E/M Coding Alert - 2009 Issue 3
Part B Payment: Calculate Fees Differently in '09
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Article Overview
This article reviews changes to Medicare Part B fee calculation for 2009 under the Physician Fee Schedule. It focuses on the overall payment methodology, the role of relative value units, geographic adjustment factors, and the revised conversion-factor approach. The piece is useful for coding, billing, and reimbursement professionals who need to understand how Medicare establishes fees for physician services.
Why This Topic Matters
Understanding the updated Medicare fee calculation method helps billing and coding staff interpret reimbursement changes and compare payment results across years. The article provides context for practices that rely on Physician Fee Schedule data when estimating payment for services.
What You Will Learn
- How Medicare Part B fee calculations changed for 2009
- How relative value units and geographic adjustments fit into the payment formula
- How the revised conversion-factor approach affects reimbursement
- How to compare fee calculation methods between 2008 and 2009
Who Should Read This
- Medical coders
- Billing staff
- Reimbursement specialists
- Practice administrators
- Physician office staff
Codes Discussed
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