decisionhealth Newsletters, Part B News - 2013 Issue 7 (July)
Smaller practices could earn value-based bonuses, and more from rule
Subscribe or sign in to view the full article.
Article Overview
This article summarizes notable proposals in the 2014 Medicare physician fee schedule and related CMS policy changes. It is aimed at physician practices, coders, billing staff, and compliance professionals who need a broad update on payment methodology, reporting requirements, service monitoring, coding revisions, and coverage policy developments. The discussion spans several subject areas, including quality reporting, practice expense methodology, geographic payment updates, lab fee schedule review, and Medicare coverage proposals.
Why This Topic Matters
The rule discussed in this article could affect payment, reporting obligations, and Medicare coverage in multiple practice settings. Readers can use it to assess which policy areas may influence their organization and which parts of the proposed rule warrant closer review.
Article Sections
-
Payment changes
Summarizes proposals affecting value-based payment, reporting requirements, off-campus provider-based services, imaging payment methodology, and therapy-related payment policies.
-
Policy changes
Covers broader Medicare policy proposals involving therapy services, supervision language, ACO reporting, geographic practice cost indices, malpractice RVUs, and Physician Compare data.
-
Coding changes
Reviews proposed revisions affecting global service valuation, stereotactic radiosurgery billing, and clinical laboratory fee schedule review processes.
-
Coverage changes
Describes proposed Medicare coverage updates for preventive testing, screening access, and investigational device exemption studies.
What You Will Learn
- Which broad areas of the Medicare physician fee schedule are changing or under review
- How CMS proposals may affect reporting, payment, and public quality data
- Which service categories and specialties are implicated by the proposed updates
- How the article organizes payment, policy, coding, and coverage issues for review
Who Should Read This
- Physician practices
- Medical coders
- Billing and reimbursement staff
- Compliance professionals
- Practice administrators
Codes Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com