decisionhealth Newsletters, Part B News - 2004 Issue 11 (November)
Year 2005 conversion factor set at $37.8975
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Article Overview
This premium article reviews the 2005 Medicare physician fee schedule and related Part B changes published in late 2004. It is relevant to physicians, coders, billers, and practice managers who need a high-level view of payment updates, new covered services, locality adjustments, and other CMS policy revisions for 2005. The article also touches on several specific code-based reporting and payment topics across preventive services, screening, therapy, diagnostics, and other physician services.
Why This Topic Matters
The article brings together the main 2005 Medicare payment and policy updates that can affect claim reporting, reimbursement, and practice operations. It helps readers orient themselves to the year’s broader regulatory changes before working through the underlying fee schedule details.
Article Sections
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2005 RBRVS conversion factor and related Medicare updates
Overview of the annual fee schedule update and other broad Medicare payment environment items for 2005. Includes general policy context, growth factors, geographic adjustments, deductible changes, and spending projections.
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New Payment Policies
Summary of newly covered or revised payment policies for selected preventive, screening, and site-based services. Also addresses certain operational and modifier-related reporting topics.
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Fee Increases
Highlights of selected payment increases for specific covered services and facility-related items. Focuses on changes in reimbursement amounts and related program updates.
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Miscellaneous
Additional 2005 Medicare policy changes affecting selected services, valuation methods, and coverage-related topics. Includes broader updates relevant to specialty billing and fee schedule administration.
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Impact of RVU changes in 2005
Specialty-by-specialty summary table showing estimated effects of relative value unit changes on allowed charges and fee schedule impact.
What You Will Learn
- What major Medicare physician fee schedule changes were announced for 2005
- Which broad payment and coverage topics CMS addressed for the year
- How the article organizes selected service-specific policy updates
- Which specialties were shown as affected by RVU changes
- What general types of coding and reimbursement topics the summary covers
Who Should Read This
- Medical coders
- Billers
- Physician practices
- Practice managers
- Compliance staff
- Revenue cycle professionals
- Specialty society staff
Codes Discussed
Modifiers Discussed
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