ED Coding & Reimbursement Alert - 2015 Issue 26
Part B Payment: January Could Bring Changes for Incident to Services, Gastro Pay
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Article Overview
This article explains selected proposals in the 2016 Medicare Physician Fee Schedule and why they matter to physician practices. It is aimed at providers, coders, and practice managers who track Medicare Part B reimbursement and want to understand the broad areas of proposed policy change, including supervision-related billing, end-of-life counseling payment, and specialty-specific payment effects.
Why This Topic Matters
The piece helps readers gauge whether proposed Medicare payment updates could affect practice operations, reimbursement patterns, and comment opportunities before finalization.
Article Sections
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Introduction to the 2016 Medicare Physician Fee Schedule proposal
Overview of the proposed payment year changes and the context for Medicare Part B practices. Includes the broader policy environment surrounding the annual fee schedule update.
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Potential changes to incident-to services
Discussion of proposed updates affecting incident-to billing and supervision requirements. Covers compliance-related considerations for office-based services billed under a physician’s number.
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Advance care planning payment proposal
Summary of the proposal to attach Medicare payment to advance care planning services. Addresses the general policy issue and comment process for these services.
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Potential impact on gastroenterology payments
Review of proposed specialty-specific reimbursement effects for gastroenterology. Focuses on the broader payment impact and the procedural area involved.
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Comment deadline and access to the proposed rule
Administrative information about the opportunity to submit comments on the proposal. Includes the general timeframe for feedback and reference to the rule document.
What You Will Learn
- How the proposed Medicare Physician Fee Schedule could affect Part B reimbursement
- What broad categories of incident-to billing policy are under review
- How advance care planning payment is being addressed in the proposal
- Why gastroenterology reimbursement may be affected by the fee schedule changes
- When stakeholders can submit comments on the proposed rule
Who Should Read This
- Physicians
- Practice managers
- Medical coders
- Billing staff
- Gastroenterology practices
- Medicare compliance professionals
Codes Discussed
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