decisionhealth Newsletters, Part B News - 2023 Issue 10 (October)
Shutdown threat, PFS patches loom for end-of-year Congress
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Article Overview
This article reviews how a potential federal shutdown and related congressional budget activity could affect CMS operations, provider payments, and administrative functions. It also discusses broader year-end policy issues tied to the physician fee schedule, Medicare payment updates, and possible legislative changes affecting quality and value-based payment programs. The piece is relevant to health care administrators, billing and coding professionals, physician practices, and policy observers tracking Medicare and CMS timing.
Why This Topic Matters
Readers need to understand whether federal funding disruptions or late-year legislation could affect payment timing, CMS operations, and upcoming fee schedule actions that influence provider reimbursement and administrative workflows.
Article Sections
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Shutdown and CMS operations
Discusses the potential operational impact of a federal shutdown on CMS activities and provider payment processing. Also touches on administrative functions that may be affected by funding disruptions.
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Will the conversion factor change?
Covers year-end congressional concerns related to physician fee schedule legislation and possible changes to Medicare payment policy. The section also addresses broader discussion of payment reform and quality program issues.
What You Will Learn
- How a federal shutdown could affect CMS operations and payment timing
- Why year-end congressional action matters for the physician fee schedule
- What broad Medicare payment policy topics are being discussed for late-year legislation
- Which administrative and quality program areas may be part of legislative fixes or reforms
Who Should Read This
- Health care providers
- Medical practice administrators
- Billing and coding professionals
- Revenue cycle staff
- Health care policy professionals
- Medicare stakeholders
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