decisionhealth Newsletters, Part B News - 2014 Issue 11 (November)
RVU shifts change payments, create fee schedule winners and losers in 2015
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Article Overview
This Part B News article examines how 2015 Medicare physician payment changes are expected to affect different specialties and individual services. It focuses on relative value unit revaluations, fee schedule effects, and payment movement across common evaluation and management services, ophthalmology-related services, cardiac procedures, and breast biopsy services. The piece is useful for physicians, coders, practice managers, and billing professionals who want a high-level view of which service categories were projected to rise or fall.
Why This Topic Matters
Medicare payment changes can alter reimbursement patterns across specialties and commonly billed services. Understanding the broad direction of these shifts helps practices anticipate fee schedule impacts and review affected service categories.
Article Sections
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Physician payments
An overview of the Medicare payment analysis and the time period covered by the article. It frames the discussion around specialties and services affected by 2015 payment updates.
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Winners and losers by specialty
A summary of specialty groups that were projected to perform better or worse than average under the 2015 payment changes. The section focuses on broad payment direction rather than detailed coding guidance.
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Winners and losers by service category
A review of selected service groups that were projected to see relative payment increases or decreases. The coverage includes evaluation and management, emergency medicine, critical care, ophthalmology-related services, cardiac procedures, and breast biopsy services.
What You Will Learn
- How 2015 Medicare payment changes were expected to affect selected specialties
- Which broad service categories were projected to gain or lose relative payment
- Why RVU revaluation can influence fee schedule outcomes
- How the article frames payment changes for common office, hospital, and procedural services
Who Should Read This
- Physicians
- Medical coders
- Billing staff
- Practice managers
- Revenue cycle professionals
Codes Discussed
Code Ranges Discussed
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