E/M Coding Alert - 2005 Issue 37
Two Scans May Mean Less Reimbursement
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Article Overview
This article reviews comments submitted to CMS about selected provisions in the 2006 Medicare physician fee schedule proposed rule. It focuses on broad reimbursement and coverage topics across radiology, oncology, anesthesia, orthopedics, and family medicine, including imaging payment changes, a chemotherapy reporting demonstration, resident supervision policy, bundling concerns, and telehealth payment issues. It is useful for readers tracking Medicare policy developments and specialty-specific payment impacts.
Why This Topic Matters
The article helps readers understand which specialties may be affected by proposed Medicare payment changes and where professional societies are asking CMS to revise or delay policy decisions.
Article Sections
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Payment Policy Concerns in the 2006 Proposed Rule
Introduces the CMS physician fee schedule proposal and the physician and association responses it generated. Covers the broad policy themes discussed in the article.
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Imaging, Oncology, Anesthesia, Casting, and Telehealth
Summarizes the major specialty-specific topics raised in comments to CMS. Includes imaging reimbursement, oncology demonstration reporting, anesthesia resident supervision, casting supply bundling, and telehealth coverage/payment issues.
What You Will Learn
- What types of Medicare payment changes were being debated for the 2006 physician fee schedule
- Which specialties and professional groups were involved in commenting on the proposal
- What broad categories of reimbursement and coverage policy were discussed
- How CMS proposals could affect imaging, oncology, anesthesia, orthopedics, and telehealth services
Who Should Read This
- Physicians
- Medical coders
- Coding auditors
- Practice managers
- Revenue cycle staff
- Medical society policy staff
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