ED Coding & Reimbursement Alert - 2016 Issue 10
Physician Notes: What Ever Happened to 'Sequestration' Cuts?
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Article Overview
This article summarizes a CMS reminder about the continued Medicare sequestration payment reduction and discusses a proposed set of approaches for changing how physicians are paid to administer Medicare Part B drugs. It is intended for readers tracking Medicare payment policy, physician reimbursement, and CMS rulemaking activity. The piece also references reactions from physician advocacy groups and the broader policy debate around value-based payment models.
Why This Topic Matters
Changes and proposals in Medicare payment policy can affect physician reimbursement, practice operations, and beneficiary access to care. Readers need a concise way to determine whether the article’s discussion of CMS payment updates and drug payment models is relevant to their coding, billing, or compliance interests.
What You Will Learn
- How CMS is continuing to communicate the status of the Medicare sequestration payment reduction
- What broad categories of Part B drug payment models CMS has proposed
- How physician advocacy groups responded to the proposal
- Why these Medicare payment policy changes may matter to physician practices and beneficiaries
Who Should Read This
- Physicians
- Medical practice administrators
- Medical coders
- Medical billers
- Compliance staff
- Revenue cycle professionals
- Healthcare policy readers
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