ED Coding & Reimbursement Alert - 2005 Issue 33
Orthopedics: Practices Could Lose $1000 Per Week Under New Rule
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Article Overview
This article explains a Medicare payment policy proposal from CMS that would change how casting and splint supplies are paid for in orthopedic and fracture-care settings. It is aimed at physicians, coders, practice managers, and specialty societies that follow physician fee schedule changes and practice expense inputs. The piece focuses on the general policy issue, the potential financial impact on practices, and the type of data CMS is requesting from stakeholders.
Why This Topic Matters
Orthopedic and fracture-care practices could be affected by a change in payment structure for supplies commonly used in casts and splints. Understanding the proposal matters for organizations that want to evaluate revenue impact and provide comment or data to CMS.
What You Will Learn
- How a CMS physician fee schedule proposal could affect payment for casting and splint supplies
- Why practice expense RVUs are relevant to orthopedic office billing
- What kinds of feedback CMS is requesting from medical societies and practices
- How the proposed change may influence fracture-care billing workflows
Who Should Read This
- Orthopedic practices
- Physician coders
- Practice managers
- Medical billing staff
- Medical specialty societies
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