Part B Payment: January Could Bring Changes for Incident to Services, Gastro Pay

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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 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

  1. 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.

  2. 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.

  3. 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.

  4. 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.

  5. 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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