schedule and explains why the rule matters for physician and facility reimbursement. It is aimed at readers in anesthesia, pain management, and other physician billing settings who need a broad view of proposed changes affecting payment policy, quality reporting, therapy services, site-of-service oversight, and selected coding updates.
Why This Topic Matters
The proposed rule outlines policy and reimbursement changes that could affect how practices are paid, what quality data they must report, and how certain services are evaluated under Medicare. It is relevant to organizations tracking annual fee schedule updates and operational impacts on physician and outpatient services.
Article Sections
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Payment changes
Discusses broad Medicare payment policy proposals affecting physician groups and reporting participation. Covers value-based payment topics, claims-based reporting, off-campus provider-based departments, and imaging-related practice expense changes.
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Policy changes
Summarizes broader policy proposals affecting therapy services, multiple procedure payment reduction policy, incident-to supervision language, and public reporting through Physician Compare.
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Coding changes
Reviews proposed coding-related updates involving global service assumptions and review of clinical laboratory fee schedule codes.
What You Will Learn
- Which major payment and reporting areas are addressed in the proposed 2014 physician fee schedule
- How CMS is approaching quality reporting and public performance information
- What policy areas are affected by therapy, incident-to, and multiple-procedure payment proposals
- Which coding-related topics are included in the proposed rule
- How the rule may affect physician and outpatient service reimbursement oversight
Who Should Read This
- Physician practice administrators
- Medical coders
- Billing and reimbursement staff
- Compliance professionals
- Anesthesia and pain management practices
- Revenue cycle teams
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