decisionhealth Newsletters, Coder Pink Sheets - 2015 Issue 8 (August)
Proposed physician fee schedule 2016: Proposed rule tightens incident-to rule, creates opportunities for CRNAs
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Article Overview
This premium article summarizes major elements of the proposed 2016 Medicare physician fee schedule and explains why the proposal matters for physician, anesthesia, and pain practices. It covers payment update changes after the SGR repeal, revisions to supervision and incident-to policy, planned updates to quality reporting requirements, telehealth opportunities for CRNAs, and a Medicare policy issue related to anesthesia for screening colonoscopy. The article is aimed at clinicians, coders, and practice leaders who need to track Medicare rulemaking and its operational impact.
Why This Topic Matters
The proposed rule affects how practices are paid, supervised, and measured under Medicare, so understanding the changes helps organizations prepare for compliance, reporting, and reimbursement impacts.
Article Sections
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Payment updates and conversion factors
Overview of the proposed Medicare physician fee schedule update for 2016 and related payment changes affecting physician and anesthesia services.
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Incident-to and direct supervision changes
Discussion of proposed supervision requirements for services furnished by non-physician providers and auxiliary personnel.
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Quality reporting and PQRS updates
Summary of expected continuity in quality reporting participation along with planned changes to measures and reporting structure.
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CRNA telehealth coverage
Coverage considerations for certified registered nurse anesthetists providing telehealth services within state scope of practice.
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Anesthesia for screening colonoscopy
Proposed Medicare language related to deductible policy for anesthesia services associated with screening colonoscopy.
What You Will Learn
- What the proposed 2016 Medicare physician fee schedule addresses
- Which broad policy areas are changing for physician and anesthesia practices
- How the proposal may affect supervision, reporting, telehealth, and anesthesia coverage topics
- What stakeholders should review before the final rule is issued
Who Should Read This
- Physicians
- Anesthesiologists
- Certified registered nurse anesthetists (CRNAs)
- Pain management practices
- Medical coders
- Practice managers
- Revenue cycle staff
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