ED Coding & Reimbursement Alert - 2008 Issue 45
PART B FEE SCHEDULE: Use Simple Calculations to Find Fee Schedule's Impact
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Article Overview
This article explains a simple spreadsheet method for estimating how the 2009 Medicare Physician Fee Schedule may affect a practice’s reimbursement. It is aimed at healthcare billing and coding professionals, practice administrators, and anyone evaluating payment changes by location and service mix. The discussion focuses on broad Medicare payment concepts, geographic variation, and how to use a downloadable tool to compare results across practice types and locations.
Why This Topic Matters
Medicare payment changes can affect reimbursement differently depending on where a practice is located and what kinds of services it provides. This article helps readers understand the general method for assessing those effects before reviewing the full premium guidance.
What You Will Learn
- How a fee schedule change can vary by practice location
- How practice service mix can affect overall reimbursement impact
- How to use a spreadsheet tool to compare geographic payment adjustments
- How to assess the effect of Medicare payment changes across multiple practice locations
Who Should Read This
- Medical coders
- Billing professionals
- Practice administrators
- Revenue cycle staff
- Healthcare consultants
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