Remove drug costs from SGR, physician reps tell CMS

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Note:  The following article synopsis was NOT provided by HCPro. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews comments from physician organizations on CMS’s proposed 2007 Medicare physician fee schedule. It covers broader Medicare payment policy issues, including payment update methodology, productivity and budget neutrality questions, imaging policy, reassignment and diagnostic testing facility proposals, and requests for support with health information technology costs. The piece is relevant to physicians, practice managers, coding professionals, and others tracking Medicare payment policy and regulatory changes.

Why This Topic Matters

The article highlights areas of Medicare payment and regulatory policy that can affect physician reimbursement, practice operations, and compliance planning for the upcoming fee schedule year.

Article Sections

  1. Payment update and physician productivity comments

    Comments from medical organizations on the proposed Medicare physician payment update and related concerns about how physician productivity is being measured.

  2. Avoid work RVU budget adjustor

    Discussion of comments on budget neutrality and the proposed work RVU adjustor in the physician fee schedule.

  3. ‘Imaging’ needs defining

    Requests for clarification of imaging policy and concerns about which procedures may be included under Medicare’s imaging reduction approach.

  4. Views vary on reassignment, ‘pod labs’

    Differing stakeholder views on reassignment rule changes, diagnostic testing facility requirements, and related fraud and abuse concerns.

  5. Health IT help sought

    Calls for assistance with the cost of adopting health information technology and electronic medical record systems.

What You Will Learn

  • What physician organizations raised in comments on the proposed 2007 Medicare physician fee schedule
  • Which broad Medicare payment policy issues were most controversial
  • How specialty groups viewed imaging, reassignment, and diagnostic testing facility proposals
  • What kinds of support were requested for health information technology adoption

Who Should Read This

  • Physicians
  • Medical practice managers
  • Medical coders and billing staff
  • Healthcare compliance professionals
  • Medical society policy staff

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