Part B Payment: Halloween Final Fee Schedule Announcement Leaves Some Practices Spooked

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Note:  The following article synopsis was NOT provided by AAPC. It was created by Find-A-Code/innoviHealth.

Article Overview

This article reviews notable updates from CMS’s 2015 Physician Fee Schedule Final Rule and explains why they matter to practices that bill Medicare Part B. It focuses on payment changes, coverage updates, and implementation timing across multiple service areas, including chronic care management, surgical global periods, mammography, and telehealth. The piece is aimed at coders, billers, and practice leaders who need a high-level view of the finalized rule and the types of services affected.

Why This Topic Matters

The final rule affects Medicare reimbursement and coverage policies that can change how practices plan documentation, reporting, and billing workflows for the year ahead. It is especially relevant for organizations monitoring CMS updates that may affect payment rates and eligible services.

Article Sections

  1. Fee Schedule Overview and Payment Changes

    A summary of the overall CMS final rule and the broad payment landscape it creates for Medicare services. This section discusses the types of fee schedule changes addressed in the article.

  2. Chronic Care Management Payment

    Discussion of CMS’s finalized approach to chronic care management under the 2015 fee schedule. The section addresses the broader policy and operational context surrounding this service.

  3. Global Period Phase-Out

    An overview of CMS’s planned transition away from certain global surgical payment periods. The section covers the timeline and broader implications of the policy change.

  4. Mammography Rule Updates

    Coverage and reporting updates related to mammography services under the final rule. The section covers the treatment of digital and tomosynthesis-related mammography changes.

  5. Telehealth Payment Additions

    A summary of services added to the telehealth benefit and the general requirements for interactive telecommunications. The section focuses on the categories of services affected by the update.

What You Will Learn

  • How CMS’s 2015 Physician Fee Schedule Final Rule affects Medicare Part B payment policies
  • Which broad service categories received updates in the final rule
  • What implementation areas practices should monitor for billing and documentation readiness
  • How the article frames updates to chronic care management, global periods, mammography, and telehealth

Who Should Read This

  • Medical coders
  • Medical billers
  • Practice managers
  • Physician office staff
  • Revenue cycle professionals
  • Compliance teams

Codes Discussed

Code Ranges Discussed


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