decisionhealth Newsletters, Part B News - 2001 Issue 8 (August)
Uncertainty over 2002 conversion factor fuels worry over fee schedule
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Article Overview
This article summarizes reactions from physician specialty groups to the proposed 2002 Medicare physician fee schedule. It focuses on broad policy and reimbursement topics such as the conversion factor, practice expense data, screening services, mammography payment, telemedicine coverage, and updates to clinical practice expense panels. It is relevant to physicians, practice managers, and medical coders who track Medicare fee schedule changes and related payment policy.
Why This Topic Matters
Fee schedule proposals can affect reimbursement, coverage, and billing policy across multiple specialties. Understanding the issues raised in this article helps readers monitor upcoming changes that may influence Medicare payment and compliance planning.
Article Sections
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Fee schedule overview and conversion factor concerns
Introduces the proposed 2002 physician fee schedule and the general concerns raised by specialty organizations. It centers on payment methodology and broader economic uncertainty.
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SMS survey
Discusses concerns about practice expense data and the survey information CMS is using in its fee schedule calculations. The section reflects specialty group reactions to changes in the data pool.
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Glaucoma screening
Covers CMS’s proposed payment treatment for new glaucoma screening services and the response from ophthalmology stakeholders. It also notes related billing and bundling concerns.
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Mammography payment
Summarizes proposed payment changes for screening and diagnostic mammography and mentions the role of newer imaging technology. The section highlights the response from radiology organizations.
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Telemedicine
Reviews the planned expansion of telemedicine coverage effective in 2002 and concerns raised about how coverage is defined. It also discusses access issues and payment for services associated with remote care.
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Reprising the CPEP (Clinical Practice Expense Panels)
Notes CMS plans to update long-used data affecting clinical staff wages and equipment or supply pricing. The section addresses the data sources underlying practice expense calculations.
What You Will Learn
- How the proposed 2002 Medicare physician fee schedule was being received by specialty groups
- What broad areas of Medicare payment policy were drawing concern or support
- How CMS planned to approach practice expense data, screening services, mammography, telemedicine, and clinical practice expense updates
- Which specialties and organizations were commenting on the proposal
Who Should Read This
- Medical coders
- Billing specialists
- Practice managers
- Physicians
- Compliance staff
- Healthcare reimbursement analysts
Codes Discussed
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