Value-based purchasing will ramp up with more reports, eventual modifier

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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 explains CMS’s planned expansion of physician resource use feedback reporting under the proposed 2011 Physician Fee Schedule and describes how it fits into the larger value-based purchasing effort. It is relevant to physicians, practice managers, and Medicare billing professionals who want to understand upcoming reporting changes, the transition to downloadable feedback reports, and the general direction of payment policy changes linked to resource use and quality measurement.

Why This Topic Matters

CMS reporting and payment policy changes can affect how physician practices are evaluated and, eventually, how Medicare reimbursement is adjusted. Understanding the scope of the new feedback reports and the timeline for the future payment modifier helps practices anticipate operational and financial impacts.

What You Will Learn

  • How CMS is expanding physician resource use feedback reporting
  • What kinds of reporting changes are being introduced in the proposed 2011 Physician Fee Schedule
  • How the reporting initiative relates to a future Medicare payment modifier
  • Which broad clinical condition categories are being used in the expanded reports
  • How the reports are being distributed and accessed

Who Should Read This

  • Physicians
  • Medical practice managers
  • Medical coders
  • Billing staff
  • Revenue cycle professionals
  • Healthcare compliance staff

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