4 reasons why primary care providers are likely to get 10% pay boost in 2011

Article Overview

This article explains how CMS’s final 2011 Physician Fee Schedule changed the Medicare primary care bonus payment process and why more primary care providers were expected to qualify. It is relevant to primary care practices, non-physician practitioners, and billing/coding staff who monitor Medicare payment policy, service mix calculations, and eligibility determinations under CMS guidance. The discussion focuses on broad policy changes, the types of services counted in the calculation, the timing of data used, and the possibility of correcting eligibility errors through appeal in limited circumstances.