Watch fee schedule proposals for bone mass measurement, brachytherapy and more

Why This Topic Matters

These proposals affect how providers and billers track coverage and reimbursement policy across multiple service lines. Staying current helps organizations anticipate changes in Medicare payment methodology, patient cost-sharing, and settings of care.

Article Sections

1. Bone mass measurement and osteoporosis monitoring

   Discusses proposed Medicare coverage changes affecting bone mass measurement services and related monitoring considerations. The section centers on screening and follow-up payment policy within this service category.

2. Colorectal cancer screening deductible changes

   Summarizes proposed changes to deductible treatment for colorectal cancer screening services under Medicare Part B. The section addresses cost-sharing policy for a defined group of screening codes.

3. Remote afterloading high intensity brachytherapy

   Covers proposed changes to the global period and payment structure for a group of brachytherapy services. The section also notes related modifier usage in the context of staged procedures.

4. Physical and occupational therapy caps

   Reviews proposed updates to therapy payment caps and the status of an exceptions process for certain services. The section focuses on Medicare policy for outpatient therapy billing.

5. Ambulatory surgery center payment changes

   Describes proposed additions to the ambulatory surgery center covered procedures list and a future shift in payment grouping methodology. The section addresses broader ASC payment structure changes for a later year.