ED Coding & Reimbursement Alert - 2013 Issue 26
Part B Payment: Proposed 2014 Fee Schedule Suggests Steep Cuts
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Article Overview
This article explains a proposed Medicare Physician Fee Schedule update from CMS and summarizes the broad payment implications for physician and other provider groups. It covers projected changes tied to the conversion factor, specialty-level payment impacts, and a proposed new framework for complex chronic care management services beginning in 2015. The piece is relevant to physicians, non-physician practitioners, laboratory and pathology stakeholders, and billing professionals following Medicare policy changes.
Why This Topic Matters
It helps readers gauge how proposed Medicare payment changes could affect practice revenue and what new chronic care management policy direction CMS was considering for future implementation.
Article Sections
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Watch the Conversion Factor Take A Dip
Discusses the proposed Medicare Physician Fee Schedule and the expected direction of overall payment updates. It frames the broader reimbursement context for 2014.
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Other Specialties Could Face Steeper Cuts
Summarizes the specialties and provider groups identified as potentially seeing different levels of payment pressure or increases under the proposal. It focuses on the distribution of projected effects across practice types.
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Look Ahead to 2015 for Chronic Care Bonuses
Reviews the proposed chronic care management policy direction for 2015 and the general structure CMS described for new payment arrangements. It also notes the intended focus on ongoing care for patients with complex chronic conditions.
What You Will Learn
- How CMS framed the proposed 2014 Medicare Physician Fee Schedule
- Which provider groups were described as facing different payment impacts
- What broad new chronic care management policy CMS proposed for 2015
- How the article characterizes the relevance of the proposal for Medicare stakeholders
Who Should Read This
- Physicians
- Non-physician practitioners
- Medical practice managers
- Medical coders
- Billing and reimbursement professionals
- Laboratory and pathology stakeholders
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