ED Coding & Reimbursement Alert - 2005 Issue 43
PHYSICIAN NOTES: Battle Of Wills Over Your Pay Cut Goes Down To Wire
Subscribe or sign in to view the full article.
Article Overview
This article reviews several late-2005 Medicare and health policy developments relevant to physicians, outpatient facilities, and coding professionals. It focuses on the physician payment debate, a proposed Medicare coverage decision, an FTC ruling involving physician contracting, Medicare ambulatory surgery center code list changes, and a fraud-focused OIG report. The piece is useful for readers tracking reimbursement policy, facility coverage updates, and compliance issues.
Why This Topic Matters
It highlights federal actions that could affect physician reimbursement, facility billing, and compliance oversight. Readers working in medical coding, revenue cycle, or practice management can use it to monitor policy changes and identify affected service categories and code lists.
What You Will Learn
- The status of Medicare physician payment and pay-for-performance policy discussions
- How a proposed Medicare coverage decision may affect a specific heart failure therapy
- What the article reports about federal enforcement and physician contracting
- Which general categories of codes were added to and removed from the ambulatory surgery center covered list
- Why the fraud and billing examples in the OIG report are relevant to compliance review
Who Should Read This
- Physician practices
- Medical coders
- Billing staff
- Revenue cycle professionals
- Compliance officers
- Healthcare administrators
- Ambulatory surgery centers
Codes Discussed
Code Ranges Discussed
Subscribe or sign in to view the full article.
Quick, Current, Complete - www.findacode.com