E/M Coding Alert - 2010 Issue 25
Medicare payment: CMS Reps Outline Impact of PPACA on 2011 Fee Schedule
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Article Overview
This article summarizes CMS discussion of the proposed 2011 Medicare fee schedule and related program updates. It focuses on broader policy and administrative issues affecting practices, including preventive service coverage changes under PPACA, updates to PECOS ordering/referring resources, and a CMS study involving outpatient therapy providers. The content is useful for Medicare billing staff, compliance teams, and practice administrators tracking Medicare payment and enrollment developments.
Why This Topic Matters
The article helps readers understand Medicare policy updates that may affect practice operations, preventive service billing awareness, provider enrollment information, and participation in CMS data-collection efforts.
Article Sections
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Proposed 2011 fee schedule and PPACA-related changes
Discusses CMS’s proposed fee schedule for the upcoming year and the broader policy context affecting Medicare practices. The section highlights preventive service-related changes and the general timing of the rulemaking process.
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CMS adds new PECOS files
Covers CMS updates to online ordering and referring physician resources within PECOS. It also notes new file availability and related enrollment information for physicians and non-physician practitioners.
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CMS seeking outpatient therapy study participants
Describes a CMS effort to gather information from outpatient therapy providers for a study related to therapy policy alternatives. The section outlines the types of providers CMS is recruiting and the general data-collection approach.
What You Will Learn
- How CMS is framing the proposed 2011 Medicare fee schedule
- What categories of preventive service policy changes are being discussed
- What updates were made to PECOS-related ordering and referring resources
- What CMS is seeking from outpatient therapy providers in the study project
Who Should Read This
- Medicare billing professionals
- Practice administrators
- Compliance staff
- Provider enrollment staff
- Outpatient therapy providers
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