ED Coding & Reimbursement Alert - 2011 Issue 42
Looking Ahead: What You Can Expect in 2013
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Article Overview
This article summarizes remarks from coding and payer-policy leaders about expected changes in 2013 and beyond. It covers likely CPT editorial priorities, Medicare payment developments for molecular pathology services, the status of ICD-10 implementation, and an upcoming value-based payment modifier. The piece is relevant to coders, compliance staff, practice managers, and physicians tracking federal and specialty-level coding updates.
Why This Topic Matters
The article helps readers understand which coding and payment issues were being flagged as important for upcoming policy and operational planning. It is useful for organizations preparing for code revisions, diagnosis code system transition, and future quality-based reimbursement changes.
Article Sections
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CPT Editorial Committee outlook
Discusses the committee’s focus areas for future code review and the general types of CPT topics expected to receive attention.
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Medicare payment considerations for molecular pathology
Summarizes CMS commentary on payment development for molecular pathology services and related fee schedule considerations.
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ICD-10 implementation status
Reviews the article’s discussion of the ICD-10 transition timeline, professional society concerns, and CMS statements about the rollout.
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Beyond 2013: value-based modifier
Covers the broader future payment policy change described in the article and its relationship to performance measurement.
What You Will Learn
- What coding and reimbursement topics were expected to be prioritized in upcoming CPT review cycles.
- How CMS was discussing payment for molecular pathology services at the time.
- What the article says about the status of ICD-10 implementation and stakeholder reactions.
- How a future value-based payment approach was described in the context of Medicare policy.
Who Should Read This
- Medical coders
- Coding managers
- Compliance professionals
- Physicians
- Practice administrators
- Revenue cycle staff
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