decisionhealth Newsletters, Coder Pink Sheets - 2014 Issue 8 (August)
Proposed physician fee schedule 2015: Epidural fluoroscopy bundling proposal would cut office procedure pay by $100
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Article Overview
This article explains a proposed Medicare physician fee schedule update for 2015 that affects epidural procedure reimbursement in office and outpatient/ASC settings. It is useful for coders, billers, compliance staff, and pain management practices tracking how proposed RVU changes and imaging bundling may affect payment comparisons across years.
Why This Topic Matters
The article helps readers understand a payment policy change that could alter reimbursement for commonly billed epidural services and associated imaging in different site-of-service settings. It matters to practices comparing 2013, 2014, and proposed 2015 fee impacts under the Medicare physician fee schedule.
Article Sections
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Payment comparison overview
Introduces the proposed Medicare payment adjustment and the comparison of office and outpatient/ASC reimbursement across multiple years.
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Fee schedule comparison table
Presents a site-of-service payment comparison chart for selected epidural procedure codes and related imaging billing under the proposed update.
What You Will Learn
- How the article frames the proposed 2015 physician fee schedule update
- Which broad service categories are being compared across office and outpatient/ASC settings
- How the article presents year-to-year payment comparisons for epidural-related services
- What type of Medicare policy change is being discussed in relation to imaging payment
Who Should Read This
- Physician coders
- Medical billers
- Compliance professionals
- Pain management practices
- Revenue cycle staff
Codes Discussed
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